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.ENERAL PERMIT Previous permit#
New Modification Complete Reissue —Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources � /�
:oastal Resources Commission in an area of environmental concern pursuant to I5A NCAC //'. /'Q
�� // G r es attached.
t Name I9 L L e (/1/,//y 9/1_1 Project Location: County .302 a es w is/‹
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ng permit may be required by: / /d oA_' 4C% A See note on back regarding River Basin ri

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F ALLEN WILLIAMS DMD
LESLEY HOLDEN WILLIAMS 3563
NCDL 7745036 NCDL 8740498
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165 HIGH POINT ST mate ss Itv53i
HOLDEN BEACH, NC 28462-1918 [� 624ot
Tto-
A` iVC 14-4-6'-',,402l I $ 1��.
BB&T mile.
BRANCH BANKING AND TRUST COMPANY CLASS C
SHALLO,T,,T,,E,,,OryORTH CAROLINA
':053LOLL2 Li: 52L96L LOB 211'035 3

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Label/Receipt Number: 7005 3110 0001 5365 6957
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• Delivered, March 06,2006,3:03 pm,COLUMBIA, SC 29210 Enter Label/Receipt Number.
• Arrival at Unit, March 04, 2006,7:42 am, COLUMBIA,SC 29210
• Acceptance, March 02, 2006, 1:51 pm,SHALLOTTE, NC 28470
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SUPPLY NC 284b2 $i 39
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ERTIFIED MAILTM RECEIPT CJLN11aBIA SC 29210 $0.39
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Label/Receipt Number: 7005 3110 0001 5365 6940
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• Delivered, March 07,2006, 1:20 pm,COLUMBIA,SC 29210 Enter Label/Receipt Number.
• Notice Left, March 04, 2006, 1:22 pm,COLUMBIA,SC 29210
• Acceptance, March 02,2006, 1:52 pm, SHALLOTTE, NC 28470
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,_a,cul:a%aipt Number: 7005 3110 0001 5365 6933
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• Delivered, March 10, 2006, 10:22 am,SUPPLY, NC 28462 Enter Label/Receipt Number.
• Notice Left, March 03, 2006, 10:00 am, SUPPLY, NC 28462
• Acceptance, March 02,2006, 1:50 pm, SHALLOTTE, NC 28470
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