23638_GOOSE CK LDG_19991029

Applicant Namd
Address
City
Project LRcation
CAMA and DREDGE AND FILL
G E N E R A L
PERMIT
as authorized by the State of North Carolina
Lepartment of Environment and atural Resources and thea of environmental conc rn ur uant to 15 NCAC
nnk 1 rel'. �� �'IWA1n,'S Phone Num
nty,�tate Road, Water Body, etc.)
Type of Project Activity
*-'P�
PROJECT DESCRIPTION SKETCH
c �
Pier (dock) Length ,ate
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
This permit is sub'ect to compliance with this application, site drawing
and attached ge raI and specific conditions. Any violation of these terms
may su/ehh permittee to a fine, imprisonment or civil action; and
may capermit to become null and void.
This peust be on the project site and accessible to the permit of-
ficer wproject is inspected for compliance. The applicant certi-
fies by this permit that 1) this project is consistent with the local
land usand all local ordinances, and 2) a written statement has
been ofrom adjacent riparian landowners certifying that they
have notions to the proposed work.
Inissuipermit the State of North Carolina certifies that this project
is consiith the North Carolina Coastal Management Program.
ae
Zip
J-
P�Lq 4D
N9 ?3638 -�
Co mission
100
(SCALE: Aff �� )
0
signature
it officer's signature
te, expiration date
�
�achments
ication fee