26847_PERRY, WAYNE M_20010116

CAMA and DREDGE AND FILL 26847/4
--t G E N E R A L
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
e i ,,; . J
Applicant Name /1 F Phone Number
Address 63 %% TA J
City t.!-•F1 �;r=rr! ,��'� State lC' Zip -7 >
Project Location (County, State Road, Water Body, etc.) C.' c,T
C' t/ .c7eTAirt Tt-/eg gk ,fir
Type of Project Activity ',t., s T! t, �;. / `-c F �_'k iU es G u e.lcrI r40�
PROJECT DESCRIPTION SKETCH f= 5 few JOT'
Pier (dock) Length 1 7-
Groin Length
number
Bulkhead Length
max. distance offshore
.n
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
Tki, r mit 7c coikicrt to rmmnlinnra with thic Annlir;itinn citp (irawinp
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.
issuing date
(SCALE: N 0 A J F_ )
applicant's signature
permit officer's signature
expiration date
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Attachments
application fee