10689_General Permit_19930407

CAMA AND DREDGE AND
GENERAL
PERMIT
as authorized by the State of North Carolir
Department of Environment. Health, and N
in an area of environmental concern oursu
Applicant Name
Address c=
City T_ ✓
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Otherl
SKETCH
j ►
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 lia 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.
L:v
Of89_1U1
Phone Number
i
(SCALE:
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applicant's signature
permit officer's signature
1 i
rl.
issuing date e5 piration date
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attachments `-
/� oc.
application fee

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