17344_NC WRC_19961004

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CAMA AND DREDGE AND FILI, 0144A
GENERAL'
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QCT 1 4 i9
PERMIT -G �,._ -I,
as authorized by the State of North Carolina °- _ ...,...—.060Nssw
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name I ` t, r: '� Phone Number 73
Address {
City i" -..5 � State 4'1 Zip 2 ? C% Y
Project Location (County, State Road, Wafer Body, etc.) Aim%
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Type of Project Activity ` '•}, i %% _ `'
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PROJECT DESCRIPTION SKETCH "" (SCALE: j (' )
Pier (dock) length
Groin length
number
Bulkhead length }
max. distance offshore X 1�� )I,•- !
Basin, channel dimensions �F /
cubic yards
Boat ramp dimensions
Other �� �•�s"
F�--�S
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any ( �,u �j
/V NGr t<_
violation of these terms may subject the permittee to a fine,
applicant's signature
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's signature
permit officer when the project is inspected for compliance.
ro
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local issuing
ject
date expiration date
ordinances, and 2) a written statement has been obtained from
adoeenr-- ripparian landowners certffying that;/ they, -have no
A/C / �r�ii f�r (cr 4.. S t �� attachments
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objeetio-to-�•he proposed workw
In issuing State Nort�i Carolina that
this Permit the of certifies
this project is consistent with the North Carolina Coastal application fee;.
Management Program.