26972_KIETZMAN, MARY_20001012

CAMA and DREDGE AND FILL
97
G E N E R A L
PERM 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
Applicant Name
Address
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH -
Pier (dock) Length
Groin Length l
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
M1• � ` I
cubic yards
Boat ramp dimensions
Other
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.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
Phone Number
Zip
(SCALE: )
/ applicant's signature
issuing date
permit officer's signature
expiration date
attachments
application fee

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DUDLEY'S MARINA INC.
PH. 252-393-2204 66-30/631
P.O. BOX 1148, HWY. 24 EAST 341
SWANSBORO, NC 28584 DATE O —12—
PAY
TO THE � IV� I $ sOO.©v
TOTAL ORDER OF
LESS �_ /1
%DISCOUNT `� J Q , , �� DOLLARS
LESS %��Yl
TOTAL DEDUCTIONS
41
AMOUNT OF CHECK FYRS"T CITIZENS 7t
13A., A I�1 EI Fi"' Citizens Bank &Trust Company
�I K Swan hb . N.C. 28584
CA
�Se2�
�1I'0 2 3488il' i:0 S 3 L00 300i:00 3►, L 2 24 30 S 7il'