10208_General Permit_19921002

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Applicant Name
Address
City
Pro'eecct. Location
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CAMA AND DREDGE AND FI[OCT
GENERAL
3 1992
PERMIT 1 z. _ _I: r �aog
as authorized by the State of North Carolina
Department of Environment, Health, and Naturlesou`rces and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 9 //00
1FAWTIJI M
,—L4
nty, State Road, Water Body, etc.)
State
Phone Number 1/ 12
I ) t 6
—zip ;Z 2J,!% D
e—r-
Type of Project Activity � c
PROJECT DESCRIPTION SKETCH �,� �t;Z u�� f6 --, �- (SCALE" C )
Pier (dock) length
Groin length � `� i��r Cie-.
fffp /C
number
Bulkhead length if J'�� (►— `~t , ,��L�
max. distance offshore<<,t/ �►4�y u,,i
I
Basin, channel dimensions
cubic yards
Boat ramp dimensions ��
Other
i:L• 'oe-4 16
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 ail 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.
.r
V/ r applicant's signature
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(c)-)- qL
issuing date
attachments
application fee
permit officer's signature
expiration date