10170_General Permit_19921015

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CAMA AND DREDGE AND FILL'"
GENERAL ' OCT Z w 92
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PERMIT N N 1017oA
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 07// , /600
Applicant Name k,' v (_�A V I d 0 �J V Phone Number /441-3034'8
Address / 3 Jr •V,4 - L" ! c—
City
City V A 6-5 ,4 State A/ Zip � JV1
Project Location (County, State Road, Water Body, etc.) if O uX' )lr d c- �.d ® 4 G 5 9
Utoe &-ice/A /)x- TR,4JL 17 ti,,,0 .4J»AC4A ATz-,q�qr/C. c9 etc- /4 AJ
Type of Project Activity P Q J 0 5* J Q ,F/IOM `r iq F /11 Htu 144 AK 1C L-A t• 9 whX. Q
rT o FI—I(_ t N TNC 5CAr e-AAT09 /6
-7—jOchICA[._ ST6AA( _04P/ LCE 9m4144/y-,,1.5 /i Z
Basin, channel dimensions
cubic yards
(SCALE: 1/A )
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_rtge SAtiu PU5H1NG- ACTIU1r
01•{A&C AF 64<4115512 aUT int
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C�-1_�jlF/4L Aw'> � f�FC/F'16
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Boat ramp dimensions I tVCAC_ 7-15 Q7I /800,
Other. U_90 5A -,J
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-- c-er-tffying that - they- have no
objections to the proposed work.
aMlaf4 f,5
rJ T 7
71 ,
issuing date
applicant's signature
permit officer's signature
-15-9.7,
expiration date
attachments 0 N • 900
R. V, Cel Hoau (hJL-�.
In issuing this permit the State of North Carolina certifies that ' 5t
this project is consistent with the North Carolina Coastal application fee
Management Program.