20056D - Millis

CAMA
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GENERAL ND DREDGE AND FILL Na 0200�56—D
...... PERMIT
as authorized by the State of North Carolina
fNv� Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC q 0 • 1 iVU
Applicant Name ' 1 M ;' I t S Phone Nu ber 910 3a-1 45'1 1
Address n %0 X 3� 8 C) L r 11 r+ Li r\c)
City C State IV CU Zip OUv�^4 L�'b ���
Project Location (County State Road, Water Body,etc.) inS ID� C n U n i ►' 1 t k 11-3 <J T o Od -•i Uu:
43 ao nuA lkC-- L Atee , r Mas 4 ff , Il ) , (Ll - &e-r --re -)
Type of Project Activity I Lob' 1/ (d I LING/Ad d f `AC e-y- + ' l 0W d be k
r e i V\c F YneAn* 00 -t tr\c_ u.)I \-e-r '-i- -0 y2( f t 1
PROJECT DESCRIPTION SKETCH (SCALE: No U )
Pier(dock)length
Groin length (A 1 _ _
of4' of _ _. ��z
number / ,r,/��T
Bulkhead length I�0 ' `1 ��`e f'` i
Val 1 — f 1,
max.distance offshore I i / Con re k
2.' A0er'AciC J / //
Basin,channel dimensions / /
C 01)0 S(' A
/ 1
cubic yards `/ `' - ' I loO' bUl kited
Boat ramp dimensions fc-p'AC�n ,�
i.'
Nother 1 b5 ' )1- 4 i l
�aucr`- if'
W'kdc dock_
tak 1�ce w��- Qr�P � � ��- IACeW� � A.I
R S ar sc 6 bey) 60AT eN Ct0 r ne r- l
NouS� f. e of (A)P\ c -
c` , OUe l
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any Y)6./fk Ci i4k4(/1/
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be ap licant's signature
come null and void. .N ^
V ' 1
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. G
The applicant certifies by signing this permit that 1) this pro- ��vvvQ,.) 1 1C1G • I� ( ��� I
ject is consistent with the local land use plan and all loc ( 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
- - -. . _ .. ._. . t4) _

GENERAL PERMIT COMPUTER FORM
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APPLICAMIN_AIvE: I nit ths
ADDITIONALNAiv1£S: Y.) i i S. S food +Iou_S
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C DESIG: E S DEVELOP APPA 0.4 PROJ DESC: (2 -
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(Val cuil3' 1)
WORK: f� }-I •I (o O X I O P - 1 bS x 4 '
(W fl only takc 4)
M AIIvT:
(Cvt-I'i onlytir-4)
IMP: S 6 I Co b Q i-1 CT 210
(will only ter_6)
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