44843D - Hinnant

vtAMA/ I DREDGE & FILL y -' /
3EN ERAL PERMIT Previous permit#
(.New Modification I (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 ri ' I-2-4:2)�
"Rules attached.
t Name L 1 u•J \\T)') "-5T Project Location: County jL. Li✓
I c"V.L.-LAA C- .1--S L- i ii IJI, Street Address/State Road/Lot#(s)
,k..) P. C' E.-(t-4- Statet)Z- ZIP Z4 lap ��� 'Fu1-CANE 1LS LAtvi r✓(-
( ) Fax# ( ) Subdivision
ed Agent 1AtJI'S%-)J 0.—'a Cit N G A'S City ZIP 7�L-I
CW 34W L A ❑ES ❑PTS Phone# ( ) River Basin\N HITE-
OEA ❑HHF ❑IH ❑USA ❑N/A Adj.Wtr. Body 0 r, v✓ 2-iv e.q
PWS: ❑FC: Y�
yes /,%n� PNA yes /ai„) Crit. Hab. yes / no Closest Maj.Wtr. Body �S V� W/
'Project/Activity tJ 1 t-1, c x 2e- :>. q)Z t c1.._
(Scale: 1 q,s t
:k)length 6)4 2-G0. Og-*./ a—Iva a_ ____� __. ��.
i(s)
ler(s) 1
Igth I
nber
i/Riprap length
distance offshore
x distance offshore
cannel
nc yards
ip
se/Boatlift — I
iIldozing
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Length i;'Y7 1-
not sure yes no }i _
K'
not sure yes no
urn: n/a yes no �� ` IrN1AJ
yes
loathed: yes ((-'1'�
ig permit may be required by: N - �5 L-' See note on back regarding River Basin r�

IVP
5305
CONSTRUCTION BANK OF AMERICA
VIRGINIA LANE
FERRY, NC 28460 66-19/530
10) 327-3475 a RPR06
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//!�O DOLLARSX-1/0.rzff,,,,, .�
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AUTHORIZED SIG RE
) 5 30 So 1:0 5 3000 L 9 61: 0006505 2 L 9 900

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INEritaDVNVi'WLSV0©dO NoISIATa -

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN 1%0EIERTYOWNERNOTIFICATIQNI AIV FO
Name ofIodividualAppIvingForPermit G�.ci v ,)jj
Address of Property. PA 2c D y S l,c))4 J s (-i
(Lot orb#,Strcet arRoad)
�N.-j`) Fr,,P42L? Jf (
(City and County)
ham' certify that I own property otacent to the above-referenced property_ The in ida
pplyineforthispeankhasde ajbedtomeasshownoatheattached&mina the devel -1h'
re puiposing_- A description or drawnn with should be P with this lei
% -- I bavc no objections to tjsprojosaL
have objections
you have what is being proposed, please write the Division of cos*
127-Grid Drive Extension, Wilminton,NC 28405 or mil 910-3930101 10 days of receipt of this notice. No response is the same as no ob, pt
u have.been notified by Cert ed Mau,
WAIVER SECTION
uderstand tint a-pier,dock,mooring pangs,breakwater,boat house or boat filt mast be
ix*a minimum distance of15'from My area of riparian ass-unless waived by me. (If
r wish to waive the setback,you mast initial the appropriate blank below.)
I do wish to waive Ste setback nmuiremeot.
c I do not wish to wive the L5'setback requitement -
Name Date
AWA

I, , give authorization to
Anti on Marine Construction to act as the
contracting agent in obtaining and signing for the
requested CAMA permit.
Job site address is:
3 /3 fog Jj3d_) vc 1 p ,o
c )v 0-6 � 2� mot , c e��
My permanent address is: