19250_VAN DOREN, RICHARD_19971124

CAMA AND DREDGE AND FILL
GENERAL
PERMIT DEC U 1 1997
as authorized by the State of North CarolinaCOASTAL
Department of Environment, Health, and Natural ource�t�dl R
in an area of environmental concern pursuant to 15A NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
rY.
State
PROJECT DESCRIPTION SKETCH P r /- F -`e 11-12q ( 5 1"
Phone Number
11,9250
rces Commission
Zip
(SCALE: )
Pier (dock) length
1Ey��',� !j� r11 \�� t
�.
%'1 Vet
Groin length r ,
E= jusTlN t_
number �,e �• J ��_%
16G
Bulkhead length
max. distance offshore ( s .. �,1 1
11 /�
Basin, channel dimensions f z r! 1r i {
cubic yards / Yli IL ,r.�1 � `tom, 4LNegiv
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-
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.
attachments
applicant's signature
permit officer's signature
r
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee _ t•' fly>�� �.r 1
,� Management Program.