27773_ARNOLD, REBECCA E_20010823

Your project is subject to the Tar/Pamlico xj
CAMA and DREDGE AND FILL River Basin BufferRulesdue-tom— - wry ry
location within theTar/Pamlko 9S C t; 2 : 7 i 3 - '�
GE N E R A L Please contact Dcborah Sawyer or Tom r
Stcffcns at [phone]. �
P E R M I T � 3 zo
as authorized by the State of North Carolina )_ i
QQA?Ai,,:hd►GEMENT
Department of Environment and Natural Resources and theas'�ommi4slon
in an area of environmental concern pursuant to 15 NCAC _1A I,Ac )
Applicant Name�Phone Number
Address
City State °'`' Zip a l�
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH t�ti
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
ii l5
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 written statement has
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
(SCALE: h4:4 V )
9 i I
applicant's signature
T� permit officer's signature
)LN
issuing date expiration date
attachments
a application fee