16468_BLAKLEY, KENNY_19960806

CAMA AND DREDGE AND FILL 016468
GENERAL
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 1 ¢ i I j C' `. � ('9 r .
Applicant Name O �y y /� �r % y Phone Number // C �;x - i o.)
Address Afit' ✓ n_° t % ,' r,�_�z, r—
City { State 'G Zip ? S
Project Location (County, State Road, Water Body, etc.) < C2
T pe of Project ActiviLq ! J' �` ��; ik 1, r o �rl� �� L 6
PROJECT DESCRIPTION
SKETCH
�AJ�
Pier (dock) length
Groin length
i
number
l�
Bulkhead length
A � L„
!,L
max. distance offshore
Basin, channel dimensions
A � O
4 9
11 (�
cubic yards
Boat ramp dimensions
` �Z717 e r r
Other G
� g
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-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
(SCALE:
t Al
*31
,C'
E
I Z,
applicant's signature
permit officer's signature
feel
issuing date expiration date
attachments 4� r" C
-,) 14 / / ,!> %_) * I ate
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

1
MILLIS BROS.
0388
MARINE CONSTRUCTION
PH [phone]
88-301631
154 SNEADS FERRY RD
lJ�i 191�
SNEADS FERRY, NC 28460
Pay to the
OFderoJ
secunry tearurea
Dotla,s Det,b on back.
FIRST CITIZENS A67
fVLD AFIrtl.Citkent Bonk s bust Company
Netate[ Sneatlt Ferry,I 28/6
For GGi!
1:0 5 3 100 300i:L, 5 7 13 20460V
0 388

1 Z- x to &A+ 1-1ou se-

DIVISION OF COASTAL MANAGEMENT
ADJACENT_ RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER_FORM
Name Of Individual Applying For Permit: ��,��� �'_ /,q
Address Of Property:
�S
(Lot or Street#, Street or Road, C
Ly & county)
I hereby certify - that I own property adjacent to the above -
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed please write the
or call 91 n "tA9;-
days of receipt of this notice. No response is considered the same
as no ob'ecticn if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be set back a minimum distance of 15'
from my area of riparian access unless waived by me. (If you wish
to waive the setback, you must initial the appropriate blank
below.)
I do wish to waive the 151setback requirement.
6fI do not wish to waive the 151setback requirement.
I
Lit Cc1 l_UuC
Ai
r
HN �ER

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER. FORM
Name Of Individual Applying For Permit: X eZP—" /S j,4,�/��'
Address Of Property: of �' �,",s L�,�,`c�c,� -77
(Lot or Street #, Street or Road, City & County)
I hereby certify -that I own property adjacent to the above -
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions
should be provided wi,
th this letter.
have no objections to this proposal.
If you have objections to what is being proposed please write the
Division of Coastal Manaaement 127 Cardinal Drive Extension
Wilminaton North Carolina 28405 or call 910 395-3900 within 10
days of receipt of this notice. No response is considered the same
as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be set back a minimum distance of 15,
from my area of riparian access unless waived by me. (If you wish
to waive the setback, you must initial the appropriate blank
below.)
S/%t rt I do wish to waive the 15'setback requirement.
I do not wish to waive the 151setback requirement.
;y` �Y- t�16
.5ignature Date ` .
Print Name
lephone Number With Area Code