12885_SANDERS, JIM_19940608

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CAMA AND DREDGE AND FIL
GENERAL JUN 1 5 `2154 i N�
PERMIT U-EZA
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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 ':= / ',
Applicant Name } I Phone Number `
Address 1
City, i w 1 l t State t ' �- Zip ?T7(,6,
Project Location (County, State Road, Water Body, etc.)
J P ! r
Type of Project Activity 51io � D►2'I \/� l
PROJECT DESCRIPTION SKETCH t W, G r 1-'J
Pier (dock) length
_hT�`1 i
Groin lengtht —' !_
+ I
number
Bulkhead length
max. distance offshore
n / i
Basin, channel dimensions
cubic yards i
Boat ramp dimensions
1-'" f
Other -
- (SCALE:
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. , Y
applicant's signature
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-
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 �-7f
objections to the proposed work. attachments r 3T/ j'= ­g
In issuing this permit the State of North Carolina certifies that 1
this project is consistent with the North Carolina Coastal application fee �=
Management Program.