2987c_LEE, BOB_19870520

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Applicant Name
Address
City . l: -i
CAMA AND DREDGE AND FILL
GENERAL
PERMIT
2987C
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development"Coast s ommiin an area of environmental concern pursuant to 1S NCAC-/--
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h` 63 3 : (-G o
Phone NumbetV b -3 2— ?
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Project L c ion ( op nty, State
Type of Project Activity
Water Body, etc.)
State
Zip 2-
PROJECT DESCRIPTION SKETCH (SCALE: )
Pie (dock) length
Q � �
Groin length
w / /
number
Bul ad length 99
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
i
' 1 I i
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 itten statement has been obtained from
adjacent riparian landowners certl ying t a t ey have no
objections to the propose wor .
liaant's signature
permit otticer's signature
7 issuing date expiration date
attachments J� TrlaV
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee_
Management Program.