Anito, Larry Jr.

CAMA / ❑ DREDGE & FILL _ NO. 74949 A B ( C) D
GENERAL PERMIT Previous permit#
ONew ❑Modification []Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Qualityand the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ')
❑t "Rules attached.
Applicant Name "/ /' r r' Project Location: County i I r ,
Address ! y ( Street Address/ State Road/ Lot #(s) / // / %VL
City - State ZIP V
Phone # O E-Mail /// Subdivision
Authorized Agent IA/ ,& \ / !Z" I I r ]E', r'—iV 4—
Affected 71 CW ❑ EW ❑ PTA ,JJ ES ElPTS
: OOEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(te
PWS:
ORW: yes / no ' PNA yes / no.
Type of Project/ Activity
Pier (dock)length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length)�,.
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
s
Boathouse/ BoatliR
Beach
Other
Shoreline Length
SAV: notsure yes
City C) I ZIP Z
Phone # (_) River Basin 1 /L'.r i';w
Adj. Wtr. Body 7
(Ka�) an unkn
Closest Maj. Wtc Body
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes `no
r;
A building permit may be required by: 7 ' ! i (- n 6 t '„ r
( Note Local Planning Jurisdiction, `t{
Notes/SpelIcial Conditions(�l�
Va I I 1.44
Agent br Applicant Printed Name '
Signatuie ** Please read compliance Statement on backof Permit'k't'
I
Vi'_
`!
.
Application Fee(s) Check #
(Scale:
© See note on back regarding River Basin rules.
Permit Officer's Printed Name
!7
Signatyfe
I/ss)t]ing Date Expirationn Date

r
�—AkIQFNc,r %? Afv i roe
!(Name of Property Owni
lla 40 NruSt A
owner of* the property located at:
L8s 7
(Property Address)
Hereby authorize Sawyers Residential & Marine Construction Inc./ Ivan 5awvel
(Name of person or company acting as agent)
To act as my agent for the purpose of obtaining any needed Coastal Area
Management Act and/or Dredge and Fill Act permit, that may be needed for the
Proposed development at the above indicated property, which entails:
To Install New Vinyl Bulkhead
(Describe proposed development for which permits are being sought)
This agency is limited to the specific activities described above, and will expire
on:
(Date o which authori do/�Y�*�tres) --
(Signature) (Date)
��y�,Q6NCE r /"/ 1 i ?U M�?
(Printed name of owner) (Title, if officer of carp. owner or trustee for proper