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Home My WebLink AboutShipp, Brittany®h Lj,CAMA / ❑ DREDGE & FILL r No. 74932 A B C , D GPNERAL PERMIT Previous permit# CA;w ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous perm It issued 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 I - fJ QRul sattached. Applicant Name J tA ' ''( Project Location: County , J`�/ Address ��; 1.. rtiStreet Address/ State Road/ Lot #(s),-i; Ciry I <�,.. State A 't ZIP \, ��(✓ , 1 Phone # Authorized Agent Affected O CW- AEC(s): DOEA ❑ PWS: CRW: yes - � �/'�'lf- Mail ❑E , ❑P A ❑ HHF [JIH PNA yes. ] no Type of Project/ Activity Pier Fixe Float Fing Groff Bulk Basin Boat Boat Beac Othe Shona SAM Mor, Phot Wail, ❑ ES ❑ PTS ❑ UBA ❑ N/A Subdivision City i ,, : F / `� � ZIP '/ 0Z Phone # O River Basin Adj. Wtr. Body / t. (nat /man Junkn Closest Maj. Wtr. Body ` ��n ' (Z i (Scale: j / % ) ■■■■■■■■■■■■■■■■■ ME ME �C::I::::�CC:::::BBEa::::::C::: ■■■E■■■■■M■■M■E■E■■■■■�■■■■■M■NEMESES ■■■E■M■■■MME■■■■M ■ ■■■■■■■■■■ ■ ■■■■■■■■ ■■■■■■■■E■■■■ ■ C■■■■■■■■■■■■�l■■■■■■■■■■■■■■■ ■■■■■■■■.■■■.A■■■■■■■■■■■■■■■■■ 'vi■■mmm�MMMEMMEW wEE a MEMEw MEN mo ■M ■■E■■E■■■■■■MEMO MENEM a■■■■■�■■■■MEN ■EiM■■MEMO■■■D■■■■E�I■■■■►J/I■■ MEN MC■�J■■■■ ■■ ■■■tIEEE ME � SVGE MENEM LMfi��OW� ME ■■� �MEMMEMMEii0Ia 0 ME M�No M. ■■■■ ■■�■■►►�r�®[[AwIl01�M fam S 'ME®INN ZE ■■■ ■■■��<nM■■rli■Y■�■■■i■N■■■�■■■�®��■■ ■■ ■ ■MM■■■l�■ ■■■ ■■■■■ ■■■■ ■■ ..■■■�■■■■■ MEMO ■�MESON MME■■MEMEME■ ■ ■MEM NONE■NEON �mom MEE ■■■MEMEM O■■■■■l■■■M■■ MINE: N :ME MEMNONiC::::i":::0 m ■:a line Length■■s■■■■■■■■■■■■iM■■■■■■M■■■■�■■®■■■■■■■, •■■■■■■®DiMENEMi■i■:mi■�■iii not s IC�..■.... ■■■■■ ■■iiiii■�� iiiii■■■� s: yes ■■ii ENEMEii■MINMMEM MMM■■■■iM■■■■ ii■■■■Mc■■■gym■■■■■■■■ A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions Age&or Applicant Printed Name '--� Signature **Please read con-i sttement on back of permit` Application Feels) Check# ❑ See note on back regarding River Basin rules. PermitOf(icer s Priqpd Nam ..- Signature_ - I Issuing Dai "Y'ratiory ate Date of Request: J Property Owner Name: Address of Property: Telephone Number: Type of Work: Hurricane Florence and TS Michael Replacement/Repair Request Form S 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: P(