10527_General Permit_19930107

Applicant Name
Address X
City
Project Location
CAMA AND DREDGE AND FI
GENERAL
FEB 0 3 1993 I
PERMIT `NTC 10527 Z)
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 -7 H . I l ©c7
A'Y p si(,3r 1 4 j `/° Ha I Phone Number9 I 4 x 9 7 3
ountQ S
Type of Project Ac-Tivity
Road, Water Body, etc.) I a
State . G , Zip
PROJECT DESCRIPTION SKETCH (SCALE: I
Pier (dock) length
� (L
Groin length un cy
Nawts_�ehl�
number
Bulkhead length IO a (phi
max, distance offshore "
Basin, channel dimensions
cubic yards I
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.
J applicant's signature
permit officer's signature
L4 7 -
issuing date expiration date
attachments - —� 4110 o
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.