36868D - Blakinship

'CAMA/ 'DREDGE & FILL 4 _ . ,
;ENERAL 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
oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7//,/f=00
❑Rules attached.
Name a(e rl L y n ii -/36., ,,3IL(f, _ Project Location: County D%i l/ )�t u/C .E�
1 u q . LU Z"7 n/ ✓7 r c e t 1 Street Address/State Road/Lot#(s) / )
k /S i!Cc k,d State wC ZIP i.eP1(3 .Ste...) Z 7 T7/ j frc e 74-
(j/0)27$-/r//o.2 Fax#( ) Subdivision
.d Agent '2/9- 533-3 Z Z City ZIP .?e46,
❑CW gEW f7QPTA ❑ES ❑PTS Phone# ( _) '/ River Basin L.t 'rr>
El ❑OEA HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body Li�/L[ L)t wS t.li.k ((nat
❑PWS: ❑FC:
yes /� ) PNA yes no Crit.Hab. yes / no Closest Maj.Wtr. Body A"7� - -'
Project/Activity ( '—>75i4 e c f' /L f // K,fie/ l•«e 55 /•e..)Gk
(Scale: /"?
k)length
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Riprap length
distance offshore
distance offshore
innel *
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c yards I i 8
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oatlift`; /2 r 2-0O
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Length 50/4-6,0 71;-4 5/ 7 c(, ,.C_.
not sure yes nocl-
not sure yes no
im: n/a yes no
yes no
tached: j yes) )_ ------__. ._
g permit may be required by: -us•-> 9t'' C2 J T I "-ice/ See note on back regarding River Basin rul

GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: VO.0 I B 1 a v-k1 S h ;to
ADDITIONAL NAMES: J p i 5 I a rl IL t n 5 h r P
AEC DESIG: 6 kJ Per DEVELOP AREA: .�) / PROJ DESC: P —
(Will only take 6) (Will only take 1)
WORK: (5 I— I 2,11`)
(Will only take 4)
FAINT:
(Will only take 4)
•
•
IMP: OLD ;110
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 3I I 1 I U (pfl i-1 o`i`"
CAMA MAJOR DEVEL REQUIRED: 31 I—7 I 04 6711-/0-

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• DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONiWAIVER FORM
Name of Individual Applying For Permit: Paul R. Blankinship
Address of Property: 109 SW 27th Street
(Lot or Street#, Street or Road)
Oak Island Brunswick County
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individi
applying for this permit has described to me as shown on the attached drawing the development tlth
are proposing. A description or drawing, with dimensions, should be provided with this letter.
XI have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coasi
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39
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 be s
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If y(
wish to waive the setback, you must initial the appropriate blank below.)
XI do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.

• DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: Paul R. Blankinship
Address of Property: 109 SW 27th Street
(Lot or Street#, Street or Road)
Oak Island Brunswick County
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individi
applying for this permit has described to me as shown on the attached drawing the development th
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 Division of Coasi
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-391
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
[understand that a pier,dock,mooring pilings,breakwater, boat house or boat lift must be sl
)ck a minimum distance of 15' from my area of riparian access-unless waived by me. (If yo
vish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.

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