David & Mary Blinkoff 70561D

l 61 / - IV1'tr2\1 A� - 1,.0r2 C- IN .
0❑CAMA / . DREDGE & FILL N� ��✓� A B C b
GEI�IERAL PERMIT Previous permit#
CNew Modification _.Complete Reissue —Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC vv
/�
(),� E Rules attached.
Applicant Name J \� f v i2- ,7t \N bi- Project Location: County F-E"/v� t ----'
Address k 21 ) Oki I) v t,v\ " I/'`• Street Address/State Road/Lot#(s)
City i4 Pk Lae T---P< D state NC ZIP SAA \2- I 6i uN0 v (�W 71-.
Phone#(L'S k y - -rp'L(o( E-Mail Subdivisbn
Authorized Agent -iC' - N W-1 C -ie IMAS ft
I City f' 16A-15 ZIP 1S �5
Affected ❑CW rk_EVV ArTA ❑ES ❑PTS Phone# (`---)-- River Basin J i✓ �),[/
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA El N/A Adj.Wtr. Body fo(-5A 1L 1:7L,/)/0 -OSP/man /unkn)
❑ PWS:
Closest Maj.Wtr. Body 7b f 4//- 5 )U AJ/)
ORW: yes / no PNA es no
Type of Project/Activity fir el-PC(--F \ 1_-/ _(.___//\.)t- '-i_ / C / L 17
I)# AA ,(7fe.- y St/ I-I oig 1C> I"Gy1 (Scale: ( ', ii, )
Pier(dock)length Si y l oG
I /cl� /1
Fixed Platform(s) 1 L
Floating Platform(s) ' ", 12-, v/ A,/
Finger pier(s) _ I `11/
Groin length W �
j 14
number - AvIA���
Bulkhead/Riprap length �L 7''''....< t/--(C
l*E � .
Chi
avg distance offshore
max distance offshore .
i I
Basin,channel __ `y ,
Y
cubic yards _ — j I
Boat ramp ,
ip _________, goult4 As -
Boathouse/Boatlift ,
4/ 11i `
:4
i
Beach Bulldozing I
Other I•
y ej ' e — EV • LIFT r'U
//'
Shoreline Length�' I /VIO /KJ .
SAV: not sure yes e . -
�"
Moratorium: n/a yes ® I __ o
Photos: yes ] I 1. ( 'tl yJ /1U f e)A a _ Sao
n
Waiver Attached: yes to '
A building permit may be required by: Pt NilT (--c• • I I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
E
a '
/ I(11- CF NiU( 4- . fr` ' 1),I ,'L-
Agent or Applicant Printed ame " v9<1 } ) ,,wi✓-Permit fficer's Printed Name
/Signature **Please read compliance statement on back of permit** Sign ure
W/!-IV "-i.) N/44- /f• if, /( 92o • /ql
Application Fee(s) Check# Issuing Date Expiration Date

