17717_CAPE COLONY ASSOCIATION_19970327

O
L I\ I V 1 1 1wrwnw�a�Cww�rr��
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 Phone Number
Address_
City ` " State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
(SCALE: )
. 7. _.
r•
r
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, --�
applicant's signature
imprisonment or civil action; and may cause the permit to be
9
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
7
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 �i r1C
Management Program.