89282A - Bryan, William

C /
�""w C�ICAMA L'� DREDGE & FILL N9 89282 i.OB C Dv
GENERAL PERMIT Previouspermit
Date previous permit issued
[�rNew '[jModification ❑Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina, Department of Envionmental Quality and the Cone Resources Commission in an area of environmental concem pursuant to:
I SA NCAC —0 i , t7O Rules attached. General Permit Rules available at the following link: w m dea n< «a./ eNA.. --
Applicant Name kl t 1� 1.3.k _s�1fAgent.) d
Authorized . �vt e_va�e..'�ia, �' tTja
Address I is Ll....i...l �� e �(� t
-- - Project location (County): C r rrYl T UGk.
city PO i...'f lkatrbvr State lac. ZIP L'i 94 ={ Street Address/State Road/lot#(s) L2o V-6,A,5 1 �T�t�G
Phone :v(7a lot ?,n - 3.L 5v__
Email j y-9r)11Iw;R i K+— O o( r o s
Subdivision
City. POL,.i" 1•i:eer�nr ZIP_'j�_`19G$.�
Affected OCW QEW dPTA EES ©pTS Adj. Wtr. Body__ oil rt'Lkj2c!k s6 tH .s�'rtrian/unk)
AEC(s): FOEA DINA �UW OSPIMA �PWS Closest Mal.Wtc Body �I.CYYt�'sr� 6 t '`J%%
ORW: Ye;l!!5:) PNA: yes
Type of Project/ Activity
Shoreline Length -ny-
f
Access Length -
Pier (dock) length
Fixed Platform(s)
Floating Plafform(s) ____
Finger pions)
V
Total Platform area
Groin length/N: -
Bulkhead/diiprep knsgttt— 1-rsO
Avg distance offshore Q
Breakwater/SIII
Max distanceAlargeh
Basin, channel FILOP,OS Fi?J .lit' R-G-pN 1'0x•'!
Cubicyards J 1
Boat tamp
a a ttTt1� J
Boathouse/Boallift. -- - 'j'(t,ppAS�,U Ia.DI,
Beach Bulldozing 1� tilii,qLl ZVj V-1iLAV
other ( n Y ET 12 f", ; I I
i
SAV observed: PAG"'1 no - I
Moratorium: <52 yes no
Site Photos: no ^� (✓ �, ;><5'i'. P 1 e r
Riparian Waiver Attached: no
A building permlyzoning Permit may be required by: n......{U
Permit Conditions
TARIPAM/NEUSE(BUFFER (drcle cme)
See note on back regarding River Basin rules
See additional notes/oonditens on back
I AM AWARE OF STATUTES CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPL ANCE STATEMENT. IPlease Initial)
1-0) kA.Pd, ��� P—MailW M jj �,, )A Ldcc e( t
t scant PRINTS lame Permit Offi/ver's��PRINTED Name
JIVva'
ee*Please read compliance statement on back of permit•' Signature -+•J
4-(2y. 0 Ao n R 1 Q-&
Application Feels) Check II/Money Order Issuing Date I Expiration Date

[eCAMA DREDGE & FILL
GENERAL PERMIT
[vr'Nevv ❑ Modification []Complete Reissue ❑ Partial Reissue
N° 89282 AOB C D
Previous permit
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality and the Coast Resources Commission in an area of environmental concern pursuant to:
I SA NCAC 0 -1CL1. `00 ❑ Rules attached. 9 General Permit Rules available at the following link: www.deq.nc goy/CAMArules
Applicant Name W 1 I 1 CLy Sr-10.",
Address 12,6 Koreia ( 111.N.ei
City Po t,t V6Y, 6pr State NG ZIP 7-7.914
Phone # (76Z fin,, r?ri 1} -LL 3i fo 5 Q
Email 6,60 OAs.0 VCL to O. o 11 . c` o r n.
Authorized Agent Elm, o_u � t e� ,} a !& A v O-S
Project Location (County): C urK;4 UGl—
Street Address/State Road/Lot #(s) 62-o "vvA6 1 <
Subdivision
City 9otw4 IF 2ZI944-
-
Affected ❑eW
[?EW
E?fFTA
ZES
[rPTS
Adj. Wtr. Body GOrFOwa L Sfo..0 tvL �an/unk)
AEC(s): ❑OEA
❑IHA
❑UW
❑SPIMA
❑PWS
Closest Maj. Wtr. Body GL.Ir V I}U C� 56 Uw.r{
ORW: ye�o PNA: yes
Type of Project/ Activity
Shoreline Length R9?;
Access Length
Pier (dock) length
Fixed Platforms)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/k
Bulkhead/iitprepiengtlt
Avg distance offshore O
Breakwater/Sill
Max distance%length !J r
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other L()t re_'JrVN
\I IGorc�rsl
I
Pa.oPoS�
t O' R ETt))AJ
f✓ X.S�
SAV observed: PACIVIq 4S no
Moratorium: "� yes no
Site Photos: yQ no ^�
Riparian Waiver Attached: a no
(Scale:l = 5a )
(afar t� i*lit— —
f`R1>94D51P�b 150
djNyt, 3u1_K.ri�A,'a ff 6y 2 n
�� CU tZ"R.eTUGk.JOut.�)
/_ 1 1
A building permit/zoning permit may be required by: Glt.YrC�D GC.. GDrwAt!
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
((
Agent or Applica it MINTED Name Permit Officer's PRINTED Name
Signature --please read compliance statement on back of permit*- Signature vns:�4 k
A4vo.0 4Lon 912(.1a4 r (2612.,5,
Application Feels) Check q/Money Order Issuing Date Expiration Date

