11172_General Permit_19940316

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CAMA AND DREDGE AND FIL.)
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GENERAL MAR 2 3 1994 f 11172
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
Zip
PROJECT DESCRIPTION
Pier (dock) ) length
g
SKETCH
(SCALE:
)
.4
s
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Groin length
number
Bulkhead length
max. distance offshore
a
I
T�
i
Basin, channel dimensions
0a,I
i
cubic yards
I
I
4
Boat ramp dimensions
Other
i
IITF
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any 1411
violation of these terms may subject the permittee to a fine
applicant's signature
imprisonment or civil action; and may cause the permit to be- j
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
permit officer's signature
i
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

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