49105D - Ennis

4
]CAMA/ ❑DREDGE & FILL
3ENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue III Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC }-1 . 1 2.0
[ [tules attached.
p
t Name F-t O�E C. t..1 1,015 Project Location: County Pt 1,..'b G R.
1 21 Zj 0 E vv 9-1.4 '' t-- Street Address/State Road/Lot#(s)
--I f C GZ`I \-/ State& L ZIP Z8-N 5 )�-13 Ni . N t Y./ it.'s.-N)i%(1- (1-
( ) Fax#( ) Subdivisionvi
ed Agent i v.)j I.t...)J R.% City_ �r 2� �-.s 1-1 ZIP S{1
❑CW 1 W )TA ❑ES ❑PTS Phone# ( ) River Basin P
❑OEA /❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body .S l U'M4 �\n.->> ( nay;
❑PWS: ❑FC: _
yes ng PNA no Crit.Hab. yes / no Closest Maj.Wtr. Body i\-1-`W `!V
'Project/Activity 1-SST c..t t_ l tr. S 14 2 ‘-i'1- O EX:4--S-r1'J 1, D
(Scale: )r'
ck)length
i(s)
Ier(s)
ngth -{- 1 { 1 j " - _, 1-
{ --
mber I--� ! l i I I 1 1
d/Riprap length - - -
_ m
distance offshore I -- - 4-'-- T --
uc distance offshore
cannel i
bic yards
np - . -j 51 PLY')
•
Ise/Boatlift I •{y
ulldozing 'N
tT 5 r,:t. L..4F,'
- - - , _
e Length S'--,
not sure yes L' I , V i 1....s: not sure yes no 1 I -
lum: n/a yes I \ '�
yes o i - ' \ 1
Attached: yes 121101-i . _
ng permit may be required by: 3 L Q_{ ��i See note on back regarding River Basin r

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Bank of America.
RI CONSTRUCTION ���•
35 VIRGINIA LANE
4DS FERRY, NC 28460 66-19/530 //��i'i.j7
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D063 911° 1:053000 L961: 0006505 2 L99011' _ _

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DECRECCECOAS
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(City sod County)
cat*that I own pcoper epeeist the aboveaekteaoed proporty_ The=
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, give authorization to
Antinori Marine Construction to act as the
contracting agent in obtaining and signing for the
requested CAMA permit.
Job site address is:
t3 \L
c",-r
My permanent address is:
a

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
I Complete items 1,2,and 3.Also complete A. -. , e
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse X ` j 0 Agent
so that we can return the card to you. •I C7 Addressee
• Attach this card to the back of the mailpiece, Bved by ri fed Name) C. Data of Delivery
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
If YES,enter delivery address below: O No
�" t
Tort) f3►—.::5-r
t t rav-LIDotzt..ptie.x RD
GoLOSSokp N. •C 3. Service Type
NI Certified Mail 0 Express Mail
0A 7.3 0 Registered 0 Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee)
2. Article Number ❑Yes
(Transfer from service label) 7005 3110 0000 0502 7799
PS Form 3811, February 2004 Domestic Return Receipt
102595-0240-1540