10065_General Permit_19920706

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GENERAL 16 1992PERMITtU low
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__________
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 07111 . //d 0
Applicant Name s G -r H E#,'.J 5 f cI-e 5 (f rt, re ,J' SS aG . Phone Number
Address, A0- ke0r .1/3 -
City . -5 0 vrNEls r-1 50 a P -t -S State X/ C Zip A 79 f4 9
Project Location (County, State Road, Water Body, etc.)
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OFF CrU/lf-rt4,r-I A- 4.1 - 4 7- C/y/G /��Sc� iA,-�s�.s �✓op7i! '41Ak-rt-N
Type of Project Activity CC,, g ra -c-r H 79 ' L C- 50 c: /* ao UC N
�n1,wWNrw0 iCge7' &1-A210IK4ce9/,-✓ o- 41,Y/ 3-r, A;
PROJ ECT DESCRIPTION I SKETCH CS c Prw
Pier (dock) length
Groin length
number
Bulkhead length '
max. distance offshore
Ad/G• .I
Basin, channel dimensions
cubic yards
Boat ramp dimensions
I Other
A-IrVr
C v I- A
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i nis permit is suolect to compnance witn MIS appncauon, 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 t-"ktarbeeaerd #rem
adjao"4---r4p-arias- tarrdowners- certtFyi�g - -meq--hrawe-+ie
gbjer--tinny to t�rppca�gd-t�rgF.k,
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applicant's signature
permit officer's signature
issuing date expiration date
attachments 7� /%d 0
S D . SNo1Q 5 CI UI C_ 455OC.'
In issuing this permit the State of North Carolina certifies that oe n
this project is consistent with the North Carolina Coastal application fee 4V5 -n
Management Program.