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Home My WebLink About17733_INGLIS, ROSS_19970410O Applicant Name Address City RAL _ P RMIT�_ _f as authorized by the State of North Caroling ______ ...... Department of Environment, Health, and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Project Location (County, State Road, Water Body, etc.) Type of Project Activity PROJECT DESCRIPTION SKETCH Pier (dock) length Groin length i.ri) T j 7 number Bulkhead length max. distance offshore Basin, channel dimensions cubic yards Boat ramp dimensions Other CAMA AND GENE DREDGE AND FI mpm,77 I177 imprisonment or civil action; and may cause the permit to be- RAL _ P RMIT�_ _f as authorized by the State of North Caroling ______ ...... Department of Environment, Health, and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Project Location (County, State Road, Water Body, etc.) Type of Project Activity PROJECT DESCRIPTION SKETCH Pier (dock) length Groin length i.ri) T j 7 number Bulkhead length max. distance offshore Basin, channel dimensions cubic yards Boat ramp dimensions Other '�' t applicant's signature Phone Number State Zip 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, '�' t applicant's signature imprisonment or civil action; and may cause the permit to be- come null and void. i This permit must be on the project site and accessible to the permit officer's signature permit officer when the project is inspected for compliance. / 1 ro The applicant certifies by signing this permit that 1 this pro- ject is consistent with the local land use plan and all local ject issuing date expiration date ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no C objections to the proposed work. attachments r - G In issuing this permit the State of North Carolina certifies that this project is consistent with the North Carolina Coastal application fee Management Program.