46353_ENNIS, JOHN AND NANCY_20060909

kCAMA / ❑ DREDGE & FILL yF`' A03
S3
GENGENERAL PERMIT
Previous permit #
VNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources �*�v�-t
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �.f R"
Rules attached.
Applicant Name — =Pt kl A kl) X 14, su C &I t,4 i Project Location: County
Address YJA,,r-
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Citytar' 1 State -VA ZIP
Phone # ( ) ;137 1 - �' fir.=; Fax # ( )
Authorized Agent /fir'
Affected ❑ Cw C(EW UffzrA -Ai M ❑ PTS
AEC(s): ElOEA [IHHF ElIR ❑ UBA ElN/A
❑ PWS: ❑FC:
ORW: yes / -ho 3 PNA yes /moo) Crit. Hab. yes /�>rio�
Street Address/ State Road/ Lot #(s)
`crime t IJa F-;
Subdivision ;"'(. iN 4 fie., t4 eG'yL€
City k. �� F f'ip ..�-X ZIP Z-7 i ,
Phone # ( ) River Basin
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Closest Maj. Wtr. Body— = ' m f- I` t",J Q
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/AJVntorApplicant Printe dame t o
Signature Please read compliance statemen n ba o p rmit
Permit O#ficer's Signature
4*101 -J i>Ca q fa . fit
Issuing1pati 41 Expiration Date
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