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CAMA AND DREDGE AND FILL JUI� 1 1 1?5
GENERAL SI
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11 1 [,40 ,i.W'4>Voirn
T 015519-Z
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 7 /i, • // ct) , f zy u
Applicant NameX'�A'�Q°%` f Cles Phone Number f yjf�
Address '-'?,Q5_ S',�dQ/� /3E�y IC
City �1fell�fdeJf—,t-�; �,• State A/C Zip_Z 74c I
Project Location (County, State Road, Water Body, etc.) /��Avicti.1 r c u- o r r fZ � � �sf/AD x3,FA V A?1I
,ct1).74cF'Nr r T7_�'4^/rens CIE tEEk (VE.4rt WAfPi,Ve,I-V AJ
Type of Project Activity FR0 f W C el a N S 77Z VC QG *J 0 r f a� t' lC &.,'-L re M t -u O �a � i-' IoJS ! W t C
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PROJECT DESCRIPTION I SKETCH
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Pier (dock) length
Groin length a
number re f -T
Bulkhead length
max. distance offshore�-------
Asefw-4G�E j 'Alwc
Basin, channel dimensions
cubic yards
Boat ramp dimensions tiuINX i" r
'PIL14('r
Other Pd� sME�S Ate
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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-
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.
/7J1/N5, /9r-
issuing date
?
expiration date
attachments i d'�Gy
In issuing this permit the State of North Carolina certifies that P-. �C �� 1� ��f3
this project is consistent with the North Carolina Coastal application fee
i Management Program.