10523_General Permit_19921203

1
CAMA AND DREDGE AND FF.,,>"!--��*•a `"�
GENERAL
PERMIT:Li
FEB 0 3 1 Q,.
r 10523 _D
as authorized by the State of North Carolin1 � r
Department of Environment, Health, and N-f—�..Resources Commission
in an area of environmental concern pursuant to 15ANCACID r..D
Applicant Na I -�'� a �-�^ Phone Number 2 75 _Sc '
Address
City, r n State �-- zip
Project Location (Coun , State Road, WP�ra
Body, etc.) '� A
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length, i r) ---
max. distance offshpe,
Basin, channel dimensions %
t'X�STIr�: `i
cubic yards
Boat ramp dimensions- 4
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.
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(SCALE:
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issuing date
attachments _) �4 1 '+ �D
application fee
applicant's signature
permit officer's signature
3-3-9 _�:)
expiration date