80231D - Lewis

0 ❑CAMA/ ❑DREDGE & FILL G E,N E RAL PERMIT Previous permit# A B C (D
>( ew ❑Modification Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality j9 y / 1 I /�O
and the Coastal Resources Co�ion in an area of environmental concern pursuant to I SA NCAC (/ ( +T'
❑Rules attached.
Applicant Name �I \ ^ \
pp \/`� V \ j Project Location: County', IJ 1764-/
Address 2( 'WO op 02 - Street Address/State Road/ t#(s)
City -0 i 5 e✓c -) State t ZIP 7 50 es v \0 c, t\ V\-L I
Phone# 9)Z'/ no E-Mail Subdivision
Authorized Agent pArf_ ivir City -7-,f< /3‘A. ZIP l U `► 4 5
❑CW EW PTA ❑ES ❑PTS Phone# ( �— RivyBasin . 0 -
Affected ❑OEA ❑HHF "❑IH ❑UBA ❑WA S L/!/�a , /
AEC(s): Adj.Wtr. Body an /unk
❑ PWS: ✓
ORW: yes / no PNA yes / n o
Closest Maj.Wtr. Body 0 "1'
Type of Project/Activity k = J'ACei (/4-' 'O r'✓A( I_IA
I /.
(Scale: t c- )
Pier(dock)length 1
Fixed Platform(s) sZr- X ) - 1(° ' � .
'Floating Platform(s)i U, i
- T-
Finger pier(s) 1 ilk l
Groki length
—
)uipber - ,_ .. __. ...t. f r. _ _
Bulkhe.•/ 'iprap length _ ! Q ��_ -_.__... _
t --
avg ,is . ce offshore
max • ce offshore
I ,
Basin,charm-
1 v e ilk
cubic yard‘
1 1 -, APA Ay 1 }
Boat ramp } �1 � rl rr'1/T ./
Boathouse/Boatlik` 1........ —._-.-- j f
Beach Bulldozing - it
01 c,A- r1401A :
T
1 i 5.
Other !tom/'7.� .
�, -or�- 1 iv -me,
Shoreline Length 1 1-- n M.* 4 j 1 1 1 1I
SAV: not sure yes dip 1 77, } q
Moratorium: n/a yes #. ..... . [44 s— ... i. If I{tiTr�
Photos: Yesi
Waiver Attached: i n - L
�U 44;1777 �j -frar A building permit may be required by: /()(5A i't-. i' `( . ❑See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions
( ))4 1 1/74'1A ttr- PA-0- Si-M.2(
Agent or Applicant Print e Pe • cer's Printed Name
Signature i�Please read compliance tern nt on back of permit Sign

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AD)Aci tv Rrcva+P-V`..4..efioPERTY OWNEgATAIghina ,.
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,
l hereby` certify that!own Properlyadia0ent to
t (N, of Property Owner
property to t at `(D C- ikr�et V
(Address, Lot, k. .)
on 1 W terbody) ( and/or County)
The applicant has describedto me, as shown below. the development proposed at the above location.
I nave no obtection to this:proposal
rave objections to this proposal
4
DESCRIPTION:D/OR DRAWING OF PROPOSED DEVELOPMENT x
(individual proposing development must fillin description below or attach a site drawing) ., .
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WAR SECTION
i.s d., , , t- .< :,c::oic, mooring pilings,breakwater, boathouse, lift, or groin must be set t
'ont.m .I;" -,, 15' t.m.rn my area of rip-,'an access unless waived by me, Of you wrsh to 1
'he sa,-,1'k 'st: initial the appropnatc `K below.)
,
. _ waive the fi 5' sett lkairent a
eliS !tO via-e the 1 :k requlrerr I R
Pe,. ;tenlattOn) I Adjacent Prat Proof, OWrt r , R.
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WAIVER$ECT
uiderv. r d tt at a pier,dodt„mooting pis,breakwater,boathouse,ilk or Woin must be set twit
mtnirr..1-r, crattreo of 15' fro l my area of sprits access wiles*waived by me (If you wish to W
in
the setback you must initial the mate berm .)
'v t d^wish to waive the 15'setback weni.
t do not w to Valve th
wash ie 'i5i'setback requirement.
----..._ P Owner information)
Ownor information) (fit J
rlii
f3CAt'vd Y Pfer-04.4
Pfini q` ripe Mine Print of
426 II,ase r'4od Road . .__..
Go}dsborsr, NC 27634_._.._
92973607 .. _ j
Te.id,ttra, Telephone
Number
241e) __I-ZS-20
r. K tDot

ADJACENT RIPe4RIAN PROPERTY OWNER trookTESIEIT
!hereby certify that I own property adjacent to flue 8. Lewie s
(Name of Property )
propeity located at_810 Channel Blvd
(Adorns,Lot Vic.Road,Nc.)
on_7opsm&Sound ,I Topea1 Read) ,N.C.
(Waterbody) (Cltow+s for County)
The appx nt has described to me, as shown below,the development propose: at the above locate.
#have no objection to the
i have abbectlons to this proposal.
DESCRiPTtON ANDIOR DRAWING Off PROPOSED DEVl t.OPM NT
(Individual proposing rioveloprnent must NUM description bolow of attach a site drawing)
Tile property owner intericis io replace the existing pier and covered porch we a car pier and covered
porch vlirh the same dimensions end layout
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Check
Check From(Name) Name or Permit Holder Vendor Cheek number amount Permit Number/Comments Receipt or Refund/Reallocated
Cdumn3 ColumM Cokenn6 Column. Colunn7 Column. Column9
ine Construction Bert Lewis Coastal Bank and Trust 3891 $ 200.00 GP 880231D JD rc.14090
Mona Black First Citizens Bank 1113 $ 200.00 GP 0802320 JD rd.14091
nq,Inc. Eric Perry Branch Banking and Trust 50244 $ 200.00 GP#80251 D JD rct.14917
rine Services,LLC Kara 8 Jesse McPherson_ First Citizens Bank 4443 $ 200.00 GP#802110 Tmec rd.15557
le Construction,Inc Ray Mitchell First Citizens Bank 89458 $ 200.00 GP#80212D linac rd.15558
al Construction,LLC Paul Dillard CreaCom Bank 3404 $ 200.00 GP#80234D BB rd.15615

D.r.Redhied O.t.Deposited
Column1 Cnlumn2
8/20/2021 Lis*O ou
--1/20/2021 Patrick I
820/2021 Hardaor
8/20/2021 Md.hera
8/20/2021 America,
8/20/2021 Maritirrq