Early Falsom Properties Inc.

®❑CAMA / ❑ DREDGE & FILL IGC No. 74490
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. I SA NCAC ~' ff
- ❑Rules attached.
Applicant Name ) i ;,jt '' ri i ' 1 r ,F (1 r / % Project Location: County
Address , , ; Street Address/ State Road/ Lot #(s)
City I�, ��tr`^��7j StateP/ ZIP
Phone # Subdivision
Authorized Agent
Affected DCW SEW El PTA - ,ES ❑PTS
AEC(s): OOEA ❑HHF ❑IH ❑UBA ❑N/A
❑ PWS:
ORW: yes /Kno PNA yes /�rio...�l�
City
n r ZIP
Phone # ( ) River Basin
Adj. Wtr. Body::. �f`_ (nat /man /unkn)
Closest Maj. Wtr. Body
MEN
MEN
IN. .
MENEM MEMO
SEEM
UEES
■■
E■En■
M■■S■ ■■■■�E■■■
M■ ■■
■■■E-■■I�■���i������11t
®®��■... N■ MIS ■■■
■■■���
■��������/alb■le■®n�s■nxteaymmumm■■i■��■■■
_
N■■■
MOO■■■1■■■■■■■■■�M■■
SEES■■SEEM■■■■■
:NONE
MEM■EEMEEIMEMENMEMENNUMEM
■E■EEMEMENOREE■E■MEE■
OMEN
MEM■O■■EIME■EEME■EENIMME■SEE■■■■
MEN
ESEEN
OMEN
so
.OEM
■®■.�■■■■
■■■■NE■■■ENE■M■MM■■■EME■■EN■■SEEM■■
SEEN
■■■NN■■■■NMN
NN■EMM:NEEMEM::
MEN=MME
:MEN
a
MENEEM
E:E:::::IIE:::::ME
ME::.ENo
0
■.■.■■EMMUMMENNNNNMEMOMEM■NE■■NME■■■M
■■
®ESN=®NNN�NL®N�■no
ww�
N
NNNNNN■■■19■NNJNNN
oN■■■■■■■SIN■!
aNN�_
m-
1E1•IE�11lIN�f#,■OONN■�■■■
'.'■::::'..■:ii::::::a
.■■■■■.
ONE
N■NN■NNSN■ENS■■
--
IN::::::ME
SEEN ■■OM■■N■■M■
::::::MEMO:::::::=aa
N:: OMEN on
■■■■O■.■E■■.E:EMS
N■ :warm::::MMEEWE:MEM.®M■a11LEE■■:
a ME .■��■■�■..■..EIS
iMEMMIN::::E::
■•■NN
ji■■N
SEEM
■SEEM
:NEMSEMN::::::::::o:::
■■■■N■■■ N■:ME:M
::M1
Agentor Printed Name —�
Signature ** Pleaseread compliance statement on back of permit**
Application Fee(s) Check #
Permit Officer's Printed Name
Signature
Issuing Date Expiration Date