86473A_Kelley, Benjamin & Robert_20220209

r- EZCAMA DREDGE & FILL 864' � a C D
GENERAL PERi'1t'i 1T Previotu permit
New JI Modification ❑ Complete Reissue ❑Partial Reissue ©ate previous permit issued
As authorized
��by�/ the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area o€ environmental concern pursuant to:
I SA NCAC _L!1_.S S cn _. ___. [] Rules attached. V General Permit Rules available at the following link: ) w deq nc gov/CAMAn�les
Applicant Name_ I f� t_^- 1 1oo6e r
Address °_1a VCr",
ChY iliES�yI Se-_ '�_ State . 1�+ __.._ Z1P '134J S C
Authorized Agent
Project Location (County):
Street Address/State Road/Lot *(s) -2aQ- —"q� ' (_-.1
Emil __ Subdivision
-�+ City (pt0'1In Zfp_��cT
Affected cw EW PTA ES `j PTS Adj. Wtr. Body Cray �O
AEC(s): J OEA L IMA ; j UW SPiMA L' PWs Closest Maj. Wtr. Body!!,_!^
ORW: ye5l/69 PNA: yesA
Type of Project/ Activity Dtr_Jq>✓
Shoreline Length i®G (Scaler f S
Access Length —_ ,.. A Cc,,r-I �-O t­%oTts
Pier(dock)length
Fixed Platforms) ( J
�t ac - L. - -'1 0
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/q
Bulkhead/ Riprap length _
Avg distance offshore
Breakwater/Sill
Max distance/ !ength
Basin, panne f r-4 4fJ-
Cubicyards_,
Boat ramp
Boathouse/ Boatlift
Beach Bultdozing ^_
Other -
A.) lk ,
YL
SAV observed- yes i
Moratorium: n/ yes no
Site Phatos: (y-A no �rcjt{
Riparian Waiver Attached: s U
A building permit/zoning Permit may be required by:
Permit Cor:dition 1�
AIL
1 ?gaF145
eroy.
E TARIPAM/NEUSE/aUFFER (circle one)
EJSee note or, back regarding River Basin rules
17 See addi font rotes/conditions on back
l AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AN_D REV#EWED COMPLIANCE STATEMENT. (Please lnitial)x
Agent or A ca P�NTEU iVa, -_— Oc'rmi! Offcer' PRINTED Na e
Signature *' Pie e read compliance statema.nt n back of er n t—
p Signature
5V �nC/• CX'V ----- -EAU-
Application
Feels) Check rt/Money order Issuing Date � Expiration Date
ce 6� BPS gpyvSA 3 {��4

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Same of Prop" Owww Applybg fw Paro t: _
M Addrem
1l N o C-f
u /� Rel+� U/I�
I certify that I fume authorized (agent) Kelli Thompson
behalf, for the parp"t of aM4mg for and obtaining a8 CAMA Parser f..y to
umftn or costs ( ) _ dredge canal
at (any property bcmftd at)
Thb cerfiffodioa is valid thra date 12/31 /2022
Z
Daft
400 Corm OM AVWW MmheW CRY, Noah Caoina 28%7
Phoe_ 252-808-2808 l FAX 252 247-M X k4emet ww
w1Ewdo yI AdmF;Doter-3 %RwAWj %P*god.mWpW -- —

■ Complete its=1. z. Wo a.
■ print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the maiipiece,
or on the front if space permits.
i..—Article Aacresseu w.
Ili11!11llliillll llll ill'Illilllll�llllil
9590 9402 5865 0038 4198 07
7020 0640 0003 0238 7906
Ps Form 3811, JUly 2015 PSN 7530-02-000-9053
a
D. is delivery 11e0tes5 rnr —„
If YES, enter delivery address below:
No
3. Service Type
^_ Priority Mail Expre-G
0 Ad Signature
0 Adult Signature Restricted Delivery
❑Registered Ivta 1T"
0 Regis od Mail Restricted
C Certified Nia4V
C Certified Mail Restricted Delivery
C GORBeItetum Receipt for
I0 on DaiNent
Merchandise
0 Signature confirmation-
Collect on Daivent Restricted Delivery
0 Signature Confirmation
Insured ',fail
—insured Mail Restricted Delivery
Restricted Delivery
Domestic Retum Receipt ,
- tDAIL' RECEIPT
t7 Domestic Mail Only
Er
a0 0 g„ertified Mail Feenj
, a�
S,
EXtr el",r cca fees(chvrk emr
0 '� r ncmvt tha dot,` ;
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0 ihXurr Cnptk+isdro io S POairnark
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Pantage t#
(� To" Posfagm
ors'
Q _ _

D11tI =N OF Ct?MTAL MANAGEINFNT
MAIL -
l hereby cer ify that I town property adjacent to Robert Kelley Is
(Name of Property Owner)
propetty located at 2217 Teal Rd
(Address, trot, Block, Road, etc.)
on cabal to KI Bay ,in —Corolla (Carova) tN.C•
Waterbody)
Agenrs /dame #: Kelli Thompson _
(Cityltown and/or County)
Mailing Address: PO Box 367
ACenrs phone #: 25 -4 7- 46 nr IIn-M(' 27927
He/She has described to me as show below the development he/she is proposing at that location,
and l have no o*c ions to the proposal.
DESCRtPMON AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing 6we%tpment must fill in description below oratfach a site
Dredge canal for boat access...... see attached drawing
Myaa baw wits to wha# fs bej%gpr+opcsed, you MWt n0ff# Me fivJfttt of Cttsstei aU111s9entem
i fn twig wlmfn fb daytearrecelptofthis nofke. Corirespondmc9a6ottJal69mayadt61367 US
17 soul!, Htzahsfh GNy, NQ, .27900 DCAf rspresentatWes can aft l9+.0edaf(2SF) 2"3M. ift
Enwim Is conskdered lfm swne as no objectlan ff y9y have hem natffft Aw Ow~ AWL
(Pmpeft Owner ilntannaflon)
SFgnator
Robert Kelley
Brier or'Tjps Name
921 Verano Ct
A49ft Add+rew .
Va Bea_ch, VA S —_
citylStaielzip
Telephone Number
1 /26/2022
fJlefe
QUpadm
Signeft+re
Print or Type
MeWing Address
City/Ste p
Telephom Number
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