45801D - Perkins

11271•
CAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
KNew -Modification IIComplete Reissue ljPartial Reissue Date previous permit issued
Drized by the State of North Carolina,Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC -7 j—I , j Z C()
,JZ(Rules attached.
nt Name MA iT Y a t Project Location: County - 1.10ClZ
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Attached: yes no

MEM Milli MOM Sanfie =fifr 2VINIC 11B2all MEM IIMIEN MOMS MEN MIMI
Clements Atarine Construction 8014
910-270-9110 AVM 4356789
577 Ne Jilghway 210 W 66-30/531
_Hampstead, VC 28443 Date ri/z,L 365
Pay to tI $76%. 0
Dollars 8
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° FIRST CITIZENS 3.5 401101.9.-
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For vs-googy-Lbt
I 0 S L003001:00353 20
COASTAL ENS^

To Whom It May Concern:
I,Adam Knierim,property owner of 108 Circle Dr. Hampstead,NC 28443 have been
notified that Mathew Perkins is constructing a dock on Lot 17 (immediately adjacent to
my property). I am not opposed to the dock design submitted to NCDCM.
Sincerely,
C. Knierim

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WA.IVER FORM
Name of Individual Applying For Permit: Pt'rkJri 1-
Address of Property: L01— 17 , Sec t?'no 1i CI✓clr Or.
(Lot or Street€, Street or Road)
it pska4 r pc/wile CD,
• (City and County)
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 development the:
are proposing. A description or drawing, with dimensions; should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coasta
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 cr call 910-395-390(
within 10 days of receipt of this notice. No response is considered the same as no objection i
you have been notified by Certified Mail.
WAIVER SECTION •
I understand that a pier, dock, mooring pilings, breakwwater, boat house or boat lift must be se
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (If yoi
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.
,i,/ -‘ ',N.
Date
Sign Name
Date