HomeMy WebLinkAboutHodges, Joseph 78838CCAMA /❑ DREDGE & FILL N9 78838 A B g D
GENERAL PERMIT Previous permit W��Nevv ❑Modification ❑Complete Reissue OPartial Reissue Date previous permit issued�::A
As authorized by the State of North Carolina, Department of Environmental Quality �j f
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
29RuIes a ched.
Applicant Name 5 _ Project Location: County
Address ~ ve Street Address/ State Road/ Lot #(s)
city._State G ZIP' - — -- - ..
Phone # E_Maii Subdivision
Authorized Agent City ZIP
Affected CVV w TA ❑ES El PITS Phone #
() River Basin 141
AEC S : ❑ OEA LHHF ❑ 1Fi ❑ UBA ❑ WA
() ❑ Pws: Adj. Wtr. Body ES nat unkn
ORW: yes n� PNA yes no
Closest Maj. Wtr. Body —
Type of Project( Activity j
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A bur rag perm rc may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
❑ See note on back regarding River Basin rules,
y�Inc or Nppucam anted NameLJ
i Permitoffis Print Nartte' "
51*'Rl�rtmdemrngiliam¢es��loor�haclaod"" Si�►ata�!e�
AP licationFee(s)--_"� 1��i_s __ -.
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