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iTICAMA/ DREDGE & FILL
3ENERAL PERMIT Previous permit#
tNew Modification `IComplete Reissue __Partial
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 I5A NCAC —7 H , /2.---4)
Mules attached.
it Name g-0%-eNt..7 t-, w'&s j Project Location: County 00.S L..0
S Q L In L U y b it- Street Address/State Road/Lot#(s)
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❑CW ` EW $PTA ❑ES 0 PTS Phone# ( ) River Basin W I E E
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 51 "r 'Q , .. ,...>a /
❑PWS: ❑FC:
/ no PNA yes 41111• P Grit.Hab. yes / no Closest Maj.Wtr. Body A I W"
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g distance offshore !
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ANTINORI CONSTRUCTION Bank of America.
135 VIRGINIA LANE
SNEADS FERRY, NC 28460
[phone] 66-19/530
PAY TO THE d.7,
ORDER OF
• QD
MEMO
5�.,�YJJ AUTHORIZE SIG K/-0
II'0055 101I' 1:0 5 3000 1961:
000 6 SOS 2 1 9 9011'

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;t114(IN
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I, z 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:
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My permanent address is:
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W� 6'&4 £ L A9 OA
SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete Si.natu
item 4 if Restricted Delivery is desired.
■ •
Print your name and address on the reverse
so that we can return the card to you. �� I ,tj/ r •"
■ Attach this card to the back /e) ���• l s=:
or on the front if space permitsthe mailplece, eceived by(PNnted N: e) C. Date of Delivery
1. Article Addressed to:
D. Is delivery address different from Item 1? ❑Yes
PON ©coM If YES,enter 41e(i 1 e below: 0 No

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