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CAMA and DREDGE AND FILL
G E N E R A L N, 24510-
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 Phone Number. 2-
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length ' .rirl"
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
Zip
(SCALE: )
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
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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-
ficer when the project is inspected for compliance. The applicant certi-
o
fies by signing this permit that 1) this project is consistent with the local
issuing date
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
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have no objections to the proposed work.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
applicant's signature
i
permit officer's signature
expiration date
attachments
application fee
1]
CENTRAL PERMIT OFFICE OF
�F E
CARTERET COUNTY COURTHOUSE
COURTHOUSE SQUARE
SEAUFORT. N. C. 2851 g-1 898
728-8545
BUILDINGS. MO81LE HOMES. ELECTRICAL. PLUMBING. MECHANICAL
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to:
property located at: A (11
body)
in (county)
The applicant described to me as shown below, the development he/she is proposing in that location and:
I have no objections to this proposal_
I do have objections to this proposal
4w/-/"11-//70/
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Y 4� �� I I I IAI
Signature 1-1- - , v
Name:��if'h
Phone Number: -�� ��� 3y3 7S 5Z J
Date: Z/—� Z Um'v —
CENTRAL PERMIT OFFICE OF
COURTHOUSE SQUARE
�� _•.- - ---_ _ BEAUFORT. N. C. 2851 6-1898
CARTERET COUNTY COURTHOUSE728-8545
BUILDINGS. MOBILE HOMES. ELECTRICAL. PLUMBING. MECHANICAL,
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to: 1( GAS
� sc�
Property located at:3�,.
7 ear (w r
body) in (county)
The applicant described to me as shown below, the development he/she is proposing in that location and:
I have no objections to this proposal
I do have objections to this proposal
Phone Number: l/d -- � a6, , L
Date: 3 — --)- li— 0 c7 —