15150_DORMAN, ROBERT_19960521

CAMA AND DREDGE AND FILLr�[�` � 0,�,1, ,�
GENERALEL-ju'u'
_x:tt'PERMIT 2 3 1996as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resou�oog ar�dth►e-CoartitResc*u*Ms Commission
in an area of environmental concern pursuant to 15A NCAC
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Applicant Name fk'��' u7 Itis !-) H/V Phone Number 1? 2 i ' Z_F71
Address IDL d c'1 6-/4 1 5 / TW V (_=
City f) A,1 State N C- Zip '2 9
Project Location (County, State Road, Water Body, etc.)
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Type of Project ActivityiKll�AU't7rV_ f'ueT�c'� ,�;T. ,n't-�r�it'
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PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
E
Basin, channel dimensions
cubic yards r
Boat ramp dimensions P11 q
Other
1 (I IIS
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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,
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 to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
(SCALE: )
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L'f' u`-I`Pt`,oT
l� e Lt
Qapplicant's signature
permit officer's signature
12'
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issuing date expiration date
attachments 7 r/
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee,•S
Management Program.