14495_SMITH, L. KINSTON_19950804

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
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II I as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC '� • ��
Applicant Name ` 0,m� � t�`'s�1 Phone NumberTt"7'��'-` �
Address
City
Project Location (County, State Road,
Type of Project Activity _-
State N �—
Zip
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Water Body, etc.)
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PROJECT
Pier ..
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Boat ramp dimensions
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This permit is subject to compliance with this application,
drawing and attached general and specific conditions.
violation of these terms may subject the permittee to a
imprisonment or civil action; and may cause the permit to
come null and void.
site
Any I.
fine, ��lV��
applicant's signature
be -
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject 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.
fl / permit officer's signature
attachments
issuing date expiration date
In issuing this permit the State of North Carolina certifies that t
'
this project is consistent with the North Carolina Coastal application fee���
Management Program.