13668_FICIK, ROBERT_19941020

O
CAMA AND DREDGE AND FILL
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resour'es Commission
in an area of environmental concern pursuant to 15A NCAC Z
• •ar
Applicant Name tjr— t r ?e i LPhone Number
Address A v' A f-1t5-J,JU_
City `� ALV ?'H C) State
Project Location (County, Mate Road, Water Body, etc.) a4
Ali c1 U &- S fi Lor y- 50 e-
' ?
Type of Project Activity d' P�j ti N 1 5 ,�} �?`"i�'fl-'r-%- 7'4
f G A 1--7— f -5 A E. -:tea 6 7-H0 iL f 4F:, 7' G C_a
Zip 0 7 ,0 6
PROJECT DESCRIPTION
SKETCH
p "[ wt,I (SCALE:
Pier (dock) length71177-717777—
T7I
Groin length
�,
N
{
number�.
Bulkhead length
length
i
max. distance offshore
' 1
Basin, channel dimensions
j I A
I
LL I
cubic yards
Boat ramp dimensions
Other
J_Ti
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
applicant's signature
permit officer's signature
issuing date �1 expiration date
attachments C914 J ICC -110 / •A: � a
Adtcm A aC�iYZT7 ._
application fee