16299_KIME, JOHN_19960520

CAMA AND DREDGE AND FILLISO 0,.11--1
GENERAL 'Idf
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PERMIT
as authorized by the State of North Carolina
k/_y, Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC `�� • !/?✓C%'
Applicant Name —, ��" .0r,,r, x �, ��� % Phone Number
Address
City State �,IOVCI zip
Project Location (County, Stat -Road, Water Body, etc.) h rrt%�'�c� �c �.� L3`17
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Type of Project Activity ^��{ �•' / �w f< +�� /.•ri r�P-�>r`s i��t ,
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PROJECT DESCRIPTION SKETCH (SCALE:r ✓ )
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Pier (dock) length & V PItile1­�
Ise f S 3= , 'F
Groin length 4
number
Bulkhead lengtht. f
max. distance offshore
Basin, channel dimensions J y
cubic yards
1 s'
Boat ramp dimensions
Other �
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
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violation of these terms may subject the permittee to a fine,
Act
applicant's signature
imprisonment or civil action; and may cause the permit to be
come null and void.
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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-
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ject is consistent with the local land use plan and all local
.. issuing date
expiration date
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.
attachments 6! H. IC 01�)
application fee l h e✓ flee / A 55 Zy

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