10249_General Permit_19921012

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CAMA AND DREDGE AND FILL
GENERAL
OCT 151 2
'
PERMIT1.0249A
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 �2 -14 / 7L -3c, r 3CG 6 .
Applicant Name / 4 i
Address 7,76
City . l'
Project Locatjon (County,
ype of Projec
PROJECT DESCRIPTION
Pier (dock) length _
Groin length
number
Bulkhead length
oad, Water Body, etc.)
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SKETCH p
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State
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Phone Number 976Y - 6 Sf ?
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(SCALE:/
max. distance offshore ll j
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Basin, channel dimensions
cubic yards
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Boat ramp dimensions
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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.
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.
9
isguing date
o4l
a,
applicant's signature i • I
permit officer's signature
expiration date
attachments _P// 1266
application fee