5200_MARTINI, ROBERT_19920204

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CAMA AND DREDGE AND FILL �' °�
O
GENERAL SEB 2 0 1992
5200
PERMIT
as authorized by the State of North Carolina, ...
Department of Natural Resources and Community Development ant t, Cpas{ai Resources Commission
in an area of environmental concern pursuant to 15 NCAC !!
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number
Ali y - j5�'- 3 3_SO
Zip
PROJECT
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This permit is subject to compliance with this application, site
drawing 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 be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject 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.
2— / "/
attachments
applicant's signature
permit officer's signature
issuing date expiration date
In issuing this permit the State of North Carolina certifies that RrJL%
this project is consistent with the North Carolina Coastal application fee C 7
Management Program.