36981D - Blaney

CAMA/ DREDGE & FILL 3
IENERAL PERMIT Previous permit#
New ❑Modification Complete Reissue ❑Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources /N. 1�DO f]fl ./Z do rf N• Int
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ,
Rules attached.
Name T"v1 4, Q" -en('A RI a h c y Project Location: County 01'151` N./r©3(� C;/C I e �✓ ( Street Address/State Road/ Lot #(s)
I d e✓3bt'r) StateMD ZIP Z 1784- 1 0 J 6 6141, S-4
0-I 0) 458-83'33 Fax# ( ) Subdivision
:d Agent S4 c.v e Ail 1 ;^. e' ; City .Sru�ry-r C ,.-f 7 ZIP 28 LI4.
❑CW % ,'EW PTA x ES PTS Phone# CVO)71 SBj- $3-?f River Basin'-V/h .'4 e
OEA ❑HHF ❑IH _ UBA N/A Adj.Wtr. Body C es✓1 4 I (nat_6
PWS: ❑FC:
es / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body A I wk)
Project/Activity New 1-1-2/c+,14 60-s „‘ C s/t f )1 r)eJ' rer I T k zrbo1 -6
ret- if,0,-, ;6" o-/' 1701A1,ee /( -er.r" 6ek$ ;,,Mat,1-{cin4Ace d"edc�ac4na/ (Scale: /"�2
k)length , ')(2 2 ' J po ti or1
S) ;12 'xCZ: —
* T�,e•re rI —L ®MLw; •
w(s) 3'X Z2 ' &fece4 - 4-'0 AIL.t.\/ S c. /^/�^I/I L
gth P'ew Bas:-' 5�;II (2e /1'Vf' :
fiber tlr 2- X l b A'' 9' 4,2
u
,Riprap length 'F0' /'re'" 6-F CO et/ 12 Z ix 184
distance offshore — t,..d--ertAJe,(d/ F 10 I W;/(e) $.,!cie �V\
distance offshore— i,7_/of e cr (.t), !�C cX(.4� 4 ie p cr 41- .
ss
u,nel�/lq/`�x I roxQtee� Spo�{ �tgi �,rI ¢7d���V
4"a11Z'xIh' x2'deep ►titvsA 6e , 4- 6.1,zs't _ ,�IPr^
1
cyards 00 S -Fe pi' evens .11 O f 'o. f ,
' q n` !lei fSlt t.v d''f •0,' ` i e) rA
l /✓
f
3XZ
r'e/Boatlift c s• / 2Y� ,�cc e
/0 XlZ
(dozing 4et Z36® i G
I
Length 53. 6/A k"1 "wn* f ,_ l-
not sure yes ,I ♦ I _.
not sure yes no
im: n/a yes no elif t-si 7� a
�/4/tt�
yesP v
tached: yes no /6.1,S ri,
permit may be required by: T t.-,►'1 O-r Sv r-F C 4.1 See note on back regarding River Basin rul

GENERAT, PERMIT COMPUTER FORM
PPLIC ZN 1 NAME: '""A 4 /3 a 4 D E
DDIiIONAL NAMES: •-5- €- i rt O r
tom - It
EC DESIG: E T ES P - l2
Fillonly*,' c) LJ p ) DEN OP:4R A:_a_a PROD DESC: ?- 1 S
(Will only talc`1)
o 13 z4) /C)) 2_ FP 3) 1
P 6,j 22— EL- 12-) 1 Z
MI only t;::4)
': 'LI G 9 9 Z O I,J S3 4
w only 61
ACTION PIRATI ON
EDGE FTr.L REQUIRED: 2//0/0 Lj 1l a/ n
kMA MAJOR DEvEL REQUIRED: //Cl4ft 57!O/D

i M 4- (7,1 r.c Ntc4. N ot%) g4T5,p /z .,,c/a ,
96,5Y 4 4-Sr iihy4r -- 3'x t 2 '
curC C(' , )J,C, 4g16,i 2/i,,f
c i,rai2 oxtk
;o36 C ;rcte "D•-. 2' 5/.., )a...-.v
Ei d e f-s b v r 9 . MP Z 1 9 84 ( '61.,0-0l To 7lert(C f
4-/ID - 4158 —R333
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• DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: J ; rvk / I AN-t
Address of Property: C1 0 5 fi 1 1 = 5 f
(Lot or Street#, Street or Road)
C
(rY F C, rli-
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individu;
applying for this permit has described to me as shown on the attached drawing the development the
are proposing. A description or drawing, with dimensions, should be provided with this letter.
t9a) I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b
set bck a minimum distance of 15' from my area of riparian access- unless waived by me. (1
you wish to waive the setback, you must initial the appropriate blank below.)
93jI do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
( .11.107(._ //— ,6 -6/
3. e Date

SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete •. Signature
item 4 if Restricted Delivery is desired.
IIIPrint your name and address on the reverse X 0 Agent
■ Attachso t we can this card rtournthe back of the mailpiece, Addressee
he card to you.
B. Received by(Printed Name
or on the front if space permits. I Date of Delivery
i '/)/
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
pig ' L �, +i4 If YES,enter delivery address below: 0 No
3oco wncNL;7` Sf-
3. Service Type
2 7 // Certified Mail 0 Express Mail
❑Registered ❑Return Receipt for Merchandise
❑Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee)
2. Article Number ❑Yes
(transfer from service label) 7003 2260 0000 2371 9453
PS Form 3811,August 2001
Domestic Return Receipt
102595-02-M-1540

ANTINORI CONSTRUCTION BANK OF AMERICA66.19/530 ,�-� �-L
896 HWY. 210 _ ---
HOLLY RIDGE, NC 28445
[phone]
Erg
TO THE Al C D
ORDER OF 66
3 6 g I 3 -7 _ __V,4 r
AUTHORIZED SIGNAT RE
MEMO 3 661go
00040591I' 1:053000 L961: 0006505 2 L99011'