Gillikin, Ricky

State zip
State Road, Water Body, etc.)
t IAi
PROJECT DESCRIPTION SKETCH
Pier '(dock) Length,,
Groin, Length
number
Bulkhead Length
ma&. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
(SCALE:
1
This permit is subject to complianc6 with this application, site drawing
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 theproject site and accessible to the permit of-
off cer's signature i
ficer when the project is inspected for compliance. The applicant certi-
Trmit
gigpingt is permit that 1.) this project is consistent with the, local
fie's by ,
issuing date [expiration date
land use, plain and all local ordinances, and 2) a written statement has
beenobtained,, from.adjacent riparian landowners certifying that they
have no objections to the proposed work.
ma.h, c ments
n issuing thispert-nitth — State of North Carolina certifies that this project e
is, consistent with; the North Carolina C oastal Management Program.
app i,cation.fee
ei
to