87212A - Pierce, Justin and Agne

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G Previous permu
INGENERAL PERMIT Date previous perom issued
New Modification (Complete Reissue '__I artlal ROISSLIct
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I AM AWARD OE STAIUILS, CRC RULES AND (ONDI ONS TIME APPLY 10 IID5 PROI
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CAMA [ DREDGE & FILL N° 87212 QVB C
GENERAL PERMIT Previous permit
11Date previous permit issued
III
M[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
r
15A NCAC �' 1+' 11 00 . '�-I+. IN C-C) ❑ Rules attached. I yl General Permit Rules available at the following link: www.de I.nc.eov/CAMArules
Applicant Name 11r1u '�-s - r CeG..�
Address I oil f iVx4 0.1l,. at RA
City\.v.D�'.M State VA ZIP aiii(o�+
Phone#(S,0)-11,.-6496
Email Se.Pieru,. al @man tilv.r�
Project Location (County): P. Sn vo'iwn IL
Street Address/State Road/Lot #(s) I a 3 P[ I, is n 'Po. n Ee Rrw d
La I, It- la
Subdivision PC 1a n po, r` k
city Ct•}y zIP_ a-+-909
Affected ❑ CW ❑ EW PTA ❑ ES PTS Adj. Wtr. Body Cr: ✓tea- 1 (natkIPunk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA PWS Closest Maj. Wtr. Body I"a iGf 0U'k, t2•Vrkbe
ORW: yes PNA: yes/®
Type of Project/Activity Ne-w 6oili: Acci nlh. U^V%&ta. u j S et.Ln-°, aS, LX Ib W
(Scale: N :T.1. )
Shoreline Length .} 0( 1'
Access Length
Pier (d ck length n
ed Pla[for s)
Floating Platform(s)
Finger pier(s)
To[al Platt m a EI00_Vr
Groin length/tt
ulkhe- Rlprap length = q 1
Avg ism ffshere ram'
Breakwater/Sill
Max distance/ length S5
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Y J�
.ti
f Pa „�•r�„1� at -tr
o ►T�'� �qh 1
SAV observed: ssue�yes � V) t ir
Moratorium: 4Dzd)'' yes no •(�7
Site Photos: y > �no
Riparian Waiver Attached: yes 0
A building permit/zoning permit may be required by: E • Zc, �].r;i'h a-.'�-Y
Permit Conditions
CRC RULES AND
or Applicant PRINTED Name
Permit
T
G\u„ct-
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ 5ee additional notes/conditions on back
(Please
Signature "Please read compliance statement on back of permit"
4Uo .00 4FI0a.b
Application Feels) CbCC q/Money Order
3 j n1 aoaq-*/gIa03,
Issuing Date Expiration Date

0`°"'",& WCAMA [� DREDGE &FILL N9 87212 A s c D
INGENERAL PERMIT Previous permit
Date previous permit issued
kNew ❑ 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:
I SA NCAC -) i ❑ Permit w Rules attached. General Pert Rules available at the following link: ww.deo.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County): i ,. a c, <
City State ZIP Street Address/State Road/Lot #(s)
Phone # ( ) I . i !t ) d•
Email Subdivision PP II e,E�-
city i'._ i; -1 (}a 1 ; 0 i ' I ZIP ....t_ ..
Affected ❑ CW ❑ EW PTA ❑ ES PTS Adj. Wtr. Body C r.- 'e- t (nat/rian/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale:
Access Length ./
.,
--
4
Pier(dock)lengt�
L
Fixed Platform(s) < Y is
r
Floating Platform(s)
-
_i_
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Finger piers) f
Total Platform area
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t i
° '
Groin length/tt%
Bulkhead/ Riprap length
Avg distance offshore � �
Breakwater/Sill r�
Max distance/ length
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Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
T
L
Beach Bulldozing
Other
_
_
SAV observed: _ yes no -
Moratorium: T/a yes no—�--
--
-
-
IV
sr
-
--
—
J_.
Site Photos: , yes no _
Riparian Waiver Attached: yes no-�.._
!
__
J-..
._L..
...
A building permit/zoning permit may be required by: 2r
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 permit** Signature
w I O r3.b
Application Feels) Ck"O/Money Order Issuing Date
Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY ��
(Top portion to be completed by owner or their agent)
Name of Property Owner: Justin Pierce & Agne Pierce
R EIVED
MAR 0 B 2624
Address of Property: 123 Pelican Pointe Elizabeth City,NC 27909
Mailing Address of Owner: 191 Pine Chapel Rd Hampton VA 23666 M- E C
Owner's email: Jcpierce21Qmsn.com Owner's Phone#: [phone]
Agent's Name: N/A
Agent's Email:
Agent Phone#: N/A
WA
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacerd Property Owner)
I hereby certify that 1 own property adjacent to the above referenced property. The individual applying forthis
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing with dimensions must be provided with this feller.
VI DO NOT have objections to this proposal. 1 DO have objections to this proposal.
if you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notiffed by Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or iiprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)1
Signature of Adjacent Riparian Property Owner: /`Mvr ppJ
Typed/Printed name of ARPO: KI'rtb 'rjv 16 I��A •P.rrorr
Mailing Address of ARPO: 32- 61) PonIX Ln G1KSe�wt (C� L/A 23323
ARPO'semail: kdro•� -r d A /� ARPO'sPhone#: I253) yo4-2y2'4/
Dale: 18 h b 20 9:1 `waiver is valid for up to one year from ARPO's Signature`
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM RECC',,�� I
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY E
(Top portion to be completed by owner or their agent)
MAR 0 8 2024
Name of Property Owner: _ Justin Pierce & Agne Pierce
Address of Property: 123 Pelican Pointe Elizabeth City, NC 27909 D C M _ k- C
P
Mailing Address of Owner: 191 Pine Chapel Rd Hampton VA 23666
Owner's email: Jcpierce2l @msn.com Owner's Phone#: [phone]
Agent's Name: N/A
Agent's Email: N/A
Agent
N/A
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing, with dimensions must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
rr you nave objections to what is being proposed, you must notify the N.C. Divlsion of Coastal
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank) 2—
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of1ARPO: -2L"( 41' tN &
ARPO's email: 'J W Ae i a)a,-,,,, r'rw;, , ARPO's Phone#: �d ` C E i % l• S D//
Date: Z-11 "Z'k *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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