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CAMA AND DREDGE AND FILL �7L
0174
GENERAL JUL 0 8 1997
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PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
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in an area of environmental concern pursuant to 15A NCAC 1-�
Applicant Name " .t Phone Number X04' 'W1
Address
City State t aC.. Zip aGC}div I:J
Project Location (County, State Road, Water Body, etc.) J
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Type of Project Activity ' 1. 11\1;Z1
PROJECT DESCRIPTION SKETCH (SCALE:C16;, ) ;
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Pier (dock) length's
Groin length i
number f
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Bulkhead length I I
max, distance offshore
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Basin, channel dimensions-
cubic
imensions cubic yards
Boat ramp dimensions
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Other �PY�
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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.
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issuing date expiration date
attachments -V �\oci
In issuing this permit the State of North Carolina certifies that i" p
this project is consistent with the North Carolina Coastal application fee_
Management Program.