59629_VICKERS, THURMAN_20120113 (2)

(812NERAL
LAMA / ❑ DREDGE & ;FILL N? 5 9 6 2 9C
PERMIT' Previous permit#
ew ❑Modification -Complete Reissue -Partial Reissue Date previous permit issued
As aued by the State of North Carofina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant co I SA NCAC
C Rules attached.
Applicant Named UEi�' 1 n .._ V) (MAProject Location: County 'N�
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Phone # ( O'J Fax # O i
Authorized Age
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Agent or Applic"Printed Name _ _
Street Address/ State Road/.Lot #(s)
Subdivision

JUNIOR ALLEN 66-7075/2531 1020
325 PARKER RD. 0000197946
FOUR OAKS, NC 27524 - 12 DATE
PAY TO
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Senior Classic Account
KS WIM
BANK Four Oaks, NC
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