22612_ELLIS, WILLIAM_19990630

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CAMA AND DREDGE AND FILL
GENERAL :tdY 22612-D
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Qoastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name �
% V N ° ' Phone Number
Q x _-R artJ
Address `
City so r, State
Project Location (County, State Road, Water Body, etc.)` C�
Type ofP jecdt Activity
�X i .`�'t l eY4
f
Zip
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PROJECT DESCRIPTION SKETCH d SC -
Pier (dock) length���
{
Groin length
number i
Bulkhead length ����� ) T—t—
max. distance offshore '''r1 t `
i*T Basin, channel dimensions
ZU�
cubic yards
Boat ramp dimensions�-
Other I a
LOT
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) thisrpro- J 30 11t1 7
ject is consistent with the local land use plan and all 'local I issuing date
ordinances, and 2) a written statement has been obtained from "-�
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments
u
In issuing this permit the State of North Carolina certifies that t,.
this project is consistent with the North Carolina Coastal application tee
Management Program.
f permit officer's signature
expi ation date