18200D - Brown

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CAMA AND DREDGE AND FILL
GENERAL , 018200 D
-1�
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the Coa tal Resources Commission
in an area of environmental concern pursuant to 15A NCAC r/ • J J UU
Applicant Name R.0 by 'Broke Phone Number 919 60.21 46/5--
Address 4,02. xnyk r,od /TtK.PI(jc J
City 7)urhnrl State /UV Zip o17701
Project Location (County, State Road, Water Body, etc.) Pede in Co J3C7�s C/ rbt,nA �� '
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Type of Project Activity Ak b u 1 k-ht i d a' w/1 le-rL 4r-d of old 6 U/k-11 GnGJ
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PROJECT DE CRIPTION SKETCH (SCALE: A lOT T
Pier(dock) length �p ��/
Groin length 4
pr(
number //__
Bulkhead length (IJ�f
max.distance offshore *�
Basin,channel dimensions
cubic yards
Boat ramp dimensions
s-
Other Nel 7_ • : M _. __... .._._ __. a!
©Id 'SkAII(hnd
c)L . C/O' LOT p�
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any 414C'e--(A1violation of these terms may subject the permittee to a fine, ILI
imprisonment or civil action; and may cause the permit to be- applicant's signature
come null and void.
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.The applicant certifies by signing this permit that 1) this pro- a/LC(' 5 I !9e �( � 5 /!q
90
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 7
objections to the proposed work. attachments

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