23388_JENKINS, TERRI_19991129

O
CAMA AND DREDGE AND FILL -
GENERAL N111 233883
PERMIT FEB
as authorized by the State of North Carolina -
Department of Environment, Health, and Na'turaf-Resources and the`C`oastal Resources Commission
in an area of environmental concern pursuant to 15A ,NCAC
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State -Road, Water Body, etc.) '
Type of Project Activity co,s. t'Pr'^rt hG.r 'v
PROJECT DESCRIPTION I SKETCH
Pier (dock) length Ih
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
(SCALE: FQ VY a- )
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 'tt—ee
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.
1�1ov 1919c
issuing date
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.
applicant's signature
permit officer's signature
expiration date