27791_MITCHELL, PHIL_20010907

CAMA and DREDGE AND FILL
2T7`91-
G E N E R A L --
P E R M j�;..�NIT
�o� ��
ice'\? �w
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC ')�A� ,a yV L
Applicant Name �` t'•, ,�. ��`, � c �- Phone Number '�1rA 166 � � a 0Is a
Address 'V,
City ` ,C! _ :_kStatet,� zip _4��
Project Location (County, State Road, Water Body, etc.)Q,e., N-k
Type of Project Activity
ana auacnea general ana specific conuILIUns. rAny viuiauun vi a icac tcI I na applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and'r__ i
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of- permit officer's signature
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.
`% A\J,
issuing date expiration date
attachments
to application fee