46116D - Keels

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CAMA / ❑ DREDGE & FILL NO. 76116 A B C
N ERAL PERMIT Previous permit #
rrized
w Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authbythe State of North Carolina, Department of Environmental Quality
and the Coastal Reso rces Commission in an area of environmental concern pursuant to I SA NCAC
Rules attached.
Applicant Name /14 r Project Location: County
�F✓nS", tck,
Address L'3 r `', F" ` Street Address/ State Road/ Lot #(s)
City State
Phone # ( ) Er-,,e�st,_,e. fJubdivision
Authorized Agent �a�� UF\ City ZIP / 2 %
Affected ❑ Cw QM LQPTA ❑ES ❑PTS Phone # ( ) River Basin L..n �' i
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body 064 (na m`-a /unkn)
❑ PWS: nn
Closest Ma Wtr. Bod
ORW: yes / �o PNA yes / r�. 1' y
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Agent or Applicant Printed Name
PermittCC
Signature "Please read compliance statement on back of permit"
Signatui
410060 Ilk
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Application
e(s) Check #
Iss i g I
Inted Name /% 1
2U20

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Kenneth B Keels Jr
Mailing Address: 13711 Cardinals Nest Dr
Charlotte, NC 28269
Phone Number: 704-641-2419
Email Address: [e-mail]
I certify that I have authorized H5 Construction/Matt Hon ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
install new ramp and floater
at my property located at 187 Swordfish Dr, Holden Beach, NC 28462
in Brunswick County.
1 furthermore certify that / am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
sigb&k to
Kenneth B Keels Jr
Print or Type Name
Title
03 / 02 / 2020
Date
This certification is valid through / /

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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property owner: Kenneth B Keels Jr
Address of Property: 187 Swordfish Drive, Holden Beach, NC 28462
(Lot or Street #, Street or Road, City & County)
Agent's Name #: H5 Construction Mailing Address: 2164 Holden Beach Rd.
Agent's phone #: [phone] Supply NC 28462
P
i hereby cerVy that I own Property adjacent to the above .referenced property. The u-xkvrdual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawinm with dkriensions, must be provided with this letter.
I have no objections to this proposal. _,_ I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCbt) in writing within 10 days of receipt of dus nobm Contact aftrimeb r; ibr DCM offices is
available at httn://www.nccoastalmanagement.neVWeb✓cm/staff-lisfirrg or by calling 1-W84RCOAST
No response is considered the same as no objection if you have been notified by Certified Mad. - --
WAIVER SECTION
I understand that a pier, dock, mooring piiings, boat ramp, breakwater, boathouse, or tift 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 trr�initiail the appropriate blank Wow_)
�gj I do wish to waive the 15' setback nequirerrtent.
I do not wish to waive the 15' setback requkerrtent.
(Property Owner Information)
K
Signature
Kenneth B Keels Jr
Print or Type Name
13711 Cardinals Nest Dr
Ma&►g Address
Charlotte, NC 28269
City/State/Zip
704-641-24191 [e-mail]
Telephone Number / Email Address
March 2, 2020
Date
(Ri an Property tier i tion)
Sign fire
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Pint or T&Ae Name
wing Ad&ess
�YP�vtS �v� Y# /UC
C0/SftWZ*
3 3& -a--) 4--01 � y
Telephone Num / Email Address
3 a-4a-u
Date
(Revised Aug. 2014)

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Check
,
Date Received
Dew Deposited
Cheek From
Hlnw o/PWmk Hokker
Vendor
Check Number
amount
Permit Number/Commems
Columnl
Co/umn2
CokarinJ
COhN"Fw
Columns
Cokrmn6
I Column?
Columne
4/17/2020
castle branch / oak bald tek LLC
oak kii tek k
BBdT _
99379'�
S 200.00
GP #71862D
S 200.00
unnazo
_
use marine
Larry Lakins It
Coasts Beds end Trot
_- 3147
GP #74875D
S 400.00
_ _
GP #75837D
4/1712020
__. _
Vance Morgan Mop Order
JM Hartsel
11BP8
_ 266633540771
200.00
GP #75876D
4/17/2020
Marine Corstructim kw.
Steven Pasquantomo
Bank of AAWIM
1056
$ 400.00
GP#745836D
4117/2020
�H�ar _
erson Marine Services, LLC
_
Dennis True _
Ftet Cftuvw Bank _ -
2355
_._ 200.00 GP #76258D
_
4M 7/2020 _Popkn - same PNC Bank
4/17/2020
Wigie Clarence RichardsorvRichslLM Conao_uccon
and [aura cain _
BB6T
_ 200.00 GP #75855D
4/172020
McPherson Marine Services, LLC
_james
Michael and Amy Brian
Fkst Citizens Bank
200.00 GP #75835D _
4/17/2020
4/172020
Carolina Marine Construction, Inc. _
H5 Construction, LLC
'Joseph R Starks _
Kenneth Keels Jr.
Flret Bank
'. BBBT
A33461
200.00 GP #75818D
S _ 200.00 GP #76116D
4/172020
McPherson Marine Services, LLC
Tkn Gam_ moos
First Citizens
S __.. 200.00 ',GP #75863D
4/172020
Steven Nagel
Coastal Credit Union200,00
GP *758050