16340_SIEBERT, ROBERT_19960624

NO
CAMA AND DREDGE AND FILL ®� ;;It
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the.Coastal Re.rces Commission
in an area of environmental concern pursuant to 15A NCAC
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Applicant Name C' -0 '
Address 6 c
Phone Number 9 12 ` 727 — 10 fl X
City 6l t U[ = e '� G 7 f State �� C zip
Project Location (Co nty, State Road, Water[Body, etc. L- �'' 't -a f r L '„ �
rl �f. /P1 4 �j , .p / i r7 ; / �y �GA P/ C _P ' s
Type of Project Activity c> ; r I t C
PROJECT DESCRIPTION
SKETCH Lt: f'%A
(SCALE:")
Pier (cock) length
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Groin length
number
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Bulkhead length
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© hr; A ¢ ! r
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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This permit is subject to compliance with this application, site
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drawing and attached general and specific conditions. Any/✓'
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violation of these terms may subject the permittee to a fine,
applicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void.
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This permit must be on the project site and accessible to the
permit officer's signature
permit officer when the project is inspected for compliance.
The by 1) this
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applicant certifies signing this permit that pro-
-
is consistent with the local land use plan and all local
issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
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objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that
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this project is consistent with the North Carolina Coastal
application fee ,�U
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Management Program.

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