15051_RUBIN, BURT_19960521

CAMA AND DREDGE AND FILL '�' -iE iNo 015055
GENERAL ; MAY 2 3 1595 J9,
PERMIT
M�IM��p�r� � •w�s�r �P �tR�i4'a
as authorized by the State of North Carolina 1
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission k
in an area of environmental concern pursuant to 15A NCAC
i
Applicant Name 13u RT RU- Phone Number �
Address �� ! 3 t � 9 ST Q C t_ L4 XJ C o (w X-7
City A) A6,S P EA CS State /U C- _ Zip ;17-959 1
Project Location (County, State Road, Water Body, etc.) DA RD u h-l21c,
J c' U1&J or AG5 AD
Q L -f= UA GS - NEAQ cV i�.. ala U),55T Qc4�tj+rQuF p l:srA)AC OAr �
Type of Project Activity aril 4c-1GAN'f- !S l9UTHOCe 4-00' __r *t c:CNS7'n¢�ci �Ghl(7
t,i.,t;atDSai 13UL tiCAQ A NAX/MVA" 17e:rAFOE7�
0,, x-17 EA: W A w: J or" IJc N .v Ac. , e•.cr,r r F -k, Lev 0 C-
PROJECT DESCRIPTION SKETCH F_ 5 E W P7_ (SCALE:
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore f�
A VG J r
t i
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 1, ✓ A
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. J
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.
applica
i /.r
permit officer's signature
/ A -117 _q6 _
issuing date expiration date
attachments r, V,,a l i c
0L�AI'ii
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application fee �°