28212_JOHNSON, MACK_20010914

CAMA and DREDGE AND FILL
G E N E R A L '"Y;
P E R M I T,
as authorized by the State of North Carol ina - - ----= ------'
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name Phone Number "• �':
s.
Address
City State zip
Project Location (County, State Road, Water Body, etc.)
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Type of Project Activity ,; t
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
$
(SCALE:
1"'i -
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)
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Basin, channel dimensions
cubic yards
Boat ramp dimensions
[.L.
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1
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
applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
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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
ssuing date expiration date
land use plan and all local ordinances, and 2) a written statement has
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been obtained from adjacent riparian landowners certifying that they
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have no objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that this project°
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is consistent with the North Carolina Coastal Management Program.
application fee