33103_HOWELL JR, FRANK_20030203

� aNERAL
PERMIT
New ❑Modification El Complete Reissue DPartial Reissue
IN
Previous permit #
Date previous permit issued
Jalua -I,-
3-3 1 b3
T�s 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 I SA NCAC pN• 2DAD
lV Rules attached.
Applicant Name rrq n o l Se -
Address 10 F",hlt�ej 14ne-
City�0State /JL ZIP Z}5'30
Phone # ( 91J) TA- I202- Fax # ( )
Authorized Agent Da n, << [s
Affected ❑ CW N EW 20 PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FQ
CL-AKaNGt :1)Atuit13
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
N 100.Do hldl Nk ZrSb
Application Fee(s) Check #
Project Location: Countyr fq -
Street Address/ State Road/Lot #(s)
31-4- Pe-ai"JA l r; rG l/e —
Subdivisionfo[toln" l i-d' ,SAJ" r� In
City AittdPo'+ _-- ZIP 1 a —
Phone # ( ) River Basin kJ e
Adj. Wtr. Body F o fH .fo u n at nat man /unkn)
("Incaet Mni Wtr Rnrly Pora/ f.&kd
ii �9-st�
Permit icer's SignatuTe
Z -.?- 03 S- -7 - 0 3
Issuing Date Expiration Date
Car4&,tt Iq J o11 `,Zt/4
Local PlanningJurisdiction Rover File Name