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HomeMy WebLinkAbout72878D - Satorre-!CAMA / '❑ DREDGE & FILL NO. 72878 A B C GENERAL PERMIT Previous permit # �"w ❑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 I SA NCAC Ri Jne ."t Klmd Applicant Name /� /y SA T G/xx-c Address 5?/7 /` GUGD X "'C` Rcal, City k e State "fC ZIP .Z �yy� Phone # (��U) 23/-3S".J� E-Mail Authorized Agent ❑ CW ;4W 9_PTA ❑ ES ❑ PTS Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: � V ORW: yes / �o PNA ( /� Project Location: County Street Address/ State Road/ Lot #(s) 9 1 v 4 ,, �P,,c/ .7,k Subdivision F, City ZIP.2792s F Phone # ( ) River Basin C,4 ,PL Adj. Wtr. Body . . b 67 / U 0,1 dna /man /unkn) Closest Maj. Wtr. Body —/AV, C ' �i91�CfC"'Oy "f)y w i i I ' ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ - .-■���ii�r■�.�■MEMO ■■i■■■■=■■s=■■■■■■ MEN ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■_��s■r��er�■[!L9L�■I�'�4■IL■I r�■`/ram■■■■■■ ■■■■■■■■■■ MEN ■EON■■■■ ■■■�■■■ MENmr. rM■ ■■■■■I■■ ME MMI ■i=■r �r■ w�■■=■■■ ■.mm �ii■■ .ENEWN ■I ■ .. ■■IN no Z'` ' i21UMEM 110■■■■■■■■■■■■ . i.■■�..Mssi �■ _.n ■■■ I)I�MANI ■■M■ ■■■■■■■■■ ■■■ ■■■I ►IMOM■■■■■■■o ■I■ ���■■■■■■■W■1�■■ o i o orAoolicant Printed Name Si re ** Please read compliance statement on back of permit ** Application Fee(s) Check # ]Peil �iLSc"i PeSjt'_jC Officer's Printed Name e ,2_--�-- Signature jh 7 -71 1 ing Did'Expiration Date AGENT AUTHORIZATION FOR.CAMA PERMIT APPLICA%' ON Name of Property Owner Requesting Permit: Kim Satorre Mailing Address: 588 Lightwood Knot Rd. Kelly, NC 28448 Phone Number: Email Address: I certify that I have authorized Joel Kies Agent I Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: installing deck, ramp, & floating dock at my property located at ...Lot 6 Riverbend. Dr. eurgaw in Pender County. I furthermore car* that I 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 albrementioned lands in connection with evaluating information related to this permit application. Property Owner Infornuffon: Tae Date 2 This certification is valid through __ _/ 2,0 / ■ 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 to: b Jeanne S. Carter > c,,7�'O 205 King Arthur Dr. °0: Wilmington, NC 28403- 11111111111111111111111111111111111111111111111111111111 9590 9402 1911 6104 9102 47 2. Article Number (transfer from service label) 7016 1370 0000 4733 0385 PS Form 3811, July 2015 PSN 7530-02-000-9053 ■ 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 to: David & Michael Bollinger 1695 Riverbend Dr. Burgaw, NC 28425 A. Sign ture ❑ Agent X �'-L." ❑ Addressee B. R el d by (Printed Name) C. D to of Delivery D. Is d very address different from item 1? PKYes If YES, enter delivery address below: ❑ No '17 3. Service Type ❑ Priority Mail Express® ❑ Adult Signature ❑ Registered MaiITM ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted ❑ Certified Mail(D ❑ Certified Mail Restricted Delivery Delivery O Return Receipt for ❑ Collect on Delivery Merchandise Signature Confirmation TM ❑ Collect on Delivery Restricted Delivery ❑ Signature Confirmation m 1_jred Mail gyred Mail Restricted Delivery Restricted Delivery r $500) Domestic Return Receipt A 7RY cj j ❑ Agent � X ❑ Addressri 4 e);. Date of Delivel! DECC 19 D. Is delivery address iffere om item 1? ❑ Yes If YES, enter delive addW below: [I No 3. Service Type ❑ Priority Mail Express® III IIIIII IIII 11111111, IIIIIIII 111111111,111111, I I I I I ❑ Adult Signature ❑ Adult Signature Restricted Delivery ❑ Registered MaiITM ❑ Registered Mail Restricted 9590 9402 1911 6104 9102 30 ❑ Certified Mail(D ❑ Certified Mail Restricted Delivery Delivery ❑ Return Receipt for Merchandise ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery 0 Signature Confirmation TM 2. Article Number (Transfer from service label) — ured Mail ❑ Signature Confirmation 0 1� 6 1, 3 7 0 0 0 0 0 4 7 3 3 0 3 3 0 ured Mail Restricted Delivery er $500) Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt Date Recelved Date Deposited Check From (Name) Name of Permit Holder Vendor Check Number Check amount Permit NumbenComments Recel t w Refund/Reallocated Columnf Column2 1 Column3 Columnl Column5 Column6 Column? Column8 Column8 01 Joel lass MoneyOrder m Sa orre _ USPS 253348676101 00.00 GP a72878D