12792_DRIVER, JOE_19931108

CAMA AND DREDGE AND FILL II 11 LIQ o ,
GENERAL �;, N.� -:
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and theCoastal Resources Commission
inanarea of environmental concern pursuant to 15 NCAC !1%�
Applicant Name I_ t? Phone Number _ted
Address PC G
City ki r r --V 14 AI,- l:
C.~ State 11)
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Project Location (County, State Road, Water Body, etc.)
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Type of Project Activity
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PROJECT DESCRIPTION SKETCH 6S F_aj PT W (SCALE: i '" 0 )
Pier (dock) length
Groin length
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Bulkhead length
max. distance offshoie
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it
Basin, channel dimensions
cubic yards
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P t T r�k
Boat ramp dimensions
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Other
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.
il- e- y 3
issuing date
applicant's signature
permit officer's signature
expiration date
attachments ` %/
TC C GCS
r
application fee " (` /'