17378_BERSCAK, RONALD V_19970318

CAMA AND DREDGE AND FILL
GENERAL LAI
R ��70 4 PERMIT�
as authorized by the State of North Carolina
fNv� Department of Environment, Health, and Natural Resources and the Coastal e
in an area of environmental concern pursuant to 15A NCAC
A, rte t nl,mn Phone Number_
AAA
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity.
State
PROJECT DESCRIPTION SKETCH
Pier (dock) length
o1'7a78h
�11
rces Commission y'
Zip
(SCALE:
Groin length
number
a,
Bulkhead length
t�
TVi
max. distance offshore
( I , .,
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Basin, channel dimensions
; "' `y e
j I - 1PV11l't
cubic yards
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Boat ramp dimensions
a
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f
Other
Q,lj
This permit is subject to compliance with this application, site
s
drawing and attached general and specific conditions. Any );1
violation of these terms may subject the permittee to a fine,
applicant's signature
imprisonment or civil action; and may cause the permit to be- 1
k come null and void.
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 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 no
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
Management Program.