37960D - Hollingsworth

1CAMA/ DREDGE & FILL
iENERAL PERMIT Previous permit#
New JModification iliComplete Reissue liPartial 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 7/1,WOO
❑Rules attached.
t Name Itki e e' Aet'//90/1; WorA Project Location: County On$44.)
487 51 bAy Oil a Street Address/State Road/Lot#(s)
le it/f ee State M. ZIP 2SV66 G056 G " St
(//d) Z - 9D 1 b Fax#( ) Subdivision p
edAgent Steve Ai�"ihori City .curt e;•/),1 /tie ZIP Z84714
❑CW lii,EW igr PTA ICES ❑PTS Phone# ( I/O ) 4`vD - 46190 River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A /
❑PWS: ❑FC: Adj.Wtr. Body _a K t / (nat
yes , r PNA yes /) Crit.Hab. yes / no Closest Maj.Wtr. Body /41�bi
Project/Activity Re pft l Q I.s 444.1 d-- (-a •' - c /A b h67,2Gr. 5 7i h5 deG,A
(Scale: / i
:k)length
er(s)
t I I 1
igth i 1
4 i
nber
L
—__ , 6T i ..._ -i--
Poprap length 43, l �.-. �.�. :-. --.._.
distance offshore 7/
x distance offshore ___...i `._ j ......
4 I , I
annel ( L. r ,if
I
iic yards }._.. :� j T
i — i_,,, a
se/Boatlift f 1H :
�'y'Z `' _ I
—4-1 --�-�+--
I it_
I ! 1 r /it/7/
:Len h (...rif• F "--- ` 1" 4S' "A }, ;�.._O1A. 1f4l�'u
not sure yes rii 44
'` 5t 4
;: not sure yes 5� ` 1 - - 1I�}P4+ttf # v P{ {
'um: n/a yes i
yes ,,� L Q t�
attached: yes l^4 1 ,
ig permit may be required by: Su✓l ("4 ti . n See note on back regarding River Basin rt

GENERAL PERMIT COMPUTER FORM 3 .
APPLICANT NAME: kr4 t Atte rl 5`l.✓or`l-
ADDITIONAL NAMES:
AEC DESIG: DEVELOP AREA:
V i1l only rake 6) .0=a 2 \PROJ DESC:
(
(Will only take I)
WORK: 8{{
(Will only 4) �f3 0-r G, r o
o-r0 , ZS
MAINT:
(Will only take 4)
IMP: i S 1 �
(will only tale 6)
ACTION EXPIRATION •
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED:

r)0f. t
44 4.01...... , _ _ , 74..4
•
.i
0
,
;
i • .;
6X,J k, 7 is ,
i -.,.(itiletui---.----ctA.4-0- — ' . :, ' ' .''_ ,
. ,_,_.....__iv
, ,,, , ,„ip,:,.;99 ' / eg&Alt New wfti
f k;,-t°Ab G' bL4 .50.R,b4cl CIL•kwf1'
vi
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4 cw 4 la
11111.,..i.. in. _Y .

•
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit•
��y� �C / l�/� 6--Od f
Address Of Property: � ,�-/
5-/A"
(Lot or Street # treet or Road, City & County)
I hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
I have no objections to this proposal .
If you have objections to what is being proposed, please write the
Division of Coastal Manaaement, 127 Cardinal Drive Extension,
Wilminaton, North Carolina, 28405 or call 910 395-3900 within 10
days of receipt of this notice. No response is considered the same
as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be set back a minimum distance of 15'
from my area of riparian access unless waived by me. (If 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.

SEND&t COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
E Complete items 1,2,and 3.Also complete A. Signatur
item 4 if Restricted Deliveryis desired. ❑Agent
9
• Print your name and address on the reverse
❑Addressee
so that we can return the card to you. B. Received by(Printed Na ) C. D to of Delivery
• Attach this card to the back of the mailpiece, 2/d/O�[
or on the front if space permits. l
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: ErNo
M r.4-MY$ LAQR; 7,4-;
►A.K le1oN Aye .
13ur tam, ,
3. Service e
Z„2/5 Mail El Express Mail
`/ ❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7002 2030 0004 3065 4844
(Transfer from service labe
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540

STEPHEN E. AN- TINORI NCDL 3338400
910-327-3318 1059
135 VIRGINIA LN.
SNEADS FERRY, NC 28460-6745 L/— ��_U 56-19/5307
NC
to the order o/ y
Bank of America. ` =— "`-'�'�` �'"`"
ACH i1/T OS 000 oa 37 /p`O ♦6 .
M MO �orr� i
0 .�L lay
5 3000 L 9 61: 000 6 9 200 5 9 3 411'
L059