2001 David III, Charles

Applicant Name 's > � v�' Phone Number 919 9�V7 .5JOt>
Address ! e �l- '��rY , .y //- /4',61
City 6. ', ',,ed /iW . =�s / , 1,4 State ' Zip `' lc! %ra t a d ►.
Project Location (County, State Road, Water Body, etc.)'
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- This permit is subject to compliance with this application, site drawing
And attached generol'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 -perm i.t must be on the project site and accessible to the permit of -
pro
ficer when the ject 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 IocaL ordinances, and 2) a written statement has
been obtained from�`"Aacent riparian .landowners certifying that they,
have no objections'to the Rroposed work..
In issuing this' -permit the State of North Carolina certifies that this project
is consistent:with the North Carolina Coagtal Management Program,