Blackmon, Chris & Plymey, Don 88429C

N. 88429 A B r D
o� AMA ❑DREDGE & FILL C�il� �oe stJ htifurt� O
F9��A+/� 4? t/IoZ Previous permit
3 GENERAL PERMIT
Date previous permit issued
v New ❑Modification ❑Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the C tal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ,t l H . 1 100 ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant
Address_
City b
3:
W&
Phone # ()
EmailY1/i(t��Qli1e dY0(1 f) 1 1( /j�Q. LAM
Affected [91W LQ'fy" VPTA TEES ❑ PTS
AEC(s): ❑OEA ❑MA ❑UW ❑SPIMA ❑PWS
ORW: yeVno \ PNA: I
Type of P �
oject/ Activity IA�
A .
Shoreline Length
Access Length -�
Pier (dock) length
Fixed Platform(s) .�
Floating Platform(s) _
Finger pier(s) 2
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel 1
Cubic yards /
Boat ramp
Boathous oatlift
Beach Bulldozing /
Other
SAV observed: ye!
Moratorium: n/a ye!
Site Photos: ye!
Riparian Waiver Attached: ye!
A building permit/11
zoning permit
Permit Conditions
be required
Authorized Agent LLA
O t" v e
Project Location (County)' N l
Street Address/State Road/Lot#(s)
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND
Agent or Applicant PRINTED Name
Officer's
Q1A)
v
24.f
(Scale: WS )
II
❑ TAR/PAM/NEUSE/IB,UFFER (circle one)
See note on back regarding River Basin rules
ElSee additional notes/conditions on back
(Please Initial)
Signature **Please read compliance statement on back of permit**
Ap lication Feels) Check f7/Money Order
Date
Cl

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
Q)
-j
%3--)
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN /PROPERTY OWNER NOTIFICATIONfWAIVER FORM
J
Name of Property Owner: / �S /Gi C J/,4,w
Address of Property: [ �� G' "`ru wrcic �/r• sCjp�c�x� s ��/�� J
(LotorStreet #, Street or Road, City R County)
Agent's Name #: Mailing Address: 3II Wk�-(l�lt!2�ry c
Agent's phone#: 61P
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
th/eyy, are proposing. A description or drawing with dimensions must be provided with this letter.
y/I'have no objections to this proposal. I have objections to this proposal.
Ifyou have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available athn.-IlwwwnccoastaimanagGmenfnoM eb/cm/staff-listinuorby callingl-888-4RCOAST.
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, boat ramp, breakwater, boathouse, or lift 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.)
�drii 7 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pr y Ow n rm 'on) (Riparian Property Owner Information)
t ,
z
ignature Signature
F_
Print or Type Name Print or Type Name >
W
p
_
�'
W Z
Mailing Address Mailing Address
1C c/ t /J,e,
Slt[ae/S fd��'h %).G o[O T�(7 �l,h e� N�jZ�
O
CitylState2ip City/StatelZip
9 1 a 5 iC)
Telephone Numberl Email Address Telephone Numberl Email Address
5' /Z zz
Date Dale
(Revised Aug. 2014)

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Io-h / V Me
Mailing Address: /
Phone Number:
Email Address:
I certify that I have authorized
Agent / Contractor
L
a
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed
%development: A P L✓ t w
Q�.J (olC iJaa//�i
at my property located at
in n GI S I o Ul County
1 furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
fJ� n 12(S4 ka e If
Print or T pe Name
wne,-
Title
_(� I /01 ).a
Date
This certification is valid through /
RECEIVED
JUN 13 ZG??
DCM-MHD CITY

Postal
Service'"
F
TIFIED
MAIL°
RECEIPT
tic Mail
Only
ery informatinn,,,,,.
,....
..._�_._ .
co --- .-
C3Certified Mal Fee $3'
ri $
p
Extra ervlces&Fees(cnmkpc.5apahe �o Wa�el
❑ReNm Receipt (TaMcopY)
p
p
$
❑Return Receipt (elecaonic) $ "Till
$ ❑CBnPed Mall ResWDelivery
Y O J e JaftS
p
❑Adult Signature Requiuired $
�Adatt 3lgnelure Resinctea Delivery $
C3Postage
.0
,-I
$ $0.2 y
Total Postage and Fees
$ 0 $7.38
ru
/
r3 sen ?gyp C tl
M1 S���nld'CiVoyp�7=b"Yyi
$i/e, , 4ej
U.S.
Postal
Service'"
CERTIFIED
MAIL°
RECEIPT
Domestic
Mail
Only
For delivery
information,
visit
our
websitP
to
C3
Er
C3
C3
C3
C3
G]
ra
m
r9
C3
Iv
C3
M1
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if mace oermits.
C/ H 1Fo,, nt S 3d�
r y (Printed ame, ) `
D. Is delivery address different from item 1? t
If YES, enter delivery address below:
7LINITEO 3T/!7 �S
POSTAL. SERVICE.
SOUTH BRUNSWICK
1587 SEASIDE RD SW
OCEAN ISLE BEACH, NC 28469-1029
05/09/2022 [phone] 11:59 AM
Product Oty Unit Price
Price
=irst-Class Mail® 1 $0.58
etter
Jacksonville, NC 28540
Weight: 0 lb 0.60 oz
Estimated Delivery Date
Wed 05/11/2022 Certified Mail® $3.75
Tr+ckmg k:
70201810000019087794
'eturrl Receipt $3.05
Tracking #:
9590 9402 6016 0069 6517 94
7.38
,lass ME,1 1
$0.58
1
,nton, W .-. a28
Ight: 0 lb 0.50 oz
timated Delivery Date
Wed 05/11/2022
htified Mail®
$3.75
Tracking 0: /
70201810000019037800
teturn Receipt
$3.05
Tracking 8:
9590 9402 6016 DO
517 87
tl
;;
38
And Total: f `1.76
dsh W.00
change -$5.24
WWWWNkXtkkk%WWWWWWWWWWWWk%'WWWWWWWWWWWWWWWW
Every household in the U.S. is now
eligible to receive a second set
of 4 free test kits.
Go to www.covidtests.gov
WWWWWWWWWWWWWWWW %'WWWWWWWWWWWWkWWWWWWWkWWWW
Text your tracking number to 28777 (20SPS)
to get the )'test status. Standard Messago
and Data rates may applyyou may also
visit www.usps.com USPS Tracking or call
1-800-222-tell .
rovl:N it
Trac or Packages
tilt p .,, -- -
i
3, Type
ElPdodry Mall Express® I13
III'IIIIII
II I�llll'IIIIIIIIII
III
IIIIIIII
II III
p�Sdervice
Adult Signature
nature Restricted Delivery
0 Registered J
ODoel. Istterd Mail Restricted
9590 9402 6016 0069 6517 87
LiCenillad Mail®
D Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Dellve
❑ Collect on Delivery Restricted Delivery
Merchandise
D Signature Confirmation^^ I
- " ' "- '—--- ---�-
70211 1810 0000 1908
7800
Al Restricted Delivery
Restdctred Den rytlon
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt a