11511_General Permit_19930125

O
Applicant Name
Address _ 'l
City
CAMA AND DREDGE
GENERAL
PERMIT
AND FILL pfp
FEB 0 3 1993'
, I l r.�-_._7 :
1.1'i1A
as authorized by the State of North Carolina -J --
Department of Environment, Health, and Natural Commission
in an area of environmental concern pursuant to 15 NCAC
l-1UM tz GtPhone Number
v IL t+-(tLS
Projecft,�ocation (County, State; Road, Water Body, etc.)
#� ilr. f— f^ t;IL 1 -i -ii t 1� , l )&*�i
State NC, Zip 7 9 y 7
Type of Project Activity
f — v N c�-
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
(SCALE:
)
Groin length
number
Bulkhead length
1
max. distance offshore
Basin, channel dimensions
I
cubic yards
I I
I
I
I
Boat ramp dimensions
ft
Other
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 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.
applicant's signature
permit officer's signature
b?
issuing date expiration date
attachments _-7 /• It -7 L,� J
application fee,��