HomeMy WebLinkAbout23942_REAVES, LEONARD_19991129CAMA and DREDGE AND FILL
G E N E R A L 23942-6'
P E R M I Tr���_
as authorized b the State of North Carolina
a y :
Department of Environment and Natural Resources adR0BeOCZa4 :Resources Commission
in an area of environmental concern pursuant toy15 NCAC ,
Applicant Name _Fhone_Number , '
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
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may subject the permittee to a f, r civil action; and
may cause the permit to become QVC A 1W8 1
This permit must be on the project site ani�iJe to the (rf-
ficer when the project is inspected for complianc'ehe C plicant certi-
fies by signing this permit that 1) this project is consiste ti9 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.
�,. applicant's signature
s �
permit officer's signature
issuing date expiration date
attachments
application fee