48274D - Burgess

tMA►/ 0 DREDGE& FILL ‘,1
IENERAL PERMIT Previous permit#
jjjew EModification (]Complete Reissue ❑Partial Reissue Date previous permit issued
;zed by the State of North Carolina,Department of Environment and Natural Resources a
oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ► 1 • 1 Z"' ules attached.
747 ah `�7 7 y y; . Z4 -' Pro ect Location: County fl�S 1---���
:Name'g T LL�.Ptir '�h -� I
`'` '`' x.,." - �.P4 Street Address/State Road/Lot#(s)
►e4Pli: l State_ J L ZIP Z.:15--)(o 1013-' t ST ST
•�1q}j�&�� i�� .# } _ Subdivision C
�` ('� ZI F,' E C
,tp"� �; .f - City ,„.. (,
ed.Agent t+,5, i 2. t
❑CW la(tW 1TA ❑ES OPTS Phone# ( ,,'AMP 50,,•�R,v�r"" IpP~
❑OEA SS❑�P�tHHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body r lS� Nnat r
❑ PWS: ❑FC: s J �)r 'J
Closest Maj.Wtr. Body
ye o PNA yes no Crit.Hab. yes / no \
R.v1 9 ' o v t Y- a_�t3 `J�^ ex L 5 j 1 G-
fProject!Activit�P
(Scale: I"'
51 - 12XI1. 1s - ,
ck)length ( I • _ - —, --- -
1 m(s) 1 - •
1 - ._ \\ -- +— — -- -- --
p1er(s) I • —
length i ' I . : -
umber i • i ' y :
is
ad/Riprap length I I I . j I
— -- --
mg distance offshore { I i
nax distance offshore
channel ! I _.__.
:ubic yards —
_
-amp 'LT ! i- -I-- - '-- -- -
—
;taus= Boa`
11-1(t1- I — —
i Bulldozing • • 1 •
r l I •
ll.
i
eline Length,- •••/ • — I I • I�-l__ ' --- 1 - -- -- --
I
notsure. yes•' \ t( T '4 i "' _..
l I Q i
(bags not sure•:..."..; :�: yl boC )�
1
atonum n/a. yes '� R i
i
.is;- yeS - - (
ver Attached yes;µ
- i ;
gilding permit may be required by: 5\.A1)--CLA.--71-1 '
Li See note on back regarding River Basir

LAMA/ ❑DREDGE & FILL
;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 J `
;oastal Resources Commission in an area of environmental concern pursuant to I5A NCAC --)r 1 • 1Z-cz .
[Rules attached.
tName Vr -=4'ir , ,'J`••.a.(-7c- Project Location: County i._)0S4---- ---
LI 0 5 f2,E.p ) "E--r-t 9-- Street Address/State Road/Lot#(s)
:E 1.-r+r--- State N L- ZIP "L-151 to 10 '' i 5 G-1
F'1)a) 67>I • (p eLle Fax# ( ) Subdivision -
edAgent 1 21.).391.7 City SNac C-,ril zl i _-_;
❑CW (EW TA Li II PTS Phone# ( ) Riv ,sl�pp�i l t
❑OEA ❑HHF ❑IH ❑UBA -N/A C��'�MP S0L"✓� —
Adj.Wtr. Body
❑PWS: 0�FFC: L')Ir t 'S o vn r/- n
yes./sio PNA yes�Yho Crit.Hab. yes / no Closest Maj.Wtr. Body
Project/Activity ?Q.. T 9_ ..--.,z v t %-__ ‘'a(L'j to 3 C) e7 ►S 1 L .-/( 1-
1'4*-4- 12X 11— SI, sci LT tT" (Scale: 1": ,
:k)length -
(s)
er(s) 1 I I '
nber i/Riprap length I — - �
: ,
distance offshore i
x distance offshore
I 1
cannel I I L — I T •—L—
l
ric yards
}
tp * i_- 1 I
� i I
1z-x I- I I +
ilidozing . . i --
—
.N.NN
Length J
not sure yes no� �9 G KS 1-T? (.not sure yes no) —-- 4 p�K
cum: n/a yes r� (1 � i +--
yes ® l
[�'� -r
kttached: yes '�:! i /',�I . I I 1 I i -- I 1
ig permit may be required by: S�►�G C-�s- I j See note on back regarding River Basin ri

