34005_WEYERHAEUSER REAL ESTATE DEV CO_20030520 (2)

XCAMA / ❑ DREDGE & FILL
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GENERAL PERMIT
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Previous permit #
❑New []Modification %Complete Reissue ❑Partial Reissue Date previous permit issued 2 yac c 3
s authorized by the State of North Carolina, Department of Environment and Natural Resources
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nd the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
.pplicant Name Aal f4le Pr✓
PE Rules attached.
Project Location: County l A% f�•+f
Adress PC. &)r
Street Address/ State Road/ Lot #(s)
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hone # (7sz) 12 ' �T� Fax # (_)
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.uthorizedAgent 9114o,
City Fevw 4" ZIP
,ffected ❑ CW P EW ® PTA A ES RrPTS
Phone # ( ) River Basin /�w rc
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❑ PWS: ❑ FC:
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)RW: yes /(PNA yes / 0 Crit. Hab. yes / no
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit"
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Application Fee(s) Check #
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Permit Officer's Signature
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Issuing Date Expiration Date
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Local Planning Jurisdiction Rover File Name