12249_JORDAN, LESLIE_19940214

CAMA AND DREDGE AND FILL' N0?49
GENERAL FEE 2 ,�S
PERMIT
as authorized by the State of North Carolina����r������N����Y�
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name � Or "� �' � Phone Number �'�W ' �`-�� ��`� D
Address` --
City f'�<s�," State `4 zip h ),bU -
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
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PROJECT DESCRIPTION SKETCH (SCALE: GwtVC )
Pier (dock) length
- - - I --- - `' -- - -
Groin length
number4
Bulkhead length i... i. I ,� I i _ • . (— _ _ i
max. distance offshore ;`4 !_ 1 _I
Basin, channel dimensions
cubic yards !
Boat ramp dimensions
-- -- : — -r --r— -+— --
..,�•,,-...1
Other
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
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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.
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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.
The applicant certifies by signing this permit that 1) this pro-
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ject 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 fee r`-"
Management Program.