15369_SIMO, J.M._19960403

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Applicant Name
Address
City
Projet Location (County, State R�o/ad, Water Body, etc.)
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CAMA AND DREDGE AND FI t+� �� . +� : 0 .536.9-_R
GENERAL ll.kx.�
PERMIT APR 17 19
as authorized by the State of North Carolina
Department of Environment, Health, and NaResources Commission
in an area of environmental concern pursuant to 15A NCAC
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Type of Project Activity
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PROJECT DESCRIPTION SKETCH ? � ,,.., 4GC_
Pier (dock) length
Groin length
,-,number
Ju)'I "Xiength {'� ,
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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
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drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
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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,
' /% L_% applicant's signature
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-
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ject is consistent with the local land use plan and all local
issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
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objections to the proposed work.
attachments
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In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
application fee /' f
Management Program.