46057_JOHNSON, JAMES JR._20060731

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E!!CAMA / [g+VREDGE & FILL
GENERAL: PERMIT Previous permit# --
C!Jew ❑Modification ❑Complete Reissue.. ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Rgsource's
o= f /Aa
and the Coastal Resources Commission in an area of environmental conc@rn pursuant to I SA NCA
/:111,les attached. .
Applicant Name Project Location: County
Address'' / t ` T r' Street Address/ State Road/ Lot #(s)
City Vir�frl�<'� State zIP*,�?�rF
Phone # (�1) l(`� -4(lj t Fax # ) ` Subdivision
Authorized Agent '
f Fax . City � u ` I- Y �' zip
❑ Cw E+�v' C'PTA pES ❑ PTS PHbrie # ( ) River Basin
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A !!IV � � X,
AEC(s): Adj. Win Body �$ i ' (nat'/ a�unkn)
❑ PWs: ❑FC:�4YC /tll✓t
ORW: yes /(n_� PNA lyesJ no Crit. Hab. yes / no
Closest Mal. Wtr. Body
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A la,4,1,1 2006
Agent o.- . Permit Offce sSignature
Signature *'11( lease ead compliance statement on back of permit CM Issuin ate Expiration Date
�3 ILIA
Check # Local Planning jurisdiction Rover File Name