21663_RAWLS, STAN_19990325

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CAMA AND DREDGE AND FILL
GENERAL
PERMIT
02 663 -1-1711
3
authorized by the State of North Carolina
ir'wy Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
A licant Name Phone Number`
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State " e" Zip
PROJECT DESCRIPTION
SKETCH
(SCALE: )
Pier (dock) length
Groin length
number
Bulkhead length.
-7
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
'G
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 issuingdate
ordinances and 2) a written statement has been obtained from
• {-
permit officer's signature
adjacent riparian landowners certifying that they have no
attachments robjections to the proposed work. �_ T f1. =�
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.
expiration date