59225D - Coleman

CAMA / DREDGE & FILL
E N E RAL PERMIT Previous permit #
New rJodification L Complete Reissue CPartial Reissue Date previous permit issued
rized 5y the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ht
- iN Rules attached.
nt Name_ 1&Y Ll t� ma W, Project Location: County -Fh/U nS,'VqJL.
Street Address/ State Road/ Lot #(s)
q1 n n State ZIP Z� ��3 I L �YYI rrl
( 1q) Z.Z ZZ9'4 Fax # ( ) Subdivision ,
ized Agent 1�0I A kr(I11 OL Mso— city bef .L& 15U I (�((i. ZIP21N I
cW EW PTA LIES PTS Phone # ) 02 - 5 River Basin LV Yi 1
,d OEA HHF ❑ IH ❑ UBA N/A /1
J PWS: ❑ F
yes / no PNA yes / no
0
Df Project/ A
10.
lock) length
.m(s)
pier(s)
length
camber
gad/ Riprap lengti
ivg distance offsh
nax distance offsl
channel
:ubic yards
amp
ruse/ Boatlift
RIldozing
RAW 4
ine Length
not sure
igs: not sure
xium: n/a
r Attached:
Aaj. Wtr. Body (nat
Crit.Hab. yes / (° -) Closest Maj. Wtr. Body —Ai Lu
rl
(Scale: ry
ling permit may be required by: k-XJ 1,,LF rX6L(�iJ�, ❑ See note on back regarding River Basin

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will
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02 12 10:39a p.1
,Y/02/2012/WED 08:43 AM r,uu4
US MAIL
p.rFLED XML 1REVRIYREC�.I�''1
DTVISION OF COASTAL MI ANAGuWNT
AD1A ,(:ENT RIPARIAN PROPERTY O"W T` S�•AT �' ( vT .. .
J 4.v"I'1 S c�
Name of Property Qwaer. SQ,,.. _..S.x�•�'N-�—
Address o (Property.Ju, 1 Gh MOB' 5-4'GPfi �G w
(Lot or Street;J, Street or Road, City & Ccur'u)+
Applicant's phone #: �� _,�S — ZZS� _ Mailing Address: ,_
1 hereby certify that I own pi c. jarry adjacent tc :he above rofereaced property. The iudiv 41: nl applying for This permit
has described to me as show 1 oa the attached drawing tat development they are proposir 1;..rl descrivcion of drky�
with dimensions, must be pr->),ided mti this lettar•
I have ao objeetians to this proposal. I have object m to this proposal-
H yo )lave objections to %t,at is bcino proposed, you mhtst notify the Division of COO-9 AI Mansl,'ement (DCK
in, writing wi:tkin io days n f receipt of this notice. Correspondence should be ntAile4 L 'l27 CordirtAlDriveExt
M1nLingtoA, NC 28405.3&I�.. DCM representatives can also beeuntActed at (910)'1 iG :,,215. Nfi respousc is
considered the.aame as no ?,ijection it-ou have been noti&4 by Certifcd
WAIVER SECnON
tutdel stand. that a p{er, dGc t mooting piJ inks, breakwater, boathpusa,_gF lift must be set), r. k a minitnam; distance of
15' from my aroa olripariar i.ccess unless waivcad by ire. (If you wish to waive the setb 1- •. you m uat inf (wl tine
appropriate b I=k below.)
�=/I do wish to v •a ive the 15' ;at back requirement.
1 da not wish to waive the 15' set back rt:quircmeut_
(Property Owner Infortn6 tion)
�l Q[Ur
Co� �
PriaT or Type Name
Mailing Address
City I State / s i p
(Ripstrinri grope 0 + ner WormiLtion)
Signature
Print or Type Nitric
1Z1 V' II
Meiling Addrew
s h&J jo 4f -
City / State / Zip

39 12 03.10p
US. MAIL
rosemaryswal I 7043663953
CE E TIFIED NZ IML RETUM REC'E11>T REQMT'!.l
DIVISION OF COASTAL MANAGEMENT
ADS=.�;:E+ r RTI'A22i�1N PItOi'ERTY O 4'S!I`FR SxA xEiti ( ;yT
Jr
Name of Property Owner:
p.1
Address or Property Rt .S'4�,e-e-t Uc_eav, 15
(Lot or Street 4, Srreet or Rcad, City & Ccliv ;`�y)
Applicant's phone #: �O� �' ZZS _ Mailing Address:
t YA -4,,,,, S c- -- —
I hereby certify that I own pi o?erry adjacent to the above referenced property. The uidiv th ul applying for dlis Immit
has described to me as show i on the attached drawing the development they areproposir r;, scrirlion ofdl;win
with dimensions_ must be pr>v�ided with this letter,
I have no obj e;;tlons to this proposal. 1 have object w to this proposal.
If you have objections to m Gat is being proposed, you must notify the Division of Co as .3I Management (DCM)
in writingwithi;a 10 days a r receipt of this ltotice. Correspondence should be mailer, t, 127 Cardinal Drive Fxt.
Wilmington, NC 28405-38I'�-. 1)01 representatives can also be contActed at (91b)? 1G ;'215. No respaim. is
considered the.same as no 7 Lcdox if you have been notched by Certified Mnil. _
.. WAIVERSECTION .
T tutdeistana, that aFier, doe c, roaring pil�>}1's, breakwater, boathouse,, or 1i1 must be Set Ir ;:k a,miniiniun; dista;ice of
15' from my area of riparian ;access unless waived by me. (If you wih to waive the sett i:., you as a!1t iniEiat Vic
appropriate blank below.)
I do wish to v •:i ive the 15' set back requirement.
I do not wish to waive the IS' setback requirernrat
(Property Owner Infortna tio%i)
�i atute r
Print or Type Name
i32 sajd1 -
Mailing Address w
Sc. ZSa -73
City I State I ilip
_ . aca n-,F »�Lf
(Ripari• ' operty 0 rner fnformad )olp
Print or Type NaLne
(hk72
Mailing Add►vss
C,U\ot, 1 0+0 L z�sz I o
City / State I Zip
7-�

A��
NCDENR
North Carolina Department of Environment and Natural Re;.;.a aces
Division of Coastal Management
everly Eaves Perdue Braxton C. Davis Dee Freeman
iovernor Director Secretary
AGENT AUTHORIZATION FORM
Date: S �—
me of Property Owner ApK.iving for Permit: Name of Authorized Age it for this project:
mer's Mailing Address:
52 S�d,&-AOfIA
one Number
Agent's Mailing Address:
go
Phone Number /(`� 0)
►rtify that I have authorized the agent listed above to act on my behalf, for the pu ':) ;,se of applying
and obtaining all CAMA PE rinits necessary to install or construct the following (i: (A vity):
my property located at _ (,, P r c�w T!d S` eeT-ocearH isf,. tic-
s certification is valid thru (i ate)
Property Owner Si! Inature Date

Wt
,X 9
Lio
O)Xt M

` 1
licant: ' W GLry Permit #: 59 aS
,vibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
id in your Habitat code sheet.
DISTURB TYPE
tat Name 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/or
temp impact
amount)
Dredge ❑ Fill ❑ Both [I 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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