18506_SPICER, STEVE_19971113

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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
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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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.
State
C —
Phone Number
Zip
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applicant's signature
/ permit officer's signature
issuing date
i/ ,
attachments ' i ! '
expiration date
In issuing this permit the State of North Carolina certifies than
this project is consistent with the North Carolina Coastal application fee
Management Program.

S. Speiser ss-3or472 1157
L. Speiser / 5
P.O. Box 950
Oriental, NC 28571 DAll /
PAY TO THE
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b Look for: ro Trial signature lint. iar hpe •md linework. Iirsl Citizens I1mik Ingo on back. If not present. do not cash.
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FIRST CITIZENS 472 OWSt
BANKrl- Citizens Bank & Trust Company
r Oriental. N.C. 28571
FOR D/ S_0�-C7_ - NP
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