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HomeMy WebLinkAbout10814_General Permit_19920623CAMA AND DREDGE AND FILL WA � GENERAL PT �0) PERMIT V N� 10814 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 r1 /y — /oz ) Applicant Name !, ✓F',1 [<� Address fL f City. on r Project Location (County Road, Water- B [/A A i - -,C — Z Gti Type of Project Acfjvity Phone Number State etc 1 C it L Zip 7h�S r PROJECT DESCRIPTION Pier (dock) length SKETCH NvvL (SCALE: � t y�C Groin length. number Bulkhead length max. distance offshore Basin, channel dimensions cubic yards 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, 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. applicant's signature �j Jr ermit fficer's signature issuing date expiration date attachments _ # // Q In issuing this permit the State of North Carolina certifies that this project is consistent with the North Carolina Coastal Management Program. application fee _ d 4-Q - v ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER) I hereby certify thatI own property adjacent to �(e ��V} ( / r �. , �_ �, ,f_- Is property Name located at ��� % � ! ;.1,.1 on (Lot, Block, Road, etc.) in ���, �r�. ,�;y , N.C. (Water Body) (Town and/or County) He has described to me as shown below the development he is proposing at that location and I have no objections to his proposal. I understand that a pier must be set back a minimum distance of fifteen feet (151) from my area of riparian access unless waived by me. I do not wish to waive that setback requirement. I do wish to waive that setback requirement. Description and/or drawing of proposed development: (TO BE FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT) t Name Phone Number