46066_HUGHES. JOHN_20060725

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❑ CAMA / ❑ DREDGE & FII4L 1
GENERAL PERMIT �
Previous rmit #
ONew ❑Modification ❑Complete Reissue []Partial Reissue Date pre ious permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
r... E 4.Rules attached.
Applicant Name J `'' �` ""f Project Location: County
Address I ' / Street Address/ State Road/ Lot #(s)
City— � v / State'
. l r '� G � 6 (� �j~' �- . ! l � `•C,rj,
Ci ZIP
Phone # Fax # ( ) Subdivision �" ram`' ^ r• r
Authorized Agent � City / '. ` ., 1 / N C ZIP r% l
❑Cw [3EW ©-PTA
Affected
AEC(s):
❑ OEA ❑ HHF ❑ IH
❑ PWS; ❑ FO
ORW:
yes / no PNA yes '/ no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finge
Groi
Bulkl
Basir
Boat
Boat
Beac
OthE
Shor
SAM
Sand
Mor;
Phot
WaN
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit. Hab. yes / no
Phone # (�) River Basin /V E?�
Adj. Wtr. Body f, �`` ` ' (6a0/man /unkn)
Closest Maj. Wtr. Body !" P.."^.� .R,:- i
(Scale: A ., e- )
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•�+ ��
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r pier(s)
i length
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number
lead/ Riprap length
av distance offshore
max distance offshore
I
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a.
f
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7,1
channel
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cubic yards
ramp
i
louse/ Boatlift
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i Bulldozing
r
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_—
A Length
not sure yes no
—�
4
-
mgs: not sure yes Rio--
torium: n/a yes
)s: yes ram,
LA
ar Attached: Yes Ina
I
i
A building permit may be required by: / 4, k.. G . r
Notes/ Special Conditions "� V C& �(•3 �+'� ✓1
u
ee note on back regarding River Basin rules.
"• 4 f /• 1 k r...
Y" v �
II II 7 2 U6
Agent or Applicant Printed Name - Permit Office?s Signature
rr
Signature "Please read compliance-9ffe-m—enDAWWOW WILY NiNg Date (( 6/q� Expiration Date
Application Fee(s) Check # Local Planningf urisdiction Rover File Name

I*
Statement of Compliance and Consistency
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 or criminal or civil action; and may cause the permit to become
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) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-648 I) or the Wilmington
Regional Office (910-796-72 l 5) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: [phone]
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-41RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05

Ca�s)3��r-77&�

Y
ADJACENT RIPARIAN PROPERTY 0117NrER STATEMENT
I hereby certify that I own property adjacent to "1: r w hl i�<� � 1� 5
(\lame of Property Owner)
propei►y'located at
(Lot, Bloc),, Road, etc.)
on Olt'
(ti'Vaterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing 2t that location,
send, 1 have no objections to his.proposal.
DESCRIPTIO .ANUOR DRANVING OF PROPOSED DEVELOPNIEW
(To be filled in by individual proposing development)
o c o
L-L-Jkk V, tL)
YV"1
07 17 �`-o
Sign
Print o: Type Name
�47 42-92� -
Telepho:#e Number
r 7
Date:
-29-

MILES C. SHOREY IV
P.O. BOX 118
ORIENTAL, N.C. 28571
I ��o .��-��,� �� verify that Miles C. Shorey IV is to
do the job of O-oc K at the address of za5-
LS64T Tee 4a and that 50% of price of job
will be paid in advance and the remainder will be paid when job is
done in full.
owner
Miles CxoSfiorey IV

ADJACENT RIPARIAN PROPERTY OWNER STATENIENT
I hereby certify that I own property adjacent to
(Fame of Property Owner)
property located atS�_i
(Lot, Block, Road, etc.)
in*
on = - — — (Town an County) -
aVaterbody)
He has described tome as shown below, the development he -is proposing at that locati
and, I have no objecOons to his.proposal.
DESCRIPTION .Al�'D/OR DRAWING OF PROPOSED DEVELOPINsEN J
DESC
(To be filled in by individual proposing derelapent
)
© 0 c 0
Signvure / L (
Print or Type Name
Telep403e Dumber I
Date:
2 JLoVE2c,06
—29-

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66-301531
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