17724_TRAVATO, LEO_19970331

CAMA AND DREDGE AND FILL--�+ ry �� n
GENERALi
PERMIT APR 097
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Rqaam1o*^*v 4th►rces Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name` C
Address
City
Project Location (County, State Road, Water Body, etc.)
State
Phone Number
Zip
Type of Project Activity f 4,1 Lei -4 t
PROJECT DESCRIPTION SKETCH- (SCALE:
z s
Pier (dock) length
A 1
Groin length _
number
Bulkhead length
max. distance offshore U -A
` A
Basin, channel dimensions
cubic yards
Boat ramp dimensions j
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.
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
k 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
OF
permit officer's signature
-40r % �� X19 /` i
issuing date l expiration date
attachments
application fee