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Home My WebLink About58759_HULL, RUSS_20120322CAMA / DREDGE & FILL G!NERAL PERSA T Nw =odificcatior ❑Complete Reissue ❑Partial Reissue As authorized by the State of North Carolina, Department of Environment and Natural and the Coastal Resources Commission in an area of environmental concern pursuant t Applicant Name V/ $ Address 157 � 1 POWry (� �O City E. C I State IV C_ ZIP_ T q Phone # ( 336 L j� # (�) y� Authorized Agent _ __FPlu li f W AI�� !VR__ IV ._-_ Affected Cw Or:w [ .PTA *S O PTS AEC(s): ❑ OEA ❑ ❑ HHF IH ElUBA [IN/A ❑ PWS: ❑FC: ORW: yes /(n of PNA yes / A Crit.Hab. yes Previous permit # Date previous permit issued Resources ules attached. Project Location: County V If LA P! Street Address/ State Road/ Lot #(s) PATICRA/ POIA177 PAVC Subdivision PALL.I C)141 Pamir City i7 ZIP 27fef Phone # ( River Basin P)tsaww - Adj. Wtr. Body C "L 77a (nat /unkn) Closest Maj. Wtr. Body � � � —; t ) Y—& - . ■■■■■■■■■■■■■■■■■ ■■■■ ■ ■■■■�■■■ >■�yRl■A\■■■AilME ■■■ ■■ ■■■■■■riT11'�l-�JI■■'�'% !a�!y111i■■■■■■N 0 MOM IMEME ■■%■■■■■■■■SEEM ■■■■■■■ MEN ■■■■■■® ■■■■■�;4t'iEi�. �■■■■■■�■■■■ ■�if� .��■�Tla lW.+rlri+,��i�� ■■■■ • Nam■■■■■■■■■■ i■��i■i■rA■■■�■■r■i■■■ • ■t�'��i;■■t■■■■■■!i1►iE! ■■■■wl*"n!f� c{�,p 1C4ee� �t TUV4 Agent or Applicant Printed Name Permit Off " is ignatu144 �r(je0 Signaturte Please read compl' nce statement on back of permit Issuing Date Expiration Date CIV 3 0 9� ApplicationFee(s) Check# Lodi Plannin J risdiction Rover File Name