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Home My WebLink AboutEmerald Isle Reality�'CAMA❑DREDGE & FILL / ,-„ , No. 74951 A B (c D GENERAL PERMIT Previous permit# ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit 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 15A NCAC -7 1 • " ❑Rulesattached. Applicant Name i : - / Project Location: County ' Address % ` Street Address/ State Road/ Lot #(s) _77— City 7 State ZIP Phone # ( �)) rJ ' �� E-Mail Subdivision _ ! "r Authorized Agent 1 ' I \ i, City ZIP Affected O CW ❑EW .-OTA ❑'PES ❑PTS Phone # O River Basin AEC(s): OEA ❑ HHF ❑ IH El USA ❑ N/A Adj. Wtr. Body — (nat /man /unkn) ❑ PWS: ORW: yes / no PNA yes / no Closest Maj. Wtr. Body ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ IEEE ONE MOM:::::::�C::::�::::�MENEM ::::::::::::::::::::�■■■■..■■■■■■■■■■�I ................. ..........■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ...................■.■■■■■■■■■■■,■■■■■C IEMEMEI■IMEA I■ M 011IMI � IeINIIIII■II®■ENn �■ ■ ■■■■■■N►Ti■■i1rI10■■G7■I<tiG■■■, ■■■MP.®■■L■■■ MEN ■■■■■■■■■■■■■■I■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■B■/■■■ �■■■�r��■■■� iiiiiiMEMEraw°��MENEM i�MENEM M.■■■■■■■■■■.■■■■■■■■■■■■■■■■■■■MEN ■■■■ ■■■■■■■MEMEMEM■■■ ■■■■■■■■■■■■■■■■■ ■MEN■■■ ■■ ■■■■■aI1■■ ■■■■iPla ■■■■ ■■■ ■ ■■ ■■C■��1■■■■f/.■■■■.i■■■■■■�■■■■��■■■■�■�ar■�C ■■■■ ■■■■■■.■■■■■■■■■■■■■ MEN ■■■=■■■■■■■ • ■■■■■ ■ ■■■■■■■ ■■■■■■■ ■■■■ ■=■■�■■ ■ ■■■■■C■�■.■.■.■C�■■.■■.■C.■■■C.B■■ ■■ ■ ■moll iii■=0 No■0 MEMEMIN 0=0 i■■iiiii=0 ■■■■■■■■N■■■■■■■■■■■ID■��■■■■■0■■�■■■■ MINE ME �:::::■:::_::. :■:CN■::::::::■CI::::: �■ �■■■■■■■■�■ ■■■■■■■■■■■■■■■■�■■■■■■■ Agent or Applicant Printed Name PermitOfficer's, ri ted'Name Signature ,,'** Please read 7mpliance statement on back of permit*s' Signature Application Fee(s) # Issuing D to Exi Hurricane Florence and TS Michael Replacement/Repair Request Form Date of Request: S - 3 � - t Property Owner Name: elne,,-\ �a I s1 e- peq1" Address of Property: Telephone Number: Type of Work: per % vt Asa f 7 3,-) Pe 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. RECEIVED MAY 31 2019 DCM-MILD CITY AGENT AUTHORIZATION FOR CAMA PERMIT. APPLICATION Name of Property Owner Requesting Permit: Emc 1-lQ Z5k k-i" ��(- Mailing Address: 61WL_tirdd I)A_ EAACMA- d TsIP fJ6 ?/S Phone Number: 5527 T4 (I'A Wa K Email Address: ) WkX @_ Et 9e4t zy./ COM I certify that I have authorized - Agent I Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at / I `f '! t/V h4 P2 a CM (_�21,411 -T-S Jv AIL , in ��^2ef' County. 1 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: _#6t wly Signatur �. wax Print or Type Name s012�,f c�onft Title Date This certification is valid through I 1,