12328_GAYLORD, JAMES_19940418

I CAMA AND DREDGE AN0,W
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GENERAL � RPR 2 � 1994
U7)
PERMIT I I �� 7
as authorized by the State of North Caroling"""""'""'"
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC - ''• t,
Applicant Name
Address
City
Project Location Count State Road, Water Body, (County, Y, e-tc.)
State
CAJ .
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number
Bulkhead length _„.. k,.,l.., .....�.. - .-.,.......��� .-a---.,.•.,.- ..
max. distance offshore w'
Basin, channel dimensions
H1
cubic yards
_
Boat ramp dimensions `
Phone Number �' 61
Zips °
(SCALE
I Other
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
�4-t4 l't;_•
violation of these terms may subject the permittee to a fine,
applicant's signature
e ,
imprisonment or civil action; and may cause the permit to be-
-
I i
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
�4-t4 l't;_•
violation of these terms may subject the permittee to a fine,
applicant's signature
e ,
imprisonment or civil action; and may cause the permit to be-
-
come
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.
ro
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ject
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.