11008_General Permit_19930730

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Applicant
Address=
City
Project Lc
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CAMA AND DREDGE AND FILL v
GENERAL ✓ '= `C-11'�08
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural ResourcejrAIII&yst�l Re�pyr)Ce12mrri�sion
Jn an area of environmental concern ursuant to 15 NCAC 11 }'�, 11 VV cC' // ((--ff, UU�U
n � e- Phone Number �j ` ` q
33
State Zip Z-74 (3
tion (emu ty, tate Road Water Body, etc.)
PROJECT DESCRIPTION
Pier doe) length L2CX--�?�
lt,01 1 t3 kG)(10T
Groin I� i1L
1ana�a
number
3e3
max. distance offshore I
Basin, channel dimensions 9
i
I
cubic yards
I
Boat ramp dimensions
Other
SKETCH
t
14
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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.
1A: - Loy
SCALE: )
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applicant's signature
permit officer's signature
30
issuing date / expiration date
attachments -1 c� A, A� l H ll w • I Zd o
. s � 52
application fee

UNITED STATES POSTAL SERVICE
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a

SENDER:
v
rn Cora^fete items-1 and/or 2 for additional services.
1 also wish to receive the
• Complete items 3, and 4a & b.
following services (for an extra V
` Print your name and address on the reverse of this form so that we can
fee): `
0) return this card to you.
• Attach this form to the front of the mailpiece, or on the back if space
1. ❑ Addressee's Address
d
does not permit.
m • Write "Return Receipt Requested" on the maiipiece below the article number.
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2. ❑ Restricted Delivery m
• The Return Receipt will show to whom the article was delivered and the date
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Consult postmaster for fee. 0)
c delivered.
3. Article Addressed to:
4a. rticle umber r� `
a 2
a
4b. Service Type
E
0,�, Registered El Insured
�
F2f Certified ❑ COD H
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❑ Express Mail ❑Return Receipt for
rx
Merchandised
Date of Delivery
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5. ignat dresse)
8. Addressee's Address (Only if requested .x
and fee is paid) R
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6. Signat gent
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i, PS Form 3811, December 1991 *U.S. GPO: 1882-323-402 DOMESTIC RETURN RECEIPT
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JUL 2 6 1993
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