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CAMA AND DREDGE AND FILL opsssA
GENERAL
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 15A NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Phone Number
_-State Zip
PROJECT DESCRIPTION SKETCH iY �_t ���11 (SCALE: ++ `
Pier (dock) length
f_1. L 1,
Groin length `I rj �:' �� •1 r
i
number \� 1/ ��' 1`�•�I)+n�cf
Bulkhead length
max. distance offshore
Basin, channel dimensions —
jr
cubic yards
Boat ramp dimensions / }c i f s : c
Other
._... i [L: s. i
This permit is subject to compliance with this application, site
drawing and attached and specific conditions. Any
general
k
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
applicant's signature
come null and void.
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.
The applicant certifies by signing this permit that 1) this pro-
111711-17
ject is consistent with the local land use plan and all local
/ issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
%>tU
objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that
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t< this project is consistent with the North Carolina Coastal
application fee
Management Program.