17246_BRINN. DAVID_19970414

CAMA AND DREDGE AND FILL
GENERAL '" .r 017246 `
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name ,�+'� �� �, , r`� Phone Number
Address���
City State N`-_
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
(SCALE: wU�IJ L )
x, i ..
r
Pier (dock) length `" �^ S \ tr_r<:
Groin length
ti I
number
Bulkhead length
�`wv
max. distance offshore �U­ ,
51
Basin, channel dimensions
� I
1 , I
cubic yards
Boat ramp dimensions 7
Other
� y
I T 9
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.
_ applicant's signature
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject
ro ject is consistent with the local land use plan and all local issuing date expiration date
r ordinances, and 2) a written statement has been obtained from
a adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments a
In issuing this permit the State of North Carolina certifies that {•'�
this project is consistent with the North Carolina Coastal application feed++
Management Program.