28597_NGUYEN, NHUNG VAN_20010918

CAMA and DREDGE AND FILL
^, G E N E R A L
ors
P E R M I T;,-.
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 0 00
Applicant Name t .if i,rA n.s �'�j tr - Phone Number ? 3 �1
Address r rti ; . R,c­11T x c 't I)
City State A; Zip _4
Project Location (County, State Road, Water Body, etc.) "tit iJ E / Cf
Type of Project Activity r_ f-- -r c
al T F f "5 6ti x .9 r L C 1M4 [r L),,iLi a!✓
PROJECT DESCRIPTION
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions / S
Other
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.
applicant's signature
permit officer's signature
issuing date expiration date
y 11 Q (a y I N1 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