15094_TICE, ROGERS_19960918

Annlirant N,ma
CAMA AND DREDGE AND FILL - �-� 01509V
GENERAL
"EP 2 0 19%
PERMIT U
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
Address
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number
Bulkhead len th
Phone Number
max. distance offshore r
Basin, channel dimensions
cubic yards
Boat ramp dimensions
/
Other
—TI��
Zip
(SCALE:
t
.n
r
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. % J
This permit must be on the project site and accessible to the permit officer's signature
i, permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro 9111
ject is consistent with the local land use plan and all local issuing date T expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no 7i rt
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that r- `
this project is consistent with the North Carolina Coastal application fee
Management Program.