12884_KOELEMEYER, ANTON_19940522

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AMA AND DRE LmAy
GENERAL DGE AND FlN?2 5 199 9 .
PERMIT c3a U I ni
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coad. l R srources Commission
in an area of environmental concern pursuant to 15 NCAC �!' t
Applicant Name ' ' Y1 N `F' Phone Number
Address
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Project Location (County, State Road, Water Body, etc.)
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Type of Project Activity_;
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PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length '
max. d'�tance offshore
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Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State _
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This permit is subject to compliance with this application, site v
and attached and specific conditions. An
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violation of these terms may subject the permittee to a fine,
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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.
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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 -� - f -t (
this project is consistent with the North Carolina Coastal application fee
Management Program.