11539_General Permit_19930312

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CAMA AND DREDGE AND H
GENERAL y xTo 9A
MAR 2 4 1993 '
PERMIT_-____
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 ,�?// / /,-- -
Applicant Name
Address
City
Project Location (County, State Road, Water Bodyt
Type of Project Activity
Phone Number 7.76 - ZZ
State zip
PROJECT DESCRIPTION
Pier (dock) length
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Groin length—
number
Bulkhead length
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max. distance offshore
Basin, channel dimensions
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cubic yards
Boat ramp dimensions
Other
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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.�44,4eL����-/e't
f permit officer's signature
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.
applicant's signature
issuing date
attachments / //
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.
expiration date
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