10642_General Permit_19930210

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CAMA AND DREDGE AND FILL�-
GENERAL MAR 10 19
PERMIT N� 10642 �
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as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resourcesd the Coast I R sources Commission
in an area of environmental concern pursuant to 15MCAC I � , 1 � d � � , E 100
Applicant Name C, G Phone Number Q 111 S'71i - 3 (2-1
Address
City, CA A phSIA State V_J zip '2r
Protect Location (County. State Road. Water Bodv. etc.) PtAr_wyo.4 D'r, k-,P^,j W -A+- �ar . G
Type of Project. Activity
I PROJECT DESCRIPTION SKETCH
I V.�WA v
Pier (dock) length 8'X Vii _ vh�, �
� Ier.1"Uo rr AWW
Groin length- C..►soR`J��+�:�
i •
number
Bulkhead length
max. distance o shore
6/5
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
" Ike -a1 x�e
_261
0+4`<
5
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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issuing date
applicant's signature
permit otticer's signature
Io -C_3
expiration date
attachments �GJ `✓
application fee NC/h•