16887D - Simon

CAMA AND DREDGE AND FILL 01
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC '1 N' • 6 OD
Applicant Name ' 41‘ c-4- c/ M a n Phone Numbe '7 M 6 / Cr
•
l r
Address n � 5 S �'-' / � s/1C l�ft Fc�4 I�
City K v L p+.• State • Zip `g° Y.'j 7
Pro'ect Location (coInty, Stale Road, Water Body, etc.) c. f AA
err ' c dptt4 jn} it 1L ALE. Cpt .e,1r ,L(- ii e14 c. e r ( , YA."./
Type of Project Activity �Cvity e 4 V f id IT a r r i C r n t d M a q ,0,,.. �— t/04 �'n o�. t.
Qr-e - eyiStin r" et Ji4' ,.., . !all ( n� 11I,3:it n 0P . SAt // 4/,P /7/
*'r1pp/it',.,'1 c , 3 id c ,_,,n ) ,.„, f 4. 4nder Co.“^4-4/ iii6 Tnsr. ►"L�..) pri.or 4 (anoIrve.-46,.
PROJECT DESCRIPTION SKETCH (SCALE: A/04. To c , Jr
Pier(dock) length '
, I y a r-4-4 5 .i C Re r--K t✓er 2._,__ .u e
Groin length .. .__i___ ._
t
t {
2.g __ -i-, ; _1 - v
number iI
I ' ,
Bulkhead length / 1 _•
D 8' _.,
max.distance offshore —.�..,....
-
Basin,channel dimensions f
1 ' .. • +
cubic yards /y
Boat ramp dimensions /y'
`(t1Other i:A( II.'I'X1L,.ri < 70 ' ..i
(3
"‘---,-,1-
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any fl. ,
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be �� applicant's signature
come null and void. / //Jflr (5)41&
This permit must be on the project site and accessible to the ttlir. vt .--
permit officer's signature
permit officer when the project is inspected for compliance. '3 / O ' ) 0 J O / 0 - l - r� o u
The applicant certifies by signing this permit that 1) this pro- v(
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from 7/4 G 1
adjacent riparian landowners certifying that they have no `> l)
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that nr re
this project is consistent with the North Carolina Coastal application fee ' "
Management Program.