49170D - Harvey

a'CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
'New _Modification 'Complete Reissue ❑Partial Reissue Date previous permit issued
Irized by the State of North Carolina, Department of Environment and Natural Resources /
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 79 e 2La'
r ❑Rules attached.
t Name _MAD!S G 4 y„^ P if Project Location: County '\4 , /f ®v(j
89'l6 54',wYl 3''- / Street Address/State Road/Lot#(s)
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reed Agent /mil t- ll rift Al, City e7.---tim/ ZIP 5
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River Basin eel.,
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yes() PNA 0 / no Crit.Hab. yes / no
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ing permit may be required by: C .
/V `/ I See note on back regarding River Basin r

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ARINE CONTRACTORS, LLC 08-03 66-19/530 NC
910-367-2159 702
92 HAROLD CT. 10/1 5/07
AMPSTEAD, NC 28443
$**200.00
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DOLLARS
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_INTATAIROVNVIN V SVOD 3O NOISIAKE

Arr.Aeli
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
ael F.Easley,Governor Charles S.Jones,Director William G.Ross Jr.,Sei
Authorized Agent Consent Agreement
4/):c1 l 'l ari rie- C04144af 5 (R MD).[, is hereby authorized to act on my belie
(Printed Name of Agent)
er to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to
is activities described in the attached sketch.
kTION OF PROJECT:
942 5Mt UiaM. Dr,
'ERTY OWNER MAILING ADDRESS:
sh,r,lit/akkit
4/G
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PHONE NO. V,1O ' J 9p) "S 3
ORIZED AGENT MAILING ADDRESS:
9a I-14d 67
a6yy3
PHONE NO. wo- 73a -s3O
ture of Property Owner. nn