73860A_Lewis, Jeffrey H._20190926

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CAMA / J' DREDGE & FILL �U -I--,J K, ie-1 No. 73860
(�:)
GENERAL PERMIT Previous permit# B C °
New --Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality / --7
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Rules attached.
Applicant Name �e e w < Project Location: County _� a
Address 2-0 C ct U S S La n Street Address/ State Road/ Lot #(s) L o f 2
City Vn e 5 -f - ,a =� . J State tJ1 ZIP cz 7 G '7_S 3 7 o Z o L.) '4 .y (-- , .� e
Phone# 0 z>/ )6,,(,-YZ7 EMa - 122-e�. 2% Subdivision Sfl -.- c u r 3 C o v E
Authorized Agent /� , (� S C ijilc,, c „ �. City /I v � ZIP Z I l S
Phone # (- ) _ River Basin Jrk ^ V
Adj. Wtr. Body �c� r� i c o S d (nat man /unkn)
Closest Maj. Wtr. Body P� f-n c S , 0
Affected F19 CW ❑ EW ❑ PTA [10 ES ® PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
C PWS:
ORW: yes /: no PNA yes / i n�,
r
"
P4r (dock) length &
MGroin
Fixed Platform(s)
TBulkhead/
Platform(s)
Finger pier(s)_
length
numberFloating
Riprap
length
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■■■�■1■iiliiiY■\�I■�Li■I■�lllt�i■■I�Siii■I■■�i■■■■■■�
■■1■■■\�■■■■■■I■■■.■■�'
:ice■■■■1�■■■■■■■■■
Bulldozing
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Applicant rinted Name
Signature *•Please read compliance statement on back of permit **
Application Fee(s) Check #
ficer's Printed Name
Signature
Issuing g 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 Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888ARCOAST 252-946-6481
Fax: [phone] 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)
(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)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

OWNER",, ,. aw
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Dated t
—7c
Name of Property Owner Applying for Permit:
t L6
Mailing Address:
C—ZAI)�3 L1>r`
�-rt;� 1) i r�i6, 7C
I certify that I have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) PP - PA /7— UjV —rc�- Ano.,,2 e, 3 7&-
at (my property located at)
This certification is valid thru (date) l i" / `"
Owner Signature Date

Permit Class
NEW
STATE OF NORTH CAROLINA
Department of Environmental Quality
and
Coastal Resources Commission
ermit
for
X Major Development in an Area of Environmental Concern
pursuant to NCGS 113A-118
X Excavation and/or filling pursuant to NCGS 113-229
Issued to Jeffery H. Lewis, 24 Euclid Ave., Westwood, NJ 07675
Authorizing development in
Dare
Permit Number
24-18
County at adj. to Pamlico Sound, at 39020 Windy
Lane, in Avon , as requested in the permittee's application dated 2/7/18, including attached
workplan drawings (2), Sheet 1 dated 1/18/18 and Sheet 2 dated 12/5/17.
This permit, issued on April 17, 2018 is subject to compliance with the application (where
consistent with the permit), all applicable regulations, special conditions and notes set forth below. Any violation
of these terms may be subject to fines, imprisonment or civil action; or may cause the permit to be null and void.
Breakwater
1) The alignment of the authorized breakwater shall be staked by the permittee and verified by a
representative of the Division of Coastal Management within a maximum of 30 days prior to the start
of construction.
2) The breakwater alignments authorized under this permit shall approximate the -I ft. contour at normal
high-water level at the time of construction.
3) The breakwater shall be constructed with an equal gap between each sheathing board totaling at least
one inch of open area for every linear foot of breakwater. The breakwater sections may be staggered
and overlap as long as the proposed 10-foot separation between sections is maintained. Overlapping
sections shall not overlap more than 10 feet.
(See attached sheet for Additional Conditions)
This permit action may be appealed by the permittee or other
qualified persons within twenty (20) days of the issuing date.
This permit must be accessible on -site to Department
personnel when the project is inspected for compliance.
Any maintenance work or project modification not covered
hereunder requires further Division approval.
All work must cease when the permit expires on
December 31, 2021
In issuing this permit, the State of North Carolina agrees that
your project is consistent with the North Carolina Coastal
Management Program.
Signed by the authority of the Secretary of DEQ and the
Chairman of the Coastal Resources Commission.
l
Braft6n C. Davis, Director
Division of Coastal Management
This permit and its conditions are hereby accepted.
Signature of Permittee

