27566_STYREN, HENRY_20010212

CAMA and DREDGE
G E N E
PERM
as authorized by the State o
Department of Environmen
in an area of environmental
Applicant Name
Address
t
err,
AND FILL
R A L �1�
_T
I T
f North Carolina
and Natural Resources and the Coastal Resources Commission
concern pursuant to 15 NCAC
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH ,
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions L
cubic yards
Boat ramp dimensions
Other
State
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 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.
Phone Number
zip
(SCALE: ; )
applicant's signature
permit officer's signature
issuing date expiration date
Attachments
application fee

PERMITTEE
LOCATION:
MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
'S NAME: PERMIT #
FIELD REP. 'T
PHONE: j DATE REPORTEDLY COMPLETE:-5
DATE OF INSPECTION
1) Do th easured dimensions of the development differ from those indicated in the permit and workplat?
Y� ircle one].
COMMENT:
2) SEDIMENTATIO EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? ES O [circle one]
COMMENT:
3) FUTURE MON WORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YES/ O [circle one].
COMMENT:

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P O Box 660
Cedar Island, NC 28520
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