28546_BOOTH, CLARENCE_20011030

V
CAMA and DREDGE AND FILL j
G E N E R A L r4ov 54
a 6 2001
PERM I T
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name Phone Number i
Address
City
State
zip
Project Location (County, State Road, Water Body, etc.) L z.
Type of Project Activity i 1, r A
PROJECT DESCRIPTION SKETCH
t
(SCALE:
,
)
Pier (dock) Length
€
Groin Length
number
Bulkhead Length
max. distance offshore
1
i] +'
Basin, channel dimensions
cubic yards
_.
Boat ramp dimensions
i
Other
_L _..�
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms , a
applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and % r
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local issuing date
expiration date
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.
attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
application fee