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GENE WCAMA,+ DREDGE & FILL
Ii4L PERMIT
New _Modification El Complete Reissue El Partial Reissue
No. 75863
Previous permit #
Date previous permit issued
OJ
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 7 ►1 ')'-
Rules attached.
Applicant Name m r' on Project Location: County B r u n S wl L�I—
Address / L/FarNlLAV, Street Address/ State Road/ Lot #(s) /Pq S w a 5 S+
City I+ Mpuh�aih State ZIP
Phone # (3 i;14/ 03E-Mail a'M�0&'\4" 6� Subdivision/-^ /
Authorized Agent M (� r01'1 Mar I►1;t,­ 10 City-0- ^IC _l._ �I G►% ZIP
Affected ElCW >4W )�CTA )(ES ElPTS Phone # ( w River Basin 1"'I b
ElOEA ElHHF ElIH ❑ UBA ❑ N/A a V i S
AEC(s): Adj. Wtr. Body nat an unkn
❑ PWS:
now. .1-1 ,Z--"A DATA r'1 Closest Mal. Wtr. Body - -
Finger pier(s)
number prap length
avg distance offshore 0
max distance offshore
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SAV: not sure yes-
11oratorium: (QLa) yes no
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Signature Please read compliance statement on back of permit **

I+tW* of PP0PSrty Owner Reaquivirling Pwmt: Tim
Mailing Addree: 144 Foots Farm Larne
Mountain NC 27041
Phone t4umuet:
e twtl Addnew,
Owlify VW t twve asfortted �,�.p�, .dos
RMMt ►Cw*odpr
to act bo"If, fcx the pufpo" of appi bV for and a$ CAMA
"'Y for the tailovwinp WOP,Md dawekipnttent; NO2 dock
at my RraP" toted at 109 Southwest 25 street, Oak Island N.0
in - Rn in4,.,.. County,
1 twthermore cartify that t am aUthOlt' W to pr4VK grid do Ja fact grant pamssion t o
division of Cvastet hfenageow)nr SW, Ot:aJ Fbtioi t and their
an the afarementioned tends in corms ,Ykut wgh s b or►ter
Pennif eppkcatop blibrnfdlir�n nateted to this
Pmpwy 0"wr lafornwow
attxN
Tim moons
�Ktt a rya Mw7e
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._� 2019
o�,re
This csrbVicaWn is valid tArou®h

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