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Permit Number
Issued to
as requested in the permittee's application, dated %'a�_Io!
This permit, issued on 7 62ef'G� is subject to compliance with the application and site drawing (where consistent
with the permit), all applicable regulations and special conditions and notes setforth below. Any violation of these terms may subject
permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void.
THIS PERMIT AUTHORIZES CONSTRUCTION OF 12'X 20' SHELTER,
I1'X 75' CONCRETE DRIVE TO BOAT RAMP,11'X 15' CONCRETE
TURNAROUND.16' U""^Xn, nu n "vd'w Wii.11. RF, IN 75' AEC. HOUSE WILL
NOT BE WITHIN 75' . _�
1. All proposed develops J a in accordance
with the permitted work)-14-2000.
2. All construction muss mts and all other
Local, State, and Federa
3. Any change or chang 2� C or land use
activities will require a x v 0 �/5?t06 S
4. The amount of impex Jl �,� �L Kf ` ae lot are fiV
the 75' Area of Envirom II
5. In order to prevent se �I 4! CGS 7- ,37'it Z I- maintain 1
between all disturbed ar SOO n/ I MAR - 7 201
6. Prior to initiating an! S ter cloth, lap
must be installed betwc st marsh or water D I V I S I O N
areas, until such time as C egetated ccSO.ASTAL VAN'
7. Pursuant to 15 NCA t be assigned,
transferred, sold or otherwise disposed of to a third -party.
This permit action may be appealed by the permittee or other
qualified persons within twenty (20) days of the issuing date.
From the date of an appeal, any work conducted under this per-
mit m,.st cease until the appeal is resolved.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
Any maintenance work or project modifications not covered
under this permit requires further written permit approval.
All work must cease when this permit expires on December
31, 003
In issuing this permit it is agreed that this project is consistent
with the local Land Use Plan and all applicable ordinances.
This permit may not be transferred to another party without
the written approval of the Division of Coastal Management.
Local Permit Officer (signature)
name
address
Permittee
(signature required if special conditions above apply to permit)