25726_CAROLINA COAST & LAKE_20000831

CAMA and DREDGE AND FILL lU
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G E N E R A L SEP 2 8 2000
P E R M I T COASTAL MOREHEMA q --
as authorized by the State of North Carolina MAN
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Department of Environment and Natural Resources and the Coastal Resou
in an area of environmental concern pursuant to 15 NCAC
Applicant Name Phone Number _
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
zip
{
25 726W
Commission
NONE=
This permit is subject to compliance with this application, site drawing `k
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- f
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.
i
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
permit officer's signature
expiration date
,y
attachments
application fee