28191_GLOVER, ANNIE & WESLEY, DONNIE_20010914

CAMA and DREDGE AND FILL
G E N E R A L
PERM I T
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 15 NCAC
Applicant Name Phone Number
Address
City State zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity

PERSONAL MONEY ORDER
�/ MEMO MERCHANTS EXPRESS MONEY ORDER COMPANY
3 R•�� MEMO MONEY ORDER COMPANY NOT Vuw u"LEss MACHWE uHPgNrEp - a68
DERS MEMO
PO BOX 8883 pCAMP HILL, PA -I NE
O7 888 Y.R. s 012 414 510
[phone]
BN-04401P4da
d L i ?.z, .
WIENT-4214 STORE-1 r f L4,€%
A iE ..GEI ZCF 1itAt
f#ifiiFir�E#fMi(•�iFlElfifiE•iEiEiEIFfiFiiff�•t�*�.{HfliiFfY•iFi�flE#fiFf* ,i : � -- I
SEP 11 bol ■ ONE NlM1DOLLA91
DOLLARS AND m c6h pri
DRED
v4ICA*5 ER READS ON REVERSE - aPAY N07 VALD OVER 5600 US. DOLLARS
OTHE
ORDER OF
PAYEE pE TE MS 0 E • PAYgg� 7 UGH- Be
SIGNATUR MN s
': 0 �n.vMOE RCH
AS SET FORTH ON THE PUASER'S RECEIPT 203 586i:9600 1 24 14 5 10011■

Location: _ ( : , ►ti ` - Field RE --
Phone: "� .—"�7�,(�. Date of Report:`�!�
Description of Proj ect: ��` Q — -t C•
Date Project Reportedly Comm-ncte: % r) In
(1) Do the me_sured diriemEion5 of the aEVelopment .differ from thos`
indicated in the permit .and workplat?, YES/CNo Have all peru,it
conditions been satisfied? es / No
COZP-C NT :
(2)
en -;=-Jon and Irosign CCriLrol: hcc
Cr C==r"wicc _i1 i ze' all di cturc
DE= Era= �= NC
t '
i
CO?_"= T .
crasS=-f/
(3) FLturc Mcnitorinc and ,fercemgnt T
CT - _ PC�1r- I_ fU a. irVE=tIQat1G'
E-=orc=: E:7t action needed. YEc I —NO
COHH NT :