55802D - Pierce

�CAMA / El DREDGE & FILL Iz
3ENERAL PERMIT Previous permit #
;f4evv - ]Modification ElComplete Reissue E] Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
2
Rules attached.
it , z-"'
Name_y��/ o�W 1,do Project Location: County,6g 'SC le
)Z,V e-r C
,7� Allm,,4 ;,�L, �& Street Address/ State Road/ Lot #(s)
OV 8 V StatgkK- ZIP--2s '/409
& ) y21 Fax # (—) Subdivision
:ed Agent
— Cw
EJ OEA
El PWS:
yes 0 1--)
[Vtw APTA M16S El PTS
El HHF El 1H E UBA Ll N/A
El FC:
PNA yes Cri yes / no
Cityacno') -�Sze ZIP
Phone# River Basin
/Y7
Adj. Wtr. Body r4,-JI9 atq (nat (i
Closest Maj. Wtr. Body /P/ " t✓
f Project/ Activity '!12 p 16 eid N
'0 11-4i'p (Scale:
ock) length IF of S to A
i(s)-
)ier(s
C
.ngth
imber
d/ Riprap length_
g distance offshore
ax distance offshore
hannel
bic yards
,np
ise/
- -----
ZIA
Bulldozing
1-3
0
ie Length--51D
not sure yes Cno)
gs: not sure yes
rium: n/a yes Zo
g—
yes o
6 rft�
Attached:/. � {yes-1 o
ing permit may be required by: Isle
— - - -.1 — 4- -J
❑ See note on back regarding River Basin r

licant: J��� f �o/l C e Permit #: 5 ~ f
071 o
cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
id in your Habitat code sheet.
itat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated fina
disturbance.
Excludes any
restoration andh
temp impact
amount)
/
0
Dredge ❑ Fill ❑ Both ❑ Other
.ej�%.
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑

I'EST DOCKS
0-367-6952
DOCK
I') � Li t G lh ,l-(�°',, 5�

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAVAIVER FORM
Nam of Individual Applying For Permit:
Address of Property:
%1dia10
(Lot or Street #, Street or Road)
(City and County)
JIM
I hereby certify that I own property adjacent to the above -referenced property. The indivil
applying for this permit has described to.me as shown on the attached drawing the development
Are proposing. A description or drawing. with dimensions, should be provided with this lette
. I have no objections to this proposal
If you have objections to what is being proposed, please write the Division of Co,,
Management. 127 Cardinal Drive Extension, Wilmington,. NC 23405 or call 910-796
within 10 days of receipt of this notice. No response is considered the same as no objecti
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house o6oat 4frliust I
bck a minimum distance of 15' from my area of riparian access - unless waived by me. (I
wish to waive the.setback,'you must initial the appropriate blank below.)
jzw� I do wish to waive the 1 5' setback re uiremernt.
I do not wish to waive the 1 3' setback requirement.
Sign Name
Date
.ge-r-Y�, 7 . 1—r _,D ` O-1
AVWWA

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying
For Permit:
Address of Property: //-71? C�j� 7-,lX)
(Lot or Street #, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above -referenced property. The indivi
applying for this permit has described to. me as shown on the attached drativing the development
are proposing. A description or drawing, with dimensions, should be provided with this lette
- I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co;
Management, 127 'Cardinal Drive Extension, Wilmington, NC 23403 or call 910-796-'
within 10 daysW receipt of this notice. No response is considered the same as no objecti
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, break�N,ater, boat house oboat lift ust b
bck a minimum distance of 15' from my area of riparian access - unless waived' by me. (I1
wish to «waive the.setback,*you must initial the appropriate blank; below.)
I do wish to waive the 1 5' setback requirement.
I do not wish to waive the 1 5' setback requirement.
+/ ff 1/11, Ta7 .7 - L Z - i cD
Sian: Name Date
C'A2oL Cyo�
A. W — .

7187
JAMES E. PIERCE
LEIGH E. PIERCE �-/ _ U _ 66-19/5341N�C
78 WILMINGTON ST. ZS
OCEAN ISLE BEACH, NC 28469 Date
UV
oathe or r of
Dollars 8 F••'°'•°
4
Bank of America W
ACH 053000196
R .�
Mem
1:0 5 3000 L 9 6i: 0000 40 28 50 4 LII' ? 18 ?
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