HomeMy WebLinkAbout76200D - Blakeney
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: John Blakeney
Mailing Address: -To A K en e_c-4
338 OD soiuG ill . NG
Phone Number: vl t � 19 rj -7% 1
Email Address: john.blakeney@trshvac.com
I certify that I have authorized Josh Barber/PFL Construction
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Pier with Deck
at my property located at 114 Hugh Edens Lane, Hampstead NC
in Pender County.
l furthermore certify that l 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.
Property Owner Information:
`1
Signature
John Blakeney
R Print or Type Name
Title
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAiVER FORM
Name of Property Owner: John Blaken
Address of Property:
114 Hugh Edens Lane, Hampstead NC Pender
(Lot or Street #, Street or Road; City & County)
Agent's Name #: Josh Barber/PFL Construction
Agent's phone #: (910) 330-5569
Mailing Address: 135 Virginia Lane
Sneads Ferry, NC 28460
I hereby certify that I own property adjacent to the above referenced property. The individua
applying for this permit has described to me as shown on the attached drawing the developmeni
they are proposing. A description or drawing with dimensions must be provided with this letter.
? k `✓ I have no objections to this proposal. I have objections to this proposal.
If you 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 at http://www.nccoastalmanagement netlweb/cm/staff-listin g or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mai!
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.)
I do wish to waive the 15' setback requirement.
?r\ '✓ I do not wish to waive the 15' setback requirement.
(Prope Owner information)
afore
John Blakeney
Print or Type Name
(Riparian
Property
Owner information)
x f �1�,, W W � lVlrt ti41
Signature
hh,(It,p E.INA(I s 1
Print or Type Name
:� -e ks .*t�6 1) / n4n 15olUeo i--)/') � , � q 4
CERTIFIED MAIL, RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONWIVER FORM
Name of Property Owner John Blakeney � _ _. __• _.�
Address of Property- 114 Hugh Edens Lane, Hampstead NC Ponder
(tot or Street C Street or Rom, Coy b County
Agent's Name b: Josh Barbef[PFL Construction Mailing Address: 135 Virginia Lane
Agent's phone #: i910) 334-5569 Sneads Ferry. NC 28460
I hereby certify that I own property adiacent to the above referenced property. The individual
applying for this permit +ties described to me as shown on the attached drawing lhe development
they are proposing. A f or drawing with dimenelons. must be orovided wtttt ft teller.
_�L t hayc no o*ctioTis to this protx),al. _i I ha%c objections to this "osal,
tl you have objections to what is being proposed, you must notify the Ofvision of Coastal Management
(DCM) In writing wfthin 10 days of receipt of this notice, Contact Information for DCM offices is
available at htto �Airww accoas fgknanagemef3t netfwoWsnyj talf listir►n or by callt»q 1.49"RCOA S i.
No respon" Is conslrkmd the same as no o�jectfon Ifyou haw been notified by Cer!}lW Mall.
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
yo wi ive the setback, you must initial the appropriate blank below.)
t d4 wish to waive the 15' setback requirement.
v
I do not wish to waive the 15' setback requirement.
Ow.
%erh�M*crmatian) rian P Owner
John Blakeney �, . � I
Print or Type Name PnW or Type N&m
?� { .i
+N009 Address Addys:s ' n
DIVISION OF COASTAL MANAGEMEN f
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATiONfWAIVER FORM
Name of Property Owner: John Blakoney `_ _
Address or Property: 114 Hugh Edens Lane, Hampstead NC Pander
(Lot or Slreet It. Street or Road, City & County)
Agent's Name M Josh Barber/PFL Construction Mailing Address: 135 Virginia Lane
Agent's phone 0: (910) 330-5569 _ Sneads Ferry, NC 28460
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 drawino with di¢;enslons, mull be provided with thins Lit.
I have no objections to this proposal. I have objections to this proposal.
ff you have objections to what is being proposed, you must notify the Division of Coastal Management
(DC" ir) writing within td days of receipt of this notice. Contact Information for DCM offic" is
avaUableathtrn=+'%wow-nccoastaimanaaemen.neVweb'un/staf listln orbycalling f-888-4RCOAST.
No response Is considered the same as no ohlrction Ifyou 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback regwroment
(Props Owner information) (R parian Property wvnerInformation)
- l
inure 5 g re
John Blakeney
Pnnt or Type Nerne
a3e iN5 Ji S0ll7�'r
Marling Address
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Print or Type Name
- A 4u_21, ; t?r, s I,
Mailing Address -
City/ twzp
io
Telephone Number/Ernatl Atidreg$
fiaro.• Dat
(Revised Aug. 2014)
amoune
iYam1 C0/wnn2
Co/umn9 _-_
Shannon Miller
L_ _ CdumM
same
1 Co1umn5
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_
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_
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anthony nccjarcli
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Frank and Patricia Voli
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_ _ _
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same
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_
Truliant -
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Charles Duckworth Money Order
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5/18/2020- _ -
-
5/18/2020
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5/1812020
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_
-_
Grice Construction of Brunswick County Ire
Grce Construction of Brunswick County Inc
jDavid Clark _
ICamille Buie -
888T _
BUT -_
5/18/2020
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Hei J Butler - _ _
FYJYNM. LLC 0 of 2)
_ some
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_
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5/18/2020
K18Q020*
FYJYNM, LLC (2 of 2)
same
_
same
5/1812020
_ -
Kirk Percy
isame
,SunTrust
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