13734_CLARK, WINSTON_19950119

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
as authorized by the State of North Carolina"`��i������•��„'��
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC ' j r' Y' r
rT1._..
JAN 2 3 1995 rid13734 A
Applicant Nam10
e-WHI-17 0 .R 4- -�`�1"� Phone Number f 21 t j'''55~
Address j l MOR ("' 1517 IT `i s �5 J
City _ C -A -r— I V,1F'._! State �� 4 C. Zip L7% ? 2! Z
Project Location Count State Road Water Bod etc. t�-"' A4gcf-C, 0,4T <� 4. 1 y ;C�r'L,"114stit �
1 � Y> Y, ) � 1 t=.
Type of Project ActivityoF?r�
PROJECT DESCRIPTION
Pier (dock) length .
Groin length.
number
Bulkhead length ;
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
SKETCH
i
Other.
— l
EA ( 4
i
Oki Vf L
►n
(SCAL� 11!
�J I __V_ !A � Ni,
!� ill vti4t )
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any W
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
issuing date
attachments - ^-r--!
1
application fee ' -
applicant's signature
permit officer's signature
expiration date