28424_FURNER, MARY_20010926

CAMA and DREDGE AND FILL
G E N E R A L OCT n 3 zoos 2S4,24A-
P E R M I T -=--
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
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Applicant Name N�Afl�.�t)�=�'`— Phone Number ll
Address
City " n State Zip
Project Location (County, State Road, Water Body, etc.) L
Type of Project Activity F u
PROJECT DESCRIPTION
SKETCH
(C `
(SCALE:
1
)
Pier (dock) Length
7-4--
Groin Length
n
number
Bulkhead Length
max. distance offshore
X
r
Basin, channel dimensions
cubic yards
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Boat ramp dimensions
Other
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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 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
been obtained from adjacent riparian landowners certifying that they
t .I applicant's signature
permit officer's signature
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issuing date expiration date
ti C )c
have no objections to the proposed work. attachments 1 � � � ,
In issuing this permit the State of North Carolina certifies that this project �.- •� LL' 1 i.; _ ' �' :./-'<1
is consistent with the North Carolina Coastal Management Program, application fee