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_CAMA/ DREDGE & FILL L j1 '� N9, d'
3ENERAL PERMIT Previouspermit#
d%lew -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 I 5A NCAC )14• I 2- 7`-)
ORules attached.
t NamellAam►al5 { 119A0 LY�c..y Project Location: County 010SL.)J
j Li I Zl 11/ANni )A►✓k Street Address/State Road/Lot#(s)
kiGR51-0L•J►J State ZIP Z17Lf) y S,1ZLyzG y✓
(�I ) -`11- 1'-I 1% Fax#( ) Subdivision P E TS 1.-+i,j,)
ed Agent t
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Cw w A ❑ES ❑PTS Phone# (9 ►o )3$L •S3U1 River Basinbl)111-f r
OEA /❑HHF in IH ❑UBA ❑N/A Adj.Wtr. Bod / ;I 2 1n a✓ nat
_ PWS: ❑FC: 1 , -
yes no PNA ©e / no Crit. Hab. yes / no Closest Maj.Wtr. Body YI W
'Project/Activity 2� 14`4- (O )( 3 2.21 w/ /2 1 Y .Z Z O - i b D ))c L V.—
Cox $' ST c To ,)Z✓ (Scale: I - 7
:k)length (J X 3 2 1
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yes no
not sure yes no
um: n/a yes
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,ttached: yes
ig permit may be required by: J. 013jA11 t_ 1; i- Pc I- I See note on back regarding River Basin ru

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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION CM DELIV2I-'Y
„
• Complete items 1,2,and 3.Also complete A u-.
item 4 if Restricted Delivery is desired. X 1 IL ❑Agent ,
• Print your name and address on the reverse �� . %. j.< . ❑Addressor_
so that we can return the card to you. B. -,.. ,. by(• 'i�* ,: e'of Delivery
II Attach this card to the back of the mailpiece, `�D� p
or on the front if space permits. 1.4 �: ■ Yes
D. Is delivery:... _ -
1. Article Addressed to: If YES,enter. �
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-, to No
L(,)04- RC Gil ,PJI„ �t `t�`-0c,
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3. Service Type
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�( 0 Certified Mail 0 Express RV
u I: 4)5Jt jC c) C ❑Registered ❑Return Receipt for Merchandise
0 Insured Mai ❑C.O.D.
74I 0 4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(fiarrstbr from m service tat -
7005 1160 0000 2268 6482
PS Form 3811,February 2004 Domestic Return Receipt i 424.0.-lsao
U.S. Postal Service,.
,a CERTIFIED MAIL,-. RECEIPT
z- (Domestic Mail Only;No Insurance Coverage Provided)
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For delivery information visit our website at www.usps.com.
co
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r uPoston° $ $0.37
o $2.3° 0
o Certified Fee 3 ___
0 Return Receipt Fee $1.7.5 ,/,\ r', `g-
(t:ndorseme t Required) =—
CO Restricted ont Required) $0.00 i t
Toes Postage a Fees $
$4.42 �z,Q9r21aV
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r- -s`at7450 : /�
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FS Form 380C.June 2002
0

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A t //
item 4 if Restricted Delivery is desired. !� g7aCits....92ddressee0t
■ Print your name and address on the reverse X/ �/4
so that we can return the card to you. gJk] 7i7o
b{yprin/t�ed )■ Atththdtothckoftemailpece, ite Yes
D. Is delivery address different from
1. Article Addressed to: If YES,enter delivery address below: 0 No
U%(t t/t,m C LtID(f l u
' t RI ✓G R CA4 fie .. 3. service Type
gG. `f ) 0 Certified Mail 0 Express Mall
e-N c 1r� DE L-, 'C CI)3 0 Registered 0 Return Receipt for Merchandse
t ❑Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number 7005 1160 0000 2268 6499
(Transfer from service lobo.,
PS Form 3811,February 2004 Domestic Return Receipt - 102595-02-M-t540
U.S. Postal Service-
CERTIFIED MAIL „ RECEIPT
cr
. - (Domestic Mail Only;No Insurance Coverage Provided)
..n
For delivery information visit our website www.usps.com
U
I SEt 0RD DE 19 .F
' IAL USE
f
ru Postage $ $0.37 .- -
/0767.. \
DCertified Fee •� �, \
Fee $1.75 /- firs \ti'
p ( Return Receipt z-: `;t,L -'
Endorsement Required) 1
0 Restricted Delivery Fee $0.00 T';
l $(Endorsement Required)
ra $4.42 \
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Total Postage&Fees �-
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in Seat To r64►
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CRY.State,Zt Ss ,,e G.. q 7
PS Form 3800.June NC-

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Pay to the 2; (1 .v)
Order of
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BULLDOG FEDERAL CREDIT UNION ,
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580 Northern Ave.-Hagerstown,MD 4E12.4t h •
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07Y ENTERPRISES,NO.BOOR.
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