8212_JACKSON, BLAINE R_19910730

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Applicant Name
Address
CAMA AND DREDGE AND FILL D
GENERAL
PERMIT
Q-
as authorized by the State of North Carolina, ---
Department of Natural Resources and Community Development an�the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC )v i'a G,
Phone Number
- v
City Z State _ //� Zip
Project Location (County, State Road, Water Body, etc.) — L k
Type of Project Activity 1,2
PROJECT DESCRIPTION
°ier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH X.s E Lei
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, ����''��'� '--•��S—'
�' applicant's signature
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 ermit officer's signature
permit officer when the project is inspected for compliance. / )�
The applicant certifies by signing this permit that 1) this pro- �6 Aelo l
ject is consistent with the local land use plan and all local issuing date �+� expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments
application fee t-, C L K -V Sb - Z w7 /"' S-
P7_ (SCALE: '� )
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.