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 -^ ^�--•'
} '-
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--
—
I
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.
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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
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-
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SAV observed: yes
h'"`
'
-
-
4`y
Moratorium: ,� yes no
Site Photos: no
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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
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