DOWSO Envelope ID: 483FB1AD-5135-409B-86DF-3DD3837B7335
AGENT AUTHORIZATION FdR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: William t3ryan
Mailing Address: 120 Kordol Lane
Point Harbor, NC 27964
Phone Number; 757-630-3650
Email Address; [e-mail]
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: additional 150' linear feet of bulkhead
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:
Ulift timau..
signature
william Bryan
Print or Type Name
Title
4/9/20z�1 r
Date
This certification is valid through _�i 1

Docusign Envelope ID: 7674143C-487F-4AFA-A4FA-401 BC3D9B84E
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: William Bryan
Address of Property: 120 Kordol Lane, Point Harbor NC 27964
Mailing Address of Owner: 120 Kordol Lane, Point Harbor NC 27964
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Emanuelson and Dad
Agent's Email: [e-mail]
Agent Phone#:_252-261-2212
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Dortion to be completed by the Adiacent Property Owner)
certify that I own property adjacent to the above referenced property. The individual applying for this
as described to me, as shown on the attached drawing, the development they are proposing. A
Initial apprcpriatp Wank I DO NOT have objections to this proposal. I DO have objections to this proposal.
ir you nave objections to what Is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) 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
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
InAWIS191i app,priale Wxnk
Signature of Adjacent Riparian Property Owner
-OR- Ell
I do not wish to waive the 15'setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: t /
Typed/Printed name of ARPO: Lauren Belvin
Mailing Address of ARPO: 1116 cheerful Lane Vernon Hill VA 24597
[e-mail] 252-202-7637
ARPO's email: ARPO's Phone#:
9/4/2024
Date: *waiver is valid for up to one year from ARPO's Signature"
Fill out and sign bottom portion
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
C,,ERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: VVIlliam Bryan
Address of Property: 120 Kordol Lane, Point Harbor NC 27964
Mailing Address of Owner: 120 Kordol Lane, Point Harbor NC 27964
Owners email: [e-mail] Owner's Phone#: [phone]
Agent's Name: Emanuelson and Dad
Agent's Email: [e-mail]
Agent Phone#: [phone]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to begompleted by the Adjacent Property Owners
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
A'aM eti m or drawina with dimen�inna must be provided with this latter.
Initial appropoate blayi' 1� I DO NOT have objections to this proposal. I DO have objections to this proposal.
IT you have objections to what is being proposed, you must notify fhe N.C. Dtvislon of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
matted to 401 S. Grfffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at (252) 264-390f. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any
proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you MUSt sign
the appropriate blank below.)
1 DO wish to waive some/all of the 15' setback
t/
Initiallsipn appropMate blank C-- �
-OR- 19V aturo cf Adjacent Riparian Property Own
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner¢
Typed/Printed name of All//�
Mailing Address of ARPO: ('7 �{c F �c l �n J7y r ( j� r f G h j C
All email:
All Phone#: ,L5 2-- Z� `I-411�tr
Data:, 7 1 2 2 — Z ! "waiver is valid for up to one year from ARPO's Signature'
Fill out and sign bottom portion Revised July 2021

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