45867D - Disalvo

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AMA/ ❑DREDGE & FILL IN
3ENERAL PERMIT Previous permit#
Olew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
>rized by the State of North Carolina,Department of Environment and Natural Resources )
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7 PT .-
Rules attached.
ItName 14 IN ANb, 5.4'14) Project Location: County 4J.[4•,b, l r t
IS ►� Ft..*LI, C r. c L� Rei• Street Address/State Road/Lot #(s)
DV/ 1 N,.kifih 15i,State JJC ZIP 2 Fl yo_5' 5' ►•*
t(et)) c6 3 ,54 d 7 Fax#( ) -- Subdivision ..--
zed Agent el /2 C L 7 City SA/vile ZIP set*
j ❑CW llw ljA IDES ❑PTS Phone # ( ' ) .•++/ River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A
❑ Pws: ❑FC: Adj.Wtr. Body tr,Gt1� (. ree4 c_ �►
yes PNA es no Crit.Nab. yes / no Closest Maj.Wtr. Body Vt4Jdi /e• -XJ+-tm •
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Attached: , i A �O I 1 t -t- 1
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(LAMA/ ❑DREDGE & FILL
3ENERAL PERMIT Previous permit#
klew -Modification -Complete Reissue LiPartial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources ,I
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC F/�1 .•fzQ
/ El Rules attached.
it Name �16 I h 1), Sa 1110 Project Location: County me,t., 1 L
IS ,^'1 c1„i"G L+ C r't e it / Street Address/State Road/Lot#(s)
(/s/t 1 h,.NIP, l IState /vC ZIP 2 P105 lelkiir*
(4/)) 5.63 ,506' 'Wax#( ) — Subdivision __
Eed AgentSe/A'h /2/'(tc S City i ZIP SAS
❑CW Piw p•r'1A ❑ES ❑PTS Phone# ( • ) _cer.rwt, River Basin
❑OEA ❑HHF ❑IH ❑UBA ❑N/A❑PWS: ❑FC: Adj.Wtr. Body cit f� rye(4 42.1
yes PNA es no Crit.Hab. yes / no Closest Maj.Wtr. Body Vt14 All .�-Y�L/.
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4ttached: Yes .. — -� -�� I MOMf

REMITTANCE ADVICE
WATER MARINE CONSTRUCTION, L.L.C. 1'i Sal+co
P.O.BOX 365 1517 Fufch ('ree •'d.
WILMINGTON,NC 28402
PHONE:[phone]
.6PNo . ySX67
/ CHECK
0,iiQ .ed £ -$4 C %o DOLLARS AMOUNT
' TO THE ORDER OF DESCRIPTION CHECK NO.
>7 acbEitIK i'AMA Ct-P• SYo3 /o <
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Branch Banking and Trust Company S 1(tM ? -
II■00840311■ 1:053LOLL211:000521L864791311'
REMITTANCE ADVICE
WATER MARINE CONSTRUCTION, L.L.C. 1517 FArh CrccCT�'d
P.O.BOX 365
WILMINGTON,NC 28402
PHONE:[phone]
CHECK
dMP LAMAA I tv14DOLLARS AMOUNT
' "' TO THE ORDER OF ? ' " " DESCRIPTION ' , CHECK NO.
07 NGhEMR ealma p,IfY1 )" 6.?. o3`!$ Gov
BMX
Branch Ranking and I rust Company J,•G Gem /l-A.C)
u'00639811' 1:053LOLL2L1:00052LL8647913116 �_ II

Id/Lt7/L17t7 fi 11:174 7117 f 77J4 r7L C LVGWI-1 I GR PIHR LfVG t'HUG YJJ
Arai
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F Easley,Governor Ch2rles S. Jones,Director Witham G Ross Jr,Secretar
Authorized Agent Consent Agreement
S4cart RtcKetts
Edy wafer fle,rtrt e Co its fruc/i arL_L j..c is hereby authorized to act on my behalf
(Printed Name o/Agent)
t order to obtain any CAMA permit(s) required for the property listed below The authorization is limited to the
pecific activities described in the attached sketch
OCATION OF PROJECT:
L5 l7 Fvtich Clee K Rd.
L iltrih.7gInn , Are 2S!q05
ROPERTY OWNER MAILING ADDRESS:
J () hil .Der qlt/
/ 5/ 7 F-44 e-eee k
/df /m/4//on �. 2 // PHONE NO k w3 3 o&. 175'/
UTHORIZED AGENT MAILING ADDRESS:
_Eii#LLJIJII Marine Collsfrweiton, LL. 0
PO. Box /5375
4/f/trtirtfon, A!C 21Yob
JJ PHONE NO q/D YN,3 - II11,6
ignature of Property Owner X
/4etitS'
ignature of Authorized Agent 4,iert iC
Date: 5.24-V 7

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Futch Creek
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John DiSalvo b
-ess: 1517 Futch Creek Rd. Q
V y
Wilmington. NC 28411 a
Edgewater Marine Construction. LLC
-ess: P.O. Box 15375 r
Wilmington. NC 28408
910 443-1106 7
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scale: 1 in. = 15 ft. of
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O/Lq/L1717 f 11:174 7117 f 77.7417t t.L tWH I tK I'IF1K1Plt PA(aE 05
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: 1,hn 15;c,,,,iyo y -
Address of Property: t 5 17 F u tch Cre e K Ed.
(Lot or Street#, Street or Road)
Ver n fy
(City and 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 he 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
Management, 127 Cardinal Drive Extension, Wilmington, NC 284O5 or call 910-796-7215
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 housc or boat lift must he set
bck a minimum distance of 15' from my area of riparian access-unless waked by me. (1f you
wish to naive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
—..,...1 I do not wish to waive the 15' setback requirement.
/ni•Lee,e,( /,/:,, ,,/e)
"vn Name
✓Aft 13 a 5144/T� 1
. J—a E 44e- /? /? teJA4re-
Print NameIcri ri 1 i
Alf
Telephone Number with Area Code NCDENR

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X /�� � � / ❑'Agent
• Print your name and address on the reverse g( .e/J 0' (:�, � /� fi Addressee
so that we can return the card to you. k. Received by(Printed Name e of Delivery
• Attach this card to the back of the mailpiece, rout rJVS (,!✓
or on the front if space permits.
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: o
eS c Pew k &03-40rdf
I S/3 FU/=4 creek R04 3. Service Type
1 /,/ ,A f n /,/ 2 ��/ ❑Certified Mail ❑ Expresse Mail
'V ,o 1/ G ❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
2. Article Number 7005 1820 0005 6087 4292
(Transfer from service label)
PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. nat
item 4 if Restricted Delivery is desired. X 0 Agent
■ Print your name and address on the reverse I Addressee
so that we can return the card to you. B. eived by(Printed Nam, C. Date of Delivery
• Attach this card to the back of the mailpiece, G � �1 i`(S©l I I '��
or on the front if space permits. N to J
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: ❑No
job el 8ever•/11 1S'ci
ID. ) . 60k
3. Service Type
❑Certified Mail Express Mail
rod�� GSA Z26 2� 0 CI
❑Retum Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service labeO 7005 1820 0005 6087 4308
PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540