ry H. Lewis
Permit No. 2418
Page 2 of 3
ADDITIONAL CONDITIONS
4) The permitted breakwater shall be constructed of treated wood, plastic lumber, metal or vinyl sheet piles
or other suitable materials approved by Department personnel.
5) Each breakwater section shall be marked at each end with yellow reflectors extending at least three feet
above normal high water.
6) No backfill of the breakwater or any other filling of wetlands, estuarine waters, public trust areas or high
ground is authorized by this permit.
7) Offshore breakwater sections shall be setback 15 feet from the adjoining property lines and the riparian
access dividing line.
8) In accordance with commitments made by the permittee, the Estuarine Waters located between the
breakwater sections and the existing Coastal Wetlands shall be planted with native Coastal Wetland
species, all expressly and specifically detailed in the attached narrative and workplan drawings. This
Coastal Wetland planting area should be replanted as necessary and as conditions allow.
Pier and Water Access
9) This permit authorizes only the pier, platform and 2 stairs, and other structures and uses located in or
over the water that are expressly and specifically set forth in the permit application. No other structure,
whether floating or stationary, shall become a permanent part of this structure without permit
modification. No non -water dependent uses of structures shall be conducted on, in or over Public Trust
waters without permit modification.
10) Any portion of the permitted access pier built over Coastal Wetlands or the restoration area shall not
exceed six feet in width and shall be elevated a minimum of three feet over the wetland substrate as
measured from the bottom of the decking.
11) The permittee shall install and maintain at his expense any signal lights or signals prescribed by the U.S.
Coast Guard, through regulation or otherwise, on the authorized facilities. At minimum, permanent
reflectors shall be attached to the structure in order to make it more visible during hours of darlmess or
inclement weather.
12) This permit does not authorize any formalized boat slips.
13) No attempt shall be made by the permittee to prevent the full and free use by the public of all navigable
waters at or adjacent to the authorized work.
14) This permit shall not be assigned, transferred, sold, or otherwise disposed of to a third party without the
written approval of the Division of Coastal Management.
15) The permittee shall maintain the authorized work in good condition and in conformance with the terms
and conditions of this permit. The permittee is not relieved of this requirement if he abandons the
permitted activity without having it transferred to a third party.

,ey H. Lewis
ADDITIONAL CONDITIONS
General
Permit No. 24-18
Page 3 of 3
16) Any mitigative measures or environmental commitments specifically made by the applicant for this
project shall be implemented, regardless of whether or not such commitments are addressed by
individual conditions of this permit.
17) The permittee and/or his or her contractor shall meet with a representative of the Division prior to
project initiation.
NOTE: This permit does not eliminate the need to obtain any additional state, federal or local permits,
approvals or authorizations that may be required.
NOTE: The U.S. Army Corps of Engineers authorized the project by way of Programmatic General
Permit 198000291 (Action ID SAW-2018-00161).
NOTE: The N.C. Division of Water Resources authorized the proposed project by way of General Water
Quality Certification 4144 and assigned the project DWR Project No. 18-0024.
NOTE: Future development of the permittee's property may require a modification of this permit.
Contact a representative of the Division at [phone] prior to the commencement of any
such activity for this determination. The permittee is further advised that many non -water
dependent activities are not authorized within 30 feet of the normal water level.
NOTE: An application processing fee of $400 was received by DCM for this project. This fee also
satisfied the Section 401 application processing fee requirements of the Division of Water
Resources.

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6102- CAMkdg 12/3/2017 8:53 AM
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PROJECT OVIBLr & ASSOCIATES, S � �1 P.C. �r � DBTAIIa 't7 •p
P16102 THIS DOCUMENT IS THE PROPERTY OF Fr�I
OUIBLE k ASSOCIATES, P.C. ANY lei uible 9/NCE 1999
DRAWN BY ALTERATION OF THIS DOCUMENT IS 39M WINDY L—A.NB ��yJ O
PROHJM/F THIS DOCUMENT INOT SIGNED AND �^PRopm� O Hll r
0TM I & Associates, P.C.
SEALED BY A LICENSED PROFESSIONAL �{ In ENGINEERING • CONSULTING • PLANNING
CHECKED BY THEN THIS DOCUMENT SHALL BE KINNAKEET DARE COUNTY !F^17r� > ENVIRONMENTAL SCIENCES • SURVEYING
CONSIDERED PRELIMINARY, NOT A NORTH CAROLINA NC Uconso w0i CERTIFIED DOCUMENT AND SHALL NOT 'y I/: C-0206
BE USED FOR CONSTRUCTNIN, p HIS HIS^ PO Drawer 670. RIMY Mort, NC 37949
DATE RECORDATION, SALES OR LAND 4J P232) Y1-6167
CONYE'/ANCES, UNLESS OTHERWISE I� F— ( fa:: (ZSZ) 491-8I a6
1Y/5/17 NOTED, GRAPHIC SCALE IN FEET 1--NT5 E-Mall: aAminLlraleAyulEl•.cem