49289D - Hughes

AMA/ ielS EDGE & FILL
3ENERAL PERMIT Previous permit#
'New Modification (Complete Reissue ❑Partial Reissue Date previous permit issued
-ized by the State of North Carolina,Department of Environment and Natural Resources r7
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ,?li ii Q
Rules attached.
t Name 4,57,✓,,,A 6✓4,✓71" 4/.i 4 i Project Location: County ?it u...0sa✓i c/C
J l/ 161,4044 i f A'Qi, Street Address/State Road/Lot#(s) J y3 C(�
144. !/i/).( State •YC ZIP ZYYaJ /Ar/d, r., 4,/,
(72 -j 2 7/ -Zy/41 Fax# ( ) Subdivision' /
;ed Agent"co of AZ GA 0.✓ - City_/90 i.,. CP,9c It _ ZIP .27Y
❑CW DEW IOTA DES PTS Phone # ( ) River Basin 2y,„I,
❑OEA HHF ❑IH . UBA N/A
Adj.Wtr. Body g/ 1.4/ /✓ Ag,/r
❑ PWS: ❑FC: /, /
yes Piro— PNA yes no Crit.Hab. yes / no Closest Maj.Wtr. Body A/L✓/✓
Project/Activity P , v A 7I.P 8,..,L i(h
(Scale:
ck)length
r(s) li % /nm f fj -._ 19 / . `_ �i___
ier(s) 61= e/)f,761 ..ST/ ,er
ngth
mber tiprap length /50 'y. /Q 'cv,,4 N/,///
distance offshore . -
' a °Iipyt
uc distance offshore .�" r ' ''5 V V a' V
cannel i . 6H-! it j "44 ✓ y) ii v W ld
L
tt
bic yards _ y 4 / if !L f
np 7 ,.
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ise/Boatlift Y�J�fs� c�` Ci ie Vulldozing 9 QtI L��9,•j iv
U
ti
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hi a
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e Length _.,J® lr
Q Li
not sure yes 6 �/.
•
s: not sure yes rr4) 1,
ium: n/a yes }_.
yes e9 i
4ttached: yes no) ' 1 1 __---.
ng permit may be required by: &O.,Su 4 re.,�7y 7 See note on back regarding River Basin ri

•LDEN DOCK& BULKHEADS 2745
GREGORY A& DOROTHY HOLDEN
910-842-9732 HIS NCDL 4576438 HERS 5202642 1502 STONE CHIMNEY RD SW 9, D 66-1215/531
840
SUPPLY,NC 28462 %/irtc /
'AY TO THE I\ f C, 0 EN I $ Co. d
ORDER OF , �( `
1-W2) i4"/Adre/Z(9rVZ.--0 (---0/,'":---- ,A.,
4 WACCAMAW
t _,BANK
. Supply,NC 28462
mw.matt k.bancom I
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':0 5 3 1 / 2 5 21:8000 1 5 7 5 301180 2 71-14
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a-03-200( 10:02 From: To:8429806
ATA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F.Easley,Governor Amos H.Gregson,Director WW1Gam G Roes
Authorized Agent Consent Agreement
C�2
is hereby authorized to act on ml
(Ponied Nome of Aponr)
order to obtain any CAMA perrnit(s) required for the property listed below. The authorization is limit
pacific activities described in the attached sketch.
.00ATION OF PROJECT:
j /'f' L3 e-e-e2iQ r' 1,-,a rl ; KGB
JJLL ll l �
P3e�4--t'
'RnnOPERTY OWNER MAILING ADDRESS:
fTn�ea- A- v enf h+✓s
3%f n Aar h;lfi4-1
gilled - iI !UC Z PHONE NO. VI- .27 - 24
I
UTHORIZED AGENT MAILING ADDRESS:
-.).:7\--
.)
75-0 5 ski-e cjti LAI
PHONE NO, 91/
5-1,2 - 9

r tv i tuYaKLAAN YKUYt.K! Y UwNER NO
ICATJowwAIVER FORM
to of Individual Applying For Permit: n A
S
ress of Property: r �-ci � ;
(Lot or Street#, Street or Road)
(City an County)
eeby certify that I own property adjacent to the above-re
Ping forthis permit has described to me as shownf�'encedpropertY- The individi
proposing_ A description or ante attached g the developmentth
drawing,with dimensions, should be provided with this letter.
L I have no objections to this proposal
on have objections to what is bung proposed, please write the Division of Coas
eta emeat,.127 Cardinal Drive E tension, Wilmington, NC 28405 or call 910-395-3S
tin 10 days of receipt of this notice. No response is considered the same as no objectioi
have been notified by Certified Mail.
tderstand that a pier,dock,mooring pilings,breakwater,boat house or boat lift nnusi
bck a minimum distance of 15'front my area of ri
must initial �r�n access-unless waived by me.
wish to waive the setback,
you the appropriate blank below.)
I do wish to waive the 15'setback requitement.
I do and wish to waive the IS'setback requirement
z--„ ,c/..N

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A, ce' -d (Please Prin)Clearly) B. Date of Delivery 4 if Restricted Delivery is desired. Lys /�.`/ ,
• Print your name and address on the reverse
so that we can return the card to you.
• C. Signature
• Attach this card to the back of the mail piece, � / C/ � ❑Agent
or on the front if space permits. p J �❑Addressee
D. Is delivery address different from item 1? Yes
1. Article Addressed to: If YES,enter delivery address below: No
TeJde,�S l I `� - e n l-eitAoX
k U) \L2 e- 3. Service Type
Certified Mail ❑ Express Mail
g5 S- Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number(Copy from service la 7007 0 710 0005 2990 0 517
PS Form 3811,July 1999 Domestic Return Receipt 102595-00-M-0952