89773A - Lewis

fir"""" euVV 1AR W DREDGE & FILL
GENERAL PERMIT
iNY OYI/J
Previous permit
Daze previous permit issued
®New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the state orf�North Carokna, Department o f Environmental Quality and the Coastal Pesourrass Commission in an area of environmental concern pursuant to:
I SA NCAC 1 W I ( 40 [] Was attached. [W General Permit Was available at the toner" link: ley
Sweet Address
City ate.. 'a.•4\'.S=V. 23P
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city "Cir-garal -ZIP
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type of Project/ Activity
(Scale:
Shoreline Length }I— 12/
Access Length
114
Pier (dock) length —� -- _.S_ "—`---•...,._. t_...,__ ..•__.,. t _i.�- i�.
F#ted Platforms)
Floating Platform(s)
,
-�q
Finger pier(s) .«.. a
Total Platform area
r ,
t :
Groin length/#
uikhea Riprap length
Avg istance offshore _ Z.. • Breakwater/Sill
Max distance/ length d._T____'
Basin, channel
Cubic yards
Boat rampAIV
Boathouse/BoatliR
__...:'� r .. �.. _.._ .�_—•---r---r--- "' loll: .��'_..._ �i
Beach Bulidoxing '—
Other._ ,
:
SAV observed: �'q s 0 '
Moratorium: ryas no
""teD ye
Site Photos: no
Riparian Waiver Attached: yes_���.
A building pernit/ror ing permit may be required by:
Permit Conditions
2Q'-i � l.t_W
4gl:nCorA M,PRI Na I
,' A� ' , ,
Signature --Please read compliance statement on back of permit"
Q 1
kp� tion Feels) Check #/Money Order
Permit
i
TAWPANMEUSEBUFFER (circle one)
11 See note on back regarding River Basin rules
See additional notes/conditions on back
(Please
Signature "
(06w&-s j �LviZJ
Issuing Date Expiration Date

't's(Wr" K1CAMA ® DREDGE & FILL NY 89773 2� ® B C D
GENERAL PERMIT Previous permit
Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State or(7N/o�rth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC ` • t - I (❑ Rules attached. ® General Permit Rules available at the following link: w deq nc gov/CAMArules
Applicant Name
Address I'
City ICA- fJMel �,-jStates C ZIP 9 / 09
Phone # (i1t) _ � J, Gq - `11
Email
Authorized Agent
Project Location (County): _ f�JCi� Lam, yV�C,LyA�
Street Address/State Road/Lot#(s)
152 5r-,U�gl� ;r�P r'
Subdivision` `WnS,�OIa ,t',
City l`F2.rtiarlpP ZIP_ 2 74<N
Affected ❑ CW EW PTA © ES ® pT5 Adj. Wtr. Body A (pe/ftrat -k ] �:JOU.nj at ian/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/® PNA: yes/ o®
Type of Project/ Activity Tws�r kl p Z" of tjew 64 e, ,2,1 nt �
Shoreline Length }� �Z f (Scale: V -11>o`
Access Length
Pier (dock) length
Fixed Platform(s) VC'
Floating Platform(s) ^ ;� EY
yr
Finger pier(s) A)c p.
Total Platform area N
Groin length/#
Av�ulkhea Riprap length
ce offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards~
Boat ramp
Boathouse/Boatlift
Beach Bulldozing — _ __ _ _ W L
Other
�,�,
SAV observed: �q yes
Moratorium: ryaJ aes no
Site Photos: y� ,n�o �. 1 exO[+
Riparian Waiver Attached: yes (S I
A building permit/zoning permit may be required by: ` � CA L0��
Permit Conditions-- ❑TAWPAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Offi er'vPRINTED Name
Signature "Please read compliance statement on back of permit** Signature I"
&L106,1 231 (0/20/2-), ►v/u/2,3
App ication Fee(s) Check H/Money Order Issuing Date Expiration Date

1*0(a`r"&❑CAMA ❑ DREDGE & FILL NY 89/'/3 A B C D
oao Previous permit ,
3 GENERAL PERMIT
Date previous permit issued
< New ❑ Modification []Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coaatal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
State 7IP7;
Authorized Agent
Project Location (County): 1''Q'. c.' t, 'Y'k,
Street Address/State Road/Lot #(s)
Subdivision
City I ` 0 ZIP
Affected ❑ CW ® EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body I-) 1 t,-)E. yh(:- , I r- : I (oat/Inan/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORIN: yes/no PNA: yes/no
Type of Project/ Activity
(Scale:i' ; )
fk--R--I-- .F
Access Length
f�c—_
—
'-
Pier (dock) length
-__
-_
Fixed Plafform(s)
s
I
1_-
i �_
_
—I
�t
I
Floating Platforms)
Ca
,_
Fin s
Finger pier(s)
g ) P I
Total Platform area
Groinlength/#
Bulkhead/Riprap length
-
r
Avgdistanceoffshore 4
—
-
-
Breakwater/Sill -
I
i
i
-
L
LLD
—
Max distance/length �
`-
'
r-
"`T'"
-"'�'
—r
-
Basin, channel
I
Cubic yards
-
Boat ramp
Boathouse/ Boatlift
-
1
1
Beach Bulldozing
•
ol,
Other
SAY observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
L.._J.._
�t._.(_
_
-
I
'_
'1--
A building permit/zoning permit may be required by: k "+ �i: I rv.
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature '*Please read compliance statement on back of permiN• Signature
Application Feels) Check #/Money Order Issuing Date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
_i 1 1 1' y'3
11% ate
Name of acent ia n PrTr y Owner
Adddrre • (( PP
City, State Zip
To Whom It May Concern:
RECEM D
jug i 2 N23
[)CM -EC
]'his correspondence is to notify you as a riparian property owner that I am applying for a LAMA Minor permit to
�lUC(41LA
Oil my property at 1 S a S o d
in''c- (k Qg v r An S County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
`9 LGVwiS
Property Owner's Name
Address
City
Telephone Number
State
I have no objection to the project described in this correspondence.
have objection(s) to the project described in this correspondence.
�pAdjacent,$a ananSignature
Print or Type Name
Date
Telephone Number
Zip
Address City State Zip
Revised July 2021

N.C. DIVISION OF COASTAL. MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
/.-
L t a3
RECEIVED ate
Name of Ap��acent Riparian Prop y Owne
v n c.�ye- ' r J U N 12 2023
Address /� L(' ✓ (// 27w-y
City, State Zip ®CIVI-GC
To Whom It May Concern:
This correspondence is to notify you, as a riparian property owner that 1 am applying f'or a CAMA Minor pennit to
on my property at 15:1 SO • J . s �. �ti .. _ "E rtt a,.. C 1 y `l __
,
in p e LZGLv •J 5 County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, "ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
G O �-3 LC- Uj i S
Property Owner's Name
Address
City
a :) U `l .. -� S
Telephone Number
State
i�lve no objection to the project described in this correspondence.
1 have objection(s) to the project described in this correspondence.
Adja ent Riparian Signature
7L//YtCGC�7bet?"II t�
Print or Type Name
Address
City
�— -
Date
1115
Telephone Number
State
Zip
Zip
Revised July 2021

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