17946_JENKINS, JM JR AND JM III_19970501

—A–A AND DREDGE AND FILL
GENERAL
PERMIT
as authorized bythe State o/North Carolina ---------- ------- '
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
� inanarea ofenvironmental concern pursuant to1sANCAC
r, Phone Number -_2 2
Address
City e'� 4 State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity T; I,
Pier (dock) length
Groin length
number
Bulkhead length
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
This permit is subject to compliance with this app|icacon, site
drawing and attached 8onom| 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
e-comonu|| and void.
This permit mug 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 l) this pro-
ject is consistent with the local }and 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.
'
applicant's signature
al
permit officer' s signature
issuing d expiration date
\(�y^
attachments
application fee, �