HomeMy WebLinkAboutZahuraner, Jean®_1CAMA / ❑ DREDGE & FILL 1 /t, r'A No. 75731 A B C D
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
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 15A NCAC 7 !%}
�\\ - / ❑ Ruljs attached.
Applicant Name i f l () Cr Project Location: County (. G Y f el r
Address
J
City
Stat;N� ZIPS
p
Phone # -)-I : t X
E-Mail
Authorized Agent_
❑CW ❑EW
AffAEected
❑PTA 7JW ❑PTS
❑OEA ❑HHF
❑IH LJUBA ❑N/A
❑ PWS:
ORW: yes) no PNA
yes / 0
Street Address/ State Road/ of #(s)
Subdivision
City ' _ - ZIP <r L '�
/
Phone # O/ _ ver Basin r'"�J/
Adj. Wtr. Body / / A �: i. ,JL �' - natlman. unkn
Closest Maj. Wt,. Body_ r
MEN ■■■■ OMEN ■■■■E MEMO q■■■■■■■■■■■■■■■■■■
MEN 0:::OC:OMEN O::::'::::::�':::�::
MEN ..■.■■■NN■ONES NOEM ■■N■C■■N■N■■■■C......
■■■■N■■■■■
■■■EN■
mom
■.
■■■...■..........
SEE
■■■OMEN
SEEN
■..■■ESN■■�
.............
MEN
NONE
MEN
ME
Bill■..
.■.■■
■■...■■
.■..
.rJNE■.EEEL�//f91jNNEEN..............
■■■N�■11N0
MEN
N/,■1?a'■E■■■■■EN■■
MEN
■■■N■■
N■■■
Slim
SE■l
�ig;�
i11ME
SS■ES■■■E
MEN
NEE
NEE
rd
ME
ME
ME
ME
ME
so
MEN
MORE
MEN
no
No
NONE.
■■■■■
■■N■..rNS■.
EN■■....■■
■■E■■
■■■■■
rFA
MEN
■■�■■fA■r�N'/IS■■C/IE■NE■■N■■
■■■■SN
Emma
NG]WIE111■■■N
At
No
ME
■■■■N■MEMO ■ti■N■■ESN■NE■■ ■■■ ■■■O■■■■■0
OEM EN.■S■■■..■■��■■ES..■ES■.■�
■ ■E E■■■nn=NEE■■ 1�■■■ ■■N■ rlu�■■E■�■E
N®■IMEN
■ ■■ NF! 7■E■■■r�E� ■ rrilN 1�.. ZN■■ ■■
ON OIL, UmS■■■N■LUriN■NNYN■SNl■N■■rN■S■NMEN
• ■NMEN ■■■■■■ENS■OMEN N■■■■NNSMEN ■■■�E■N�■�
■. MEN SN�■■■■■N■MEMO E■■■■E■Smom ■= .■. .
0 MEN .:::MEMO ::::C:::�C::SEEM
■■.■.....■■.■■■■■■■..■�.■..■ .■.... ■.■.
;i , 1 1 (�.. �)lrca r
Agent or Applicant Printed Name Permit Officer s
Signature .• Please read o�mpliance statement on back of permit" Signature I
,a
I
Application Fee(s) k #
N
i 1C�j )C'
14,