57354D - Ritter

LAMA DREDGE & FILL
I PENERAL PERMIT Previous permit #
New Modification LComplete Reissue E]Partial Reissue Date previous permit issued
i,ed by the State of North Carolina, Department of Environment and Natural Resources H. iwo
oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC X Rules attached.
Name Project Location: County Rm'u,
Street Address/ State Road/ Lot #(s)
State 7 zlp,�SLJ(A<> 0'( LaAd4n' kcadL
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)JCI - :53CL Fax # Subdivision V`I H.
-d AgentA,'tj jWYJ U',
El CW PW _PTA
DOEA E1HHF OIH
0 PWS:
yes /'no� PNA (yes
Project/ Activity
DES D PTS
El UBA 0 N/A
FQ
2NL
Adj. Wtr. Body
Closest Maj. Wtr. Body
V J
(Scale: 1
1
MONMENNUMMI-410
71
MEN"
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a
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ric yards
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1p
.e/ Boatlift
fs
A
Length
not sure yes no no'
0,
not sure I yes no
I Will
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Pi
1.00.12
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!urn: NO yes no
NIONNEENWINIONNIA
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Ixtached:
yes

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to
%x CO, 0d 61 M � . Pi'� r 's
(Name of Property Owner)
property located at 71V 7A R Lf1 Q 1 d& )Pe A Jb /4o/% kid9e l X-
(Lot, Block, Road, etc.)
on �� Z�GJ (Sftllvtg Souu� �, in lY� l �v R4 Se IV -Wu) C�akR/ ,N.C.
(Waterbody) T (Town nd/or County)
Applicant's phone #: TO 3 ot-/ 3'70 Mailing Address: '140 `MIZ 1A u 4 / & 2oA-D
l� Il4 1'��d4e . JcfG Z89t�-f
—T
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
x J �Zv reP la�eme,-+ Pier aca+ C as exis+�
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
)( 'y/0 P9 IAd D/AG &Ah e /fC Ae"yl+L�j;:_
Mailing Address 204s- Signature
n

ADJACENT RTPARUN PROPERTY OWNER STATEMENT
(FOR A PIERWOORING PILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 7ex �, a4 A f d L_.I3' fir 's
(Name of Property Owner)
property located at 70 YA R lA "!A (dG a A D 140114 �1doe AICI
O,ot, Block, Road, etc.)
on in ._..-._ f �(. d/JS[ar<1 Vic, N.C.
(Waterbody) (Town a d/ r County)
Applicant's phone #: 1/0 3a-f 3701 Mailing Address: '140 -711VIZ l.Rutt�NcT RoRA
1.10114 AA CC ABC- Z8 f#-f
He hss described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (I5� from my area of riparian access unless
waived by me. (if you wish to waive the setback, you mast initial the appropriate blank
below.)
i do not wish IP waive
JWdo wish to waive that setback requirement.
DESCRIPTION ANDIOR-DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
y SA Ekls'f-?nc}
x %mil) r e a e n� e,� �] i �x nt E GC�cc�'f t c t1 Lt 5 J
--- ------------------- -------------------------______--____---_____-------------•-------------�--.
(Information for Property Owner Applying (Ripar an Property er Information)
for Permit) /
Mailing Address 28 .¢S Lam)-- t 4.) r42 9 Signature
X
City/State/Zip
x 910 3zr-3
Telephone umber
r�)_%f21) _-
Print or Type Name
Flo pis =
Telephone Number
ti,=!l—a2yl�

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
:l F. Easley, Governor Charles S. Jones, Director
Authorized Agent Consent Agreement
William G. Ross Jr., Sec
q t�1T�,ao4 cc)t S :rc.i, %y-'.1 is hereby authorized to act on my beha
(Printed Name of Agent)
�r to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to
c activities described in the attached sketch.
,TION OF PROJECT:
'✓ R.�4e A/ l _ 2 9 yys
'ERTY OWNER MAILING ADDRESS:
IORIZED AGENT MAILING ADDRESS:
PHONE NO. 9>0-3a5-'S?0)
PHONE NO.
C,/0— 3-.,), ;>'3V s

Division of Coastal Nigt, Habitat impact Computer Sheet
dicant F �j y Permit #:
5h6
;tribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd in your Habitat code sheet.
DISTURB TYPE
)itat Name I Choose One
S
Dredge ❑
Fill ❑
Both ❑
Other
Dredge ❑
Fill ❑
Both ❑
Other
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge ❑
Fill ❑
Both ❑
Other ❑
Dredge 0
Fill ❑
Both ❑
Other 0
TOTAL Sq. Ft.
FINAL Sq. Ft.
(Applied for.
(Anticipated final
Disturbance total
disturbance.
includes any
Excludes any
anticipated
restoration
restoration or
and/or temp
temp impacts)
impact amount)
�D
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
Disturbance
disturbance.
total includes
Excludes any
any anticipated
restoration and/or
restoration or
temp impact

ANTINORI CONSTRUCTION
145 VIRGINIA LANE
SNEADS FERRY, NC 28460
[phone]
BankofAmerima Qip
„>4FVT ONOW19
66-19-530
Z5ma1P 7-011
ylUb
THE ut>, cce.)
I OF:
C
/OIS DOLLARS
cr s �sy D-- (V-.ti4'v G0",)
11000910611' 1:053000196i: 0006SOS 21990110