49113D - Broome

ICAMA/ ❑DREDGE & FILL /
IENERAL PERMIT Previous permit#
New ❑Modification 'Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC T H . (Zo O
., Rules attached.
t Name 1 NJMAS CL..o >cam �
, - Project Location: County c y kj/�`, k
I 7.-•15. w,sJ Y-,A J .A„• Street Address/State Road/Lot#(s)
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o ) Z •Z3'0 Fax# ( ) Subdivision
edAgent il.L'.C ; City 1oPSasL &bflcH ZIP Z— HI-1
❑CW EW ]PTA - ES ❑PTS Phone# ( ) _ River Basing. ,P 6
❑OEA III HHF ❑IH I UBA El N/A y,.4w,-.)
Adj.Wtr. Body_ 1 0PSN14- SJ��0 L (nat r
❑PWS: I FC:
yes %no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body ,# Sa1.L '.7�..i\
Project/Activity -►'51 ALA I ZX -. I4,,j L L.VT L✓ x T 5'r L,--'U.
(Scale: 1 l'
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er(s)
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distance offshore h/ �++..�, I!
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annel — 1 i
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not sure yes no `� \ _
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ttached: es no _
permit maybe required b l rt-1 l.. R I
S q Y� I � � �f1L�E� I See note on back regarding River Basin ru

Bank of America
ACH RR 053000196 2969
ALLIED MARINE CONTRACTORS, LLC 08-03 66-19/530 NC
910-367-2159 702
92 HAROLD CT. /D- 23 _O 7
p HAMPSTEAD, NC 28443
/I,l
PAY TO THE b E ,� r
ORDER OF / 1i f\/ /� Do
4 f*x A.)),S,-e.a 0..-�Q 'i
C7-6 DOLLARS
GP 419,i 2 cAU,e,,if-- z,z0�
(ill, 3 ,(3n,vn,,2,. 1.o u
Y. � 4
MEMO C'�4- �/4/t m.
'
000 29690 1:053000 L961: 000684 74 3 7 3800'

3ATI
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley.Governor -Chitties S.Joan Prior Wiliam G.Russ Jr..Secretary
Authorized Agent Consent Agreement
�} li P. Ma ri r e- is hereby authorized to ad on my behalf
plintedra„e of11 q
order to obtain any CAMA permits)required for the property listed below. The authorization is limited to the
ecific activities described in the attached sketeh-
)CATION OF PROJECT:
110 40rbk CLut-
I oPS421 I t3ead\ N.C.
OPERTY OWNER MAILING ADDRESS:
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1—aAt1;4,.bwA d G. 2� 35 PHONE NO. Q 10- 2 7G-2 3 q 0
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'FHORIZED AGENT MAILING ADORES:
f(( 7v16. 1.--,),.-c_
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PHONE NO. -q/b 3 6 7 oZ
1aturo of Property Owner yolk. G 0 TI001%4
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