15289_HASKETT, JOSEPH_19961004

CAMA AND DREDGE AND FI ���
GENERAL � F,�
Al
PERMIT OCT 4 1g9
as authorized by the State of North Carolin
Department of Environment, Health, and Na Mmem MtiMilfOR!>RlkI Resources Commission
in an area of environmental concern pursuant to 15A NCAC T1-* I IOJ
Applicant Name JO— Phone Number Z - Sq 4 d
Address
City }t "(1� 1=C.,�Za.� State r. Zip z 7� �; �-
Project Location (County, State Road, Water Body, etc.) ',,,IA-Tt i _ -
poe(,)o r�t''vo 5 ,�!"/ r r� C=, 4 4 -
Type of Project Activity 1,QLK 0 rZEA /-) f �- L S_FkTCJT 6_l
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length o t%
0
max. distance offshore'
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH Iii', 17,7 11,,17_
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w jet 6 .Ca
R,�.i�Cl�rp
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.
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issuing date
i
applicant's signature
permit otticer's signature
6
expiration date
attachments (�� 0
47, � 'j s �
application fee � `�_�%