7621_SOMMER, STEPHEN_19901127

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Applicant N q1
Address
City
Projekt Location
CAMA AND DREDGE AND FILL E/L
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GENERAL
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development'r�dlthe C�ga�tal resources Commission
in an areas of environmental concern pursuant to 15 NCAC , J r I I I ( (i ,
pA V�Ae4Z t Phone Number
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Type of Project—Activity
PROJECT DESCRIPTION I SKETCH Pr, I -W
Pier (dock) length
Groin length.
number—
Bulkhead length ESL
m distance offs re
"Nr -e Q 'r°
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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Thispermit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
State , 1 V L, Zip
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applicant's signature
' Y permit officer's signature
is-70,1100
uing date expiration date
attachments . / 0 , 1 1 0 0
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.