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HomeMy WebLinkAboutHathaway, Ed,; I�,CAMA / ❑ DREDGE & FILL - ' ; ( No. 75065 A B .'C D GENERAL PERMIT Previous permit# C 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 j I J1 Rules attached. Applicant Ci'A �� � '-t �/ State ZIP Phone # ( ) .� ? / P-M-Mail Authorized Agent Affected OcW ❑EW 6-PTA El ES ❑PTS ): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A AEC( ❑ PWS: ORW: yes / no PNA yes /, no' Project Location: County Street Address/ State Road/ Lot #(s);r/7�; r City ZIP Phone # O ( River Basin Adj. Wtr. Body (nat/man /unkn) Closest Maj. Wtr. Body I e of Project/ Activity j, : �::l:::�c:■... :�INoME MEN �s ■N ■N�:: ■ME ME ��■■NEE■■■N No MEN mmm�mmmmm EM BE :� H::INIMUM 9'.'.999999999999�999 ::9■::' ME ■■■■■I■E■■■I■■E■ ■■EI■■■■■S■■.!,■■■■■■■■■■ NOON■ NOON■ ■■N■ENEI■EOE■ MEME■■ ■ ■■■■■■ SEEN ■■■B■ ■I■■■■■ ■l��■■■■■■■■■■ .EEO■■■■O■■..■■■■■:Nf■�■■��■li1■.. 1 SOM■■ . .....�....�■.....I■I ■■■■.�.■..■■■■■■ NOON■■■ MEN■ ■NOON■I■(■�■■■ M■E NOON■ ■■■■ ■■■■■■■■N■■E■■■■■■■I■■®■■■ME■SL�►ME■■■ ONES :. EN®■®®®GO®®■®M■ ®®NOON■®®@®®S ® ®■ ...........�r�l�l■..a�■■■■■■■■■c9■■:�iNOON■ EMEN■ :9c:::::i■..i�C ■■9EE:IEE::::i::: w■ME■®ME■■■■■■■■■■■ • ■■ MEMOS ■ NOON E■■NEE ■E■ NEE ■■ ■ ■NNE ■.■■■■■.:...■:::■MM�ju NEE: OS ■■::E■■■ ■■SEESE■E ■Ej :■n EEN ■::9:E slim :o ME ::®cam o c:MINE :::�::c:::c:::11c:9cc:: MINES 9: ::9999999�::9WI :9e�:: �E:9 1 11 t/ Agent or tMicant Printed Name Signat r **Please read compliancestatement on back of permit'' I1j! i Application Fee(s) Check # PermitOfficers Printed Name -- Signature Issuing Date- Expiration Date