27350_CHANNELSIDE PROPERTY OWNERS_20010719

CAMA and DREDGE AND FILL 27350
GEN ERAL
LAU,QP E R M 11' 0 7 20
as authorized by the State of North Carolina COAS MOREHEAD MENT°�
Department of Environment and Natural Resources an a oas urces Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name Phone Number
Address
City State zip
Project Location (County, State Road, Water Body, etc.) ,
Type of Project Activity I' '
PROJECT DESCRIPTION SKETCH (SCALE: - )
Pier (dock) Length
i d rf i
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards i
(
Al—
�_.,�_� ..'....
Boat ramp dimensions
44+
T.
f
Other - - — — -
+ ( .' j; —, ��
i
t 1115 Permit 15 5u1.)iel.t iv (.Ulllp !anl.e wiui una aNNLdL U11, aiic uiawiiis
?.'if'11YVtl l
and attached general and specific conditions. Any violation of these terms
/ applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
iJ
may cause the permit to become null and void.
`
This permit must be on the project site and accessible to the permit of-
permit officer's signature
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
issuing date expiration date
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.
attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
application fee