6234_GOODWIN, DALLAS L_19900125

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4 CAMA AND DREDGE AND FILL
GENERAL
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development and t`he �q�stal Resources Qmm sion
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in an area of environmental concern pursuant to 15 NCAC f� y� a�� 9 -7
Applicant Name �J , '/ Phone Number d S e-
Address
City (_f- , ' y �/ St to ,/ Zip -
Project
tLocation (County, State Road, Water Body, etc.)
T Ye
of Pro'ect Activity
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PROJECT DESCRIPTION
Pier (dock) length 7
Groin length
number 7
Bulkhead length, 7�
max. distance offshore
a!
SKETCH
Basin, channel dimensions_i
cubic yards J Z &
Boat ramp dimensions
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Other yI
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
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14
applicant's signature
permit officer's signature
issuing date expiration date
attachments
,ce' /fir
application fee

State of Florida
County of Citrus
Before me this day personally appeared Lila K Glennon,
A/K/A Katherine K Glennon, who being sworn, deposes and
say the above statement is true.
Sworn to and subscribed before me this 22nd day of
January A.D. 1990.
Susan M. Menard
PVotary Public, State of F►orida at large Notary Public
MYCornmission Expires.luly 16, 1992
State of Florida
My coffi7 ssioii

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