17000_MOORE, THOMAS DUVAL_19970327

CAMA AND DREDGE AND flLl
GENERAL
PERMIT
iik
0170M - C]
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"
Applicant Name Phone Number
Address
City `'r' State
Project Location (County, State Road, Water Body, etc.)
�.. . % i--: , ! , 1, r. �•. .
Type of Project Activity rJ
Zip
PROJECT DESCRIPTION SKETCH (SCALE:%>,, }
Pier (dock) length
Groin length
number
B-ulkhead length sj, �`.Y ( :•r,ir,� r ? �`
Vi
max. distance offshore
Basin, channel dimensions
cubic yards j J *cv r
Boat ramp dimensions
Other - _fir- I_ .
r �.-Y-ram• t-c -f, a r t 1+ l
r�
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
Manaeement Proeram.
applicants signature
r�
permit officer's signature
issuing date expiration date
attachments
application fee
1

THOMAS DUVAL MOORE
SSN 227603918 PH 919-808-3050
150 SOUTH LEWIS ST
NEWPORT, NC 28570
IAYTOT IF
ORDER OF
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BANK H.,.,.k NC 28532 usl Company
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C. G. O'ERIE N, M. D.
APPOMATTOX. VIRGINIA 24522

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property YadJacent to C' -" - rt-5 4S�s
(Name of Property Owner)
4 45e�oK -5 Q09 F 01/8 l
property located at G. rz�� G'o , �� sa cv�s s� ,�=��%✓�-�'i ti �" 2�� iUJ
(Lot, Block, Road, etc.)
on _z� c �1 , inure r
� aterbody) (Town and/or County)P.t-
He has described to me as shown below, the development he is proposing
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and, I have no objections to his proposal. a i L _-J %Z.7 L-�
--- ---------------------------------------------------------------------------------------- —--------- ---------
D CRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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Print or ,_ Name
011) eoe
Telephone Number
Date: i_ Z i
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ADJACENT RIPARIAN PROPERTY OWNER STA
/at I or
I herebycertify wn roerty adjacent to—
�s�'/f 5 ' (Name of Property Owner)
property located at 6�� . S . L am: s 5 : , �v ,��?i , ,G-e z x 7a)
4�f'� C�r (Lot, Block, Road, etc.)
on � , in Cp Cz-e��_ , N. C� _
aterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing a tP Uti'�gn
and, I have no objections to his proposal.
��m/�!P/ s ! IrPAtT r r •• r xs. ..
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be hilted in by individual proposing development)
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Signature
l o M.
Print or TyA Name
ill ° - 22(�e -a 7�0
Telephone Number
Date: ��= 2 /i 97

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent toTA6W *S 4 SUSAN aAL's
CAF405"? 4 /g y 1W WE-VA9-&e OW /Me/f"7y)1ame of Property Owner)
property located at / SD S - G 6f-01 S $7 %
�^ (Lot, Block, Road, etc.)
on EJN�/O , in �/ //�j�j �T7 �o , 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 individu roposing development) '!
L., .
-Y75' ,be MAR 0 3 1997 ;
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Print or Type Name
Telephone Number
XDate: 0121 161-7

1 �►Y : 1' :: : ► ' : Y ' �: li 1 :�►�' `1�i1:r1 Y flu 1 ►Y
1u1
I hereby certify that I own property adjacent to �'�G✓- �:z�l�:� 's
/ f, /3 _017V._y_--/I / (Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on in le� ' N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at fh i`I'oC teon,
and, I have no objections to his proposal.
MAR 0 3 1UVI
------------------------------------------------------------------------------------ ------------ t�
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPAMro' "
(To be filled in by individual proposing development)
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Signature
Print or Type Name
Telephone NumberL2,:�4----
Date: �