18652_NC AQUARIUMS_19980305

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����� 4�J[l [l����� AND FILL
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PERMIT
osauthorized bythe State ofNorth Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Phone Number
�x
Applicant Name Ph
Address
City State Zip '
Project Location (Comnty,State Road, Water Body, vtcj
Type ofProject Activity
-
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length P
Groin length
number
Bulkhead length
max. distance offshore
oas'n.channel uknensimo-_---
cumcyards
Boat ramp dimensions
_---__'
nmu,
/
This ponnb is subject on compliance with this application, site
drawing and attached general and specific conditions. Any
violation of those conn` may subject the pnnn/ttec to u fine,
imprisonment or civil action; and may cause the permit to b+ '
cmnnnuUandvoid.
This permit must be on the project site and accessible no the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that l) this pro-
ject is consistent with the local land use plan and all local /oumguam
ordinances, and 2\ a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments
`
applicant's signature
permit officer's signature
expiration date
In issuing this pcnniz the State of North Carolina certifies that
zhi, pn�mc/ i, con,i�o,n� °id` thv Nord` Caro|ina C"u�u| a»n/�zuonm^ - p ~~ ' °u
Management Program.

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