20028D - Coleman

k.,,....
� , CAMA AND DREDGE AND FILL
' GENERAL i\! 0 0201128—D
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 4-1. 1 2-0 tr . 1 ,UQ
Applicant Name [kJ t ( 11 AwN COIL A ^/� Phone Number 910 3 WO-30nO
Address LST O CD 1Jci /0 1J P;ne.S -Au f1Gf
City J(C k So n tJ r Ile J State ^_�L/ Zip 49c9�_y�,,,U
Project Location Copnty, State Road,Water Bod ,etc.) S /oc, C(�c-t i1 i Co I 12 ( ' AN T r t° i
sufr C,i , tie) , . ' 1 e—, C 11-e)I6l
Type of Project Activity i e,r, d or K, (An Cbue/?'r::! hoer?' i+ r-t- 6 u I/`ke.,,n
is doc nus+ be_ cJ 1 vod1C+ I Fi' of-r or pru ei49 1 e Lon less u_AA IJPd lo
Ad r, ,,'4 pc p�.r awne 4n vJ1',4°, p i
PROJECT DESCRIPTION SKETCH Mom- MiAd PIE. (SCALE: i i r ToAN
)
Pier(dock) length
Groin length
number
Bulkhead length 4'3 i
i J r'Lt)F111S
i 10. )� I
max.distance offshore_Q—
"fi
Basin,channel dimensions `(p Zr
t y
cubic yards {�d G�''
1 �,r 1163'
1�
Boat ramp dimensions
O r 10I 1taI I - W z f3.
!'.U, X 12' i
t �1,1 j •,nc°vcrcd 1��i BUT t
CA-►OA1k� Al
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any r� •� • 0,-,-)
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void.
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance The applicant certifies by signing this permit that 1) this pro- ,R O)11
/ 19 G q j tiki (--) : 1 9 q1 9
ject is consistent with the local land use plan and all local t issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no —4 • I�UV F.- O(>
objections to the proposed work. attachments `�
. _ . . _ .. ._. ,,- .,n

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: W % (I`i fw" C U L P
ADDITIONAL NAMES:
AEC DESIG: 4) T E lil) DEVELOP AREA: .O L PROJ DESC: P - 12
(Will only take 6) — (Will only take I)
11WORK: EL Ivx Il0 6l, ID X ICo
,'Fill only take 41 �I 43 X (t, �C x 3�
F/1J~ P )y,A"
MAINT:
(Will only take 4)
IMP: o( ) IcoO ow Hob
(..al Daly>a 6) 8
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 4 12'7 q 9 7 ' � l icict
CAMA MAJOR DEVEL REQUIRED:

y� �T� vANGE E KEE.MAYOR
• NELVA R.ALBURY.MAYOR PRO TER
l.:s./ w Q KENNETH D.BATTS.COUNCIL MEMBER
VV1'' '2 OOUGLAS C.MEOLIN,OOUnICiL MEMBER
�� 11 VTY
(� 11e11 �� BOBBY C.SMITH COUNCIL MEMBER
�F 7L. • `Q' UIRF C —� T000 N.THOMAS,COUNC�I MEMBER
NO RTN NORTH CAROLINA 2 8 4 4 5
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO1'1FICATION
Applicant's Name: A t 4 t 1 Gt,V1i1, (_1() l'ewlt Vl
Address Of Property: to 112, ftcF C t jV(' f d N6114i
Street #, Street Name, City & County
Applicant's Telephone Number Q ( 0 -- : y 6 - 3 O 6 0
I hereby certify that I own waterfront property adjacent to the above-referenced property. The
applicant has provided me a drawing of the the proposed development. Please initial the
statement below if you have no objections to the applicant's proposed development. Initialling
this block does not constitute a waiver of the required 15'setback from the riparian corridor
lines.
_I have no objections to this proposal.
M Y-,?/- 9y
Signature--- Date
Y69 (rearye zri 6c4% e 2f3y(�
Print Name and Mailing Address
Telephone Number With Area Code
If you have objections to the applicant's proposal, do not initial or sign this form. You should
contact the Local CAMA Permit Officer listed below as soon as possible to register your
concerns:
Telephone:
a:-»c';�►,�«--y:�� r .e,�r- - �, - 'Tc t ,,•-
r�'?•,�!.�-►"`+ors¢ �f w:. � •
'" .`,• _.
..
RO:.Box 2475 • 214 N. New River Drive • Telephone'[phone] • FAX: (91 Rl-32R-41'12

LJ0.C C i vANCE E KEE MAYOR
J '^"^� /1- r NELVA R.ALBURY.MAYOR PRO rEM
KENNETH D.BATT$,COUNC0.MEMBER
V1 Q
= OOUGLAS C.MEDUN.COUNCIL MEMBER
. AO" UHF C 1TY BOBBY C.SMITH.COUNCIL MEMBER
OF ,,P� Too.N THOMAS,COUNCIL MEMBER
„„„TN A i
NORTH CAROLINA 28445
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION
Applicant's Name: i 1 �
IA) HI du WI, Cd I e rvA a v\
Address Of Property: 6I a `' 5 )(-P c A- C/C
, Oksido
Street #, Street Name, City & Coun
Applicant's Telephone Number 9 16 - 3 I" .- lad 6 0 o 1(- 3c.z -v�-YY ?
I hereby certify that I own waterfront property adjacent to the above-referenced property. The
applicant has provided me a drawing of the the proposed development. Please initial the
statement below if you have no objections to the applicant's proposed development. Initialling
this block does not constitute a waiver of the required 15'setback from the riparian corridor
lines.
A.IA _I have no objections to this proposal.
i ("rV ,,,,,4-, _, l /
Si: ; re / Date
A r1� /C7X&rSACe- /7 6 //`7 614 sf, SC
Print Name and Mailing Address 9/D _ 301 - c7 5-3 S
Telephone Number With Area Code
If you have objections to the applicant's proposal, do not initial or sign this form. You should
contact the Local CAMA Permit Officer listed below as soon as possible to register your
concerns:
Telephone:
..e!*.. -' ^` -- �_..,-'z"`fir"'-`. - +► ':".-.s3.' " ' a`'_`!'�,; �„- - -�'-
..I
_. Re. Box 2475 • 214 N. New River Drive • Telephone [phone] • FAX (91 nl-R2R-a1`42

•
William or Bertha M. Coleman 66-30/531f
ors 5535
1'h 346-3060
1506 Onslow Pines Rd Date T 2-��9Jacksonville,NC 28540 i
' ray to the 1
, iic
Order of I $ s ' 0 b .
f
Dollars 8 d;
I 076
�RST CITIZE
, p BANK V Flrst Citizens Bank 8 Trust Company
j)A �1 JecksomiII..N.C.26540
e 1
' For
____ ..6,_.0-.d_
1. 1:000 766 2 3 7 31.0n■ - - -
053 L00300 05 535
OUAROIAN8SAFET'BLUE WBL
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