25-23 Sandy Feet LLC

Town of North Topsail Beach
Issued by DCM
25.23
Permit Number
CAMA
MINOR DEVELOPMENT --�
PERMIT
as authorized by the state of North Carolina, Department of Environmental Quality and
the Coastal Resources Commission for development in an area of environment concern
pursuant to section 11 A-118 of the General Statutes, "Coastal Area Management"
Issued to Sandy feet LLC, authorizing development In the Ocean Hazard (AEC) at 111 S. Permuda Wynd Drive., in North Topsail
Beach, Onslow County, as requested in the permittee's application, dated January 24, 2023, and received on February 22, 2023.
This permit, issued on March 17, 2023, i1subject to compliance with the application and site drawing (where consistent with the
permit), all applicable regulations and sp cial conditions and notes set forth below. Any violation of these terms may subject
permittee to a fine, imprisonment or civil a lion, or may cause the permit to be null and void.
This permit authorizes:13 x 13 storage room on ground level
(1) All proposed development and associated construction must be done in accordance with the permitted site plan drawings(s) dated by
DCM MHC 2/23/23.
(2) The structure must set back a minimum of 60 feet from the first line of stable natural vegetation, as determined by the DCM, the LPO,
of other assigned agent of the DCM.
(3) The proposed dwelling shall each be less than 5,000 square feet of conditioned space and located a minimum distance of 60'
landward of the First Line of Stable Ngtural Vegetation (FLSNV). No fill or excavation of wetlands is allowed.
(4) All buildings constructed within the !,Ocean Hazard Area shall comply with the NC Building Code and the Local Flood Damage
Prevention Ordinance as required by4e National Flood Insurance Program. If any provisions of the building code or a flood damage
prevention ordinance are inconsistent with any of the following AEC standards, the more restrictive provision shall control.
(5) The oceanfront uncovered deck wthih the setback area shall not exceed a footprint of 500 square feet.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permit4 or other qualified persons
within twenty (20) days of the issuing date. From he dale of an appeal, any
work conducted under this permit must cease until the appeal is resolved. This
permit must be on the project site and accessible to the permit officer when the
project is Inspected for compliance. Any maintenance work or project
modification not covered under this permit, require further written permit
approval. All work must cease when this permit explfes on:
DECEMBER 31, 2025
In issuing this permit ilis agreed that this project is oonsistent vAth the local Land
Use Plan and all applicable ordinances. This permi` may not be transferred to
another party without the written approval of the Division of Coastal
Management.
Tina Martin
NC Division of Coastal Management
400 Commerce Ave
Yorel�epgkCity, NIC 28557
PERMITTEE or Authorized Agent
(Signature required if conditions above apply to permit)

MW
Name: Sandy Feet LL
Minor Permit # 25.23
Date: March 17, 2023
Page 2
(6) The permittee is required to contact the Division of Coastal Management shortly before beginning construction to arrange a
setback measurement that will be effective for sixty (60) days barring a major shoreline change. Substantial progress on
construction must begin within sixty (60) days of the determination or the measurement is void and must be redone.
(7) All unconsolidated material resulng from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetated and stabilized (planted and mulched) within
14 days of construction completion.
(8) The first -floor level of the sills and Joists must meet the 100-year flood level elevation.
(9) Any structure authorized by this pe milt shall be relocated or dismantled when it becomes im on0y threatened by changes in
shoreline configuration. The stru tore s shall be relocated or dismanll d within t ears of the time when it becomes
imminently threatened, and in any case u on its collapse or subsidence. However, if natural shoreline recovery or beach
renourishment takes place within No years of the time the structure becomes imminently threatened, so that the structure is no
longer Imminently threatened, then t need not be relocated or dismantled at that time. This condition shall not affect the permit
holder's right to seek authorization of temporary protective measures allowed under CRC rules.
(10) In no case shall a beach access structure or stairs be constructed in or over the starter dune or berm. Posts and rope
may be used on and over the berm not to exceed six feet beyond the seaward toe of the berm or starter dune.
(11) The beach accessway must not exc eed six feet in width and shall provide only pedestrian access to the ocean beach.
(12) The beach accessway must be constructed so as to make negligible alterations to the frontal dunes. This means that the
accessway must be constructed on (raised posts or pilings of five feet or less in depth, so that wherever possible only the posts
or pilings touch the frontal dunes without any alteration to the dunes.
(13) Construction of the aocessway be shall consistent with all other applicable local ordinances and N. C. Building Code standards.
(14) Any change or changes In the plans for development, construction, and/or land use activities will require re-evaluation and
modification of this permit. All construction shall conform to the N.C. Building Code requirements and all other local, Slate and
Federal regulations, applicable loca+ordinances, and FEMA Flood Regulations.
(15) A copy of this permit shall be polled or available on site. Contact this office at 252.725,3908 for a final inspection at
completion of work.
(16) This permit does not authorize any square footage of non -healed or non -air-conditioned areas elevated above ground level,
excluding aftic space that is not designed to be load -bearing
(1tf 6 "'OrAnttto 15A fV r.ISidVS�i��'064 4'�11 14peimIt (may not be assigned, transferred, sold, or otherwise disposed of to
a third -party.
(18) The Permitteo and/or the Permit t o's Authorized Agent shall be responsible for obtaining any and all necessary
authorizations, approvals, or zoning and building permits from the local government having jurisdiction (Town of
North Topsail Beach and/or Onslgw County) prior to commencing work.
SIGNATUR DATE: — I .2 7
PERMIITEE or AUTHORIZED AGENT

