Pierce, Eric 84640C

dt°"`l OCAMA REDGE &FILL N9 84640 A B%C
a itGPrevious permit
GENERAL PERMIT
Date previous permit issued
<ew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the Stat o , De artment of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC �� — � ❑Rules attached. ❑General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City �✓�
Phone#O_
Email
Affected LkCW
AEC(s): ❑ OEA
ORW: yes/no
Type of Project/ Ac-
t
• ' E " Authorized Agent
G --^� Project Location (County): GIB ►"�
State f �� ZIP / Street Address/State Road/Lot #(s)
Subdivision / y t��
City o� "'A , ZIP �f T
,eEMW '-� PTA
❑IHA ❑uW
PNA: yes/no
Shoreline Length
Access Length V
Pier (dock) length
Fixed Platform(s)
Xo�n
Floating Platform(s)
Finger pier(s)
Total Platform area
CGrN/ praplength
nce offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathou / Boatli
Beach Bu ng
Other
❑ ES ❑ PTS
❑SPIMA ❑PWs
f
L.
Ado. Body V
Closestest Maj. Wtr. Body
ILA
—`
X101_
(Scgl'V�)
,/vZy-
SAV observed: yes t
/
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes
A building permit/zoning permit may be required by: (� �D✓ ril
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
t/ G �+ ❑ 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 REVIEWEWMPLIANCWTEMENT. (Please Initial) —_
v< H cA r v, 01 h C' c, CYNY
Agent or Applicant PRINTED Name Permit Officer RI TED Name
Si ture ,P a read compliance statement n b ck of permit** Signature
I � { � /I
W4
icahU Fee(s) Check N/Moe er Issuing Date 4E.P.on D to

`°"S'41 -CAMA �&DREDGE & FILL �Qwwcl led r
y® GENERAL PERMIT
N9 84640
Previous permit
Date previous permit issued
0
®,.k�New ❑ Modification ❑ Complete Reissue [:]Partial Reissue
As authorized by the Stat o n , De artment of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
V � 1.0 r✓
Applicant Name i 1%
Address U C'
City ✓w—' I State ZIP
Phone # (_ )
Email
Affected L-CCW
AEC(s): ❑ OEA
ORW: yes/no
Type of Project/ Aci
I'�?'�
�W ,� PTA
❑ IHA ❑ UW
PNA: yes/no
Shoreline Length �
Access Length U C C]
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groi #
i
ulkhead/ praplength
ance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards p—
Boat ramp l
Boathou / Boatli
Beach Bul ng
Other
❑ ES ❑ PTS
❑ SPIMA ❑ PWS
Authorized Agent
Project Location (County): G✓ M-4
Street Address/State Road/Lot #(s)
Subdivision �i y�7
City �' ZIP 1ST �
Adj. Wtr. Body `1(-It-
Closest Maj. Wtr. Body
Its
.--An
k)
SAV observed: yes n /
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes
A building permit/zoning permit may be required by: Ct �C/ G�
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
ti' G "y1 .. C ❑ 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 REVIEWE[
D�
Agent or Applicant PRINTED Name Permit Office
ENT. (Please Initial) Y`
D Nam
read compliance statement qn beck of permit" _ 1, __\ Signature
Fee(s) Check #/MoReTOfder Issuing
/11 '�'�

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
F1Tar - Pamlico River Basin Buffer Rules 1-1 Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home t Revised 6/01/2021

Name of Property Owner Requesting Permit: I~y;G Jefferson Pierce
Mailing Address:
Phone Number:
Email Address:
c�eve con-tro�ct
I certify that I have authorized GY�G-,00 c,oaS-- MAYIne Gor-traGtinS
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development: GO n_S-fi t- u G-1-'k 0 n of o\
v ir��l ��111<h2�loj ar,d concre{ e_ plat Form �r�p�„r ex�S #�ir�c�, bagt Ya\rnP
at my property located at 'A 21 c, ecoa r poi nt 58 vd .
in Gq'(teye- Gounty.
furthermore certify that l am authorized to grant, and -do in fact. grant permission to
Division of Coastal Management staff the LocalPermit Officer and their agents to enter
on the aforementioned lands inconnection with evaluating information related to this
permit application.
Property Owner Information:
Signature
�riG J- P�e�roe
Print or Type Name
Qwr-AeY- -
Tltle
/
Date
'1"F�is car73t9cat7on Is valid ll�ro�l�h � �
goo
1� i 10 l
RECEIVED
JAN 06 2022
®CM-MHD CITY

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hereby cer�fy that I own property
property located at qi2
on white OaK R%v (-'Y
(Waterbody)
Xentto Erie J. P►cite Is
POI int Qy1Vd. (Name of Property Owner)
ss, Lot, Block; Road, etc.)
in cedar Point / Wr-teYC+ , N.C.
(Ciiyifown andlor County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR, DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must Hit in description below or attach a site drawing)
I
WAMER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (if you wish to waive the setback; you must iniiaatthe appropriate blank below.)
I do wish to waive the 15, setback. requirement.
I do not wish to waive the 15' setback requirement.
(Property Owne777-11
mation) (Adjacent Property Owner Information)
.-1
SiR zature
c�Mrce Loweit A.'Fverip, e+rl
Print or Type Name l-rmt or Type Name
PO Box 3bb l31 Ggr,n Mort�heG D r iVt
Marling Address Melling Address
Fo,rmv;l�P+ NG 2�82.$ Morey Ad Olt i NG 2`e35��1 City/Siate2,p CaY/Sia"V'ap
Telephone Numberlemail address Telephone NumBerlemail addrass RECEIVED
Date
"Valid for one calendar year after signature-
(Revised Aug. 2014) J AN 0 6 zozz
1 1 )Mm-m, it f) cI X Y

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to Er 10 3, P� ear ce 's
(Name of Property Owner)
property located at y21 cecdo�r Point S\yd
(Address, Lot, Block, Road, etc.)
on wh+�e OaK R�veY , in cedar point I Wr-+; eve+ N.C.
(WaterbodY) I(City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (if you wish to waive the setback, you must initial -the appropriate blank below.)
I do wish to waive the 15' setback requirement
i do not wish to waive the 15' setback requirement.
(Property Owner)l9formation) (Adjacent Property Owner Information)
Signature / S3gnanne*
Eric 1. pkeroe QGA Ftoldinc s L-1-G
Pnnt or Type Name PAW or Type Name
PO BOX 3k0�n 2\4 brdrldi�Wine b\vds
Marling Address Mailing Address
v' NG 2782 MoyeYec-Ad cit.l,Nc. 2SSS-1
City/state/Zip CitylStateMp
Telephone Number/email address
Date
*Valid for one calendar year after signature*
Telephone Number/email address
Date*
(Revised Aug. 2014)
L4-271 JAN 0 6 z022
DCM-lNHD CITY

9/9/21, 10:47 AM Carteret County GIS Website
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