48224D - Hughes

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CAMA/ ❑DREDGE & FILL
/ _
3ENERAL PERMIT 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 Z Q Q
2oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Mules attached.
t Nam:Z PH HAc}+i E > Project Location: County JSL O,., -,
-79A ,Z'LG i a►..>Ds Street Address/State Road/Lot#(s)
-S p StateL)C_ ZIP Z-7 SRO L/ i(''O S'<} (?" S 11
i to la ) flq y - Ts—)0Fax#( ) Subdivision
;ed Agent City Su cis- C-Z1N1 ZIP ,,a.q I
❑CW )CEW TA ❑ES ❑PTS Phone# ( ) River Basin(pk c
❑OEA /❑HHF ❑IH ❑UBA ❑N/A L ►4 )4.-
❑PWS: ❑FC: Adj.Wtr. Body�i i,,n�? Sa�...)A (natt
yes /� PNA yes Crit.Hab. yes / no Closest Maj.Wtr. Body �1 ti Mi' j� _11
Project/Activity L ). SI-AL —• \j�( 1 Z_ 1�-.aT i t FT a� I ET S KT L1 F
(Scale: i I. j
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not sure yes 1 1 • •
r: not sure yes
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ig permit may be required by: S N a_F GZT y I See note on back regarding River Basin rt

� J.D. HUGHES NCDL 2046893 FIRST CITIZENS BANK 6750
ETHELENE HUGHES FIRST-CITIZENS BANK&TRUST COMPANY
- - • PH 919-894-2570
9798 STRICKLANDS CROSSROADS RD BENSON,NC 27504 191 Date/7
,,n/
PAY TO BENSON,NC 27504- 66-30/531 Dat@"/ N ~
O T-:
THE ORDER ` >IL ®$ Q.
O7 L in✓ /I/O/7 e;› DOLLARS
UEST
417-1-1------4.
':0 5 3 L00 3001:00 L 9 L 708 5 79 9ii' 6 ? 50
THIS DOCUMENT CONTAINS A COLORED BACKGROUND ON WHITE PAPER MICROPRINT IS LOCATED BELOW THIS WARNING BAND. ------

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO III-ICATION/WAIVER FORM
Name of Individual Applying For Permit:
Address of Property: 6 f)( ��
(Lot or Street#, Street or Road)
Sue r e/7) 1 A(
(City and County))
I hereby certify that I own property adjacent to the above-referenced property. The individw
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.
M eel I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast:
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-721
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings,breakwater, boat house or boat lift must be si
bck a minimum distance of 15' from my area of riparian access- unless waived bv_ me. (Ifvo
wish to waive the setback, you must initial the appropriate blank below.)
me I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
`' 521/64,7S/io/ 7
Sign Name Date
Print Name ©, 4

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete
item 4 if Restricted Delivery is desired. � C-eelf
-CZ
/ /' 41 ■ Agent
■ Print your name and address on the reverse `} t� 'ASL Addressee
so that we can return the card to you. B Received by(Printed Name) C.J)ate of Delivery
I Attach this card to the back of the mailpiece,
or on the front if space permits. �`a , D-eC
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to: If YES,enter delivery address below: 0 No
ffo Y a9id I1
i7V 3. e i Type''
Certified Mail 0
Expkas Mall
14 C--
2 GAL/' j 7 b f egistered 0 Return Receipt for Merchandise
0 Insured Mail 0 C.O.D.
l4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transferfromservicelabel) 7006 2760 0000 9631 8937
PS Form 3811,February 2004 Domestic Return Receipt 1oss95-02-M-1s4o
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete
item 4 if Restricted Delivery is desired.
Print your name and address on the reverse (' Rea%7VAgent
❑Addressee
so that we can return the card to you.
• Attach this card to the back of the mailpiece, ceivedA(P ed Name) C. D to of slivery
or on the front if space permits. e
- tQ4 " tt} -7
1. Article Addressed to: D. Is delivery address different from item 1?`0 Yes
�4` Al) it- A-55 If YES,enter delivery address below: ❑No
/6,3 55' /
S/ G- 3. e ice Type
/r(/ _ Certified Mail 0 Express Mall
5 L5 4D ❑ egistered 0 Return Receipt for Merchandise
J ❑Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
2. Article Number
(Transfer from service label 7006 2760 0000 9631 8920
PS Form 3811, February 2004 Domestic Return Receipt 1 -M-154o

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10ft
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Piling Diagram / DOOZIE 4000 LP

UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
LISPS
Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this box •/2(2_,S
_6 4e?'
9,2ay (s7-4.e/S74-*:() S KiLt ke--I
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YC V t',.Y'4 +ti{iilfii{l'iti11iiii ti i11iit1itIthil SSi I'hSn l ntttt irI
CQMPLETE THIS SECTION ON DELIVERY
SENDER: COMPLETE THIS SECTION -.-
■ Complete items 1,2,and 3.Also complete Agent
• Print your name item 4 if Restricted Delivery is desired. 0 Addressee
and address on the reverse X C
r .
so that we can return the card to you. erved b (P ed
• Attach this card to the back of the mailpiece, � � �Name) 1Cit
Date of eiiv� g
or on the front if space permits.
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to: If YES,enter delivery address below: 0 No
Ri.$ )G dA-5.5
/093 c5 A i?
(, /��-- 3.Kce Type
'�/� � /`-� ,h/ ertified Mail 0 Express Mail
�+� egistered ❑ Return Receipt for Merchandise
�(��� 0 Insured Mail 0 C.O.D.
j, 4. Restricted Delivery'?(Extra Fee) 0 Yes
a..
2. Article Number 1rinL a7Ln nnnn 9611 8920

7006 2760 0000 9631 8920 7006 2760 0000 9631 8937
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