10596_General Permit_19920731

Applicant Name -
Address &6
City 15-1 L—
CAMA AND DREDGE AND FILL 3�
GENERAL "-
4192 ` K`
PERMIT e'ul
i lass -�
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coa t I Resources Commission V)
in an area of environmental concern pursuant to 15 NCAC p
49U Ct Phone Number --
Project Location JCounty, State Road, Water Vody, etc.)
Type of Project Activity ple!r C /C
State " zip ZO Iq O
.J s
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length
�5
Groin length•
number
Bulkhead length
max. distance offshore r ��
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,
imprii orment or civil action; and may cause the permit to be-
COM6 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' ,signature
issuing date expiration date
attachments
application fee

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