16068_HERSHEY, MERLE & PERRY, CHARLIE_19960625

CAMA AND DREDGE AND FILL l'(T'_!! rJ R 016068
GENERALJUL ® 8 10� � 3
PERMIT
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 -' '`I ) r1 c; v
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Applicant Name i' a his- v I1At U4 r I- Phone Number
Add i :� 11 1=
ress
City V Irk I nlic r P ae !4
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
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zip
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This permit is subject to compliance with this application, site
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drawing and attached general and specific conditions. Any
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violation of these terms may subject the permittee to a fine,
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iIC,S i�J yA/(-,,T„by,
This permit is subject to compliance with this application, site
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drawing and attached general and specific conditions. Any
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violation of these terms may subject the permittee to a fine,
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plicant's signature
e
imprisonment or civil action; and may cause the permit to be-
come
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.
ro
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ject
issuing date
expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
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objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that
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this project is consistent with the North Carolina Coastal
application fee
Management Program.