44847D - Lewis

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CAMA I DREDGE & FILL t
3ENERAL PERMIT Previous permit# 1452-L5 -T
New -Modification)CComplete Reissue Partial Reissue Date previous permit issued 1-'4-
rized by the State of North Carolina,Department of Environment and Natural Resources
2oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC )RI 2_oa
Rules attached.
t Name (1 E.,� Lc.:- v- s S Project Location: County P��"'N:. vi_
CO.(o 6 Le: ..J Z S (•Q Street Address/State Road/Lot#(s)
‘Arv-sp ST t AID State0 C_ ZIP 2$i-j9 3 L 8 Lram..-rS S (Z a itti.�
' )4-1-10•bi, j Fax#( ) Subdivision
ed Agent City rN- Q S-r i ZIP 2.$1-1 ti'
CW i;;y'EW NryTA ❑ES ❑PTS Phone# ( ) River BasinCAPr {
OEA -I HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 1 P S AS c- �,... , 1N/'
PWS: ❑FC:
y s)/ no PNA yes / Crit. Hab. yes / no Closest Maj.Wtr. Body - �-
'Project/Activity Ns1'AL-i.. (_)(a t TrGt) -Os G r`__ v—>> (p x2-t-1 F` vx,-TG 2
L i....o `�'��- (Scale:/ ='Z°
ck)length l0 Xa0 (74)"'IL.
'IL ----
1(s)
b Y 1-1-1 ) 1.0( I 1 �) D --
ier(s) /' 6
ngth
miser
J/Riprap length % ?,,. Z
distance offshore I b 0 31
x distance offshore
cannel \
)ic yards -_ 80 a► F
ir
se/Boatlift C+ '
(n I 6
ulldozing ...----y _ / t`
_,-------" No D'Qtt AGE
\\\\ •
Length I ! Co �N.,_
not sure yes no
s: not sure yes ©o G
ium: n/a yes a5I
yes attached: yes (fio�
ig permit may be required by: e- LYbE R- �fo See note on back regarding River Basin rt
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GLENN MATTHEW LEWIS
910-352-2749 1034
668 LEWIS RD.SW 2, 66-1247/531 1:
HAMPSTEAD,NC 28443
/DATE
11
0 PAY TO THE
it ORDER OF 1E-w.R i $ /de.
DOLLARS
:1
I
ORT CITY
CAPITAL BANK 11
11 1508 MIUTARY CUTOFF RD.,WILMINGTON.NC 20403
FOR 6/9 V46 VI- /VP
• 1:053LL 247 91: L00222910 L034
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