56485_MCNAMARA, ERIC_20101230 (2)

N,CAMA / O DREDGE &FILL �� � / �-
GEN �' PERMIT ����jj 1 Previous permit#
Et4ew odification e e Reissue quArtial Reissm)-q) Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC j j1
❑ Rules attached.
- I ❑ PWS: ❑ FC:
ORW: yes / o PNA yes no) Crit.Hab. yes (no
Project Location: County _i7-P� �?_Z C_ -) 1
Street Address/ State Road/ Lot #(s) L.T
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City'r ZIP , -717`31-o
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Signature a lease read compliance statement on back of permit **
Issuing Date
Expiration Date
Application Fee(s) Check #
Local Planning jurisdiction
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I9,CAMA / ❑ DREDGE & FILL r
G E N PERMIT Previous permit #
71'lNew rodtifiication ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources _
and the Coastal Resources Commission in an area of environmental concern pursuant to 1 SA NCAC H l Z X
p Rules attached.
Applicant Name 1F- YTIal A Vf)-b,�
Address ! 2-I -5 t0E k.,,..
City i.L� 1 t�� r t.1: i x! State 5 ZIP e C i
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Phone #;��7
14
Authorized Agent 6PC/-Y" ` 41""e
Affected \p CW �EW rij PTA 'p ES ❑ PTS
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❑ PWS:
ORW: yes � - —J
❑ HHF ❑ IH ❑ USA ❑ N/A
❑ FC:
PNA yes no) Crit.Hab. yes O no
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Project Location: County 04N k2Z N
Street Address/ State Road/ Lot #(s) 1,DT
CC-1L-1:5 I III/E. nAtc�- 111-1
Subdivision
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Signature ** lease read compliance statement on back of permit * Issuing Date Expiration Date
Application Fee(s) Check # Local Planning Jurisdiction Rover File Name