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Home My WebLink About34052_LEWIS, DOUG_20030606 (2)t E7 CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous P erm ❑New Modification ElComplete Reissue ❑Partial Reissue Date previous permit issued 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 15A NCAC ❑ Rules attached. Applicant Name Address '/ e, I J c+J r,r , City . It..t I i` - State` ZIP Phone # ( ) '`�,� `Z` Fax # (� ) Authorized Agent `!:I ,r Affected � CW ❑ EW PTA ❑ ES ElPTS AEC(s): D OEA ❑ HHF ❑ IH C USA ❑ N/A G PWS: D FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Project Location: County_ Street Address/ State Road/ Lot #(s) Subdivision V- City ZIP Phone # () River Basin _ Adj. Wtr. Body j Jl :� % ; t ` (nat /man /unkn) Closest Maj. Wtr. Body ■ ■�!! �1 [i �SEa� w Os e. ��■■ ■ ■ ■r limit r,� ■■■wEmil �■ ■■ ■■■■■■ii■ Iwo ■ BillM. � r ■■■■■■■■■■■■■■■■1111 .:........■■■■■i■■■■■■■■ ■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■ • ■■■■■■■ ■■■■■■■■■■■■■ ■■■■WEEM■■■■ 1WEVII■■■■EK ■■■■0011=�N■ ■■■■■■■ � Q■■■■■■ ■ Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** l t"ir JZO 0.� 9'7Li 9 Application Fee(s) Check # Permit Officer's Sign 7ure (( / Issuing Date Expiration Date Local Planning Jurisdiction Rover File Name 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 (910-395-3900) for more information on how to comply with thesebuffer rules. Division of Coastal Management Offices Central Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888-4RCOAST Fax:919-733-1495 Elizabeth City District 1367 U.S. 17 South Elizabeth City, NC 27909 252-264-3901 Fax:252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 151-13 Hwy. 24 Hestron Plaza II Morehead City, NC 28557 202-808-2808 Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-395-3900 Fax:910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) www.nccoastaimanagement.net Revised 10/05/01 DOUGLAS T. LEWIS 909 HWY 70 BETfIE BEAUFORT, NC 28516 PA V�:1 oa—" 1-82 Date vi 4749 66-30/531 005 _Do ars 6 7>� i1_R1e>' �'�?..l 6'1d'G� Sit�S'�� .�v 4oj'bG�' b�✓.z �R3'd.� flld'ON �' � �1b�1S ,, O��'.�T-1/t']' 70'";7O 002 Sliy� 7 Sbl 791;� 00 3 -1 v lYLp + Y�1fjN! i� Gi �2 9! OL pS �. .r alp ppAj •�� - - � 7:7-��6`D 1 - 0 O ff/ 5 p�,�M �or�Z2s 01 oNd ��ra�d 8 e�i 4,vob'_:f 021 Oyd ,� �� N r• 310�' AZ ti/ 4ti �Of�E �a�SvdoNd �Gi�r�S�T H w 'x�.7 O 7?lam 0� 0 7 Wd� ,�d Nols?ol0 / 1 a r�o7o 9 ve/yB 'o� v ss: .fB ri�nd'A5 es-aF ;? �N vvo�d Os��14ro' 8� O1Nd C ,crflr -7rA-Zr; fAtl /V-FO70 of ach e' W/ s s (�7 o 1-2 c Al , cwcP .-7: 6e S 0