22418_DOMBROSKI, THOMAS_19990805

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
22418
^ as authorized by the State of North Carolina
��y/, Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name Phone Number
Address i
City State (\ Zip
Project Location (County, State Road, Water Body, etc.) 1
Type of Project Activityt 'Ii .
Vs f (\ �-A I
PROJECT DESCRIPTION SKETCH !� ?rl (SCALE: , )
Pier (dock) length
Groin length
9L i t
number 1_
Bulkhead length T��I
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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,
imprisonment or civil action; and may cause the permit to be-
'
applicant's signature
come null and void.
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.`
The by this that 1)
signing permit ro
applicant certifies this pro-
ject
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
j U
objections to the proposed work.
attachments
I
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
application fee
Management Program.