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CAMA and DREDGE AND FILL Your project is subject to the Tar/Pamlico
G E N E R A L Rover Basin Buffer Rules due to ' 27723 �
location within theTar/Pamlico
Please contact Deborah Sawy Tom
P E R M I T Steffens at (252) 9 t6-6181. ! j
as authorized by the State of North Carolina 1_ n-) 1 2001 I
Department of Environment and Natural Resources and the Coastal es`�mission
in an area of environmental concern pursuant to 15 NCAC M0 a.yA
Applicant Name Phone Number
Address \ J �vA
City ''�= :�:, State zip
Project Location (County, State Road, Water Body, etc.) :L a,, � j�
Type of Project Activity
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may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
applicant's signature
1
permit officer's signature
issuing date expiration date
.iU
attachments
application fee