79342A_Janet Miller Family Trust_20210708

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Ajt�ENERAL PERMIT ° 793 ? B C D
New DModification L7Compiete Reissue ElParcial Reissue Previous permit #
Date previous permit issued
As authorized by the State of North Carolina. Department of Environmental Qua* Bic
and the Coastal Resources Commission in an area of environmental concern purauam to 15A NCAC_'�-Do
Applicant Nuns attxhed:—
«ter,,..1v Tra.'E %Ga(al, Project Location: t
Address $Ott Ciiturt}` Ci�
Street Address/ State Road/ Got .#(s) 35
city t[� Stye 21P�1� 1 S�
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on back of permit "
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Signature L1 -- --v -- —
Date Expiration Date

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-Pr7 Property
- - Owner
— for Permit:
,O. Mailing Address:
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I Certi ft. that I have authorized (agent) L -�Z�: 5 �4 to get on my
behalf, for the PurPOSO of aPPIY!ng for and obtaining aii LAMA Permits necamiry to
install or construct (activity) I
at (MY ProPerty located at) 'Din 5C
This cerffication is valid thru (date) 4 .') C) - 3'a-
Owner Signature
Daft
400 Commerce Avenue, Morehead City, North Catalina 28557
Phone: [phone] \ FAX [phone] \ Interw. www-mcoastalmanagementnet
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Addresses
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