23726_TEACHY, WILSON AND NANCY_20001101

CAMA and DREDGE AND FILL y
UU".1-`G E N E R A L NOV 2 $ 200 00PERMIT AU_
NAGEMENT
as authorized by the State of North Carolina COASTALM-
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name `i �/ ��r Phone Number
Int < <
Address,�
City
State �C'' Zip
Li
Project Location (County, State Road, Water Body, etc.) a Com' V f i- J_(
Type of Project Activity �/q �,A (o 1
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
0
(SCALE: )
This permit is subject to compliance with this application, site drawing
Y
and attached general and specific conditions. Any violation of these terms
f i 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
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
issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has
dU�
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
/ }}J /attachments
�� c/iI
In issuing this permit the State of North Carolina certifies that this project
���(J r(/ IC
is consistent with the North Carolina Coastal Management Program.
application fee