10516_General Permit_19920626

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CAMA AND DREDT M1CF:...:
GENERAL AUL 17 1992 15re` i;
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1 1.
PERMIT "___�_ �NTS 10516 _D
as authorized by the State of 1\17=777
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 19ACAC -77 }} I �C C. -
Applicant
.
Applicant Name
Address
r^
City
Project Location (Coun
Type of Project Activity
K + oy n,A S Phone Number 1 ' 2-4 6 6 H
State Road, Vater Body, etc.)L
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PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
�r
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
Zip a -?,5Dq
(SCALE:
i)
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.
applicant's signature
permit officer's signature
G l6 Ili -I
issuing date expiration date
attachments - -L 1 t�
LAC
application fee �Z—. ?� � !1 ii ..Z. fC7 � o V `C