Creech, Jeffery

❑CAMA / 'J DREDGE & FILL No. 75999
-+ A B C 'D
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of•environmental concern pursuant to 15A NCAC
�19 Rules attached. �, r
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I_ Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
)ffcers Printd Na % �� �•
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Da a Exoi'ation Date

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit:
Mailing address:
Telephone Number:
Jeffrey Creech
1240 Elk Falls Drive
Wendell, NC 27591
[phone]
Riverfront Builders, LLC (dba Riverfront Docks)
I certify that I have authorized (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of installing a vinyl seawall and boat dock with lifts
at my property located at 973 Becton Road Havelock, NC 28532
This certification is valid through
(Property Owner Information)
�Sibna ture
Jeffrey Creech
Print or Type Name
Owner
Title, co. owner or trustee for property
Date
[phone]
Telephone Number
[e-mail]
Email Address
July 31, 2020
(date).

■ Complete Items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
m Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
II I "I') IIII III [i Il II II III II I I I I II I I I II III
9590 9402 4546 8278 8719 36
2. Article Number (Transfer from service label)
T019 2280 0000 0417 7444
.1iriv 2015 PSN 7530-02-000-9053
Complete items 1, 2, and 3.
i Print your name and address on the reverse
so that we can return the card to you.
I Attach this card to the back of the mailce,
or on the front if space
Article Addressed to:
Iillllll IIIIIIIIIIIIIIIIIIIIIIII IIIIIIII it
9590 9402 5393 9189 5264 2
/Transfer from .cprvl
Article Numberrn rnholl
,py9 2280 0000 041? ?505
,..r.. an1K PSN 7530.02-000-9053
A. 13ignilture
O Agent
P lnfed� C. ate of G
B. ©calved by (
D. Is delivery address different from item 1? O Yes
If YES, enter delivery address below: ❑ No
3. Service Type
D Adult Signature
Cl Adult Signature Restricted Delivery
❑ Certified Mall®
O Certified Mail Restricted Delivery
O Collect an Delivery
❑ Collect on Delivery Restricted Delivery
rl Insured Mail
Insured Mail Restricted Delivery
! {over $500)
❑ Priority Mail Express®
❑ Registered Mai"
O Registered Mail Restricted
Delivery
[3 Return Receipt for
Merchandise
❑ Signature Confirmation*"'
❑ Signature Confirmation
Restricted Delivery
Domestic
A. Signature Agent
X essee
B. Received by (Printed Name) C. Date of Delivery
D. is delivery address different from Rem 1? 0 Yes
if YES, enter delivery address below: Qpto.--"
3. Service Type
❑ Adult Signature
❑ Adult Signature Restricted Delivery
❑ Certified Mall®
❑ Certified Mail Restricted Del"
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
Insured Mall
nsured Mall Restricted Delivery
❑ Priority Mall Express
❑ Registered Mail""
❑ Re. ggistered Mail Restricted
Del ven
❑ Return Receipt for
Merchandise
❑ Signature ConfinnationTM
❑ Signature Confirmation
Restricted Delivery
Domestic Return Receipt