23314_HERTFORD CO. PEARCE OFFICERS CLUB_19991014

1
CAMA AND DREDGE AND F
GENERAL
PERMIT
as authorized by the State of North Caroli
Department of Environment, Health, and I
in an area of environmental concern purse
Applicant Name
Address
City
Project -Location (County, State Road, Water Body, etc.)
Type of Project Activity
23314-
Z / `
(� 2 2000
rral jReso'�rees and 1lh2..Co,4stal Resources Commission
Phone Number
State UU ___.Zip
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
f (�
cubic yards
Boat ramp dimensions
Other
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
Al 411-/l/
violation of these terms may subject the permittee to a fine,
'"
applicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void.
r
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
adjacent riparian landowners certifying that they have no
objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
application fee
Management Program.