55877D - Riccardi

CAMA / ❑ DREDGE & FILL
r-7.
x"ENERAL PERMIT
Previous permit #
New ❑, Modification ❑ Complete Reissue ❑ Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources r/�1' /1
oastal Resources Commission in an area of environmental concern pursuant
to 15A NCAC V
Name 1 �CUY
Rules adached.
Project Location: County .
�
I k hU C1��h 1 Yt
Street Address/ State Road/ Lot #(s)
�( U Stat&_ ZIP_
13S Caw l)nyel
- 34 Fax # ()
Subdivision N
�d Agent-�jti1o�1
C��1�`r�rti7 6),
Citv\-YVAS�iYVLA ZIP
❑ CW 4EW PTA ❑ ES ❑ PTS
P e�#' ( �- River Basin
ElOEA ElHHF IH ❑ USA ❑ N/A
Adj. Wtr. Bod PAJA nat
❑ PWS: ❑ FC:
1 1
yes / no , PNA yes / no � Crit.Hab. yes / no
Closest Maj. Wtr. Body
Project/1'��rif�ll�%►1Gii1i�
:k) length
(s)
er(s) _
i
igth
nber
i/ Riprap length
distance offshore
x distance offshore I _
i
annel -
>ic yards
ip I
se/ Boatlift
Aldozing ; f
� U
Length -.
not sure yes no
s: not sure yes no1Xn -
ium: n/a y.�s no tT
yes no
kttached: yes no — ,• ,
ng permit may be required by: W
❑ See note on back regarding River Basin
kP/1 10 11i/!r1 Cif
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
Authorized Agent Consent Agreement
n 0 r 1 l zM l Iy L' l DO is hereby authorized to act on my behalf
(Printed Name of Agano
in order to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to the
specific activities described in the attached sketch.
LOCATION OF PROJECT:
135 CaAaa In-
S(V tkd s_�_N-c, 26� LP p
PROPERTY OWNER MAILING ADDRESS:
PHONE NO.
AUTHORIZED AGENT MAILING ADDRESS:
c reftyuh6r)
� 45 N walm w un
Snt ads nre 264Le 0
Signature of Property Owner
Signature of Authorized Agent:
Date: 7 / / i // 0

ADJACENT RIPARIAN PROPERTY OWNER S'TATEytENT
"it A P14F MOOR NG PIUING"OAT TMATHOJEUM e
i hcteby cefitvr that I own property adjacent to l
(NUN of rraperty Owner)
property located at
(ri... Bleak, ita.a, eel)
On in 5 �. N.C.
(W aterbody) (TOWN aadAW coaN+)
Applicant's pboae 0:A ii"�,Z I• - M rdn Addrgs• t'i (.diS TEEbA i C.4} 4 OR
He has described to me, as shown below, the d-elopment he is proposing at thatlocaalon, and, I
have no objections :o his ptopoul. I undo..Sund that a piorhnooring pilings r boacli$ ' boathou-ee
must be set back a minimum dicta -r , f fiRero feet (i 5) from m; area o: riperan access wil:ss
-lived by aw. (If you wish to waive the eetback, you mast initial the below'.) appropriate blank
19240 mzy to waive
--!!S— 1 do µish to waive drat setback regoircm w-
DESCRIPTION AND/OR DRAMT G OF PROPOSED Dt'-ELOPMFP;i :
(O be Ji M In l r individaa: proposing development)
(104ravatiaa fir Ft opvw Owner Apples
tDr remit)
t S cRVA D�
NA.il;ng Aea�-"
-'sNa* F" �G
city/Sti-Tito
-Aa-64a-yV"
TolephZ
Silatatin Date
(RipNiaO Property Owne Ialbrseadva)
Sip.wee
2im" PM or rro Name
qfo /,7-W
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fhite

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IC Division of Coastal Mgt, Habitat Impact ComPutEr Sheet
pplicant: Xia k(Myki,--
ate:
the application. All values should match the name, and units of measurement
)escribe below the HABITAT disturbances for
ound in your Habitat code sheet. t
I DISTURB TYPE
Habitat Name Choose One
OwI 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 E
Dredge ❑ Fill ❑ Both Dredge ❑ Fill ❑ BothDredge ❑ Fill ❑ BothDredge ❑ Fill ❑ Both
Dredge ❑ Fill ❑ Both ❑ Other ❑
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
lSlP
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
TOTAL Feet
FINAL Fee
(Applied for.
(Anticipated final
Disturbance
disturbance.
total includes
Excludes any
any anticipated
restoration and/o
restoration or
temp impact
temo impacts)
amount

ANTINORI CONSTRUCTION
145 VIRGINIA LANE
SNEA�98460
10) 327.3475
BankofAmerica -
ACH HIT OMWI98
66-19-530
noA, DOLLARS
P,
a
On-
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