28621_ZAYTOUN, KELLY_20010927

CAMA and DREDGE AND FILL
G E N E R A L��
OCT 1 0 200,
PERMIT
as authorized by the State of North Carolina a
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
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Applicant Name f. I Phone Number
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Address -
City State L Zip
Project Location (County, State Road, Water Body, etc.) LLO 72
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Type of Project Activity �. ;'u I rt �",�! r�� •� r k�cz,m�
PROJECT DESCRIPTION SKETCH.5
Pier (dock) Length__
m
(SCALE:
1
C
✓
Groin Length
number � " k
a
Bulkhead Length
max. distance offshore S%
Basin, channel dimensions
cubic yards [Tif T - ffl, 41
Boat ramp dimensions
J
4
T
441IJ
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7F
Other i
t
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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local
land use plan and all local ordinances, and 2)..a-wriU4ea-state t.k►as
.-bcera-.obtai��-frsra�.• ad jaE�nx-.ripa�ia�-landowf►ers -Bert#y+ng• �a>"-t�iey
—Piave-rye-eb}ec-�iHir�s�e-tie-pcop©sed-work.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
'f applicant's signature
.� N �! - � off,,• S �.
permit officer's signature
issuing date expiration date
attachments
' application fee