60761D - Hughes

:�!'CAMA / I DREDGE & FILL
NO.
3�,.ENE'RAL PERMIT
V Previous permit#
,New -Modification -Complete Reissue
-:Partial Reissue Date previous permit issued
)rized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 1 SA NCAC
++�X
nt Name 1
Rules attached.
Project Location: County L
Street Address/ State Road/ Lot #(s)
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1 Fax # ( )
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IT � ��S P ne # (C� �� ) TTI " D� River Basin WVW�
❑ OEA ❑ HHF - IH - UBA C N/A
_
S�A"Itv)'-Adj. Wtr. Body 1 LI t Ur C.1 Vli✓ nat
yes / no PNA ye, no Crit.Hab.
Closest Maj. Wtr. Body ��UU
yes V
if Project/ Activity
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pier(s) _
ength
ember
ad/ Riprap length
eg distance offshore
iax distance offshore
:hannel
ibic yards_
mp
use/ Boatlift
ie Length /L J
not sure yes en
gs: not sure yes
rium: n/a yes no
yes n
Attached: yes no --
ing permit may be required by:
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re ardin River Basin i
regarding
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AMA/ t IDRODOE A FILL No. 60761 D
6IxNERAL PERMIT Plnriotuparncrk
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C Division of Coastal Mgt. Habitat Impact Computer Sheet
plicant: �y� �jGtN� U tiu,� Permit
te:
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
bitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other X
q O
q b
Dredge ❑ Fill ❑ Both ❑ Other
LAS
I
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other 0

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date )O- 3-1 ';L-
Name of Property Owner Applying for Permit:
Earl and Diana Hughes
Mailing Address:
5151 Bridgers Road, SW
Shallotte, North Carolina 28470
I certify that I have authorized (agent) Chris Stanley - with ECES to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) Pier - Minor Cama
at (my property located at) 964 Copas Road, SW, Shallotte, NC
This certification is valid thru (date) ) - ) - 13
12,
Property Owner Signa'tdre Date

-�r
East Least Engineering & Surveying, RC.
ENGINEERS -PLAN NER.S-SURVEYORS
Certified Mail Return Receipt Requested
October 3, 2012
Robert H. Rowley Trustees
Post Office Box 8
South Harwich, MA 02661
Subject: Earl & Diana Hughes
CAMA Minor Permit Application
Riparian Corridor & Dock Permit
Dear Trustees:
Mr. & Mrs. Hughes have retained our firm to apply for a pier and dock permit with the North
Carolina Division of Coastal Management. In accordance with the Division of Coastal
Management's (DCM) rules as an adjacent riparian property owner, you must be notified of this
permit request.
Enclosed is a copy of the Adjacent Riparian Property Owner Notification/Waiver Form for the
proposed project, and a drawing we have prepared describing the proposed pier and dock.
If you have no objections to this proposal, please check the space provided on the enclosed form
and return it to our office. Any comments regarding the proposed project should be directed to
the Division of Coastal Management.
Should you have any question or require additional information, please contact our office.
Sincerely,
Christ her 7
D. Stanley, PLS

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Earl & Diana Hughes
(Name of Property Owner)
property located 964 Copas Road SW, Shallotte, North Carolina 28470
(Lot, Block, Road, etc.)
on Shallotte River
(Waterbody)
in Brunswick County, North Carolina.
(Town and/or County)
He has described to me as shown below, the development he is proposing at that
location, and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
(Applicant Information)
964 Copas Road, SW
Mailing Address
See Attached Drawing
(Ripa}rian� Property Owner Information)
Signature
Shallotte. North Carolina 28459
City/State/Zip
_Robert H. Rowley, Trustees
Print or Type Name

