General Permits (5611)

CAMA AND DREDGE AND FILL AC �]fop 016119C
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
Applicant Name. L A Phone Number Q�7�^ G
Address
r
City �.����. S_tante � — zip <�-�iS 70
Project Location (C(ggU}nt�y, State R ad, W t r Bob{Jy, etc�('�1
t Type of Project Activity
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) length L r11)
Groin length
numberp. ................... ' "z
Bulkhead length
max. distance offshore
A00 -
Basin,channeldimensions
cubic yards (�Q
Boat ramp dimensions ,
t
Othe p o
o
0Ll
This permit is subject to compliance with this application, site 1
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. A
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- I �j ✓
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 �— attachments tic
objections to the proposed work. -�
In issuing this permit the State of North Carolina certifies that ���
this project is consistent with the. North Carolina Coastal application fee
Management Program.