25489_VANDIFORD, CHARLES_20001201

CAMA and DREDGE
,.` G E N E
PERM
as authorized by the State
Department of Environment
in an area of environmental
Applicant Name
Address
AND FILL
R A L
I T
of North Carolina
and Natural Reso
concern pursuant
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
25489,
DEC 2 7 2000 PS ; E I ;z O/ I 3�4
OASTQ- MANAGEMENT
s an + urces Commission
55 NCgC7
State
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-
fies 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-4-andowners certifying that they
have no -objections to the -proposed -work. --
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
Phone Number
Zip
(SCALE:
f applicant's signature
permit officer's signature
issuing date
expiration date
attachments
application fee