7158_FAIRCLOTH, EARL_19910812

14
Applicant Name
Address
City .
Project L ca ion
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*� A AND DREDGE AND 7 1 5`8 `"
GENERAL OCT 2 919 V
PERMIT-T��s
-____________________
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development d e Co s Reso rces Coj?Ission
in an area of environmental concern pursuant t NCAC ��
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� Phone Number
, ,hate Road, Water Body, etc.)
State f�i C_ zip Z,?L�?�, Z
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This permit is subject to compliance with this application, site �/ P
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be- applicant's signature
come null and void. A IX-
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.
�3-rl
issuing ate
p4rmit officer's signature
expiratio date
attachments -7 p Z.o U • % 3 c�U
t ` AA Pd � ci c k -i
application fee QUyYy k C N