10535_General Permit_19920729

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Applicant Name
Address
M 77
CAMA AND DRE
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GENERAL
I
AUG U 7 1992
PERMITa�,,ju_LLIN9 y 10535
as authorized by the State of -------------
Department
"""Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmentalconcernpursuant to 1*CACI (-A >I i 0 d
Phone Number
City . YY1 0 C
L
Project Locat�on (Coun
Type of ProjeHActivity
State Road, Water Body,
PROJECT DESCRIPTION
Pier (dock) length
I Groin length
number
Bulkhead length
max. distance offshore
I Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other" {.e�
SKETCH
State Q G Zip
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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.
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
permit officer's signature
2- 2q
issuing date expiration date
attachments ` ' � (0a
Q?IS-1-Y
application f Z;—b— �— �'C D� �t ��
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