20150D - Moore

CAMA
/ GENERAL ND DREDGE AND FILL N° 020150 -j
PERMIT ill."---.
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 ' /" . Q' 0"'7
Applicant Name J Q m e'S r,l`J`a T C Phone Number rio)
15 6.'Yo ..) s it eel
Address i 3 a � /� S
City Cr.( r /in u 3 ea L G� State 1\1 C 1Zip
Pro ect Location (Cou y, State Roa ,Water Bodyj tc.) 13 9%. C4• Cf/ I s^ I q d 4e e' f
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PROJECT DESCRIPTION SKETCH r yac,4'4— gc-1^/n (SCALE: ik/ —70 )
Pier(dock) length
Groin length
I
number ;0 8
Bulkhead length Si-
max.distance offshore - /01
Basin,channel dimensions
cubic yards
5r/ 4-
Boat ramp dimensions
T. .__r_...
Other X ' _ __ - -_..�.r..4__ __ ,
r1 x ' -b /
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
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violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void.
C.(1, kl•A....— CR '
This permit must be on the project site and accessible to the pe it officer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro- tb
^ 0 0 /0 — / 06
ject is consistent with the local land use plan and all local issuing date a piration date
ordinances, and 2) a written statement has been obtained from ^^��
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adjacent riparian landowners certifying that they have no 7 V
objections to the proposed work. attachments — Cb 0 y nil
In issuing this permit the State of North Carolina certifies that A
''�Qthis project is consistent with the North Carolina Coastal application fee 4
Management Program.

ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date o Deli e
item 4 if Restricted Delivery is desired. �� . '"� , / . .�a
■ Print your name and address on the reverse
C. Signature
so that we can return the card to you. 0 Agent
■ Attach this card to the back of the mailpiece, X ��.-4% i' /L�r�Addressed Address
or on the front if space permits. o�
D. Is delivery address different from item 1? ❑Yes
I. Article Addressed to:
gli
y'' If YES,enter delivery address below: 0 No
WV(.....)
C 1 O 130-4460-- .1 -44i
J /7 1 2 3. SServfi Type
atertified Mail 0 Express Mail
0 Registered El Return Receipt for Merchandise
6
�' r/ fro v 0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
?. Article Number(Copy from service label)
'S Form 3811,July 1999 Domestic Return Receipt 102595-99-M-1789

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