23377_JORDAN, TONYA_19991222

CAMA AND DREDGE AND FILLs
GENERAL ?_ N 233"47 -
PERMIT FEB 0 2 2000
as authorized by the State of North C trol rra- -,�
Department of Environment, Health, grid Natural Resources and th Coastal Resources Commission
in an area of environmental concern pursuani to 15A NCAC w�
Applicant Name
Address
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Phone Number -
Zip
PROJECT DESCRIPTION SKETCH (SCALE: SyvhjL )
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore �� r
Basin, channel dimensions
cubic yards \� I
Boat ramp dimensions
s
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
w objections to the proposed work.
issuing date expiration date
attachments -�)V `✓
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application feet)�L
Management Program.