10620_General Permit_19921211

CAMA AND DREDGE AND FILL'-' `t
GENERAL
DEC 1 7 1992
PERMIT U _N17 10620 -1
as authorized by the State of North Carolina ���_�_ +.��._ __�
Department of Environment, Health, and Natural Resources and tie Coastal A7sources Commission
in an area of environmental concern pursuant to 15 NCA
Applicant Name tC � iPnone Nu er :` %
77
Address i_ F
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Zip
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,
-
applicant's signature
PROJECT DESCRIPTION
SKETCH
r'1
(SCALE:
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permit officer when the project is inspected for compliance.
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The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local issuing date
I expiration date
Pier (dock) length
adjacent riparian landowners certifying that they have no !(
1
b S)A C '+'� 4
�'�'
q. ,`
Groin length
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number
;
1
Bulkhead length
-
j
j
max. distance offshore
Basin, channel dimensions
y
cubicards
Y
``
(=.� hC •'�' - t �
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Boat ramp dimensions
Other
1
rf
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,
-
applicant's signature
e
imprisonment or civil action; and may cause the permit to be-
come null and void. i
come
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This permit must be on the project site and accessible to the
permit officer's signature
permit officer when the project is inspected for compliance.
`
�� �� t 3
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local issuing date
I expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no !(
objections to the proposed work. attachments
b S)A C '+'� 4
In issuing this permit the State of North Carolina certifies that , =`
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this project is consistent with the North Carolina Coastal application fee
Management Program.