43264D - Maliszewski

. 1 fit______
'CAMA/ -DREDGE & FILL
3ENERAL PERMIT Previous permit#
',New Modification IComplete 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 ,
tE Rules attached.
t Name -1--i; 7 i\r\ 0,1415 Z E- v✓5 N y Project Location: County O 1\)S L -�..---
)1 -L. 1j16 Air-..ram G.'s..... Cam'`- a i N7,..4 Street Address/State Road/Lot#(s)
V C. S c.i. tA.1 State tJ (- ZIP 2.-3L'I le O I L IS-5(, jrA,X ti 3-41 ,,,•
(9_1?)33 I - j 31 Fax# ( ) Subdivision 1��t +--rL 1\P.) ��1 ^'r
edAgent ,40--31 n»1Z1_ City n;� ASS C. 4 4--.\ ZIP 7.--/3w 6,
❑CW I'EW C).ETA ❑ES ❑PTS Phone# ( ) River Basin a,_,LT
❑OEA ❑HHF ❑IH ❑UBA ❑N/A `\ ,
Adj.Wtr. Body ► VA/ v/ (nat
❑PWS: ❑FC:
yes / PNA yes /® Crit.Hab. yes / no Closest Maj.Wtr. Body 511'r"'P =�.�`�
'Project/Activity "r t'5"c'A'-1. `�x 3e Li -- I-) t u...-, . .. S• x ZUl t
c' '- ' L (Scale: v = S
:k)length`j x S•»
i(s) I Lx 1(0 1 {
d,, 3x1. Zy . .Ili ,
ier(s) /,) 3„ 2 k } . .
ngth I r
'Tiber _ -1 - �. — ___
1/Riprap length
distance offshore
x distance offshore
,
cannel J _.
IV144
)ic yards I ' j* t
ip
set oat i I Z)c II. I i • -. — _--.__�- ,-
JIldozing i
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a Length —1 Z I Lf
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not sure yes no 13l I
L
s: not sure yes �n� , L i L . ,
cum: rya yes
yes �,
ltached: yes --- _. __ .____-_--
ig permit may be required by: DN 51- & ( Z . See note on back regarding River Basin ri
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DIVISION OF COASTAL MANAGaUNT
ADJACENT RIPARIAN PROPERTY OWNER NO iiCATlON/WAIVjR FARM
ame of Individual Applying For Permit �r n"IOUk5
ddress of Property: Q/G l-/fi i 11 oc- 13011v- A?)
(Lot or Street#, Street or Road)
iiVi4O 5 )=.ER i N C
(City and County)
ereby certify that I own property adjacent to the above-referenced property- The individual
flying for this permit has described to me as shown on the attached drawing the development they
proposing A description or drawin&with dimensions, should be provided with this letter.
I have no objections to this proposal
rou have objections to what is being proposed, please write the Division of Coastal
nagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900
f in 10 days of receipt of this notice. No response is considered-the same as no objection if
have been notified by Certified Mal.
WAIVER SECTION
derstand that a-pier,dock, mooring pilings, breakwater, boat house or boat lift must be
rck a minimum distance of 15'from my area of riparian access-unless waived by me. (If
wish to waive the setback,you must initial the appropriate blank below.)
I do wish to waive the 15'setback requirement
Nkt. I do not wish to waive the 15'setback requirement
;;146 16-13
Name Date

•
ANTINORI CONSTRUCTION BANK OF AMERICA
135 VIRGINIA LANE
SNEADS FERRY, NC 28460 66-19/530
[phone] 2•Slj—(
F Q
iF /V C. tJ. t �. f� i
y,Pt=r } idiv.o2 0 R"AO - _ /od
10744
d.-6 y,6 r.Ya AU7RORIZED SIGG rURE
000 50 7 61l' 1:0 5 3000 19 61: 000 6 50 5 2 1 9 9011'
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Sign. .re _
item 4 if Restricted Delivery is desired. ❑Agent
IIPrint your name and address on the reverse X / 0 Addressee
so that we can return the card to you. B. �/Jei eJ
c r y(Pn tFl ame) C. Date of Delivery
• Attach this card to the back of the mailpiece, �1[%`�
or on the front if space permits.
D. Is delivery address•' e•..r •.. . 1q Yes
1. Article Addressed to: If YES,enter deliv rx.••ress Belo••: No
G E is E.Py R P o 4Paa =1
53%3 (�oo,y F LottE12.. CT. n ^
3. SServJ e Type "Iv('
OL s P 21• C LaYCertified Mail 0 Express Mail
0 Registered ❑Return Receipt for Merchandise
7�y O 0 Insured Mail 0 C.O.D.
7 4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number 7004 2890 0003 2018 6976
(Transfer from service label)
PS Form 3811,February 2004 Domestic Return Receipt 102595.02.M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Sig = ure
item 4 if Restricted Delivery is desired. I 0 Agent
■ Print your name and address on the reverse X /,A i VG' ligrj/1 0 Addressee
so that we can return the card to you.
IN Attach this card to the back of the mailpiece, B. Received by(Pri C. ..te of Delivery
or on the front if space permits. S
1. Article Addressed to: D. Is delivery address different from Item 1? 0 Yes
If YES,enter delivery address below: 0 No
31Mr/1Y GOLD*To