52004D - Hughes

❑CAMA/ ❑DREDGE & FILL 1.,
GENERAL PERMIT'll Previous permit#
New ❑Modification ❑Complete Reissue III Partial Reissue Date previous permit issued
orized by the State of North Carolina,Department of Environment and Natural Resources _ -
Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC , 1 `�
Rules attached.
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t Name \U t�'\�-�t=-r=� �r•CS t S Project Location: County �N NYC") (L
ss ? k) X. L\`'\ \ Street Address/State Road/Lot#(s)
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#(a.,, )L-2a ° c S Fax#( ) Subdivision I.,-. t.) c,- -i".. .-r.', E-si ---,
rized Agent (,LE >ma... 1 S City are-NPSS-rm.D.." ZIP y 4
_d ❑CW ❑EW ❑PTA iS ❑PTS Phone# ( ) River Basin�A?Z
El OEA ❑HHF ❑IH Li UBA ❑N/A / Li.".""'''''.): Adj.Wtr. Body i�PSa,.Z.L. �� (nat
PWS: ❑FC:
yes'/ no PNA yes no Crit.Hab. yes / no Closest Maj.Wtr. Body Pz.v✓ N/
of Project/Activity ZNS(4 L.-'l 3(0—)t Cr V t. C.2- L„L. k-th t.i ,
(Scale:
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dock)length
rm(s)
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r pier(s) ,
length
number 1�
ead/Riprap length �� I i
avg distance offshore
max distance offshore 9r I //
channel — 1f �
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:ubic yards l Li
amp Vr1{, I 4
ouse/Boatlift y1 i 4 \ I 11 (O
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line Length
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ags: not sure yes %-M- 1 H - - -
orium: n/a yes (n>o
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s: yes �o j 1... — _ . ....-_ �.._..
r Attached: yes !
ding permit may be required by: E tJ ,i.1- "..- '' ) LiSee note on back regarding River Basin
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Washington Acres, Inc
•
fr whom It vla, Concern:
Please he advised that Jeremiah U. Reeves is authorized to act as agent for Washington
Acres. Inc. in matters concerning design. engineering and permit applications for
development of propert> of Washington Acres. Inc..and/or Raymond I lughes I rust.
\‘1. \t. Jatc t-700-4t
Patricia I lughes '
President

Letter of agent
I -S tiv `, aSi.V 2 S have retained Mark Clements DBA, Clements
Marine Construction Inc, to make application for any and all permits needed to start
construction on the work requested for our property or properties.
By allowing Mr. Clements to make such applications I do understand that this will in no
way relieve me of any obligations to perform all work according to the building codes of
North Carolina, CAMA, DWQ or any other state and or county ordinances.
P ' name
Signature
7 (> S -1 date,4 (AO a.
Contact info ation

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ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: .i + }-415;11.5 IJgsl,, -60 1citv2.- T Nc —
Address of Property: to)- `fir I D R,Sh,nc` ad) Gnu ecl-
(Lot or Street#, Street or Road)
(Citj and County)
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 developmenl
are proposing. A description or drawing,with dimensions, should be provided with this lett
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Cc
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-
within 10 days of receipt of this notice. No response is considered the same as no object
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift mi
set bck a minimum distance of 15' from my area of riparian access-unless waived by m
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.
X • ,z(-244-'1"e-- .
sign Name Date
//L�=_/A..r.l,-- i.�,DAL./-4 /11 i I✓l o..,r / / • Ali I-Ci er o i r ArilrA

ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: rail `r/fl�Qlir / �•vc
�j
Address of Property: iS . to ,qf Xii io/ j,
(Lot or Street#, Street or Road)
//d0/1,4?/-///C 94./F Z ,C VV?
(Cit/ and County)
I hereby certify that I own property adjacent to the.above-referenced_property. The indivii
applying for this permit has described to me as shown on the attached drawing the development I
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 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 objecti4
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift 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 tbe.appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
;VZ/h,c(11
Sign ' , I e Date
F�'117I -C,-AII