25824_PETRILLI, FRANK AND AGNES_20001006

Applicant Name
Address
CAMA and DREDGE AND FILL
A
G E N E R A L 8,�4
PERM I T
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 E i
Phone Number
City
Project Location (County, State Road, Water Body, etc.)
/�Li-A
'J, ' t
State zip
Type of Project Activity
ana attacnea general ana speciric conamons. Hny vioiauon of mese terms
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
permit officer's signature
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issuing date expiration date
J ;
attachments
application fee