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HomeMy WebLinkAbout12946_FORBES, JOSEPH_19940623I - 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 Resources Commission in an area of environmental concern pursuant to 15 NCAC 6, Applicant Name - r Phone Number % f Address /Z City - /6 Za State _ zip Project Location (County, State Road, Water Body., etc.) Type of Project Activity PROJECT DESCRIPTION Pier (dock) length Groin I number i Bulkhead length max. distance offshore hi -1— i 2- Basin, channel dimensions cubic yards Boat ramp dimensions I other SKETCH y �� _-- i This permit is subject to compliance with this application, sitey 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 ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no 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 Management Program. applicant's signature I pe it offi�c/er's signature issuing date expiration date attachments P/,/ �� �� application fee t�C 3"