Town of North Topsail each 25.23
Issued by DCM Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environmental Quality and
the Coastal Resources Commission for development in an area of environment concern
pursuant to Section 113A-118 of the General Statutes, "Coastal Area Management"
Issued to Sandy Feet LLC, authorizing development in the Ocean Hazard (AEC) at 111 S. Permuda Wynd Drive., in North Topsail
Beach, Onslow County, as requested in the permittee's application, dated January 24, 2023, and received on February 22, 2023.
This permit, issued on March 17, 2023, is subject to compliance with the application and site drawing (where consistent with the
permit), all applicable regulations and special conditions and notes set forth below. Any violation of these terms may subject
permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes:13 x 13 storage room on ground level
(1) All proposed development and associated construction must be done in accordance with the permitted site plan drawings(s) dated by
DCM MHC 2/23/23.
(2) The structure must set back a minimum of 60 feet from the first line of stable natural vegetation, as determined by the DCM, the LPO,
or other assigned agent of the DCM.
(3) The proposed dwelling shall each be less than 5,000 square feet of conditioned space and located a minimum distance of 60'
landward of the First Line of Stable Natural Vegetation (FLSNV). No fill or excavation of wetlands is allowed.
(4) All buildings constructed within the Ocean Hazard Area shall comply with the NC Building Code and the Local Flood Damage
Prevention Ordinance as required by the National Flood Insurance Program. If any provisions of the building code or a flood damage
prevention ordinance are inconsistent with any of the following AEC standards, the more restrictive provision shall control.
(5) The oceanfront uncovered deck within the setback area shall not exceed a footprint of 500 square feet.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualified persons
within twenty (20) days of the issuing date. From the date of an appeal, any
work conducted under this permit must cease until the appeal is resolved. This
permit must be on the project site and accessible to the permit officer when the
project is inspected for compliance. Any maintenance work or project
modification not covered under this permit, require further written permit
approval. All work must cease when this permit expires on:
DECEMBER 31, 2025
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal
Management.
Tina Martin
NC Division of Coastal Management
400 Commerce Ave
Morehead City, NC 28557
PERMITTEE or Authorized Agent
(Signature required if conditions above apply to permit)

