HomeMy WebLinkAboutGeneral Permits (529)Applicant Name
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Department cfEnvironment and Natural Resources and the Coastal Resources Commissio
in an area of environmental concern pursuant to 15 NCAC -7 � .! 703�0
Phone Number
Address
city ~ � State zip
\
Project Location (County, State Road, Water Body, etc.)
\ _ ,
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
max. distance offshore
r yl,
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation ofthese terms
may subject the permitteeto a8ne, imprisonment or civil action; and
may cause the permit tobecome null and void.
This permit must beonthe project site and accessible tuthe permit of-
ficer vvhenthepojpct)s)nspected/orcompliunce.Theapp|)cantcerti'
Aesbysigning this permit that l)this project ioconsistent with the local
land use plan and all local ordinances, and Z) avvhttcn statement has
been obtained from adjacent riparian landowners certifying that they
have noobjections tothe proposed work.
|nissuing this permit the State o/North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
issuing date
applicant's signature
permit officer's signature
expiration date