10207_General Permit_19921002

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AMA AND DREDGE ANDrE�
GENERAL >.�J `' I �' r rte,
r_
3 0CT 1 1992
PERMIT Y� , s N 10207*-
as authorized by the State of North Carolina
Department of Environment, Health, and NaTDTl 7FreS66rCQs and the Coastal, Resources Commission
in an area of environmental concern pursuant to 15 NCAC 0 //CJZr
Applicant Name
Address
City .
Project Location (Cou
Type of Project Activity
-A-
m, !'A,F d Phone Number r
9BY -�-e-SLI �
, State Road, Water Body, etc.
F3& A N Co.✓ T __-1
State_ Al zip h 0
PROJECT DESCRIPTION I SKETCH � --f 161-, AV`
Pier (dock) length
Groin length
number
e
Bulkhead length^
Loc• y
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.
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applicant's signature
permit officer's signature
/0 _,) _7L ) -7a-
issuing date expiration date
attachments et, C it e 2H ' ' !!
In issuing this permit the State of North Carolina certifies that51p L
this project is consistent with the North Carolina Coastal application fee
Management Program. ��