12674_KELLY, MIKE_19940208

CAMA AND DREDGE AND
GENERAL
No.
—�� FEU 1 la Istiq -
PERMIT
—'*"-`/ 1 o11Y�fY •�r1Yi�i�
as authorized by the State of North Carolina"""`
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC I / z
Applicant Name Phone Number
Address 4 L. C !i
City
A , f, &. <y F11 State � ` �` Zip
Project Location (County, State Road, Water Body, etc.)
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Type of ec
Projt Actiyitj f
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PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
C,, r
Bulkhead length
r.
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 may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
Theapplicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
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applicant's signature
permit officer's signature
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issuing date
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application fee '3 ` C
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expiration date
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applicant's signature
permit officer's signature
Ej ` l
issuing date
0
attachments % //
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application fee '3 ` C
E !G qs Terry
expiration date