16858_TOWN OF WRIGHTSVILLE BEACH_19971001

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CAMA AND DREDGE AND FILL
GENERAL
PERMITy
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 15A NCAC
Applicant Name
Phone Number
Address
City
Project Location (County, State Road, Water Body, etc.) _
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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State
Zip
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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,
applicant's signature
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 theo
permit officer's signature
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permit officer when the project is inspected for compliance.
—"T
The applicant certifies by signing this permit that 1) this pro
i
ject is consistent with the local land use plan and all local
issuing date expiratioadate
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments
' In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee='
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Management Program.
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SANDBAG REMOVAL NOTICE
TO WHOM IT MAY CONCERN:
give permission to
to aCt aS agent in m be alf in obtaining a LAMA Genera r Y Y [Permit mit to
place sandbags as a temporary erosion control structure. in front of my property
at
I,�bNr. :tl • C ���� have read the specifications in 15A, NCAC
7H.1700 and understand that the sand bags may rern21n in place for up to years
alLer the date of permit approval. I understand that I will be responsible for removing the
sandbags within 30 days after that period or at any time that they are determined by DCM
sta,, or its agent to be unnecessary due to relocation or removal of the structure. I will also
be responsible for removing any damaged sandblacs during the period they are authonZ=d
to be in place.
I also understand that the removal of the sandbags shall not be required if at the
specified date for removal they are determined by DCM staf; to be covered by dunes wrh
vegetation suicient to be considered stable and natural.
AUTHORIZED SIGNATURE:
DATE '

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