21916_BASSETT, EARL C_19990628 (2)

CAMA AND DREDGE AND FILL z:::71
GENERAL N° 2"1 916
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 :�k4 1 ?00
Applicant Name T A9— C ' Phone Number
Address W0 )t2c,, n 17,
City ���>��� ; L ?_�� "llo �l) State Zip
Project Location (County, State Road, Water Body, etc.) 3E1,413Qj2 H H I I C ; LIQ C_7bw w
Type of Project Activity IAA OSS= AIAD DOCK P�VE'02 dS
PROJECT DESCRIPTION
Pier (dock) length�'�
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any X
violation of these terms may subject the permittee tb 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.
issuing date
attachments 7 F4 1p0
Com+
In issuing this permit the State of North Carolina certifies that �, e
this project is consistent with the North Carolina Coastal application fee
Management Program.
applicant's signature
expiration date
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