26845_NELSON, RICHARD S_20010109

CAMA and DREDGE AND FILL
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--t G E N E R A L _
PERMIT !-lr�7.a0A
as authorized by the State of North Carolina t 1 2001 —Y---
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC . /„i. C, c%
Applicant Name Phone Number
Address
City / , }-., ! y t/ State ` i Zip :P � y c `e
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity , /_ L, c.`% "` C., `'
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
other / tJ
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.
-I ' P
(SCALE: ,N CAS ,&
applicant's signature
rt'
permit officer's signature
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that this project a 'J fe'
is consistent with the North Carolina Coastal Management Program. application fee