52430D - Lewis

❑CAMA / ❑ DREDGE & FILL 0 No
GENERAL PERMIT. Previous permit#
❑New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
i.
t Name L J Project Location: County Chi'✓ �d G cJ
51Je D5- ? t:owe State f ( ZIP "l T
!zed Agent ?;
d ❑ CW ❑ EW ❑ PTA DES ElPTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
1:
❑ PWS: ❑ FC:
Street Address/ State Road/ Lot #(s) iz---
Subdivision
City
c, y'
Phone # ( River Basin
Adj. Wtr. Body /'V -, k/' -le (nat
f�Y
yes / no PNA
yes / no
Crit.Hab.
yes / Ono
Closest Maj. Wtr. Body
of Project/ Activity
(Scale:
lock)length
rm(s)
. pier(s)
length
lumber
ead/ Riprap,length" I'i Jy
avg distance offshore 107
nax distance offshore
channel i
:ubic yards_
'amP
ouse/ Boatlift
line Length V
not sure yes
ags: not sure yes
orium: n/a yes
s: yes
r Attached: yes no
ding permit may be required by: Q'�t/5lo�ci C'D(� �(%f.� ❑ See note on back regarding River Basin
..i c___:_I A-0 1 11n J)ram i -Yr'i r�OyC' .. f �� /"I'n

.06-2008 15: 19 Fr om: DCM MHD 25224 1 0 13114.i2 3
r1VIl Z_16%_ .1a1A LV1♦%A,-A4.', A--i Y ,,,,_.. v.,...- tip• a
(FOR A ,PIER/M.0ORLVG PfLI'NGSIBOATLIFT/BOATHOUSF.)
I hereby certify that I own property adjacent to 1 L' L �
(Name of )Property Owne )
property located at oZ a f
(*CLot, Block, Road, etc.)
11. i=
!v
cn _,in c, ls -<_(' — __.._., tv.C.
(Waterbody) (Town and/or Count )
He has described to me, as shown below, the development he is proposing at tha: tocation,
and, I have no objections to his proposal. I understand that a pier/mooring piIingsA)oatlIft/t<aathouse.
must be set back a minimum distance of fifteen feet (15') from my area of riparian acc,ss unicss
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OFF DRAWING OF PROPOSED DEVELOPMENI :.
(To be filled in by- uidividual proposing development)
1-0
2;,�,, 1 ��
1�A
Roc. k-
i o
S foP
lJl�nJIL
1�R,5jlsr✓,
(Applicant Information) (Riparian Property O%vner Inforrna:ion)
1Tcrrlirt Address �i2sn't"'e

�5224r�iSid 10:y1t�S2r2�t3(
OG-2008 15:19 From:DCM MHD
!1Ll IJA`. L'Jl \ 1 1%-i J. i ILLA
(FUR A ,PIERIMOORING NUNGSIBOATUFT/BOATHOUSE)
I hereby certify that I own property adjacent tom%
(fame of Property Owner)
property located at
(Lot, Block, Road, etc.)
on IvL0 �`�',c-f' __-, in �c s�t�<AJ j -c_r� 1NL�.—_.._.\N.C.
(Watcrbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at tha: location,
and, I have no objections to his proposal. I understand that a pier/mooring piIingsftatlifUboathouse
must be set back a minimum distance of fifteen feet (1S') from my area of riparian acc,,ss unless
waived by me.
I do -not wish to waive the setback requirement.
I do wish to waive that s.:tback requirement.
---------------------------------------
DESCRIPTION AND/Ott DRAWINC OF PROPOSED DEVELOPMENT -
(To be filled in by individual proposing delveloptrrent)
Q �r
f
/q we- ro 5
(Applicant Information)
7i ;�
Rik ar-t�* w44-0-
13�ry�-< C- 9R,0S rVk/
(Riparian Property Owner Informa:ion)

HALL'S QUALITY TRACTOR SERVICE
PHONE [phone]
541 MOORE LANDING ROAD 1361
PO BOX 812
SNEADS FERRY, NC 28460 q — 66-30/531
P 1 ( 457
Date
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ordertotho P j)
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® First Citizens
irfiirstccitizens.com ��
For q r /° �'NP
s:053100300I:00457132976411° 0136
9<<utlly
Dollars o :<
DENNY HALL OR JEANNIE HALL