19925_MOORE, GERALD_19980604

i
Annlirnnt Name
CAMA AND DREDGE AND FILL Ci
GENERAL
ro �
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
Address
City State
Project Location, (County, tate Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
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.
Phone Number
Zip
(SCALE: )
applicant's signature
permit officer's signature
issuing date expiration date
attachments . " I _0
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
i
t:
application fee

7,iS POSTAL
OSTAL MONEY
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67583619123
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980604 285570 , *�5000
SERIAL NUMBER YEAR MONTH DAY
POSY OFFICE U. S. DOLLARS AND CENTS
PAY TO CHECKW RITER
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USED FOR Ifv I ' Imo, lC
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6 758 36 19 12 3u■

Mrs. Lena Rudder p U`
728-4721 281 i
Signature Date / /7kj,A'28'
Signature
Lot 1
Property Of
Herman & Barbara Meyer
728-5310
Date
JUN 0 2 1998
LOT 4
Property Of
Gerald & Ruth Moore
726-3477
r, V
Signature Date
Signature Date
Lot 5
Property Of
John & Velma Seitter
728-7970
M,r
L. LIN
Existing
Canal
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Date
Date
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Signature Date
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