10913_General Permit_19930301

i A, `MA AND DREDGE AND FILL
GENERAL
PERMIT N9 0913
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources o s ion
in an area of environmental concern pursuant to 15 NCAC y/ c�c.'
Applicant Name _
Address
Phone Number -7,29' g 4 9�?
City . %7�� �r'f{ State
M 4 16 zip
Project Location (County, State Road, Water Body, etc.) )0���tlih P� :�/�P%�i0h CN lG�'/,,,P;
Type of Project Activity _ ��'-' r F' T /n 0, e. � PX 1OL16 ro N
PROJECT DESCRIPTION I SKETCH
Pier (dock) length ?S �, /E
G -ti , , / ` IYoc"1
Groin length.
number
Bulkhead length,
max. d istan a offshore . <_
Basin, channel dimensions.
cubic yards
Boat ramp dimensions
Other
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.
I
(SCALE:
r applicant's signature
permit officer's signature
r f issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
r:
application fee
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