28371_WINSTON, CHARLES_20011116

CAMA and DREDGE AND FILL A
G E N E R A L 29,171-P
P E R M I T NOV 2 a 2001
as authorized by the State of North Carolina i
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name Phone Number
Address
City -- State- Zip
Project Location (County, State Road, Water Body, etc.)
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Type of Project Activityjr
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
(SCALE:
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Bulkhead Length
max. distance offshoreEZ
Basin, channel dimensions {
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cubic yards t
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Boat ramp dimensions
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Other t_
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This permit is subject to compliance with this application, site drawing
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and attached general and specific conditions. Any violation of these terms
_applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
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may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of-
i ` perrrot officer's signature
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ficer when the project is inspected for compliance. The applicant certi-
1, in _ ! 1
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
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been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
application fee