8203_MOORE, RUSSELL E_19910601

C�yLA AND_D_R_EDGE AND FILL 8 2 0 3 A
GENERAL
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 714, /limn
Applicant Name l =Q J/ Z-, /�%00/F. Phone Number q&4
Address k-14 02 6cx /.5 q
City, ZE110 /I4M State N C.. zip -2, 7 g 3 A
Project Location (County, State Road, Water Body, etc.) -- RQ rq ��/teens CoumEr �-�� 6-•605e Ne-rsi .CaAco
Type of Project Activity
PROJECT DESCRIPTION
°ier (dock) length
SKETCH �O�-� / �- � / c
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CA MA
I 4914
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Groin length
number
Bulkhead length /5G
max. distance offshore
At/9 2
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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
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permit officer's signature
9q f 1, /qqi
issuing date expiration date
attachments - 7/i • //w
In issuing this permit the State of North Carolina certifies that 81 %
this project is consistent with the North Carolina Coastal application fee
Management Program.