89786A - Burdette

.Occur" ❑LAMA ❑ DREDGE & FILL N° 89786 (L�- A B C C
.ALGPrevious permit
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 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 # ( )
Email
Authorized Agent
Project Location (County): '
Street Address/State Road/Lot #(s)
Suhdivisinn '
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ Es ❑ pTS Adj. Wtc Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Plafform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/2 yes no
Site Photos: yes no - —
RlparianWaiverAttached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
(Scale:
❑ 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 permit** Signature
Application Feels) Check#/Money Order Issuing Date
Expiration Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at
fy(NPne of Property Owner)
's
(Address,. Lot, Block, Road, etc.)
on Gr-c I/ 0:1�/— � �y4 � , in , N.C.
(Waterbody) (CitytTown 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)
RECEIVED
SEP 2 2 2022
DCM—Eli
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.
V/Xll do not wish to waive the 15' setback requirement.
Information)
(Adjacent Property Owner Information)
&gnahue* -.
Print or Type Name
1100 Meadow Drive
Mailing Address
AlFmheth O MC 279n9
City/StatelZip
Telephone Number/email address
9/16/22
Dare Dmr'
1 bwtzft�� bK f�e�teLo.e �M
'Valid for one calendar year after signature'
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENe of T //// Q
I hereby certify that I own property adjacent to Alin m 914 ri)A
(NamFtrop` rrtgu
rty caner)
property located at / A 9 Pe heg",\ P4 r)�-lv--
p (Address,.Lot, Block, Road, etc.)
on C c G.l i 1 C'�S r/-ao+e, 11t in td (i z e.be 44N C `d t , N.C.
(Waterbod) (City/Town 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.
y ©(VA
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)
RECEIVED
SEP 21 202Z
DCM-EC
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.
Tvco*'
or
Z 74G�p
i
Telephone umber/emai address
72o9l --
Date
'Valid for one calendar year after signature`
(Adjacent Property Owner Information)
Signature*
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number/email address
Date*
(Revised Aug. 2014)

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SEP 2 2 2022
DGM—GC
I, EDWARD T. HYMAN. JR., CERTIFY THAT THIS PLAT WAS DRAWN UNDER MY
SUPERVISION FROM AN ACTUAL SURVEY MADE UNDER MY SUPERVISION FROM THE
DEED DESCRIPTION RECORDED IND. B 1361, PG. In: THAT ME BOUNDARIES NOT
SURVEYED ARE INUCATEDAS DRAWN; THAT THE RATIO OF PRECISION AS
CALCULATED IS 1:I0,W-. THAT THIS PUT WAS PREPARED IN ACCORDANCE WITH
G S 4740M AS AMENDED. WITNESS MY ORIGINAL SIGNATURE, REGISTRATION
NUMBER. AND SEAL THIS 25TH MY OF AUGUST, 2020 /
I, EDWARD T. HYMAN, JR PLS-2880, CERTIFY.
F(11)C THAT THE SURVEY IS OF AN EYIS71NG PARCEL OR PARCELS OF IANDANE
DOES NOT CREATE A NEW STREET OR CHANGE AN IDUSTING STREET
NOTES:
1.) ALL DISTANCES SHOWN ARE HORIZONTAL GROUND DISTANCES.
2) THIS PROPERTY IS LOCATED IN FLOOD ZONES 'r. 'SMDED V, A -AE(4'T AS
SHOWN ON FEW MAP PANEL 3720882200N DATED DECEMBER 21, M18 AND
SUBJECT TO CHANGE BY FEMA
3) THERE ARE NO N G S. MONUMENTS WITHIN 2,000' OF THIS SITE
NM"3172•E CAA
BUILDING SETBACKS
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KEVIN D. PIERCE & KRISTIN A. PIERCE (OWNERS)
AND WILSON GENERAL CONTRACTOR, INC. (CONTRACTOR)
BEING LOT 15, PELICAN POINTE, M.B. 32, PG. 25 & M.B. 46, PG. 47
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