53998D - Kelly

CAMA / J DREDGE & FILL 0'.
GENERAL PERMIT Previous permit#
KNew ❑Modification ❑Complete Reissue OPartial Reissue Date previous permit issued
>rized by the State of North Carolina,Department of Environment and Natural Resources 'l
Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC / t4 • o(C LU
l�aVvy , 1�'�� R Iesattached.
it Name C K ,I I Project Location: County 1('U) VICli'i/
l 10.31 t'IOW4'II I�L'i . `` '' Street Address/State Road/Lot#(s)
I-QI State IC, ZIP x`4- 7- 9-I-( G\1ayvAc k b1 vet
P dal t ,210• SD8 Fax#( ) Subdivision VAS
zed Agent 5,..(1 \,4 NI City AO I 11-e a(h ZIP Z8-I Bc
❑CW f EW C 'OTA 'ES ❑PTS Phone# ( :"A-SV
l) )5 -51 e 6 River Basin Ca:
i ❑OEA ❑HHF E.IH El UBA ❑N/A C
Adj.Wtr. Body 1ja Vll(S 1\MI nat /
❑ PWS: ❑FC:
yes /(no PNA yes �'no Crit.Hab. yes /ino Closest Maj.Wtr. Body AlLUVv
,f Project/Activity
ii
(Scale: I
)ck)length
n(s)
0'
aier(s) n
sngth -2 iI I V
/4 giZA
imber I I
Q.1 IA i WANI
id/Riprap length V Orll(�!g4 4 AD Sr 1 W ; 0 ,
;Icifin c k anA l btlla+a.
ig distance offshore i
ax distance offshore _ f a +
-- heed 1'3 X Is 14)4+u-(♦
:hannel 1 l II
ibic yards IT. , I
mp T- —
/ t
i ..' .' a 1
use/Boatlift j )t I S
`��, , 4.1 ,Pitii: _
Y '(
3ulldozing 141 i l + I i
Izecr t. Lay_ _ _ _ _ .
h IS Ir1C�LS , I
r►7 16' 15'
T
ie Length e ,-� ♦ — 1 — — — 1 ,_-.,
, ' f
not sure yes p gs: not sur \ yes W �
num: n/a yes no
I �
no I I i ( �V
Attached: no
ing permit may be required by WO jy' I VIC k4S Vi I)/ b,ON. • n See note on back regarding River Basin r
.- . . - -111 'Ic,.n A .. I AU . Li. .._ I..-. . 1 rL, l A,.. J r...I-1 , f,...i_1,_ _, ,, ,,_i

A"-wA
NCDENR
Carolinaat .ra
NorthNorth Department ,`�4 Environment and "'t ! ' Resources
� c^urces
Division of Coastal Management
Michael F Easley. Governor Charles S. Jones. Director G
Authorized Agent Consent Agreement
:s hprehv ai ithnri7Pri tr art n
(Pnnrcd fame of Agent)
in order to obtain any CAMA permit(s) required for the property 'fisted be'ow. The authorization 1,
specific activities described in the attached sketch
LOCATION OF PROJECT:
5t4 w Melt, j511/0
befit it/6 2.800
PROPERTY OWNER MAILING ADDRESS:
j(014
o3/ Nox4
/7�l I ilk J760 .__ PHONE NO a1a -ggoY
AUTHORIZED AGENT MAILING ADDRESS:
F S', ° 9 REE
P.0,Cox868 DEC 4 2(
WilltsvIlle Beach,NC284
(9106-3062 l D C M9 W I L M1 N G1
PHONE NO
t cP 0 O.

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION &WAIVER FORM
Name of individual applying for permit L kL'
Address of property 5-y4 MJL 1IUh1' Ag1��5vde Bi og*
1
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 of notification.
Please initial below if you have no objecdions.4. grrniLA
^ n l bMutt exl N[ gofilaJ�a
L I have no objections to this proposal.
/8 fart- ,
If you have objections to what is being proposed, please write the Division of Coasts
Management, 127 Cardinal Drive Extension, Wilmington, N. C. 28405 or call 910-
in 10 days of receipt of this notice. No response is considered the
1 same as no objecdon if you have been notified by Certified Mail.
WAVER SECTION
1 understand that a pier, dock, mooring pWngs, breskwater.boot house,lift or
sandbags must beset back a minimum of 15'from my area of riparian access
unless waived by ms.(lf 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.
,111
ya.
"1/
Signature & Date DEC 1
J �,\ ,C 0 Print Name DCM WtIMII

