25393_COUNTRY CLUB DRIVE BOAT BASIN ASSOCIATION_20000619

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CAMA and DREDGE AND FILL
G E N E R A L 25393A
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 % i " 15d&2- - . 7, 01
Applicant Name ii,- Phone Number �" H
AddressrN 1?4 j 0/6
City(-' 27832 State Zip
Project Location (County, State Road, Water Body, etc.)
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Type of Project Activity N1 itl► 4 i >Ln. r t` r� t- t c.
PROJECT DESCRIPTION SKETCH (SCALE: )
3
Pier (dock) LengthTF� _
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TTF _f
Groin Length tHILI:::_ I L
Tzi-filL,
number
Bulkhead Length_
max. distance offshore —
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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This permit is subject to compliance �% ith this application, site drawing JC _
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
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.
In issuing this permit the State of North Carolina certifies thatthis project
is consistent with the North Carolina Coastal Management Program.
applicant's signature
permit officer's signature
issuing date expiration date
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attachments
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application fee