25840_CONLEYS, DAVE_20010111

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CAMA and DREDGE AND FILL
G E N E R A L -"
P E R M I T E- °°°°1
` 5840A
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coast. -,I °sources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name _ _ !1AVC C000'7 i '�, Phone Number
Address
City State zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
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(SCALE:
Pier (dock) Length
Groin Length
number
..........
..........
.
......
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Bulkhead Length
max. distance offshore
r
Basin, channel dimensions
cubic yards
s`
Boat ramp dimensions
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Other
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This permit is subject to compliance with this application, site drawing1124":v�
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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 become null and void. )
applicant's signature
This permit must be on the project site and accessible to the permit of-
permit officer's signature
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local issuing date
land use plan and all local ordinances, and 2) a written statement has
expiration date
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 this project
is consistent with the North Carolina Coastal Management Program.
application fee