22656_ROUEN, DAVE_20000121

O
CAMA AND DREDGE AND FILL
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Cc
in an area of environmental concern pursuant to 15A NCAC
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Applicant Name s 10 -x<•`" r r— rnone Numoen`.1 IL"
Address 1 TH c T s t
City 1 l l A'� i t-ia �V,-\ State ti C ,Zip Z (2—
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Project Location (County, State Road, Water Body, etc.) •�" R"��`t , E t C�� Wil'
LA "�c�
Type of Project Activity - -
N A.r ii r31 O*L- ^
QC N`t?MT P h((o l krtipxt-47clvti
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length`
Groin length �U f
number
Bulkhead length
4-a 1
max. distance offshore iJ j
Basin, channel dimensions
1
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,
applicant's signature
imprisonment or civil 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's signature
permit officer when the project is inspected for compliance.
2-1
The applicant certifies by signing this permit that 1) this pro-
i •� iC'
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 no
� objections to the proposed work.
attachments
� C
In issuing this the State of North Carolina certifies that
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permit
l this project is consistent with the North Carolina Coastal
application fee
Management Program.