13294_CONLEY, DAN & PAM_19951012

Applicant Name
Address
City
Project Locatior
CAMA AND DREDGE AND FILL PrP�1
GENERAL a 9)4 a
OCT i a
PERMIT =r
as authorized by the State of North Carolina
Department of Envi1ronment, Health, and Natural Resources and th--e�Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
MJ } �t•fc r a� Phone Number'014 �'��3- '�s
(Count, State Road, Water
Type of Project Activity
State 6JE zip
etc.) 0_cA 0-r
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine i
imprisonment or civil action; and may cause the permit to be- r� /` applicant's signature
come null and void. .�
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
attachments
issuing date
permit officer's signature
! )- � id
expiration date
application fee—>V