8903_ADAMS, THOMAS_19910930

Applicant Name
Address
City
�q
CAMA AND DREDGE AND FILL ' 03
GENERAL r
PERMIT
as authorized by the State of North Carolina, /
Department of Natural Resources and Community Development d th stal Qk � s mission
in an area of en ' nmental concern put ant o 15 NCAC /
i Phone m7er'
&�—
i
PrX ct oc tion (Gou68J.JUW Road, ater Qtc.)
ot
J✓
Type of Pr ct Activity
PROTECT DESCRIPTION I SKETCH
'ier (dock) length
Groin length
number
Bulkhead length
ax. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
,/'
State
Zip
(SCALE:
V11c
W
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, —�++ 'rr �, '� �"��- `�
imprisonment or civil action; and may cause the permit to be-----� pplicant'ssignature
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-
jadftkjjs consistent with the local land use plan and all local
nces, and 2) a written statement has been obtained from
adjacent riparian Iando ners certifying tat t ey ave no
objec'C' a propose wor .
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
- � permit fficer's signature
issuing date expiration date
,attachments✓
application fee

i
I give my permission for Tom and Jean Adams to build a roof over their
boat lift
Date a3

�. �+► _ma`s_ .,� o .