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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 �j
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7/f, 11//V
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?i attached,Name 4, &h6Q� �i f� Project Location: County rt�P/ G/D
$52 1,ttkay Mil a h,t- Street Address/State Road/Lot#(s)
VYr State AC ZIP Z 1110 _— S
CVO) 25-1 45Z4x#( ) Subdivision
:d Agent City ZIP
O Cw Atr< ciffi #er ❑PTs Phone# ( ) River Basin_!�
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body �V 4w ,I ii✓'
❑ 40)
PWS: ❑FC:
des / PNA es no Crit.Hab. es no Closest Maj.Wtr. Body ales Pr
Project/Activity 14,/d0u" f t/JOhi t e in ',4- Dig-- 6x •'s 7Lj`.-t7 Abu/AA i
(Scale: / 40'
:k)length
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I/ .pray length ta
distance offshore
distance offshore
snnel
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is yards (f /
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p 4 1''+►" .�.rr.
e/Boatlift ~'"t...r,1
ara a'it
Ildozing
Length 1100 /OS elt e / `A'� %um,/
not sure yes •
not sure yes
im: n/a yes
yes
ttached: yes •
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g permit may be required by: /p/q/rQ�/ c, ]See note on back regarding River Basin ru
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9 : FAX NO. :6602958704 Aug. 18 2005 06:31PM P1
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SMTTHBIARNEY
SELECT CLIENT FMA ACCOUNT
800-423-7248
Q��//��CLLitiibbank F. .B.Englewood Cliffs,NJ. /`��
For 61(xIt✓llyo. ARdlG ub ` �L3eBz7 �..c%r � ^T
1:023, 2726551: L0570L4L4LIi' L 2 9 3
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