HomeMy WebLinkAbout26343D - Lewis II -
LAMA and DREDGE AND FILL 1` 26343 -.b
GENERAL
PERMIT G... , s p it) xr'(-7 fl
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 15 NCAC `)
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Applicant Name t M rr.i L t S Phone Number 8 t4 ) - (99 O E),
Address 3 b y , (OA t ceNe 4 t (.; 1-- PM(....,
City 2 Q\ .) t rn State IJ C.J Zip 2 8 4 2 —
Project Location (County, State Road, Water Body, etc.) (a rv51.0 t CV-- Gown 36 y
PA Ir,F k 47) \._Pc"C1C�, ( .)t",v;A , .ue-N`.-r- 1"\1\-( 0 .Y" , Luc- tooc)ct io tt
\
1 ter- oC tii e 4 t (N4 s
Type of Project Activity t K'�` ��� �^
PROJECT DESCRIPTION SKETCH (SCALE: UT T, )
- , t
Pier(dock)Length ` •E` t
II —' lit —
III 11111111111111
Groin Length �,
11
number 11111
Bulkhead Length lc' 11 --...CI(( 111111111 1111
1111111111111111111 III 1- .
max.distance offshore 1� vim. 11 " 11111111/11J111111111111111111.111111111111111111111
Basin,channel dimensions • I.
cubic yards
V
.,
Boat ramp dimensions iiiiIiiiiIiiu1iii11II
_
an - m ma ' a aim mu a -
....,,,
as * -ma ammo NMI pi 11' '
NM Elm IN
This permit is subject to compliance with this application, site drawingiJ,1,z -: -04'I i-�`wv,-
and attached general and specific conditions.Any violation of these terms applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void. - -"(v--) , __�,_' ,
permit officer's signature
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi w 1 2_(c l , ( t ' 2(.^ / 1 I
fies by signing this permit that 1)this project is consistent with the local issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has I L�0
been obtained from adjacent riparian landowners certifying that they .1 4 I attachments
have no objections to the proposed work. A. l o n (�
In issuing this permit the State of North Carolina certifies that this project 4J
is consistent with the North Carolina Coastal Management Program. application fee
-GENERAL-PERMIT CO WUTER FORM
P�1 I CANT NAIVE• JA-fflS -AA) , S
ADDITIONAL 4}E-S:
AECDESIO: E-S DEV OP AREA: DL PROD DES C: 1 - .
(WE aiy tars 6) (W B Daly u I)
WORE:. ISM "70 X /0 _
IAIN : - -
. (Wii 1 y taz=4)
•
AC ION E321.2.ATION
DR C✓ FILL P3QU2.:: • 10 2-0 100 I 1 2. le 0
Cat k Iv4 TORDom-E. R Q 1.): 101 2(0 I00 1 J2Jaf /
.EMDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1, 2,and 3.Also complete A. Received by{Please Pint Clearly) B. Date pf1lAliver)
item 4 if Restricted Delivery is desired. / 61-k(,J .4 � -t 1• ,.M <'_'
•.Print your name and address on the reverse �-�
so that we can return the card to you. C. Signature
■ Attach this card to the back of the mailpiece, X di
CIAgent
or on the front if space permits. • ` � 1' ■ Addressee
D. Is deivery address different from item 1? ❑ Yes
1. Article Addressed to: If YES,enter delivery address below: Cl No
r,M. 1 i?15EL
P01 box 7
ALBS M P-IBC NC ACM
I 3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
2. Article Number(Copy from service label)
'S Form 3811,July 1999 Domestic Return Receipt 102595-99-M-1789
UNITED STATES POSTAL SER AZT E NC First-Cass Mail
Postage & Fees Paia
P M LISPS
a .�•�_�..._, _Lermi=G-10
• Sender: Please prin olAto-prrier, address,'Sn
ykivies LOFOa/ LCIS
384/ PPLME i 22 /4AJE s&
SoLivi4- AI c 2P/22_
InII III►IIuIUI,JIIIII�II,IIILIIIII,uIIIIIIIIuII►I!IIIIII!I
ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
I Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B. Date of Delivery
item 4 if Restricted Delivery is desired.
I Print your name and address on the reverse '
so that we can return the card to you. Signature
• Attach this card to the back of the mailpiece, ^ (Q �I /�� Agent
or on the front if space permits. �' 0 Addressee
D. Is delivery address different from it. ? 0 Yes
. Article Addressed to: If YES,enter delivery address below: • No
M o2 nos EL 6E1zy K. DFAL-
2 ►37 6.E21H1-
K1NAJAPOLI S 3. Service Type
❑Certified Mail 0 Express Mail
❑ Registered 0 Return Receipt for Merchandise
O Insured Mail 0 C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
t. Article Number(Copy from service label)
'S Form 3811,July 1999 Domestic Return Receipt 102595-99-M-1789
UNITED STATES POSTAL SERVICEr First-Class Mail
Postage&Fees Paid
(� USPS
Permit No. 5-10
• Sender: Please print you4r0parn, address, an -e 4 in this box •
�AY�I�s LDF I LEWIS
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