10512_General Permit_19920610

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GENERAL
oCT 1992
PERMI-f,
_. � N° _ 10 512
as authorized by the State of North Carolina
Department of Environmemt,-Health, and t4aturat R6T(5U 'es and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 77AI . //00
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Applicant Name .&,a" �- D �� ��— Phone Number
Address
City, State ,�/%•G- Zip
Project Location (County, State Road, Water Body, etc.) anskr' C-MoA f'.TGSoF a_ .tLa,Tv ala .! BT �CkC3q .
Type of Project Activity n
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PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
r
Bulkhead length:
max. distance offshore
1/12 Ax
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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SKETCH AT-w/E�s�/E, W.
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sulk, -d
,oil
(SCALE: / // le r
,EA 154' n 0
'Oock fo b e.
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
this project is consistent wits
Management Program.
gC/El.�"o &,06
of North Carolina certifies that
the North Carolina Coastal
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/ applicant's signature
ei
permit officer's signature
issuing date expiration date
attachments . , � • `/DD
application fee W 5Q' CID 49 Ck,* A �L Z
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