21854_LEWIS, DAVID_19990520

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C4MA AND DREDGE 4�J[� FILL
GENERAL � � ' -- 7�T�,� ^�1 �M�� /\ �
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PERMIT [�' �A¢�1
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aaauthorized bythe State ofNorth Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
inonarea ofenvironmental concern pursuant to15ANCAC - 1
ApplicantName Di4vi") Lo__�V 115- Phone Number A15) 72Z
Address CLAKK '51 -
City jv%sS. oil 2-4,7 State Zip
Project Location (County, State Road, Water Body, etc
Type ofProject Activity IPROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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This permit is subject to compliance with this application, site
drawing and attached gonum| and specific conditions. Any
violation ofthese terms may subject the permittee noafine,
imprisonment or civil action; and may cause the permit on be-
come null and void.
e-comenu||xndvnid.
This permit must he 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 l) 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 oothe proposed work.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
'5/1 Y-9 � SAO -
I issuing date I expiration date
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attachments
application fee 7