63112D - Durham

/ 71 DREDGE & FILL
NERAL PEFIMIT
i ,]Modification complete Reissue ❑Partial Reissue
Previous permit # (, 11
Date previous permit issued—j
rized by the State of North Carolina, Department of Environment and Natural Resources 2
-oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC -% u I `
❑ Rules attached.
t Name �VeEAD U % (Q)-4I-A Project Location: County K l( MSV\j iL V—
'r'Z te, ('�d� - Street Address/ State Road/ Lot #(s)
—'r'State_ ziP>L + Z rZ.lVly r'1�L
Fax # O
ed Agent A-6 1C 7? I t dT-J /I'! Ole jNC,->— ea
r] CW C►� W Syr 1 A S ❑ PTS
Subdivision
City J(Dy ; T zip 2..E�"a�i
Phone # ( ) River Basin (A?(
f
OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body t✓C f=
PWS: ❑ FC:
aft
yes / no PNA yes //.021, Crit.Hab. yes / no Closest Maj. Wtr. Body
�f Project/ Activity N(ZI V t"T f (i g jyl * (fir ✓'t71. ! %—
(Scale:
lock) length � �`{��
•m(s) X (�
L,
imp
>use/ oatli
not sure yes
no -
gs: not sure yes
rpo
mum: n/a yes
�o
• yes
{rio
Attached: yes
C o
ling permit may be required by:
50onty,Q ❑ See note on back regarding River Basin

CAMA �O��REDGE�&FILL
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^ �N�N�� ������Q���N��
PERMIT -
~ ~° Previous permit
w��mnm�~mmm—��~
New []ModiOcution []Complete Reissue
[]p Partial e Date previous
ur� Reissue
izedbyth—`State ofNorth Carolina, Department ofEnvironment and Natural Resources
oasm|Resources Commission in^narea vfenvironmental concern pursuant oo|5AN CAC
Name
Project Location: County
Street Address/ State Road/ Lot #(s)
Fux#(
Sunowuio..
ad ��e�
cr ZIP
. O�w O�� OpT� O ss O��
�mna# ( River Basin
`___/
OOsA O**p O,H OuBA ON/»
Ad).Wtr. Bod
�
O�v O��
~�----------
Closest Maj. YVtcBody
yes / no PNA yes` / no Crit.Hab.
yes / no
Project/ Activity
ME
No
ME
M
MU
No
` See note onback regarding R*o,8asir
ding permit may berequired by: / �^

BAN MARINE CONSTRUCTION INC
%RLES H. OR KAREN Z. PERRY
P.O, BOX 11046 910-457-5488
SOUTHPORT, NC 28461
. .............. ............
85344
DATE i 66-30/531
453
$ e9e:P'
4:5� -
DOLLARS
k3p
3 It it ma 1:0 5 3 100 3001:00 4
531250234iin
.......... * ., - �.--