17486_NC DOT DIVISION OF HIGHWAYS_19970321

O
CAMA AND DREDGE AND FILL
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natu
in an area of environmental concern pursuant
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number
Z .
0174M 4
urces Commission
W
PROJECT DESCRIPTION
SKETCH
<4
(SCALE: )
Pier (dock) length
IT
Groin length
number
Bulkhead length�+'
I
• � i. �. i�. i � ' I I
j i I I
max. distance offshore
/ •�
1
hl,. c I
1�r4 f
I
- !_
I '
Basin, channel dimensions
cubic yards
I—
I
Boat ramp dimensions
717;
I i i 1 i
I i
Othere
t�l�vl'
This permit is subject to compliance with this application, site 1 ��
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
This permit must be on the pros1ect site and accessible to the permit officer's signature
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. 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.
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issuing date expiration date