18821_HARDIN, JAY_19980518

O
CAMA AND DREDGE AND FILL
GENERAL
PERMIT
as authorized by the State of North Carolina JUN 0 9 1998
Department of Environment, Health, and Natural Resources and the Coastal Resource Commission
in an area of environmental concern pursuant to 15A NCAC , i >-
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g�T'�;�' -may_-.-.�:s-+-•s�-;SMz
►1821
Applicant Name i ck`�{ '� ' (4J8 ok Phone Number A9' !
4-1 Address d V, (A-, 0 x
City Ai. ��`— State A, Zip
Project Location (County, State Roach, Water Body,
etc.) e° �� . ( st /rpt C <<�
Type of Project Activity r �' ��'� +- s "h S
PROJECT DESCRIPTION
Pier (dock) length y ,
.'W `-114 k Ft '.-#
Groin length
number_
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other rY- l/ ��
x t+ ,
.y,a 1
SKETCH
C
1,0_4
(SCALE
HCA_ � � I t I
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any <l
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. -0./C4 C
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 pian 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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
1.
icant's signature
permit officer's signature
issuing date
attachments Alc' Ac oil- r a CIO
application fee
expiration date