L.et,r-V-4 l-... ,
API' 1 CAMA/ LI DREDGE a nu. NO 70561 A B C ,S)
WGENERAL PERMIT Previous permit#
New 0Modificadon °Complies Reissue LiPartial Reissue Date previous permit issued
As authorized by the State of North Ceram Department of Environmental Quality (3"?0 • Z-S-04t,
and the Coastal Resources Commission km an area of environmental concern pursuant to I SA NCAC
. C-Ipwes
Applicant Name 1)44 1t, tjg. 1\&41...pit KOPP Protect Location: County lalEtDM' _
Addr"s kr.7,k 1kID V
0 otevsi . Street Addrpas/Spte Road/Lot#(1) _
City el.ciftkf 1115D State rit, ZIP Itettl'S \i'l 50014/15 VWtki 7/--
Phone#(octnea--V1-10( E-Mail Subd •'.
Authorized Agent (40— -WIP4#1 Clte C.VW(11-114. City_ LEA f/tit) ZIPj45
t
Affected 0 cw Atsw /A:7m OBI OPTS Phone# ( '---r"----"' River BasirW Oikt
0 OPA 0 HHF 0 IH 0 USA 0 HIA
AEC(s): Ad'.Wtr.Body 1i5f49(11-,- €20/4/0 _Affift/nven /unkn)
PN no
0 P%VS:
Closest Mal.Wtr.Body -r6,5411., Sothtip
ORW: yes it5) A e5
Type of Project/Activity ri -et.pcc. - -pkAcit_e_--tht)tte--/A.16--- -Fekfd WIZ
A-Ams :tlp.. , i+o ll--/
Per(dock)length `VI ). (05'. 43tla..isisimngimmnemum ../^t571.4. - (Scale: ("..:•_•461 )
!
• am ' .A.1fri ill
Feed Platform(s) lc y.tc , rmulaips apciing unipit ---::- - ...1 tm
Fleeting Platform(s) 13 * 12- II 111111111111111111 PIPIHINI1111111 IIIIIII Mill '_ ' ,._„L.: :
Finger goier(s) INNEN ._ _4_,
Groin 1 : 1111511101 'hi Plinio
,,iii.,...,.......gg illk rit- 11111114177"117.73,:..114:-..L
Bulkhead/-1 •leigth iiiMilla a 1111111101. .dul an amilhill IMil III
avg dis• •offshore MillIMS III Maillaq M. a ..4.± II nom a 1 _
MaX d - e offshore 11111111 I Ina 9 A m 1
Basin,channel
lifiredlirg Gill 141411111111 - MI 1 -1 -
cubic yards •
111111111111 Mill -"SINE ___i__ allinti
Boat ramp 111..6. , rams
Boathouse/Boadift__. 111111111111uNiiri .K0,,mg,, L\14, i 17-poprzaiiiii.011*
111111aa ainim 1 - v. . _ mom'
Beech tkillelozIng II NOIR 111111 i. . __i I, -1IIu
7 :1_4
Other IIIIII tt IN 1 1 .. f-H 1 , 1 .r .7.1
11.1§11111111111111111111 airrAillikaillailleitt_NM-:-- - t4 -_,'
,41 ,-;---e--Mileainbial.11.11111111111FrAanalliOnillnti 4_1... lima to%
Sh"ine Ln° .f tW — IPIIIIIpPr 1 1111111111 i 7 IIII liaiiikil
p
SAY: not suns miss ,,,, i ma 1 , 1 .,_ i 1 aimano 1 , ,
tIoratorium ilia yes g? a 1_, _Imo= - f•-•---7.---1 11- -- : . ... 1 IIIIIIIumill all
Photos: Yes Fp _lea c ei ,'_ 1 -.... ' i ,--At,. - .frnimgovasillial
Waiver Attached; yes 6 '--1. .___ _ U ii ; al ,. , , ' . 1.111•11111111111111 ,
A building permit may be required by el,)Difie--- GO. . E See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes,Special Conditions
•
,
Ste(AL. p Ai
_
or icant '//kg /,,vtrytdo..4, -
"Please read lance statement on t46armit I. Sign iire
_Witt V9i) N/A- 11'If t kr f 2o •f€7
Application Fee(s) Check# Issuing Date Expiration Date ,
,

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
David Blinkoff
Name of Property Owner Requesting Permit: and Mary
Mailing Address: 121 Sound View Drive N
Hampstead, NC 28443
(651) 707-6261
Phone Number:
Email Address: Maryblinkoff@gmail .com
Richard Penny
1 certify that I have authorized
Agent!Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
Repair Pier, Platform
necessary for the following proposed development:
and Floating Dock.
at my property located at 121 Sound View Drive, Hampstead, NC 28443,
in Fender County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information;
/1 I/47
. ,12-7/
Signature
Print or Type Name
Title
Date
This certification is valid through / 12 019
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�"p` HENRY BCFii7[tiR
123 SOUND VIEW DIN
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121 SOUND VIZ, DR
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Richard L.Denny,PE
133 SOUND VIEW DR
Hempstead,NC 2&N3
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, � 910 352-1317
* T IN Sonia i' = 30'
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M6tN 1AW APPR(>V(,a^
�'" PmPfdETARY AND
r r•••r (ONFIDENTiAl mation
The information contained in Ma
drawing I the sole property d
,ra. Richard Penny Construction,LLC.
N. My reproduction in pert or whde
without ore mitten permission o/
Richard Penny Construction is
., prohibited.