75649A_Bryson, William G._20191106

--. CICAMA / DREDGE & FILL
(I JL- ✓
No. 75649 A B C D
O
GENERAL PERMIT
Previous permit #
New _Modification _ ]Complete Reissue El Partial Reissue
Date previous permit issued
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 D -
ules attached.
Applicant Name �' ' ° n1 gr y -5 D n
Project Location: County Pe t- a U
Address D /a% c �. 4-p a c�
Street Address/ State Road/ Lot #(s) Go t 7 '1
City V , r ¢ A 4, State_ ZIP 2, 11 5-
% &
Phone # (2S ) 7 T f- 5 G 8! E-Mail c- � e (r y c- ke- / ys i
Subdivision Z_ 0 n y h 6
Authorized Agent Q �+ '• s J' 1 n S City /+� ZIP
El❑. Cw Ew L�PIIVTA 4- " CATS
Phone # ( ) River Basin �. 's LA r.y
Affected
❑OEA ❑HHF ❑IH- - ❑UBA El N/A
AEC(s):
M �`" ci
Adj. Wtr. Body 4 /69 ci� ( at�man /unkn)
ORW: "no PNA / no
Closest Maj. Wtr. Body .S
yes /, yes
Type of Project/ Activity 11 v n S c (� P I c c ,,� e ,, L n y'
L,� ,� � s c 1W l r� /o a%wk c �.4 iQ ¢ n C.` 1 -i, o c % ,- n (Scale: 3 z )
Pier — ` c t
Fixer-
Float
Fing
Groff
Bulk
Basii
Boat
Boat
Beac
Othi
Shor
SAV
Mor
Phot
wah
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r pier(s)
length
ber
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: ea Riprap length
max distance offshore
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cubic yards
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ramp
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-i Bulldozing
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Jine Length t"
not sure yes Gno
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rol
MEN
torium (��a yes no
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A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions S
u r S G 49)
.nt r A#icant Printed Nfiin9e
Signature Please read compliance state on back of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
VG°i A,ti n 'DtS7 �KJaN<l' 11
J
VI/ — -7c CA C-v C^
PerrrlitOfficer's Printed Name
i
Signature
i L��
Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific 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 I) 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 or certified mail return receipt has been obtained from the adjacent riparian
landowner(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:
❑ Tar - Pamlico River Basin Buffer Rules Other:
n 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. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888ARCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: brLAS�
Mailing Address: cTy I O 1 oL CL,t I tr-'K0ajoU"'
Phone Number:
Email Address:
chej-rb coKt-l9541(&c,mai1, com
1 certify that I have authorized 'j-)t111'1 is AJ 1 (� YYi S ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
inIe.i'u.1 a rn0.Xl5 County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
LJ ()-Y-Y� (al (� 6 F S (0
Print or Type Name
Title
IO ,J/ , ao19
Date
This certification is valid through 4 !� 1

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to William G. Bryson's property located at 166
Long Beach Drive, Hertford, NC27944 (Pts-cd II)-4-10075-1009-1_B) and located on the
Albemarle Sound, in Hertford, Perquimans County, NC.
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
Project: Bulkhead and pier
Description:
Build new vinyl bulkhead to extend two feet beyond and one foot higher than existing
bulkhead. Attach new bulkhead to existing bulkheads at 164 and 168 Long
Beach Drive. Fill as necessary. t 3
Replace first section of existing pier (appx. 17ft x �5ft) with pier of similar size & design.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boat house, lift or groin
must be set back a minimum of 15' from my area of riparian access unless waived by me. (If
g.ve the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback.
I do not wish to waive the 15' setback.
(Property%owner information) (Adjacent property owner ' ormation)
pathI
Signature ' `�' �' Is �'�« � AC'Si %nature /
HAO�-rl IV
Print or type name
Mai 'ng Address
A-16ene-44 l A 02�F��
City/State/Zip
7si q gl - ©yo,Z
Print or type name
Le-Q, -4
M�� 1ling Address
kc- 2, �C/ CAI
City/State/Zip
Telephone Number �1PE-mlil
ne Number
Date E-mail Address Address ( `y
*Valid for one Galen ar year afte signature* /

