11520_General Permit_19930223

CAMA AND DREDGE AND
GENERAL
1
PERMITS193
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as authorized by the State of North Carolina '°d"—--- ------------
Department of Environment, Health, and NatuMr7( sources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name 1U + tr it I C\ ' t
Address 1 1 U C 1�_
City ,._��,�-
Project Locgionou ty, State Road, Water Body, etc.)
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Type of Project Activity
Phone Number -,12 ^i - `1 CSC -5
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PROJECT DESCRIPTION
SKETCH � �' `
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Pier (dock) length
l
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Groin length
number
Bulkhead length j
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jNX,
h
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35,
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max. distance offshore
Basin, channel dimensions
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cubic yards
Boat ramp dimensions
,37
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Other
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This permit is subject to complia ce with this application, site
drawing and attached general and specific conditions. Any r
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 otticer's signature
issuing date eA pirabon ate
attachments �' N)o
In issuing this permit the State of North Carolina certifies that J f
this project is consistent with the North Carolina Coastal application fee
Management Program.
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