10941_General Permit_19930316

CAMA AND DREDGE AND FILL
GENERAL
V�1 PERMIT 0� ��� N? 10941
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and
in an area of environmental concern pursuant to 15 NCAC
Applicant
Address
City
_17—
Project Lc
Type of Project Activity
one Number 02�. '�/rGCJ
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 ofticer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro -
is consistent with the local land use plan and all local
j nances, and 2) a written statement has bee twined from
adjacent riparian landowners certifying that they have no
objections`o a proposed work. attachments
issuing date
expiration date
In issuing this permit the State of North Carolina certifies that /� r
this project is consistent with the North Carolina Coastal application
Management Program.

GENERAL PER?G7 APPLICATION INFORMATION
APPLIC_ANi'' S NAME: Aaite,
if(First
h. q.kNG ADDRESS: /0"'., © i
ILPERMANENT) G
Middle
Last
STATE ZIP -:r
TELEPHONE: WOR3 & % 41 HOME (Yli ) ,316
r
�nv�c
CONTRACTOR'S NAME: TELEPHONE NUMBER %' j'i "71
PROJECT LOCATION: N.C. Hwy. jI,IR jl Road/Street Name
Waterway Nam T County
Town ��rt'-vr3� Subdivision
PROJECT ACTIVITIES:
PIER: Total dimensions of pier from MHW to platform
(Length) (Width)
'T' or 'L'-head platform
(Length) (Width) (Number of Mooring Piles)
Water depth at end of pier
�'*HOUSE/BOAT LIFT: Length
Number of Piles
Number of Mooring piles
Width
Water Depth
BULKHEAD: I/1 Total length
Average distance waterward MHW �,a • ice,_ C �e�ac�,e./ ��2�
Maximum distance waterward MHW
#2
Total length
Average distance waterward MHW
Maximum distance waterward MHW
RIPRAP: Total length
EXCAVATION: [MAINTENANCE 'ONLY']
Length
Width
Base width from MHW
Depth of Cut
MAR 16 1993
Adjusted water depth on MLW Existing water depth(s)
Estimated Cubic Yards (len h x width x depth/27)
Type of spoil: Sand Mud
• Dragline Backhoe—� Hydraulic
OTHER STRUCTURES:

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