26481_HUMMEL, SAM_20010223

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CAMA and DREDGE AND FILL Your project is subject to the Tar/Pamlico
G E N E R A L River Basin Buffer Rules due to its ,,: ��",�$1
location within theTar/Patnlico Basin.
Please contact Deborah Sawyer at (252)
P E R M I T 946-6481.
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
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
other
State
Phone Number
zip
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Thic r nrmit is ci ikicrt to rmmnlianra with this annliratinn. site rlrawinQ '_4 - ./:
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and attached general and specific conditions. Any violation of these terms applicant's signature
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- 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 Ian and all local ordinances and 2) a written statement has
expiration date
p
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