13265_WHITE, HOWARD & FLYNN, ED_19940926

CAMA AND DREDGE AND FILL j
GENERALS~��
0 C T 0 6 1994
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and theyI-J Coaltal Resources Commission
in an area of environmental concern pursuant to 15A NCAC s i r) -'� 1
r �
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
if
Pier (dock) length
11
SKETCH
I 1
Groin length;
number fi
Bulkhead length i
max. distance offshore
Basin, channel dimensions
I
cubic yards
Boat ramp dimensions
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.
/"�- y�•� Phone Number
State
Zip u); c(i:
(SCALE: )
i
�Ird
—
■fCi7�'�fi���■■
i�
This permit must be on the project site and accessible to the I
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. attachments
applicant's signature
permit otncerrs signature
ing date expiration date
In issuing this permit the State of North Carolina certifies that �=
this project is consistent with the North Carolina Coastal application fee_
Management Program.

27-94 MON 23:07 JAMES BURRIS CONT.t 9106864393 P.02
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