23691_GODWIN, CHARLES_19991116

CAMA and DREDGE AND FILL
G E N E R A L
PERMIT
as authorized by the State of North Carolina
*691
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC r /(< . ?s
Applicant NamePhone Number %''. iG —/ %
Address
City State Zip z8'„6 Z—
Project Location (County, State Road, Water Body, etc.) lf�;Yf rte, l� - �.�"•'% L�`-.,.1-�
Type of Project Activity�-
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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, 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-
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
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.
applicant's signature
permit officer's signature
issuing date expiration date
1�' �4K /S44 f , ? { eo
attachments
In issuing this permit the State of North Carolina certifies that this project ��/,�0 Vic/)
is consistent with the North Carolina Coastal Management Program. application fee