17211_DAVIS JR, RUSSELL_19970417

CAMA AND DREDGE AND FILL
GENERAL
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 ; t"�l
City \\ cr +-. ��. Statea4 . Zip
Project Location (County, State Road, Water Body, etc.) '�" ` \—A-
.. ,;., 4.. 2 i, .. •,p.c„� is '� ' y '^„
Type of Project Activity34�(w�._
PROJECT DESCRIPTION SKETCH ` N11)44�,\ i,_, (SCALE: )
\' (a,�act X4"1' _=�p
Pier (dock) length_-
+
Groin length
number +
�.. tM
Bulkhead lengthR�',.
I
max. distance offshore
Basin, channel dimensions
cNio
cubic yards j
Boat ramp dimensions `3 ,ti,, ..o.....,....� �^ 1r_�•� `1� i I i i._ i
Other ' i I
4
11115 permiL 15 5uolecL w wmpiiance w11,11 u115 app11(,auU11, sire
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.
ox �.
E
r � ' applicant's signature
permit officer's signature
issuing date expiration date
attachments D A . \ io(L)
In issuing this permit the State of North Carolina certifies that f4:' I) �( �( 1Qts-
this project is consistent with the North Carolina Coastal application fee
Management Program.