HomeMy WebLinkAbout10995_General Permit_19930324O
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CAMA AND DREDGE AND FILL N
GENERAL
PERMIT 10995
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 15 NCAC Jf/ �;
Applicant Name P Phone Number / / /` l^ 2 .Y" �� / 3
Address -
City, State
Prpoje t Location (County, State Road, Water Body, etc.) CA o -24-
Type of Project rojectt �ctiv (� n y
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
3d/_?"',"-�_3
cubic yards
Boat ramp dimensions
Other.
SKETCH lr l�r
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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 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.
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applicant's signature
U permit officer's signature
issuing date expiration date
attachments - /K"r/l �>Ir / 7 ,-q
application fee eq 0
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ADJACENT RIPARIAN PROPERTY CANER STATEMENT
I'hereby certify that I own property adjacent to
P571 cC �,� 's property located at
%(Name of Prope. ty.Owner)
0 'Al Some-
,
(Lot, Block, Road, etc.
Sp'2,,� on S P G in �, v N.C.,
(Wate body) (To and/or county)
He has described to as shown below, the development he is
proposing at that location, and,' I have no objections to his
proposal.
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DESCRIPTION AND/OR'DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature M ,ram
ScpAv
Print or Type Name
Telephone Number
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ADJACENT RIPARIAN PROPERTY OWNER STATEM WT
Thereby certify that I own property adjacent to
's property:located at
.(Name %of, .Prope, ty. Owner)
(Lot, Block, Road,.etc.
on . S' P G in sp2,ti r, C
(Wate body) (Tow and/or. county)
He has described tome, as shown below, the development he is
proposing at that location, and," I have no objections to his
proposal.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
.(To be filled in by individual proposing development)
Print or Type Name
Telephone Number
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