East Coast Engineering & Surveying, P.C.
E:NG IN EERS•PLAN NERS•SURVEYORS
Certified Mail Return Receipt Requested
October 3, 2012
Ruth A. Keener
962 Copas Road, SW
Shallotte, North Carolina 28470
Subject: Earl & Diana Hughes
CAMA Minor Permit Application
Riparian Corridor & Dock Permit
Dear Ms. Keener:
Mr. & Mrs. Hughes have retained our firm to apply for a pier and dock permit with the North
Carolina Division of Coastal Management. In accordance with the Division of Coastal
Management's (DCM) rules as an adjacent riparian property owner, you must be notified of this
permit request.
Enclosed is a copy of the Adjacent Riparian Property Owner Notification/Waiver Form for the
proposed project, and a drawing we have prepared describing the proposed pier and dock.
If you have no objections to this proposal, please check the space provided on the enclosed form
and return it to our office. Any comments regarding the proposed project should be directed to
the Division of Coastal Management.
Should you have any question or require additional information, please contact our office.
Sincerely,
ci
Christopher D. Stanley, PLS

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Earl & Diana Hughes
(Name of Property Owner)
property located 964 Copas Road SW, Shallotte, North Carolina 28470
(Lot, Block, Road, etc.)
on Shallotte River
(Waterbody)
in Brunswick County , North Carolina.
(Town and/or County)
He has described to me as shown below, the development he is proposing at that
location, and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
(Applicant Information)
964 Copas Road, SW
Mailing Address
Shallotte, North Carolina 28459
City/State/Zip
See Attached Drawing
(Riparian Property Owner Information)
Signa re
Ruth A Keener
Print or Type Name

■ Complete Items 1, 2, and 3. Also complete
A. Signature ,-
item 4 If Restricted Delivery Is desired.
X�',
❑ Agent
■ Print your name and address on the reverse
❑ AddressE
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
B. Received by (Printed Name)
C.
Dat f De ve
or on the front if space permits.
( /--,
1. Article Addressed to:
D. Is delivery address different from item 1?
Yes
If YES, enter delivery address below:
❑ No
3. Servile Type
�
Certified
Mail �❑ Ex ss Mail ❑ Registered Ld'Return Receipt for
Merchandis
❑ Insured Mail ❑
C.O.D.
4. Restricted Delivery? (Extra Fee)
❑ Yes
2. Article Number
(Transfer from service label) 7010 3090
0003 7163 8437
PS Form 3811, February 2004 Domestic Return Receipt
102595-02-M-15,
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s, $000.00'1
c 0(J' "'<;a7 OCT 11 2012
Ir1 vt' )F?C 71PCO� S 59
Return Receipt Fee r
CD (Endorsement Required) a 3� Here
Restricted Delivery Fee
(.Endorsement Required)
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Total Postage & Fees
CD $ s,7'
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rl Street, Apt. No.; _ _ _
C3 or PO Box No. (�
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4cGr'coPS Form 3800, August 2006
See Reverse for Ins!ructions i
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17� c 0 3y9J7 42 OCT
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(Endorsement Required)
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0
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Sent T
rl Street, Apt. No.r
Cl orPOBoxNo-
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PS Form :rr August 2006 See Reve

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■ Complete iterrls 1, 2, and 3. Alsd complete
item-4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
A. Signature
X � P t Addressee
B. R"ved-tlx( P4'ptpd Namo) C. Date of Delivery
P NV41tviE�r abdress differen1from item 1? El Yes
TE e( 'very address below: No
OC
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5 rQ
201205
Iff Certified Mail ❑ Express Mail
❑ Registered Cad-Frturn Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4 Restricted Delivery?
re �) ❑ Yes
2. Article Number
(Transfer from service label) 7 010 3090 0003 7163 8420
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Prini your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
1
2. Article Number
(Transfer from service label)
PS Form 3811, February 2004
A. Signature
X r ❑ Agent
❑ Addressee
B• ed by (Printed Name) C. Dat of De very
/r
D. Is delivery address different from item 1? Yes
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail ,❑..� Ex �ss Mail
❑ Registered -4etum Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
- - —,� �--a Ilvery r (txrra Fee)
7010 3090 0003 7163 8437
Domestic Return Pint
❑ Yes