20267_FREE, ROBERT_19990823

CAMA AND DREDGE AND FILL
GENERAL i , 13'9267 -
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the -GQ stal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name '1� Ct' rrPr Phone Number
Address t F ; t`
City C s // (� tater 1 / Zip f}
Project Location (County State Road, Walter Body, etc.) —1 % 74 `tri
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Ty e of Project Activi �� ` u( o n � r P ko q C o r- i n 5 e
CJ d t v' o-, sA, d iiC u n wcA r a a �f t✓<
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
(SCALE:
11
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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-
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applicant's signature
come null and void.
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This permit must be on the project site and accessible to the
This
permit officer's signature
permit officer when the project is inspected for compliance.
by this that 1) this prop
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The applicant certifies signing permit
ject is consistent with the local land use plan and all local
issuing date
expiration date
ordinances, and 2) a written statement has been obtained from
have
adjacent riparian landowners certifying that they no
attachments
objections to the proposed work.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
application fee
- - - - -
Management Program.