42397D - Hammes

(LAMA/ J DREDGE & FILL V N° 4
aENERAL PERMIT Previous permit#
(New !Modification Complete Reissue CPartial Reissue Date previous permit issued
ized by the State of North Carolina,Department of Environment and Natural Resources ' 1
oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC -4 tT , 2-00
Ies attached.
:Name A (A N RAM MeS Project Location: County PEN O e12_
2_2-2- 0 j DE R)1 NT Loop Street Address/State Road/Lot#(s) 2Z2 O(47 j
\-M 1's ' State QC- ZIP 2 S.443
(I(0) OS — 9(cax#( ) Subdivision OLD POI NT
:d Agent 642-�-, IlAA12.1 id City Fk M PS 1Y 0 ZIP 2-S L4 L
*CW E W *TA ❑ES ❑PTS Phone# ( ) 3t T A.t River Basin
OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body NI) ONS & /n
H PWS: ❑FC:
ie/ no PNA ar no Crit.Hab. yes / no Closest Maj.Wtr. Body 1w VN/
Project/Activity 1 NSTALL 5 Pt L1K)(s UN j;X( T11\1C. 'RtVAnF_
P(eyz. (Scale: (i
k)length
`s)
sr(s) _fc�(1 si-h-), N N 1 X Ol v S l.K-'ti���
igth 2- PIi11\r,S 1-D 1.% INST71LW.)
fiber
/Riprap length r 2' *_� K c.
distance offshore_ 1 — .�
c distance offshore r �a
annel C
3 IiuN6s
is yards - TO PEE. I i•I L
P _
;e/Boatlift I 54 t
Ildozing / 1i/
] PI Li t '5
Length 12S'
not sure yes C"6) 1 \.�
: not sure yes �I
um: n/a yes no P� 2 l� ( L 1��. R1NT L(1op ���
yes
ttached: yes / no
fig permit may be required by: PEN One- C 0 . . See note on back regarding River Basin ru

ELISABETH B. HOMMES 4217
ADRIAN HOMMES
I NCDL 1597679 L2Z ::\cite.�c .b k* L ce 66-85/531
2806
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$ CENTURA BANK
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WILMINGTON, NC 28401
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1:0 5 3 /008 501:02760584L40 4217
DESIGNER CNECI(5®•CUP 0'JAVA T a O RONDA AHRENS.ART IMPRESSIONS INC.

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:
Address of Property: ?ori I o
(Lot or Street#, Street or Road)
(City and Coun )
I hereby certify that I own property adjacent to the above-referenced property.
applying for this permit has described to me as shown on the attached drawing the devopent
are proposing. A description or drawing, with dimensions, should be provided with this lette
LI I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coa
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3
within 10 days of receipt of this notice. No response is considered the same as no objectio
you have been notified by Certified Mail.
• WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must
set bck a minimum distance of 15' from my area of riparian access-unless waived by me.
you wish to waive the setback,you must initial the appropriate blank below.)
/ I do wish to waive the 15' setback requirement.
��✓vW V
I do not wish to waive the 15' setback requirement.
41- 11Wri s , ? os
Sign Name • Date

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit:
Address of Property: LG7. D I d . R0 $ i-0 q
(Lot or Street#, Street or Road)
Nam:',()Ste at.) N C - 0 ,3
(City and County) y
I hereby certify that I own property adjacent to the above-referenced property. The indiv
applying for this permit has described to me as shown on the attached drawing the development
are proposing. A description or drawing, with dimensions, should be provided with this lettc
,/,-e47I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Col
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-2
within 10 days of receipt of this notice. No response is considered the same as no objecti(
you have been notified by Certified Mail.
• WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat Iift mus
set bck a minimum distance of 15' from my area of riparian access -unless waived by me.
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.
Sign Name
Date

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