12195_JOHNSON, AUSTIN_19940609

CAMA AND DREDGE AND FILL
GENERAL N° 95
PERMIT
as authorized b the State of North Carolina
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Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
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Applicant Name ' Phone Number
ress _
City t ... ,t State
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Project Location (County, State Road, Water Body, etc.) r f
Type of Project Activity
PROJECT DESCRIPTION SKETCH i.�.
Pier (dock) length
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fl
Zip' /(
(SCALE:
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Groin length
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number
Bulkhead length
Wax. distance offshore
Basin, channel dimensions
cubic yards - -
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Boat ramp dimensions _. ` 4.__1-- — �._--•-. - .
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Other
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
i it
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
applicant's signature
come null and void.
This permit must be on the project site and accessible to the
permit officer's signature
permit officer when the project is inspected for compliance.
applicant certifies by signing this permit that 1) this pro -
is consistent with the local land use plan and all local
issuing date expiration date
ordinances, and 2) a written statement has 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
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this project is consistent with the North Carolina Coastal
application fe
Management Program.

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ADJACENT RX PARAN ROPE STATMMT - --
• x 'hereb certify that 1, own • property adjacent to ,• ^ �' ' `r
•,;:' •;v wf0�' !S, ro ez .acatad-•a -_ ..:..
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,..(Name obf.•PxopeXty Owne .
♦tt of � . •\•••. • ♦ •F'../V��• �1�� •, ' •, { .. -
ti (pots, Block, Road, .etc.)
on
:t (Waterbody) '.(Town and/or. _
'He:has' �deseribed to 'me, as shown below, the devalopirient,'he
proposing at 'that' location, :and; ,I Nave no, objections`to.'his ; " 5
Trdposal. ;.
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' DESCRIPTION AND/OR 'DRAWING OF PROPOSED DEVELOPMENT:
(To'be filled -in by individual.proposing development)
ems. ,. '• '.