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CAMA t ❑bREDGE & FILL - N9 76481 A B
aENERAL PERMIT Previous permit# /
.:New
❑Modification Complete Reissue ❑Partial Reissue Date previous permit issued
•ized by the State of North Carolina,Department of Environmental Quality Q��
;oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC Z
❑Rules attached.
t Name 1 i J< SAS s-CK > Gfrj -rit'4 WO KF�roject Location: County (..ir' .. .�c_
' ( — Ci ,,U S b o t o j..,,k'4. Street Address/State Road/Lot#(s)( R g
,C\,, 09(1,0 State N ( ZIP ? l l �`O (b ST
( ) SS 10 9g9(oE-MailCOAOpe S4.!.15J /Q aol.c°A-Subdivision
ed Agent —re ct Re .-^ S City _- ` Stc. & ,..c k ZIP Z cir't I
❑EW (IQ PTA ❑ES ❑PTS Phone# ( ) River Basin ( ,.,"-.
IDEA ❑HHF ❑IH ❑UBA El N/A
Adj.Wtr. Body C
cL e-• (nat
❑ PWS: • 1
Closest Maj.Wtr. Body A-k W ��.)
yes ie PNA yes /'Project/Activity -- oAn v%\ a4 r.Al , L c.\, t r\ Sa�r..� o ` i r,...A� LA,.
.rf� X'Vv.-....•S.w 1 0. S ci sf_ cTo r n.. {X o-, -a y, (Scale: N
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ck)length , kf �k 1
atform(s) I I
Platform(s) ,Id W ,..‘"'-'\ i
ier(s) Ca" �—
ngth j . .
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mbar --....._..--.-.__.._....____._._._....._.__................_.._,_.._.- ; } -.--...._._.____ _..._._._ ___i
d/Riprap length �_...._........_......._..-- — - - — -•
•
distance offshore I . 0�
I { 1 I
ix distance offshore � ! i
cannel j ..".1...".1.jj1 ; J
a
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E 1
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ulldozing N.\ 4'1
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e Length
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not sure yes ) Af 3�
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t
•ium: n/a yes11,7\1 ( ; ' ICr
4ttached: yes Rol \
ng permit may be required by: r)
CE,C," S\C- be_`c L . I I See note on back regarding River Basin r
Local Planning lurisdictionl

AGENT AUTHORIZAI ION FOR CAMA PF-PMIT APPLICATION
ofPro etl:� its
Nam
� a Owrer Rcq��_e;:�ng f'e�i —
Ma,ling Address 3679 HAl sboro Rd Soi.th — —
Halisxre NC 28442
910-840-9996
Phone Number: — _
Email Address: ahopesasser;'aol.ccir
I cortrfy that I have authorized I «t rtc
to act on my behalf,for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development y
88 Monroe Street,
Ocean Isle Beach
a;rry property located at NC38469
`t Brunswick County.
l furthermore certify that f am authorized to grant and do rn fact g'ar;t perrn!ssion to
Division of Coastal Management staff the Local Permit Officer and their agents to enter
on the aforemenhoned lands in connection with evaluating information related to this
permit application
Property 0wi Infarmall
s._Qnah re
Iris Sasser
Prinf or Type Name
Owner
Trrk,
l l 8?61202C
Date
This certification is val•d through 1 f

1 I
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