68274A_Tom & Marjie Blassey_20170817

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CAMA / ❑DREDGE &FILL v 6
B C D
GENE L PERMIT Previous permit#
ew odification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources, /
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / a J f/
Rules attached.
Applicant Name ibt 2� MC, (` e �<( S ey Project Location: County rt ?cw r°-
Address C> u De, r a Street Address/ State Road/ Lot #(s)_ e / c t r a a.S
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Signature "'Please read co pliance statement on back qfpermit**
Application Fee(s) Check#
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Issuing Date Expiration Date

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GIS Print
1 of 1
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Parcel: 029609001 Marjorie Ann Blassey
Pin:987520808150
Tax District: Kill Devil Hills
Subdivision: Virginia Dare Sh Blks 85-90
Lot-Blk-Sect: Lot: 6 Blk: 86 Sec:
Property Use: Secondary Improvement
Building Type:
Year Built: null
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Current Tax Value
Land
4,100
Building
0
Misc
13,000
Total
17,100
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http://gis.darecountync.gov/report.html?parid=029609001&lat=36.04087330821958&ing=-75.688569733... 7/ 18/2017

Parcel Data Sheet
Page 1 of 1
County of Dare, North Carolina
'Owner and Parcel information is based on current data on file and was last updated on July 14 2017
Primary (100%) Owner Information:
BLASSEY, THOMAS GREGORY EUX
BLASSEY, MARJORIE ANN EUX
1210 MEMORIAL DR
KILL DEVIL HILLS NC 27948
Parcel Information:
Parcel:000731000 PIN:987520900117
District:07- KILL DEVIL HILLS
Subdivision: VIRGINIA DARE SHORES
LotBlkSect: LOT: 2 BILK: 78 SEC:
Multiple Lots: -
PlatCabSlide: PL: 1 SL: 188 Units: 1
Deed Date:07/12/2017
BkPg: 2180 0400
Parcel Status: ACTIVE
Property Use: RESIDENTIAL
2405 BAY DR
BUILDING USE & FEATURES
Tax Year Bldg Value: $387,800
Next Year Bldg Value: $387,800
Building Use:
BEACH CONTEMPORARY
Exterior Walls:
VINYL/ ALUM
Actual Year Built: 2007
Full Baths:
3 Half Baths: 0
Bedrooms:
3
Heat -Fuel:
3 - ELECTRIC
Heat -Type:
2 - FORCED AIR
Finished sgft for building 1: 3360
Air Conditioning:
4 -CENTRAL W/AC
Total Finished SgFt for all bldgs: 3360
MISCELLANEOUS USE
Tax Year Misc Value: $0
Next Year Misc Value: $0
LAND USE Tax Year Land Value: $96,700 Next Year Land Value: $96,700
Land Description : 07-Residential Subdivision
TOTAL LAND AREA: 7500 square feet
Tax Year Total Value: $484,500 Next Year Total Value: $484,500
*Values shown are on file as of July 14 2017
https://tax.darecountyne.gov/parcelcard.php?parcel=000731000 7/18/2017

fCAMA / ❑ DREDGE & FILL
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GENERAL PERMIT
Previouspermit#
gNew ❑Modification ❑Complete Reissue
El Partial Reissue
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
7 1- I ) %
and the Coastal Resources Commission in an area of environmental
concern pursuant to 15A NCAC
,
' Roles attached.
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Project Location:
County
Street Address State Road Lot # s
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❑ CW —0,EW 4PTA ❑ PTS
Phone # ( )
R,iiver Basin
Affected
AEC(s): 1-1❑ OEA HHF ❑ [IIH ❑ UBA N/A
Adj. Wtr. Body
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❑ PWS: ❑FC:
CRW: yes / 6d; PNA yes / Crit.Hab.
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner:
Address of Property:
Agent's Name #:
Agent's phone #:
6-
24K NJ 7wJE, VJw TWIL !Miff Nc-
(Lot or Street #, Street or Road, City & County)
Mailing Address:
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, must be provided with this letter.
i/ I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is beingproposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. 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, boat ramp, breakwater, boathouse, lift, or groin
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.)
✓� 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number/Email Address
Date
(Adjacent Property Owner Information)
Signature
Print or Type Name
%/Z S Cheer z v2 A—e 4,al ZdL
Mailing Address
?n/l Aid/s / /�l b 2
City/State/Zip
526 CI-3
Telephone Number/Email Address
Date *

UIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner:
Address of Property: -IA TAy-FVlVCl ljc�
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
Agent's phone #:
Mailing Address:
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 must be Provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. 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, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wjsh to waive the setback, you must initial the appropriate blank below.)
✓/ ,(to wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Information)
r 6M opgr
Mailing Address f
KIu, I i� ►Ili �� rlC
City/State/Zip
Teleph ne Number/Email Address
Date
Information)
Signature * ` \
C/uY'i
Print or Type Name
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Mailing Address
CityState2ip
Telephone Number/Email Address
Date *

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NC'Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Tom & Marjie Blassey
Date: 08/17/17
Permit #: 68274A
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
ternimpacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Open Water
Dredge ❑ Fill ❑ Both ❑ Other ®
196
196
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888.4RCOAST :: w .nccoastalmanagement.net revised: 02/03/10