17925D - Carl

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c.---ii • CAMA AND DREDGE AND FILL �.'�` Z5-
GENERAL 0
_____} 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 7 N. 120 0
Applicant Name Tom PA L % CO if,tvsa► i.1 DQCtL--S Phone Number 4711 0 -2.--S3.. 9So I
Address 41 5 S Cove d4- -v C`F' C.E -
City Soc�-t,not 1 / State L) Zip 28441
Projec ocation (County, State Road, Wat Body,etc.) L►07- a-:i tf'1 A r i ,,..1$. S W Ate ST• \J11l'Y\Q 5
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Type of Project Activity
•Prim L 7te r
PROJECT DESCRIPTION SKETCH R IN (SCALE: 1 II ; 5 0 )
1V1c'b'F ----- 420
Pier(dock) length .
t Sa 1 Xg� 2gK t4�-� t A ls...�- 20 )1tr. / �ue
act
Groin length ! lit1III i , ,
number �
Bulkhead length `°
max.distance offshore M u'mt*--r- u -Co C
Basin,channel dimensions �� K L v. ,� �t..Nse1Z•
Q +0
- I — C C1sn.4- c+ ItyS
u1 ( ( ��cubic yards
Boat ramp dimensions r .�.[b1Ctll., pa-•
--. .„-it "1�. ,
•Other
-�-- i-k a d Z v x 10 _ _. ' . _
i
FLo,1+ 1(I x 8'Yvlb
+ , :..�.__
13.04(1-4 1 / ` - Ito, . � : '
L:PiLo-t act m Pit iNcr,
This permit is subject to,cOmpliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine, .
imprisonment or civil action; and may cause the permit to be r applicant's signature
come null and void.
(- ) trl- L2_,
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for complianc .. Q
The applicant certifies by signing this permit that 1) this pro- ' -c)5- 1 g g-.1-8- 9 &
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 —7 H I--©o
objections to the proposed work. attachments
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GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: CVO CA
ADDITIONAL NAMES:
AEC DESIG: 'VJ DEVELOP AREA: . [ _ PROJ DESC: ? - � Z
(Will only take 6) I (Will only take 1)
WORK: PR (E0 ` bL �� 2
(Will only take
iiz
2do°
MAINT: 3 22
(Will only take 4)
3 ,44
IMP: Dw (
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: S,a g - " g j

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I also wish to receive the
SENDER: ;`
services(for an
•a ■Complete items 1,and/or 2 for additional services. extra followingn ): ai
m ■Complete items 3,4a,and 4b. c�
� ■Print your name and address on the reverse of this form so that wee does tnot this 1. ❑ Addressee's Address '�
card to you. d
T. ■Attach this form to the front of the ma 1pece,or on the bads i sp
permit. t1
■Wnte'Retum Receipt Requested'on the maitpiece below the article number. 2. 0 Restricted Delivery
Consult postmaster for fee. o
L ■The Return Receipt will show to whom the article was delivered and the date
a)
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Pft,
Coleman Dockworks Inc.
P.O. Box 222
Long Beach, N.C. 28465
Johns Martin
1515 Pennington Circle
Reidsville,N.C. 27320
Re: Dock and Boatlift for Tom and Pam Carl owners of it. 29 Mariners Way , St. James
Plantation.
Dear Sir :
To satisfy N.C. General Statute requirements for CAMA Permits adjoining property
owners must be notified of proposed waterfront construction and give written
certification of such notification.
I would like to inform you of the proposed Dock and Boatlift
for the above referred lot . If you have no objection to this project please indicate by
signing the space provided below.
If you have any questions please call my office. phone: [phone]
If you have any objections please send them to the following address :
DEHNR
127 Cardinal Dr. t.
Wilmington, N.C. 28405-3845
If you have no objections please sign this form and return it in the self addressed stamped
envelope provided within ten day.
I do wish to waive the 15 ft. setback requirement.
I do not wish to waive the 15 ft. setback requirement.
Si erely,
Chery 1 G. Coleman
ature

1 � ,
5064
ANT COLEMAN s6-112/531
CHERYL GRANT& CO. 2'� -`C g
COLEP.MAN BOX 222 DATE
OAK ISLAND, NC 28465-9820
DOLLARS e°� °""
PAY
TO THE
ORDER OF ! O
'a p3 NP
_.Y��OTIN�T GOMIN,V �-�-_.�� -. ---
YAUPON BEACH,NC'28465 _____
FOR u■ 1:05310112II: 5 2168038190
u■00005064 ____-