26499_FULLER, SUMNER_20010319

Applicant Name
Address
City
Your project is subject to the Tar(Pamlico
LAMA and DREDGE AND FILL River Basin Buffer Rules due to its
location within theTar/Pamlico Basin. 26499 — C
G E N E R A L Please contact Deborah SaNvyer at (252)
P E R M I T 946-6481.
as authorized by the State of North Carolina V_. �- , 17 i
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
State
Phone Number
zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity % .-k , k 1h` e '. t 1` `
PROJECT DESCRIPTION SKETCH yt-- , I` ­11�kk
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
other
(SCALE:
This permit is subject to compliance with this application, site drawing f7
and attached general and specific conditions. An violation of these terms ,G
g p Y _- applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and .t
may cause the permit to become null and void. }) C - '
This permit must be on the project site and accessible to the permit Of -
permit officer's signature
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
issuing date expiration date
attachments
ti
application fee