11249_General Permit_19930726

CAMA AND DREDGE AND FILL
GENERAL 11249
PERMIT
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
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
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Groin length
number
Bulkhead length
max. distance offshore—
Basin, channel dimensions
cubic yards
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Boat ramp dimensions
Other
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.
attachments
applicant's signature
1 ; permit officer's signature
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

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CAMA AND DREDGE AND FILL
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources ante Cqa I��ources Commission
in an area of environmental concern pursuant to 15 NCAC
A licant Name ('� k r (� Y C �, Ct. Cc t._>s-t : tf t`-Phone Number
Address O T
City —k LL ' 11
Project Lqcation (County, State Road, Water Body, etc.)
c_i` L
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
IGroin length
number
Bulkhead length
max. distance offshore
IBasin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State li . _ Zip v-*( 's
A K' .
SKETCH `��`� r1 f-I CS 1C ,i !__ (SCALE: - )
f
� r
'
�i, ` It 4C i 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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
signature
permit office r's,signature
i tsuing date ex iration date
attachments • ��
application fee _

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