12417_GURGANUS, RALPH_19940726

CAMA AND DREDGE AND FILL i
GENERAL i No'7
PERMIT 4.
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and he Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC t! / 1
IPhone Number i
Applicant Name!
i duress
City State Zip
rolect Location (County, State Road, Water Body, etc.)
Type of Project Activity
ns ion of a _ 5cl , rder,- .bulivfx5ad, etc. may al -so - a u eUrr- ,>e-rrrn.t .
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) length
Groin length
number
' ulkhead length
maxdistance offshore
y
Basin, channel dimensions
i s
,
d ! 1
i
cubic yards
Boat ramp dimensions
J, 7
Other o-
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-
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, ��—=kcJ—�
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 prod'
ject is consistent with the local land use plan and all local " issuing date
i r tiordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
k I "'?objections to the proposed work. attachments
i
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.
I applicant's signature
permit officer's signature
-- I
expiration date