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
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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
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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