28615_REVELL, DONALD H_20010913

CAMA and DREDGE AND FILL
G E N E R A L
` b a 2001
PERM I T
.
6 P" �
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 r '
Applicant NamePhone Number.
Address J A1 4 1
City -%� (_ r State Zip
Project Location (County, State Road, Water Body, etc.) ' k,. r f `k
Type of Project Activity X V ` N
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PROJECT DESCRIPTION SKETCH PT t+
(SCALE:
7'
)
Pier (dock) Length
Groin Length
i�
/
•�
number
qq
I
Bulkhead Length
max. distance offshore
n,
}
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
/ -1 x .1.r
T LK i
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 24-a written-statereent-has
been--obtained-frog adjacent- ripari-arrlandowners--certifying-that-they
have no objeetiens to the-proposed-Aefk.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
applicant's signature
perm i officer's signature
issuing date expiration date
1 � �
attachments
application fee