21165_BLANDFORD, JAY_19990127 (2)

0
CAMA AND DREDGE AND FILL N° 021165
GENERAL
PERMIT ��'J��' Cd
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 0111 • I ZCQ
Applicant Name ��' o�� Phone Number 251• G33
Address ISo0(e -15-15zS (V•1Z-
City_AGaU" State tJ G Zip
Project Location (County, State Road, Water Body, etc.) QTALeoT TO 79-Zlit'll!� CRS_ k ori- 3�►[�s C_ e►�zc D
t-�R A L' ,Ty - CZA01_� Ca
Type of Project Activity TTC:Kb�,E -ILZ�o IKJ;;iP,L Z 4 \t_i 0&S V�S Et -D,. _I
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other 1AyrAU_ 2.
SKETCH AEC- — 7* A,E",
3
(SCALE: Klo ►�E
L t.l� -: P � tAf rr 3 ttAitJt, , IT"
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-
com6,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' )s� 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.
attachments
j�a,_o C0,41,
�i id- 1 applicant's signatu
permit officer's signatu
a--) AY2 . ctq
issuing date expiration d
C31 R. l.') -o o
In issuing this permit the State of North Carolina certifies that( �•��Z j
this project is consistent with the North Carolina Coastal application fee ' tD' Da
Management Program.