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CAMA AND DREDGE AND FILL MAY 2 4 1999 z3 a $�6 A
GENERAL j —
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
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Applicant Name
Pier (dock)
Address Bay
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Groin length
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Zip
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Project Location (County, State Road, Water Body, etc.) _
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max. distance offshore
Type of Project Activity
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PROJECT DESCRIPTION
SKETCH
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length
Pier (dock)
Groin length
number
Bu+ fkfic d length
max. distance offshore
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Basin, channel dimensions
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cubic yards
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Boat ramp dimensions
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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 may subject the permittee to a fine,
imprisonment oracivil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject 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.
applicants signature
permit officer's signature
issuing date expiration date
attachments 2 / - //00 �— , a` 30 C
In issuing this permit the State of North Carolina certifies that :� 0_.. - y o ,
this project is consistent with the North Carolina Coastal application fee
Management Program.