Name: Sandy Feet ILL
Minor Permit # 25.23
Date: March 17, 2023
Page 2
(6) The permittee is required to contact the Division of Coastal Management shortly before beginning construction to arrange a
setback measurement that will be effective for sixty (60) days barring a major shoreline change. Substantial progress on
construction must begin within sixty (60) days of the determination or the measurement is void and must be redone.
(7) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetated and stabilized (planted and mulched) within
14 days of construction completion.
(8) The first -Floor level of the sills and joists must meet the 100-year flood level elevation.
(9) Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently threatened by changes in
shoreline configuration. The structure(s) shall be relocated or dismantled within two years of the time when it becomes
imminently threatened, and in any case upon its collapse or subsidence. However, if natural shoreline recovery or beach
renourishment takes place within two years of the time the structure becomes imminently threatened, so that the structure is no
longer imminently threatened, then it need not be relocated or dismantled at that time. This condition shall not affect the permit
holder's right to seek authorization of temporary protective measures allowed under CRC rules.
(10) In no case shall a beach access structure or stairs be constructed in or over the starter dune or berm. Posts and rope
may be used on and over the berm not to exceed six feet beyond the seaward toe of the berm or starter dune.
(11) The beach accessway must not exceed six feet in width and shall provide only pedestrian access to the ocean beach.
(12) The beach accessway must be constructed so as to make negligible alterations to the frontal dunes. This means that the
accessway must be constructed on raised posts or pilings of five feet or less in depth, so that wherever possible only the posts
or pilings touch the frontal dunes without any alteration to the dunes.
(13) Construction of the accessway be shall consistent with all other applicable local ordinances and N. C. Building Code standards.
(14) Any change or changes in the plans for development, construction, and/or land use activities will require re-evaluation and
modification of this permit. All construction shall conform to the N.C. Building Code requirements and all other local, State and
Federal regulations, applicable local ordinances, and FEMA Flood Regulations.
(15) A copy of this permit shall be posted or available on site. Contact this office at 252.725.3908 for a final inspection at
completion of work.
(16) This permit does not authorize any square footage of non -heated or non -air-conditioned areas elevated above ground level,
excluding attic space that is not designed to be load -bearing
(17) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold, or otherwise disposed of to
a third -party.
(18) The Permittee and/or the Permittee's Authorized Agent shall be responsible for obtaining any and all necessary
authorizations, approvals, or zoning and building permits from the local government having jurisdiction (Town of
North Topsail Beach and/or Onslow County) prior to commencing work.
SIGNATURE:
PERMITTEE or AUTHORIZED AGENT
DATE:

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High Tides Construction & Design Services, Inc.
PO Box 2924
Surf City, NC 28445
January 30, 2023
Hightides2.com 910.233.6154
[e-mail]
RE: Proposed work at 111 S. Permuda Wynd Drive
To whom it may concern,
Our company has been hired by Sandy Feet LLC, 111 S. Permuda Wynd Drive in North Topsail
Beach NC, to construct a 13 x 13 store room on the northeast side of the house. Please see the
attached CAMA permit application.
If there are any further questions, please do not hesitate to contact me.
Sincerely,
Fqrrest Hamme
Owner''
p-f>'r- i w — ;.

APPLICATION: LOCALITY: PERMIT ISSUED USING
STATIC LINE EXCEPTION?
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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR LAMA MINOR PERMITS
I hereby certify that I own property adjacent to ICy .�� LV s
(Name of Property Owner)
property located at'��� �.(.tf,ryl,(y�1A._`p,�rc,
on�j��j Address, Lot, Block, Road, etc.)
1 6( , in t�rT t '��I [� OVISIb"" N.C.
aterbody) (Tow and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
A
hill-IF M P-pksriNo
Print or Type Name
(Clio) 33a-1083
A Telephone Number
16 "Zo23
Date

W
� TodW�Tk&tr
ury, State, Zip Code
Dear Adjacent Property: E1,401
^^ 11 '
This letter is to inform you that I, Vy I 114 L W
have applied fora CAMA Minor
1 /Property Owner
Permit on my property at_�I, %•R✓yyt (tlal ba�(G ino
Property Address (j�—'"'
County, As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the endosed no objection form, If you have any questions or comments about my proposed project, please
contact me at °I I� • �i"I • 119A?� ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to: - -
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE, ZIP CODE
Sincerely, ,
ropedy Owner
Mailing Address
6y l LT
City, State, Zo Code

