76560D - Clements

LAMA / ❑ DREDGE & FILL N9 76560 A B
iENERAL PERMIT Previous permit#
New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environmental Quality �, /ZO 0
oastal Resources Commission in an area of environmen I concern pursuant to I SA NCAC 7
n ❑ Rul attached.
Name CAh �/'"" Project Location: County I _-
Street Address/ State Road/ Lot #(s)
S " State^ZIP Z � 7-3
( + 436 v E-Mail Subdivisio y[�
:d Agent CityZIP `771,,.f y
❑ CW )� PTA El ES ❑ PTS Phone # ( "'" �—' River Basin r v
❑ OEA ❑ HHF C IH ❑ UBA ❑ N/A /
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distance offshore
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❑ See not on back regarding River Basin

I hereby oert(fy than I own property adjacent to Daniel Clements .s
(Nanw o1 Property Owners
prop" located at lot tot hughes to
on
Horn Creek (Adidma, Lo4'
(wY) in
etc.)
(Cityli'am andkr Courrq )
The applicant has described to me, as shown below, the development proposed at tt}e above location.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
OndWduel AmAosft devekWmenf must na In dasedpdfon below or attach a sde driwf*
** Please See Attached Drawing **
WAIVER SECTION
I understand that a pier, dodo, mooring pilings, breaW ater, boathouse, qft, or groin 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 Inftl the appropriate blank below.)
I do wish to waive the 15' setback requirement
- I do not wish to waive the 15' setback requirement
(Property Owner Information) (Adjacent Property Owner Wonnadon)
Si alure ,S're
1 r;e) C ✓i�5 Cl�c�r�es �dG�<i k�
Print or Type Meme Print or Typo Name
13© Dee C_�i,t Ar �.T2 �4i�es �yad

I hereby oertify that I own property adjacent to Daniel Clements ,s
ixvperty located at lot 181 hughes rd (Narm of arty Owns"
Horn Creek (Adder, U)% Bk" Road, etc.)
on in Hampstead N.C.
(Wabmtody) (CNWToam andlor County)
The applicant has described to me, as shown below, the development proposed at the above Location.
I have no objection to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Irro Wkkof propoxfog devokpnernt must till In dsscriptlOa below or attach a site d nftj
** Please See Attached Drawing **
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum distance of IS from my area of riparian access unless waived by me. (If you wish to waive
the setback, you must InWal the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 16 setback requimment.
(Property Owner Infonn8tion) (Adjacent Property Owner Information)
sl e sib
Prlat or Type Name P►int or Type Name-
/ me yJ
AftVft
Address _ _ VPNn9

� 1
� I
20' 20'FX I
i0l
155' `
I {
Charles E.
Hocking I
632 Hughes Rd
Hampstead NC Daniel Clements 4
Lot 181 Hughes Rd
Hampstead NC
in
I
+ N
15, + r- 15'
I �
� 1
� I
1
I

RECEIVED
AUG a 3 2020
DCM WILMINGTON

Chock
Permit
rust
White Kehaya
same
David Butts
Bank of America
Fidelity
BUT
2424 $
1022, $
10146 $
4UU.VU
400.00
200.00
UP s/64/Zu _
GP #76519D _
GP #76464D
Kt mi. wroa
BB rat 11532
BB rct. 11527
GP 076518D (one check written for $800 split between two
Gary and Martha Pope_
BUT
7461 $
400.00 permits)_
B8 rat. 11531
GP #76517D (one check written for $800 split between two
Gary and Martha P
BB&T
7461 $
400 00 permits)
BB rat 11531
dson/Richardson Cc James McMillan
BB&T
7757 $
200,00 GP 076462D
BB rat. 11530 _
.011
_
same
_
Aquesta Bank
_
1593 $
20000 GP #76468D -
BB rct. 11529
'o II
Judy Garst
Aquesta Bank
1592 $
200,00 GP #76549D
BB rct. 11528
struction, LLC
Shepard Broadfoot
CresCom Bank
3201 $_
200.00 GP 076463D
BB rct. 11534
tion, LLC
Daniel Clements
FCB
269' $
200.00 GP #765600
JD rct. 10821
Nathan Faulkner
BB&T
8835 S
2 00.00 GP #76559D
JD rct 10820
Construction Co.
Diane and Dave Rodgers
South State Bank
11849 $
200.00 GP #76470D
KE rct. 10783
dy
same
BB&T _ _
_ 6495 $
200.00 GP #76586D
JD rct. 10819
c i c
camp
_
Snuth State Rank
1857 S
200.00 GP #71873D
JD rct. 10847