Ellis, William

❑CAMA / ❑ DREDGE & FILL ��. No. 74974 A B D
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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 �7 r��
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC —
❑ Rules attached.
Applicant Name �� 1 Project Location: County_ / 2 7 G-iF
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Authorized Agent
Affected OCW C3EW ❑ES ❑"S
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
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Signature * Please read compliance statement on back of permit*
Application Fee(s) Cl eck h
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Issuing Date x pration