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,/ OCEAN HAZARD AEC NOTICE
Project Is in an: Y Ocean �Erodible Area _
V ZP� High Hazard Flood Area Inlet Hazard Area
Property Owner: � (_(�(i
Property Address:
Date Lot Was Platted: —IiIZI R D
This notice is intended to make you, the applicant, aware of the
special risks and conditions associated with development in this
area, which is subject to natural hazards such as storms, erosion
and currents. The tales of the Coastal Resources Commission
require that you receive an AEC Hazard Notice and
acknowledge that notice in writing before a permit for
development can be issued.
The Commission's miss on building standards, oceanfront
setbacks and dune alterations arc designed to ridninrize, but not
eliminate, property loss from hazards. By granting permits , the
Coastal Resources Commission does not guarantee the safety he
the develof
opment and assumes no liability for future damage to
the development. Permits issued in the Ocean Hazard Area of
Environmental Concern include the condition that structures be
relocated or dismantled if they become imminently threatened
by changes in shoreline coungumtion. The structum(s) must threatened
relocated or dismanded within be
two (2) years of becoming
imminently threatened, and in any case upon its collapse or
subsidence.
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual lung -term
average ocean erosion rate for the area where your property is
located is __ feet per year.
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past So years,
Studies also indicate that the shoreline could move as much as
feet landward in a major storm.
The flood waters in a major storm are predicted to be about
— feet deep in this sea
Preferred oceanfront protection measures me beach nourishment
and relocation of threatened structures. Hand erosion control
slammles such as bulkheads, seawalls, revetments, gmins, jetties
and breakwaters are prohibited. Temporary sand bags may be
authorized under certain conditions.
The applicant must acknowledge this information and
requirements by signing this notice in the space below. Without
the proper signn3t"�, the application will not be complete.
I z, /
,0erij✓OWner SAn�tura `. Date
M
SPECIAL NOTE: This hazard notice is required for
development in areas subject to sudden and massive stomrs and
erosion. Permits issued for development in this area expire on
December 31 of the third year foltowing the year in which the
permit was issued. Shortly before work begins on the project
site, the Local Permit Officer must be mntacled to determine the
vegetation line and setback distance at your site. If the property
has seen little change since the time of permit issuance, and the
Proposed development ran still meet the setback requirement,
the LPO will Inforn ycu that you may begin work. Substantial
Progress on the project must be made within 60 days of this
setback determination, or the setback must be re -measured. Also,
the occurrence of a major shoreline change as the result of a
storm within the 60-day period will necessitate re -measurement
Of the setback. It is important that you check with the LPO
before the permit expires for official approval to continue the
work after the permit has expired. Generally, if foundation
pilings have been placed and substantial progress is continuing,
permit renewal can be authorized. It is unlawful to continue
work after permit expiration.
For more information, cantnct:
V,4% _
I i tnq
Locat Permit Officer
N.G. Dept. of Environmental quality
Division of Coastal Management
L Vo Comii crt, AW,
2S2-51S-Sf01)
Phone Number
Revised May 2010

AGENT AUTHORIZATION F R CAMA PERMIT APPLICATION
Name of property Owner Requesting Permit: jdy,6 � L
Mailing Address: J� A IA A.-
�►���v,wlz.GD CST 0(a V 3 1
Phone Number: 1-7 . LO9� —
Email Address;
6)Y�Ld'1' LAtgti
1 certify that I have authorized / V
Agent! Contractor ,
to act on my behalf, for the purpose of applying for and obtaining all C/A"MA permits
necessary for the following proposed development: CLa� �Y12,(�[ 173 A
1
at my property located at U ' R1(1h.& WA F. d Der' A / T nCd rJ�
in _County.
1 furthermore certify that l am authorized to grant, and do in fact grant permission to
Division of Coastal Managementstaff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property O nor Information:
r
� Signnature
c,CeSG.nJ
Print or Type Name
M
title
�l 5l �Q o `1
Date
This certification is valid through _/ i

■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to: ----
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Receipt

High Tides Construction & Design Services, Inc.
PO Box 2924
Surf City, NC 28445
January 30, 2023
Hightideslcom 910.233.6154
RE: Proposed work at 111 S. Permuda Wynd Drive
[e-mail]
To whom it may concern,
Our company has been hired by Sandy Feet LLC, 111 S. Permuda Wynd Drive in North Topsail
Beach NC, to construct a 13 x 13 store room on the northeast side of the house. Please see the
attached CAMA permit application.
If there are any further questions, please do not hesitate to contact me.
Sincerely3�
F,'rrest H.amme
Owre,
FEB
c)cm..woo o n

