18058_SHAVENDER, GUY_19970815

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PERMIT _
as authorized bythe State ofNorth Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
inanarea ofenvironmental concern pursuant uo15ANCAO ..'
App|icun\Mame
Phone Number
Address
City
State
Zip
Project Location (CountX, State Road, Water Body, etc.
Type of Project Activity
.4;"
-4
PROJECT DESCRIPTION S K E TC H 4C ,�O/ f7,4 (SCALE: 116.4)4e
Pier (dock) length
Groin length
number
Bulkhead length
7f7_
max. distance offshore
cubicyards
�O A
Boat ramp dimensions
Other
This ponnir is subject to compliance with this application, site
drawing and attached 8oncm| and specific conditions. Any
violation of these terms may subject the ponniuue to a fine,
imprisonment or civil action; and may cause the permit to be-
come null and void.
e-cmncnuUandvoid.
This permit must he 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 |) this pro-
ject is consistent with the }oca) 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 tothe proposed work.
/n issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
applicant's signature
it officer's signature
�
issuing late ix—p—tration date
attachments 9 A;, 0 42
application fee '