28366_MAHAM, CHIP_20011012

CAMA and DREDGE AND FILL
36
PERMIT (r°� 2 0 2001
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC ►4
Applicant Name C_y ;-i C` y iH I{ �t Y"' ^ f0 l ( li1r + RJ Phone Number "�I( 2 `­_:>C..., z..
Address +l '�A' } .. _ �.='
City L.r I L- V'V'N r - N State >ti zip
Project Location (County, State Road, Water Body, etc.)
C
Type of Project Activity t1 t v
PROJECT DESCRIPTION SKETCH
(SCALE:'
t
U
)
Pier (dock) Length
F k� _ '
_
A
Groin Length
t
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
c
-
Boat ramp dimensions
_
a
Qt^hyer
+4-t,
• 04���. I � . 1 t "��r
l C i
4
i
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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local
land use plan and all local ordinances and 2) a written statement has
issuing date
applicant's signature
permit officer's signature
expiration date
�')C—
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project cc -t t J �;
is consistent with the North Carolina Coastal Management Program. application fee