6828_BROOKS, DERWIN_19910807

CAMA AND DREDGE AND FILL ` I61
. GENERAL FOCT2
19971
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Deveopmerit and'fhe CoasfaTResources Commission
in an area of environmental concern pursuant to I*CAC ` W.1 %ob
Or r i Su✓ti
Applicant Name k-40f, fJIN MY cm Phone Number
Address I t Oq'1 GLn,,,g_ Cn_ IZX
Project Location (County, S
Type of Pr
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other/l --
J�
This permit is subject to compliance vAitR_Us application,
drawing and attached general and specific conditions.
violation of these terms may subject the permittee to a
imprisonment or civil action; and may cause the permit t
come null and void.
State W C, Zip
(SCALE: I J (')
y1o3 Z •l`�x�N tom,
o
site
Any ,�'.rx 'e�y `•` % ` _ �.
fine,
be- /f ��J%�/ �; applicant's signature
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
permi officer's signature
A�1 ( "1 tt
issuing date expiration date
attachments
4'
MU
�1
application fe