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GENERAL 020063, Y
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Costal Resources Commission
in an area of environmental concern pursuant to 15A NCAC `7 . L30U
Applicant Name H t , n Gn Phone Number S96-.2105
Address C9°1'13 ` Ate' Pri I c
City G-f ,A hP'M State CI
Zip a`7.Z J-3
Project Location (County, State Road,Wat�er``Body,etc.) CA 5\O1A) 11,A rk`-\ goo 6 qt +reel-
Sur F C.11 t )C�) Nit ten-M dc_ C1frr 1
Type of Project Activity t..3oP+'t '' --AN1 f, -P-P..P1A ce.-Me-f\t' ( cr! 17-) COnc-Ce{e._
PROJECT DESCRIPTION SKETCH M -_ �n ^_`c \ (SCALE: No T To )
Pier(dock) length J 1 C� ViNrkifN
Groin length
number
Bulkhead length
max.distance offshore
Basin,channel dimensions
cubic yards I doc{C,,.
Boat ramp dimensions �-
x ate' be•w�rf ) ___ K'�
Other
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, applicant's signature
imprisonment or civil action; and may cause the permit to be-
come J/
null and void. 1 ` `
This permit must be on the project site and accessible to th permito icer'ssignature
permit officer when the project is inspected for compliance. � ,�p
The applicant certifies by signing this permit that 1) this pro- _, j1 9 I q 1G ci �_'Q 1 _ 19 1 ct
ject is consistent with the local land use plan and all local Issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no 9 M , i 3 bb
objections to the proposed work. attachments

GENERAL PERMIT CON4PUTFR FORM
`,
APPLICANT N_AI : L err 1. l n\
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ADDITIONAL NAN2S:
AEC DESIG: PT 1 C IAJ ES DEVELOP AP.EQ� _ '�pROJ DESC: p -
(W torsi}take 6) (Will only take 1)
wow: aP ( a'xzc1
(W ill only take 4)
MINT:
(WM onlyIsk_4)
E:b 4 0
(will only tar_6)
ACTION EXPIR TION
DREDGE& IT Si REQUIRE): Co J 19 Ict9 '1 , ici L
C_AJVIA MAJOR DEVEL REQUIRED:

4. S •
r
arty / ;yeti
has °or per missIDn
fo hav& a loaf ram p
put ire
ar�thar ,Tames
9070 q Str ee -
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W. D. JOHNSON
OR BEATRICE P. NCDL 13,3724
JOHNSON
9052 9TH ST-a566 NCDL 7538538
HOLLY RIDGE NC 28445 5�23
NC
pay to the
Order 19$ BB-t8/53p
1851
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