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Applicant Name
Address
City
CAMA AND DREDGE AND FILL
GENERAL
PERMIT
NIC 1 00 0 A
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 0-J4 /100
Project Location (County, State Road, Water Body, etc.)
�' vpT-- Nit A- .J -M,Q D e CAA --,.4 -
Phone Number AAS -1 -4914
State k G Zip -2 7.76 5
T"!/ c k C o U „-rV , /VDxTN Wil6Eo xl
C." 1 -
Type of Project Activity C-0105roQUCT .25-2 2 OF iu ov pi.T.i1ULk_1 F_14 ► A 4,e rQo x i A447rG
UdArEXWAA.Q 41P* X1u/L- AND
e o &rE Or L x is ii P -Cr y k �, C; / 1) C, C/A
PROJECT DESCRIPTION [ SKETCH r- S a to r Tt-u
(SCALE: I": 50 1 )
Pier (dock) length A t / �^
Groin length j' A ��" a®" �� �✓��A'
r-•'` pow
number -
Bulkhead length.=�
max. distance offshore
Basin, channel dimensions
810s r-
cubic yards �'
Boat ramp dimensions
Other
1
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.
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_AY-r-i.tten_sta-temP_nt ha -s -been -obtained -from
adjacent riparian.. fandowr+er-s—cer-t+fy-iRg--that- tkte�L--.have---ne
objections -to the -proposed -work
,1 1
applicant's signature
permit officer's signature
-i2-9-2
issuing date
attachments .07,q ' //Ico
expiration date
CFiRI`J tyi�(+jJr
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee_�� GK
Management Program.