28429_HOOD, ELWOOD_20011004 (2)

V
CAMA and DREDGE AND FILL
G E N E R A L 0'"'
P E R M I T »o,` Py
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 I
Applicant Name Phone Number
i
Address
City ti' ' ! "� �1 State Zip
Project Location (County, State Road, Water Body, etc.) t
L N.11!,1 t
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length 1�-
Groin Length 14
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number `
Bulkhead Length
max, distance offshore
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Basin, channel dimensions "
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cubic yards
Boat ramp dimensions
Other-t.�%i;_t-
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This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms / -.,--'applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
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
f j..
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work. c,tnents
In issuing this permit the State of North Carolina certifies that this project '
is consistent with the North Carolina Coastal Management Program. application fee