63118_Propose to replace pier damaged by Hurricane Florence_20181002

I WE
GENERA #
-PERM-1T_:, /' /Worl�"
authoriz d by. the Stat-6.6f Nofth Caro of Environmental Quality
nd the
area of'�nvironnnentai
ISFer
ress
Street Addr
ZIP
El ES PTS Phone #
;In nk
Closest Maj. Wtr. Bo,d\,i
qRW: 'ye NA yes
0017/
Pler (dock) 1�_ngtI
MEN
Floating Plat. Tormks)
Groin !eqgth
number
Bulkhead/ Riprap,lehgth_
ME
max'dist�ance offshore
OEM
MEN
MEME
NOM
arm
Boathouse/ Boatlift
NEW
115
X
ignature
milfing Date Exp"h�ation Date

Autho ized Agent onsentAgreement
ear,bvb,,�
(Joe V _I herby authorize Tobin Jay Tetterton of
(Propep(hwners) )
T.I's Marine Construction, LLC to act on my behalf in obtaining LAMA permits for
the location listed below.
PROPERTYADD, SS:
/uc
PROPERTY OWNER'S MAILING ADDRESS:
Phone No. ` 7lJ 37'/
PROPERTY OWNER'S SIGNATURE: Lei G
AUTHORIZED AGENT SIGNATURE:
TOBIN TETTE TON
DATE: �(/ 20 "K'
W/Authorized Agent Consent Agree.

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: �Q V�G�-,
Date: A
General Permit #:�j
Describe below.the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impact)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
G�f
Dredge ❑ Fill ❑ Both ❑ Other,Q
Dredge ❑ Fill ❑ Both ❑ Other ❑
1
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808=2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised:02/03/10