24197_DORSEY, TOM AND JANIS_20000202

CAMA and DREDGE AND FILL
G E N E R A L +� -c P
P E R M I TFEB 14 200Q
as authorized by the State of North Carolina COASTAL MANAGEMENT
Department of Environment and Natural Resources and the Coas a -IZesMORE
e
in an area of environmental concern pursuant to 15 NCAC I Zc-Yz'
Applicant NamePhone NumberU '
Address
City State zip0
Project Location (County, State Road, Water Body, etc.) - 5-`f��^�1�'L %J►�.t.E
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Type of Project Activity% f ,/r'vr� „tft
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
bulkhead Length
Ornax. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other E t
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r o 0—�— F AA
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AC
This permit is subject to 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-
by signing this permit that 1) this project is consistent with the local
d 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.
(SCALE:
applicant's signature
permit officer's signature
expiration date
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