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CAMA and DREDGE AND FILL "�YF°.
-- G E N E R A L N
.�P E R:'M, I T
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal esou_rces Commission
in an area of env"ronmental concern pursuant to 15 NCAC
;ti -; APP icant Name ICf / /, e Phone Numbe Q
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Address
City
State L. ZipG S
7. Type of Project Activity
41
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
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Groin Length
number
Bulkhead Length
max. distance offshore
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Basin, channel dimensions
1
cubic yards
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11
Boat ramp dimensions
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This permit is subject to compliance' with this application, site drawing i%
and attached general and specific conditions. Any violation of these terms
may subject the permittee to a fine, imprisonment or civil action; and applicant's signature �/'�
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- �I—r .P
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
fY g that
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program. application fee