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HomeMy WebLinkAbout89030A - Bryah, William❑CAMA ❑DREDGE & FILL N9 89030 A B C D Previous permit co PERMITDate previous permit issued F--] 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: I SA NCAC 0 1 f4 1 1, (- Y ` I I \ 7_ C) G ❑ Rules attached. R'General Permit Rules available at the following link: www.dea.nc eov/CAMAroles Applicant Name VJ; 11 1 0x Yew a i t Address ) -7 o (\ n c -A City 1)r, vr, 1` t c:. Y li 1, I State ZIP Phone#(` Z) ?,L`• '-�``(, �iGJ Email Yi \�'-� Y9 i _I -i -, r,' ---C ,•a Authorized Agent (- wi ,- , G � \ Project Location (County): r t Street Address/State Road/Lot #(s) 1 .` „ 1� Subdivision City l�: o, ,.t i-� n. f e:c, t ZIP Affected ❑ CW 0 EW Q PTA ❑ ES ❑ PTS Adj. War. Body v Y \ -� J C k <-? !I+ (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body G LA ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale: Shoreline I meth Access Length Pier (dock) length /. j Fixed Platform(s) 1 Y. 16 r-1— '- Floting 1 �i )U f7 iger(Platform(s)jI� Finger P Total Platform area- NIP Groinlength/q Bulkhead/ Riprep-length-�— Avg distance offshore Breakwater/Sill -^ ^�--•' } '- - -- — I '� �� . .�__' �� _.j Max distanceFlength [�- I Basin, channel Cubicyards Boat ramp c, U Boathouse/Boatlift 1'L X \'1- _ Beach Bulldozing *_- \ A IV _. _ 17 Other Other r YM r �� �'r� i I � I �= - _ SAV observed: yes h'"` ' - - 4`y Moratorium: ,� yes no Site Photos: no f� - -- GT i V, T 21. �'b ) Riparian Waiver Attached: A building permit/zoning permit may be required by: C- t.LY V } to C. k- `�: O U \' !'t ❑ TAR/PAM/NEUSE/BUFFER (circle one) Permit Conditions ❑ See note on back regarding River Basin rules l'7JILA, e �Ilt ;, ,A Lr•rA Jam � ❑See additional notes/conditions on back Y" I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) I -P rit 1 l Agent or Applicant PRINTED. Name 1010 Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit** Application Fee(s) Check #/Money Order Signature Issuing Date Expiration Date DocuSign Envelope ID: 493F61AD-5135-409B-86DF-3DD383767335 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: William Bryan Mailing Address: Phone Number: Email Address: 120 Kordol Lane Point Harbor, NC 27964 757-630-3650 howkathunt@aol.com I certify that I have authorized Emanuelson and Dad Agent/ Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: new 6'xl80' pier with 16'xl6' platform on and install 1.10k boatlifl on 4.10"x30' bull piles. construct 2' tall x 350' long vinyl bulkhead with 1-20' return at my property located at 120 Kordol Lane, Point Harbor in Currituck County. I furthermore certify that 1 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: Po .S' M b': Signature william Bryan or Type Name Title 4/9/202/3 1 Date This certification is valid through 1. rv,u, u111151UN OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM v` CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be com pleted by owner rroor their agent) Name of Property Owner: Wi I�, (l' i' /�� r1/[-/ ,(J4 , r ir Address of Property: i 2G Y 6 0 Melling Address of Owner: Owners email:4L.]JC JA)'r1V 0'/oW ers Phone#;." iv �Q " 3CSW /p5— Agent's Name: �l _„ /�'" Fi fr'/��('� Agent Phone#:� �a � `_ � �� ' Sv1 �7 Agent's Email: egl( U�i �S ��y4//OO ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owned 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. Management (DCM) In writing within 10 days ofrecelpt of this nofite. Correspondence should be mailed to 401 S. OdMn St, Ste. 300, Elisabeth City, NC, 27909. DCM representaflves can also be confactedat (252) 2043901. No response is considered the sameas no objection If you have been notified by CerflNed Malt WAIVER SECTION (Choose only onej I understand that any proposed pler, dock, mooring pllings, boat remp, breakwater, boathouse, Lit or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me (this does not cooly to bulkheads or ripren revelments) (if you wish to waive the setback, you must t sign the appropriate blank below.) ���� 100 wish towahre somelelf of the 16'selback !Zk l-�Ii;.A414 ,Q l�J ��--+0 -OR- -, . ty of Adjacent Riparian Properly Owner I DO NOT wish to waive the 15' setback reclulrement (Initial the blank) Signature of Adjacent Riparian Property Owner.`}^(' - {;< ,,; .,q_� y �/) - -%. TypedlPrinted name of Melling Address of ARPO: ha-V by-6I0 14') t J I y1 1 vky�j1D"1 (J � ARPO's email: _ ARPO's Phone#: GV127i0 1 "I !t �� Date: • % L�-walvar Is valid for up to one year from ARPO's Signature' Revised August 2022 DocuSign Envelope ID:46FiD78447OD2-373D-eCA4-65C7E6357D2F N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONANAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) //// Name of Property Owner: W' 141 1 ��/"�/ A' exl Address of Property: r Mailing Address of Owner: /,1W 1<01r 10/ w77✓o Owneesemail: A&,,3kW1JJ('r ��rr7w'Phons#: 2,5 "4^ Agent's Name: e co �L� Q/ii,rl Agent Phone#: 12142 Agent's Email: ?D����U� ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adlacent Property Ownerl I herebycertify 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 drawino with dimensions must be provided with this latter. x La I'DO NOT have objections to this proposal. _ I DO have objections to this proposal. Management (DOM) 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 contactedat (252) 264.3901. No response Is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION Choose only onel 1 understand that any propose.J. pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lih, or groin must be set back a minimum distance of I& from my area of riparian access. unless waived by me (this does not apply to bulkheads or rigrap revelments). (If you wish to waive the setback, you must sign the appropriate blank below.) I DO wish to waive somelall of the 15' setback Slgnature of Adjacent Riparian Property Owner -OR- I DO NOT wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: V 85470200854401._ TypedlPrintedname ofARPO: Lauren a aelvin 110 kordol Melling Address of ARPO: ARPO's email: belvinbuiIWgmail.Com ARPO's Phone#: 252.202.7637 Date: 3/11/2024 *waiver is valid for up to one year from ARPO's Signature' Revised August 2022 E - J c_ 00 -N O n a3< 4 '•, `� �^r;3Biltw:".4'4i yi& f . 1't` b, • s t F,r > t 4G ` � .... I'�_ ,� J�� � � I