8810_COX, FRED_19910605

CAMA AND DREDGE AND FILL 8 8 1 O
GENERAL
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC —11 — 1 S,/) d
Applicant Wme —,t
Address
City
Project Location (County, State Road, Water Body, etc.)
PROJECT DESCRIPTION I SKETCH
'ier (dock) length
Groin length r
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
-goI -L /6'�,/-a
cubic yards
Boat ramp dimensions
Other
This permit is subject to compliance with this application, site
drawing and attached general and specific condi ' nn-
violation of these terms may subject the permitt a ine,
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.
to
Phone Number ; ') �— —3/) 31
zip a r7 P !
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issuing date
I-1-11L
i
applicant's signature
permit otticer's signature
attachments /y cA r / T/ / �',O 6'
expiration date
In issuing this permit the State of North Carolina certifies that �# /-^(
this project is consistent with the North Carolina Coastal application fee-_�
Management Program.