35043D - Blazek

t i AMA / DREDGE & FILL
GENERAL PERMIT Previous permit#
'NAVew Modification 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 I 5A NCAC-914'/.1 vo ��
,1?Rules attached.
Applicant Name_ >,TV\ -3\f}zeK„ Project Location: County BIPUvSWIC K.Address I c6.060 5ry," l uA,i Rci ' Street Address/State Road/Lot#(s) L o+ 4 I y .
City rV i"Svi1 1t State NC ZIP ,.41:17� ✓'v\A-k i-i-tr•-A p1402. Skbcl;U.SioNi
Phone #(r4)9 jj'7-9/.S 3- Fax#( ) Subdivision Nov.,-hdrit PiA-Le
City (:)CON .4-k -6-a4c 14 ZIP Dsk WI
Authorized Agent �:vnrn�� t111 Nt Z-__ /
tzCW ' EW -,PTA - ES PTS Phone# (_- ) River Basin t irvj6e,
Affected 00EA HHF - IH UBA N/A
AEC(s): Adj.Wtr. Body ;k3 .J'J - gnat /man /unkn)
❑PWS: FC.
Closest Maj.Wtr. Body WtA./
no,ORW: yes // PNA es / no Crit. Hab. yes / no
Type of Project/Activity ?P 3 \�1� k',e
(Scale:/'-6 o )
Pier(dock)length 4 )( 150 i. — ---
I
Platform(s)_ (/O I Xpp
Finger pier(s) ^ ,X ib �lo�` t
Groin length !'�
II
number --- I , r`} C}
Bulkhead/Riprap length b'a K
avg distance offshore
max distance offshore
Basin,channel \ .
'I,Xrs0 P,Pr<
cubic yards - .l
Boat ramp Ot
Boathouse/Boatlift__ _ . \
C
Beach Bulldozing ' . . I\
X j Y
Other I-1 OAT 1.5br J
4 ]R—
Shoreline Length O�,
SAY: not sure yes no \ 44 li
.
Sandbags: not sure yes no
Moratorium: n/a yes no . L
Photos: yes no L
Waiver Attached: yes no D
A building permit may be required by: . ,,t;ti A.
Mt . r L I See note on back regarding River Basin rules. Q
Notes/Special Conditions ',Pit t A I ,^j 4 s vvv4`/ ( ravv.e k 1 i~ C ow P i t°-1,u - //� -��?,)V-1.
3.
f+P lcan N a i ;I l
Agent
t p P is is Signature
— ) 0 3 of--( ) - Ok
Signature PI a read compliance state o'n back of permit** Issuing D to Expiration Date
_z_C_CA SghPf sOl�4C
e....iie i Foote ill,I A 60 Check#/!) C- Local PlanningJurisdiction Rover File Name

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
I I Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office(252-946-6481)or the Wilmington
Regional Office(910-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-6481
Location: Fax: [phone] Fax: [phone]
(Serves: Camden, Chowan,Currituck, (Serves: Beaufort,Bertie, Hertford, Hyde,
Parker Lincoln Building
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: [phone] 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
www.nccoastalmanagement.net Revised 10/05/01

GENERAL PERMIT COMPUTER FORM
''APPLICANT NAME: Tievl -13)G,-2ek •
ADDITIONAL NAMES: ;,.1/t;M )" L i vl.-)--Z.
i 1� -
• AEC DESIG: C U 2 E(A)l FT DEVELOP AREA:_Q.Q ZPROJ DESC: 7" - 12,
(Will only take'6) (Will only take I)
I
WORK: ' 1 g is-0) 14-- . rs
(Will only take 4)r
T�-1 6 ) 8 : s- / L..
ri.
• i.
MAINT:
(Will only take 4) -
IMP: o (J L rat Z SC
(will only take 6) _
• ACTION EXPIRATION
DREDGE&FILL REQUIRED: 1 d/ ) 10 3 1/l 7/0 y
CAMA.MAJOR DEVEL REQUIRED: ' f�/ 1'21 0 3 Il I r2/o2T .
T

