16809_RICE, GARY_19981218

CAMA AND DREDGE AND FILL t
GENERAL JAN 5 1998 I
016649
PERMIT COASTA' l_ MAiJ„u�: ,v
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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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Applicant NameQ= At Pone Number r�Jt 1j�Pri? `
Address 68,1 d. Id t W t wX, `1 a n'
City Y> r'° r- I`'{'� State d ��a.+t zip Cu.,_3
Project Location (County, State Road, Water Body, etc.) p
Type of Project Activityr, i f ^ (_W' rNi kJ A '
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PROJECT DESCRIPTION TSKETCH -•-- (SCALE: )
Pier (dock) length
Groin length
number
Bulkhead length
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
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applicant's signature
permit officer's signature
issuing date —' expiration date
P �- i r
attachments 4 co
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application fee