10581_General Permit_19930219

CAMA ANA1D FILL
GENERAL '�✓
11993PER�VrR
as authorized by tlic.S3atarat.�k�ab�a'oltr�a------
Department of Environment, Health, and Natural Resources and .t e Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Npme - ' _- r
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity'' —
PROJECT DESCRIPTION SKETCH Ems_ CA
Pier (dock) length C.- Z{ t C Id,, c 2
Groin length.
number - I
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other �� 04 j U
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.
L
mot'
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applicant's signature
/ � _"
permit officer'q signature
�ssuing date ! expiration date
attachments
application fee

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