26100_BARNARD, BILL_20001109

Your project is subject to the Tar/Pamlico 1 l
CAMA and DREDGE AND FILL River Basin Buffer Rules due to its location
21
E N E R A L Within theTar/Pamlico Basin. Please
�1 contact Deborah Sa,,vyer at (252) 946-
P E R M I T 6481
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name ` Phone Number '
Address
City
Project Location (County, State Road, Water Body, etc.)
o. \ _
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length -r-T77-77,77
Y
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
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.
zip
issuing date
(SCALE: iw 4 w i )
applicant's signature
permit officer's signature
expiration date
,r
attachments
application fee