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HomeMy WebLinkAboutTown of Atlantic BeachI_1CAMA / '. DREDGE & FILL y,+'w No. 75797 GENERAL PERMIT A B C D Previous permit# N�w ❑Modification [:]Complete Reissue ❑Partial Reissue Date previ us permit issued As autho ,:d by the State of North Carolina, Department of Environmental Quality, and the Coastal Resources Commission in an area of nvironmental concern pursu �t to 15A NCAC Elft es attached. Applicant Namp \ \ \ � 1� 1� i � • � � i '. t Project Location: County Addres$ J i :' Stregt Address/ State Road/ Lot #(s) Pi iZIP Clty l State f (]j f �l-Mail Subdivision Phone# ( t Authorized Agent }J l' C,�. ` ., i % City 1 �. ZIP ❑CW �w PTA. Affected ❑ES .OPTS Phone# (� r .River Basin ❑OEA ❑HHF I ❑USA ❑N/A AEC(s): Adj. Wtr. Body1"! I • gnat /man /unkn) ❑ PWS: - '" - ORW: yes / no PNA yes / no Closest Maj. Wtr. Body - - - - - _ -- �'...... ■■■■■■■■ ME■EE■ .■■ IME ■■■MWE ■. is .��........■■■■■ .■■NEE .■.■■■■■E■■■E■EMBA N�■I■ 0®0■■0■■■■0 MEME■■■■■■■■ill.■■■■MEMO.■�ii■ �j■■,/�■■� ■MEN MIRME■■ NEMEM■■EM■M■■■■E SEEM\� MENIIMME�\■■■■■■■MM■■O■■O�EiEr■OEL��I - 17091111111 IAERM■■■M►\■■■■■NMM■E OEM G1■ 1111®■■■77■■MEEO■■M■\E■■■M■M■E MLE, 7���■JE !�■■�■\■E■■M■ ■■N■■■■EM■EE%■�\��E■f�■■�■ M■M►■■■■EM■■EN■■•I!--.!:M e ■■ ■■■ N\NONE NCM . ■u■■■N■► ■■■O■EM■■E\\■■■E■COiINone ��■■■■■ Boat mmp :� :=C ::: MEMEME :C ®:C::M 11110 ■EOM■ ■ ■■■► NONE ■■■�■■■■►RE■EMME■MEN ■■E■■■► ■EME /U7ilE��� �■N■rL'J�1N��/IIr/�?,� ■ENE■■■■ ■E■E■■■.iC..■■.\MEMEWHEM■M\�E■E■■�C■■■ ■■■■.....■■■M■E■1\M■G■■■EM ■■o►.. ■■OII�I■■■►.. EEO■■ ■■■ ■ E■ 7■0■,0■■.■■... mmmwmw, 11 JOSE Agent or Applicant Printed Name Signature *'' Please read compliance statement on back of permit" Fee(s) Check#