23049_GOODARD, JOEY_19990903

CAMA AND DREDGE AND FILL
GENERAL N1 23049
PERMIT
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
Applicant Name. Phone Number
Address
City State -��-' zip i"' 7
Project Location (County, tate Road, Water Body, etc.) ��%�� : '� r !'�� �' "" ,� le 7!'''
ti
I ype of Vrolect Activity _
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
!,
' g
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions r
Other
(SCALE:
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-
come null and void.
applicants signature
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 applicant certifies by signing this permit that 1) this pro
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
landowners certifying that they have no
adjacent riparian
attachments
objections to the proposed work.
In issuing this permit the State of North Carolina certifies that
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thisjroect is consistent with the North Carolina Coastal
p
application fee
Management Program.