13142_GATLIN, ASA_19940809

`CAWA AND DREDGE AND FILL
GENERAL
I FRMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the �joast I )sources Commission
in an area of environmental concern pursuant to 15A NCAC ' ` i d G
Applicant foam Phone Numbers C^
Address
City State I`) Zip ti 5
Project Location (�yunty State Road, Water Body, etc.)
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Type of Project Activity f';?<"'` ' N �' �• � � k
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This permit 1s 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 be-
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-
nis consistent with the local land use plan and all local
ances, 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.
applicant's signature
J4 �J
yl permit officer's signature
issuing date expiration date
attachments ""^ `' ;
application fee

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ASA R. GATLIN 66-152JS31
DIXIE LEE GATLIN
AS 1073
D'
A R. 'G
XE �E' P 0 BOX 266 745-5189
BAYBOFRIO, NC 28515
r.. 19
PAYTOTHE
THE
ORDER OF
$ -00
F.-
Wa a Bank of North Carolina, N.A.
NC 28515
FOR
1:0 S 3 10 1 S 291: 0781 2 3 ? 2 24as
-RL�10 1992
11
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