39799D - Gallaher

]LAMA I J DREDGE & FILL P V
3ENERAL PERMIT Previous permit#
New -1Modification ❑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 15A NCAC `)A .,f VV
[_iRt les attached.
t Name col 64 // 4" Project Location: County `^y
t t f L/ .; •} L�c t' r� ,r ' F a jk "•'�c. Street Address/State Road/Lot#(s) 01
4 h 1 /—P/Ty State /-r ZIP V/C
(gsfU) 3J (,5 Fax#( ) Subdivision /'e/'A'%-- /Ai A-r
ed Agent 5 AMP 4v- nioR, City S nief 1 r Pe rr y ZIP 0 £Y(o
❑CW * Nora ❑ES ❑ ,PTS Phone# ( ) River Basin i it
❑OEA ❑HHF E IH UBA ❑N/A „r'�/✓�V
Adj.Wtr. Body /} Crn�i
❑ PWS: ❑FC: A ,—
4/41.1
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body �7`r
f Project/Activity j/J/ SJ! i-na /211NT T t?eikwermae.
(Scale: /
ck)length ike.?ECf;c^, A--14 4Jl 1y s(41e
1(s)
1 ._ i yr- ,t m
v.
�
iier(s) t 14. � f! T li i
ingth — i
mber
d/Riprap length I ;__.
g distance offshore
ix distance offshore
hannel 7
ii3
bic yards j
Y..
se/Boatlift /O
t
_ 4 _
Iulldozing I I
!
3,(FAf<+Aif 4 i I
/O f 0 i lfifi�
K� ;
{ rI
/
ie Length I.... .. . _ i % f,
not sure yes no _ }
I j
s: not sure yes no
ium: n/a yes no ; -..../ i
yes no + .� L_ �
Attached: yes no
ing permit may be required by: b NSI Qv/ (.b . . fl See.note on back regarding River Basin r

STEPHEN E. ANTINORI 1149
910-327-3318
135 VIRGINIA LN.
SNEADS FERRY,NC 28460-6745 Date /
66-19/530 NC
Y I 6070
8 pyrR W C Jv ✓2 , $7A4-e 1 a-0 if I I,
Bank of America
B k of A erk a dvantage®
ACH R/T 053000196
For CnP 39 '9
1:053000 L961: 00069 200 59 34II' L L49
Tscc

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: Au A -N
ADDITIONAL NAMES: Ste-r7\,e_ .) A► i, -,(s % �D
AEC DESIG: E\d / PTA A DEVELOP AREA:_0 PROJ DESC: 1 -
(Will only take 6) (Will only take 1
WORK: 13YV 60
(Will only take 4)
MAINT:
(Will only take 4)
IMP: S3 jC2
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
J �
CAMA MAJOR DEVEL REQUIRED: /77 / y c(/z U ��

37-#7 - aG5Z
,3 (AA.. W, 1
6-3,bpo,e4.)
50 . To t,D

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: g a !
AX-
Address of Property: _
(Lot or Street#, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property. The indivic
applying for this permit has described to me as shown on the attached drawing the development t
are proposing. A description or drawing, with dimensions, should be provided with this letter
X I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
within 10 days of receipt of this notice. No response is considered the same as no objectio
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift musi
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you 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.
/.2-/,7-0
Sign ame Date
/ AAA

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: PG/ / s
Address of Property:
•
(Lot or Street #, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-referenced_property. The indivic
applying for this permit has described to me as shown on the attached drawing the development t
are proposing. A description or drawing, with dimensions, should be provided with this letter
X I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
within 10 days of receipt of this notice. No response is considered the same as no objectio
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift musi
set bck a minimum distance of 15' from my area of riparian access - unless waived by me.
you 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.
Sign Name Date
AMA