20174_DANIEL, TOM_20010424

CAMA AND DREDGE AND FIL
GENERAL ENE 20 17 4 -�
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PERMIT MAY ops o 1-/'a
as authorized by the State of North Carolina COpg A M NAGWE
I(✓��y Department of Environment, Health, and Natu I Reso A as aJ Resources,Commission
in an area of environmental concern pursuant to 15A NCAC 1 ` A -
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i Phone Number' °{ �� 6�
Applicant Name
Address a t. zJ x f- c4 d
City H6 r+,'+` r ', k'.1 /Y zip r'F ��
(`}State
Project Location? (bounty, State.. Road, Water Body, etc. HD +� J X -r W
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Type of Projec Activity /6'b.; h r f i A V f r tj ti i' Wu 4el itiuP
k X t s n . — �+ f' a � r ( C -A S I, .' c t ^ i1
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J�" �P�✓°" P! 7a(f ^q tf(t••� r CdFtp.+ C=�rr� (t� r /yid p t}t �^in
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PROJECT DESCRIPTION
SKETCH w �M (SCALE: No
Pier (dock) length
Groin length
number
Bulkhead length
I
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0 0t i t
L—H
distance offshore
max.
(,J
Basin, channel dimensions
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cubic yards
Boat ramp dimensions
Other r%(A
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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.
The applicant 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.
applicant's signature
permit officer's signature
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that/ 1 a
this project is consistent with the North Carolina Coastal application fe / U
Management Program.