54119_LEWIS, GARRISON_20090529

uCa1VIA ❑ DREDGE & FILL 411 1
r GENERAL PERMIT Previous permit#
Ell New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources jy
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 2i300
Rules attached.
Applicant Name C r t o � ^�.0 VV 13 Project Location: County C-o �-� p ; o
Address 125 A t ony k ! } r- - Street Address/ State Road/'Lot #(s)}
City9 r State i! r ZIP 2 &5
Phone # (19) -725- Li1y'r' Fax # ( ) Subdivision
Authorized Agent d. �,>� r� h City- �-+ „ �'t�� ..d ZIP
Affected ❑ CW DEW PTA ❑ ES ❑ PTs Phone # O��Z ?c:;?�'� -15 River Basin n �'
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): [I PWS: ❑FC: Adj. Wtr. Body �4lr re) r ILO N (iat; /man /unkn)
01I yes / no PNA yes / . Crit.Hab. yes / no Closest Maj. Wtr. Body ILr_ '-d �• �'r
.•
r
number
head/ Riprap length
max distance offshore
cubic yards
ramp
._JIMMUIMMEME11
eline Length
not sure yes
90
-bags: not sure yes
KIM
a"smmmm
0
0
Nil.
1411
so
No
EMWiMM
MOVE
ON
moomm.iVEMMON
ME
SON
MMk1M
vApkamom
MONO
EMEMOMMEME
IN
MMMMMOWNIMISMOMMEMEMEM
ME
ENE
ENE
■■■
■■■■■■
■■■■■■■■■■
■■■■■■
Agen5 r Applicant Printed Name
Signature Please read compliance statement on back of permit
3o
Application Fee(s) Check #
PermitOffce s Signature
5/211 �i 1
Issuing Date Expiration Date
'c-r-��s Q f j J`OS2G j�`�I
Local PlanningJurisdiction Rover File Name

.1%
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, certifythat 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 (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:[phone]
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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)
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 08/09/06

R & J GROUP
P. O. Box 1885
Morehead City, NC 28557
252-726-1253
P,de o
der of
I
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.com
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66-112/531 I

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Morehead City DCM
Nol Ljl �,^��i'011i'i� Department of Cnvirol Iment and Ili Lul-j �QSOI!{Cpc
io4 Coastal, A 't
Michael !_ Easley, Governor
hades S. Jones, Dirsn"Or William G. Ross Jr., Secret ury
Date S- 1<3 -b q
Api)lieant "slaAn22
I4.anling Address
A �W-� Fs�-� t4 b %� pi�s3
1 certify that I have autborized (agent)R.Dr ►�E Cry to act or: 3n
behalf, for the purpose of applying for and obtaining all CA1NIA Permits necessary to
imstafll or construct (aeti'vi y)
at (location) d a 5
T h is certtf3
�A�3A�tL3A'�
IFRS S c.
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_ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFTIBOATHOUSE)
I hereby certify that 1 own property adjacent to GogpsbrA LVts-31 S °s
(Name of Property owner or A;.pplicant) ,yg
Mailing address if different from location address JRJ1 jM?4c.8 APt r �,
(town, state and zip) 4egr-*S ( IMAY 2 1 ZUU9
phone numbers you can be reached at( v'�'S� ��� ' may"► morehead ty DGM
property located at
(Lot, Block, Road, etc.)
on BD��CS , inN.C.
(waterbody) (Tow 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. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15� from my area of riparian access unless
waived by me.
lb T1-_ I do not wish to waive the setback requirement.
ini&ls
I do wish to waive that setback requirement.
initials
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPNIENT:
(To be filled in by individual proposing development)
� St,IP
Q
;! ;>i. 6 a �, ass c
Pr i n t or Type Name
";:) 4f.-& 'Z
Telephone Number,
�s
ev
011"',
a,

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
L `
(FOR A PIER/IfIOORING PILINGSIBOATLIp'I'/BOATHOUSE)
w
I hereby certify that I own property adjacent to CGW(ZISt t4 I-tt.-)� s
(Flame of Property Owner or Applicant)
Mailing address if different from location address % t?6 W'AtACH e- ,
(town, state and zip) -} 5LAT) D 14 G o'kB 53 e
phone numbers you can be reached at
(A'5p��
-7 �&
'
property located at r-b
t4�
z�4a f}e((*S
;FSLA(n
8 c,
(Lot, Block, Road, etc.)
on ?'� � C -ti' , in �'f- ��5 �T�l� cA N.
(Waterbody) (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. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless
waived by me.
it I
initials
R'5� �C'55
c
�� P
L
A
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
< < �(1S-fIN� SUPS
cy
13`
Tint or T ,,,De Name
)A'g V?;:'
Telephone Number
ot,

MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE'S NAME: Uk � L yy `s PERMIT #
LOCATION: )2S &C ' � �" A ,i FIELD REP.
5gIne
R6
MONITORED BY g �,
PHONE: --�:.� - q 29 C DATE REPORTEDLY COMPLETE:
DATE OF INSPECTION q�65
1) Do thrNeasured dimensions of the development differ from those indicated in the permit and workplat?
YES [circle one].
COMMENT:
2) SEDIMENTAT.
disturbed areas?
COMMENT:
0
VS CUM(
)SION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
[circle one]
3) FUTURE MONITORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YES/ [circle one].
COMMENT: + v

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