HomeMy WebLinkAbout59049_RATHBURN, JAYNE_20120403VCAMA 1-1 DREDGE & FILL
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ENERAL PERMIT Previous permit #
,N ew ElModification El Complete Reissue OPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission inanarea of environmental concern pursuant to 15A NCAC
ElRules attached.
Applicant Name Project Location: County
J101
Address -71 Street Address/ State Road/ Lot #(s)
14 n rc -'s 101.
State zip L-
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Phone #013q q�1-5q74ax#( Subdivision L C,/:,/ r1a
Authorized Agent aft11ACA 0-i I tv i (47. 1 V(S city- jho ZIP
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Affected El OEA El HHF 0 1H 0 UBA [-I N/A /-" --J
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D Pws: 1:1 FC:
Closest Maj. Wtr. Body—±�cQm-CL ScA,,J
ORW: yes /(no PNA yes no Crit.Hab. yes �/pno
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Is INCOME
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Shoreline Length
I h-
SAV-. not sure yes n
T-1
4
Sandbags: not sure yes ' no 1 1 1 L -T-
Moratoriui Cla,) no
Photos: yes
Waiver Attached: yes no ---LL
A building permit may be required by: El See note on back regarding River Basin rules.
Notes/ Special Conditions
AAt ew 0. 6 '-Z S , .
Agent or Applicant Printed�e
Signature PI ad compliance sta&ment on back of permit
62E
Application Fee(s) Check#
Local
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Name