Bank of America.
ANTINORI CONSTRUCTION
135 VIRGINIA LANE
SNEADS FERRY, NC 28460 66-19/530 �, 7^
[phone] ( D
PAY TO THE c.
ORDER OF N
J
�� /rC�[!l7 Cl fs7 / �70 DOLLARS
6
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MEMO / AUTHORIZED SIGNATURE
�Sn� _ r__ i355‘n , galas, ite./azli✓s
v. 11'006 2 311' 1s 53000 L961: 0006505 2 L99011'

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MEMMEMEMMENMENIN' 71 -4
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1

.46771
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
:hael F. Easley. Governor Charles S.Jones, Director William G. Ross Jr., S.
Authorized Agent Consent Agreement
/11'IV/1At(Da, CON S7• is hereby authorized to act on my bet
(Printed Name of Agent)
der to obtain any CAMA permit(s) required for the property listed below. The authorization is limited ti
:ific activities described in the attached sketch.
:ATION OF PROJECT:
3 1 /5-r" Sf
IPERTY OWNER MAILING ADDRESS:
Vic .
5-7(. PHONE NO. //9 — � — **71�
HORIZED AGENT MAILING ADDRESS:
vt;AJO/2,'
fr, /q i///w.. (ate•
/rr d.( ,rry N. C
21 7 40 PHONE NO.

a-2-2007 10:00A FROM: r0:19196588587 P.1
1
DINSKREECOMEALMAILSOMta
• arsaffioataWng
lanimankinEEMUMISMIUM
Peak W iL1..1 wf r G X . ( E
Adios: m ert,: /0 3 /WT. .54.
• (Lot or Stout#,&neeeased)
Cry /✓� 5�5�
(+�s�+o -I he :by east ►Aett I ow pcopetty Wpm=Ito the abonizikared prop,"_ Theltaihead
applAsSerdispeemithsedescaledennessebommantheatusheddiaisiggihetieeellgastatihey
erepobporig' A description ar draft w dead beproddedw lbis:
•
kbess se**dm tidep epoed, -
iI?wt brew allaetiei to what b big propose; please ma, the DES.
Apelital
Illemagosats 127Catellesi Defoe btriea,Vilbiegios.NC 214113 eat•
.ii i psatieset itsftiisaelioe, risposse k esediereditheasassiiisto
rsa bsw-bssaselifiei by Gaill ei
wan=
ti■ta llsr,do*aeaaelespi �briellavaten bedtime er be■tatartbe
itimikamiabemeeaseetee#]r ass aware.strtsurfew seem-valastla lwd ess. (ft
os wadi to waive dos i 7R ma tie appreprime blank Wow.)
• Idsari kbira a s. seiwkeegriaseat
I1ds■lweie 13`
f, -
j_
11,2
et _ - —

1 ? 3 5 DIVISION OF COASTAL ANAU �A� 1 Z/ 3 j
ADJACENT RIPARIAN?Wenn"OWNERNOTIFICATIONWAIVERSORM
bone afLsfol TarPtrasit LAJ[U/4 ill. i C t kii,fera
.ad ess&Props rcy. © 3 L ,r/&2S i Ste.
as-Street#,StrataeRo
cct) C/ T y 8 JGYS
(Cityand / . ....�._
aeby cart*lint I own property add to the above-rekrenced property. The:
p pe�tbasd bedtomeas as anac hod Use
.i A description or thawing with thmeosions,should be prov ed with ibis letter_
_ I haven)objection to sproposal.
roe have objection
towhatis be write r Vont*
NC 254415 4a'ai 9U
bin ie days ofreceipt stab mike. No response is consideratthe some ss ao
objettioial
have e n notified by Coed .
_ `4! ``f i ------
dentaad thata-pier,dock,arm* ter,bast house or beat lift nowt be
Pck animism distance of1S"from/wares ofr rmas access-unless waived by de.
vrisb to 7 idre the setback,yon mast 1 diet blak below_)
• - I dowishlo"miscible setbsdcre ai
I4onotwishis waivethe Lis setackze ,
Due