25065_HARDY II, IRA M_20000614

CAMA and DREDGE AND FILL
PERMIT ��N � 9 200� � . E N E R A L
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC `
Applicant Name Phone Number "`J
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity -
State = -
zip
i nis permit is suoject to compiiance wan tnis appiication, site arawing
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 issuing 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.
In issuing this permit the State of North Carolina certifies thatthis project
is consistent with the North Carolina Coastal Management Program.
applicant's signature
permit officer's signature
1
expiration date
attachments
application fee