22123_DIVISION OF PARKS AND RECREATION_19990518

CAMA AND DREDGE AND FILL
GENERAL N'? 2123-i-
�./
PERMIT JUN 01 1999
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
O ri rl r- -
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number,
Phone Number
State
Zip
(SCALE:
Bulkhead length
max. distance offshore J
r
Basin, channel dimensions
cubic yards
Boat ramp dimensions - '�' J
1.! 1(li
Other �' f•.%�((
This permit is subject to compliance with this application, site Y,,
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- rl J jAvl
come null and void.
This permit must be on the project site and accessible to the kt
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro --w- _
ject is consistent with the local land use plan and all local issuing 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.
re
permit otticer's signature
expiration date