19960_RIVERBANK, REGGIE_19980717

11/01/01 10:26 FAX
C A AND DREDGE AN FILL
GENERAL
002
N° 019960 C
PERMIT lom r.Io k/
as alltMOrized by the Slate of North Carolina
oepartment of Environment, Health, and Natural Resources and the C9 131#Y urces Commission
in an area of environmental concern pursuant to 15A NCAC
—36
Applicant Name �% •� -� ,6 Phone Number --s2- K3 2 7_
A ddress'l 010 ✓
City StateG Z'
Project Location (Courp, State Road, Water Body, etc.) (,LCL -510 Le- �� �� �Y le '2.2 Ari
Type of Project Activity
PRO] ECT DESCRIPTION SKETCH £itr (SCALE:
Pler ,tea L ) ln'�—
I Gro q�l pgr71
I
nurnher
9ulkh oad)cnath-�2/
max. distance offshore
I �
Basin, channel dimensions D d O O Q O
40
cubic yards f
Boat ramp dimensions
hvt -eee
Other (.A
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. A
violation of these terms may subject the permittcc to a fine
imprisonment or civil action,- and may cause the Dermit to be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject 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,
aDDI cant S Signa [u rr
V pfrmlt OMCWS Signature
Issuing date / ,rf ext>intlon aate
te
attachments _ /V G A C (� (�t/
Bp Dllcation f��, a
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