16026_SHOUP, DON_19960418

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CAMA AND DREDGE AND FILL [APR
GENERAL1 9 1996 )f
PERMIT -
as authorized by the State of North Carolina a440"044004w*
Department of Environment, Health, and Natural Resources and the Coa tal Resources Commission
in an area of environmental concern pursuant to 15A NCAC `1 1.ar)U
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Applicant Name `+t-"'nu Phone Number U�5 ^�T'
AddressV` i 5 2 9 �-'• '
City ftp �t� lE �''���_, State h Y11•H Zip G 54U
Project Location (County, State Road, Water Body, etc.)
nS�Ct f'tAr,f eta �� �h�C�W�C(r 5%GrPS r✓�_
Type of Project Activity /kk Lk) p l & r r JUC t_ Lor fhou 5 e'_ b-�.)n i 5 I i in
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PROJECT DESCRIPTION
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Pier (dock) length I-ILo
x 4' U.; `i CA C
Groin length
number -
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other ,AocF . ) V X i:11
t� "A Q7'
SKETCH,,, ��IA�uJ bA
004
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(SCALE: Q ►uT TU SCI0c)
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PL_I
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
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violation of these terms may subject the permittee to a fine,
signature
imprisonment or civil action; and may cause the permit to be-
come null and void.
i,applicant's
_J /
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.
�
The applicant certifies by signing this permit that 1) this pro-
•-
ject is consistent with the local land use plan and all localissuing
date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
1260objections
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 feey '
Management Program.