11776_BEAUFORT INN_19920223

0CAMA AND DREDGE AND FILL � o P
GENERAL 117 6
0U
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources Co Lal Resources Commission
in an area of environmental concern pursuant to 15 NCAC /
Applicant Name
Address
City
Project Loc&t. (C unt St
Type of Project Activity
1�►V Phone Number? ( r
Water Bow, etc.)
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
�iI" I)(%4 --It
cubic yards
(5o
Boat ramp dimensions
Other
State n I L Z
(SCALE:
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 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.
applicant's signature
permit officer's signature
issuing date expiration date
attachments iC—D
t3t�
application fees v h