87983_Jim Coates_20230105

oat°`A 4 ❑CAM A ❑ DREDGE & FILL -1-2S No 87983 A `B C D
1 GENERAL PERMIT 'W i Previousprevious
permit
� �� � Date previous permit issued ,
n New ❑Modification n Complete Reissue n Partial Reissue
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:
I5A NCAC -k • ) 9 CO Rules attached. ❑ General Permit Rules available at the following link:www.deq.nc.gov/CAMAruIes
Applicant Name .\'.,W. 00.4
l a'S Authorized Agent kt v' ';" 1
Address �. + L ?c€1" C I r c I t Project Location(County): '=
City 1-4 ri 11 D i State K ?r ZIP y It' t 1 Street Address/State Road/Lot#(s)
Phone#( 'g. ) Q - .~
Email v''') Cice. - !i 'y.)I'it'`; 1 • Cis i-) ) ' c,i C
City i/(. 9 .1. ) -'y ZIP , -7- ,ci4-?
Affected ❑CW -EW ❑PTA pi ❑ES PTs Adj.Wtr.Body �"-:';;? ' 211 t.,f-/ (nar/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW I I SPIMA ElPWS Closest Maj.Wtr.Body , (Ail f ' \ c )ll V'(
ORW:yes/no PNA:yes/no
Type of Project/Activity .2r ';t)r ? 1 , , [t , �-• Z`� �.n MC Ac7 S
- ,. . 0 b I ) :C ;l F,,., 1 1nPak DC (Scale:''/
Shoreline Length -} -1 5 'A t r)-?t-,-. E. i c,\10rr f')'1[
1 1(
Access Length 4..._..w._._.__.— I_____._... _ L........ /F y_ '�)1rD_..._ 1rug"
Pier(dock)length I
Fixed Platform( )
s I
1
Floating Platform(s) ,
Finger pier(s) '
Total Platform area j v r" 7 I' / `' - 4 _
Groin length/# �� v4 Lv,p p.
Bulkhead/Riprap length
t_
Avg distance offshore i
Breakwater/Sill ) ' \ r1C,✓oi� -
Max distance/length / 1 \�"• � r' v'h '
Basin,channel j 1 1 •1 i �'
j
Cubic yards
r^ p�__ ._ ._ �
f L air,'. 017.k. I 7
Boat ramp _. I '� ``_ �y ,
Boathouse/Boatlift j
yy
Beach Bulldozing I - Ai (le, Z Other
1 i �'�� Icy
e�? 1 ez f_r ih j gt- 1'
SAV observed: yes no ! i „ A
Moratorium: n/a yes nod �! ♦ )
Site Photos: yes no. r`� n
Riparian Waiver Attached: yes no . �' CLS �. t' €!v ` I
A building permit/zoning permit may be required by:L •�(f 1/1"r7';/-1 ( (�
// � (( 4.l piTAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions �-�l a ; r»0 �i 1"y"-4� ' � `F ..
vi ,,, -r- Gt t, ;,� 5-, (fr--,)b., %i O}. Z_ +i-Z,i11. ❑'See note on back regarding River Basin rules
A)110L ni; te, Z">, i', i` f ' (,t- \-‘Li-)(- w 7 hrQu
/ ❑ See additional notes/conditions on back
'}� r .P r ili DL A .� Lo i.+'(/ v,'c .," 1 .,- - .. j C,
I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) .'',
r`,.
Agent or An'plicant PRINTED Name i `• am' .' Permit Officer's PRINTED Name
� �, y _
Signature"Please read complianc/e statement on back of permit** Signature
Application Fee(s) Check#/Money Order Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/1-888-4RCOAST Fax: [phone] 252-946-6481
(Serves: Carteret,Craven—south of the Neuse River, Onslow Fax: [phone]
Counties) (Serves: Beaufort,Craven— north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District Wilmington District
401 S. Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax:[phone]
(Serves: Bertie,Camden,Chowan, Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties)
Pasquotank and Perquimans Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

