17625_HENRY, ED_19980331

CAMA AND DREDGE AND FILL
GENERAL 017625—
PERMIT
1 i625+PERMIT APR }:..
as authorized by the state of North Carolina
Department of Environment, Health, and Natural Resources and the astal Resources Commission
in an area of environmental concern pursuant to 15A NCA.-
�J /%ate
Applicant Nantes~(� ' Phone Number
Address t1/9 b N
City 'f"'S,6 State C.
Project Location (County, St,o RoadWater Body, etc.) '� f
Typof Project Activity D r d..�' J f -4 0 G �^ S t
I1 0Bo/J
PROJECT DESCRIPTION SKETCH
Pier (dock) length
Zip
LD, '
(SCALE:
Groin length
--.---• ----o.. . _ __....._._ ,__._
/{
S�OAS, n i fi t'
--
E7c!
drawing and attached general and specific conditions. Any
number
Bu head length 00 �")At
5•�"
`�•
i-f—
U�
applicant's signature
max.f—
max. distance offshore
Basin, channel dimensions
come null and void.
cubic yards
/00"
�I 1
V .-
permit officer when the project is inspected for compliance.
Boat ramp dimensions
A'
i
Q_._
�^
Other
expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
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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,
,
applicant's signature
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's signature
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
issuing date
expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
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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
application fee
Management Program.