38959D - Gillman

CAMA/ - DREDGE & FILL
iEN ERAL PERMIT Previous permit# 34217
INew "'Modification El Complete Reissue ❑Partial Reissue Date previous permit issued -7—
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 `moo'- � -,.��' �(
:Nam bfL-L.Al itM Project Location: County 1 4 d✓Ll--
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'it-� l ci 2'' Street Address/State Road/Lot#(s)
I tr State IN' ZIP 2tk(31,- t b a, S AN 0 f/ - L'.J
( )26-1 —7'7 1/ Fax#( ) Subdivisionff�
ad Agent — City 'VJ 11,Yam- ZIP Z 6 `t'C
{J CW wEW 5'TA �ES ❑PTS Phone# ( ) - -/ River Basin] CrF
❑OEA ❑HHF /❑IH ❑UBA ❑N/A Adj.Wtr. Body MIA-14) (D i0�P co,/�V drin
❑ PWS: ❑FC: /
e no PNA �y,E�/ no Crit.Hab. yes / no Closest Maj.Wtr. Body �`'�y If 4'o P OJ'tL
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ium: n/a yes I _ f
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1ttached: yes e I I I i
ig permit may be required by: n See note on back regarding River Basin ri.
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