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to William G. Bryson's property located at 166
Long Beach Drive, Hertford, NC 27944 ( s_ and located on the
Albemarle Sound, in Hertford, Perquimans County, NC.
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
Project: Bulkhead and pier
Description:
Build new vinyl bulkhead to extend two feet beyond and one foot higher than existing
bulkhead. Attach new bulkhead to existing bulkheads at 164 and 168 Long
Beach Drive. Fill as necessary. 13
Replace first section of existing pier (appx. 17ft x�ft) with pier of similar size & design.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boat house, lift or groin
must be set back a minimum of 15' from my area of riparian access unless waived by me. (If
you waive the setback, you must initial the appropriate blank below.) o �� �6zo�i
"--f-do wish to waive the 15' setback. J07. fQ�`�l•F �,•��iT
4V �.(� 5 % ,fit -
I do not wish to waive the 15' setback.
(Property owner information)
S* ture
711LL4.4,1i �AWit/
Print or type name % p
go/ ap Ctl' "p,y
Mai ing Address
City/State/Zip
-/.O- Yf/_0(1a2.
(Ad' i�t property owner information)
Signature
Print or type name
Mailing Address
City/State/Zip
Telephone Number Telephone Number
Nlr ly
Date E-mail Address ate E-mail Address
*Valid for one calendar year after signature* j�

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Locality Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER MAILING ADDRESS
Name �j�;6-"A1 k C
Address 90/ ©P Ct/rraa Wfl
City V1PaitylA
Phone 7S / - Xs '—
Email c h ei! 1! CoKp— 197 7 ifadnail - CAh m -
AUTHORIZED AGENT
Name Jk'AIJIS C I" -*"I 5.
City 1 State /Iy Zip
Email P tdRAALSC.&4)4 04064 ML
LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent wat
AWA LNG 1bR, //1eRT 4 WU fYG -ZW 5
/ - (- NICI Qc.(e 'Gow'-apt
DESC ION OF PROJECT: (List all proposed construction and land disturbance.) _
/�SitJ�GtlCff�ID , J/EM9 �G�lcD� �-SGc'�t9n/ O.�
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SIZE OF LOWPARCEL: �ti squarefeet w1 7 acres
PROPOSED USE: Residential (Single-family ❑ Multi -family ❑ ) Commercial/Industrial ❑ Other ❑
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer ifyou are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non -load -bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: square feet (includes the area of the foundation of all buildings, driveways, covered decks,
concrete or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
Stormwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)?
YES_ NO
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.
OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
1, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
listed as landowner on this application has a significant interest in the real property described therein. This interest can be
desctib as: (check one) C /
an owner or record title, Titic is vested is name of l d�
sec Deed Book page in the County Registry of Dccds.
_an owner by virtue of inheritance. Applicant is an beir to the estate of
; probate was in
County.
_if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
NOTIFICATION OFADJACENT RIPARIAN PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. 1 affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
ame) (Address)
cl) �r21�c1..� r1R $r4�� NC Z
(2) t;VI1) L 4<& nc Z
(3)
(4)
ACKNOWLEDGEMENTS:
1, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which
may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
PW
I furthermore certify that I am authorized to grant, and do in fact grant, permission to Division of Coastal Management staff,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
/9 le--� '-0 le This the day of�_, 20 —I
or person authorized to act as his/hrs0nt for purpose of filing a CAMA permit application
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement. the Ocean HazardAFC Notice where necessary, a check for $100.00 made payable to the locality, and
any information mv may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued. Deviation from these de/ails will constitute a violation of
any permit. Any person developing in an AFC without permit is subject to civil, criminal and administrative action.

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