12670_SARRES, STEPHEN_19940103

CAMA AND DREDGE AND FILL 7, ,l r,71
GENERAL •
'' JAN 2 5 199►
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resu—LiT s'57iV""i G2S'dMTTTjgo'?ces Commission
in an area of environmental concern pursuant to 15 NCAC °
Applicant Name Phone Number
Address
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City State Zip
Project Location (County, State Road, Water Body, etc.) - i;'
Type of Project Activity "
PROJECT DESCRIPTION SKETCH
Pier (dock) length
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Groin length iiS
number •.
Bulkhead length �-
max. distance offshore h t lytic t [11p�z;
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Basin, channel dimensions
cubic yards
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Boat ramp dimensions i
Other+
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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,
T , applicant's signature
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-
ject is consistent with the local land use plan and all local
ject
issuing date expiration date
ordinances, and 2) a written statement has been obtained from
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adjacent riparian landowners certifying that they have no
g, r i ; 190 :ar;;i CT"e�3"�'Y�r �. ra}�t i-nr! w�triane«
objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
application fee
Management Program.