13375_EVANS, GERALD_19950209 (3)

CAMA AND DREDGE AND FILL M
GENERAL N° 13375-
PERMIT
33'75-
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and th Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC a i
Applicant Name
Address
City,
Project Location (County, State Road, Water Body, etc
--�1 1�(i►�;/... �'�r-n r, Tri r .I
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length 5f '
Groin length
number _
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
lit: E=--3747 �
Phone Number_q1-3'90gS
State -IN (1- zip
. -1 : r r P4 -- I , �.
SKETCH
ere C,7Zt CALF: CLfi�CLn' Z CC
-----'`''- to — -- - - -
U� --
This permit is subject to compliance with this application, site
drawing and attached general and spect'fic conditions. ,Any
violation of these terms may subject the permittee to afine,
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
Pe t o er`s signature
issuing gate expiration date
r�
attachments ALJ
L
In issuing this permit the State of North Carolina certifies that eo
this project is consistent with the North Carolina Coastal appi' •tion fee
Management.ProQram. —-------