11654_JONES, RICHARD_19930503

Applicant Name
Addrecc
CAMA AND DREDGE AND FILL �
GENERAL �rl�b4
PERMIT
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 15 NCAC
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
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number
Bulkhead length
permit officer's signature
permit officer when the project is inspected for compliance.
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max. distance offshore
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Basin, channel dimensions
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cubic yards
ject is consistent with the local land use plan and all local
imensions
Boat ramp dimensions-
issuing date expiration date
Other
Other
adjacent riparian landowners certifying that they have no
objections to the proposed work.
attachments
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Phone Number
State
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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. 17 /
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applicant's signature
This permit must be on the project site and accessible to the
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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
objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that`�
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this project is consistent with the North Carolina Coastal
application fee
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Management Program.
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