HomeMy WebLinkAbout11202_General Permit_19940414CAMA AND DREDGE AND FIL L -n C1
GENERAL \
--oNle- APR 2 0 594
F ERMIT
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 4
Applicant Name '`' Phone Number
Address
City State 11 14 Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity I
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
This permit is subject to compliance with this application, site
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violation of these terms may subject the permittee to a fine,
Groin length
number
Bulkhead length
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come null and void.
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This permit must be on the project site and accessible to the
permit officer's signature
permit officer when the project is inspected for compliance.
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Thea applicant certifies b signing this permit that 1 this pro-
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max. distance offshore
Basin channel d mensions
issuing date expiration date
ordinances, and 2) a written statement has been obtained from
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objections to the proposed work.
attachments M
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In issuing this permit the State of North Carolina certifies that
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application fee J
Management Program.
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100
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
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violation of these terms may subject the permittee to a fine,
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signature
imprisonment or civil action; and may cause the permit to be
applicant's
come null and void.
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This permit must be on the project site and accessible to the
permit officer's signature
permit officer when the project is inspected for compliance.
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Thea applicant certifies b signing this permit that 1 this pro-
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ject is consistent with the local land use Ian and all local
ject
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issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
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objections to the proposed work.
attachments M
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In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
application fee J
Management Program.