U 04/2009 15:53 336-714-4004 VI r,U PAGE E
DEC-3-2009 11:09A FROM:F&S MARINE 91025630E2 TO:133572229004 P.1
cLi 64v')
0li\‘,w
4,0, DIVISION OF COASTAL MANAGEMENT
t 10• ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION&WAIVER FORM
Name of Individual applying for permit ki17
Address of ply 5?‘ MNL W Z/111 0113 ' /NNA
t hereby certify that I own property adjacent to the above referenced property. The
individual applying for this pornit has described to me as shown on the attached
drawing the development they are proposing. A dsscxiptlon or drawing,with
dimensions should be provided with this letter Of notification.
Please jog below if you ctions.,Q, I '�0.1-110
/4f/it 1pia h�„14 01)Th" 6 4a'
I have no objections to this'roposat. rr
/6 so4•
If you have objections to what is being proposied, please write the Division of Coast:
Management 127 Cardinal Drive Extension,Wikrington, N. C. 28405 or tail 910-
1 k In 10 days of receipt of this notice. No response is considered the
g- l��t�as no orlon if you have been notified by Certified MaiL
•
WAIVER SECTION
I understand that a pier,dock, mooring pilings, breakwater.boat houss,tift or
sandbags must beset badc a minimum of 15`from my area of Madan access
unless waived by rrr.(If you wish to waive the setback,you must Mal the
blank below.)
,16'9 I DO wish to waive the 15'setback requirement.tipz.,- 4.14 4 4.-AA°
-
' I DO NOT wish to waive the 15'setback requirement.
z U Signature & Date DEC 1 4 2009
ssN ! ��vt 11 Print Nereid DCM WILMINGTO

_.. v �w� i.�•a.rF itin i•I Co..., i f-J\t1� 71C1GJOJCIOC Iu• I OCIJSVt P'.1
•
DIVISION OF COASTAL.MANAGEMENT
ADJACENT RIPARIAN PROPERLY OWNER NOTIFICATION&WAIVER FORM
Name of individual applying for penult
Address of ilie- /614 r ►tk 090
Md property
I hereby certify that I awn property adjacent to the above referenced property. The
individual applying for this pe+anil has dsscdescribed to ms as shown on Me elteched
drawing the dreslopment they we proposing. A clean ion or dam,wilt
dimensions should be provided wet this letter of
Please tbaby,it you have no ob Lions. 4
�..,._ I have no objections to this pnoposat.lf"'.3
if you how objerciions to what is being pmpoisd,plume wale dm Division of Coasb
Management, 127 Carded Drive EFlmnsiow,YYiniratort,N.C 2d406 or c 01a
Ali hire 10 days of receipt of this nolos. No napalmedte considered the
Ili uses as no ollection i[you have been moiled by Coiled iiM6.
WAIVER SECTION N f'
I understand d a On.look,mooring pi ngo, bresdamster.boe1 house.lift or
sandbags attest beset back a minimum of 1$from my area of tiartan access
unlassudved by me.(If you wish to waive the setback you meat Miami the
appmpriete Mark be ow j
I DO wish to waive the 15'seta( requirement.
t DO NOT wish to waive the 15'setback"gtuin inrnl
,2--3-o0(
Signature &Owl DEC 1 4 2009
Joy.►bl€s �- Nt�{�a / Print Nana WILMVEINGT r
Gi t O - 25 ( -222- Telephone Numbered Area Code

rn,ally r G. 04
(,.4.40+,"a s 4 ,1�,�C' i F&S*Ott Contractors,Mc.
f y�ark' ar�N4. Wn ht Becct,NC 21!4b0
1";e''-pnl o) L;w4 ... (910)255• 2_
I per. k. % a.«
01„will. , ,,,. 3 / •,-2:;7-" N( i
igot
_ • Y---14-1 1:ai • '5-i--/ 3Id
,.,
_ . (�1 „�' i� r firms p
1 i
turf 191;* 1 /At rn era& Otainttifl
,,-.. 1 T IDS- n
,teoa
I i ..
I 11 i
01{1414b 1 1 I
Pi'''- 1 l
ii 1 1 .
1 1-6-, _
. •
(.___ { , i
RECEI ED -
• 1 ' DEC 1 4 2009
DCM WILMINGTON, NC
' ) ,

•
•
• .
C
4ii
w
lifiAt
do
k4'
, iC , .
. 171.;). t. '
, %V A.,
`� ,* ,! ri,
.. ..,. / h ' , /....,,,,..„,
,�wD
v.
titi - T ,•
4- ri
0.
4
i yi - /
'' `•� • t , e D09t_oo+le 2008.1Ta;jTeo nologies '
t et a
Image , , eological Survey:
;'e'. Lace Mar2006 iii, 34'11'49.3330[ FillaDTPAZZ dtC? Qm % Eye aft - -108;m:
/ 11
�r
�2c, �Ya� t-'x�sriny i�� i✓/8 SdkY3c/ � / C�1'/1T7
‘1/InilA ie, /38wri:.ipr ping-44)6pir (/.1 )4/J)
' li` RECEIVED
DEC 1 4 2009

anT
F AND S MARINE CONTRACTORS, INC.
P.O.BOX 868, TEL.[phone]
WRIGHTSVILLE BEACH,NC 28480 c ! //,�_ l
1L//�
f DATE
TO THE N(- [//'L_� �ORDER OF / I $(24
-IV') 1. v' ' ,7
DOLLAI
RBC Bank'
t %
RBC Bank(USA) 0 9
FO d— &l� ` �-, G lk, fiii".„_____
"000 38 L 29" 1:0 5 3 L008 501:0 2 7 200 58090
gam_ m,