27179_TEACH'S LAIR_20010501

CAMA and DREDGE AND FILL
G E N E R A L
P E R M I T
as authorized b the State of North Carolina
Y
Department of Environment and Natural Resources and the Coast Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City + ' - l ,%) t: C i % �.'� _�. �? State
Project Location (County, State Road, Water Body, etc.)
Phone Number J?�
zip
r / 1
Type of Project Activity , 1 f.-.) ! I ►rl !� f' A_2 -.:
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
1
(SCALE:
rt=
r
FEE T!F�57
F
Basin, channel dimensions `
I
cubic yards
Boat ramp dimensions
other
- --' k
A
�14
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.
issuing date
applicant's signature
pe"it officer's signature
7 ?' ?=
expiration date
attachments
application fee