6612_KEITH, MARSHALL D_19901005

Applicant Name
Address
City
Project Location
CAMA AND DREDGE AND FILL
GENERAL
I FRMIT
661z
6Gr1
as authorized by the State of North Carolina, TM _
Department of Natural Resources and Community De4e'ft'rr enl and"the`coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC •1«
40"44. � 1 0. ,` ene. + }h Phone Number
.A LA_ 4 s ` ef'o ro �State A - Zip 2 % P/ V
ounty, State Road, Water Body, etc.)
Type of Project Activity
F C s'R ///0
PROJECT DESCRIPTION
SKETCH
(SCALE:
Pier (dock) length
�LOtA-VV CPC1�I�
Groin length -
number
Bulkhead length.
max. distance offshore
Basin, channel dimensions
P
wlkr
cubic yards
g
! k,
Boat ramp dimensions
Other
1
�
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.
applicant's signature
permit officer's signature
issuing date expiration date
attachments fV E C.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.