16522_LEE, A M_19961001

CAMA AND DREDGE AND F`.: I Q�J
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GENERAL
PERMITFrA
as authorized by the State of North Caroli(i�rrw+�rrrrwwswwrw�w+k�arrs
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 State Zip
Project Location (County, State Road, Water Body, etc.) r'- �' .�;•-' `� 1 `~
Type of Project Activity
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.
applicant's signature
7L'1- t `
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. r
The applicant certifies by signing this permit that 1) this pro,
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statemetit -hWs"bi� on-obtained-fr©m
adjacentriparianlandowners certify .ing.__AhaL._xhey,._hayg�r�o ,� � 't }t�
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 ���� C`1
Management Program.
i,
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PROJECT DESCRIPTION
SKETCH
(SCALE:
)
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
',�
- •-
--�-
i
Basin, channel dimensions
cubic yards
n
Boat ramp dimensions
j
Other rA C HC
.
�t
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.
applicant's signature
7L'1- t `
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. r
The applicant certifies by signing this permit that 1) this pro,
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statemetit -hWs"bi� on-obtained-fr©m
adjacentriparianlandowners certify .ing.__AhaL._xhey,._hayg�r�o ,� � 't }t�
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 ���� C`1
Management Program.