11203_General Permit_19940414

CAMA AND DREDGE AND FILL
GENERAL _." + I `
APR 2 0 1994
PERMIT P,
I Z�� I 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 L
Applicant Name Phone Number '
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
i
PROJECT DESCRIPTION
SKETCH
drawing and attached general and specific conditions. Any
(SCALE:
)
Pier (dock) length
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
Groin length
permit officer when the project is inspected for compliance.L_
L t
The applicant certifies by signing this permit that 1) this pro-
�� I t/ t �'I �{
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 no1
4 120",
number
Bulkhead length
this project is consistent with the North Carolina Coastal
application fee
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max. distance offshore
t-4—
Basin, channel dimensions
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cubic yards
/7
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Boat ramp dimensions:4�
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3
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Other
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This permit is subject to compliance with this application, site
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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.
i
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.L_
L t
The applicant certifies by signing this permit that 1) this pro-
�� I t/ t �'I �{
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 no1
4 120",
objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that�1-
this project is consistent with the North Carolina Coastal
application fee
Management Program.