15241_ORESKOVICH, ROBERT_19960719

CAMA AND DREDGE AND FILL �P_Iirj���14L'ti NI&I 015241A
GENERAL =Ulm 19%
PERMIT
as authorized by the State of North Carolina MSYAX-
Department of Environment, Health, and Natural Resources and the Coastal Resoyfces Commission
in an area of environmental concern pursuant to 15A NCAC e %Q7Al • A_2 CJt�,
Applicant Name R,o e fr p r O k- f tfC3 vita Phone Number `�J6. It FJQ -,d_1 /_
Address c l oLt M&T-GAJ d OF
City f= -QA 9_ 141 e 4 State Ai Zip 4.79 19
Project Location (County, State Road, Water Body, etc.)
1,_1/Y
n L r
� siTr:a f ds too Ar-; A l n 7' 4
Type of Project Activity
PROJECT DESCRIPTION I SKETCH E ,5 _ E (4.) _ ir1
'Fier (dock) length
h ti:
Groin length
number
Bulkhead length
max. distance offshore
AyC:. hi-1r*iixZ -�
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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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..fr-om
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.
(SCALE: l " 71.,
p�J
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applicant's signature
permit officer's signature
issuing date -- expiration date
attachments 100 J C -�, fq . 1,1,p C)
application fee 44'22-!&V