13598_SCOTT, BILL_19950503

O
CAMA AND DREDGE AND FILL.
GENERAL✓
NY :.e
119
PERMIT �:
as authorized by the State of North Carolinarrr*7..r�s;q
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC .<"`^P • ./V c) 0
Applicant Name
Address p r)f �."A' in
City
Project Location (County, State Road, Water Body, etc.)
i' • 1 �,
AJ -
Type ofProjectActivity 2e
PROJECT DESCRIPTION
Pier (dock) length
Groin length.
number
$U ead length Y fr
E�Tti� N ii
max. distance o"ore
Basin, channel dimensions_
cubic yards
Boat ramp dimensions
i
Other
Phone Number
_State Al C_ Zip
1.41 ! In i
,sAi73c�
SKETCH (SCALE:�� )
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 be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject 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.
issuing date
attachments %_�
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.
applicant's signature
permit officer's signature
expiration date