15345_BETTS, HERBERT_19960820

CAMA AND DREDGE AND FILL I'Ifts345 B
GENERAL SEP I 1PERMIT MMprtiwr.w.... r.Mw'*1��
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC , /'. � I
Applicant Name IT�'s�"�!���' ► ..-7Ill
Address /V 1 1' r
City A u.
Project Location (County, State Road, Water Body, etc.) _
A
1 —. [�
Type of Project Activity
PROJECT DESCRIPTION SKETCH,
Pier (dock) length
Groin length
-,-number
length ='
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
Phone Number 3 .2- 2- f p `I
el -
Zip L ) l`C r
. 611C_,-/,__
(SCALE: 4,0 P,
This permit is subject to compliance XE 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.
j 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.
X applicant's signature
permit officer's signature
issuing date expiration date
attachments /� ✓f" -) 7 - // 0-61
In issuing this permit the State of North Carolina certifies that /r • moi'
this project is consistent with the North Carolina Coastal application fee
Management Program. -