Sides, Linda

JCAMA / LJ DREDGE & FILL ' ' NO. 73156 A B C D
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GENERAL PERMIT Previous permit#
P� New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
�As authorized by the State of North Carolina, Department of Environmental Quality I? z
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑ Rules attached.
Applicant Name j AJ O•A _,j + fit; 5
Address 221 r1 v rc(, &t' , � A
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A building permit may be required by: See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/Special Conditions 1,11 All, A/,1rF.�.t[-�t 5 ,��pl'jr<<',tia /'�Ik+tr :�12• n
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Agent or Applicant Printed Name
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Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
/

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: RANDAL SIDES
Mailing Address: 221 CHURCH GATE
NEWPORT NC
Phone Number:
Email Address:
I certify that I have authorized DENNIS & SONS MARINE CONSTRUCTION, LLC
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
FRAMING & REDECKING OF 40' X 5' DOCK W/12' X 16' PLATFORM
In CARTERET
County.
l furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
/ S -��s
Print or Type Name
0(A )IJE L
Title
l n
Date
This certification is valid through 12 / 31 / 2019