7789_DIXON, FLOYD G_19901107

Applicant Name
Address
City alg�!
CAMA AND DREDGE AND FILL 77S 9
GENERAL �,o" 7%e%
PERMIT f
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development d asta s Co
in an area of environmental c ncern pursuant to 15 NCAC X r
Phone Number
Projpct L cation (County, State
Type of Project Activity
�.7
PROJECT DESCRIPTION
Pier k) length / g_
a
Groin length
number
-
Bulkhead length An
max. dist a offsh
21~r
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
Water Body, etc.)
SKETCH
&� e
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 theme'
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 an owners certi Ying that they have no
o- 16'ectlons tot e proposed work.
State
ipGX��
(SCALE:
% applicant's signature
permit officer's signature
issuing date •expiration date
attachments zt—L,/o�
In issuing this permit the State of North Carolina certifies that _
this project is consistent with the North Carolina Coastal application fee
Management Program.

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