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Home My WebLink AboutStanley, Patricia®r-CAMA/ ElDREDGE 5 FILL ", 1 ` j I (140. ,14989 A B -% r D GENERAL PERMyT Previous permit# ( - *New ❑Modification ❑C'Umpt [e Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality I 1 I and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC I I _ mRulesattached. r. i Applicant Name 11 ``'"4r� �, �} 't -1 Project Focation: County l -V Address t Street Address/ S,tate R�ad/ Lot #(s) City State _. ZIP , 7 ; j . t (t i', f Phone # (') %.j /`/' i %l(, _Mail Subdivision Authorized Agent — City ' ! I i, i " `i 1.( ZIPS Affected C CW I* dreTA ❑ ES ❑ PTS AEC(s): El OEA ❑ HHF ❑ IF4 ❑ \JUBA ❑ N/A El PWS: ORW: yes / no PNA yes /-no Phone # Adj. Wtr. Body_ Closest Maj. Wtr. C' River Basin r J r ■■■■■■■■■■■■■■■■■■■■■■■■■B■■■■N■■■■■■ s0®Qma■m■�iron w s �la■��1:::::i ■■■■■■I�■■EN■��:■■■■■■■■■■■■�■■■■■■■■■■■■■ ■■■■■■■■■■■■■l■■■■■■■■■I■ :: m::::: ■■■■■■■■■■■■■ ■ ®■■■■■i ■110 ■■■■ ■■■■■■■■■■ ■■ ■■■■■ ■■■ ■IBA■■■■■■■ OMEN :■■[I■■■■■■■:■■■B■■ :■■ ■■■■■■■■■■■ ■■■■■ ■■i�■■■■■■■■l■ffl■■1■1■■■■■■■■■ ■■rAMINE ::■IN I%r ■i:::■i�■ imilummommismERE::::■::■:::■� ■■��■U.■■■IA■ :IN ::: ■■■■■■■■■■■■■■■■■■■■ ■■■■■1U■■■mmmm■■■ ■■■■■■■■■■■■■■■■ ■■■■ ■■■■ ■■ ■■ ■ ■■■■■■m ■ ■■■IIfI� ■::■■ ■■::■■■■■IN ®: ME :::�8:®:::■I�::■®■■■N■■■ ::■ ::: �1::■ • NON ■■YMIN ■::um:u:w ■■■■ ■■ o�:ts■■■■■■■■Y�■■■■■■■■ l■II■ftl®1 ■■■■ ■■■■■■■ MEMO MEMO I:::::ii::ii::�p r�`i::M::nn�om:: ■■■■■■■■:■■■Ii■■■■■Y■■■Y■■■■■ son ■■If�C�CCrnft■■ iNmmmmmmmmmmmmm NIINIE EMmE. 111MOE:■■■■ iM=ENmEmEMMEEMI 0 No 0= MEE M ■■■ ■■::::::::::::::.:®:.::::::::::E:■�-■. i !aF- Agent or Applicant Printed Name Signature `" Please read compliance statement on back of permit''i Application Fee(s) Cq ck# Hurricane Florence and TS Michael Replacement/Repair Request Form Date of Request: (o " Property Owner Name: PAIR t Ct A -SEN O LG`l -a- F yA t.i *- K E RI Address of Property: Z3 O CLU 5 Po l t`1T bF, CAPE c-MSQC_ -2-'85 Sz+ Telephone Number: PAT Type of Work: MA I tJ1";E N NNc�. t>REDGI NJ 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 JUN 11 2019 DCM-MHD CITY PATRIGA STANLEY AND I hereby certify that l own property adjacent to RYA 0 + K E R1 141 L S f P- GE R s property located at 7-3o CLUB POINT bR C CARTERS T c 28581-} 10TRA COASTAL W ATERWAY (Address, Lot Block, Road, etc.) on f SCHoOL HoVSE C-REEK in. CAPE CARTti RLT- N.C. (Wabutody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 1 have no objection to this proposal. 1 have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Indivldual proposing development must fill in description below or aHach a site drawing) (A� - bREb6-1 Gr UNDER, EX15TIOG DOCK WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 16 from my area of riparian access unless waived by me.;.(lf. wish -to waive the setback, you must initial the appropriate blank below.) 1 do wish to waive the 15' setback requirement JUN j i -. 1 do not wish to waive the 15' setback requirement. DCM-MHD CITY (Property Owner rInformation) (Adiaa+arit Property Owner.lnformation) . 1Lw - 99nature r PATRICIA STAt4 Y S Print or Type Name Print orT a e Po BOX Noo3 T Z Marling Address Mailin Ad \ _EmERALD ISLE NC21959`F Cdy/5[ate/Gp ' Crfy rp ? 35 z- 2 9 9- 6 400 - Telephone Number Te/epho a Number 1.-07- I9 /n;/I, O/9 Date (Revised 611&2012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT PATRIC.IA STANLG-Y AND - IherebycertifythatIownpropertyadjacentto RIAr4+Kr�FZl i4Ii-5I0GE9, s (Name of Property Owner) property located at 230 CLUE PoiNT C CARTERrT G 2858L} WTRP, CoA5rAL W ArERwAY (Address, Lo Block, Road, etc.) on � Sc"ow- IiouSG cREeK in CAPE CARTE RL� N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location I have no objection to this proposal. 1 have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) ARrp&ItJG UNDER, EXI5Tt-1QG DoCK I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) ()r':Q 1' I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adi ent Prope er Infon n) Signature PATRICIA STANLr--,[ Si �' qM �'• 1�lQ�<tQ��, Print or Type Name Pri t orT�Re N me'I1 �olZl� Po SOX No03 2�D Mailing Address EmER/�LL� ISLE Ne. ,2859`F Maili ,q Address _ I pn �GQ0 C ZILI S Cib#Sfate/Zip I 35 z. 2 9 9 - & 4o0 City/Stafe4ip �-7 (0-�1 33 b — 208 . Telephone Number Telephonig Number (a o7- Iq (o0 lq Date Date (f5f;9fiXFfb12) JUN 112019 DCM-MHD CITY ' - so a � g 3 9£ s to oy y tv n Y ro l O] t I & A i O p W ? P O Ot O O 9 ew r (!I p3 H z e d b q tv z N64Ul (Nn N y Ui rt `C V V n Or N O Pd > Gox z a � ~ Oetr W 4r z eb w�j N OY W Oro �y 'F W Oro 4 Cif Q x t7 O O y tyy? tr y y in r N Cxi1 C; trJ P p>, rt ti iy c V % y C7 Wm C �4 N Gd (�) r o � CA)by o � H O O [ H C+7 yH t" 0 w