59820_KNIGHT, STEPHEN_20120430 (2)

I�CAMA / ❑ DREDGE & FILL '"' •�
GENERAL PERMIT MAY 14 zp}p previous permit#
I)kew OModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and NaturW%asiI „, r /
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC (� f.
/ .}- ( + Rules attached.
Applicant Name 1 l;�`l) i Project Location: County
Address `-) d 1 1Z �'. Li� 9'S Street Address/ State Road/ Lot #(s)
City_ 16 f (tatel",I ZIPt � Li r)
Phone # (—) - ( Fax # ( ) Subdivision
Authorized Agent
Affected CW [ EW JPTA ❑ ES O PTS
AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ Pws: ❑ FC:
ORW: yes / �o PNA yes / ;now Crit.Hab, yes /(no ,
City I j r ZIP
Phone # ( ) River Basic% � 1 L' W n
Adj. Wtr. Body�t I `V Ot i 1 I 1 V k ( nat [.roan /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Print Namef
Signature Please d com n statement on back of permit
Application Fee(s) Check #