63171_Replace 50' of Bulkhead_20180919

1PAMAJ.EkDREDGE'-& FILL,:
'GENERAL, PERMIT-'
'L]Modifi' 'Ek"
W-v '0 Partial Reissue omplet Reissue New cation
>
A
P Mous permit#'
rE
Cate previous p�eiiikissued
As authorized by the State of North Carolina, Department of Environmental Quality.
and the Coastal 'Resources Commission in -an area of environmental concern pursuant
to 15ANCAC
les,attached.
Applicant Name 12 lI4
Address Q
City State H C-, ZIP �5 ­7
Phone.# 50 E-Mai I
Authorized Agent
E:I,CW 7 EW [�4 PTA El ES El PTS .. .. ......
AEC .
Affected
EJ OEA El HHF El 1H ❑ UBA EIVA
).
0 PWS:
ORW:- yes, yes opDo PWA "
Project Location: County
Street Address/ State Road/ Lot #(s) 4'�r
Subdivision
City I,-! )'J" /- -ZIP
Phone # Rive r, B as i nq�-A PA m
L I
Adj. Wtr. Bod
Y dn-k�oan -/unkn):,.'.'
Closest Maj. Wtr. Body
-
■■iiiiiiiiiiii■i�i•�■■�i�■�ii��iei�i�iii�iaii�
MEN
No
No
MWAMMOMENINMEME
WOMIMMMMIMMEMOMMOMMINIM
soon
K1 Now
WOOMMEMEEMEM SO W INAMM
U room
M
Agent or Applicant Printed, Name
�Sigfiature Please read cornpl(Ac6 statement on back of permit**
01
ation Fee(s) AppHc Check#
..........
L)
�Permit
Titoklicer'sPrinted Name
Sign atur
101
Issuing Date Expiration Date
0.