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I P, I I —
CAMA AND DREDGE AND FILL 93-1
GENERAL LAUB 71991
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development d th Coastal Resources Commission
in an area of environmental concern pursuant to 15+CAC �i70
Applicant
Address
City
Project Location (County, State Road, Watetr Body, etc.)
Type of Project Activity
Phone Number % -(o41
State (J.C_ + zip
(.I., 13.14. 1S.I�A ,
PROJECT DESCRIPTION SKETCH�1 A 1
Pier (dock) length
Groin length
�Ic
number
Bulkhead length
max. distan�oftshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
3
LM 14
LOT 1'7—
2,9
This permit 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.
�—
CY-1 ST1
applicant's signature
rmit of icer's signature
issuing date expiration date
attachments -4 ,1 i 0 C
In issuing this permit the State of North Carolina certifies that �oO � ��
this project is consistent with the North Carolina Coastal application fee 6C�
Management Program.
k
-
�N
3
LM 14
LOT 1'7—
2,9
,9
.
I ..- A
This permit 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.
�—
CY-1 ST1
applicant's signature
rmit of icer's signature
issuing date expiration date
attachments -4 ,1 i 0 C
In issuing this permit the State of North Carolina certifies that �oO � ��
this project is consistent with the North Carolina Coastal application fee 6C�
Management Program.