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Home My WebLink About71815d - DunbarE CAMA / E;DREDGE & FILL No 71815 A B C D GENERAL PERMIT Previous permit# -�ew ❑Modification []Complete Reissue El 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 �J -12 ❑ Rules attached. /`�/ Applicant NameJ. Project Location: County � n,O V ., t� �v Address v Street Address/ State Road/ Lot #(s) City_ 1n V �� State_ ZIP )) 5,� a Phone # ( ) E-Mail Authorized Agent ��1, 1 J�vA& Affected ❑ Cw J �OTA `*s ❑ PTs AEC(s): ❑ OeA ElHHF El IH ❑ UBA El N/A ❑ PWS: ORW: yes /.fi ) PNA yes / no n Subdivision City I i&t, 1`C fR&nL ZIP ZZ-6 J U 7 Phone # ( RiverBatsin Adj. Wtr. Body � V (nat I nkn Closest Maj. Wtr. Body .►1 �� 'i� .�_ L . all ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■N■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ III■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■l��li R1�■III■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■Il'�IIi��hl ■■■■■■■■■■■■■■■■■■■11ai�1:1■,1..��■.11a^!,%'.'■ ..■■■■a■■!��a■�a■■��■■I■a��li.■■■�.■■■�■■s■►�■■ltrNMEN �■■■his I, � , r■��CSii►�i�in�i�iiii�i��■1�■►1I_'%■■■■■�i■■■■■EM � ► � � ► ..>a _ ►• .....mot ent or cant Prin Name ign , *� Pledse read compliance statement on back of permit ** s v v};?;�41 Application Fee(s) Check # NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue Braxton C. Davis Dee Freeman Governor Director Secretary AGENT AUTHORIZATION FORM Date: 3-1-1 -` -1 9 Name of Property Owner Applying for Permit: Name of Authorized Agent for this project: ,_�> d llci7 ,bQ/` � 9/// �C) " 7 1,:::? 5 Owner's Mailing Address: l i A & n 4 L 2 :2�J -3 Phone Number (31) V - �73 S - 3a9� Agent's Mailing Address: �C, t-,--„ �eCe i3e it/ L 2��6q Phone Number (M) I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct the following (activity): For my property located at /%� ��'✓ a y7'-4 S% 00� �p�4,1,t& 20 — This certification is valid thru (date) Property Owner Signature Date 127 Cardinal Drive Ext., Wilmington, NC 28405 Phone: 910-796-7215 \ FAX: 910-395-3964 Internet: www.nccoastalmanagement.net One NorthCaroldna An Equal Opportunity \ Affirmative Action Employer ■ 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 mailpiece, or on the front if space permits. 1. Article Addressed [o: 63 y 1°fey s . // s 7— 6.lPt'hSborDr JVc 27 y rf0 IIIIII111Jill III III loll1111111111111111111111 9590 9402 4454 8248 7489 85 2. Article Number (rrwtsfar & --- p 7 D 2 8 7018 06$0 1, July 2015 PSN 7530-02-000-9053 ❑ Agent ❑ Addressee B. Received (Printed Name) C. Date of Delivery D. b delivery address different from item 1? V Ye� H YES, enter delivery address below: ❑ No 3. Service Type ❑ Priority Mall Express® ❑ Adult Signature ❑ Adult Signature Restricted Delivery o Registered Mai"" 3 ReClst Mal Restricted ❑ certified Mail® O certified Mail Restricted Delivery DDe�lllvy ❑ Ret rcha Recelfor Ll r die.+ -- " +livery 47L livery Restricted Delivery isePt ❑ Signature ConfirmationT" ❑ Signature Confirmation �� .�111M Restricted Delivery Restricted Delivery aov Nan 1HOIH 3H1 013dO13AN3 d0 dO11V tl3 Domestic Return Receipt Complete items 1, 2, and 3. A. Sinature Print your name and address on the reverse X 1• ❑ Agent 0 Addressee so that we can return the card to you. ■ Attach this card to the back of the mailpiece, ecety, C. Date of Delivery or on the front if space permits. i 1. Article Addressed to: D el' address diffenen from item 1? ❑ Yes co Y , enter delivery address below: ❑ No NC Zg`�6 5'' 3. Servicdatj(e USp ❑Priority Mail Express® I�I I II IIIII I I IIIII I IIIIIII II I I III ❑ Adult Slgnatu ❑ Registered MailrN II I'lllll IIII ❑ Adult Signature Restrloted Delivery ❑ Registered Mail Restricted 9590 9402 4454 8248 7489 54 ❑ Certified Mail® ❑ Certified Mail Restricted Delivery Delivery ❑ Return Recelpt for ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery — Merchandise ❑ Signature ConfirmationTM ❑ Signature Confirmation 2. Article Number (Transfer from service label) 7 018 0680 0000 7 0 2 8 Mail 4759 MQ'il Restricted Delivery Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt r1J Domestic Mail Only GREENSBORO r NC 27410 rU Certified Mail Fee $ $3.50, il4 _i9 Extra Services & Fees (cheek box add tee S Z=tei 01 0 ❑ Return Receipt 0-dcopY $ r3 ❑ Return Receipt (electronic) $ Postmark C3 []Certified Mail Restricted Delivery $ Here Ij ❑ Adult Signature Required $ ❑ Adult Signature Restricted Delivery $ C3 Postage ED $ $0.55 ..LI a Total Postage and Fees 112/22/201 g $ $6.85 CO Sent C3 Sheet and Apt. No or Fro Sox (Jo. --------------------------- ----------------------- r` I S-`V l"r y 5-----C%--------------- ------------------------------ /00__!-�AJf/ /f/C s 9h 82 ;' 1y -� 5 cq b "'C M5-' S9h�z --2,q ;gjvPIV V 4r 15t44he015�,11 St uu:�j fin-vQ ,��(2 4�V&Ald vajoj S9h�� p. 7�y-�J1�9' �uysrca �w+flmq 0 Date Received Date Deposited Check From Name Name of Permlt Nokler Vendor Check Number Check amount P—If NumbenComments Receipt or Relund/Raallocated Column! ColumnY Column3 ColumrM C01umn3 Column8 Column? Co1umn8 Column9 7