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CAMA/ 7 DREDGE & FILL
GENERAL PERMIT Previous permit#
ZNew —Modification ii1Complete Reissue C'Partial Reissue Date previous permit issued
prized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC Ai . 1 2 n( ,
Q'Rules attached.
nt Name 7A-12.)1 1)(QJ&��.. Project Location: County t-)tNO02.-
(7 i i}1(4-1 f -1)i - Y9IZ Street Address/State Road/Lot#(s)
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5746
Bank of America. •
ANTINORI CONSTRUCTION
135 VIRGINIA LANE
SNEADS FERRY, NC 28460 66-19/530
(910)327-3475 30 Nnycot
PAY TO THE N. Q o
ORDER OF 'v• C D I" $ aco - m
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MEMO j p /b` ned AUTHORIZED SIGNATUR
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I, CTR p\-( . REP uU t R , give authorization to
Antinori Marine Construction to act as the
contracting agent in obtaining and signing for the
requested CAMA permit.
Job site address is: \ . E. N G1i1 B L R
IcIrtir,-e Ail LL C s - 3
My permanent address is: 0, As A v e
DIVISION OF COASTERMANAGEMENT
O"I FICATION/WAIVERFQRM
ADJACENT RIPARIAN PROPERTY O
Name of Individual Applying For Permit: Gp pY 'U I RcD►kJGt
Address of Property: tn. E• rb t-k s- eAd
(Lot or Street#, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The indiv
applying for this permit has described to me as shown on the attached drawing the developmen
are proposing. A description or drawing, with dimensions,_should be provided with this lettt
V —< I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co
Management, 127 Cardinal Drive Extension, Wilming on, NC 23405 or call 910-395-
within 10 days of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock,mooring pilings,breakwater, boat house or boat lift must I
bck a minimum distance of 15'from my area of riparian access-unless waived by me. (I
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
C,' I do not wish to waive the 15' setback requirement.
Sign.Name Date
/5 w.
Print Name �+
DIVISION OF COASTALR OTIFIC�ON/WAIVER FORM
ADJACENT RIPARIAN PROPERTY OWNS
Narne of Individual Applying For Permit: GARY D l:.0(n
Address of Property: In. 4 u - ( L
(Lot or Street#, Street or Road)
Anne l) 11 .G Z�L14
(City anld County)
I hereby certify that I own property adjacent to the above-referenced property. The indi'
applying for this permit has described to me as shown on the attached drawing the developmen
are proposing. A descriptio or drawing, with dimensions, should be provided with this left
have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of C(
Management, 127 Cardinal Drive Extension, Wilmington, NC 23405 or call 910-395
within 10 days of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock,mooring pilings, breakwater, boat house or boat lift must
bck a minimum distance of 15'from my area of riparian access-unless waived by me. (]
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
_Alm I do not wish to waive the 15' setback requirement.
6(14.0#1,(..am—
Sion Name Date
\--ilienctR ( rn - 9 - - c
Print Name