October 6. 2003
To Whom It May Concern:
I, Richard W. Jennings, give Mr. Jim Blazek, as proposed owner of Lot #14, Maritime
Place Subdivision, Ocean Isle Beach, North Carolina my permission to apply for any
necessary CAMA permits.
Sincerely,
Richard W.Jennings
/RWJ
STATE OF NORTH CAROLINA
COUNTY OF BRUNSWICK
I,the undersigned Notary Public of the County and State aforesaid,certify that Richard
W.Jennings personally appeared before me this day and acknowledged the due execution
of the foregoing instrument for the purposes therein expressed. Witness my hand and
Notarial stamp or seal this 6th day of October, 2003.
2� F '444.�--
My commission expires: I/iJ. 17 z)v C, oo,a °4p,-,,4�
e77 °o 0
I• a
8 e mom c
Notary Public
gisa� 0Q� a T

.
Delivered by Certified Mail
October 2,2003
Mr.Richard Jennings
P.O.Box #13091
Greensboro,NC 27415
Re: Mr.Jim Blazek
CAMA General Permit Request
Lot# 14,Old Marina Drive,Ocean Isle Beach,NC
Dear Mr. Jennings:
Mr. Jim Blazek is applying for a General CAMA permit with the North Carolina Division of Coastal
Management for a proposed dock system located at Lot 14, Old Marina Drive, Ocean Isle Beach, North
Carolina. The Division of Coastal Management (DCM) requires that all adjacent riparian landowners be
notified of this permit request.
Enclosed is a map of the proposed dock system. Any comments regarding the proposed project should be
directed to Mr.Jim Gregson with the DCM at the address shown below.
Mr.Jim Gregson
NCDENR
Division of Coastal Management
127 Cardinal Drive Extension
Wilmington,NC 28405-3845
[phone]
Sincerely,
Enclosures: Proposed dock system
cc: Jim Gregson,Division of Coastal Management

•
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�l`1 Tlf� x k27�A"[i BAN S��dt�ER?Y x+YV t 2J:7':Il"I.ga 70N.Ma 'FR. FoR
Name Cf I:ldi•vj3t;al Applying row Pe:ln t: Si-VQ.�'�„j T � , �
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Ad'dre�� �f F�'+ape:"ty: ' V9��`'�Lrl 5S�l' u� _�'�f�i'1�') -- _IY lCt.l�i "�ii��1C \ CtiL:L' cJ�: !�c
Oc-e_.a.:( 2
(Lot or Street . , Street Gr Road,Czty Cmanty)
I hereby certify that I own property adjacent to tns above—
_•=arancad property, 2•::e individual applying for this permit has
described to me as sown on th4 attach.d drawing the developmentthey are prcpos:nt. description or drawing, with dimensions,
sho',Ild be. provides with this letter.
_ _,_,_,__ have r Objections to this proposal.
It V d•-2 rkkv a ob'eis ttZ w let tine oxcpowi . olstasa_ _trez
01.Y, 2 ;La..._gcast _Mar,agsment ��� n� DSj►ve .LrxterlsLza,.
134y's Qf Yeasiot fit_= '� 3� ND �al�o�s is eor7aiaasa .�i game
r o act oh if vow ha�� bs n noz_ff a v
..... s- - _
- -
I understand that a pier, dock, mooring pilings, breakwaterr boat
house, 11f- must ba sat back a minimum distance of 15/
from my area o, ripe3r_an access unless waived :y me. (If you Irish.
.c waive the setback, you n34s initial the appro;riLte blank
below. )
d^, wish tc we4 ve the =5' aettack rRc•_ira.nert.
.i plewrc.t wish t i waive the 15'aatback reruirement.
•
Signature sera Ai;
•
TL►r r honor 11i=oa_ Wwr ED �
2`. Area �a �

SEP-04-03 02 :40 PM a a P. 01
09/04/2003 16:15 510-579,9358 Cpp(E REALTY PA[iE el .
-rr�. wre+wcwcELt C
'FOR AND IN CONBxp$0i1TION OF the gym of 8
00llern
)► representing SI of tha,aelee price,
ebe
(Buyers), herein has reserved the right
Qh to ,elect a lot at Maritime Place
!belting Place Properties, LLC cal or xa aa* from
lexm), heroin,
=t As understood and agreed by '
the parties herein au follow':
1, Buyer hereby reserves Let
.
x• purchase price ,hail be
9
Bufarte faller, to retest the ,scouted resevratiee eeeteeet within 30
dossbeing aotlli*d. Fen remelt i* the foaleltere of the right, greeted kr ate gyreas aloes reservation eneeraot. *[b
3. The Buyer will realm+, by mail the jester Declaration including Covenants, Restrictions i
!Wm. offer to Fuset:ewe d Contract and final trap (herein referrod'to ea the "package"),
4. Upon receipt of this paokeae the Buyer ')hall have ten options:
eta)
Sign the Offer to Purchase & Contract, end return to ea within seven (7) days of
recei
p-,
b) Aaeeifld Buyer`s Beaasvatipn Contract by contacting the Buyer's ealee agent end retei.ee
a full refund or the eerneat money deposit paid by the Buyer on the Reservation Contract_ ip
Seller does not receive any notification and/or communication from Buyer within seven (7) day,
or the receipt of this package, Seller shall at its sole discretion here the ability
this reservation contract null. a Void, sit which time the Seller shall mend to buyer, within
eeeen days, their earnest to render
money deposit.
5. Ruye1 ghall hat assign or convey hie riOhte herein, or agree to
a
rights herein, or to adverting for eels, to anyone prior to receiving aedeed or
toctheelotix
indicated in Item el !listed above without written consent from Seller.. 'This pertains to the
reservation Contract end the Off■t to Purchase & Contract,
•
b. All eerrRet money'cepooi.ta are to be ttlade payable to! Li1pe i Oodbey Treat Account.
CQeetThis reaerr*tioh Contract is subject to Seller obtaining all neceesar
act a twenty-two 1St aubdlvieian with ascoci�cted amenities (9ubdiv,iai.onpmaptherin einhioh to
attached). This reservation contract is aubjeut to the seller taking title to the subject
property.
0. The Buyer(e) ham the right to rescind this reservation contract, prior to execution of the
Offer to purcheaa i Contract, and reooive a refund of their earnest money deposit.
sera RAREIvATrW1 C PIABeI TO SAT ACISIONMOf1Rn c
Jlotepssb are
e 2113L: , +
r: Vgil,3
Euy,r. `"'" 1
date
1 xP Stjuar F. Cocks
Maritime Placo a
I
I
•
RiONLP.DOEI�l1! OP PACE/Pe OF MARN6at NOWT Demme;
I hereby acknowledge receipt of the deposit (earnest money) herein art forth And agree tq holdand dimburao the same in accordance with the terms hareof:
bate:T.9)((/)IO2 Firm: 1,11eS i dbeY. Attorneys at Lbw tl
e... 0/ AA0 Rrni Itor

' • aei:8i20o3 oo:oa P.I 93067eaS60' C 'I •
• jai
MaRitLM, a LACt R.Pe wATXCI( CGNlIvICi
FOB ANC IN CONSTDBRATZQN. OP the sumof 5 22.915.Q(1 i3 thoughts ague }'n rstd.Pi,yit
Dollars), representing St of the sales pride, � �yais a L.L/,hhan:t' lryel,►4' .� , 4+tG,
j (Buyers), harem hay ;swerved the right to Select a lot at Maritime Vince for purchase from
f.l Maritime Piece-Properties, LLC.(Beliarai. herein.
r
R
It is understood and agreed by the partial herein 4a follower
1
1_ buyer hereby reserve* Lot $ 13 _
2. Purahae0 pricy Willi be _4.49,9M.ne _.
1' I
" �wrar•s (sisaie to datum %be asao,.trer reservation oe.,traet wtthih 10 dqa, tar*Zorn within ad days efts,
%sang tattiind, can Vila th
rs% is the larfattura of e right. araatad by 4.hL• taaarvat4on aeatetet,
ii, i -
I
3. Thu Buywr will reelve by mall the Mater Dlaration incluig Covenants. Restritionslaojer to Purchase i Conract and final map Engrain referred to ■s the *packe ►.
•
•
1 4. Upon receipt of this paekage the buyer shall have two options:
o ale within seven
} # aI Siqu the Offer t4 Purchase i Contract, and return t T
receipt, or" ( 1 days of
'' b) Rescind Buyer's Reservation Contract by contacting the Buyer's Bales agent and retaivi
a full refund of the earnest money deposit paid by the Buyer on the Reservation Contract. If
Boller does not reeeitfe any notification and/or communication from Buyer within seven (7) days
of the receipt of this package, Seller shall. at ate sole discretion have the ability to render
K.t. this reservation oentrect null a void, at which time the Seller shall send to buyer, within
seven daye, their earnest _mangy deposit.
-tea:: -••-11 •,44. .,s+ego or convey nib rights herOln, or agree to assign or convey his
. '1 rights herein, Or to advertise for eclat to anyone prior to reteivii:y 3.deed to th lot
indicated in Item 11 li,eted above without written consent from Seller. This pertains to the
reservation contract an) the Offer to purchase a Contract.
A
•
r b. All earnest money deposits are to be made payable tp: Liles a Godbey Trust bccoutt.
1. This reeereativa contract Is SUb1nct t0 Seller Obtainingall
construct a twenty-two lot subdivision with associated Ss bdii(Subdivision map
pth reinin
which to
attached). This reservation contract is subject to thea,elleretakin itletomtheheubjoat
r.
property.
y i
% 8• the Du F 8
YA [at boa the ri ht to rescind tins% reservation contract, prior to execution of the
defer to fureheae i Concract, tied receive $ refund of their adYgdQt money deposit.
lNse >I�AEi1YA!>Gue
Raft ate MEW ACItt7tw(LlbOao s u'OSPig r bx:
1 444.-----6-14e
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llt• r: +` avEn L.c C. _ .. _
Daate
t f ALA di •
Marie �s„ o°o j ��
iii
(tazei.....
Da •����..//
i14'rrao ON >al(szrr Op Ii(►�sr �>< par,7®r't■
i
I hereby saknowledge r°Geist of the deposit (eelneat money) herein set forth and agree to hold
rind disburse the game in accordance with the terms hereofr
t Date: j/3/63
7- ; Eire: L lee E gods. �tcoreeys at Law._
I
Oy:

aun^.t.a lric r1+Hl.l'i K.r. ra- axicN CONTRACT
I�I, eC
FOR AND " CONSIDERATION OF the sum of $ ( L� {�Q �- /�
s "
Dollars) , representing 5% of the sales price, Ai c�r(Q ( S .NA•i ng5 - .irri
(Buyers) , herein has reserved;the right to select a lot at Maritime Place for purchase from
Maritime Place Properties, LLC (Sellers) , herein. •
It is understood and- agreed by the parties herein as follows:
1. Buyer hereby reserves Lot # C
oG
2. Purchase price shall be $ m os10,0
Buyer's failure to return the executed reservation contract within 10 days, or close within 30 days after
being notified, can result in the forfeiture of the rights created by this reservation contract.
3. The Buyer will receive byImail the Master Declaration including Covenants, Restrictions &
Bylaws, Offer to Purchase & Contract and final map (herein referred to as the "package") .
4. Upon receipt of this package the Buyer shall have two options:
- a) Sign the Offer to Purchase & Contract, and return to us within seven (7) days of
receipt, or
b) Rescind Buyer's Reservation Contract by contacting the Buyer's sales agent and receive
a full refund of the earnest money deposit paid by the Buyer on the Reservation Contract. If
Seller does not receive any notification and/or communication from Buyer within seven (7) days
of the receipt of this package, Seller shall at its sole discretion have the ability to render
this reservation contract null & void, at which time the Seller shall send to buyer, within
seven days, their earnest money deposit.
5. Buyer shall not assign or convey his rights herein, or agree to assign or convey his
rights herein, or to advertise for sale, to anyone prior to receiving a deed to the lot
indicated in Item #1 listed above without written consent from Seller. This pertains to the
reservation contract and the Offer to Purchase & Contract.
6. All earnest money deposits are to be made payable to: Liles & Godbey Trust Account.
7. This reservation contract is subject to Seller obtaining all necessary permits in which to
construct a twenty-two lot subdivision with associated amenities (Subdivision map herein
attached) . This reservation contract is subject to the seller taking title to the subject
property.
8. The Buyer(s) has the right to rescind this reservation contract, prior to execution of the
Offer to Purchase & Contract, and receive a refund of their earnest money deposit.
THIS RESERVATION CONTRACT IS HEREBY ACKNOWLEDGED & ACCEPTED BY:
G -/�03
B yer:
Date
Buyer:
Date
Seller: Stuart F. Cooke � * 3//t
Date
Maritime Place

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1053
MARITIME PLACE PROPERTIES, LLC
ONE CAUSEWAY DR.
OCEAN ISLE BEACH,NC 28469
y� ' /5 03? 67-7235-2532
' PAY DATE (J
'r
TO THE
ORDER OF 1 "• e 00
I $ 506—
�Vie
VLANd--11LT-MkLad" O 0 `COLLARS El „.
COASTAL FEDERAL BANK
SUNSET BEACH.NC 28488 c_p 350 Li 3 -5 5-6 3 J
354457r3G 3 FOR
II' 0 L05311' 1: 253 27 2355i: L 258004860e
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