35196D - Kolling

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CAMA/ ` C;1EDGE & FILL
iENE iAL PERMIT Previous permit#
Vew Modification 1_IComplete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina,Department of Environment and Natural Resources , ' 1 00
Dastal Resources Commission in an area of environmental concern pursuant to ISA NCAC El Rules attached.
Name K�� K--OL.L I Nam- Project Location: County EVJ t r'1VQ uE
(D72011c 11\n1 4(L{ it u It b t.J ct - Street Address/State Road/Lot#(s)
l-L 0-ir State N ZIP2$2-7`7 _,i 01 (VA %NJ&cZo Sow0t let
0( r-} 62 3/ Fax#'7O4) `'4' q343 Subdivision
.dAgent — City VIIt-MI1.1G-1`1b►J ZIP -Z�Q•�
❑CW f vpTA ❑ES ❑PTS Phone# ( ) ""J�" River Basin �I
❑IDEA 0HHF /❑IH ❑USA ❑N/A Adj.Wtr. Body 1 V�Wr (nat t
PWS: ❑FC: Closest Maj.Wtr. Body f*ti-Sf1Q t, N r(J
reD1 no PNA ®e / no Crit.Hab. yes / no
Project/Activity ri®t‘4`[ L GT t t J Ce$Z 17 f"t2`�A20� / rL—(7A7 AK-2-7 1)oc — A
A Ti-I F Ts--. (Scale:
Jk)length 6 ' 43 r _ _. -- /
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tuber ..-_ L,%X 'f 441 r t Ems--
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d/Riprap length ‘ 7' A LS CAderr WAD
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distance offshore U X c !1 'Af - C/A _ .-�
ix distance offshore ‘i./ -'
hannel
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ie Length qB, f v 7- Con�S7ei a
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not sureyes no
gs: not sure yes no r 11* 1
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rium: n/a yes no • _
yes no ,-.. { 6 E 1Y,. ._ + .... ,V,.�,,f, , ,� il.�e �
Attached: yes no) err ild
ling permit may be required by: X G I11 f 3j1/©1 /Z- • See note on back regarding River Basin

•
s. GENERAL PERMIT COMPUTER FORM
APPLIC.k.N I'NAPE: )4 E/4 ( n'<�
ADDITIONAL NAMES:
AEC DESIG: eta, ti- \1\-' Fr DEVELOP AREA: O. O 7 PROJ DESC: ?P - 12
(Will only ta':r 6) (Will only take l)
IVORK:Fg- , 3 3 Z S- FP -- 5,' 8 t-
(kill only take 4)
're — Iz, Iz — F 5 - G-1 - Li/ k 3L-
I1All T: -
(Wiil only take 4)
IMP: i4 -- I ZOO
OM oily mks 6' Der r 7;2 11 t,
ACTION EXPIRATION
DREDGE&FILL REQUIRED: Z--- 4--o 4- - f f- L
CAMA MAJOR DEVEL REQUIRED: ' '

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SENDER: COMPLETE THIS SEG$TION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Sig ature ------
item 4 if Restricted Delivery is desired. Xi�V AgenC_ ❑Agent
• Print your name and address on the reverse I 1 ❑Addressee
so that we can return the card to you. B. Received by(Printed Nam-) C. D. - . Delivery
J l
■ Attach this card to the back of the mailpiece, �r a 3 CS
or on the front if space permits.
1. Article Addressed to:
D. Is delivery address different from item 1? • Yes
If YES,enter delivery address below: ❑ No
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lan . 28 . 2004 11 :474 No . 9186 P . 1/2
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signatu -
item 4 if Restricted Delivery is desired. x ,,/ `//� ❑Agent
• Print your name and address on the reverse �( � ",� '` Addressee
so that we can return the card to you. B. c-iv y(Pri Name) C. Date of Delivery
• Attach this card to the back of the mailpiece, Lj , yer CC')Ch_ Z—6"C
or on the front if space permits.
D. Is delivery address different from item 1? Cl Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
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DErr <1FTIlAN1V.:l1Sl't� •: I'1t1_(K1:\'119-011
• UNITED STATES OF AMERICA
DEPARTMENT OF TRANSPORTATION
UNITED STATES COAST GUARI)
NA.I IONAI. VESSEL DOCUMENTATION CENTER
CERTIFICATE OF DOCUMENTATION
VESSEL NAME OFFICIAL NUMBER !MOOR OTHER NUMBER YEAR COMPLETED
SHADOW FAX [phone] SERF6454K798 1997
HAILING PORT HULL MATERIAL MECHANICAL PROPULSION
CHARLOTTE NC FRP _ YES
• GROSS TONNAGE NET TONNAGE LENGTH HREADTH DEPTH
25 GRT _ 25 NRT 40.7 13.7 6.6
PLACE BUILT
MERRITT ISLAND FL
•
OWNERS OPERATIONAL ENDORSEMENTS
KENNETH P KOLLING RECREATION
MARY A KOLLING
MANAGING OWNER
KENNETH P KOLLING
6304 MITCHELI.HOLLOW RD
CHARLOTTE,NC 28277
0 RESTRICTIONS
NONE .. ....__. ...
ENTITLEMENTS
NONE
11 REMARKS
NONE
•

. 28 . 2004 2:56PM No• 9189 P• 1/2
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DOR ' SURVEY FO°
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IN 11

January 12, 2004
Mr. Jason Dail
Department of Environment and Natural Resources
127 Cardinal Drive Extension
Wilmington,NC 28405
Dear Jason:
Enclosed is the information for our general permit for 7807 Masonboro Sound Road.
• - Neighbors Waiver Cards
• $100 Check
• Dock layout
• Square footage calculation
• Riparian survey noting 470' length
Thank you for your help.
Sincerely,
Y1-4—
Ken Kolling
6304 Mitche ow Road
Charlotte,NC 28277
704-853-6231 —Office
704-544-9343 —Fax
enclosures
KK:lh
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f�` � 4317
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' KENNETH P. KOLLING , , ,f,\f, /�f,\/�,
ROLLING ,\/0i'��)\,,1 f ,f`,j�j��t Il 3 ss 1i55s i
i MARY A. f\f \'J\/N/ N;� Date ! �7
PH.704-544.9LL ,`,/ �\I�-1`\f�l,`,,' e
1 6304 MRCHELL HOLLOW RD. f f'
` CHARLOTTE,NC 26277/,�/i�� 1,`/,'. :`' -��kr�P p+���s� 5 ADO, ofl
;� paytothe �epA�-T�Jr���JiRoAh� .�_III
Order of bey �— Dollars - °�'
0 •
it n f�l, ,,,, y � ; :; . , �;,. ;;
+ T COMPANY '
C �'' BRANCH BANKING INO TRUST .//� -,�
\S' 'l 1.
NORTH OA fROOLINA .J 9 b ,
CHARLOTTE Fes-- T� , --- �I
GrrAL. P� `
,�or 16 2960 L4'n' t, 3 L7 —�.