75846D - White

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CAMA / K DREDGE & FILL NO. 75846
A B
iENERAL PERMIT Previous permit #
flew q ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environmental Quality
)astal Resources Commission in an area of environmental concern pursuant to 15A NCAC 01 H. //L'(%
�,t
❑ Rules attached.
Name T. M. We Ir
1114 Loodm GAa
I/✓ln�(bYl State AC ZIP a$4�
( II) 6/a q"48 E-Mail i M m sue,t(VW
d Agent .5t�7 N611t
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❑ CW ❑ EW ❑ PTA [21ES L?PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
fs>/ no PNA yes /®
Project Location: County Nam' maw K
Street Address/ State Road/ Lot #(s)
9100 -&z Id f acj& be
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CAMA ( DREDGE & FILL - F, C
GENERAL PERMIT
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ype of Project Activity
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Now Local Planning Ju, isdiction
Notesl special Conditions 116 �J

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AGENT AUTHORIZATION FOR CAMA PERMrT APPLICATION
Name of Property Owner Requesting Permit: M_ 64%)H/Tfj �r
Mailing Address- /_-� 1 A,
'hone Number:
Email Address:
certify that I have authorized r �
nt 1 C Vac for
o act on my behalf, for the purpose of applying for and obtaining all CAMA permits
iecessary for the following proposed development:
it my property ro located at �1Q� r�� �il�i�� �°�`'�•��- �`�%
n ' 4: '! County.
furthermore certify° that 1 am authorized to grand and do in fact grant perrrwssa
Wision of Coastal Management staff, the Local Permit Ofter, and their agents to
wn the aforementioned lands in connection with ev~afuawg kyWmabon reiategd I
rermit application.
roperty Cwner'nfonmation:
Sognature

R S T
Oaf Proper, "+eO
(AddfeNti. Lol
hc
r)CRlPll()N AN01OR ORAWING O� pRopciSEU DEVELOPME,
(Individual pu0posinq deve'opmem, rnw5f fill in descOPP011 bclOw or at"ach a sdo
f
i Its ItOt
11 Atli cin't 1%opozIN t -,miner IMIN
A, 1 A-F

n
Name of Permit Holder
Vend./
Check ft b-
amount
Permit NumbwlCommenb
ftcMW w Re/undll? eIlocefed
mmf
column)
columns
C.Our-6
C4lamn7
Columns
Column?
C
rs Bulkheads LLC
Fletcher F"uson BUT _
FM White Jr. Wells Fargo -
Jerry Hutton BUT
Lero Othnan First Bank
Michael Kui rs/Stan Hensley First Citizens Bank
Charles Denton First Citizens Bank
Will Bumette FCB
Acott and Yuki Prescott Coastal Bank and Trust
2494
$ 200.00
GP #76194D
GP #75846D
- - -
GP #76522D
GP #76295D _
GP #76503D
GP #76502D
GP #76501 D
GP #76296D
BB rot. 10471
PA rd. 10759
BB rct. 10472
JD rct 10835 _
JD rct 10192
JD rcL 10191
JD rct 10190
23330
$ 400.00
of Brunswick Cou
13859
$ 200.00
is LLC
1286
$ 200.00
nsley
5824
$ 200.00
actors LLC
8998
$ 200.00
actors LLC
8999
$ 200.00
Constnrction Inc.
3227
200.00
JD rat 10836