20195_LANCASTER, JIM & FAYE_20010703

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CAMA AND DREDGE AND FILL
GENERAL � 200,�i LN t.", 039195
PERMIT I JUL 13 I Qot->a11s�
as authorized by the State of North Carolina �UA51H�
Department of Environment, Health, and Natur MO
in an area of environmental concern pursuant to 15A NCAC
Applicant Name � ► I� (m � �`",j O �`'4 rt
Address
City
Project Location (County, S
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Type of Project Activity. C
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Road, Water
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i Resources Commission
Phone Number
zip
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PROJECT DESCRIPTION SKETCH (SCALE: All. 4 -
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Pier (dock) length 'TP - ea
Groin length
number
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Bulkhead length `� r
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max. distance offshore
Basin, channel dimensions
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cubic yards
imprisonment or civil action; and may cause the permit to be
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applicant's
come null and void.
Boat ramp dimensions
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Other EV W�_ /C c( 1.1
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permit officer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
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ject is consistent with the local land use plan and all local
issuing date expiration date
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
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violation of these terms may subject the permittee to a fine,
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signature
imprisonment or civil action; and may cause the permit to be
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applicant's
come null and void.
This permit must be on the project site and accessible to the
permit officer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
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ject is consistent with the local land use plan and all local
issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have noP�M.
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objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that
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this project is consistent with the North Carolina Coastal
application fee,
Management Program.