10872_General Permit_19920828

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LAMA AND DREDGE AND FILL , $y
GENERAL
PERMIT dN9 10872
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coasta Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name , f..d;'/- ' '"' ^` Phone Number
Address % %-
City Vd- °`✓ State
Project Location (bounty, State Road, Water Body, etc.) L 1t
Type of Project Activity
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.
Zip _% r
applicant's signature
r
permit officer's signature
/ / / 1 %'/ 9
issuing date I expiration date
attachments ��/ %✓,C
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee �ca - ` 0

SEA GATE ASSOCIATION, INC.
7 SEA GATE BLVD.
NEWPORT, NC 28570
PAY J
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ORDER OF
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Wachovia Bank of North Carolina, N.A.
Beaufort, NC 28516
8525
�Q 19 � 66-152/010
531
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