11100_General Permit_19930503

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Applicant Name
Addre—
CAMA AND DREDGE AND FILLi r,
GENERAL A2 6 1993
as
PERMIT ____.............
........
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
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Phone Number
Zip
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
(SCALE:
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i
-
t
Groin length
number
Bulkhead length
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max. distance offshore�T)
Basin, channel dimensions
t
cubic yards+
Boat ramp dimensions
f
Other
J.
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. attachments
issuing date
applicant's signature
permit officer's signature
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

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Address
City -
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources n h Co atal Resources Commission
in an area of environmental concern pu uant to 15 NCAC
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Location (Cot ty fate Road; Water Bod),
Type of Project Activit
State _ zip o'
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PROJECT•
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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.
a k
applicant's signature
7rmit o nurs signature
Issuing date expiration date
attachment
application fee vvrtP I

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