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CAMA and DREDGE AND FILL
G E N E R A L 24-211
PERM I T
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
Applicant Name f L J rN 7-L/ n Phone Number
7
Address
City State Zip
Project Location (Count)4 State Road, Water Body, etc.) /)A&1 C
o f !-I L i 6 11 L LAA- 14 LType of of Project Activity
PROJECT DESCRIPTION SKETCH t� Tf`I , (' �•<. a C `� (SCALE: )
Pier (dock) Length
Groin Length
number
f
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
This permit is subject to compliance with this application, site drawing i/J (� �` • ; , `�;'
and attached general and specific conditions. Any violation of these terms ��^ J applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
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-
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
is consistent with the North Carolina Coastal Management Program. application fee