22607D - Chase

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" ',-- < CAMA AND DREDGE AND FILL
GENERAL NV 2 607 —D
(..........7—
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 9 I—) • )100 , 12UU
Applicant Name Lt‘ZAb' 4k C- `l1SE. Phone Number 91 ) a--1— 2-9 9
Address ()' 0. 1 O)C (00 "2__
City J Y'e-'► d S -rT I
n State N `t'C Zip c8 Co 0
(yProject Location (County, State Road,Water Body, etc.) nS I o,.J e-Q�^i"L i cD O�7 +'A U pU tc# -elr
,ned<, Fe-rrv1 , Nv , PJe. J ` 2 ‘1e.r
Type of Project Activity NPaw) Inu \'.-' nd , ) eJt_ J P i e"(1
PROJECT DESCRIPTION SKETCH , NeAAJ lve_ C. / (SCALE: NOT T )
Pier(dock) length I
X . i
Groin length
number
Bulkhead length 100
max.distance offshore_�
Iry e,r,P,c\e
Basin,channel dimensions .., 1
r
cubic yards
Boat ramp dimensions (t?'
Other N ( \ I' I f
K,-)00, -of:j"), N1
'��� LET m},�;J - -
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, �/ r (
, applicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible tot - t perntitofficer'ssignature
permit officer when the project is inspected for complian•• 40/p 1
The applicant certifies by signing this permit that 1) this pro- , . (F,f le,‘cl 9 6 ., , ib , I99cA
ject is consistent with the local land use plan and all local 1 la issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no 7A , Ha) 4 IUV
objections to the proposed work. attachments
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-t-ALRAL PERMIT COMIPUTER FORM
APPLI CANT N ANE : EI i-�,tjC (h�1Sc)
ADDITIONAL NAN S:
AEC DESIG: E-S EA,U f T DEVELOP AREA:__L2-PROJ DESC:
(Will only take 6) - i
(Will only take I)
WORK: 1 M 100 X 12-
(Will only take 4)
j) tC J - S 5 ad
jrivL
MAINT:
(Will only take 4)
IMP: S 6 200
(.gal only take 6) k) O
ACTION EXPIRATION
DREDGE&FILL REQUIRED: • 4) ) l j 1 9 9 Cl I (o 119
C_AM_A MAJOR DEVEL REQUIRED:

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I LANK Y0
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ELIZABETH G. CHASE 1265
P.O.BOX 602 10 1 HOW_ k RD -
SNEADS FERRY,NC 2846(1-0602 DATE4 UNE I gj 66-19/53070N2C
311 -/Wits
Pczetro offh f/,,e $ `2`2.
r Y t AX00
Dollars
NationsBanli
Nationsliank,N.A.
For_aUc_K-HLAz etzoiir
1:053000 /9 61: 0006 50 341-161 . 26 5 3 Paa(00-
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