22201_HAMER, PAUL_19990506

O
CAMA AND DREDGE AND FILL
GENERAL p ? 22201 �
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name ��' L' 1 A Phone Number {
Address r� �, �,( ,� f? y A.
City r.- "3 / i /; State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
i 4 /Ic f ShU7.✓ r y n.
PROJECT DESCRIPTION SKETCH d 7- /-i
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions �� d
cubic yards
Boat ramp dimensions /
Other
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,
imprisonment or civil action; and may cause the permit to be-
come 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 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
(SCALE:
i _sd�c- � ✓l
�� applicant's signature
permit officer's signature
issuing date expiration date
attachments '� !r 7
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee c%

PAUL L HAMER 4455
BERNADETTE E HAMER 66-152/531 CC
126 WHITE ASH DR PH 252-247-2675
PINE KNOLL SHORES, NC 28512 Date
Pay To The
Order Of $
------ Dollars ": o. e....
Wachovia Bank, N.A.
Pine K-11 Shu s, NC 285.37
Memo " ' L—i-pCb�U L ►n % NP
1:053 10 L 291: 5L,65 L 1363611' 4455
HARLAND 1998

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER / UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to�t—IS
(Name of Property Owner)
property located at
on
(Waterbody)
(Lot, Block, Road, etc.)
in
(Town and/or County)
, N.C.
He/She has described to me, as shown below, the development he/she is proposing at
that location and I have no objections to his/her proposal.
---------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
LASS �J
R. c,c.,e�,y
---------------------------------------------------------------------------------------------------
Signature
Jt.A
Print or Type Name
Telephone Number
Date: Z 4 /,y

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER / UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to iiuot.L is
(Name of Property Owner)
property located at Pry
(Lot, Block, Road, etc.)
on �',4pja , in �� �' kti,o Ll Sl, �� , N.C.
(Waterbody) (Town and/or County)
He/She has described to me, as shown below, the development he/she is proposing at
that location and I have no objections to his/her proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
------ ----.n -- ----------------------
Signature
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,4 ( L. �,�-m6-ft
Print or Type Name
4: ?- 417 - ?
Telephone Number
Date: z

05/13r1999 12:13 9192472210 HAMER' PA13E 02
ADJACENT RpARLAN PRopERTY owNER STATm&ENT
(MR A PIER / UNcovERED BOAT LIFT)
that I awn sort to • 's
I hereby ce�tfy Pt'°'1�Y �
(Name of propaty owur)
pmpaty WCOW at � xre r1 �►cr.� —,
4 Ram, °6r.)
an - ='n E lLc. , N.C.
(Waterbody) (Town Amwor Cmmty)
PWSho hs do= -bed to me, as shown below, tha developmeat Wobe is proposing at
that jocadon and I have no objecdons to bier FrPassl-
_T___— DESGRIPnON AND/OR DRAWING OF PROPOSED DEi LOPMEN-
(To be„trted in by b%d&md Fr0P0ff*wm-n#
341,
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Print cc Type Neme
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Telephone Number
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