18203D - Bone

it ' CAMA AND DREDGE AND FILL
GENERALbi:' 018203 ---1)
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 7/4 . MO
Applicant Name \_JlA 1 1 A n 6o1 1 Cam/ Phone Number '"!w 35 -:aa(e)
Address /)• d . BQ)L 3c11 9 1 J,/
City Top.Sirs; I Eeflc k State NCI Zip o?cYt T�
Project Location (County, State Road, Water Body,etc.) /90 W` Coup#y f ISO —I CAro1 i', Pi 7 i(i / '/
T I)'SR; I e-nck, TP.sp;I mound
Type of Project Activity NetAJ b t 1 if/h d tAm e,cujmrrl ore old I u !lateAd
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier(dock) length t
Groin length 6;;PSP"
( �r�
number
Bulkhead length (! ,�� r
max.distance offshore
I
ckve(A ILA
Basin,channel dimensions
cubic yards
Boat ramp dimensions ile a p rV or
Other - Ord t " cl 1 i'NCI 6i 1 Lh..k-.A u
( O0 L.OT >
— 15u4 c roLir --131ud
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any e i 1-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. --PC) /34.4.00.C.X2_,.../
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. , I���
The applicant certifies by signing this permit that 1) this pro- ` 1 S
ject is consistent with the local land use plan and all local i issuing date expiration date
ordinances, and 2) a written statement has been obtained from ,,/l
adjacent riparian landowners certifying that they have no /0 1 WO
objections to the proposed work. attachments ^!�lwam
1... _. nti -J
01"c�4

GENERAL PERMIT COMPUTER FORM
APPLI CANT NAME: \J(,( 1 / Pr1 0 €
ADDITIONAL NAMES:
AEC DESIG: f" T , C I DEVELOP AREA: ®C_PROJ DESC` p - I i
(Will only take 6) ———
(Will only take 1)
WORK: 8 I-1 Coo' X a,
(Will only take 4)
(Will only take 4)
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: • rt 3 cep J to I 1 7 &
CAMA MAJOR DEVEL REQUIRED:

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