10221_General Permit_19930909

CAMA AND DREDGE
GENERAL';
PERMIT SEP z�
f
as authorized by the State of North CaYYh --- •d
Department of Environment, Health, armResources Commission
in an area of environmental concern pursuant to 15 NCAC 1ti{ 1,aQQ S 1 I D o
Applicant Name ..a,x�r.�r..ydC— Phone Number °115
Address
City . C o1 , — State Ps) -r— Zip+ !Z-15QS'
Project Location (County, State Road, Water Body, etc.) c � " �oi f r r S",A UIN --
PROJECT DESCRIPTION SKETCH c ^ (SCALE: tNONI; 1
-
Pier (dock) length � X
Groin length
number
B-uO ea length
max. distance offshore n ��
Basin, channel dimensions
cubic yards �n�+• 1
Boat ramp dimensions
f
Other
i V O
t
piL 7i
t
+
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.
applicant's signature
permit officer's signature
issuing date expiration date
a
attachments . , _ \, uo • 4\Oo
In issuing this permit the State of North Carolina certifies that _ n
this project is consistent with the North Carolina Coastal application fee.
Management Program.