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Home My WebLink About74525D - ClemmonsCAMA / ❑ DREDGE & FILL No. 74525 g C D GENERAL P RMIT Previous permit#� 5 New ❑Modification omplete Reissue Partial Reissue Date previous permit issued As authorized by the State of North C li , Department of Environmental Quality and the Coastal ResoLTs Commission in an area of environmental concern pursuant to 15A NCAC ( j n A ❑ Rules attached. Applicant Name �_.uc r �,%Project Location: County Addrez— I-Wl UV X_ t�11�1?rl ►�t,� �' �"� Street Address/ State Road/ Lot #(s) City ' �1k/ I -(A. State) ZIP Phone # (a ^- -Mail _ Subdivision Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: j6TA ❑ HHF ❑ IH yes / no ❑ ES ❑ PTS ❑ UBA ❑ N/A --Signature * * Please read compliance statement on back of permits Application Fee(s) Check # City f I ZIP Phone # (� �I l \/ River Basin Adj. Wtr. Body Mb� Y� Closest Maj. Wtr. Body (nat /man /unkn) Date Received Date Deposited Check From Name Name of Permit Holder Vendor Check Number Check amount Permit NumberlComments Receipt or Refund/Reallocated Cclumnl Column2 Column3 Column4 Columns Columns Cok-n7 Ca/umM Column9 7/23/2019 Alan Dale Clemmons _ Dale Clemmons Sawyer Properties LLC Matt —Sawyer BB&T _ _ _ _ Wells Fargo Bank 5860 $ 200.00 GP #745251) JD rot 9157 BB rct. 1544 7/23/2019 1027 200.00 GP #745241)