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CAMA and DREDGE AND FILL
G E N E R A L
PERMIT
-9 5.6
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the
Coastal Resources Commission q
in an area of environmental concern pursuant to 15 NCAC
Applicant Name l ` " �-1 ,'�� ►�.`- ,�J f -' Phone Number
Address
City State
Zip
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Project Location (County, State Road, Water Body, etc.) fj c, A T v C, /r ���- �� u ►- 7
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Type of Project Activity i 1
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PROJECT DESCRIPTION SKETCH tF `" o6 1,1U
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Pier (dock) Length € I I I
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(SCALE:
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Groin Length
number
Bulkhead Length E%i'.
r c.
max. distance offshore .Y
Basin, channel dimensions
cubic yards
S t
Boat ramp dimensions
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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
have no objections to the proposed work.
applicant's signature
permit officer's signature
issuing date expiration date
C �-{ r_f� C r .1, 65 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