10545_General Permit_19920617

CAMA AND DR
GENERAL
PERM11
as authorized by the StatE
Department of Environme
in an area of environment
Applicant Name ` t- °
Address I i - l_cTP
City.(fiilc_(�fi`S�E�
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
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Phone Number c-' �'� �l_Zi
PROJECT DESCRIPTION
Pier (dock) length
SKETCH t
Groin length
number
Bulkhead lenk '
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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.
State
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applicant's signature
permit officer's signature
issuing date / exiration date
I
attachments
application fee ��

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P. O. Box 8,58
Wrightsville Beach, N. C. 2UW
919/256-3062
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