59830_SNYDER, HOWARD_20120507 (2)

CAMA / ❑ DREDGE & FILL RECEiVP>
PENERAL PERMIT Previous permit#
j I New ❑Modification ❑Complete Reissue El Partial Reissue MAY T 4 2012Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources i
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
i DC?�1-1Vrj� CIT� QRules attached.
Applicant Name , r ! `' o Project Location: unty
Address Street �� (" . Street Address/ State Road/ Lot #(s) s L a T 17
City I V S Stated ZIP `� ! i-1C.(I_t i yV C!^v
Phone # f t " ,. -
( 1( Fax # O Subdivision t I I' 1\_ N«-r' vt r se I
Authorized Agent City ZIP
Affected ❑ CW Z EW 9 PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes /, no PNA yes / ho Crit.Hab. yes / no
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
MEImom
NOON
EMENNE
EMEENEENEEME
N
MEN
E
MEN
ME
NOWEEN
"a
NJ
IMENENN
No
MOMEMEN
NOMEN
NO 0
=0 MEN MEMENEMN
,agent orApplic;int Printed,Name�
r �
Signature 44Please read c p7ian `e statement on back ermit
Application Fee(s) Check #
Local Planning Jurisdiction Rover File Name