31066D - Lewis

0 CAMA / DREDGE & FILL N 31O66-I.
GENERAL PERMIT Previous permit #
>Z New Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ?/'/�/
, I A `�3 .
t >Rules attached.
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Applicant Name Y • l 1 f ,i 1.e v. is A d Project Location: County Pe r g /
Address - J S Lj _Did�_ pi. 12 d Street Address/State Road/Lot#(s) S5 Lial de Pi kCvJ
City i4"rtpSI.l.... r State ZIP Oicie Pi 3v61( vi/,.i
Phone# (9P ) 210`).`4/46 Fax#( ) Subdivision
Authorized Agent City /-4-1.•^Pf�e'.. (I - ZIP rr
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CW EW O'TA ES PTS Phone # ( ) River Basin (.+�P e P v r
Affected
AEC(s): a IDEA HHF ❑IH UBA N/A Adj.Wtr. Body A/1 X u n s C htin n Ll (nat /map junk
❑ PWS: CFC: I
W" f
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body YV
Type of Project/Activity 3 i3r' raLi— " S ' ?( 7J' A /, ct on Vv6451 L( 42-F. oeic.- ih4 coos\.'. / if
n J 1 1'1 n; n t" 9 p. [a J> S/.r I I o P P 1.j . (Scale: No 4 .7: )
Pier(dock)length �-- - r
Platform(s) ~ '
Finger pier(s)
Groin length v L
'1
number /
�
_
Bulkhead/Riprap length —2 f, Ni )(p 01 J C .i A ri-(
avg distance offshore U L.-..) 1
max distance offshore 0 -.J
Basin,channel 0 . . I . I t ______ 1 -.__ ! _
1 �
1
cubic yards Q.
Boat rampc. -Ekf} {117 ,--
, 1„ r ea st
O. � yi
)(!J/
Boathouse/Boatlift � 61 —�
Beach Bulldozing 1 5 s /Lc
Other �/ `/ fl 0 ',
. �/ 1
.
1 , 7 IaQ /Shoreline Length 1- 6 I , ,
SAV: not sure yes
Sandbags: not sure yes 'no '
Moratorium: n/a yes no \ . , ,
yes — t
Photos: yes
Waiver Attached: n 1
1
Pe
A building permit may be required by: e/) de - (' ,-)1 4-/ . l �.See note on back regarding River Basin1 rules. i
Notes/Special Conditions) C o"..4r C �//, rl S 1 iL n D e X �/C M J( lhu /+� ��F
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Agent or Applicant Printed Name Permit icer's ignature
Signature **Please read compliance statement on back of permit ee Issui Date Expiration Date
` tvim• ` r i - eo `� fnOPrCDvrt4%,/ a3Ictr5A
ApplicationFee(s) Check# LocalPlanningJurisdiction \ Rover File Name

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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 I)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 Quality. Contact the Division of Water Quality at the Washington Regional Office(252-946-6481)or the Wilmington
Regional Office(9 I 0-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-390 I 252-946-6481
Location: Fax: [phone] Fax: [phone]
Parker Lincoln Building (Serves:Camden,Chowan,Currituck, (Serves: Beaufort,Bertie,Hertford, Hyde,
Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
2728 Capital Blvd. Counties)
Raleigh, NC 27604
9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9I 9-733 1495 15 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza II Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
Revised I 0/C

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ATVISION_, OF CO ALSTAL M hA_UTEMETVT
&TYUCRN..7...RIVARIA.N PROPF.RTY OWNER NiagylakilaSagarry mem
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(A)" LOLLCC4-
Name Of Individual Applying For Permit -
Address Of Property: s---s ( 602: -;
WSCI2'tL4f STErAk Mc. zziect3
(Lot or Street#, Street or.Road, City.& County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to-the as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter. jU,7 /3,gr 617 -13tIr 620
fL,40-ii7.
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< I have no objections to this proposal.
Jf
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you IlaY1 objer.tions_ In what is being propple4r_r1esipe writs the Iliyicinnpf ['moat
MRnarment, U7 Noah r_ardinal Wilmingtan130111rairdina,_23405_07 41Q:19rt-
1900 within 10&kr nf renetpuithirinotim No response is consideried the came %Kiln eihiettor
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yrm haveiver narifiecl lv Certified Mnit - - •
110•11M111•1111MW
MAR C TION
I understand that a pier, dock, mooring piing breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian ar-r-PAR unless waived by me. (If you
wish to waive the setback, you nmst initial the appropriate blank below.)
•
LdO wish to waive_the 15' setback.requittment.
I do..not wish to waive the 15 setback requirement.
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/ Date
71- cG
Name
NcDENR
Print
57C rKZ( / 728
Telephone Number With 2eszea Code Moisni Gummi&Dowrrhisorr
EriviRommswr"ND NATURAL.RESOIJRCeS

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=D.TVISTON OF CO4_ST4._L M AN&GEM'ENT
4T)SACFNT RjP4RIAN PROPERTY OWNER NOTTFICATTOA1WATVFR FORM
Name Of Individual Applying For Permit: (A) p le/
Address Of Property: 5.s y 0�4_ 6 Q
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Ad-two-ea. NC i- 3
(Lot or Street#, Street or Road, City & County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to nie as shown on the attached drawing the development
they are pro osing. A description or droving, with dimensions, should be provided with this
letter. ( ,5744.c,.7 .re 4C-7-Th
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.3 I have no objections to thisproposal. _ --
o c7 a�T
1.11 � iiciL/10 lt3A�i�� rI-
If vole have nhjeo-inns to what is being propose4 please write the Divi '
Management 127 Nctrth•Cardinal Drive Wilmin
?ion North Carolina o��DS__ car T A"]0'�'�95
�n 10'iiai►c of .::t of +ic lintic�
TPSt7onse,S magi' @ Camg ac nf1 A 1 rttAF1
'if you have been natified by Cartifted Mail
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WAIVER_SECTION I
understand that apier, dock, mooring pilings, breakwater, boat house lift or_sandbags must be
set back a minimum distance of 15' from my areabf riparian access unTearwaived by-me:--(If you -
wish to waive the setback, you must initial the appropriate blank below:.),113
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I do wish.to waive the 15' setback ..•, -requirement.
L 71/' 774. I sigma wish to waivpthe. 15' setback requirement.
1 • •
Signature Date
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564 OLDS POINT RD. PH. 910-270-2818 6088
WIL&Y H. LEWIS
HAMPSTEAD, NC 28449 027B2S1847
DATE— L�pZ
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