26581_HILLENBRAND, KARIN M_20010410

Your project is subject to the Tar/Pamlico
CAMA and DREDGE AND FILL River Basin Buffer Rules due to its
location wi , 'n. T.
G E N E R A L
Please coat h y a
946-6481. �
P E R M I T MAY 2001
as authorized by the State of North Carolina
Department of Environment and Natural Resources z nd emAW"esCommission
in an area of environmental concern pursuant to 15 MOREHEAD
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length ,
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
V
Phone Number
State Zip
it �+�' ---� (SCALE:
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and attached general and specific conditions. Any violation of these terms
may subject the permittee to a fine, imprisonment or civil action; and
applicant's signature
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 Z) 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 A \�-
is consistent with the North Carolina Coastal Management Program.
application fee