10442_General Permit_19920812

CAMA AND DREDGE AND
GENERAL
PERMIT
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as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Co stat Resources Commission
in an area of environmental concern pursuant to 15 NCAC _71 " . 1100
Applicant Name •`„� `-J 1\)( --
Address � I A C'tn»
City . R!\\, State
Project Location (County, State Road, Water Body, etc.)^`����+�
Phone Number —)Ci� - Q(GIfet3
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zip A-111t4ca
Type of Project Activity U z, I �S A . SA� WCYA 1�>kJ\ 4VI&
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PROJECT DESCRIPTION SKETCH t (SCALE:
Pier (dock) length��
Groin length
lkkc Al
number
Bulkhead length
max. distance offshore— Z' • -A
CX A ; Z. �✓
Basin, channel dimensions
cubic yards 1
i
i
Boat ramp dimensionsOther
PL
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.
t lirl�/ s �C
pplicant's signature
permit officer's signature
issuing date expiration date
attachments `'�A . ikno
In issuing this permit the State of North Carolina certifies that _!!ll (�
this project is consistent with the North Carolina Coastal application fee k� V . Ilr�/ CA �0
Management Program.