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Home My WebLink About39055D - Lewis CAMA/ ❑DREDGE a FILL 3 E N E RAL PE R M I T Previous permit# New IlModification ❑Complete Reissue OPartial Reissue Date previous permit issued rized by the State of North Carolina,Department of Environment and Natu I sources :oastal Resources Commission in an area of environmental concern pursuan to I SA NCAC 7I j /200 ❑Rules attached. t Name 5117/t- L?u/i 1Project Location: County devil 3 cd iC A /09 I. I,la A A 0A Street Address/State Road/Lot#(s) Lk_ An it State /it ZIP Z S-- 1.0.7 •(9/b) 771 —3027 Fax#( ) Subdivision ed Agent 61 pi." lik City ZIP ❑CW 'VIEW [FPTA CUES ❑PTS Phone# ( ) River Basin ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body ✓i$ is � i ❑PWS: ❑FC: �- �� ) yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body c�e��/' `Project/Activity At IOt i K 1 4"( 74 ('1,1- ¢- 10;t b N (Scale: l e%c ck)length 4,1,')1 Z O' l ' ,_ iier(5) I I I ___i ngth i i rt( k ! mber 1 , i d/Riprap length i }....... i distance offshore —IF IX distance offshore _._.. --—. -_-- nannel J Z - i ---- . -_. F _.... .._ _— -... I , 1 bic sI �. + C ,. _ _ _ .ulldozing I i Ill I 1 ¶ ; Y 1. �� e Length 4r5i _11 - ---k not sure yes �io - r/ ;s: not sure yesy no �a �` {- ium: n/a yes no ._. l f4 /' 1 I b,` . . j — i I ! T- Attached: yes no I ing permit may be required by:_ )4k. T...6114.4 i See note on back regarding River Basin r GE! ER T, PER i CO TIER FORM 3 i p?ITC ANTI NAME: S e Lets)!s DD;O NAMES: A EC DE51C: DE`_.OP ARE.-&:_1L Q PROD D`.SC P - f Z, �•n"uf cri? a :o) .ill caiy tar.:1) WORK: Pk 4i'x 20 xri M— 1: ci?ka) • : (ICJ . ZZ`f ( -t:ir=iv 6) ACTION ?mArON - D_P GF,€FILL PEQTJfl 7): C.�M-MAJOR DEVE REQTJ: s id S ,'Ma7 7n �/ 5 _do tl�'adOJd 4 4./. _. 1 _ 9 a � � I flG Q y.1 'ii°9 ' 1 At ZlX Z Lin 4 d S v 1, 06 I 1k DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM game of Individual Applying For Permit: S)-e U� Le address of Property: /0 4 W- .L S Z 4 • (Lot or Street#, Street or Road) /lZ -rSL 4, /V C gry 11.S w.-6)-1' CO . (City and County) hereby certify that I own property adjacent to the above-referenced property. The individua pplying for this permit has described to me as shown on the attached drawing the development the: re proposing. A description or drawing, with dimensions, should be provided with this letter. (5\4.. I have no objections to this proposal. f you have objections to what is being proposed, please write the Division of Coasta Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390( rithin 10 days of receipt of this notice. No response is considered the same as no objection i ou have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must bE :t bck a minimum distance of 15' from my area of riparian access-unless waived by me. (II Du wish to waive the setback,you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. Y I do not wish to waive the 15' setback requirement. ‘e\ - \( — b4 gn e Date DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit: S / e V-e, L e S Address of Property: /(: 4). J SL,ci d Lit • (Lot or Street#, Street or Road) ( rs ,' CG I (City and County) I hereby certify that I own property adjacent to the above-referenced property. The individw applying for this permit has described to me as shown on the attached drawing the development the are proposing. A description or drawing,with dimensions, should be provided with this letter. y I have no objections to this proposal. Et* you have objections to what is being proposed, please write the Division of Coasts Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-390 within 10 days of receipt of this notice. No response is considered the same as no objection i you have been notified by Certified Mail. WAVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b et bck a minimum distance of 15' from my area of riparian access-unless waived by me. (I rou wish to waive the setback,you must initial the appropriate blank below.) PO n I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. 2,t,,/ey ign Name Date • • , i VI DELUXE M.VSEr OR CO tCA.E LRTe PAP d rii ru 0 •' 0 II 0 - `4°+ i ► �i.n tic im, • ) lb , t) ' N t G w ,::i - : i 1 o '‹ bk. 4 f`��t1 0 ; 3- ,' f 4 0 V . A• . ,sy( ii ►� Ii4/ f � r' - ► ,',V'1 f •'11r' �'a f , •4) $ I • d r8i ;, :- :. #k ti � tl {t \4 'S� i\ , � E '1 i i!� 9 '/fi}) = � }!/ . I! i, i t