17647D - Coleman

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. CAMA AND DREDGE AND FILL 01�`64I)
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health,and Natural Resources and the Coasta'Resources Commission
in an area of environmental concern pursuant to 15A NCAC H I 0 0
Applicant Name C-14ErylI COLSandIJ Phone Number c11a 45-1— 17o 1
Address 'Pt B6 x
City State L C_ Zip 291+ C5
Project Location (County, State Road, Water Body, etc.) 10013 a. yac HT D R. L_rn\c. to a c k ,
ADJA CQ,yLk At\// A/ , RrfAn15( -ic Cb .
Type of Project Activity n , .Lk.heact
�JIJ� S5 u o-f o f -7 4 S S - D
t2/3 / 97
PROJECT DESCRIPTION SKETCH (SCALE:
Pier(dock) length _4 I X Y W
Groin length
number
Bulkhead length
(,OLt
max.distance offshore
7. FT. Av 6.
Basin,channel dimensions
IV)4110
cubic yards ��
Boat ramp dimensions
Other
W C.)
4, Sr,
o0 E3 E . Vac t-►
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any V
violation of these terms may subject the permittee to a fine, / applicant's signature
imprisonment or civil action-; and may cause the permit to be-
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. �4 v ' 1`"t
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no / N';( I 0 0
objections to the proposed work. attachments

GENERAL PERIVIIT COMPUTER FORM
APPLICANT NAME: C 4e r Li( I
( I G~✓L v„1
ADDITIONAL NAMES:
AEC DESIG: 5 'l+J1? DEVELOP AREA: .( PROJ DESC:p -
(Will only take 6) —— —
t (Will only take 1)
WORK: 1-1 (1
(Will only take 4)
MAINT:
(Will only take 4)
IMP: S 1 (i
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: -41-1 -C1
CAMA MAJOR DEVEL REQUIRED: d">r -9

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:j ' : : ';' ; ;..GENERAL• ' .;..,
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? •• � )IF hitt,nl tzatcrrtent halt been ubt tinted from :3 t�
::,. > ; is `'Mtttltt wrtt:rs cchtifying that Choy have nu i � :r``I •Y•,'`'
ii� '1�4400.4i i i InisCd work, attdi:nhlr1.1:. .,.., Tl«.C4::.it • ..0 �.----'- ,..�:i,..i.:f' :5::.

585 4
COLEMAN DOCKWORKS, INC.
P.O. BOX 222 PH. 910-457-1724
OAK ISLAND, NC 28465-7524
DATE
7 66-112/531
-
PAY _ •
• TO THE
$ J
ORDER OF / o,,;. DOLLARS 113
03003 B
YAUPON BEACH,NC 28465
FOR . -cete.bz,
r0000 sa sling 1:053 LO L Li: 5 216808 3730
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