HomeMy WebLinkAbout26186_LEWIS, QUENTIN_200105031"
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CAMA and DREDGE AND FILL
G E N E R A L ,
PERM I T��'
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
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, imprisonment 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 of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
Phone Number
zip
issuing date
(SCALE: )
applicant's signature
permit officer's signature
expiration date
attachments
application fee
LEWIS, JR.,
LEW S 66-112/531
`t 16 PH.252-729-1992-
O P.O. Box 65A '---- 28 pate 0990
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent toQ—U ZA)T/A) N caols
(Name of Property Owner)
property located at T 4Ce . /� q — 1 �7 A — ® )
(Lot, Block, Road, etc.)
on STDis )-TS , in ( co tX,c STc'1- c 4 -TT , N.C.
(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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT 1
(To be filled in by individual proposing development)
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Signature
Print or Type Name
2�"- A-41 zs 2 - � 3
Telephone Number
Date: v
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Q0 zAJT/A) N 1,aols ��'s
(Name of Property Owner)
property located at ��� Cec, & q — 1 5- n — O
(Lot, Block, Road, etc.)
r-
on in 6 GO O&G, STD- lUt,7 -7 , N. C.
(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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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Signature
Print or Type Name
�§"- &t 25 2 - % �'l�
Telephone Number
Date:
My property in Gloucester, N.C. is adjacent
to that of Quentin M. Lewis, Jr. I have no
objection to him adding another 50 or 75 feet
to his present dock.
Dav i d Drexel
P.O. Box 1221
Southern Pines, N.C.
28387
M�9LY ice, zvo�
MONITORING & COMPLETION REPORT ,
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE' S NAME: L PERMIT # (D
LOCATION: � ;AV ?, -j-k \- t
PHONE:.�-
DATE OF INSPECTION I �C)J & C>
i� 5 (7, t.� . �+ 2rl FIELD REP.
DATE REPORTEDLY COMPLETE: ,i tJ
1) the measured dimensions of the development differ from those indicated in the permit and workplat?
Y /NO [circle one].
COMMENT: F 1141 A C- D . C I F) A4 _ in, �-1 n
2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YES/NO [circle one]
COMMENT:
3) FUTURFA40NITORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? /NO [circle one]. \
COMMENT: