54232_PIERCE, JOSEPH_20091028

GE & FILL
PERMIT Previous permit #
New odification EComplete Reissue El 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 I SA NCAC
L-.TRules attached.
Applicant Name _,._�_L_
Project Location: County
Address
Street Address/ State Road/ Lot A
(s)
City_State l zip
-Phone # 1, Fax #
Subdivision i
Authorized Agent
city i
ZIP -:4
L] CW OEW Q PTA L�gS El PTS
Phone #
River Basin
Affected
0 OEA I-- HHF EIIH 0 UIBA Ll N/A
AEC(s):
Adj. Wtr. Body-- J.
A (nat -rn -an 4unkn)
El PWS: OFC:
ORW: yes / no PNA yes Rio Crit.Hab. yes no
Closest Maj. Wtr. Body
16 K i( 1 1
Type of Project/ Activity
(Scale
N T
Pier (dock) len-h
Platfo
Finge
Groin
Bulkl
Basir
Boat
Boat
Beac
Othf
Shor
SAV
Sanc
Mor
Phoi
Wai,
rm(s)
7
A
r pier(s)
length
number
ead/ Riprap length— i
avg distance offshore
max distance offshore 7z
,channel
-e
cubic yards
ramp
iouse/ Boatlift
N.-
7—
i Bulldozing
r
-74-77-17
aline Length
not sure yes 0
:)ags: not sure yes 0
.torium: no
(�hTa yes
' s
Ds: no
PY AtrnrhvAq �rl- A
—7—
7
A building permit may be required by: See note on back regarding River Basin rules.
Notes/ Special Conditions
A4 x 0 1 zl�
-40'
U sa
Agent or P licant Printed Name Perl-nfit!OffiZery - r1atu a r
Q r
Signatu compliance e back r t* Issuing Oate xpiratibn Date
cv **Pleaserg;dco Ph statement on bac
P I j-4 11 ul, I I
Fee- ygfurlscliction Rover Pile Wam(
Application (s) Check # Loc6i PlanLi-k