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Home My WebLink AboutBost, James Jr.IJCAMA / n DREDGE & FILL %0 N- O p 951 A B C� D GENERAL PERMIT Previous permit# � ❑New ❑Modification AlComplete Reissue ❑Partial Reissue Date previous permit issued !c, r 1' 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 -' 4 IA Rules atIched. Applicant Name (YI ( Y r , j Project Location: County `r Address (, i ii`�( (/ .<� Street Address/ State Road/ Lot #(s) City /T/!� G\ �- State W ZIP 7, Phone # (!U f ) I / //i Ulf E-Mail Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ; N ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes Cno) PNA yes / (o Subdivision City �. ( i7�(� ZIP fly_ Phone # ( ) River Basin L YJI %/1' / "+`k Adj. Wtr. Body r ,f r f'( k -_ �� i, (nat /t/nan /unkn) Closest Mal. Wtr. Body %fti !`'P ' VCLA ■ SENSE MEN! ■■■■■■■ MEN S■■■■■■ ■■ ■ENS ■■■SES■■N■ C■■■■■■■ ■■■■■�I■� �■■■■ ■ q■■■�■■■■ SEES■ ENE SEES N■ ■ S■ ■SSE n■■■ ENE E■S■■S ME 0 ■ NE SEES■■■ ■HE■ ■�■E MN■ ■� iA• ®�wr■�2so M10MMPM=Iffilf 11EM ii q■■■■■■■. E�N■■■■■ ■E■■■■EEMOMMEMEN . MEMO WIFE ME MEMO [� !N■h�Ili■S .■N■■. ..■■■.� �.e .■■p■■. ■■.■. �iN■■■■■N SEES■■■ ■�■■ SEES■■ QCC'■■�■ MENNEN ®. ... ■■■■■ S■8 SEEN 1■■■■ ■�■®■■■ ■■■■■iE■■■ SHE■ .... N■■■■■ESH®■ ■ENEN • NN■■■ES■■ N■■■■.....■■■■■■. .■■■■■■■■■MEM■■■■■.. �■■■■■ ..� p■■■■..�■.�. ::.0 �E�EMMONS.N.�:::■C: EN■■■■ �■■■■N.. MEMEME ME N■■ CNN ME� 9 ME 0 ■ME Agent or�pplicant Prnted" me Signature "Please read compliance statement on back of permit" 5aao Application Fee(s) Check # (y Permit Officer's Printed Nar9a Signature la a - 6b, ) Issuing Date � Expiration Date