11395_General Permit_19930615

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CAMA AND DREDGE AND nIT, GENERAL I,'; : 11395
PERMIT�,I�
as authorized by the State of North Carolina��r�_._________________...,�,.
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name �' ; V� Phone Number �� I tl r' f
Address
City . ;I ck 1 t State J�l Zip 4
Pro'ect Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH C- �
0
Pier (dock) length
) Groin length
number
Mriklrheai Length i
favo,
max. dis6nce offshore
I Basin, channel dimensions
cubic yards
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(SCALE: �� )
Boat ramp dimensions
z > v -
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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.
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applicant's signature
—� permit officer's signature
issuing date
attachments
In issuing this permit the State of North Carolina certifies that �S
this project is consistent with the North Carolina Coastal application fee
Management Program.
expiration date