Sheehan, Thomas

CAMA / ❑ DREDGE & FILL ' /, �. NQ 78433 A B D
GENERAL PERMIT ��� Previous permit#
JNeW ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued rr��
As authorged by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environ ental concern pursuant to 15A NCAC
,-I it (' ❑Rule attached.
Applicant Name f� / 'ate < Project Location: County �c/ f -" ,1
Address
567 T�, Street Address/ State Road/ Lot #(s)
City < r <^.: f; 'rr " StateAJr5 /ZlP �' /
Phone # ( I , )_
Authorized Agent
Affected S.e
AEC(s): El OEA
_in PWS
ORW: yes / no
rl0 E_N
iO EW .o-FTA
❑ HHF ❑ IH
PNA yes /
Type cf Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platforms)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cuoic.
Boat ramp
Boathouse/
Beach
Other
Shoreline Length
SAV: not sure yes no L—F
Moratorium: n/a yes noPhotos: yes no
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
1".f/
❑ ES ❑ PTS
❑ UBA ❑ N/A
041 (
Agent or Applicant Printed Name
Signature " Please read compliance statement on back of permit"
VA-iJk
Application Fee(s) Check#
Citytyroort, 5
Phone # O
Adj. Wtr. Body
Closest Maj. Wtr. Body-
C
ZIP-
Basig
.-J /,
(ScaleW - f )
❑ See note on back regarding River Basin rules.
,f
aigu e
Tl
Issu� LXDirati&n Date

NC Division of Coastal Management
Date of Request:
Hurricane Replacement/Repair Request Form
� 4 Z 20
Property Owner Name:
Address of Property:
Telephone Number:
Type of Work:
NOTE:
v�
��911
• The Emergency CAMA General Permit 2500 is for repairs and replacement of water -
dependent structures damaged because of a Hurricane. 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.
il►
• If any portion of a structure being replaced is within the 15' setback of the ripwogD
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 JyN 0 8 2020
DCM. NN C,�CY
MND
• Any maintenance excavation or dredging requires signatures of the adjacent r' an
property owner(s) on the notification forms provided by DCM.
Signature:
N& F .
AleelWl
NgEo k
20lilaJ// y
&1&u) (.T;74 dei�k %-*&AEC.
bA566
DCM MHD CITY

£.51
�wry C ro d m y az r q y p* m P. ro or
eb
O A m a p C C r ti x" a y
�q C.
ds
� ro b x
s v N u, (ryp N w
elo
v, v' v3
00
V
3 w � o w 00 `P t- trJ 77xCy '��' N p w 44 O
m g V ° � " .p °N �n h7 d z � x -
&me c
$ p ° �.
�g d w rn O
o °
�e. Ci z �C G7 to z G o x
3 w
3 9 t8 fD m eb (D M V]
o fDLn
" C]
(� w �p 4
_ �o N
a. E 10. V �
2H� N 00 00
psi
ang
CAN : fi q
�C�.„•fD
41
a '
y >
A