23346_MASSEF, ANDY_19991014

O
CAMA AND DREDGE AND FILL
#61
GENERAL r3.4 -
PERMIT
as authorized by the State of North Carolina I- rEv 0 2
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC i
Applicant Name Phone Number
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Zip
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length
Groin length
number
<_
Bulkhead length t
max. distance offshore j
r;.
Basin, channel dimensions '
cubic yards
Boat ramp dimensions .� f
Other
:i
i"
i
l
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- applicant's signature
come null and void.
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.