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HomeMy WebLinkAbout73511D - BlankenshipXCAMA / ❑ DREDGE & FILL �`� \0. No. 73511 A B C Q GENERAL PERMIT Previous permit # Pevv ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued 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 07 H 1.200 pp 7 Rules attached. Applicant Name M lCgAE I- be LAL.Ri's< 6 LNn/ ICICNS►+l IP Address 141 (i DA I S Y V O City LnRIs State SC ZIP2g5(,q Phone #( 43) S 5- 87& 3 E-Mail M 1A Authorized Agent S,q MM y VA RNA M Affected ❑ CW XEW IXPTA ❑ ES ❑ PTS AECI ❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A ❑ PWs: ORW: yes / no PNA yes no Project Location: County 'E "I c V. Street Address/ State Road/ Lot #(s) 2 5 SEA .YVI P O. lD 5 W Subdivision H /,A City S"r pw ZIP 2 84-& 2 A4L,4-T Phone # ( 910) 4-43 - 424S River Basin LNtAmw_ Adj. Wtr. Body A I W W /unkn) Closest Maj. Wtr. Body oating Platform(s) ■®■III■�`i�`i�.'r®�ittil�/IiW■►'.�iiir ■■■■■■■■■ww�■■■w■■■■■■■■■■■■■■■■■■■■11■ :iL:`ii■■■■■�■/ ' _ ■w1:9'J■■■■■L�'►`��iL�l�:!.1'lLbw!i�ii�l��u�:ra:�■■■■■■���lL/■ ■®Il■■■■Il■■�i�r■� Iman ONOMEN1ilobasil1■■■■II■■■ ■�11■■■■Il■■� ®11 ■�,'J 1■■ �� ��%%I Am I■ ■I 1■ 111■■■■11■■■ ■■■11■■�■11■■� �� EMI �� � 1 •�� i I■G�■� 11■■4i■11■!�■ ■■■■■■400000■/I■■% ■11/1���■■■■■■■R;�■■■51■ ■■■11■Crl■11■■■�'I■% 11■ 1■■■��■■■11■riEli■:�■ Emil ■■■I i■■■■11■■■ ■■■■■■\■1 O■■■■■■11■■■■11■ii■ Agent or pli -avV t rimed Name ignat ** Please read compliance statement on back of permit's * 200 4+ 7530 Application Fee(s) Check # I Y LER MC �I.IIRE Permit Officer's Print Name C Signature 4 / 9 . A9 C11 19 Issuing Date Expiration Date NCDER North Carolina Deoartment of Environment and Naturai Resources _ Division of Coastal Management c �icheel F. Easley, Governor Charles S. Jones, Director :',;!,am V. "(Qss Jr.. Secret ary Authorized Agent Consent Agreement 's hereby authorized to act on my behalf (Printed Name o.'Agent) in order to cbtain any CAMA permits} required for the property listed below. Tie authorization is limited to the ;oecific activities described in the attached sketch. LOCATION Or PROJECT: L- -i rc�11con PT r L ?ROPERTY OWNER 'AAIL!NG ADDRESS: Zk , 1-4 PHONE NO. '8 AUTHORIZE} AGENT (MAILING ADDRESS: 61 w V ill i"Mo ryl �S79 111c1^15�er j'ak Est Ik.1 L&I iUc a ye Signature of Property PHONE NO. Signature of Authorized Agent: Date' .27 Cardinal Drive Ext., ',4i!wgton, Ncrin :araina 28405-3845 acne: .�'•C-g&'2'5 =AX. 9?0-3g5-s964 %,terrer. :/14'N.i':C J3Si2i: 3f 2geR Eni.t�et A., -'cuai' oC^_t .^ y `. atrma:: .=... cn = ^ptiyer - : .., ecyCed' C°s ?est Ccrs;,.rer Pa; er 3/26/2019 USPS.com@ - USPS Tracking® Results USPSTracking FAQs > (https://www.usps.com/fags/uspstracking-faqs.htm) Track Another Package + Tracking Number: 70180680000070243572 On Time Expected Delivery on MONDAY 25MARCH by 2019(b 8:OOPm® G Delivered March 25, 2019 at 2:21 pm Delivered, Left with Individual MINEOLA, NY 11501 Get Updates \/ Text & Email Updates Tracking History ru Ln m nj 0 r` 0 0 0 0 0 Co 0 CO 1-1 r`- Remove X March 25, 2019, 2:21 pm Delivered, Left with Individual MINEOLA, NY 11501 Your item was delivered to an individual at the address at 2:21 pm on March 25, 2019 in MINEOLA, NY 11501. March 25, 2019, 10:15 am Out for Delivery MINEOLA, NY 11501 https://tools. usps.co m/go/TrackConfirmAction?tLa bels=70180680000070243572 n a 77 1/4 3/26/2019 