25469_ROUGHTON, TERRY_20000713

CAMA and DREDGE AND FILL
G
E
N
E R
A L 2540 A
P
E
R
M
permit officer's signature
IT
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'7hf Q x_)
Applicant Name `rr
Address
Phone Number -Z
City d(DITEUkO N( J O State Zip
Project Location (County, State Road, Water Body, etc.) K)EL) �iNk: 111/,
K((*10K' . (oU !t`,i , tti Ilii Viti/G..
Type of Project Activity eL1V E'1t1t7 iZ �Utt'L
11
This permit is subject to compliance with this application, site drawing
1 _ I ,
and attached general and specific conditions. Any violation of these terms
— -� applicant's signature
'-
may subject the permittee to a fine, imprisonment or civil action; and
, 7
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of-
permit officer's signature
ficer when the project is inspected for compliance. The applicant certi-
`7 / 3 Z�'L)J 1.J /� ? 1 -.;
fies by signing this permit that 1) this project is consistent with the local
issuing date 1 expiration date
land use plan and all local ordinances, and 2) a written statement has
1260
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
application fee