HomeMy WebLinkAbout22639_BLACK, GAIL_19990928III
CAMA AND DREDGE AND FILL
GENERAL
PERMIT
Applicant Name QA
Address
NV 22639-1.)
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC �7 H •f t 0 0
' F
i LAC Phone Numberor_— `AJ
Cityi� i ►�J
Project Location (County, State
Body, etc.)
Type of Project Activity
uL_V
0 4C— P0
State 1N C- Zip_
11
PROJECT DESCRIPTION SKETCH (SCALE: y =} 0; )
Pier (dock) length
Groin length
Oi� `,
��o�r�, C,FvS►� j'� fI
number
Bulkhead length
max. distanclyffshore
Basin, channe(dimensions
�l
cubic yards \
Boat ramp dimensions \` "�r1'•
O,
Other ~ \
This permit is subject to compliance witn Lnis appiicaLion, sire
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-
come null and void.
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.
`-R
q` a ' issuing date
attachments
In issuing this permit the State of North Carolina certifies that N '
this project is consistent with the North Carolina Coastal application fee ( �'
Management Program.
applicant's signature
permit officer's signature
expiration date