15500_KOMAROW, PAUL_19960620

CAMA AND DREDGE AND
GENERAL
015500 - � a
ter/
PERMIT
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as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources andthe Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC _ i\'.. "I 40..3
Applicant Name �"�'`� V.-PcyclIOV4 Phone Number
Address AVO 5 1 V L
Cityc.��* _ State NC_ zips
Project Location (County, State Road, Water Body, etc.)
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nR �y'.'\ G•.,ti Fes•- �... c' --a?. 4...1 �.
Type of Project Activity
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PROJECT DESCRIPTION SKETCH Q;:w —>4`' sz (SCALE: NQN`
Pier (dock) length
Groin length �`-- — N.r sk— — .,� . • 1 _ `n.\'r•�f
o h
number
Bulkhead length _
max. distance offshore
Basin, channel dimensions # 'Sca 4 , •, !
cubic yards
Boat ramp dimensions., CSC 1s lii�-s
Other
N r � e�
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
cant's s
permit ort+cer's signature
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issuing date expiration date
attachments !�A • \QLo(_%
application fee1