16450_REED, JERRY_19960823

O
CAMA AND DREDGE AND FILL
GENERAL
,k 41
, 016450
PERM I T
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
Applicant Name - Phone Number —�
Address
City State Prl 41 Ar -,o Zip f I
e
Project Location (County, State Road Water ody, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH (SCALE: )
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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-statemerrt`tms`b`een-obta[in-ed"from
adjacent - riparian fan-downers--,uertifying--th'ar-"they•~trav-e'-"rT6-
objet.tions-to-the.p.rap..ased w©rk-•
ature
permit officer's signature
s �
iss ing date expi "ration date
attachments
In issuing this permit the State of North Carolina certifies that aAAI-P o _}
this project is consistent with the North Carolina Coastal application fee c
Management Program.