15525_JACKSON, WAYNE_19960617

Applicant Name
Address
LiJt3 ��o/r'rsa� � f.�'a /iltr
CAMA AND DREDGE AND FILL
015525r,8
GENERAL JUL 1 1 1956
PERMIT ..M.,.
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 2VI , i%v
Phone Number �'� 1 7iv%
City '/�' �i/os ce:lr, State &2 Zip
Project Location (County, State Road, Water Body, etc.) �,�G� f �•� e.� Si"i' %s/�G / Si�urF�'�'�r� i'�i-/`
1_1leg c r �,f,� � /"�2 r9 le r < e eA ;-r a (1 ec .s
Type of Project Activity & A� ck r e' e, a ,7-r -Ar6+e fi
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length
Groin length —.
number
Bulkhead length$
max. distance offshore S
r?liCrsc 9e � Jl/AI.'G.
Basin, channel dimensions
cubic yards /
Tt'r/ c/SSI •%?% c"• c'fl ��
Boat ramp dimensions 1 5aa ke �— I I �j /XI //dry
� Orav s�et,Fe
Other : _ '6�_?"_ .4 t_
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any Lj
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.
A -
applicant's signature
permit officer's signature
a7- e�1C.rfrr ��
-�" issuing date expiration date
attachments ZV, &elo
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fees-��
Management Program.