26787_TELLER, FORREST_20010313

CAMA and DREDGE AND FILLs7 ;t
G E N E R A L
PERMIT
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
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.) ; c_
Type of Project Activity �� �'�� (r �i` 1�-��• 1 r 1� art �� �2
PROJECT DESCRIPTION SKETCH ;jr'; (SCALE: )
Pier (dock) Length 777
Groin Length ' ti ry
number J
Bulkhead Length it
max. distance offshore
� t• i
Basin, channel dimensions
cubic yards
-1
1
Boat ramp dimensions
Other
"{- X 17C
' Z -7
i
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
Vapplicant's signature
may subject the permittee to a fine, imprisonment or civil action; and <,
' G jL._.
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-0
es by signing this permit that 1) this project is consistent with the local
issuing date expiration date
nd 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
is consistent with the North Carolina Coastal Management Program.
application fee