11429_General Permit_19930618

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CAMA AND DREDGE AND FILL
GENERAL
114
PERMIT 0 1 .199 3
as authorized by the State of North Carolina LA L_3'
Department of Environment, Health, and Natural Resource� and the 6�a_stial R uxG&Gommission
in an area of environmental concern pursuant to 15 NCAC � 7-�U,3----
Applicant Name Phone Number
Address
CityZ v\ State LL zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (doc.k) length 777—
(SCALE: NONC
Groin length
number fit t
Bulkhead length
max. distance offshore F_
Basin, channel dimensions
T
cubic yards
L
Boat ramp dimensions—
t
Other
This permit is subject to compliance with this application, site
drawing and attached general and 5pecific 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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
,,— I / /I
attachments
application fee,
applicant's signature
permit officer's signature
issuing date expiration date