You can copy from here when filling out the rest of the page.
CONSTRUCTION OF A BULKHEAD AND A BOAT SLIP IN IBERIA PARISH
NAME OF APPLICANT: Frost Bank Dennis Breaux Trust, Attn: Bradley Breaux, 7515 Lakewood Drive, Erath, Louisiana 70533
LOCATION OF WORK: On Delcambre Canal on Hwy 675 in Delcambre, Louisiana, in Iberia Parish, as shown on the attached vicinity map (HUC: 08080103, Vermilion River Watershed, 29.955641, -91.981208).
CHARACTER OF WORK: Construction of a bulkhead for approximately 250 linear feet, with (2) 20-foot wing walls on north and south walls and dredging (approximately 131 cubic yards) of a boat slip (26’ x 34’), all to eliminate erosion of the property and provide safe recreational activities along the waterway. Dredged material is to be placed behind bulkhead and/or spread on adjacent upland property. Project would impact no wetlands and approximately 250 linear feet of waters of the U.S.