13640_SCOTT, MICHAEL_19950328

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and -the Cioatal a urpes Commission
in an area of environmental concern pttrsuantto-9•aAt4CA- -- i • {• U( -f
Applicant Name IVI vm-r-
Address IJ•'
City .
Project Location (County, State Road,
S
ter Body,
Phone Number
State .1 C Zip
R
Type of Project Activity
f04 X ? �4_ -. a if M Ai 4--1ki(_A,-\j471 G- A—)
PROJECT DESCRIPTION I SKETCH "I PTT � S
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions_
cubic yards
Boat ramp dimensions
P—Adt,
OtherPoe L - ,._ _
FwA f eo 'T 1)(Wf�
i&) "mss PKUP,
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.
(SCALE:
A
issuing date
attachments 1? 4, 0;, Qi)
applicant's signature
permit officer's signature
expiration date
In issuing this permit the State of North Carolina certifies that- ,* �. -
this project is consistent with the North Carolina Coastal application feed (�
Management Program.