Lewis, Phil

bCAMA El DREDGE & FILL
A B C D
GENERAL PERMIT
Previous permit #
New ElModification E]Cornplete Reissue OPartial 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 I SA NCAC
Applicant Name
0 Rules attached.
7
Project Location: County
Address
Street AddresslState Road/ Lot #(s)
City— _Stae ZIP -,
Phone # E-Mail
Subdivision
Authorized Agent
city zip
\D'PTA I�EW PTA DES 0 PTS
>1
Phone # Ll 'River Basin
Affected
/D OEA El HHF 01H 0 UIBA 0 N/A
AEC(s):
Adj. Wtr. Body Lnat /man /unkn
0 PWS:
'no
Closest Maj. Wtr. Body
01RW: yes/ 0 PNA yes
f
Type of Project/ Activity :01. !1,-
(Scale:
Pier (dock) length
Fixed Platform(s), I LJ
Floating Platform(s)
Finger pier(s)_
Groin length --
number
—
Bulkhead/ Riprap lengd�—
avg distance offshore —
max distance offshore ---
Basin, channel
M. M. MEN
NONE
NEENNINIMENINE
ININ
A building permit may be required by. El See note on back regarding River Basin. rules.
Note Local Planning jurisdiction)
Notes/ Special Conditions t I
i-4f
7--r
vi
/­
ljf I
Agent or Applicant Printed r4ame
-please read compliance statement on back of peirmi Signature ' ** t
Application Fee(s) Check#
Permit Officer's Printed Name
Signatu
Issuing Date Expiration Date

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
nullandvoid.
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, certify that 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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
Washington District
400 Commerce Ave
943 Washington Square Mall
Morehead City, NC 28557
Washington, NC 27889
252-808-2808/ 1-888-4RCOAST
252-946-6481
Fax: [phone]
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
(Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico
Tyrrell and Washington Counties)
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)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http-//www.nccoastaimanagement.net/
Revised 08/27/14

• ' s
AUJACEN T KiPARIAN PROPERTY OWNER SrATEMN i
w Ihereby certify that I own property adjacent to v S '
'►}•�yyq�}{/ ..•• • _ •••KRay�Xa+J•�•.�+•+..+.�.....�.,./G... • �jL)!f'�"F/. � Poperty Owner)
eYWpI- At,wi�tr + ---••. ..�..... .
(Address, _Lot, Iock, Road, etc.) ; f
on N.C;
(Wetergody) (CityiTown and/ r County) s
The,applicant has described to me, as shown below, the development proposed at the above
✓ - I have no objection to this proposal..
1 have objections to this proposal.
DESCRIP71 NAND/OR DRAWING OF PROPOSED DEVELOPMENT
(IndIvldual proposIhg developmepf ►riust•fill M d"q'dp.tlpn below or attach a'slte drawing) ,
RECEJVED
AUG Z7 1015
•naj,� 1
WAIVER SECTION ' !
I.uriderstsnd that a pier,.dock, moor(nq..'pilings,:tiCeakyv -ter, boathouse,.fift; or groin must be set 4
back•a minimum distance of 15' #tom.my_area of riparian.aMss unless waived by me..(If you,
wish to wafve'(he sefback,'you in .1tiitia( the appropriate blank below.)
i'do wish to waive'the 15'setback requirement.
I do not wish fo waive the 15 setback requirement. ;
Pro` a Owner Information Adjac XP,
S
• 'n T e- a -: •.Prinf or TV
e
aillnyn Mite -
Adair �j `� Ma(��'//a`�,y9
�C' /Sf felZip C 4QWaf.ffip
�1 � - I cl bC- . RECEIVED _
4,,,edn �um Tele�h ne Nu ber113 Zt SEP U 2DDate p < u I
(Revised 61f&2012) : j
• i -

ADJACENT RIPARIAN PROPERTY'OWNER STATEMENT
AI hereby certify that. I own property adjacent to i f-ewl'S s
(Name of Property Owner)
(Waterbody)
kL'rYyi I
and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
_ I have no objection to this proposal.
have objections to this proposal.
DESCRIPTION ARID/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
RECEIVED
AUG 2 710,5
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a' minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
_%,�caavill� ALL Z793S-
City/StatelZip
-z S-z- S31- 9 boy
Telephone flumbpr
!
scent Pro Owner Information)
xture
or T egName p�
dt yp
—9yol
RECENED "3
Telepho e Number SEP 0 2101554
Date
(Revised 61100.12)

i
14 'x 28'
PLATFORM
PROPOSED i
BOATLIFT Z;
co
rr�
o I?
2RPOOSEDLE BOATUFT PROPOSED
O g-
�2 t� ¢
Z c, -
o
N
TH STREET
-- - _
- ------ —. - S 04'O6_30'_W
T-
(�
5' EASEMENT
s �' R/W
- ---- ?
15' Riparian Setback 0� sia 56.09'
N 04'O6'30"E --..
y
' roposed pier
�_
�� -'
_
306.0
150.00'
PraPOSed
_ 1"
I 15' Riparian- Setback
2 0
0 o
pieroN
rs
tiv
^�
73.43' sib r
o o PID: 638
PID: 6386.19.50.8599 1
iexis m9 pier by
323.43' Toto50.00
Fop t
' =
o
S 04'06'
j c
r
PID: 6386.19.50.9658
94 00' <%
�nw u.v -
BOATLIFT
�
t
exstinq pier
�✓ tijq
_
'P
Z
N 04'06'30"E
249.84'
80•
%�yo,wg
co
—�
r
343.84' Total
t
r-' v
o
v
FROM END OF
EXISTING PIER
3
w'
c
o
o "o
PID: 6386.19.60.0618
TO COE SETBACK
%'. I
PROPOSED
o
PIER W/ z 21
11 s,
257.00'
7otol
9 SUPS
p
10 5.00
S 04'08'42'1W
`cn
`s,•p
COE _//
CHANNEL SETBACK
ml j
�v
ro ��
,
t N
t
120.0Q
to s,,p
S 04'08
t,
w rn
�
u,
to o
120.0
iOt
'
28CA
'
=
2 o —
O PID: 6386.19.60.05,94
0 o
PID:
11500
o cu
S
o oo
6386.19.60.
N 04'08'4 rn
2 o, "E —� 120.00- sp f
10 N 263.00' Total Z S 120.00
� o z 0 1 ��' N 04'08'42,.E
i I5 Riparian Setback r
t Z O CD
' ,. v o W PID: 6386.19.60.1503 C'
72.98
130.00' o o PID: 6386.19.60.1
iou
263.00' Total 120.00, S, 1
SCALE 1=50'
s, S 04'08 42 w
Io .120 rin,
C=f. Wt;(36 np.ANN6 & M516N try POCK 07/ 11/ 15
PHIL LEM ANISE mpp
MMITAn CITY, NC 1199 NINE POOf WAn
dr
CAmf COUNTY NEWPOIZ' NC 28M �
OM51TE PLAN I OP I
252-665-078