28416_ROGSTAD, BARRY_20010802

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CAMA and DREDGE AND FILL
G E N E R A LW
oc. 0 zoos
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
Applicant Name i . Phone Number
Address
City l ' State
Project Location (County, State Road, Water Body, etc)tA
zip
J�1 Ui3 �IkGt� �i=-(�►�G�
Type of Project Activity i�l;.� > 0C
PROJECT DESCRIPTION SKETCH
1 (
t_
'
(SCALE:
Pier (dock) Length
.µ. _
Groin Length
number
Bulkhead Length
Ff "
a
max. distance offshore
7'
Basin, channel dimensions
,
cubic yards
Boat ramp dimensions
Other4
77
L
�
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 2}.a wr#teR-statement-leas
been -obtained -from• adjacent• -riparian• landcwr►ers-cer.6fyitag that -they
#have-fie-ebjections-to the-proposedAvork.
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
permit dfficer's signature
r
issuing date expiration date
attachments
application. fee