26206D - Blalock

CAMA and DREDGE AND FILL
GENERALiiiii
26206 r
PERMIT
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 15 NCAC izou
Ce: II qto 322 ^V39'1
Applicant Name ‘c.i 1 \ A (uc(,._ Phone Number 6(42- Cr 6L
Address 5 L 3 0r s,-", (Au)e,,,e '-d kk5 T
City �v\c I,)?-4s1 C IN State KKLi Zip
Project Location (County, State Road, Water Body, etc.) ro r.sat C L (o tM + 1 t �-I I L ue, P)
1 . 1 __ Ts)o-4.‘C IN , 1� iNir\Ptn- 0 r`d C./ C� t
Type of Project Activity P`t-r' d ur k rand { k ot1 t r\r\ cc oc tom..--
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PROJECT DESCRIPTION SKETCH 1 j 0' u 0 (SCALE: TU )
::i
Length IQ t
4' deb •th _ a II
number ITiIIIUhII
iilll '
Bulkhead Length 11111111111111,1111111
max.distance offshore ■ ,. _ w ��
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Basin,channel dimensions II t .`
D
cubict � .
yards � t [ 1
Boat ramp dimensions l
Other t of Ii61 ill
l ' eir I
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1 II i
i
This permit is subject to compliance with this application, site drawing f� ' L ��
and attached general and specific conditions.Any violation of these terms l` a licant's signature
may subject the permittee to a fine, imprisonment or civil action; and ,, (^
may cause the permit to become null and void. , V:N.(2± Tr\
This permit must be on the project site and accessible to the permit of- permit officer's signature
ficer when the project is inspected for compliance. The applicant certi la, j Co I oU ± / U /0 I
fies by signing this permit that 1)this project is consistent with the local issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they rid . 14-UG
have no objections to the proposed work. Un attachments
In issuing this permit the State of North Carolina certifies that this project i W '
is consistent with the North Carolina Coastal Management Program. application fee

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UNITED STATES POSTAL SERVICE ! First Class Mail
Postage& Fees Paid
LISPS
i Permit No. G-10
• Sender: Please print your name, address, and Z1P+4 in this box •
Via,();A

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete _ . •d -lease Print Clear 41 B. Dat of fiver
item 4 if Restricted Delivery is desired. 1' 1, 1 l l 1,0
• Print your name and address on the reverse i
so that we can return the card to you. atu,
■ Attach this card to the back of the mailpiece, ' / .� 0 Agent
or on the front if space permits. 0.r_�p•
EJ 4 0 Addresse
ipi :r-I address differen4 •m item 1? 0 Yes
1. Article Addressed to: If` pA -r delivery address below: 0 No
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//J y/ 1 • Certified Mail 0 Express Mail
7� �(� G 0 Registered 0 Return Receipt for Merchandis
00 OOP- 7S// 0 Insured Mail Cl C.O.D.
4. Restricted Delivery?(Extra Fee) Cl Yes
2. Article Number(Copy from service label)
z 411 G/4-- (/5—
PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-178E

UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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s= iL. ` ...=1'03 �
�..�••+�, DAVID A BLALOCK III ,� � �
suiseawsol- NCDL 3676016 PH 910-842-6848+�
563 OCEAN BLVD W 1 �s d -u 6fla�E
e . 'HOLDEN BEACH NC 26462 ��,... •spate i/1
. ,er►.::r-' 7--,- .-- .. .vaa.......2 w. . /_' it..
Pay to the .. ram^- '' 0� V
Order of ('�,� L
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�RST CITIZENS 955 .. "�'��'
BANK Fhrlrig ztr B. k6Trust Company / /////////�� cu.r+v.
Sh.IlUla.N C.28959 C/�J .- . `%n///
For - _----
i:❑ 53 L003001:008655 23 285511' 0 L035 •