53152D - Shipwatch

CAMA/ DREDGE & FILL
IENERAL PERMIT Previous permit#
New ❑Modification ❑iComplete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources LL
pasta)Resources Commission in an area of environmental concern pursuant to 15A NCAC IT! ' 12�
.Rules attached.
NameS TQv.) G\\ "5.; ...) 4r^e5 Project Location: County O�Si...o..J
N� E.w' Y-i-v,E a. Lot-C T YZ= Street Address/State Road/Lot#(s)
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1 ZP6PaL / 45.4-IAState )J - ZIP ('C. I Y)/ ih v-' e--L ,/E&._ 1_o Lei (Z-,
Fi lam) 3Z$ '2- fl(O Fax#( ) Subdivision Sj Ns`? i L ��'`-),;`•-) '
:dAgent 0. (1-`� City N
t't ' PS T 1
i GAl-r.\ ZIP l&r(
Cw cytEW )TA ❑ES ❑PTS Phone# ( ) River Basin VNil-
OEA �!JI HHF 7 IH ❑UBA ❑N/A Adj.Wtr. Body it'rr -
c _•"•-3"
_ PWS: L FC:
es /(IQ/ PNA eyes no Crit.Hab. yes / no Closest Maj.Wtr. Body At- *I
Project/Activity PLV. �n IS-CS'''6— PL`-a- A-) SAr'-- F ►P(z--10I
(Scale: 1,1 = y
k)length U X I CI Z. l g
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s) Z'L x j Sb -+ __
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'-r(s) — RI1 •(12 t --I --
i;th I �())� �:
fiber �
/Riprap length _ ! I I
distance offshore
tI I I
:distance offshore Ti I I
innel { I I
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y
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is yards i
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11
7` 5 �
Length { I I I
not sure yes no i '� _�''��-''
i I not sure yes `" ? I i j I
7 —1
an: n/a yes 1
e ttached: ( no
, .g permit may be required by: N.) '1b�ScP�1, 1C P --+-\ I See note on back regarding River Basin ru
;pedal Conditions k i I.-> ..,/_L Q S

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
3el F. Easley, Governor Charles S.Jones, Director William G. Ross Jr., Se
Authorized Agent Consent Agreement
4a TATI CoN5-T R Jc-7'iGN\ is hereby authorized to act on my beh.
(Printed Name of Agent)
to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to
is activities described in the attached sketch.
,TION OF PROJECT:
PC:Ft cH TCc.Jn1 Harnr5 YI LLAS
mr,,3 2,v> iNu 1 D
2r1-k ThP4.a IL_ A FACti uC a5L-1GO
'ERTY OWNER MAILING ADDRESS:
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ORIZED AGENT MAILING ADDRESS:
rt N c Cs N S y t)Ci d fJ
1 D F` ;fir C ��ylva
PHONE NO. C) is 3 ?-3t/ 7
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BankofAmerica.
ANTINORI CONSTRUCTION •
'��•
145 VIRGINIA LANE
SNEADS FERRY, NC 28460 66-19/530
[phone] 9
U. C. D. .4 ,,P. cC>
/( ) DOLLARS
8
/e4z,„cz‘ zi",
AUTHORIZED SIG RE
11■006786II' 1:0S30001961: 0006SOS2L99011' ti

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON RELIVERY
• Complete items 1,2,and 3.Also complete A:- ature
item 4 if Restricted Delivery is desired. i 2 1 0 Agent
• Print your name and address on the reverse 0 Addressee
so that we can return the card to you. erved b Pre ! C ate�f Deliy
• Attach this card to the back of the mailpiece, J
or on the front if space permits. ' C� f _ t'K
1. Article Addressed to:
D. Is deli -ry addre-.different from hem 1? ID Yes
If YES,enter de every address below: ENo
gaDEL PR.0P \ 5
?i Q . S3G9( 3 o9
_ 3. Service Type
il)Cr 50 V 1 LLE N "(Certified Mail El Express Mail
C. ❑ Registered 0 Return Receipt for Merchandise
C 0 Insured Mail El C.O.D.
aS
SLti 4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7008 0150 0000 5544 7060
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 1(2595-02-M-154o
SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A Si nature , I
71: ❑Agent
item 4 if Restricted Delivery is desired. ❑Addressee
• Print your name and address on the reverse _
so that we can return the card to you. B. -eceiv y(Printed N e),1 C. Date of Delivery
• Attach this card to the back of the mailpiece, ,`//4, ^ ^, ii ," /, a d
or on the front if space permits.
D. Is delivery address different from item 1? 0 es
1. Article Addressed to: If YES,enter delivery address below: 0 No
...1 W AEI(\ ui . 0,.:e1 i-
1)(0 3 ly z.lY I N1E z)
3. Service Type
14 .To?3(.1 kL c��ciC i, ' �(_ Certified Mall 0 Express Mall
�7 �rl ❑Registered 0 Return Receipt for Merchandise
El Mail ElC.O.D.
g�
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7008 0150 0000 5544 7077
(Transfer from service label)
PS Form 3811, February 2004
Domestic Return Receipt 102595-02-M-1540