11507_General Permit_19921231

Applicant Name
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CAMA D DR G 4ND; ILL
GENE R LSI' JAN f �- e �� IGZryN ? 11507A
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PER i_ F_F-__iJ U�
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 2
v t'�l S Phone Number 376
Address -><�� '^ J ''
City. TL_
Project Lo tion (County, State Road, Water Body, etc.)
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State _1/
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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.
i
L
applicant's signature
permit officer's signature
C
issuing date i expiration date
attachments
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application fee � C. K yF32
(dock) length
■■■� ■■
GroinPier
il•■ c�■�■ ■ ■
distance offshore
Basin, cl�annel dimensions
cubicmax.
-
■■ ■■■■W'�■ ■■■r� . ..
■■■mom a." M■■ir�■■■■�
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■
oat ramp dimensions
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■■ME_.■I■■■■■■■
Other
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M. il■■�■
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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.
i
L
applicant's signature
permit officer's signature
C
issuing date i expiration date
attachments
/'
application fee � C. K yF32