20490_BACON, ZACH_19990629

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 ) /./ , /] Q `,
Applicant Name;_�:,Ag ��~ � /�C Q�^C�.��1✓�/C Phone Number 42 -S �J
Address J 3 lfi -B'/s` ('
City t„ j V%A, State /VC Zip
Project Location (County, Stat Road, Water Body, etc.)'�`�`�
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Type of Project Activity fif 7 y
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120490''
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
�s
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Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
t
Other h �J/���X ��
�'Y 16
imprisonment or civil action; and may cause the permit to be
come null and void.
4-
(SCALE:
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,
�1
applicant's signature
OO"�`
imprisonment or civil action; and may cause the permit to be
come null and void.
r This permit must be on the project site and accessible to the
permit officer's signature
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permit officer when the project is inspected for compliance.
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ro
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ject
—�' issuing date
expiration date {
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
—7
objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
application fee �i `�t✓'
Management Program.