26906_FOGLEMAN, ERIC_20001011 (2)

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AN rQUAL OPPORTUNITY / ArFIRMATIVE ACTION EMpLOYNA - 80% MUCYCLEo / 10% ►OM'T•CONYUMeA ►APKA
DENR TOLL FRra HOTLINS; 1-077-623.874a
Applicant Name
Address 41)
City
CAMA and DREDGE AND FILL N0 269()6 r�
G E N E R A L fl��r� z 200
PERMIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Co tal Resources Commission
in an area of environmental concern pursuant to 15 NCAC �n - I I CO
Q.l 0 , E �n& Phone Number
Project Location (County, State Road, Water Body,
of Project Activity
PROJECT V�C�RIPTIOt1 SK
Pier (dock) Lengt
r � 1
Groin Length
number�•
Bulkhead Length �
max. distance oHshore
Basin, channel dimenslons —
cubic yards
Boar ramp dimensions
Other
State Zip �T�=— --_-
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(SCALE: 11-fl- 77-sr-
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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 permInee to a fine, Imprisonment or civil action; and
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of-
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
land use plan and all local ordinances, and 2) a written statement has
lr%por\ o talned irom adiacent rioarian landowners certifvine that thev
applicant's signature
cer's signature
Ii issuln date expiration date
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