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CAMA/ V DREDGE & FILL C
;ENERAL PERMIT Previous permit#
iNew Modification (Complete Reissue Partial Reissue Date previous permit issued
-)zed by the State of North Carolina,Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to ISA NCAC } , I' ( l
Rules attached.
t Name p}rn&S ALL Project Location: County Of\ 3LGIN
_ 4c,oto /3/ J%/YI El\J ()LA( E Street Address/State Road/Lot#(s) _
v/Z 1-f--A,ev‘ State /\1 C ZIP 2,..7 70 5 /OS(Q Sr./ 57
lam) 11Lt f109O Fax#( ) Subdivision
ed Agent 4-L 667&/-tToL City SL,J2F C i 17J ZIP 1544
Elhe
Cw w `PTA ✓ ES ❑PTS Phone# ( ) Sf1 /h River Basin C.f tt
❑OEA ❑HHF ❑IH =UBA ❑N/A
❑ Pws: ❑FC. Adj.Wtr. Body C A N AL(t F F A‘v\1 W) (nat
yes drill' PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body STUMP U OUN0
Project/Activity f R(✓PLP L E- Ex i.Tl/'J& &L„(f�"&-A t) 4 1) (k 6 0A-e_ 5 [)/l
,,woK L} VW1.- OF 1)0Li< . (Scale:/"-3
:k)length
(s)
er(s) — CA • 1 A L. ,,,s
,�h ,
nber —
4t' I:X iS7Irk,
iRiprap length jilt' `.1 / d C)- (1. 1�1jS)
distance offshore 2' `a.
x distance offshore Z' ,a //
3 ev
cannel a-Q .
Ea-'° 1E1J .
)ic yards —' j 1-Kjt(Ar)
,p < ' Tk- E'er r , -)l.A(EO
se/Boatlift Z: NA"r02.WMt1)
i:iceSrirl(s
1Ildozing .) 0 -CltEXO,
C j W/f-4- &VOT &:
XIST-'uC,
2A-/N
a Length /50'
not sure yes n - q
not sure yes ( k
cum: n/a yes
yes
attached: yes �i9
ig permit may be required by: �(t/1.F 6 rt . See note on back regarding River Basin ri
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ANTINORI CONSTRUCTION
BANK OF AMERICA 5 4 3 7
135 VIRGINIA LANE
SNEADS FERRY, NC 28460 66-19/530
[phone] 2 3 0KA C
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0
PAY TO THE _ (�
ORDER OF N. . C - D , 1- r�l l?
$ Zoo_ Oa
, �I�AI02e20 // AO cyer) DOLLARS/a.14 716 P
MEMO/ 5 /571 e (Jo a s / `) AUTHO IZED SIGN URE
00051, 3711' 1:053000 L961: 0006505 2 L99011'

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIATLPROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 91, IF
- e I
Address of Property: ( 0 S r vwf '
(Lot or Street#, Street or Road)
k- c O, LO IA) C O:
(City an&Count
I hereby certify that I own property adjacent to the above-referenced_properCy. The individua
applying for this permit has described to me as shown on the attached drawing the development the)
are proposing. A des 'ption or drawing,with dimensions, should be provided with this letter.
COI have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coasta
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390(
within 10 days of receipt of this notice. No response is considered the same as no objection i
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
set bck a minimum distance of 15' from my area of riparian access- unless waived by me. (I
you wish to waive the setback, you must initial the appropriate blank below.)
61.50 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
mx j641.4 c., D ,I S-2 c -ar
c.:____ ,,Y- Tate

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: ,L R '
Address of Property; 1 0 `; (o 1 --f-- 54L�\`�
(Lot or Street#, Street or Road)
(5tit.,•\4 C.4.. g—ii---J.41") . (e .
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has descr- d to me as shown on the attached drawing the development they
are proposing. A descrip • or drawing, with dimensions, should be provided with this letter.
�'(, ) I have no objections to this proposal.
if you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
- WAIVES _,ECT1ON -__
I understand that a pier, dock, mooring pilin s, breakwater, boat house or boat lift must be
set bck a minimum distance of 15' from my ar a of riparian access- unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Sign cline Date

May 07 ( 5 08:31a P•`'
I give authorization to
L
Ant. on Marine Construction to act as the
contracting agent in obtaining and signing for the
requested CAMA permit.
Job site address is: /O ' FileST S I
s
0
g II-44(
My permanent address is: 3 4 o 4 73a').1-'2') °I. -44-
Dwil,0_,„ AR- g 77 dSr