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CAMA AND DREDGE AND FILL �!-1
GENERAL JUL 0 3 1996
` 013669-D
11-7
PERMIT L5U U 5 01'
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 Ili."
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Applicant Name I Phone Number ,
Address �^ t ! ° -e'
City Cl a State /V Zip {-
Project Location (County, State Road, Water Body, etc.)
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Type of Pro'ect Activit n fF n u n t P ) n 6 �P S D o O :' C ✓� r( F s-, i c,
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PROJECT DESCRIPTION
SKETCH (SCALE:
Pier (dock) length
VJ
Groin length
number
Bulkhead length
i71t°rri
Po o F �4.•
max. distance offshore
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r "'
Basin, channel dimensions
�,3°.x00
cubicyardslpSS 1A,",
1.0
Boat ramp dimensions
1
J 01
Other
I
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any�L, iijAA
violation of these terms may subject the permittee to a fine,
nature
applicant's signature
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.
application fee
issuing date
permit officer's signature
q' � b ?6,
expiration date