48275D - Malisewski

;CAIVIA/ Li DREDGE & FILL
3ENERAL PERMIT Previous permit#
(New LiModification - Complete Reissue ❑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 ' Z I 00
1>1 Rules attached.
t Name Gb M Ak--;-LE-NV Y-1. Project Location: County t
n Z S V a " '•" o,-Nk.- o s,-rt. Ni,C,. Street Address/State Road/Lot#(s)
a E-N-c 5 r R 4L\\ States) (--- ZIP z- i-1 ►—) 2 9-,1(.- N.\St...-A. .c_,, ?'c . 4.
( ) Fax#( ) Subdivision 11 G --,-4-',A ? 7\1,�-c
ed Agent I. .J i Z •>o(1-1 City'7w) A .-.-"t-1-1 _ ZIP n �r�.',L
❑CW i EW A ❑ES ❑PTS Phone# River Basir,t:rr+1�-l`f-
❑OEA r_1 HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body 1 —`-•? —D C(np/r
❑PWS: ❑FC:
yes PNA yes /® Crit.Hab. yes / no Closest Maj.Wtr. Body Sit^ ''^ S+'��t�
'Project/Activity ?Q,tiT go o 3 .o..4._... 1 e. —
f'
(Scale: I .. i
ck)length
'(s) ./' L 1 YN 1
ngth --17
Tiber —
1/Riprap length
distance offshore i l__x distance offshore - .___ .
cannel l -
i
>ic yards P
iV.. -
,p il �v
se/Boatlift _ _- -- .--_:- -.
4
alldozing it
0/- 1 3 fil AY ZP
Length ` ,1 pp Gr
not sure Ges ` , M - � In S1.}t'
not sure yes no
r
cum: n/a yes `
yes '
tttached: yes 1 I ___L_ -
ig permit may be required by: :DOS COU� 1T` LI See note on back regarding River Basin n

I, la/AZ ..t.AtA- give authorization to
ntinori Mar Construction to act as the
contracting agent in obtaining and signing for the
requested CAMA permit.
Job site address is:
`2 kivellittoe Fe- Q2./
c2 3 , uc
60
My permanent address is:
‘---.{,--bc<X__

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1711
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FAX COVER SHEET
FROM: Antinori Construction
135 Virginia Ln
Sneads Ferry,NC 28460
TELEPHONE: [phone]
FAX: [phone]
TO: 31 Mn/lk?
ATTENTION:
TELEPHONE:
FAX: c\,1 1 -Se.3a -ay7�
SUBJECT: PLt96ct /N /4-L CJf1 I VE!?
NUMBER OF PAGES (Including Cover)

LIYEICKCOMMIALIMAIMER
•
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Pailit 7 7-7-D
►slirtss ofPzope:ty 170R 8)6 /4Mi4 �f, .
(Lot ar Street di,&wet°dron)
�A1 i(awned County)
loreb �
f that I own peoperty*mg so fie abov+o-
�eaoed Proper!'- The- iciBi
plyingfordispermikbesdesailediomeassbormastheattarbodiatothwibederprep A desaoptioe arm with forreosieos,sbodd be wovidedwidribiSletter.-
Ibseaosij dim btbis proposal. _ •
poet but objeetimi it what iz tan proposed, plisse write tie Div ..of-f,-„ *
UT WC2349Saee
bba 10 days afiaeoelpt Odds aseee. We response
ableasiliil
hawk et Mined by Gaillard
issamea�is
*Amu(
�z.� �� '�s �b�corbatBita�tba
wish St waive flee distoaceof14 from warts ofripariso arms-iaie o d b*me.
yew mast Mad the appreprbde blaak below.)
Ide Irish*swi*ei a setback requirement.
IAiligisside b waive She LTseduet _
+fie Date

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DIMON OE[OA.STAT.. IANAIESIT
lone ofinfreihniApplyingForPeanit ---T6 <- 7 'D te::LA)
Adieu afitope ty. • 11 Cs- t yr to L� T 120
(Lot or&wait Street erne
cSnr c-0.4tos lgtrat-R y ill y
2�
(City and Conaly)
xzzby catity that I own proms admit to the sb
inervithi
p &or't1perra tbssdesarledlo�a on od property- e
oddrawm,rtk tthe
A description cr drawing�trmeosioos,should be dwith this letter.
I have no objections to this proposal. _
rout have objeetimoi togabeing proposed, please write the Dbition or
PROW
127'G .111shusies, NC MB or Eat
bin 1$days ofreixipt adds swim N.reponse is easoidentuthe=leas nO
have been notified by Certffied M .
MAIMSEC/IONinstead '
fhatap ,dodrs s house or boatlanonst be
'cha ff Adam* from'Byarea ®na1 access-mien waived by sae. at
Rbsit to waive the setback yon mast bind the bank ba3eA►.)
/\(- , I do wish lsteosisetha 151 setback
nr
-
•W • 1 r � 4 _ Z o 0raw Date
s

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2, and 3.Also complete ignature
item 4 if Restricted Delivery is desired. I'" ❑Agent
• Print your name and address on the reverse `•i 0 Addressee
so that we can return the card to you. 1. Receive. by(Printed Name C. Date of livery
• Attach this card to the back of the mailpiece, J�[
or on the front if space permits. V t'/�-j lt'(v �-r 00 Name) J%f
1. Article Addressed to: D. Is delivery address different from item 1? es
If YES,enter delivery address below: 0 No
kil.On C--( AA--S'.-tk)
3L S co- 'r-eS't- Clc--
3. Service Type
kci \Q�V ❑Certified Mail 0 Express Mail
0 Registered ❑ Return Receipt for Merchandise
�a- �3 0 Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label) 7004 2890 0003 7345 9782
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPL ETE THIS SEC'ION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Si. atu :' MIX
item 4 if Restricted Delivery is desired. X / 0 Agent
• Print your name and address on the reverse 0 Addressee
so that we can return the card to you.
• Attach this card to the back of the mailpiece, B. ved y(Prnt .Name) C. Date of Delivery
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different f.y� 1, L .
If YES,enter delivery addres• .•:•. .• 0 �i,
co
V �� .. , ,
H ) N Q— 3. Service Type 71'
0 Certified Mail ❑ Express Mail
-. /..---/ S Lib 0 Registered ❑ Return Receipt for Merchandise
0 Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
(Transfer from service label) 7004 2890 0003 7345 9799