12320_STACEN, PETE_19940331

CAMA AND DREDGE AND F
GENERAL No. . , =-,jt!
PERMIT FSPR 0
as authorized by the State of North Carolin L .1 '
Department of Environment, Health, and Nat��gyrces and''l'A&f)nlgst fl Resources Commission
in an area of environmental concern pursuant to 15 NCZ _7—-z--,—-,— Qi
Applicant Name
Address
City State
Project Location (County, State Road, Water Body, etc.)
Phone Number _Y
zip
�i
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
r
Basin, channel dimensions
S K I�TCH
1NJ
cubic yards
Boat ramp dimensions
r;
Other
(SCALE:
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.
�r <
applicant's signature
permit officer's signature
issuing date expiration date
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.