18115D - Farnsworth

1
QCAMA AND DREDGE AND FILL
GENERAL N 018115 J
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC —7 H t -o 0
Applicant Name C j-v ci e- Fdr L's k3riR4-1. A COI A"-1 rwiev c Phone Number -7 n 3 7 Scj_ 3Sa
Address I ®a OS 1Z en,klatoti, l1 C-r .
City 'r e a- EAtl_ S State V A- Zip 2 2-co 6 Cv
Project Location (C unty, State Road, Water Bpdy, etc.) 'Ia-1 n1•R r 1'►a� t S W✓�y r ST 1'1?'n�Qs
I—ticVAZ �i w. k Co ��UkJ IVu►.151,3 irk' CO C .
Type of Project Activity, f, . t
�r I u a-'C4... t o.r
PROJECT DESCRIPTION ) SKETCH n— , t' l (SCALE: ' I r _ f t, )
Pier(dock) length -,--vV l/`J
(ebe k4 '
yr4/ 1o/ I6/ (' * h'1ttiS1
'Groin length IA S k L p ,
number N
Bulkhead length
max.distance offshore w ,
Basin,channel dimensions
r$oxyi
cubic yards
,
N.
Boat ramp dimensions
,' v . /
Other . V'
L' l-IeAp I l ' v (or
F(na+ 16r x t o ' �( vr'
13(14-1-114 (cavev e ) 1—
O') 'A 1 —
,
l.,o T
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
,.....S2z...A.,,,, :i e....,ss..c)....v.N.,..,........_
violation of these terms may subject the permittee to a fine,
imprisonment>,or Civil action; and may cause the permit to applicant's signature
be-
come null and void. Cam)
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- 7 - % S - ) 0 - Is - I
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 I1 ) --)-- O O
objections to the proposed work. attachments
di--,

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: C L,I d - -17-A-rM5 --
ADDITIONAL NAMES:
AEC DESIGN 7 j DEVELOP AREA: .l PROJ DESC: - l Z-
(Will only take 6) ——— (Will only take 1) } 9
WORK: pp_ I P) ) 4 -PS I L / I D 10
(Will only take
t,L I b lb 8 H- 30, l a 60
MAINT: Z
0
u (Will only take 4) T o
IMP: OUJ p
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED:
CAMA MAJOR DEVEL REQUIRED: 1

n SENDER:
V •Complete items 1 and/or 2 for additional services. I also wish to receive the
rn •Complete items 3,4a,and 4b. following services(for an
W ■Print your name and address on the reverse of this form so that we can return this extra fee):
card to you.
j ■Attach this form to the front of the mailpiece,or on the back if space does not 1. E Addressee's Address
d permit.
om ■Write'Return Receipt Requested'on the mailpiece below the article number. 2. D Restricted Delivery
.t. •The Return Receipt will show to whom the article was delivered and the date -
c delivered. Consult postmaster for fee.
0
3.Article Addressed to: 4.a.Ar e Number
1 \ '-' t' `l S Ili' !4 k /�/ 4b.Service Type
oo
/SJ1
0 ` y ❑ Registered Certified
v 1l �� �
0 Express Mail 0 Insured
C. ��/� 0 Return Receipt for Merchandise 0 COD
olij4/cVS-t.:), //P/ J C� 7. Date of Delivery
23��
D 5. Received By: (Print Name) 8.Addressee's Address(Only if requested
w and fee is paid)
2
5 6. Signature: (Addressee or Agent)
o X
0
fn
PR Fnrm/R11- r)oramhar 1 QQA 102sn5-97-A-o179 DnmAstie RAttirn RACAint

Coleman Docksworks
P.O. Box 222
Long Beach,N,C,28465
Phone: [phone]
Date: 5 -z 7_9 q
-Sol"(5 /1) cL7i/(
RE: 72e.ck iS G;rr F".z Ciyde F�v,nts 1-4.. ? "7
ni44-gt , s Wn.y , 54- 3rJ e p:. l01-c1-b,v
Dear Sir:
To Satisfy N.C. General Statute requirements for CAMA Permits adjoining property owners must be
notified of proposed waterfront construction and given written certification of such notification.
I would like to inform you of the proposed V /3' Lf E F for the above
referred lot. 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.
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 days.
Sincerely,
Cf0:140 A
Cheryll G. Coleman
Signature
I waive the 15 foot riparian set back
Ei I do notwaive the 15 foot riparian set back
R; S e+ 6 7/d< r S oL)�Y I S c' ray-oPe t4y �A4 L -e-
So ,fd c,vf1-%cre.1� / ` 'uCCeS t s,/, ' f

! r
Coleman Docksworks
P.O. Box 222 •
Long Beach,N,C,28465
Phone : [phone]
Date: 5 I Z 7 _5 t
•3 ? 5 5 ��s�by -04/v Cr,o=-
RE:
F rnc_ c•A E= s
141 13.04• vi e r S w,�i`i t 1°( (�vv.e 1✓�h(�v4 � � a
Dear Sir:
To Satisfy N.C. General Statute requirements for CAMA Permits adjoining property owners must be
notified of proposed waterfront construction and given written certification of such notification.
I would like to inform you of the proposed (S iS L{ �_-- for the above
referred lot. 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. !.
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 days.
Sincerely,
• QQ(9.9 cep
Cheryll G. Coleman
rP
''"S �
Signature
I waive the 15 foot riparian set back
do nofwaive the 15 foot riparian set back

r
•
SC11LC : 1'': 5°
fry) (4 /N eS W4Y
• Ito .
L4, 2 -.0
LF.28 51
4144\
1// I Li- '2-7
nil
•-) of
•
-piot S&i)
I ! L` _
I � , e �/ a/f-E- �� T
' '' F. off"
, Ilk Cl de rlSw•Y
I /o2•05 3QPNNAii/A;l/
Gee e F4 Is v/} .
70 j 79 35ZS
tt:_z_L4- I
1 1 , 3xia
21 n( ' c V II
nh. , _
' 1 ,
Pr as . f® , I
y
\ f/ ��YvS 'be/4- �i S 2'�'1(Jul e/ ,UNe/ �J�<

•
5997
' COLEMAN DOCKWORKS, INC.
P.O. BOX 222 PH. 910-457-1724 66-112/631
OAK ISLAND, NC 28465-7524 7 S,_ �i
DATE J
PAY /� $ dD., 0 a
TO THR E A Y _
•
ORDE OF
GAO DOLLARS 15
03003
L
-10 7 ue Corr ry
1O1 YBE CH NCI28 A
YAUPON BEACH,NC 28465 /L/, � Np
jFOR----�►,+
I'0000599 ?II' 1:053 LO L L 2 LI: 5 2 L68083 ? 311'
&pIIt5
Gptit4onci
. .
,w