Hurman, Rich

®❑CQMA A❑ DREDGE & FILL NO. 75763 A B % C D
GENERAL PERMIT Previous permit#
❑New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued
4
As aut�qrized by the State of North Carolina, Department of Environmental, Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ' .
!.. ❑ Rules attached.
Applicant Name ' ( Project Location: County
Address /) Street Address/ State Road/ Lot #(s)
City State_. ZIP
Phone # O - E-Mail _` Subdivision
Authorized Agent City --% ZIP /
Affected pcw DEW ❑PfA El ES ❑PTS Phone# ( ) RverBasin
AEC(): OEA ❑ HHF ElIH ElUBA ❑ N/A Adj. Wtr. Body t' at man unkn
❑ PWS:
Closest Mal. Wr.
ORW: yes / no PNA yes / no
R d I `'( .
SEMEN EMEMMEM M M NEE
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Agent or Applicant Pri ed
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Signature *'*" Please read p
r
statement onback of p
ae
Application Fee(s)
#

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: s+nj
Mailing Address: !/l� S I} $�
W ; y,, er �ig ✓eel. FIA, 33 $8
Phone Number: 063 2 N) d 6 y
Email Address: tJ✓�°arv�52�,Y� gaf,ion1
I certify that I have authorized &UY -Of :gh'i
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 'Re D© Dk 4ill
at my property located at 5'f © Em-eliGtlA pe, FN�r'G l � _LSe A�L,
in CArrf f-&r rT 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:
—� — Signatore
Print or Type Name
:/ Ir, r
/ JA /�
Title
f
Date
This certification is valid through / 1 I / / I �" 4'
RECEIVED
SEP 2 6 2019
DCM-MHD CITY

Date of Request:
Property Owner Name:
Address of Property:
Telephone Number:
Type of Work:
Hurricane Florence and TS Michael
Replacement/Repair Request Form
ka✓A �, qtktn•Y:ro
10 �Oqer�Id��. _E�JMc 2g5R
8 4�3 20 2af,y
NOTE:
• The Emergency CAMA General Permit 2500 is for repairs and replacement of water -
dependent structures damaged because of Hurricane Florence and/or TS Michael. The
replacement, reconstruction and maintenance excavation activities shall conform to
current standards and rules. All work under the Emergency CAMA GP 2500 must be
made in the same footprint of the previous structure with no additions, expansions, or
enlargements.
• If any portion of a structure being replaced is within the 15' setback of the riparian line or
access area, signatures of the adjacent riparian property owner(s) must be obtained
acknowledging the notification and waiver of the setback on the forms provided by
DCM.
® Any maintenance excavation or dredging requires signatures of the adjacent riparian
property owner(s) on the notification forms provided by DCM.
Signature:
RECEIVED
SEP 2 6 2019
DCM-MHD CITY

Tax Parcel Information:
Carteret
County,
N . C .
--''A
Owner: HARMAN,RICHARDA ETUX PATRICIA
Current PIN: 632411554967000
Site Address:
e"'t
510 EMERALD DR
EMERALD ISLE
Mailing Address:
`
145717fH STREET NW
WINTER HAVEN FL 33881
Legal Description:
Lioo 101 PART L102 B3 EMERALD ISLE
Prior PIN: 13034Ao119
City Limits: EMERALD ISLE
Rescue District:
Fire District:
------------
,
Tax District: 1556
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Township: WHITE OAK
So
Use: RESIDENTIAL
NBHD: 560041
Land Value: $247,738
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Bldg Hid S4 Ft: 1688
Bldg Value: $118,029
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Bldg Tot Sq Ft: 1,651
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x4. t�1[ 5101
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Other Value: $4,158
Year Built: lgyz
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Total Value:$369,925 Noise Level;
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1Y' Yd967 59P7
5987
Sale Price: $390,000 AICUZ Zone:
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Deeded Acres: 0.361 GIS Acres: 0.347
' 3955 QI
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Plat Ref:3 /57 RoBType: R
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509
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Deed Ref: 1649 /63 Deed Date: 20190913
Bedrooms: 3 Bathrooms: z
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Printed September a7, aorq
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