28403_ROSEN, ALAN_20010712

CAMA and DREDGE AND FILL
G E N E R A L
PERMIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources
in an area of environmental concern pursuant to 15
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
State _
A 0 3
cc,71ZI4A
mmission
Phone Number
zip
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms —a applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void.
permit officer's signature
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 issuing date expiration date
land use plan and all local ordinances, and 2) a -written statement -has t
been obtained from adjacent- riparian-landowners.cettifying.-that they
have no objections to -the proposed -work: /JJ!S��ttachments
In issuing this permit the State of North Carolina certifies that this project - � ��.
is consistent with the North Carolina Coastal Management Program. application fee