8171_COCATT, EMILE_19910529

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8 f 71A
CAMA_AN. 3-- DR•EDU_AND-FJLll D
GENERAL A p 9 1991
U
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development and the Coastal l e6urces Commission
in an area of environmental concern pursuant to 15 NCAC `74
1 c
Applicant Name �i't r e �nr� o carg2-/4 Phone Number
Address ,r nil G�� �i:[/(2-
City . ZE4ezrIC4 State C. Zip 79 3
Project Location (County, State Road, Water Body, etc.) Ch w A ceiUAK , C,.Aq Club Ad Cl1o,," r",�/y
Type of Project Activity i-d
PROJECT DESCRIPTION SKETCH ,Q %(Ll s J ,r-- al (SCALE: / /1-- 7100
)
°ier (dock) length
Groin length•
N ��er�pr1 e Soon J --_
number
Bulkhead length,
max. distance offshore
Basin, channel dimensions
cubic yards i
i
Boat ramp dimensions i
4 � !7
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 a4i local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
v
applicant's signature
ia&
permit officer's signature
T issuing date expiration date
attachments
711, Ile
In issuing this permit the State of North Carolina certifies that 50 #
this project is consistent with the North Carolina Coastal application fee
Management Program.