14295_GOODMAN, GARY & AGENT: SIMPSON, HAZEL_19950818

CAMA AND DREDGE AND FILL PrF, 7 I
GENERAL I v 1.-' 29 r.
-ir I AU6 2 3 194
PERMITt 3
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coasta Resources C5mmission
in an area of environmental concern pursuant to 15A NCAC� 1 sf
Applicant Name Go o tlr`(i 1� A± r�+.h Phone Number
Address � 'i� � � '' P� " t✓� �
City. M i l:;Al�
Project ocation ( ounty
Type of Projct Activity _
J �. AO {—
tate Road, Water,Qody„etc
I
PROJECT DESCRIPTION SKETCH
Pier (dock -length r
ierortnizrigth � � X
numbe
Bulkhead length r I
=J'2 -
U
;r
0
State
r"L, AI oat
V c+
zip
a 1
This permit is subject to compliance with this application, site
;
drawing and attached general and specific conditions. Any
A-'%
MCN ^
#I' (/ ti Ca
f r
imprisonment or civil action; and may cause the permit to be-
applicant's signature
i
I
(SCALE: f� o �-r /, )
CA
lord r!
t
max. distance offshore
S I i
Basin, channel dimensions i
VV --
cubic yards
1 -
Boat ramp dimensions
Other -�i
f I
I y,
-�-�-T- - ---L- 4-
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,
—7---a,
imprisonment or civil action; and may cause the permit to be-
applicant's signature
come null and void.
PC'JL
This permit must be on the project site and accessible to the
permit officer's signature
'i permit officer when the project is inspected for compliance.
,•fly
/�
The applicant certifies by signing this permit that 1) this pro-
J
ject is consistent with the local land use plan and all local
issuing date
expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have not
Q
objections to the proposed work.
attachments •
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
application fee- �- •
%
y+
Management Program.
_� --- - _ _ _ __ -- ._
_._- . _-