25753_MOORE, BILLY_20000814

CAMA and DREDGE AND FILL
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as authorized bvthe State nfNorth Carolina [
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 N[/\[ /^
Applicant Name � Phone Number
Address
city State zip
Project Location (County� State Road, Water Body, etc.)
Type of Project Activity t i
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
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X
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Z
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
AA.
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Thiopermit issubject tocompliance with this application, site drawing
and attached general and specific conditions. Any violation ofthese terms
may subject the permittee to uGne, imprisonment orcivil action; and
may cause the permit tobecome null and void.
This permit must beonthe project site and accessible tothe permit of-
ficer vvhen the project is inspected for compliance. The applicant certi-
fies bysigningdhispermit that l)this project isconsistent with the local
land use plan and all local ordinances, and 2)awritten statement has
been obtained from adjacent riparian landowners certifying that they
have nuobjections tothe proposed work.
In issuing this permit the State ofNorth Carolina certifies that this project
ioconsistent with the North Carolina Coastal Management Program.
applicant's signature
permit officer's signature
issuing date . expiration date
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application fee