50294D - Cole

CAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
.lew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
)rized by the State of North Carolina,Department of Environment and Natural Resources __
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC - .- •
�-` y {� LL. Rules attached.
. 1
it Name G V-R- � Project Location: County /
) 0$ Si 03�.-, l 'J,) S1 Street Address/State Road/Lot#(s)
J�-e S 7 a SUL\-1 LJ State3(- ZIP 2. LA�C.) ` i`''r`" C
DI 0)Zci k 1-3-10y Fax#( ) Subdivision
zed Agent T c}%rZ.:17, City Sri c 1\DS ►t rt`i ZIP
❑CW .l I EW PTA E ES ❑PTS Phone# /River Basinvr+t El E
l ( )
❑OEA ❑HHF ❑IH ❑UBA ❑N/A +err-P .� Lp''fl� na Adj.Wtr. BodyS�
❑ PWS: ❑FC:
yes / no' PNA��/ no Crit.Hab. yes / no
Closest Maj.Wtr. Body�L'"" P S'''''-)l)
if Project!Activity L a$T* L -- 3-xN \ �5 t , Li. FI 1 \-4. j 0' K i tQ
(Scale:
xk)length
n(s)
pier(s)
ength
imber
ad/Riprap length I f .
'g distance offshore
lax distance offshore I
:hannel I rI
I 1
ibic yards
uss oitlJ r
IIy( I$'
3ulldozing
1 a i
. lll
: 1 Ipi
__ ___ _, 44 1 I
ie Length
not sure yes `n � ; 1 t
gs: not sure yes I.
rium: n/a yes v
yes
Attached: yes
ing permit may be required by:01`) ,i_ ,-) C 0 See note on back regarding River Basin 1

7392
Bank of America
ANTINORI CONSTRUCTION ®
145 VIRGINIA LANE
SNEADS FERRY, NC 28460 66-19/530(910) 327-3475 /a (�C)IJ1 kR
a
0
t
PAY TO THE Q l�O�, C� °
ORDER OF At C 0 L" A/- !� m
f'00.e J-/(}NOf'�0 /CV DOLLARS
I COLS GP v 7 291 8
IL•6 (rPi G 5631f q ,peg C,'. ,�,,.'
AUTHORIZED SIGNATURE
MEMO
II°00739 211' I:053000 L96D: 00065052 L99011'

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
iel F. Easley, Governor Charles S.Jones, Director William G. Ross Jr., Sec
Authorized Agent Consent Agreement
A y-Tt twit 1 Cn m.5 Dc i]o 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 l
c activities described in the attached sketch.
TION OF PROJECT:
/U I5..�-�%•<<<1 - S
ERTY OWNER MAILING ADDRESS:
rry
#41 fzry /4r G 2rVeo PHONE NO. Vie - 29& (CJ"' /.
y(o - 334. -"270
DRIZED AGENT MAILING ADDRESS:
£ Y 11 )I. LA)
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PHONE NO. 9/0 - 3022 - 3 /Z�
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete • Sigpature n/
item 4 if Restricted Delivery is desired. ID Agent
•
• Print your name and address on the reverse • ./ ❑Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of D livery
MI Attach this card to the back of the mailpiece,
or on the front if space permits. . 73//d J
1. Article Addressed to: D. Is delivery address different from item 1? ❑ Yes
f YES,enter delivery address below: ❑ No
y
ay9 G(zatsovvt 02
EAD.5 Y E�y H L 3. Servjpe Type
Certified Mail ❑ Express Mail
ZS ❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label) 7008 0150 0000 5544 5264
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signpture
item 4 if Restricted Delivery is desired. ❑A ent
IIPrint your name and address on the reverse x )� ` 111E dressee
so that we can return the card to you.
■ Attach this card to the back of the mailpiece, B /p eivedve by(Printed Name) . Da of D li ery
or on the front if space permits. < i l/d1�Lq/ 'om J )of
1. Article Addressed to:
D. Is delivery address different from item 1? ❑Yes
If YES,enter delivery address below: ❑ No
Rrx LAB >
`l 05 E n I.N1OLE Ik .
ACK50 X)V I N C 3. Se e Type
G Certified Mail ❑ Express Mail
iO(Sy 0 ❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label) 7008 0150 0000 5544 5271
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540