15586_WARD, NANCY B_19961016

Applicant Nam
Address 1 C
City
CAMA AND DREDGE AND
GENERAL
r FRUIT �....,.�..
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Cc
in an area of environmental concern pursuant to 15A NCAC AIA-
NOV 1 2 1996
Resources Commission
No,,,, c- Phone Number _)C' 4134
V.. t41 -'
Project Location (County, State R
State N 4 zip anco Qa `
Water Body, etc.) fia
Type of Project Activity ' % �tiQ. "`s�\Gcs ..�y' E!A"4�,� vl.-% �" __V 3 6-"Vk"_ J _ \\4 "C', e-4—
PROJECT
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PROJECT DESCRIPTION
SKETCH
(SCALE: Nc�NL i
Pier (dock) length
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Groin length
number
Bulkhead length
t+lctywlP,�
;k \� \
w. \ \
max. distance offshore
Basin, channel dimensions
Ok
cubic yards
imensions
Boat ramp dimensions—
i
Wj
Other
Other
i
L 7.an-
I
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.
applicant's signature
permit officer's signature
issuing date expiration date
attachments Y1 ` \V:)(_)
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application feet V n✓ C t �{"�
Management Program.