43903D - Molinini

'CAMA/ DREDGE & FILL
3ENERAL PERMIT Previous permit#
'New Modification Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources
Zoastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC J y , 2 j O 6
E 'RGfes attached.
it Name/lick9t1_ /) LIi1/,1/ - Project Location: CountyDaQurS c✓iCA-
2/ L Pi9)4 Ac t✓po / 4 Street Address/State Road/Lot#(s)
/e5 f Y,AL StateP, ZIP/9'y 2 A 1f1/j, #si P, 1 L,/l,y /
`((o/Q)%'2 •(p o// Fax#( ) Subdivision ,,57 1. tf �69,417 9J/c,-
:ed Agent To 1 L k 1 Af f City 5a4 7�6iI ZIP 2Yc/4
cw LI&W L P1 ❑ES ❑PTS Phone# ( ) River Basin 2.y62,
-.OEA ❑HHF ❑IH ❑UBA ❑N/A
Adj.Wtr. Body /L✓�✓ u1121/
PWS: ❑FC: `/
yes - PNA yes / no Grit.Hab. yes / no Closest Maj.Wtr. Body y�""
P Project/Activity /1a S, rp✓`,e),,c c/77 est
(Scale: >`
ck)length
i(s)
lier(s)
,ngth �. �_.``� /,g v
mber f
d/Riprap length
g distance offshore
uc distance offshore
cannel
bic yards f J /4 rid. 5Ve
np
Ise/Boatlift
ulldozing
1"1
kPAA A/ /are , �S �� �'�•-� N1/
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--rytic 4
e Length / GO
not sure yes n¢7}}
s: not sure yes 3
1
cum: n/a yes nod ,/
yes no Q
kttached: yes rlol /�
ng permit may be required by:le R.c. S Ai)c, CGS.. I See note on back regarding River Basin r

LILLIAN MELISSA MOLININI 3-50/310 1405
il
MICHAEL L. MOLININI
�, 21 LEATHERWOOD DR. •COLLEGEVILLE, PA 19426 DATE _. n
, PAY TO �� C 1`i tV `�
� `i
ORDER OF
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g + WACHOVL n 1
Wachovia Bank,N.A.
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1:03 L0005031: 10 L005973778 20
L405

(w i 70 Z oaf/
• DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Jame of Individual Applying For Permit: A }C� _ WO 1-/,//,j/
kddress of Property: ;6.S D AO?/ i'S f/l) A 0 7-V3
(Lot or Street#, Street or Road) I
5A0 viradA1---- (ST, TA-xne-0/ /1/r A9a/
(City and County)
hereby certify that I own property adjacent to the above-referenced property. The individu
pplying for this permit has described to me as shown on the attached drawing the development the
re proposing. A description or drawing, with dimensions, should be provided with this letter.
V I have no objections to this proposal.
f you have objections to what is being proposed, please write the Division of Coast:
4anagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390
vithin 10 days of receipt of this notice. No response is considered the same as no objection
ou have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
Dt bck a minimum distance of 15' from my area of riparian access- unless waived by me. (I
ou wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
�A / !,-"
gn Name Date
ZaeWP F Oki-e-F-E- r
int Name `„ �

I_ I .0 f HICI'1JV4L7 F•:t-t• 4.1• • '7-. .. • R.
pIVISION OF COASTAL ANACY IV ENT
ADJACENT RIPA ,.T r72nPERTV (5VF1 420 1 it:'i ';'1 'Ni%i.I':rF;=-rOP11,4- •
-
dd v iui:ui:'i2'r'J-•-b'for P. - •- , 0 1J• Nd �f -
aloe of in,.
ress ofPiopeity: jeZ,F1. Na iU4V —07-11.3_
.
(Lot or Street#, Street or Road)
•
-7rr7 , _ -
(Cit$, �-1`1'niy) •
hereby t;GAtily hat-i own pr.:petty-adjacent
.t
Drlyin2 for this permit has described tomeasshown-cn!heattacL .l-drawin he-1 fitdo i ont7u
re proposing. A de criution or drawing,with dimensions; should 1be• ,r`Jv1aGQ :v,L;i•ctik.,-} ,.�•
I have no-cbjcotion3 to this proposal
f you have objections. to-what-is-being-pro{vsed?.please_write the niviSiiin
lanagement, 127 Car z.'• —it-E g io. W iz -‘ �.-- 5:o.i.AlL'}i0- 3` ::39!
'ithin 10 days of receipt of this notice. No reRpe)sZ._c'_e id ifi_cons .a e :he ERa2&a&n o-obie0.imi
ou have been notified by Certified Mail.
WAIVER SECTION
'ill deratand t!cnt - breakwater _ _ >.: mast
et bck a minimum d(stane= :r-i 5'Srara_mv area-0 rillAr ,ltr,Sae _u Ls. -wave4
on wish to waive the setback ;;ou-trust-initial;t pp apria !lane
I do wish to waive the-15 setback.requirement.
I do not wish to waive the 15' setb ck re^quire—mtnt.----------
#3,1C(of
>ig_n Name Date
OR1- t-'1•) T;74ifi
'rint Name C