Murdoch, Albert

[�CAMA / ❑DREDGE & FILL �..NO, 74902 A B C D
9ENERAL PERMIT,,... Previous permit#
11 N1 ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resour es Commission in an area of environm ental conc rn pAuant to 15A NCAC i
1 q Rulp attached.._,
Applicant Name �� Project Location: County - f Y
Address ' I Street Address/ State Road/ Lot #(s)
City State_[ 1_ ZIP
Phone #Mail r i :�, Subdivision
j
Authorized Agent %—i city--:,. i e /fir , ZIP i
❑ CW ❑.EW /PTA ❑ ES ❑ PTS Phone # River Basin ; _ 1,
Affected ❑ OEA ❑ HHF C] IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body e f •fnat /man /unkn)
u FINS:_
ORW: yes / no PNA yes /
Type of Project/ Activity (_(
Pier
Fixed
Floati
Finge
Groin
Bulkh
Basin,
Boat
Boath
Beach
Othe
Shore
SAV:
Mora
Photo
Waiv
Closest Maj. Wtr. Body
(Scale: )
■■■■■■■■■■
ENEI■■■■a■■■■00■■■■
MEMO
■■■■
iii
�s■iiN�i�■mimrmiiiem■iwi
�i■iME
■■■■■Erlength
■■■SEEM
EEIMrM
ME��MEN
MENNE■■
MEMEMEMEME
■������
M�Gri■
i:Em�■■�■■■■oi■r■Ei
■i■I
Elumlr
i®■■
i
CCai�■
����>Pi■■®■
®I
i■■■
iE
sE
ngthi■■■e■■■
■E■■
■
■■M■�
��■■■■
11111
■i
�
MEN
E■e■■vi■•■
on
�MM■■■MEN
�
FAj�M
ubic yards
amp
ON
1911■
■
I■■■�1■
■■■E�
IN
NINON
MMman
■��11111HIHEM��
�E■ror�■■�■�E■■■■�No
ii■■���'�
■■Y
�
■■M■
■j■■■■
■■E■■
■O■■
■
Bulldozing
EM■■EEEE
E■■M■■■■■MMME■■
MONE
■■EMEmom
■M■
■■■
OEM
■11
■►l■■E■
■■.�■E■NEE■■■■■�■■■
NE■
■■■■■■■■'�■M■■■■EME■E■■■■
■NONE
■a■■■iE■
'::
MEN
::5''®:iCE::�
�ine Length
�E■
mom
■ME■�EME■MEiE■■■�O■MEMENEME■■
■N
ME
ME
.
■■IN
MEME
..
i■■.
■■■ii
■■...m1■C■.
��Da
MEC..mC
ri
MEN
M
I'■:'■8'■'■:EMI
N'■:'■i.�i'.'■IC"■'■
4tt.. ,
A building permit may be required by \y./,Jz.'t/ /
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
❑ See note on back regarding River Basin rules
Permit Officer's Printed Name
Signature
Issuing Da a Expiration Date

ONeA,,,tho'I"
CAMA /GE&FILL 1,�"i ' ``L %4gO2 A B C D
ENERAL PERMITIl�l Previous permit#w❑Complete Reissue ❑Partial Reissue Date prrevious permit issued
d by the State
eof North Carolina, Department of En ironmental Quality
and the Coastal Resn rjes Commission an area oftnvironlrt fital concern pursuant to I SA NCAC / / / �i�•���JJJ Rulls attached///.
Address
)
City
State
ZIPO
Phone #
-Mail
Authorized Agent
0CW EW
A ❑ES
❑PTS
Affected
❑OEA HHF
IH ❑UBA
❑WA
AEC(s):
PWS:
ORW: s no PNA
�\
yes / `/
Type of Project/ Activity
Pier (
Fixed
Float!
Finge
Groir
Bulkt
Basin
Boat
Boatl
Beac
Othe
Sher
SAV
Mon
Phot
Wain
State Road{ Lot
Phone #
Adj. Wtr. Body
Closest Mal. Wtr.
ZIP
(Scale: )
■■■■pier
o■
■■■■■■■■■■■■■■u■■■a■■
--.�i,�1,��w■�■wiii■■ice■■��■■■�■■■ir�■■■■■■■■
-
��
--■�■�if�y�'
I�
d�iii�ra�►-riiii�o�'a��
i�ii■i■�■i
length
n■�n�r�o�■■�■■■a■■■■■■■■■■■■■
number
ED
din
,vg distance offshore_�I
,wIe��!!t'..%SPs��i►/I�(/Vi1/N��,%_I`Iu7✓Iil��1�■■■■■■
j■■��1'/�■�■1���.Y�r��7
■■■�■
1■�■■H■■■■■�1.■■BH■�■R'�■■■■■�■
®f
H�11.�h!ll.ii/1�1�
T■
1�■■1�11i19EIl��t•:��■�►�■!U//11■■■■N■
►r�I�i11■►��g�iqq�Ol11/Il�1��■■N■■
�i..1�'�11;IVi►�6�_.:/.TIi"�I_�ul_�!II_
�_iLal��:�l■H■■■
Length
■■■■■not
■■■■■■■■■■�■■■■■■■■N®
,line
sure yes
i
ME
MENEM
MEM
■■■■■■■■■■�■■■■■■■■■■■■
_
®iiim■■■■i■oi■�■i■i■■oi
A building permit may be required
( Note Local Planning jurisdiction)
Agent or Applicant Printed Name
Signature * lease read compliance statement on b ckofpermit** Signature
Applica' \ ee(s) Check# Is5
See note on back regarding River Basin rules.
/MI A2Pj';2n

Date of Request:
Property Owner Name:
Address of Property:
Telephone Number:
Type of Work:
Hurricane Florence and TS Michael
Replacement/Repair Request Form
/0 — i?
1r � k , #1- K, h1 R V
© uw/ 1J o
3- (, (Z - ZV�-
IN
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
MAY 10 2019
DCM-MHD CITY

.Ul
to
V ? h�y^y W Oyy O
0 O O G N
a
. n
o a1 tz
�y
s W CD O n�i Gr p f�D �r A y7yyCy
C d
04
O
I
p
r'F
f"F
UJ?
a
r�
TT
,{i
j