23907_MORRIS, TOM_19991115

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CAMA and DREDGE AND FILL
G E N E R A L; �� X39 �'�� n
MIT -��� 0 2 Z000
PER .:'-----__--
as authorized by the State of North Carolina` -'
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC `IU
Applicant Name Phone Number
Address
City rc• Z State w Zip
Project Location (County, State Road, Water Body, etc.) \)fir- ��111,A c�� `�1Z \\aa uA \\'A i
Type of Project Activity ` \ v U ��, c �,s -;�c - C -) k`���� as� G1 \ �' � �\
PROJECT DESCRIPTION SKETCH
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
1 applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of-
J permit officer's signature
ficer when the project is inspected for compliance. The applicant certi-
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fies by signing this permit that 1) this project is consistent with the local
issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
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have no objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that this project
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is consistent with the North Carolina Coastal Management Program.
application fee