12771_KRAMER, JOSEPH_19931004

CAMA AND DREDGE AND
GENERAL k N� •{�
PERMIT i OCT I1 1323
as authorized b the State of North Carolina
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Department of Environment, Health, and 3esaurces.aw;d4Fie-G'oaSTatResources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.) It r
Type of Project Activity �f
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PROJECT DESCRIPTION
SKETCH [(_ jj
1 (SCALE: _ )
Pier (dock) length}
,
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applicant's signature
imprisonment or civil action; and may cause the permit to be-
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Groin length
number
Bulkhead length
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j_i _ • _ _
max. distance offshore
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The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ject
Basin channel dimensions
ordinances, and 2) a written statement has been obtained from
cubic yards
Boat ramp dimensions
Other
attachments
In issuing this the State of North Carolina certifies that
permit
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,
applicant's signature
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'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-
ject is consistent with the local land use plan and all local
ject
fissuing 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
In issuing this the State of North Carolina certifies that
permit
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this project is consistent with the North Carolina Coastal
application fee -'
Management Program.