16053_BILL KELDER_19960728

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CAMA AND DREDGE AND FILL
GENERAL
PFI?AAIT
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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 cg u
Applicant Name �i f e E2 Phone Number Ll Ci�� ��
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Address a11In :��- �,. (A}i �Atr.S
City
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Project Location (County, State Road, Water Body, etc.)
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Type of Project Activity %N u. i �80t~A y<<
State K, d ) Zip
PROJECT DESCRIPTION SKETCH 1'iYrOS L -y� C.�
CT (SCALE:
Pier (dock) length -"
Groin length
number
A
Bulkhead length
max. distance offshore / j,���✓ �}':3�r
cid
Basin, channel dimensions I
cubic yards
Boat ramp dimensions r✓
Other A i
a{fir K
i
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, �' ` r '-f `{ t
( ; applicant's signature
imprisonment or civil action; and may cause the permit to be- n _
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. ,_- _
The applicant certifies by signing this permit that 1 } this pro - k- `� ) t9
ject is consistent with the local land use plan and all locai._ issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no �2 00
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies thaty
this project is consistent with the North Carolina Coastal application fee V
Management Program.