28052_MARSHALL, SAMMY & TERESA_20010530

CAMA and DREDGE AND FILL t\ f +
G E N E R A Lb7,1 ZA-
P E R M I T
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 £ i
Applicant Name Phone Number
Address E
City State Zips`"�
Project Location (County, State Road, Water Body, etc.) J
Type of Project Activity
PROJECT DESCRIPTION SKETCH ; ;. , :.:.
;.
(SCALE:
Pier (dock) Length i
t! .�
Groin Length
number i
:
Bulkhead Length
max. distance offshore
Basin, channel dimensions
V71
cubic yards
i
I
Boat ramp dimensions
t �
Other
This permit is subject to compliance with this application, site drawing `t , � -, �� fir,
and attached general and specific conditions. Any violation of these terms 0f
applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
11
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of-
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

STATE EMPLOYEES' CREDIT UNION MONEY
WASHINGTON BRANCH MONEY ORDER
.lam
REMITTER
66-7704/2531
l
� � G� 1c)
DATE �-.-/
PAY TO THE p co( �
ORDER OF
DOLLARS
State Employees' Credit Union VOID AFTER 180 DAYS
065 Washington, North Carolina _
-cu /4arsi So: �� 1 ---- — — ---- ------ rip
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II'002597111 t11:253L770491:0860430039311' UT Z SIGNATURE