19855_MINTZ, JIMMIE_19990622

CAMA AND DREDGE AND FILL;
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal esources Commission
in an area of environmental concern pursuant to 15A NCAC f J-" - %/0 J L ! a(J�
Annlicant Name C nl P'A ! C, ! U 1 + A , Phone Number
Address oZ 6 �, I ¢"� C isn h < 4�
City
State Al L
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Project Location (County State Road, Water Body, etc.)
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prop. 5F6'
Ty eofProjectActivity 0-,L> AS r��-�
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max. distance offshore
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Basin, channel dimensions
PROJECT DESCRIPTION
SKETCH
(SCALE:
Pier (dock) length
cubic yards
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Boat ramp dimensions
Groin length
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number ,�.
Bulkhead length 1 t�! d
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prop. 5F6'
max. distance offshore
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CA
Basin, channel dimensions
cubic yards
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Boat ramp dimensions
Other
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This permit is subject to compliance with this application, site
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drawing and attached general and specific conditions. Any
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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.
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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.
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The applicant certifies by signing this permit that 1) this pro-
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ject is consistent with the local land use plan and all local
issuin—' g date
�T f exp' ation date
ordinances, and 2) a written statement has been obtained from
landowners that have
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adjacent riparian certifying they no
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objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that
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this project is consistent with the North Carolina Coastal application fee
Management Program.
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