44914D - Talton

4AMA / DREDGE & FILL \,)
1ENERAL PERMIT Previous permit#
New 'Modification (Complete Reissue Partial Reissue Date previous permit issued
-ized 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 ) o
/
Rules attached.
t Name C�0.zS \mot.".3v.) _ Project Location: County D,JS�4A->
C1 J '/ Street Address/State Road/Lot#(s)
Q.y State L ZIP Z,5'j 3 p t ) 114 S/
(____) Fax#( ) Subdivision
ed Agent Z . (1.T (Y\AQ.Z.a ti City Sti(Lc Gil ZIP Z 1L4
cw 4w TA ❑ES ❑PTS Phone# ( ) River Basing r1 P& ,
OEA ❑HHF ❑IH ❑UBA ❑N/A LG�,�„>(nat
Wtr. Body 5% ^^P Nei natat
PWS: ❑FC:
VIV
yes /� PNA yes /((I Crit.Hab. yes / no Closest Maj.Wtr. Body h/
Project/Activity C-ove (1._ 1 3
(Scale: I ' l
:k)length
ier(s)
ngth
Tiber
1/Riprap length
distance offshore
x distance offshore
cannel
)ic yards
ip
se/Boatlift
illdozing 7 <1.
Length c7 /
not sure yes 'no
not sure yes
cum: n/a yes ej
Yes (
attached: es
�g permit may be required by: \a- '" t- Z It See note on back regarding River Basin rt

5358
ANTINORI CONSTRUCTION BANK OF AMERICA
135 VIRGINIA LANE
SNEADS FERRY, NC 28460 66-19/530 1
[phone] /4 MAr gG
0
PAY TO THE _ Q m
ORDER OF N , C D. /� , N. /C $ I 00, 00
()A/F. Ri,L DOLLARS -
8
MEMO Gr AUTHORIZED SI ATURE
4A1i/� - `T A./71-4i,
000 5 3 5E10 1:0 5 3000 L 9 61: 0006505 2 L 9 90

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Apr 19 05 08:08a p.2
t, ,Nno 1 a. t0 , 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:
2061,?
Stek" Crry fOc,
My permanent address is:
Gediti c, cY7713
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