Bryant, Landis 78280C

CAMA / ❑ DREDGE & FILL N9 79180 A B j C /D
ENERAL PERMIT Previous permit # ��
New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
As auth rized by the State of North Carolina, Department of Environmental Quality It)
and the Coastal Resources Commission in an area of environme al concern pursuant to 15A NCAC
Rules att hed.
Applicant Name Project Location: County
Address Street A dress/ State Road/ Lot #(s)
City -�n� State P
Phone # )/A` v l�l �.A4aU ,4 Subdivision
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑P
ORW: yes / io
Adj. Wtr. BodU/1z"
Closest Maj. Wtr. Body

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 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 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:
❑ 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 howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
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)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington 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

t
, P4,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis
Governor Director
Date �
Applicant Nanie
Failing Address
John E. Skvarla, III
Secretary
I certify that I have authorized (agent) ' �`/ / �(' to act on my behalf, for the
purpose of applying for and obtaining all LAMA Permits necessary to install or construct (activity)
This certification is valid thrn (date) %
Signature
at (location)
4d $ aoo
Ck � GO�o
400 Commerce Ave., Morehead City, NC 28557
Phone: [phone] FAX: [phone] Internet: ww.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer
RECEIVED
JAN 0 4 2021
DCM-MHD CITY
One
No thCarolina
N

. � � \� ƒ�� � �
>.§:� y *
� � � � � �� \) .
� «� : ��^�.�5<« «?2w\\�yd.y2� C d\!5©`�
<?§/�2J}/ � a
«�«6.\ \g.
&` J % :
.< \R y{6 � � �% � � �
., �� «.g y y y `
K l ; ^� G�/Z;g
z� yr

ADJACENT -RIPARIAN PROPERTY OWNER STATEMENT
- 4—s
I hereby certify that I own property adjacent to ✓
7 (Name of Prop rty Owner)
property located at
(Address, Lot, Blo k, Road, et -) N.C.
on < ,zf ,u �,<_ ,
(Waterbody) (city/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
7 I have no objection to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPObDow oELOPMNT
attach a site drawing)
(individual proposing development must fill in description
�J I
�►~i9✓ �' ot
WAIVER SECTION --
I understand that a pier, dock, mooring pilings, 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 information) (Adjacent Property Owner information)
SignatureSio Signature
Fs 3�d
Prin�ory(e
ame
Print or Type Name / - , f
"d M icing Address _
Ma�1i Address •�/ ;�' ,� l✓ � � S''w
City/State2ip City/ atelzip
Telephone umber Telephone Number
✓� --� Date �
Date
(Revised 61181?012)

s
.., .. �. kl °..__I wg �{4'2h� ,MV'.� k� a��. jK. •_ --, �S• �, �.� ._
• ! � � ,.S,,i a�f�, it �,,ry t _ .. .� .- ��
c'#. two , t,. • y'-S• 1;..;/i ._ i =,{ rf l i 'k_.. _ ' 'ia .,i'
} Yt; 44gg.(F.£g,'�M1.3 Yi��4L+'r$i
'N, lo' .
i tits
e F e
J
a
C,

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
C_is,✓C„ l'S 'ys
I hereby certify that I own property adjacent to 61el(14Owner)
(Name of Property
property located at
(Address, Lot, Block, Road, etyc.) ` N.C.
(Waterbody) (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED
ELOPMENT
atta h a site drawing)
(Individual proposing development must fill to description
gx ` —
gxlz'
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must bet f
back a minimum distance of 15' from my area of riparian access unless waived by me. ( y
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
II do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Signature
Print or Type Name
,Mailing Address
City/State/Zip
Telephone Number
Date
k J�
Signature v--
Print or Type Name
'o'Z 1J
Marlin Address
City/statefz
6p
Telephone N tuber
Date
(Revised 6/18/2012)

'd. a
n �

5.
E R C d C7 m a Ix r [ y y 7� b r r C) w
3 f9 >v o Sa o 1a y co �. o x - a1 O rr C W
' A. '* C4R� a krA � td f D
Go
o C ro z n w
IN)C17 to n s 00 Q
m `8 4A W �' O J x coCr1 N x ~
Qq
al
to
�oja
�Ul
$ d N r o x d
aN O171O
Zy� pp W
n23
Er,^ £ it
I W.
�a
3
m$ I a
5.2
S.
I Uzi,
got k
Eo I INN n
s
_o
I m ow
,LL ,
UPS

zo
ffi