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HomeMy WebLinkAbout74770D - MerrellIXCAMA / r 1 DREDGE & FILL NO. 74770 A B C O GENERAL PERMIT Previous permit # ' ANew ❑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 071A. 2 0 0 0 �+ p ❑ Rules attached. Applicant Name Cq�JTAI A OC &_RAL� Mr_a91;L.Ir Project Location: County /�k-- ,4 PIlli.ANOV r-K Address ;2—y q-4 TR%-)ITy Avf: City In) I LM1NCiTo�J State�G ZIP 2 ?4 11 Street Address/ State Road/ Lot #(s) 20 4-2. TRt nl ITy Ayr_wtk£. Phone # 10) (p21- 31 q 2 E-Mail Subdivision AJ/A Authorized Agent My '4c'a7: ► City o�41 r-M I NC-tTu�l ZIP g Affected ❑ CW /KEW ' (PTA ❑ ES ❑ PTS A c-1C jT Phone # ( ►0) 2/ 3I - 85 I ¢ River Basin W N IrE OAK AEC(s): ❑ OEA ❑ HHF ElIH ❑ USA El N/A Adj. Wtr. Body M IOI)LE So& #i7 CAyJAC nat man /unkn) ❑ PWS: 1 'AClosest Maj. Wtr. BodyORW: oes no PNA yes/ / IIII r 9 0 ■■■■■■■■■■■■■■■■■■ ■■MEM■■■■■■■■■ ■■■■■■■■■■■■■■■�■■■■■■■■■■■■■■■■��i�■ ■■■■■■■■■■■■■■1�i■rrlN■■■■■■■■■■■■v1■■■■■■■ ■■■■■■■■■■■rr.r.��r���■■■■■■■■■■■■■■■ avg,listance offshore max'"istance offshore ■■■■■■�l��iiiii�■ice■■■N■■■■■■■■■■■■■■■■■■ ■■■M■••—_r■■■■■tc �r ■ rrr■■■�:.:��r■��lc:■■■ ■r.r■■r� ■r�r■■:cam==r■■■■■■■■�rw■■■■■■■ M. ■///\■�_== ==�=�• N■■■ P■■011115 2MM;>t7■iiL' UMUM■■■■ ri�a■■ram -�• �i.��r�►�r■ ■ �■•_=�� :_��a■■�+�r - Ids NINE.■■■■■■■■ �■■■■■■■■■■■■■ ■■■■■■■■■■■■■�■■■■' ■■■■■■■■■■■■■■■■■ ■■■■w■■■■■■■■■ ����■■■■■■■■�■■■■■■ �i■■■■■■■CR "■■■■■■■■■fir■i�i■■■■■■r■■■�■■■■■■■■■■■■ T- Z!■/ r!l�Ti►�l■I.:i9�■■■■■■■■■■■■■ - � i Agent or Applicant Printed Signature "Please read compliance statement on back of permit" Czc _ _ # 2317 3 Application Fee(s) Check # 'I`II�R MCGL.IITL� Permit Officer's Prin ed Name ,I', Signature i /;21 2 SA, I/Z0 Issuing Date Expiration 15ate ow of Property Owner Requesting Permit: Mailing Address: C v e . Phone Number: Email Address: LJ P , ; j (� ,.� C' : �� co —7 1 certify that I have authorized Aci6nt / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits c� necessary for the following proposed development: at my property located at in d>" a..C'o rf County. l furthermore certify that l 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. VQj:I dt IMa4"p- o Print or Type Name Title Date This certification is valid through I I Postal —i ■ Complete items 1, 2, and 3. Also complete 1111111 Ill IN IIIIIIII TIP 11111111111111111111111 or on the front if space permits. 1. Article Addressed to: e � p v1 n.�S c= ✓J / � A -1 r 7'--- ---------------- sy„,,rj.0 2S'yf/ A. Signature" --� X ❑ Agent ❑ Addressee B. Received by ( Printed Name) I C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandlse ❑ Insured Mail ❑ C.O.D. rioftstricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label" PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-154t1-( Date Received Deb Check F— Name N f Perndt Holder V dor Check Number Check mount P—If NumbenC--ft R-1 t or Relund/R—Voted Columns Cok-2 Co/umm3 Cah..4 C01-5 Column6 Cgke 7 CdumtM Column9 112112020 1/21/2020 Kevin Pflnnan Architect, PLLC Mark & Rene Waslo Wells Fargo _ _ _. Wells Fargo_ 3029 $ 200.00 GP #74554D _ _ _ Tnnc rct. 9525 Coastal Marine Piers Bulkheads LLC Centhia & Gerald Merrell 23173 $ 200.00 GP #74770D TMc rct. 9522 1/21/020 F and S Marine Contractors Inc. Hemantkunar Patel __ _ _ PNC Bank _ 8353 $ 200.00 GP #74067D TMc rcL 9524 _ 1/21/2020 F and S Marine Contractors Inc. Paul Mills _ _ _ _ _ _ PNC Bank 8352 200.00 GP #74771D TMc rcL 9523