15560_VAN DORPE, MARCEL_19960713

CAMA AND DREDGE AND F1 F.I 015560--4
GENERAL :AU
o�PERMIT 0 9 ,9as authorized by the State of North CaroliZ��U
Department of Environment, Health, and gro4he QQastal.Resources Commission
in an area of environmental concern pursuant to 15A NCAC f1 • \\-Qn .
Applicant Name t lug C Q Y vvc��
Address PO Qom, L�05--
City
Project Location (County, State Road, Wa
t-�C�►t�r`o rr�cx�C_ i+��� e/ e1CG r -
Type of Project Activ
PROJECT DESCRIPTION
Pier (dock) length
Groin length
SKETCH
Body, etc.)
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State N
1 -7 lci
NC `
Phone Number 0�\C1' —nb' uz-L
1
Zip 2'igZS
K��\ �ti c
(SCALE: N QN11 , )
-b 1
number `
W
Bulkhead length
max. distance offshore
Basin, channel dimensions !
cubic yards.11
11
Boat ramp dimensions
Other
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.
I
applicant's signature
permit officer's signature
issuing date expiration date
attachments ' • • `\Qu
In issuing this permit the State of North Carolina certifies that
5�
this project is consistent with the North Carolina Coastal application fee C1j
Management Program.