7530_JORDAN, EUGENE_19901001

CAMA AND DREDGE AND FILL (� 7530
_M GENERAL y';�
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_Y T 1 8 9990 I
PERMIT _ .1
as authorized by the State of North Carolina, ._ ________�
Department of Natural Resources and Community DeveTopmenfa_nd the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name l, Phone Number
,Address
City %y ne-r State ,/J C zip
Project Location
I(County, State Road, �d, Water Body,, etc.)
I Q i-<I. Il CA,<4P /Ili l7. Lfl.11l i. wii R. _ ( ,.w a
Type of Project Activity
PROJECT DESCRIPTION SKETCH' PT(SCALE: / r
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offs orer
Basin, channel dimensions
r _
cubic yards
Boat ramp dimensions �L
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 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.
n), _L'14
japplicant's signature
. , i G �� �
permit officer's signature
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee- /l!/y{ P