16802_RIVENBARK, DIANNA_19971119

CAMA AND DREDGE AND FILL
GENERAL f
i
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natur
in an area of environmental concern pursuant t
9
Resources Commission
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Applicant Name iii t i fi �_1 U'_. it �-'� Phone Numbers
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Address U ` »- ' 11-`
31Te
City tA f sti
State
Zips
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Project Location (County, State Road, Water Body, etc.)n -, `t:iu olir'd o 1 -
144",
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Type of Project Activity _ � 0 4
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PROJECT DESCRIPTION
SKETCH
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(SCALE:
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Pier (dock) length
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Groin length
number
Bulkhead length
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15
max. distance offshore
Basin, channel dimensions
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1
cubic yards'
Boat ramp dimensions
71—
Other5
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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.
applicant's signature
t 1 U-
1 permit officer's signature
i suing date expiration date
ttaattachrl d , I Zoo
In issuing this permit the State of North Carolina certifies that
s project is consistent with the North Carolina Coastal application fee
anagement Program.