Bryan, Stephen C.

®❑M CAA / LI DREDGE & FILL I .l NO. 75947 A B /; C/)D
GENERAL PERMIT Previous permit#
New Modification ❑Complete Reissue CQPd�I Reissue Date previous permit issued
As autho ,New
❑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
❑ Rules attached.
Applicant Name �,� Project Location: County ILL-i�
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Phone # (T/ E-Mail _
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AEC(s): 11OEA L HHF fTIH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes /'no
Street Address/ State Road/ Lot #(s)
g/ubdivis* in --
/city
NLew I L(' .t. ZIP ✓_J
Phone # ( ) River Basin
Adj. Wtr. Body T ,6/ l (nat /man /unkn)
Closest Maj. Wtr. Bodyt
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Agent or Applicant Printed Name
,
Signature, "Please read c6rnpliance statement on back of permit"
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Application Fee(s) Check #
PermitOfficer's PrintediName
Signat re
�V 7 wo
Issuing ate Expirati� Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Stephen C. Bryan
Mailing Address: P. o. Box 919
Goldsboro. NC 27533
Phone Number: [phone]
Email Address: [e-mail]
I certify that I have authorized Blue water Marine
Agent /Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
damaged by hurricane
rebuild dock
at my property located at 2509 Evans Street, Morehead City
in Carteret 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:
SignattYe
Stephen C. Bryan
Print or Type Name
Owner
Title
8 , 13 1201
Date
This certification is valid through �l_�_I 2a L'
DEC 0 2 2019
DCM-MHD CITY

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: 2509 Evans Street LLC
Address of Property:
2509 Evans St. Morehead City Carteret
(Lot or Street #, Street or Road, City & County)
Agent's Name* Blue Water Marine Cons t Mailing Address:
PO Box 93
Agent's phone #: (9 S2) 504-0737 Morehead City, NC 28557
I hereby certify that 1 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.
f I have no objections to this proposal. I have objections to this proposal.
If you have objections to what Is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact Information for DCM offices is
available athttp./Avww nccoestalmanagement net/web/cm/staff-fisting or by calling 1-888-4RCOAST.
No response Is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.
SM I do not wish to waive the 15' setback requirement.
(Prop rty Owner Information) (Riparian Property Owner Information)
Signatur Signature
Stephen C. Bryan, manager %uyAk vi (jr. 0) O
Print or Type Name Print or Type Name
P n Box 919
Mailing Address
Goldsboro NC 27533
City/State/Zip
[phone] [e-mail]
Telephone Number / Email Address
November 7, 2019
Date
"1Yk ��(},,��ra,et,i,t . RAQers C o
Mailing Address
neck-, 64-
City/State/Zip
SsS6 tooN,3k ®e-.C-Tf`.Cort
Telephone Number/Email Add ass
l.1 m 19, �:Dlq RECEWED
Date
(Revised Aug. 2014)
DEC 0 2 Z019
DCM-MHD CITY