APPLICATION:
LOCALITY:
PERMIT ISSUED USING
STATIC LINE EXCEPTION?
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City, State, Zip Code
Receipts for
Certified Mall
(Staple Here)
Dear Adjacent Property:
This letter is to inform you that I, have applied for a CAMA Minor
OVIS
1 Pr party Owner
Permit on my properly at 1.f k • �{ Vry�' Ad# � n 86titKfP
tq O'd `p�� l `�
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
/�
contact me at 0 0. W -fy . till ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to:
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE, ZIP CODE
Sinrsrely� ,
roperry Owner
12: 4eiw4l r L&yU-
Mailing Address
i26�WAC;TDf�a3l
City, State, Zip Code
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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR LAMA MINOR PERMITS
I hereby certify that I own property adjacent to .-&U1.V G.(L�V -s
r (Name of Property Owner)
property located at
on
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
,
APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED
n ture
P++)W P M. FAS-r(No
Print or Type Name
i(glo-) 33V-1o83
Telephone Number
ib ?.oZ3
Date
qia
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tynr`�pyi g ddress
� �h�A Ln3(t7S
City, State, Zip Code
Dear Adjacent Property:
ATotuT &tr
Receipts for
Certified Mail
(Staple Here)
This letter is to inform you that I, �Ahi& j (�-- k U have applied for a CAMA Minor
Property Owner
Permit on my property at A 7 • (,i ,� j� �yiyL in o
Property Address"��—"
County, As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at
0 • Ur —,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to:
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE, ZIP CODE
Sincerely,
rottpertyffClIwner
Melling Address
6w4w r s r OtnR31
City, State, Zip Code
II:Jm(vr—.t-)
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OCEAN HAZARD AEC NOTICE
Protect Is in an: V Ocean Erodible Area
F5,4- l ' i� High Hazard Flood Area _ Inlet Hazard Area
Property Owner: F�
Property Address: --I 1 l P
urAk4
Date Lot Was Platted: �Z' q D
This notice is intended to make you, the appltcam, aware of the
special risks and conditions associated with development in this
area, which is subject to natural hurads such as storms, erosion
and currents. The rules of the Coastal Resources Commission
require that you receive an AEC Huard Notice and
acknowledge that notice in writing before a permit for
development can be issued.
The Commission's rules on building standards, oceanfront
setbacks and dune alterations are designed to nrinimizq but not
eliminate, property loss from hazards. By granting permits, the
Coastal Resources Commission does not guarantee the safety of
the development and assumes no liability for future damage to
the development. Permits issued in the Ocean Hazard Area of
Environmental Concern include the condition that structures be
relocated or dismantled if they become imminently threatened
by changes in shoreline confrgumtion. The structure(s) most be
relocated or dismantled within two (2) years of becoming
imminently threatened, and in any case upon its collapse or
subsidence.
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual long-term
average ocean erosion rate for the area where your property is
I
ocated is __ feet par yen,.
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past So years.
Studies also indicate that the shoreline could move as much as
_— feet landward in a major storm.
The need waters in a major storm are predicted to be about
feet deep in this area
Preferred oceanfront protection measures are beach nourishment
and reloeation of threatened structures. Hard erosion control
structures such as bulkheads, seawalls. revelments, groins,jetties
and breakwaters are prohibited. Temporarysand bags may be
authorized under certain conditions.
The applicant most acknowledge this information and
requirements by signing this notice in the space below. 1VithouI
the proper sign , the applicelion will not be complete.
art Owner Sl n tune Date
SPECIAL NOTE: This hazard notice is required for
development in areas subject to sudden and massive storms and
erosion. Permits issued for development in this area expire on
December 31 of the third year following the year in which the
Permit was issued. Shortly before work begins on The project
site, Ilia Local Permit officer must be contacted to doterminc die
vegetation line and setback distance at your site. If the property
has seen lime change since the time of permit issuance, and the
Proposed development can still meet the setback requirement,
the LPO will inform you that you may begin work. Substantial
Progress on the project must be made within 60 days of this
setback determination, or the setback must be re -measured. Also,
the occurrence of a major shoreline change as the result of a
storm within the 60-day period will necessitate re -measurement
of the setback. It is important first you check with the LPO
before the permit expires for official approval to continue the
work after the permit has expired. Generally, if foundation
Pilings have been placed and substantial progress is continuing,
permit renewal can be authorized. It is unlawful to continue
work after permit expiration.
For mere information, contact: g
Local Permit officer
N.C. Dept. of Environmental quality
Division of Coastal Management
LMO Comir-&rLt, Au
Mv(o,W J Gay Ant- 285s—L—_
252-515-Sfo�
Phone Number
Revised May 2010
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AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ja�/1((_ LA �� L I'('
Mailing Address: Zy ' A IAA--
(9�c�v wlz�Gl C--T 0( 531
Phone Number: % 1-7 • 02 , Z ;
Email Address: 11 M S1 N,I f (,per
v
I certify that I have authorized keax—rt l Conn
u Agent i Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: w�f 13 XI3
1 -
at my Property located at
in %i ♦ a
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 0 nor Information:
L
Signature ' 1
c,czSaN �@.uceb�6tJt
Print or Type Name
M 2 att, e fL
litre
—Ll )-5, a o a-5
Date
This certification is valid through
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Complete items 1, 2, and 3.
fa Print your name and address on the reverse
so that we can return the card to you.
Attach this card to the back of the mallplece,
or on the front if space permits.
Y - Article Addressed to:
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CERTIFIED MAIL°'RECEIPT
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For delivery information, visit our website at wwwusps.com�.
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I , July 2015 PSN 7530-02-000 9053 _
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01/30/2023
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Receipt