73538D - Bennett

CAMA / DREDGE & FILL NO. 73538 A B C
GENERAL PERMIT Previous permit #
�Xvew Modification ❑Complete Reissue El 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 O 7 i-( - 1 i O 0
❑ Rules attached.
Applicant Name 7A M V-S SF—N/VF—TT Project Location: County 13R ti nl Su 1C1G
Address 34fs49 NW y / `�" Street Address/ State Road/ Lot #(s) / t o
City C 41EtZA W State SC ZIP z9 5;20 5TARF ►5t4 DU %VS
Phone # ("4'.� 537' 5Q(a 1 E-Mail ,V�,A
Authorized Agent Gftf C7
Affected ❑ Cw EW ❑ PTA XES XPTS
AEC(s): Ll OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / no
Subdivision
City N01.D" I5EAc0 ZIP 2.S4-&7_
Phone # ( 10 )540-G 510 River Basin LuK&& x
Adj. Wtr. Body 4CANJ1l. (nat an , nkn)
Closest Maj. Wtr. Body A I w w
Type of Project/ Activity K EPLA <_e= uV-►.1 r—AD 1.4 .S/►KC_ .Q L.t G.NMEAt—
(Scale:.t
Pier
Fixes
Flom
Fingi
Groi
Basir
Boat
Boat
Beac
Oth(
Shor
SAV
Mor.
Phot
Wain
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NO
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Bulldozing
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torium: (�p yes no
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w1s: yes
A building permit may be required by: 140UP EM 13 i5-A C A ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction) �7
Notes/ Special Conditions n 7 A . 1100 Q! AUL, O i "f_x LJ CAL1 , ST/17C. ,
& 'FEf>ERIIL REe,LkI A-r+ONs APPLY.
Ti_r_R K- 6t�,1R-r -
Agent o c Printe ame Permit Officer's Printed a
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SWir ease read compliance statement o back of permit ** Signature
Oo 4 3540 &AL>490 ro In�Zag
Application Fee(s) Check # Issuing Date Expiration Date

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