16192_HATHAWAY, FRED & NORTH, JIMMY_19960724

CAMA AND DREDGE AND FILL O
GENERAL
PERMIT
JUL 3 1 1936
as authorized by the State of North Carolina������
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
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in an area of environmental concern pursuant to 15A NCAC ' � •.�_�
Applicant Name Phone Number i
o ,
Address i {"
City - State �1 L. Zip `! i, 1
Project Location (County, State Road, Water Body, etc.) �� '�
Type of Project Activity w Y
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 be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject 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 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.
}
applicant's signature
permit officer's signature
i issuing date expiration date
i
attachments
1 r-1
application fee
0
PROJECT DESCRIPTION
SKETCH
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(SCALE: )
Pier (dock) length
�+
Groin length
1
rV,_ t,o )
number
Bulkhead length
_T o
Jj1L
J
max. distance offshore
4"
1
V I
Basin, channel dimensions
• 5
cubic yards
Boat ramp dimensions
"
V,
r'
Other
Iva
V
T - L -I �1 c,
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 be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject 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 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.
}
applicant's signature
permit officer's signature
i issuing date expiration date
i
attachments
1 r-1
application fee