23773_CLARK, DOUGLAS_20000119

CAMA and DREDGE AND FILL
G E N E R A L5377 3 --D
PERMIT
FEB 0 3 200
as authorized by the State of North Carolina
Department of Environment and Natural Resources and th p Resources mission
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in an area of environmental concern ursuant to 15 NC`
Applicant Name h-bU &LAS C- -K4� Phone Number 9%D 79,a 2i9 a
Address (-,)q 0 a � S l�� r I,
City ALJ i LmIk) State N C, zip r,� 54ciq'I
Project Location (County, State Road, Water Body, etc.) T �- -, Qu rNV_d
Z, V t r z a. Al -D,\ k-5(��_C-�+�S�C tc -Z� r k Ot r i J ew (- pm j D-V_Q r C-,=,
Type of Project Activity k— V
ana attacnea general ana specanc conamons. Hny violation or mese 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
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.
CD cu
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
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application fee