16256_POWELL, DANIEL_19960817

O
CAMA AND DREDGE AND FILL
GENERAL
PERMIT
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 14.4 . i C,�,UU
Applicant Name
Address
riv
Phone Number �� �{� 57J-.)- 9 Irl
City t `t)( 10 State t�dl zip :y)'76-13
Project Location (County, State Road, Water Body etc.) P -c -n r -c Ct)u M N 11104 j Zi (r, iJC r4 k :� A� rem
r o r f` 0 I� 4 f iV 1=1 f It) r� l i r C F ►1
Type of Project Activity
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PROJECT DESCRIPTION
SKETCH
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Pier (dock) length
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C jU ID LA i1`1D2;nr_1 .
Groin length
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or J rIly
Gc,llf ia
(j
-t�-►lnCF�Fv�
number
Bulkhead length
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r
ru „Ota �r rmi� fllld
max. distance offshore
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MP, UIc PV h
Basin, channel dimensions
cubic yards
Boat ramp dimensions
fit -
Other
(C)
i nis permit is suDiect to compliance witn tnis appiicauon, 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--writ-ten -st-at-erne-nt-has-bremob-taTned-from
adjacent -riparian- iandvwners---certifying--th-at--they --have-no
otrjeetions to -the proposed -work. WO U E
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
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permit officer's signature
rc
issuing date expiration date
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attachments _r_ &
application fee 0 0''1 �L,