12965_SMALL, JEFF_19940921

O7 7
CAMA AND DREDGE AND FILL IWI ' ' 7 ___ �
GENERAL ° � + IN : * ink r
PERMIT Ui
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC '� I I • I I o(,
Applicant Name �V- <�-_ fy lk-L L _ Phone Number U` L� rsoy
Address 1,2(ii 1V' !�'t -1 k) o `.-y E
City P �_ t Z "'r . "M C , ' . t State NL. zip '7 q i)`-1
Type of Project Activity
UU
PROJECT DESCRIPTION SKETCH
Pier (dock) length
� l _
Groin length
s
number _ 4
Bulkhead length
maxditancffh
syosore._Z— j
e 'a-- -
Basin, channel dimensions
cubic yards "
Boat ramp dimensions - 4 -
_ j I
I I
Other "
F
i
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.
(SCALE:
t� t e t1--e,;11a�r-
1-_j r
1 '
I I �
9—;)/_q(,
issuing date
attachments "10,)Iy0
applicant's signature
permit officer's signature
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.