HomeMy WebLinkAbout73815A_Blantz, Mike_20190808CAMA / ❑� DREDGE & FILL NO. 73815 B C D
GENERAL PERMIT Previous permit#
4New ❑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 15A NCAC
WTRules attached.
Applicant Name M t V�L P,,)c J I
Address 4n(, p F1\vA,n\ Po x i V l
City k Jk,j lAcic State_ ZIP H 9
Phone # (c?aq) 339- ILI LA_ E-Mail
Authorized Agent M Alit' WNu F1 o , , CV
Affected r CW NEW �4 PTA X ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
ORW: yes /,PNA yes / rn
Project Location: County c e C
Street Address/ State Road/ Lot #(s) yv(od ► e,f+jr, R,;n1 1`I11
Subdivision
ZIP a Iq4c+
Phone # ( ) River Basin
Adj. Wtr. Bodiv So,a,n rS elfflaVrnan /unkn)
Closest Maj. Wtr. Body C, ✓ r , k" < tt S r, A
.:1 17 Fin
length
number
head/ Riprap length
MEN
avg distance offshore
max distance offshore
E
cubic yards
ramp
h Bulldozing
•T -reline
Length 4 j-110'
ver Attached: es
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!Agent or is Printe Name
Signature •• P e r omp i ce state ent on back of permit*
A�od.� �SS`r
Application Fee(s) Check #
Permit0fficer's Printed N e
Issuing D to Expiration Date
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant:
Date:
Permit #: -� -3 V) T'�
Describe belo',�t 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
temp impacts)
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)
W
Dredge ❑ Fill ❑ Both ❑ Other
C-)
U
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 ❑
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252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised:02/03110
N.C. DIVISION OF COASTAL MANAGEMENT
.Date 7—y—
Name of Property Owner Applying for Permit:
Mailing Address:
1 certify that I have authorized to act oil my
behalf, for the purpose of applying for and obtaining all CANIA Permits necessary to
install or construct (activity) _ C'—1 q
at (niv property located at) �U C,,- b 11ITZ 71,�3
ii" — / - 2b
This certification is valid thru (date) . &�
Property Owner Signature
2-0 1
Date
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to M:rWtr, J&/w j 2 I
J (Name of Property Owner)
property located at 7 % ma _FPJ(,
(Address, Lot, Block, Road, etc.)
on _ CU116 , in�N C
(Waterbody) (City/Town and/or County)
Agent's Name #: kA-LL Cn>I -z AWZLZ,,�1 Mailin Address:
Agent's phone #: 2 f 2 2t12 - 2 G 7P A" /Agz)rx_
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
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. Contact information for DCM offices is
available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-8884RCOAST. No
response is considered the same as no objection if you have been notified by Certified mail.
(P!Pp,erty Owner Information)
-Signature
7 Z.
Print or Type Name
�j�ZRti1Lt-�
rJ2 .�'�i/I4 7iZAZ L_
Mailing -Address
City/state2ip
Telephone Number
Date
(Ripa ' n Pro O er Inf rmation)
Sig�t
Print or Type Name
Mailing Address
�r✓t ���
City/State/Zip
�0. /P/,S- _�_//11�v
Tel phone Number
9/9/9
Date
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to _ MlMe "
's
Property located at
a f24/? -%YdS
(Name of Property Owner)
Agn
(Address, Lot, Block, Road, etc.)
, N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: 142:Z - L. Mailing Address:
Agent's phone #: 2 f 2 21h2 - 2 G 7 /Zr�v`1 /c� `C -17
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the 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. Contact information for DCM offices is
available at www.nccoastalmangementnet/contact dcm.htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if you have been notified by Certified Mail
(P Owner In rmation)
Signature
%ll��rti /J-):T Z
Pnnt or Type Name
l jD
ajling Address r4
City/State/Z�p
Telephone Number
Date
(Riparian Property 0 ner Information)
Signature
�4 q-
Print or Type Name
Marling Address
flykltAW d c. -2?9 .
Cify/St e2ip
Telephone Number
Dare
This map is prepared
from data used for the
-j y Ox inventory of the real
property for tax
.� ♦i1MIxIO 9�i purposes. primary
information sources such
as recorded deeds, plats,
wills, and other primary
*T public records should be
�-A�ti�� consulted for verification
of the information
contained in this map.
4060 Martins Point RD
Owners: Blantz Michael - Primary
Martins Point NC, 27949
Owner
Parcel: 008527000
Blantz, Pamela - Primary Owner
Pin:986709056286
Building Value:$315,300
Land Value:$320,700
Misc Value: $33,900
Total Value: $669,900
�e
i
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Tax District: Martin's Point
Subdivision: Martin's Point Section 1
Lot BLK-Sec: Lot 63 Blk: 1 Sec: 1
Property Use: Residential
Building Type: Traditional
Year Built: 1982
Pier for Mike Blantz
4060 Martins Point Road
Boat
Slip
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