Forest, Joe

r
r]CAMA / ❑ DREDGE & FILL
No. 73261
GENERAL PERMIT PERMIT
A B ;C
Previous permit#
DNew ❑Modification ❑Complete Reissue
❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
'
and the Coastal Resources Commission in an area of environmental
concern pursuant to 15A NCAC
' ``_
i t
❑ Rules attached.
Applicant Name ''" ,; / e
Project Location: County
Address �'/ �" (' r /` " ✓
Street Address/ State Road/ Lot #(s)
City i`' '` ' State �� ZIP ,�•
tl> ?
r.{{
Phone # ((t '" j / ' E-Mail
_
Subdivision
Authorized Agent
City E ` ZIP
Affected El eW AW ❑PTA ❑ES ❑PTS
Phone # ( )_ River Basin
AEC(s): OEA ❑ HHF Fir! ❑ UBA ❑ N/A
Adj. Wtr. Body (nat /man /unkn) .
❑ PWS:
ORW: c, yes /' no PNA yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier
Fixe
H
Fing
Groi
Bulk
Basi
Boat
Boat
Beac
Oth
Shot
SAV
Mon
Phot
Waiv
(Scale: /4-1 )
Platform(s)
i
IN1111111111111E1111111o1m11111111
..■.■.■...■........■..11............
number
SOMEONE
■■■■■■■■■■■0■■■■■■■■■■■■■■■■■■
liiiiiEN
avg distance offshore AMMMEMORMEN
IMMENINUME.iiif�il..■■.■■■...■..■■6■�®■■■■
OMMMiiii®iii
MM
max distance offshore
1......■■■■..■■■■■■■■■■■■■■■■■■■.■■■■■
cubic yards
1■liiiiiiiiiiliiliiiiEiiiiiiiiliiiiiii
ramp
■■■■■r��■■■■ran■■r�■■■aw■■■■■■■.
■■■■■■■
■■■
1:eMO..:.:::C.11C:.::.:11o..■■i■
■
o■■■■■■■
■
■■■■■■■
MEMO
MEN
1■■■■1
■�■■■■■■■■■■■■■■■�■■■■■■■■■■■
■■■■M
1®11::111®
1
1111EE81
1511111E
:line Length
notsure no
yes
1®111111111®1111
:111111111torium:
11111
1
n/a yes no
-r Attached: Yes no
.�111111111■■■.■■■■.11■■■■■■■■■■■
/. ( 3 1
A building permit may be required by: I>, ` ell
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant
ti.
Signature "* Please read compliance statementon backof permit"
Application Fee(s)
❑ See note on back regarding River Basin rules.
Iv l I l ` l (V 01,E{I
Issuin� I Exp ration DaAtef
6

Cannon, Amanda J
From: Joe Forrest Moore<[e-mail]>
Sent: Monday, October 07, 2019 11:35 AM
To: Cannon, Amanda J
Subject: [External] Re: Authorized Agent
Amanda- I confirm Jim Davis is my authorized agent to receive the permit
thank you
Joe Moore
Joe Forrest Moore
Joe Moore and Company, Inc
1431 Gavin Street
Raleigh, NC 27609
919- 832-1665
"Serving Industry Since 1957'
On Mon, Oct 7, 2019 at 11:33 AM Cannon, Amanda J <[e-mail]> wrote:
test
Administrative Support
Division of Coastal Management
Department of Environmental Quality
252.808.2808 Ext. 200
252.247.3330 Fax
Amanda.Cannon(cDncdenr.gov
a�C�'vSID
ocj � I TO
DGM MND c`1�
1

400 Commerce Ave
Morehead City, NC 28557
Nothing Compares«.
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
RECEIVED
OCT 01 2019
DCM-MHD CITY