27166_SANNERLIN, ROSWELL_20010403

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CAMA and DREDGE AND FILL w� E- 4Yi F h;. 27166
G E N E R A L
�~ APR 3 02001 if
PERMIT
as authorized by the State of North Carolina COASTAL MANAGEMENT
Department of Environment and Natural Reso R urces Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name Phone Number 1 i 1 ' `� w Z
Address
City
State
Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity lei
PROJECT DESCRIPTION SKETCH '7 &%t,
Pier (dock) Length
'Groin Length
number
Bulkhead Length
max. distance offshore i
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
(SCALE: t ' )!
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
applicant's signature
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-
permit officer's signature
f
ficer when the project is inspected for compliance. The applicant certi-
�, l -_ 2 Z,
fies by signing this permit that 1) this project is consistent with the local
issuing date expiration date
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.
attachments
In issuing this permit the State of North Carolina certifies that this project
- '� I
is consistent with the North Carolina Coastal Management Program.
application fee