63472_Walton O'neal_20181212

'A." •-
CAMA-%DREDGE &FILL NO.• , 72933 '.;•,:
GENERAL. •-. PERM,IT:. Previous• permit # r
1ew',',❑Modification ' ❑Complete''Reissue' ❑Partial Reissu
thoriied.byxhe-State,of North.',Carolina, `Depa"rtment of; Environmental Quali
4 . ,=sand
e'
the'Coastal Resources Com i siori in an area of enviro mental concern
' .
..
Applicant Name
{•: 'Address:
,. •
CityZIP�CD-,
Phone`# ) C��%� j��3' E-Mail;
Authorized Agent
'
-.
❑ CW . f IEW! PTA
Affected• ,
/���
®ES �PT' •, '
❑ OEA ; ❑ HHF ❑ IH
AEC(s):.
❑ UBA ❑ N/A
o PWS:
QRW: _ - Yes / PNA yes /
0
A.
pursu
e Date' previous permit issued
ant to I SA NCACll.��
i-
:.
ules [[ached: •,:•
Project•L''ocation: County"'-
Stree •Address/ State Road/.,Lot,
#(s)
Subdivision %(`l'
Gr%�
City G•,�
ZIP'.
Phone #. ( )
River Basin /
/� ;; •�
Adj. Wtr. Body
1����/!ii�� nat '
an unkn
Closest Maj. W&. Body
. 1
Pidr,(dock) length
,i
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Ag nPermftd' r cant ri ted Nam eame
Signature 14,13lease read compliance statement on back of permit Signature
''Application Fee(s) G eck# Issuing Date Expiration'Date i

Authorized Agent Consent Agreement
I,l /'�py� ��ea , herby authorize Tobin Jay Tetterton of
(Property Owner(s) )
TJ's Marine Construction, LLC to act on my behalf in obtaining CAMA permits for
the location listed below.
PROPERTY ADDRESS:
PROPERTY OWNER'S MAILING ADDRESS:
�� (A M'-L
Phone No. ZS 2 !� 7'y / %/s
PROPERTY OWNER'S SIGNATURE:
AUTHORIZED AGENT SIGNATURE:
TOBIN TETTERTON
DATE: �Z 20 i 6
W/Authorized Agent Consent Agree.

Applicant: Gf/�9/Dr O I
Date: 1A vezeokr 2�0
General Permit #:
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 impacts)
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)
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 ❑
Dredge ❑ Fill 0 Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2308 .. 9-888-4RCOASi' :: www.necoastaimanaciement.net revised. 7-103,110