52507D - Mitchell

',AMA / '-I DREDGE & FILL
ENERAL PERMIT Previous permit#
Jew Modification ❑Complete Reissue Ei Partial Reissue Date previous permit issued
ed by the State of North Carolina,Department of Environment and Natural Resources \'Ls�®
astal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 1
Rules attached.
game ]17'• V\1 1 -'ct C L.--4- Project Location: County I, 0 r ft—
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(Scale: 1 .
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distance offshore V --
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s: not sure yes no i
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yes no '- t I — ' —
Attached: yes n _ _
Ing permit may be required by:w•?S-Ph. .. L Ae 4\L 1 I See note on back regarding River Basin r
Special Conditions

12 09 07: 44a Sid Mitchell 336-852-7461 p. 1
11 09 05:45p
Hal Fogleman 910-270-3374 p• 1
Act
MEW
North Carolina Department of Environmentand Natural Resources
Division of Coastal Management
eevery Eames Perdue.(buemor
James H.&ogeen.Director Dee Freemen.Setwdery
Date _
Name of Property Owner Applying for Permit:
r
Mailing Address:
to /a,' 7711
Aite-pf! itz4 ,/w7
-.4A- 47 ... 3374l
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I certify that 1 have authorised(agent)_ <t r /` -Zj 14L' It to act ea my
behalf,for the purpose of applying for sad obtainer all CAMA Permits necessary to
install or construct(activity)
at(my property located at) -c/y- `-/.7 A cry a i
Tbis certification is valid thru(date) 6 -- /r -0 1
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Property Owner Sigaaturt Date
400 Commerce Avenue Morehead City.North Csoina 26557
PR,nne: 252-806.28081 FAX [phone] Internet wrmoceoasta romagementnet
to%PeatCoasreW Paper

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Bank of America
ACH R/T 053000196
ALLIED MARINE CONTRACTORS, LLC 08-03
910-367-2159
92 HAROLD CT.
>'° HAMPSTEAD, NC 28443 L.1j —
ta PAY TO TH
ORDER OFE V - /41�
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0'0 0 3 5 E B o I:0 5 3 0 0 0 19 6 i: 0 0 0 6 8 4 7 4 3 7 s ne AUTHORIZED SIGNATURE