18066_JAMES, SCOTT H_19970916

�AM°A 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
..Phone Number
Address
City Stated Zip'?
Project Location (County, State Road, Water Body, etc.)
Tyne of Project Activity "' `y'���ti.4^_ +-= f
PROJECT DESCRIPTION
SKETCH
(SCALE:
L t7
violation of these terms may subject the permittee to a fine,
Pier (dock) length
applicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void.
c
Groin length
L
�iS�
permit officer's signature ;
permit officer when the project is inspected for compliance.
`
\
number
Bulkhead length
l
L
issuing date
expiration date
ordinances, and 2) a written statement has been obtained from
max. distance offshore
L
���� o,•
objections to the proposed work.
attachments
ILI
In issuing this permit the State of North Carolina certifies that
Basin, channel dimensions
this project is consistent with the North Carolina Coastal
application fee,�1"`
t£`
_
ft
cubic yards
Boat ramp dimensions
Other
L
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-
come null and void.
This permit must be on the project site and accessible to the
�iS�
permit officer's signature ;
permit officer when the project is inspected for compliance.
ro
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ject
issuing date
expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
^.y
���� o,•
objections to the proposed work.
attachments
>UlJ
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
application fee,�1"`
t£`
_
Management Program.