Fishunt, LLC

I CAMA / ❑ DREDGE & FILL G / i < No. 75915 A B c D
GENERAL PERMIT Previous permit#
C l4ew ❑Modification []Complete Reissue El 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 —�''
❑ Rules attached.
Applicant Name (l �) �' I / Project Location: County % `-f' y'ti.l
Address UyX S 6 ) Street Address/ State Road/ Lot #(s)
City n, / State" ZIP
Phone # (Ot ��( �� t� ./yC �E-Mail Subdivision
Authorized Agent
/" % r
�CW
DEW PTA El ES ❑PTS
Affected
A
DOEA
❑HHF ❑IH ❑UBA El N/A
Affecte
❑ PWS:
ORW:
yes / no
..i
PNA yes /'oo
Agent or�Applicant Printed Name
r'
Signature *`' Please read compliance statement on back of permit
Application Fee(s) Check #
City i r'. c i J / ZIP
Phone # ( ) River Basin
Adj. Wtr. Body / (rat /man /unkn)
Closest Maj. Wtr. Body
Permit Offiprinted Name
cer'@C�
Signaturep
Issuing ate E ¢piratio Date