17936_JACKSON, WILLIAM_19970428 (2)

CAMA AND DREDGE AND FILL
NY 01'7936
GENERAL ��:_,.:.....�:.:.. ...
i} JUN �. 2 X597
PERMIT ._.
as authorized by the State of North Carolina
Department of Environment, Health, and Natura�esouri�es and t_he Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC -19 • 1100 c . i; llw
Applicant Name __�\ I I L1 fi n -_J i`1 C lr-- ,\
Address a3415_ C>In.-,r4 f!ZP,c
City IIT Ci; J 0
Project Location (County, State Road, Water Body, etc.) —
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number II,,
Bulkhead length To
max. distance offshore
a'
Noe, r`A e,If
Basin, channel dimensions
cubic yards
1 Boat ramp dimensions
Other
4D'X• lZ' doc_k.
Phone Number 91a (0A9_244___>
_ State NlJ
10 (,J L-OL.L nf�J �i
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_ zip Cr�g3c��
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(SCALE: K)iDT T -D )
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,
imprisonment or civil action; and may cause the permit to be- applicant's signature
come null and void. _ �� „ ry_�
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
Apermit orticer-s signature
A a8 . [ �4 �- C7J_L4
issuing date I expiration date
attachments
r
7
i
application fee Ct `% -
�rp�
Z!
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,
imprisonment or civil action; and may cause the permit to be- applicant's signature
come null and void. _ �� „ ry_�
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
Apermit orticer-s signature
A a8 . [ �4 �- C7J_L4
issuing date I expiration date
attachments
r
7
i
application fee Ct `% -