USPS.com@ - USPS Tracking® Results Tracking FAQs > (hftps://www.usps.com/faqs/uspstracking-faqs.htm) Track Another Package + Tracking Number: 70180680000070243589 Remove X On Time Postal Expected Delivery onEr CERTIFIED MAILP RECEIPT cD Do SATURDAY Lrl m For delivery information, visit our website at www.usps.corn�. by n I Certified Mall Fee MARCH ■ 2320190 8 ■ 00 P m O $ Extra Services & Fees (checktwx, ad fee all e) ❑ Return Receipt (hardcopY) 0 C ❑ Retum Receipt (electmnk) $ Postmark 0 []Certified Mail Restricted Delivery $ Here Q []Adult Signature Required $ L CD (D ❑Adult Signature Restricted Dellv $ 0- O Page � n OV Delivered o = I Postage and Fees 6� March 23, 2019 at 12:38 pm � PTO �,�� S - Delivered, Left with Individual si�eq� Pt_ - ' _ ,°" °. - - - ----------------------------------- SUPPLY, NC 28462 �;� is - ---- s---- - aa w� Get Updates \/ PS Form :rr t •r r r Text & Email Updates Tracking History March 23, 2019, 12:38 pm Delivered, Left with Individual SUPPLY, NC 28462 Your item was delivered to an individual at the address at 12:38 pm on March 23, 2019 in SUPPLY, NC 28462. March 23, 2019, 8:59 am Out for Delivery SUPPLY, NC 28462 https://tools. usps.com/go/TrackConfirmAction?tRef=fulipage&tLc=2&text28777=&tLabels=70180680000070243589%2C 1 /3 +J)j pvv -)-aod 91 gap U#Itw�),�, marq Date ReceivM Date Deposited Check From Name Name o/Permit Holder Vendor Check Number Check amount Permit Numb —Comments Rece/pt or Refund/Reallocated Columnf Column2 Column3 Column! Columns Column6 I Column? Col.-8 Column9 4/10 1 Vamam ks and ulkheads Mwhael and 11 Blankenshty 7530 S TM ■ Complete items 1, 2, and 3. - LA.161rrtiture ■ Print your name and address on the reverse A&J-1-1 C7 Agent so that we can return the card to you, ❑Addressee, ® Attach this card to the back of the�n-ailpiece, B. ivatibY (p rrfed ame) C. Date of Delivery or on the front if space permits. 1. Article Addressed to: D. 1s delivery address different from item i? ❑ Yea if YES, enter delivery address below. ❑ NO Ila 3. Service Type 0 (ll� loll [illllllllllllllllll Ifflll �ii�ll'I�i q Adult SSIgnatureRostrtctsdDe 0 egitereeddMat! ess® IT ery 0 ered Mail Restricted 9590 9402 4454 8248 7544 67 D Ceitifled Mail® �tr 0 Certified Mail Resticted Delivery Cl R'*" aw ,M o 1&_ .. D Co�ecton Delivery t on Delivery Restricted Delivery 0 7018 0680 0000 7024 3572 Imall 13 Mail Rest #eted balNery over PS Form 3811, July 2015 PSN 7WO-02-000-9053 5 Don Complete Items 1,'2 and 3 ` ■ Print your name and address on the reverse so that we can return the -card to you. ■ Attach this card to the back of the mallpioce, or on the front if space permits, 1. ArticieAddressed:�sj� Ill Illlll Illl 1II I II it#ll Illlll �If ill �I11 i l III 9590 9402 4454 8248 7544 74 Article iv 7018U 0680 0000 70�4 3589 w Return RecelfflR Q Agent D. Is delivery address dlffwst from— tent 1? Ye If YES, enter delivery address beiow: Q Nc 3. Service Type 0 PriorityMalt ap El Adult Signature ❑ AdultSignaturs Restricted DOmy 11 Gatfled MalM ❑ Registered MaT 0 g:gW ed jyA1 Cl CelWW Ma Posbicted Delivery M Return Receipt i 0 Collect on Delivery Mere drid09 ❑ Collect on Delivery Restricted Delivery 0 Sigrolure Conflr 0 Insured Mail 13 Signature Contir - azed Mall Restricted Delhwy Restricted Deh( ler $5M) �N16,5e_ 6F'W-V CA�IPS C-1 u174 Qpt�: 11350 '2�z5Ss jZo Restricted DomesticReturn Receipt