24115_BLUMSTEIN, LEW_20000314

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CAMA and DREDGE AND FILL
-1 G E N E R A L 2,4t15/4
PERMIT
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 7 Y. e/ C90
Applicant Name L C �J 13LU/Ni S r,! / A-) Phone Number
Address lO 3 S` 6 c,4uM0A) /fc,4d
City oe4 )rVAJ State P v4. zip % `l I �-
Project Location (County, State Road, Water Body, etc.) f) tit? L COU ry i Y Lo 1
poll" Aovle _4,41
Type of Project Activity lyei j Lt I KA e'4a /_3 0 Sc uit'Q
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length 1 Z10
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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P? Y4 , G- w , E S
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, 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-
fies by signing this permit that 1) this project is consistent with the local
C."'V SC V//dSiae-
(SCALE: Ail
V applicant's signature
per it officer's signature
/L1 &G
issuing date expiration date
land use plan and all local ordinances, and 2)--a-wf4Rewstater.nent--has
been -obtained -from- adjacentripar-i-an--I-andowners-certifying-that--they-
have -no objectionsto-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