15603_KARMOUS, MOUSTAFA_19960215

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CAMA AND DREDGE AND FILL
GENERAL
PERMIT
01560:3
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as authorized by the State of North Carolina "A°"�""'"""."���"'`'*'��i�
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 7 1� i J'�t i 1(X)
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Applicant Name Ift r MU `+ Phone Number vv l
Address lof 0,5 - l+�_)a�rr �c,�tjn 'ri�Y:-l1-� . S�tt� i� 4. o
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City 1�- �' �� k
Project Location County, State Road, Water Body, etc.)
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Type of Project Activity P—e \A t r 0 f f1rd C
PROJECT DESCRIPTION
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Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore_
Ir),
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH
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_ State iii C,� Zip 6276-01
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This permit is subject to compliance with this ap I "�n),�*tye
drawing and attached general and specific c loviolation of these terms may subject the pe�tr tee to a
imprisonment or civil action; and may ca�e to permi��q be
come null and void. j_
This permit must be on the projec�s to and accaAble-4o 11 e
permit officer when the project/(s Mspected for' c l ce.
The applicant certifies by signir&0§-permit that a pro
ject is consistent with the local 'a d'' us plan and,,All local
ordinances, and 2) a written statemenl'h�s been oKri;ed from
adjacent riparian landowners c�rtiii�at--eZyaa e��rro
oby®e�rotrs�to•�}t�topa�d-w•ork. �.�,.�' �`
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
issuing date
attachments
application fee
P L_
applicant's signature
permit officer's signature
I �5' 5(e
e piration date