HomeMy WebLinkAbout12490_MICHAEL, DENNIS_19940825E 9
CAMA AND DREDGE AND FIL D
GENERAL N? ` { -SJ
0 9 19 , ;
PERMIT1MLZAiLJ%9
as authorized by the State of North Carolina ."'"'""'"""'"` I
Department of Environment, Health, and Natural Re ources and thgg Coastal Resources Commission
in an area of environmental concern pursuant to 15 CAC `l
Applicant Name Nft.S , "� n'Phone Number_ D x —z4 i3cf
Address f
City State � Zip
Project Loca ion (CoOty, Stat9_§oad, Water Body, @tc.) bA
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Type of Project Activity N -
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. di�tance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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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,
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 pro-
ject is consistent with the local 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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
applicant's signature
41perit officer's si11ature
dateex ration date
attachments
application fee