13652_GUY, LLOYD_19941012

CAMA AND DREDGE AND FILL R'
y, a
GENERAL '' GCT 1 7 4
PERMIT��
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the C,oaslil Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant ame � 4 A L° Ste' % -
Address QLC FbKtH-A-Nb PTS } • by �-
City State
Project Location (County, State Road, Water Body, etc.)
Phone Number
zip C�% -'1- ;�..,,._
Type of Project Activity SY1lANL�
PROJECT DESCRIPTION
SKETCH
(SCALE -
Pier (dock) length
F
Groin length
/
� � l
77-7-1-711
number-
Bulkhead length,
ilk
A
max. distance offshoret,
Basin, channel dimensions_
i
_ I
cubic yards
Boat ramp dimensions
s
,
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- �V\ /] applicant's signature
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.
permit officer's signature
/
SCJ -a -91,� � - /,� _ �
issuing date expiration date
attachments 14 r // %) o
In issuing this permit the State of North Carolina certifies thatj� �� �,
this project is consistent with the North Carolina Coastal application fee 01�-o
Management Program.