HomeMy WebLinkAbout14764_DIXON, DARY_19950710Ir() 011A1t Y
CAMA AND DREDGE AND FILL
GENERAL �� "''a . 14764 — C
PERMIT ,
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC to 7,4! . /ilJD
Applicant Name —
Address
City.
Project Location (County, State Road, V)ater''B77oo�dy,
Type of Project Activity
4
Phone Number '?K— 7P (-- 2-
State AJt= zip ;WS 3 6zo
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PROJECT DESCRIPTION
SKETCH
(SCALE:
1
Pier (dock) length
Groin length
-
..
I ,
number
Bulkhead length•'°�
i
max. distance offshore
)
Basin, channel dimensions
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B R
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cubic yards4
Boat ramp dimensions
Other
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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.
applicant's signature
permit officer's signature
/'ems
issuing date expiration date
t'i. //. / / 0 0
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee kL_�Q--f r'l9i7r �, -pe—, 0 y—
DAVY L. DIXON 0962
MARTHA I. DIXON 66-152/531 CC
SSN 239-40-9910
P O BOX 203 919-745-3092 f _
BAYBORO, NC 28515 162
v 19
7:T.—
Dollars
Wachovia Bank ofNorth Carolina, N.A.
Bllcburu, .' LB:il.i n �
Memo,ypr0/�76 C
1:0531015291: 078L 228LDF3no 6A2v
May 12, 1995
1, John A UI-1. T_ t
have no
Signature
end
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