HomeMy WebLinkAbout10839_General Permit_19920714CAMA AND DREDGE AND FILL
GENERAL
PERMIT N° . 108391
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coast?I Resources Commission
in an area of environmental concern pursuant to 15 NCAC 7 H— ZC cz
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Applicant Name
Address
City—:::;=
Project Location (County, State Road, Water Body, etc.)
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Type of Project Activity
PROJECT DESCRIPTION l SKETCH fT
Pier (dock) length
Groin length
number
Bulkhead length ^7L—
max. distance offshore
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Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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State
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
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violation of these terms may subject the permittee to a fine,
to be-
applicant's signature
imprisonment or civil action; and may cause the permit
come null and void.
This permit must be on the project site and accessible to the
` p rmit fficer's signature
permit officer when the project is inspected for compliance.
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The applicant certifies by signing this permit that 1) this pro-
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ject is consistent with the local land use plan and all local
issuing date
a piration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
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objections to the proposed work.
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.
ADJACENT RIPARIAN PROPERTY OWNER STATEKENT
I hereby certify that I own property adjacent to
's property located at
(Name �t Property LYwner)
(I.4t, Block, Road, et .) ,
r
on n , N.C.
'(Vaterbodyf —ftown and r County)
He has described to me, as shown below, the development he is
proposing at that loc� and, I have no objections to his
proposal.
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Print br Type Name
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Telephone Number
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