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CAMA and DREDGE AND FILL Q
GEN ERAL ?Jld
P E R MIT`
as authorized by the State of North Caro it
Department of Environment and Natural Resources a1-9-if;
in an area of environmental concern pursuant to 15 NCAC
7237 �
N
BEHEAD ./
�l
astall'Resources Commission Cs
Applicant Name Phone Number a ? - 2 17 57- �>
Address 'r ;
City a . �, t, & fT'>' `'i A- - State zip
Project location (County, State Road, Water Body, etc.)`
Type of Project Activity i`
and attached general and specitic conciatons. Any Violation of tnese terms applicant's signature
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- 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 issuing date —� expiration date
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. attachments
In issuing this permit the State of North Carolina certifies that this projectf
is consistent with the North Carolina Coastal Management Program. application fee