53968D - Sasser

1CAMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources l
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC �1 ' -DC--)
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attached.
:nt Name b c�N►J`} S Aft (L. Project Location: County ED- — --'
s 3c'Nc) 6 A L. ;-- L Street Address/State Road/Lot#(s)
.f,.'E F`ilS c G s r- `i State tU L- ZIP 2- 1—I`•l 5e1 ci )L ,‘ 2)... a ti t
#(9R) 1 vi ' i CM''''Fax#( ) Subdivision
•ized Agent 1, ,ti2-"c I i City '>,E-a-5 c e-1-1 ZIP 7-/6L4
d ❑CW EdEW kSPTA ❑ES ❑PTS Phone# ( ) River Basin\ITT i t
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❑OEA ❑HHF ❑IH ❑UBA ❑N/A
I: Adj.Wtr. Body ,aSt-4£v fin-&t k. \ na
❑ PWS: ❑FC:
yes no, PNA yes no Crit.Hab. yes / no Closest Maj.Wtr. Body \1:.`^d '�-i `-6 4—
of Project/Activity " NYSI-04.` _)*,;-S L IV t9 i,i,S-f 1-,J(,-. L Il,
-�; 1.=.:.- L_1\ ? i..-s )D 2.E _ac-, _irk wa&—�
(Scale: y�� _
lock)length
rm(s) __ 1
%
•pier(s) ( P_ill
I
length I ; Ills
7e, . ..., II
j A
lumber
Rip rap IIHhIIUBmmiraggiAl IfliL: :::
ivg distance offshore
nax distance offshore 11111dli!! riii
Bulldozing
1 k 1 dillirl 1E1
I
ine Length
111
11P!P'I"P!"iI'I!PPitiPP'!'H
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notsure yes no `j
igs: not sure yes no
)rium: n/a yes no
yes no ')
I
•Attached: yes no I i
ling permit may be required by: Ott S L,- t_ £v-,-.J' L 1 I I See note on back regarding River Basin i
/Snar•inl Cnnrlitinne

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Bank of America.
ANTINORI CONSTRUCTION
ACH H/T 053000796
145 VIRGINIA LANE
SNEADS FERRY,NC 28460 66-19-530
[phone]
i 0 nioV qS9
PAY TO THE
ORDER OF: NC'D e iv R $ o 5
Tl JD H�1 D,�t`.a �- CO)
DOL
MEMO C-iF� 53q ,b `
I On' co) AUTHORIZED SIGNATUR
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Ile0 811'0790 1:053000 L961: 0006SOS 2 3, 99011'

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to S)gNN`? 's
(Name of Property Owner)
property located at 3cif 2 AGbN
(Lot,Block,Road,etc.)
on , in SNEAcu ,N.C.
(Waterbody) (Town and/or County)
(119- -)3 i- i oWS'
Applicant's phone#: Mailing Address: SASACf I4 v l
Ss..=aps h�cQe S',tA.C. a Lf
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
It,..1, I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
3c1 13�,cON 1,.n1 ✓ a'((egiat/(1.1
Mailing Address Signature
Al

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to pc) PR 33 F 's
(Name of Property Owner)
property located at 3 S9 d rc Co1J t
(Lot, Block, Road, etc.)
on CIARitc-S in SNt F}DS Elzi> ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: q)9 - 734-Ib`1S Mailing Address: 394 BEAcoa L,14
5N 1=� 1122 " rJC ZS
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.)
,t‘✓41j/ 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)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
399 Bt_H Co#1 t� ✓ o �fl��,�—��
Mailing Address Signature

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 5 A55'r\""e_ 's
(Name of Property Owner)
property located at 3 ct9 d FA cr.) 1. r l
(Lot, Block, Road, etc.)
on CI-1 R2tr=.3 cv t= , in S ME'Ars-16 ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: ci 19 - 73q-IDIS Mailing Address: 394 13EACot Lt-I
5 IN) 1- -2J?t r C ZSL
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.
✓ 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)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)Rf� atA COI -1 4.1 410411-
l� &isa-
1 /fi/'
Mailing Address Signatu e

AIVA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
el F. Easley, Governor Charles S.Jones, Director William G. Ross Jr., Sec
Authorized Agent Consent Agreement
far rn140RA covA rkoc_7\ is hereby authorized to act on my beha
(Printed Name of Agent)
!I-to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to t
c activities described in the attached sketch.
TION OF PROJECT:
:\ct ZieAcc .
a tAC,a
ERTY OWNER MAILING ADDRESS:
4 co W
ask-fa0 PHONE NO. 515•13 -1 DyS
DRIZED AGENT MAILING ADDRESS:
v,26h0/41
fAO3 F1`21?k N C
a,,S9GD
PHONE NO. 9 /D - 5a7 3N 7S
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