17376_POWELL, BLANCHE_19970311

S.;
CAMA AND DREDGE AND FILL:
GENERAL 9 G 01757 14 '
LOMAR1 41997PERMITi
as authorized by the State of North Carolina��*�*��
Department of Environment, Health, and Natural Resources and the Coastal esources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name
�tl,, .,_ j. �.: Phone Number
Address I
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number
Bulkhead length f
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
lid
X
>7r K'L:_
State
Zip
(SCALE:
P1
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. �% j _ I
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance. `1
The applicant certifies by signing this permit that 1) this pro-
ject
ro ject is consistent with the local land use plan and all local issuing date expiration 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.
(
P1
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. �% j _ I
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance. `1
The applicant certifies by signing this permit that 1) this pro-
ject
ro ject is consistent with the local land use plan and all local issuing date expiration 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.