15279_PHILLIPS, ALBERT R_19961105

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CAMA AND DREDGE AND FILL NY 015277
GENERAL QV 0 819%
PERMIT
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as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC -7 H • I Z C-0 . ! 1 v
Applicant Name 1' W5 LPhone Number ilyJ 7
Address 2 A SLAN,1.2
City }��1?T1::Aw State NC-- ,1 Zip 2%` 44'
Project Location (County, State Road Water Body, etc.) S� t-�wL);yLySy I C ioc C' Li
At,60 1WL.r 5(1�1�lr> GaAW M'AN �»I%u:. CA -0L � 1►?/ir k� VIlt� y �' AL1L
Type of Project Activity
F21t' tv�i, 5i lu�L. ,\,J _ `-7P cu ICa
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PROJECT DESCRIPTION
Pier (dock) length We>,&i
Groin length f ill
number N A
Bulkhead length IPlK� (zAU
max. distance offshore
Basin, channel dimensions 1,1
cubic yards
Boat ramp dimensions
Other
SKETCH EW!
:SUO 4
I _
! II I
f r i 7-r,7
•n -
1'1f 4-f•1A 0'.
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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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r e' applicant's signature
permit officer's signature
issuing date T expiration date
attachments —714 � 1()J1 1200
In issuing this permit the State of North Carolina certifies that 1 [� W !�,
this project is consistent with the North Carolina Coastal application fee' is1'�,-
Management Program.