HomeMy WebLinkAbout14114_ELMORE, CONNIE_19950407CAMA AND DREDGE AND FILL
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GENERAL r
PERIT i�� APR 13 110951
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as authorized by the State of North Carolina 9 " -
Department of Environment, Health, and Natural ReftTMMw."&1Ats Rffi 3 irces Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name Phone Number
Address
City. f State zip i
Project Location (County, State Road, Water Body, etc.)�� '
Type of Project Activity
PROJECT DESCRIPTION
SKETCH �= �: S �)
(SCALE: C_ G )
Pier (dock) length X `�4`
Pier
Groin length
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number
Bulkhead length
C I
i f"
l i
max. distance offshore
Basin, channel dimensions
cubic yards
j
I j
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Boat ramp dimensions
Other
HAG•
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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 a
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.
attachments
issuing date
applicant's signature
permit officer's signature
1i
expiration date
application fee i `