25509_DIXON, DAVID P_20000428

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CAMA and DREDGE AND FILL ✓�J_C t�
G E N E R A L
PERM I T
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission a
in an area of environmental concern pursuant to 15 NCAC
i
Applicant Name Phone Number 7
Address
City State zip 2
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity r
This permit is subject to compliance with this application, site arawing
and attached general and specific conditions. Any violation of these terms applicant's signature
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 issuing date expiration date
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. 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

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=DAVID--PAUL.DIXON _ - __ __ —
10.7
—PH.M449-0357_ _ — -- -- -
_— PO BOX 274 �
- s - 85-152/531 CC
—ORIENTAL, NC.._28571--
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I herebycertify that I own property adjacent to �✓ A 0 J P Oi',K 0
fY P P Y J
property located at
2.1"0AhF
_(_N/ame of Property Owner)
I
i (Lot, Block, Road, etc.)
on ,,q 6.,e, k , in 0JZ.1t-AA N.C.
( aterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be in b individual proposing development)
per`
w d L I P
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Pp_I'JP,4E P �.
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Azl4all
Signature
Print or Type Name
Telephone Number
Date: _ C/

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
390id I • 0i, k 0 ;J I
(Name of Pr perty Owner)
I j
properly located at i 2 VAC ,�A d of7l � � ETlF
/' (Lot, Block, Road, etc.
on C !"I 626Ek , in 0P1.11A/ , N.C.
aterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
CAMP C,eE'r � ,��
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,tl R�,� ��A-� ►s E �h,�t�� �� be �.��
b Aw t7t, tp� 1d i E j tTt` m,,-, b J b C, A,rI, 4,
y
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gel� /WU41-t�
Signature
RG NAI-4> MO L/Ny�
Print or Type Name
- 2s.z —'� yq- v ys
Telephone Number
Date: ! 2%t� /y ci'