15851_PENSMITH, MILDRED_19960903

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Applicant
Address
CAMA AND DREDGE AND FILL
GENERAL
PERMIT._ _
as authorized by the State of North Carolina A oseA aasaassattA9�b9!
Department of Environment, Health, and Natural Resources and the Coastal Resources..Qommission
in an area of environmental concern pursuant to 15A NCAC L2 J-! • /% `"� v
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Phone NumbertC'��,���7����,�
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015$51-0
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Proijgct Location (County, State Road, Water Body, etc.) 0 3 %O!
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Type of Project Activiity Dn S r."4 ! �1 PM f d e,,t
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PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number J
Bulkhead length lD r �
max. distance offshore
Basin, channel dimensions
cubic yards
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
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be -
applicant's signature
come null and void. Q r I Ak
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.
o permit otticer's signature
q-
11.-�te expiration date
lid
attach men7P, ,
application fee U