24569_JORDAN, HAROLD K_20000613

LAMA and DREDGE AND FIEF
F N E R A L N? 24569
L- R I T-
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Reso rces Commission
in an area of e vironmental concern pursuant to 15 NCAC _.
Applicant Name Z—
pp Phone Number.q,
Address
City State Zip���
Project Location (County, St to Road, Water Body, etc.)
X60 -
Type of Project Activity( I _ �� I
A.n
P, o compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
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-
ficer when the project is inspected for compliance. The applicant certi-
Pies 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
eve no objections to the proposed work.
"suing this permit the State of North Carolina certifies that this project
sistent with the North Carolina Coastal Management Program.
a)
pIicant's signature
emit�cer's signature
dry
V itsuing datej ��/n/ex//piration date
J z t./
q� *1�01 attachments
application fee
PROJECT DESCRIPTION SKETCH
flier (dock) Leenngth
(SCALE:
)
Groin Length
number
Bulkhead Length
r. z
max. distance offshore
�eas
x�rwt.:f
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)
Basin, channel dimensions t
�µ
J!.
E
i
cul�._
.___... _..., __
Boatr, Q � ..�... .. ... _.._....
_F._.m...�.. ..�.._.
....._
Other
Un a —
Q�z
W
S
�
F--1 t7 U rn O
P, o compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
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-
ficer when the project is inspected for compliance. The applicant certi-
Pies 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
eve no objections to the proposed work.
"suing this permit the State of North Carolina certifies that this project
sistent with the North Carolina Coastal Management Program.
a)
pIicant's signature
emit�cer's signature
dry
V itsuing datej ��/n/ex//piration date
J z t./
q� *1�01 attachments
application fee