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01
CAMA AND DREDGE AND FILL _
GENERAL'
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and th Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC Gri /!VC
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Applicant Name ' "11 / -
> r Phone Number '/ S 6
Adds
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Project Locat)on (County, S
Type of Project Activity
Road, Cter Body, etc.
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length /c/
m distance offshore��/
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Basin, channel di ensions
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cubic yards
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Boat ramp dimensions /-V I I
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4
is permit is subject to ompliance 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,
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void.11,1,2
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.
permit officer's signature
issuing date expiration date
attachments
application feed • q