28154_TEAM, ROBERT A JR_20010725

CAMA and DREDGE AND FILL, l
G E N E R A LwL�
PERMIT f
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 i
Applicant Name Phone Number
Address
City State zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity _
PROJECT DESCRIPTION SKETCH ,r,
.t _ Y
(SCALE:
j
)
Pier (dock) Length
_
Groin Length
number
Bulkhead Length
U--
max. distance offshore
Basin, channel dimensions
l
cubic yards
k
.
1
r
•
.1
Boat ramp dimensions
s
�
!
Other
i
d
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.
applicant's signature
permit officer's signature
t
issuing date expiration date
attachments
� 1
t
application fee

MIKE NOE CONSTRUCTION CO, INC. BBU 2538
PH, 252-728-3828 Itratch llankmL n d 1,list (I IIII1all,
P.O. BOX 586 617 FRONT STREET
BEAUFORT. NC 28516 BEAUFORI, NC 28516
66-1121531 �f a S
N /
PAY TO THE �^ j �7
ORDER OF
vL
DOLLARS
�J �s
-' MEMO:
11400 2 5 38i":0 5 3 LO L L 2 L�: 5 2 3806868ii'
'�I ('11i111,FF ll.1111', f,lll 11() 11111111 I. -i � I II II.I 11,'Jil l[ II;: I I.I 111 II VAI II I114 AIIIII II 11 t,Al I'11MA111, (III III \If IItiF MISSINlI FFAMPIF If IDIC;AIFS f:01'Y