HomeMy WebLinkAboutHarbor Island of New Bern LLCL
®_ [IrCAMA / ❑ DREDGE & FILL No. 73466 A B C.% D
GENERAL PERMIT Previous permit# " '`
[-]New []Modification XCOMDlete Reissue []Partial Reissue Date previous permit issued ;7
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 07`-�-
S-1 Rules attached.
Applicant Name � � It i� jJ I L Project Location: County
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Address l_i X I n I(,., Au � t f / / ` � /`" Street Address/ State Road/ Lot #(s) J l."IZ;
City _ State ' 1 ZIP
Phone # O E-Mail
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Authorized Agent 1 v � 1, %, � r
Affected 71 CW SEW -EJ PTA DES ❑PTS
A� OFA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AlElffecte
❑ PWS:
ORW: yes /.no' PNA yes / no
Type of Project/ Activity �-
Pier
Fixec
Float
Fing
Groff
Bulk
Basi
Boat
Boat
Beac
Oth
Sher
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Mon
Phot
Wain
Subdivision
City ZIP
Phone # O_ _ River Basin
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Closest Maj. Wtr. Body
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A building permit may be required by: C..^ 1. •1
( Note Local Planning Jurisdiction) 9 i.
Notes/ Special Conditions --
Agent or Applicant Printed Name
Signature ** Please read compliance statement on backofpermit**
7;,I (� JO
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
PermitOfficer's Printed. Name % , .4
Date