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CAMA AND DREDGE AND FILL Qi� �5
GENERAL
-1�
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the Costal Resources Commission
in an area of environmental concern pursuant to 15A NCAC '7 a 15co
Applicant Name .KA4 T \ CI-Nufl„v Phone Number 9 tel 4 4 2—0Goe.oC
Address
Cn 2 41- +, 1I 0 l- v•
City 1ZOC Mt• State IJC Zip --720 3
Project Location (County, State Road, Water Body, etc.) O i\slog Cfnui "l , Lo-r 2.. Chcd aft c- flcrc
# I 1 01F LOA we t rloe i
Type of Project Activity ICc►in Pti-nCeJ eXc-14iJA4 CI\ to CEN
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PROJECT DESCRIPTION SKETCH Ts.iu) w (SCALE: )
Pier(dock) length \li 41 V °`` _ _
W W 'I/ �/ v(/ W .
Groin length �+
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Ul y I
number . ,w ,L. p_
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Bulkhead length s//w/ \ 4
max.distance offshore
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Basin,channel dimensions I �� i j � �� 't €
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�o x ad x Mp`ed{N �`rUN� , , , j 1
cubi yards .
Boat ramp dimensions .� i j i
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Other i
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This permit is subject to compliance with this application, site ..- — - - -
drawing and attached general and specific conditions. Any L.--
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be applicant s signature
come null and void.
1
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance. �qQ
The applicant certifies by signing this permit that 1) this pro- c . 'Qctg9.\-1,..,o. Qv) , ('t (U
ject is consistent with the local land use plan and all loc I issuing date expiration date
ordinances, and 2) a written statement has been obtained fro � j
adjacent riparian landowners certifying that they have no /7 14, (5.00
attachments
objections to the proposed work.

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