43225D - Lewis

-�CAMA / DREDGE & FILL /LA49-7
3ENERAL PERMIT Previous permit#
New `'Modification Complete Reissue Partial Reissue Date previous permit issued
rized by the State of North Carolina,Department of Environment and Natural Resources 2oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7/T/!' /Z 10
❑ les attached.
it Name 6/e,l h L je tot 5 Project Location: County P/(;,
66S Le �,;$ �pl , `/'� `// Street Address/State Road/Lot#(s)
fitit r 6*-PAA ,/ State IO ZIP 2g03 �Gifj e
`(�/D) 7O - �WFax#( ) Subdivision
:ed Agent City ZIP
❑CW L EW PTA = S -,PTS Phone# ( ) J River Basin
❑OEA ❑HHF -IH UBA El N/A Adj.Wtr. Body /117�0(!J (nat /
❑ PWS: ❑FC:
yes no PNA yes / 6 Crit.Hab. yes / pc!" Closest Maj.Wtr. Body ©��?H
F Project/Activity //40 JQS.e, pie✓ 7- 2 1�`�b 11;c g �J Li 7 4,'m
/ �l / / / (Scale: /"i,
ock)length ( ''X 7jO
,(s) G Z V'-4/o. .
iier(s)
:ngth �6/( jz j
mber
d/Riprap length
g distance offshore
ix distance offshore
hannel
bic yards
np --Gi`251
ise/Boatlift Axe fp, -
ulldozinLg
/ r�
/2 -
ie Length /w _
not sure yes 6
;s: not sure yes 6
•ium: n/a yes
yes
Attached: yes
9
ing permit may be required by: i'Os//R /4 I See note on back regarding River Basin r

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" GLENN LEWIS 2750
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PH.270-2542
117 LEWIS RD. /L f a (
HAMPSTEAD, NC 28443 Date / 66-30/531
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FIRST CITIZENS 365
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