44565_GULL HARBOR MARINA_20060302

AMA 4 1le-16RcDGE & FILL N? 4 4 5 6 5(
ENERAL PERMIT y3�o -/ G
Previous permit #
New Modification plete Reissue -Partial Reissue Date previous permit issued
As authorized by the State of North C rolina, Department of Environment and Natural Resources -7 N j SU 0
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
—!:-, Ies attached.
Applicant Name G-LIL ►��'� / `N�r� %} Project Location: County C� /_�el e
Address �� / �rt �( C f1l �� Street Address/ State Road/ Lot #(s)
City_
State )VC- ZIP 2YF ,U
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N9/x_ /aii H�
Phone #
Fax # ( )
Subdivision �r�.l
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Authorized Agent G" ���J ,,c
Affected J CW ia�O _,,PTA ES PTS
AEC(s): OEA C HHF ❑ IH USA N/A
❑ PWS: ❑ FC:
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
City
Phone #
Adj. Wtr
ZIP �I� 7C, -
( ) - River Basin
Body `
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Permit Off $ 's Signature
Issuing Date Expiration Date
Local Planningjurisdiction Rover File Name