7162_GUIN, DAVID H_19910823

11
CAMA AND DREDGE AND FILL "
GENERAL (� OCT 2v 91
PERMIT `��=--�='=J
�6
7 3 h. 2 _
``(V�
VJ
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development and the C astal Re ources Commission
in an area of environmental concern pursuant to 15 NCAC n
Applicant Name D N V t-, �A Gy F N
Address 0--T 6 t-j
City V�_O_xl A, Ks. ! State
Project Location (County, State Road, Water Body, etc.) �hS�n-►'�
6�I ,M - �� � i (- vt (JJ CUn u1 C-H. Q t W
Type of Project Activity
Phone Number(9 6/1 43� `S-3� O
N , C. zip 2,75.2-t
— -7O -1 s- 7 S+-r4Zf ow ,Q Wp y�
PROJECT DESCRIPTION SKETCH (SCALE:. cr )
Pier (dock) length �^
Groin length
I 1
number
Bulkhead length
\ l
max. distance offshore
Basin, channel dimensions
cubic yards b \ Pp
\ -r:
Boat ramp dimensions
I G x �d'rv,i� w�-
Other ( j
S
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
applicant's signature
permit of er's si nature
23 —91 I - 2 -1 1
issuing date expiration date
attachments 1 d
application fee 50 - &,'1l j�
y 2 lot ` `4C, N of