46263D - Carroll

.Z .
7 CAMA/ IDREDGE & FILL i
3ENERAL PERMIT Previous permit#
.lew .Modification ❑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 SA NCAC 1'1, \\ C) ` \/CDo
/+� //�� Rules attached.
6
t Name Le:47 C7 V N-12-(L L.i-- Project Location: County ©wY- 1,'-^ > .
VA% C i-1'11 LL" CA i -r' -.- ►L. Street Address/State Road/Lot#(s)
-NLE-S, CT State PO L. ZIP 1-�y LI 5 15 ~)1 Pt SI
`( ) Fax#( ) Subdivision
:ed Agent INt•DI t 1-7 11'y City'5v1 $-f AT') ZIPnZSLA L
❑CW L W C�IeTA 9ES ❑PTS Phone# ( ) River Basis s t:
❑OEA ❑HHF ❑IH ❑UBA ❑N/A GLa`',`'(n
Adj.Wtr. Body54, e �-- (nat Q
❑PWS: ❑FC: �Vs/__ /
yes PNA yes / Crit.Hab. yes / no Closest Maj.Wtr. Body ��/
F Project/Activity ?
Zr L..�1�A= -XZ',--1-I N._)(..> ‘.,,Lu.t-'cl: 1. i) 0.v O ' .0A'S rL
(Scale: '
ick)length __ ___ _
i(s)
:
iier(s) i
ngth TiI
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amber —.—...-
Riprap length r '—
g distance offshore •
sx distance offshore
hannel 1 i
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bic yards
TIP i"L4- 5 o s-
se/Boatlift P li-
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iulldozing
r-gw 41y
rt
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ie Length a' l ......... . {
not sure yes nofl
s: not sure yes '� : _..._r..—. I ._I _ _ ...
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num: n/a yes
yes :.J ' i — i —
Attached: (--ye- no � _ 1 _._. _ _
I

5647P
Bank of America.
ANTINORI CONSTRUCTION �I'
135 VIRGINIA LANE
SNEADS FERRY, NC 28460 66-19/530
[phone]
ff
0
PAY TO THE ^ /
ORDER OF N, C.l J. F iv. R $ (p0C),
1
3I x Hv.,6(:),P &f/ ��_ �Q, DOLLARS
8
AUTHORIZED SI TURE
MEMO
PY& a..-ez:"/
HI'00 5 6 4 70 1:0 5 3000 L 9 6i: 0006 SOS 2 L 9 9011'

icif
I, , give authorization to
Anti ri Marine Construction to act as the
contracting agent in obtaining and signing for the
requested CAMA permit.
Job site address is: 7o 3 S 7-14` 57gicE 7
Cr 7II C 7 8`fHS'
My permanent address is: cA-17LL K4.64 Or f u c
i tAt.i NL 27 ( 03
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- DIVISION OFCOASTAL MANAgatiENT
AIWENTRIPARIMMEiRTYM
r i 1 p p £ - 7 C R KkideLam_
akess ofPropnty. 2n fJ 5 r
(Lot or Street cabal)
(City and County) I .
kerebf �that I over poperty acjaceot to the ab
iortbiSP®tbas bodtuoteaa aatbe Sae
, khaveao ohjec: ioos dasproposal. _
pot have objection to what b being pied, pose write the Dom d Pie010
12TCatania Drive Exielakia,Wilholigtun,WC23405arta -
00
Ida Ii days ofseceiptef# asks We w as is -
di
hevebees notified by Certified Mat
,fir
derstaad dcia '��a��a �� ' 'boat house°rb�t�awe�t�
a wage the °f�free a�area efsiparraa q-unless waived is*roe. (If
yea most Waal the appropriate blank below.)
- I isw�thiowaisetbe LT setback
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