24625_MOORE, JANE_20000321

-CAMA and DREDGE AND FILL
,.
_G ­.E, N Et R.. �A L ,�� �5 �� �4���-1
P E' -R I.
as.authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coast Resources Commission
in an area of environmental concern pursuant to 15 NCACf�.Gw
fiApplicant Name Gii�1L rGOC�('L Phone.Numbet`�1s-��3
r`'Addf I�
Address
Sri
_
r
ity r P'r: State C� Zip �� G
Pro'ect Locat'on (County, State Ro d, Water Body, etc.)
Type of Project Activity%� Y9 k�WLZ�n2
PROJECT DESCRIPTIP SKETCH �j
� l.� r E� �� (SCALE: ,%C
Pier (dock) Length �x j� t
This permit is subject to compliance with this application, site drawing C
and attached general and specific conditions: Any violation of these terms
may subject the permittee toa fine, imprisonment or civil action; and
may cause the permit to become null and void.
applicant's signature
This permit must be on the project site and accessible to the permit of-` - / permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- / SCC r�o
fies by signing this permit that 1) this project is consistent with the local issuing date expiration date
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
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program. application fee
1