16486_ELLINWOOD, GEORGE_19960816

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CAMA AND DREDGE AND FILF fL E JV4'
GENERAL
PERMIT d�
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 71111,00 4 1 se
Applicant,Name -Rd IQ 01Phone Number;�—
Address P 0
City e G 1-oi G State zip i eV S
(Project Location (County, State Road, Water Body, etc.) te,f Jr W /� �/' K fry -w D
-1lt- -1-- , n' 111 0 � /7 A .n .1 1 -z
Type of Project Activity 27,4 1
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PROJECT DESCRIPTION
Pier (dock) length —
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
<o"L ILyeX-6,
cubic yards
Boat ramp dimensions
Other
- - 1`19 �V
11 7-7L
U,
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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's signature
permit officer when the project is inspected for compliance. r�
The applicant certifies by signing this permit that 1) this pro- — - '�� /
jest is consistent with the local land use plan and all local issuing date r expiration date
ordinances, and 2) a written statement has been obt
a�jac n riparian landov Hers certi yln� that they have d work. ri attachments�` % 14
2oepo osebchU
In issuing this permit the State of North Carolina certifies that
t project is consistent with he fj� t� has p I wi t North Carolina Coastal application fie
Management Program.
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GEORGE H. ELLINWOOD 66-112/531 821
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DBA ELLINWOOD DESIGN ASSOCIATES
P. O. BOX 12534
RALEIGH, NC 27605 19
PAY THE A I
ORDERER OF fi I +•
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DOLLARS
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RALEIGH, fY0 H CAR__OLL�//��++A 2]602
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