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Home My WebLink About73574D - KozelY�CAMA / DREDGE & FILL NO. 73574 A B C GENERAL PERMIT Previous permit# New Modification _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 15A NCAC �J ❑ Rul s attach Applicant Name Address 1 S city - nWET E-Kf— State ZIP Phone # 6 o1 )741 — O I Z/�E-Mail Authorized Agent 1\47- h N 4K/106- El CW ❑ EW ❑ PTA ❑ ES ❑ PTS Affected 1,0EA ❑ HHF ❑ IH ❑ USA ❑ N/A AEC(s): ❑ PWS: ORW: yes no PNA yes / 0 Project Location: County 011-I LOG/. Street Address/ State Road/ Lot #(s) Subdivision City � w F i' ZIP Phone # ( `j'River Basin j/i1/ d Adj. Wtr. Body 14 T l/ C�GC-I/`� nat /man /unkn) Closest Maj. Wtr. Body j T L ■EEO■■11■OME�M_M MEMMEE■ME■■■MM■M■■■■ - ■�■■■■■111E■■,r,�■■■■■■■■■�■■■■■■■■■■■■■■■ M�OEEi■ ii iM ■ice®E■i ■O�■■■ �0000Ei■■iEEOE■� ■�■■■■111■ ■■�■■■■M■■■®■■■■■■■■■■■■■■■ ■■■■■■111■CEO ��■■■■■�■■■■■■■■■■■■■■■ M. M.■!!■■ -7l1�!'t.�■■■ill!\■ Vf11t6ii■■■IIi�■MOM\■►`�E\■►!�■■■■■1■■E■■■■ME ■■■lit!■►`. \!■\� ►N�ailL'3'.'llii/ir111 '11t!�■■■ ■►`!N■\!IMEMME■■■ ■■■MEMO •■■M■■EM■ 10001TI Ai■ 4011 NE MEEMM■MEME M E®OM■OMMEME Ov■mEMWMoMO . Kwrohm (1&k,- Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # �A� L-: Permit Officer's Printed Name . Z1 • I q Issuing Date I.2? . Zu2'o Expiration Date AGENT AUTHOR�7ATQH FOR CAMA PgRlff A�IPL CATQH Name of Property Owner Requesting Permit: Mailing Address: 1 rl J 14fl�.� ' Q ► lk !lDCL8 Phone Number: Email Address: 1 certify that I have authorized to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: ITS____ at my property located at -dl inUQ�6ACounty. I furthermore certify that 1 am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. PrepertY Owner Information: Print or Type Name h.., Title Date This certification is valid through 1 I RECEIVED DEC 2 0 ',"G DCM WILMINGTON, NC RECEIVE[ OF 2 0 0CM WILMINGTON, NC Postal RECEIVED DEf 2 0 Q' DCM WILMINGTON, NC 12/23/2019 USPS Tracking® USPS.com@ - USPS Tracking® Results Track Another Package + Tracking Number: 70190140000092602117 FAQs > Remove X Your item was delivered to an individual at the address at 3:05 pm on December 19, 2019 in CHARLOTTE, NC 28226. OV Delivered December 19, 2019 at 3:05 pm Delivered, Left with Individual CHARLOTTE, NC 28226 Get Updates \/ Text & Email Updates u Tracking History Product Information See Less /\ Can't find what you're looking for? Go to our FAQs section to find answers to your tracking questions. Mr https:Htools.usps.com/gofTrackConfirmAction 1 /2 12/23/2019 USPS Tracking° USPS.com@ - USPS Tracking® Results Track Another Package + Tracking Number: 70190140000092602124 FAQs Remove X Your item was delivered to an individual at the address at 12:10 pm on December 20, 2019 in STOW, OH 44224. C✓ Delivered December 20, 2019 at 12:10 pm Delivered, Left with Individual STOW, OH 44224 Get Updates \/ Text & Email Updates u Tracking History u Product Information u See Less ^ Can't find what you're looking for? Go to our FAQs section to find answers to your tracking questions. CD CD 0- Cr v n X, https://tools.usps.com/go/TrackConfirmAction 1 /2 Data Reeelved Data Doposhad Chock From — Name o7 P«mit HoNNr V.1" Chock Number Check amount Permit Numbs lC—ts Receipt or Re/und/Realloeated CdumM Column2 Colum03 CWum114 Coh-6 Cokon M Column? Cplumnd C.1-9 12/31/2019 Dutchman Creak V Iles & Marine HOA wm. Real Estate & Buudmg Co. Coastal Mariix Pier Bulkheads LLC Dub:t— C—k Vila HOA No Slat Bank 705 70D.00 GP 074834D GP 4735740 _ ._ OP 9745530 T— rt 9098 12131=9 _ Debbie K W Bank o1 Amerlra 17134 40D.00 JD r L 9449 17/312019 _I Janes Ewra Walt F 73144 f 20D.W TMe nX 9608 120MAM9 Hdd01 TCM Inc. d TCM ko. rh Jft SWO Walt F 1t7L12 40D.DD _ GP 974709D TMc rt 9515 TMc 17 M