Lewis, George (2)

uCAMA / ❑ DREDGE & FILL
N2 70971 q g C D
GENERAL PERMIT
Previous permit#
CINew ❑Modification ❑Complete Reissue
❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
E�] Rules attached.
Applicant Name !`` g
�
-'
Project Location: County
Address ,:' *A �. /r +;'
I '
Street Address/ State Road/ Lot #(s)64.
s
City- t z"g f"` g1 State P �_ ZIP
t
Phone # E-Mail
( )
Subdivisions
Authorized Agent
City - ZIP
❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
r
Phone # ( ) _ River Basin
Affected ❑ OEA ❑ HHF ElIH ElUBA El N/A
AEC(s):
Adj. Wtr. Body mat /ma�unkn)
❑ PWS:
Closest Maj. Wtr. Body - - - -
ORW: Yes / no PNA yes /; no
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length -7
number _ _��
Bulkhead/ Riprap length
avg distance offshore r
max distance offshore
Basin, channel
cubic yards ) _
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
f
Shoreline Length C1
SAV: not sure yes
I.
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: !f
( Note Local Planning jurisdiction) .
Notes/ Special Conditions
v � rot {
Agent or Applicant Printed Name
t;
Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
(Scale:
❑j See note on back regarding River Basin rules.
Permit Officer's Printed Name - J
Signature 1 ti
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
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, 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 comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
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 - South of New River Inlet -
and Pender Counties)
Revised 7/06/ 17

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to L` :R- te✓ 's
(Name of Property Owner)
property located at is 244 jt�
(Address, Lot, Block, Road, etc.)
on Noiz% W r -ET "100- V —.. , in U j=.LO N.C.
(Waterbody) (City/Town and/or County)
icant has described to me, as shown below, the development proposed at the above location.
L I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
AWA
WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, 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
(Property Owner Information)
l
Siat
Print or Type Name
G62�ZA 6WPOL i I=2 02
M iling Address
City/State/Zip
'?ate / zAf7 -- 21 �
Telephone Number/email address
�) ARL4 2©lga
Date
n
ent.
Signature * _� VI 5
A
Print or Type Name
Mailing Address
/V CW X i�P—A-J � 2
c;rat 6 S 7- 7 7 ,4-g
Telepho a Number/email address
Nan!! 4- Z 012
Date*
(Revised Aug. 2014)
"Valid for one calendar year after signature*

Adjacent Riparian Property Owner's Notification by
Certified Mail - Return Receipt Requested
Adjacent Riparian Property Owner:
Section Number: - Lot Number:
Name: `')A�► Imo. l i'f AQi��
Address:90tL fit% ni
Telephone Number:
E-mail Address: 60001 1\)W N V, L. a COM
I hereby certify that I own the property adjacent to:
Section Number: �Lot Number:
Owners Name:
Address:
Telephone Number: 41? �D 4-4 °Z
E-mail Address:
The individual applying for this permit has described to me the scope of work as shown on the attached copy of the
"Description and Drawing of Proposed Work" form.
I have no objections to the proposed work.
If you have objections to the work being proposed, please write the Division of Coastal Management, 400 Commerce Ave.,
Morehead City, NC 28557, or call 252-808-2808 within ten (10) days of receipt of this notice. No response is considered
the same as "no objection' if you have been notified by certified mail.
I understand that docks, pilings, tie poles or any other marine structure must be set back a minimum of fifteen feet (15'-0")
from my riparian line unless waived by me.
(;�q— I do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Adjacent Riparian Pro Owner:
Signature Date: _sf%���
Print Na e T p M� �L%1.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 4'amz--�5 's
(Name of Property Owner)
property located at 6(cJL4- CsaOv--S 2r- - tG-C
(Address, Lot, Block, Road, etc.)
on in N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above location.
-t- I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
11001dual proposing development must flil in description below or attach a site drawing)
WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, 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.
l/ I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Pro rty Owner Information)
Signa gnature *
Print or Type Name Print or Type 4ame
Mailing Address Mailing Address
City/State/Zip _ City/State ip
Telephone Number/email address Telephone Number/email address
Date Date"
(Revised Aug. 2014)
'Valid for one calendar year after signature'

Crauen Lnuntg
CRAVEN COUNTY TAX COLLECTOR
226 POLLOCK ST
NEW BERN NC 28560-4981
ADDRESS SERVICE REQUESTED
111111111111111111111111111111111111
************AUTO**MIXED AADC 270
5339876 3143-PTN 344321 1 1
LEWIS, GEORGE & BARBARA
1881 COLUMBIA RD
VALLEY CITY OH 44280-9527
PROPERTY TAX NOTICE
IMPORTANT: PLEASE READ FRONT
AND BACK CAREFULLY
Must Be Paid By January 5, 2018
ff you have sold the real property assessed to you,
please notify the new owner of any unpaid taxes. i
If your mortgage company is to pay this bill, please v
assure that they have the information that they will
need to ensure a proper and timely payment. If you
have any questions regarding this, please contact _c
your mortgage company directly. v
It
For your convenience, partial payments will be
accepted but the account must be paid in full by
January 5, 2018.
M=
1:11MU11
PROPERTY ADDRESS TWP MAP LOT FIRE I CITY
5624 GONDOLIER DR
LEGAL DESCRIPTION •: • •
J
BILLING INFORMATION AND CALCULATION
JURISDICTION/TYPE•D
00AMOUNT
COUNTY GENERAL TAX
0.5394
1,351.47
TRI-COMMUNITY
A
0.0555
139.06
17
RECYCLING FEE
1
36.00
DUE DATE
PRIOR
09/01/2017
TOTAL DUE
$1,526.53
TAXABLE VALUATION
LAND 70,000
BUILDINGS 180,550
TOTAL REAL 250,550
PERSONAL
TOTAL 250,550
Smartphone users scan here
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OR Code to. http.//www craven
countync.goddepartments4ax.clr7) O'
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