19423_MEDLOCK, SAMUEL_19980330

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CAMA AND DREDGE AND FILL
GENERAL IN 019423
PERMIT APR C 2 1993
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
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in an area of environmental concern pursuant to 15A NCAC
Applicant Name 5t1 x110,!_ L V-0 (.%W63' Phone Number
Address 041 Ott` D
City — A 00ti k ? -7941 State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity (i' 1 J1Cli X( I�! (`xLh'rt�st C2
PROJECT DESCRIPTION I SKETCH
Pier (dock) lengthk(\�
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Groin length 2 �✓ }CSV.,
4 17, q tj hip.( tA11
number
Bulkhead length .W.
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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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-
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) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
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applicant's signature
permit officer's signature
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issuing date expiration date
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In issuing this permit the State of North Carolina certifies that.,
this project is consistent with the North Carolina Coastal application fee (r�
Management Program.