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ENER/AL PERMIT
N.w l.1odific.rlon r(ComplcteRei$ue P.r(al Reissue
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/NDREDGE&FILL
NER/AL PERMIT
EModification lCompleteReissue EPartial Reissue
As authorized by the State of North carolina, Department of Environmental euality
and the Coastal Resources Commission in an area of environmental concern pursuant to l5A NCAC
Applicant Name Project Location: County
Ng 78844 AB D
Previous permit #
Date previous permit issued
o
Address
enone # ffi)
Authorized Agent
state N Czt ,42516
Affected
AEC(s):
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tlES
! UBA
tr PTS
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Subdivision e/
Phone # (_
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*Sease read compliance statementon back of permit *
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LType of ProiecU Activity o11
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Fixed Platform(s)
(Scale:fr',
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cubic yards
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Shoreline Length F+j
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes
yes
yes
yes
A building permir may be required by:
( Note Local Planning Jurisdiction)
[l S"" not" on back regarding River Basin rules.
a
Special Conditions q.
or
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