HomeMy WebLinkAbout50449_BANKS, PAMELA_20080611I ,, ..;
CAMA / -DREDGE? & FILL
GE PERMIT/"/Previous permit #
�tll odificatio []Complete Reissue ❑Partial Reissue revious permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
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and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 17-
_ ales attached.
Applicant Name '' "} Aj L Project Location: County K 17
Address_ iG r ! ,l f.- x l� I-LLrf{,'t� �y` m ��.�-�17' Street Address/ State Road/ Lot #(s)
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City ;R .t�,� StateC ZIP J 1 slit W A-1-! XL&1/i9 --k4s -
Phone # ( "'-q 2; Fax # ( ) Subdivision cot ll ol-W YAR &R
Authorized Agent City ZIP 277q PJ
Affected ❑ Cw WW 7,PTA S ❑ PTS Phone # ( ) River Basin BUD �W1' t
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body man unkn
9 ❑ PWS: ❑FC:
ORW: yes / PNA yes / Crit.Hab. yes /
Closest Maj. Wtr. Body
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Agent or Applic nt Minted Name
Sign- Please read eom`pliance slat ment on back of permit J
Application Fee(s) Check #
UIP" J) i-yn il I
PermitOffi 's ignature
Issuing Da a Ex iratiorfDate
1AR cos��t� �
Local Planning Jurisdiction Rover File Name��
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