17616_HENDERSON, DIANNE_19980127

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CAMA AND DREDGE AND FILL
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017616
GENERAL
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Address
FEB 0 4
1998
PERMIT
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Project Location (County, State Road, Water
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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
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910
Applicant Name .'
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Phone Number
Address
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Project Location (County, State Road, Water
Body, etc.)
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Type of Project Activity
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PROJECT DESCRIPTION 1 SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
3(Y X, 0IyC2
cubic yards
6
Boat ramp dimensions
Other
(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,
imprisonment or civil action; and may cause the permit to be-
come null and void.
4 130 s
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 prod
ject is consistent with the local land use plan and all local 1
ordinances, and 2) a written statement has been obtained frarrl,��J�
adjacent riparian landowners certifying that they have no
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
Management Program.
application fee_
applicant -s signature
permit otticer's signature
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iss ing date expiration date
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