15376_PASCATORE, STEVE_19960415

CAMA AND DREDGE AND FILL
GENERAL
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it MAY 1 4 1996
015376 1;
PERMIT
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as authorized by the State of North Carolina f
Department of Environment, Health, and Natural Resources and the Coastal Resourpp$ Commission
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in an area of environmental concern pursuant to 15A NCAC .
Applicant Name Phone Number
Address
Citv __ U'( e- r- State N Zip
Project L cation (County r State
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Type of Project Activity
Water Body, etc
PROJECT DESCRIPTION I SKETCH t -u-- d f-'
Pier (dock) length
Groin length
number
BttftCFi"egad length �p
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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(SCALE:
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This permit is subject to compliance with this application, site
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drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
applicants signature
j 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.
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The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ject
issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
NC,,
objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
application fee
Management Program.