23807_BOURNE, TIM; JEFF BLACKWELL_19991108

CAMA and DREDGE AND FILL
G E N E R A L
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23807-1)
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PERM I T
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources
Commission
in an area of environmental concern pursuantio 15 NCAC -7 4,11 Uy .
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Applicant Name � � �Y �� r ra c w J r f• r- ka LA c. K t� F Lt Phone Number A
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Address) 1 3 S K.y s7AsPt IL. ►�tt�-- f G SK.VS'► At ► i
City IA) 1 t rti, � r..� State 1Q CZip
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Project Location (County, State Road, Body, etc.) 1 � 1 (y . e- 11') NJ��1
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I\J fic�7
^Water
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Type of Project Activity1�
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 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.
1 applicant's signature
permit officer's signature
rD c
issuing date expiration date
attachments
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`application fee