21653_DENTON, WAYLAND_19990302

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CAMA AND DREDGE AND FILL
GENERAL
PERMIT ,RPR 19 1999
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.)
. State
Phone Number
Zip
Type of Project Activity
PROJECT DESCRIPTION
SKETCH
(SCALE:
Pier (dock) length
Groin length.--.-
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
r r
Boat ramp dimensions
,
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, �, I applicant's signature
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's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro- �� %[,/f/x�
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 '=7 #%) -
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that
C.i sproject is consistent with the North Carolina Coastal application fee
Mai' Ament Program.