28655_SARGENT, HENRY_20011005

CAMA and DREDGE AND FILL
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P E R M I T
as authorized bvthe State ofNorth Carolina
Department mfEnvironment and Natural Resources and the Coastal
in an area of environmental concern pursuant to 15 NCAC .7 'X `.1
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Resources Commission
Applicant Name Phone Number
Project Location (Coup ) ty, State Road, Water Body, etc.) CG',NA'17-UCX COYAJ)f 0 /.V
Type of Project Activity
PROJECT DESCRIPTION SKETCH r— !S io r
Pier (dock) Length
Groin Length
number
(SCALE:
/V 0 Ai e
Bulkhead Length F� k
max. distance offshore I la
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
This permit issubject tocompliance with this application, site drawing
and attached general and specific conditions. Any violation ofthese terms
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit tobecome null and void.
This permit must he on the project site and accessible tothe permit of-
ficervvhenthepro)ectis\nspectedforcomp\(ance.Theupp|icantcerti'
Aesbysigning this permit that 1)this project isconsistent with the local
land use plan and all local ordinances, and 2) avvritten statement has
been obtained from adjacent riparian landowners certifying that they
have noobjections tnthe proposed work.
In issuing this permittheState o/North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
applicant's signature
, permit officer's signature
issuing date expiration date
Atachments
� S�e,
application fee