20048D - Blair

CAMA
� GENERAL ND DREDGE AND FILL 48_�
l . 020 �
'
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coastal Resources Commission
in` an area of environmental concern pursuant to 15A NCAC 14 • 12c0
v Applicant Name `A‘ r •1*%bvr(N) Phone Number 075 a C1 8(O`a 3,S 2-
Address P. Ian <02-�
City
't'\AA \'(--c P1 S State NC__.- Zip ci- 19 4�
Project Location (County, State Road,Water Body, etc.)_ 'C b^r- C O U^+v1 ) Q0-7I 5 Out*k Sho(C
--1C.‘k4CJ , , k,kr F C , NU, .e,ks C If\ut,nrkc
Type of Project Activity Puf f' , 3 o f k..- ��Ci -t \ir cue-!` ( c \flr e r. Sk r,t C+tit f c )
— 521JC..(.A t nouC, r\C1 p°t 1;r,c1s PrcP In 1f1CP j A kfeAci LA
Jbh,-, cei striLi — Cone'
PROJECT DESCRIPTION SKETCH b ft•C• .._ n n()C._ (SCALE: i\)UT Ti„ )
Pier(dock) f length rJ U
X -
Groin length
r� I
t
number i�
Bulkhead length y __
A
'max.distance offshore �
.. ,
Basin,channel dimensions r. n 4, U UJ 4 Pi`rc� -C(-'ti u 4+
4' 40 b€,
cubic yards ►�S need
r'ouPci C() Ur
Boat ramp dimensions c Gre-NOUe CS& N U
Other I • (l e r" • 50 ref.)(e * k6e\ bUA 1
4 X i 1 rc\r),A he dock-rd �U
K),' X 114' LE 't`hkS S4r0c6.fe
O Ck XP a _- — a 4= -_- i
� ah' LUT / 1 pL
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any7violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be applicant's signature
come null and void.
This permit must be on the project site and accessible to th permit officer's signature
permit officer when the project is inspected for compliance. ��II
The applicant certifies by signing this permit that 1) this pro- VvAiL, lb ' \ 9 1 . 1 0 + Vi q 9
ject is consistent with the local land use plan and all loc I issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no A ' , ) Zi)()
objections to the proposed work. attachments °�

D;'LICzNi Sti1A (o0rn S.S . !�. (A, r`
ADDITIONAL NAMES:
AEC DESIG: P T , t I ) DEVELOP AREA: . 001 PROJ DESC: f I Z_
(W�ob• 6) --
WORK: c (L_ Ix c{- T't� I box I Co'
Will,on)v take 4)
(L- Io ' x q,
MAI1vT: jr*".4
(Will only sake 4)
IMP: 0(,J 20 0 0 W Lo 0
( only'tar 6)
O (&) `-tb
ACTION EXPIRATION
DREDGE AL FILL REQUIRED: • (p f f 0 1 9q l I ( 0 t"L
C_ M A MAJOR DEV EL REQUIRED:

r
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: /2/ Y J. Z?,4//(
Address Of Property: ? 2701 D .So'A Shore_ Vim:vP_
J(24-r C /V T
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are pr osing. A description or drawing, with dimensions,
should be ovided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the
Division of Coastal Managements 127 Cardinal Drive Extension,
Wilmington, North Carolina, 28405 or call 910 395-3900 within 10
days of receipt of this notice. No response is considered the same
as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be set back a minimum distance of 15'
from my area of riparian access unless waived by me. (If you wish
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.
binentedarix5�
Se•- ure a
Pri t Name
9/00
Telephone Number With Area Code

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name Of Individual Applying For Permit: at /RAW/ ,li-i?'/t
Address Of Property:
p7,' C' g/it- veG� C/r�' 4li (. /i rk
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
shouldy- 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 Coastal Management, 127 Cardinal Drive Extension.
Wilminaton, North Carolina, 28405 or call 910 395-3900 within 10
days of receipt of this notice. No response is considered the same
as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be set back a minimum distance of 15'
from my area of riparian access unless waived by me. (If you wish
to waive- the setback, you must initial the appropriate blank
below. )
0I do wish to waive the 15' setback requirement.
I do not wish to waive the 15'setback reauirement.
2gg11fNi oN 49c:k._
A), �` / 24,71-- 5
Signature Date
Print Name
Telephone Number With Area Code

•
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531
! JC'S MARINE CONSTRUCTION 66 301457 r 77171 ii
i PH: [phone]
107 KATHY ST
SNEADS FERRY,NC 28460 Date�v
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Pay to the
a
Order of
///"/ I $ 50
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FYRST CITIZENS 4"
� - BANK Firot-Clti=ono Bank 3 Truat Company � i�
Snoatlo Forry,N.C.28460
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