27140_HENRY, PATRICK_20010409

CAMA and DREDGE AND FILL il�'
G E N E R A L ��� �� zoos
PERMIT
as authorized b the State of North Carolina COASTALMANAGEME
y MOREHEAD
Department of Environment and Natural Resour—ces—anMre
in an area of environmental concern pursuant to 15 NCAC
Applicant Name -
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Phone Number
State Zip
z7�44 o/4
rces Commission
PROJECT DESCRIPTION SKETCH i 7
Pier (dock) Length
Groin Length
I
(SCALE:
)
1
UU
-
-
-
! `
number I
Bulkhead Length =
max. distance offshore
Basin, channel dimensions
��-
i
C.'
_ Tot -
Y
t i .i
cubic yards
Boat ramp dimensions
Other
1
A
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
/ applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
- ; `f ; .Tr_
may cause the permit to become null and void.
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
issuing date expiration date
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.
attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
application fee