23859_MOUSER, ANTHONY J_20000912

CAMA and DREDGE
,.1 G E N E
R
PERM
as authorized by the State o
Department of Environment
in an area of environmental
Applicant Name
Address
City
AND FILL -
A L
- � � ^ l `; N, 3859 - �
TOCT 10 20010O
t
f North Carolina coASTA"_ W is 37F_ ENT
and Natural Res rid'tfie Coastal Resources Commission
concern pursuant to 15 NCAC
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
IPROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length !'
max. distance offshore
V C'
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
Phone Number
State 1 1. Zip
(SCALE: )
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void.
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-
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 1
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