61528D - Kehaya

CAMA / - DREDGE & FILL
iENERAL PERMIT M� Previous permit#
slew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources /
)astal Resources Commission in an area of environmental concern pursuant to I SA NCACV'R
ji ules attached.
Name f. w Project Location: County kk-,y
ti t rh i h /J I State ZI P
d Agent /'LJ%CGtbG-f` t "'A" 2e, r4'
❑ CW C4W 3�TA ©ES ❑ PTS
OEA ❑ HHF ❑ IH 7, UBA ❑ N/A
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # () River Basin CA-.,
Adj. Wtr. Body / t' iv- (nat
PWS: ❑FC: ,�f�,✓/� �rr.�
Closest Maj. Wtr. Body �
es / no PNA yes /671) Crit.Hab. yes / no
Project/ Activity - .',-e ,
(Scale:
o length
s)
:r(s)
gth
fiber
Riprap length
distance offshore
distance offshore
-3
c yards ^ 33 L�".-
e/ Boadift
Ildozing
Length ,
not sure yes ® A
not sure yes 60
im: n/a 6P no
yes
ttached: yes r.
g permit may be required by:
❑ See note on back regarding River Basin i

n 17 13 06:29p
P.1
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date i / 1 —, i ! 3"
.Same of Propert-. Owucr Apply in- for Permit:
/7
Mailing Address: I
to act on in' certifi. that I have authorized (agent)T.
behalf. for the purpose of applYing for and obtaining all CANNA Permits necessan to
install orconstruct 4activiry.) :e%,n
J-J-
at (my property located at)
-� j / '3
This certification is valid thru (date) I ; 0 // i >
I roperty Owner
Date
mr:-r-r=iVF-D

'l.-CAMA / tif6REDGE & FILL p
GENERAL PERMIT Previous permit #
ew f Modification ❑Complete Reissue 0Partial Reissue Date previous permit issued
authorized by the State of North Carolitra, Department of Environment and Natural Resources 1 I the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ,► �7®�
E a Cl Rules atlache
plight h(a Project Location: County
dress_��`_ Street Address/ State Road' Lot #(s)
77— ZIP
Subdivision
�horize&Agerit _
S
City -- ZIP-
�G�rt
tied L7 CW &6 A [f7�S O PTS Phone # - -
❑OEA OHHF IH USA ❑WA { )- --- River Basin
:(s): —I PWS: _ FC:
Adj. Wtr. Body A/A/
�_ `
VN: es / no PNA yes Crit.Hab. yes / no Closest Maj. Wtr. Body- - r
3e of Project/ Activity dL7G'1h7e�
ar- (dock) length
id
19,
o;
kl
In
It
0
cr
er
.e
ib
it
(Scale:
��►.i�j
length
,�i,
�ii7i��■������
,��
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,�i
I
. .. length
avg distance offshore
-ax distance offshore
�r��
10
IN
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■
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1 w:.wl���
NS
ilding permit may be required by:

CAROLINA MARINE CONSTRUCTION,inc.
3600-E South College Rd. PMB:326 Wilmington, NC 28412 910-793-4143 fax [phone]
January 16, 2013
I, Lucien Ellison, own the property adjacent to Ery & Sharon Kehaya at 2307 Middle
Sound Loop Road and do hereby grant my permission to Carolina Marine Construction,
Inc. to deposit spoils from the Kehaya maintenance dredging on my property.
x - zlzl�' 6&1
Lucie isnn (signature required)

NOTES:
1. THIS LOT IS LOCATED IN ZONES "X. VE" (ELEV. 14 & 15)
ACCORDING TO THE FEDERAL EMERGENCY MANAGEMENT AGENCY'S FLOOD
INSURANCE RATE MAP, COMMUNITY -PANEL NUMBER 37203168 J DATED 4/3/06.
2. TOTAL SITE AREA= 3.78 AC.t
3. RATIO OF PRECISION = 1:10,000+.
m
1
1�g
� PGF, is
PROPOSED
DWELLING
�01
SECOND TRACT
BOOK 1838, PAGE 134
f
MARSH I
IL
• _. _. _.._.._-._.._.ZONE VE (15)
ZONE VE (14)
148.7'
ZONE VE (1
ZONE X
1

ADJACENT RIPARIAN PROPERTY OWNER STAT
I hereby certify that I own property adjacent to C Ct< !.✓ hoc 4
- / ( ame of P o
property located at o?3 0� l✓J�L �
_ (Address, Lot, Block)Ioad, etc.
on inrw
(Waterbody) (City/Town a
The applicant has described to me, as shown below, the developmei
locatio .
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEN
(individual proposing development must fill in description below
Q
RECEIVED
DCM WILMINGTON, NC
FEB 0 1 2013
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse
back a minimum distance of 15' from my area of riparian access unle
wish to waive the setback, you t #~the appropriate blank belov

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I ,Iwn property adjacent to I
ame Hof%rope Owner)
property located at _ zL� %2'1 "; - ��,r' /4.l
(Address, Lot, Block,,Road, etc.) 9
on t. in tiw titkn! �G _ N.C.
(Wateroody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.-
r 1 have no objection to this proposal.
1 have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
i
-Dre-4dt �X���i"� �CCt'SS4n
WAIVER SECTION
RECEIVED
DCM WILMINGTON, NC
FEB 0 12013
I understand that a p:, r. dock, mooring pilings, breakwater, boathouse, lift; or groin must be set
back a minimum dis-ii -Ice of 15' from my area of riparian access unless waived by me. (If you
wish to waive the sett ack, you must initial the appropriate blank below.)
o w•sr. to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
{Property Ovyxter It
Signature-
..°";'. L'- C ; J
,
Print or Type Na ae
Marling ,4ddress
City, State; Zip
(Adja(;egt P
.Sigrrut
ftq- r=P Q2A.--
Information)
PlyrZj�r�e M +�7y� SO+�(��� <l�OQ �e
M 7m IA1.d.N► %r'J e.- t 1 �J WH
City/s te2ip �-
7►{ 0

IC Division of Coastal Mgt. Habitat Impact Computer Sheet
pplicant:T �D1 C� Permit
ate: / 3
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
ibitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge [ Fill ❑ Both ❑ Other ❑
e,e
CGG'
ill Both ❑ Other ❑
Dredge ❑ Rig
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

FOR SECURRY PURPOSES, THE BORDER OF THIS DOCUMENT CONTABIS MICROPRPM14G
CAROLINA MARINE CONSTRUCTION, INC.
Ph: 910-793-4143
3600-E South College Road, PMB 326
Wilmington, NC 28412
JF `IV L PN'
�
FIRST BANK
WILMINGTON, NC
66-456/531
' - a-
a_ i
DAM
1
8052
r ��
alW
ORIZED SIGNATURE y