28422_LAING, CHUCK_20010920

CAMA and DREDGE AND FILL
G E N E R A L OCT 02001'
P E R M I T l�» ���
as authorized by the State of North Carolina ` "-•_______ _• -�
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name I d `.- Phone Number 9
Address i 2- 5 ► i j= r" L(��
City '` 4`' i�� 1 ��� �� State zip
Project Location (County, State Road, Water Body, etc.)'
Type of Project ActivityIF-xC Ayr!
PROJECT DESCRIPTION SKETCH
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(SCALE:
Pier (dock) Length
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Groin Length
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Bulkhead Length
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max. distance offshore
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Basin, channel dimensions
cubic yards
Boat ramp dimensions
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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
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
F
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
application fee