28462_RINTZ, LAWIN & KINGS, KANE_20010621

CAMA and DREDGE AND FILL}
G E N E R A L
L p J 2001 ,
PERM I T j
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 ,s ;
Applicant Name
Address
City State
Project Location (County, State Road, Water Body, etc.)
Phone Number
Zip
ed 1 °,C /t l
Type of Project Activity i . r (k i.4
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PROJECT DESCRIPTION SKETCH �� v Ell lIt
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(SCALE:
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Pier (dock) Length
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n.
_ g
Groin Length v
t
number
Bulkhead Length
max. distance offshore a
Basin, channel dimensions
."
-
'
a.
cubic yards
Boat ramp dimensions
Other
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This permit is subject to compliance with this application, site drawing~ti�-�tn'�
j+jt,-� .�-• �� .
and attached general and specific conditions. Any violation of these terms
7 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.
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[ 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 expiration date
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.
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