10858_General Permit_19920813

CAMA AND DREDGE AND FILL
GENERAL C""A' 1
PERMIT LN� -410858
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 7 / L -- / 7,-'
Applicant Name (-e
Address
city.
L
iJ���; �e,-r�
Project Loc#on (Cou ly, State Road, Water Body, etc.)
Type of Project Activity cx rt s--ems
State
Phone Number ay 7/ l �'
�R 1336
zip
i
PROJECT DESCRIPTION SKETCH (SCALE: 14 )
c,
Pier (dock) length (�' � bt! 30 / S
I Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
s75'x3n
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.
mot4f
.yC,A
f
C7 �
applicant's signature
4
permit officer's signature
t i a
issuing date expiration date
attachments /',/ r/ J r "? r ' J �, el I)
In issuing this permit the State of North Carolina certifies that /�
this project is consistent with the North Carolina Coastal application feel 7
Management Program.

lT\TI,l,EDTl,",Ii�l o00
4691997021,2 920815 285280 * * 5 0 0 0
SERIAL NUMBER YEAR. MONTH. nAV
PAYTO
(
-- -
CHECI(WRITER
--w
C�
UULLARS AND CENTS
N
IMPRINT AREA
ADDRES
vv c
FROM
i
P v
PP
ADDRESS`�L\V
CODNO.OR
USED FOR
ox
1:00000800 21: 469 19970 2 13ug

►�`C�- Vim" �V ti� ar'�•-} ��on
4

V'n

wl
6-:-