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CAMA AND DREDGE AND FILL
GENERAL .ilk: 0-19791-0
PERMIT MAR 16 1999
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 Name1- ` c� ` Phone Number
Address
City `�l r `> r �' State zip l �'
Project Location (County, State Road, Water Body, etc.)
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Type of Project ActiviYy�! .� /` V ' r a !an + �I �� l /•.. ci \
I L
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PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions �7
Other f` �+ U f f'
j'yi
0 (0�' q'i &(- �
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,
II=
applicant's signature
imprisonment or civil action; and may cause the permit to be-
.
come null and void.
officer's a signature
permit mitI
This permit must be on the project site and accessible to the
I' permit officer when the project is inspected for compliance.(4
The applicant certifies by signing this permit that 1) this pro
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
adjacent riparian landowners certifying that they have no
objections to the proposed work.
attachments
In issuing this the State of North Carolina certifies that
permit
R,
this project is consistent with the North Carolina Coastal
application fee L� r3
Management Program.
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