10540_General Permit_19920819

Applicant Name V
Address %77
City
Project Location (C
CAMA AND DREDGE AND FILL EOCT
rGENERAL4 81992PERMITt; r? R. ` NN1040
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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#JCAC-7_�,`�
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1S.4. z V IM9 S C/0 Q�\.� S Phone Number !a1!!� 'Al ' 1 0('j;
Statte Road, Water Body, etc.)
State _� f- _ zip
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PROJECT DESCRIPTION
SKETCH `��` 1M 14eAN (SCALE:
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Pier (dock) length SSS) �_
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Groin length,
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t;'���� %�
number
Bulkhead length
1` µ
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other �—�\VbAl
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This permit is subject to compliance with this application, site
I
drawing and attached general and specific conditions. Any .�k%�l• �-�_
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be 1\\ aPDlicant's signaturR
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.
permit officer's signature
—��
issuing date exApiration date
attachments - a 06
application fee �:30 1 a / 2--i/
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