20129_BLAKE, BERT_20000626

CAMA AND DREDGE AND FILL
GENERALS
PERMIT 19 z009
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coasjl Resources o mm ission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name `
Phone Number
Address
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City r 0 w i1
State
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Project Location (Co nty, State Road Vater ody, etc.) / ,-
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Type of Pr 'ect Activit
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PROJECT DESCRIPTION
SKETCH
no
(SCALE:
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions~
J' r
cubic yards
/
%�hu�i r�arfc`�
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Boat ramp dimensions
Other
14
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any f
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be- n applicant's signature
come null and void.
111 111 , � a�Ji � moi"
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.
is�ssuing date
/-1,
/
attachments r
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee l�
Management Program.
permit orricer's signature
expiration date