54546D - Kehaya

CAMA / [)bREDGE & FILL 54
iENERAL PERMIT Previous permit #
New ❑Modification ElComprete Reissue El Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources /1
;oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Rules attached.
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CAROLINA MARINE CONSTRUCTION
3600-E South College Rd. PMB:326 Wilmington, NC 28412 910-793-4143
May 19, 2010
To: DEH & NR
ATTN: Rob Mairs
Re: Kehaya Permit
Dear Rob:
Enclosed are the waiver forms, spoil site authorization and the check for the maintenance
dredge at Whit Kehaya's; 2307 Middle Sound Loop Road. Everything is the same as the
last few times we dredged. We are proposing to remove less than 100cy. Call me if you
have any questions or need any thing further, please call me on my cell at 470-6610.
Thank you,

i14/2010 09:49 FAX [phone] ELLISON
Z 002
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby cenily that I own property adjacent to ��iy� 4 ,i s
(Name of Property Owner)
property located at
(Lot, Block, Road, Irtc.)
on G ul t�i in —.. _. t�%.�u<t ✓u N.C.
(Waterbody) (Town and/or County)
Applicant's phone M. 6)_) 4*,u -441 u Mailing Address: 3600 L `-. C 4l 'J
I le has described to me, as shown below, the development he is proposing at that location. and. I
have no objections to his proposal.
----------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To he filled In by properr), owner proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
1
//� 1 /
.4L
Mailing Address Signature
City/state/zip
�.UGi �1 �� � 150✓1 _
Print or "Type Name

May.17. 2010 6'50PM
,- , ti�\ N � NN In CA,
Primo Water Corporation
��JS,4— *1
No, 2760 P. 1
pTVISIOI OF COASTAL NS,ANA
AD7 C NT RXPA RZAN pRO1'ER'I`'aC ORM NQIIFIQ6110NA6 _ k V_ JZ 10RM
Narnt of Individual Applying For Pernut: Crv
l
Address ot'1'ropei✓ty:"�S 17 i ivi� ���cJ, �•.� __�.. .
(Lot or Street #, Street or Road)
(City and County)
I hereby certify that I own prope5y adjacent to the above -referenced prole Ey, The indiv
applying for this Perini t has de ed to me as shown on the attached drawinE'tiv, d evelopmeal
are proposing. A 7ha,ve
or drawing, with dimensions, should be prov;ded w;th this Im
no objections to this proposal.
If you have objections to what is being proposed, please write the E;ivision of Ca
Management, W Cardinai Drive Extension, Wilmington, NC 2$405 )r call 410-746•
within 10 days of receipt of this notice. No response is considered the same a� no abject
you have been notified by Certified Mall,
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
bek a minimum distance of 15' from my area of riparian access- unless is,,] ved by me. (;
wish to waive the setback, you must initial the appropriate blank belo,V.:
1 do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement,

05/14/2010 09:49 FAX [phone] ELLISON
CAROL=RA MARINE
CONSTRUCTIOU'lac.
3600-E SourH COLLEGE RD. PMS:326 WILMINGTON, NC 28412 910-
793-4143 FAX [phone]
1, 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
xiL. -
7 t llisan (signature required)

C Division of Coastal 1109t. Habitat Impact Computer Sheet
)plicant: LA-1vi " rt L"X6 Permit #:
tte: 15 /ZS- /10
,scribe 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/o
temp impact
amount)
S
Dredge [T Fill ❑ Both ❑ Other ❑
lip C'i C)
& o o
Dredge ❑ Fill �4 Both ❑ Other ❑
6,5 v
C
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 SECURITY PURPOSES, THE BORDER OF THIS DOCUMENT CONTAINS MICROPRINTING
66-717W531
CAROLINA MARINE CONSTRUCTION, INC.
Ph: 910-793-4143
3600-E South College Road PMB 326
Wilmington, NC 28412 DATE
P
AYTO THE4ORDER OF
COOPERATIVE BANK
WILMINGTON, NC
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