10643_General Permit_19930318

Applicant Name
Address
City �
Project Locatior
CAMA AND DREDGE AND F
GENERAL
PERMIT
?�i1D 10643- D
as authorized by the State of North Carolina"----------------
Department of Environment, Health, and Natural Resources and tWi C -6 -A=t Resources Commission
in an area of environmental concern pursuant to 1 ICAC 71 4� ,I i D U
%e okc q -
a t _ 1i Cc-/. _ aT— 1S.S� Phone Number --------- -7 S 4 -7 �T
Type of Project Activity
State MA zip --:I O S Q
,etc.) XG AsHv I x 5'T.. Oe,-Al.j
PROJECT DESCRIPTION SKETCH (SCALE:
;a
Pier (dock) length
Groin length _ (" r•
number /!
Bulkhead length
max. distance.offshore
V4,. a_ Fl --
Basin, channel dimensions.
cubic yards
Boat ramp dimensions
..s:
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.
applicant's signature
permit officer's signature
3► g q 3 6 /i s /gs
T issuing date —7 expiration date
attachments .-�` 1 I t oy
In issuing this permit the State of North Carolina certifies that �3l�C.t�
this project is consistent with the North Carolina Coastal application fee_
Management Program.