ROY COOPER
•
IhIP
Governor
MICHAEL S. REGAN
Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY Director
BUFFER AUTHORIZATION CERTIFICATE FOR SHORELINE STABILIZATION
A riparian buffer authorization is required for shoreline stabilization activities within the Neuse and Tar-Pamlico River E
basins per Division of Water Resources(DWR) regulations 15A NCAC 02B.0233 and 0259. The Division of Coastal
Management(DCM)through a Memorandum of Understanding with the Division of Water Resources(DWR) has
reviewed your project proposal and has determined that the project as proposed complies with the aforementioned
regulations.
Those activities covered by your Coastal Area Management Act(CAMA) permit have received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below.Failure to
comply with this Buffer Authorization may subject the property owner and the party(contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to$25,000 per day per violation.
i. impacts: impacts to woody vegetation from clearing and filling in Zone 1(begins at the most landward of either
normal water line(NWL) or normal high water line(NHWL)and extends 30 feet landward)shall be minimized to
what must be impacted for the sound installation of the shoreline stabilization project. Unnecessary clearing and
filling in the buffer is a violation of the riparian buffer rules.
a. Clearing& Grading:Clearing and grading of Zone 2 (begins at the landward edge of Zone 1 and extends 20 feet
landward) is allowed provided that it is re-vegetated immediately and Zone 1 is not compromised,which includes
maintaining diffused (non-channelized)flow of storm water runoff through the buffer.
3. Construction Corridors:Construction corridors are allowed for shoreline stabilization projects,but they must be
satisfactorily restored as described in condition 5 below.
a. Potential Overwash: For vertical shoreline stabilization projects (bulkheads)only;sites where wave overwash is
expected to be severe, the first ten(10)feet landward (unless specifically authorized otherwise by DCM)from the •
structure may be maintained as a stable lawn in order to provide for structural stability. •
s. Temporary Stabilization: immediately post-construction, bare soils must be stabilized as quickly as possible by
providing a temporary ground cover. Newly seeded areas should be protected with mulch and/or erosion matting.
This ground cover is a temporary measure used to address erosion until site restoration can be accomplished.
•
6. Site Restoration:At minimum,pre-project site conditions must be re-established.A site that was wooded prior to •
this shoreline stabilization project must be restored vvith woody vegetation at a stem density of 260 stems per acre.
Non wooded sites may be re-vegetated with woody vegetation. Restoration must be completed by the first
subsequent planting season (November 1 through March 30)after corn letion of the bulkhead. /
w/ �w
a Pre-project site conditions: `ef Lc �Q e.t iv/ yY /.,(1/.� Ql444-7 r '
7 Project Drawing:The drawing on the CAMA General Permit is considered the project drawing of your property
indicating the location of the shoreline stabilization structure and any associated clearing, grading,and construction
corridors.This drawing will be used to aid in compliance and monitoring efforts.
By your signature below y u agree to be held responsible for meeting all of the above iste conditions a , veri at all
•
infor a 'on is complete n .ccurate.
7
0
en ♦ 1 _,
.!' t or t .ph' ' i 'ed Name Permit ear's Signature -'
i
Agent or Applizan � Sd.+-, — v`��d�3
Issue Date
CAMA GENERAL PERMIT#: S.-7%3 B •
•
State of North Caroilna I Environmental Qualty 1 Coastal Management
Washington Office 1 943 Washington Square Mall Washington,NC 27889 i 252-946-5481 •
vvilminotan Office I 127 Cardinal Drive�vt"'!!mirgtcr,NC 405-38 c' 4,n_.ro6,.7^15
Morehead City Office 400 Commerce.Avenue Morehead City,NC 28557 1252-808-z5O8

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL- RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner Men 1/ Qd-/.lQS
Address of Property: n-1 y 1�.1 di ti!'t-1�
Mailing Address of Owner. 0 7 5 C) f• re Icy '91 fl9
Owner's email: J©a., C r d-es '-t-/@ G�owner's ee* u S'q- /0 30_ 74 d 7
�/ /� er's hog ,/
Agent's Name: I.f�j e.v': C i an e y Agent Phone*(Z 2.) 67 VC" 7 olo
Agent's Email: ICtvt-, ._ e-1 u.ti t_.,f, e a/vvn. ( . &lean
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property.The individual applying forthis
pemvt has described to me, as shown on the attached drawing,the development they are proposing. A
description or drawing,with dimensions, must be provided with this letter.
- x I DO NOT have objections to this proposal. I DO have objections to this proposal. ,
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252)946-6481.No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier,dock, mooring pilings, boat ramp, breakwater, boathouse,lift, or
groin must be set back a minimum distance of 15'from my area of riparian arcs unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback,you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'setback
Signature of Adjacent Riparian Properly Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Prope Owner. p�{�,�1_�7
Typed/Printed name of ARPO: E ��' `rvs',}�v
Mailing Address ofA RO:31U ,!�"-�N(ALAS \W "pI - (Jd V 3 fiC270 i
�� Ir �
1s��/l9`+tty?l/��414/�Cor' ARPO's Phone#: 2 1 M 3 4n
A s email
Date: //2 7,, 'waiver is valid for up to one year from ARPO's Signature"
l Revised July 2021

112123,6:11 PM 4252365404636040744.jpg
g. y 1 P + ��-�• rr" t' k�s �.�r �s`I '?Y� iv -YZ s "z- < >,Ii rm-nil" -,Z ?,a�'M r'4r
v4.46`a wry rrr" aana 4./eiF�Jr.r'°r." 1,nh F 7k M I .s. <�;Fkf xt.€ ti p�L s, - -em• s»
m t J r 4 r`" r iz ' ''' Tir'.r, S iv- +s gym}.obv, `Ch'7 /,r ♦, a r' aY +▪- c IEi s 's,...- y ! -
s'- ; Y3 ``„::' i '; ,-VEm° " i fJlr CkDiW$ N 1o:Aagl sµI EK''.F,fai�"a "'s"i, "--cwitri„lr`r.:,,�.3+ �' 'd
xt1�' { x a 4a '.� 'l' . !" Icaclt erbr LMA r, __ttpp [,f s xr� a
,{ sd'i" ADJtak,g4 rRIA, ,,-.,w IP.;O� �- h1AGEMAFa x�d�wr,' 'b 'g
.r--y. .wi ;4 r k 54.41<• ?_y i s,P r •IM „ __dERNC:PMA71O "4 Or d p�.mWI .4,--"I.r
r} f"s> J '' r+ '{n ik t., }7.. MV i' 'YRo !�,�f"rf�IfN�I t b Arks xeat�
3:'`u .. ..4, o f 11P! 4 a S..r i • v ,. it i s :n i,, r • P� '� i` dxl L'*'N 4,14 dr �_- dli.� I 4� 4: Iq, L Y.0 tt vP 6 F �I "it yy �, Y Y % �
r t + (PTOopprtY. r lSi,l 9l (ryr� v e� A,4.i + / II
' ii� dr thryr F r t a ["rv� .FI: W s ,'{ u t'Sj9{rid by V'h�Is4 a +. d.� 7v` 4 'VI',, fcxrp-,,,i3a YII°i
bat i �u ks�^"^a ,.a rt PAIL x{ e '� r ya/rii �I3*^il 6 .�?, P rih91 agent 5+�i ,y�lr� r ',�'r x4
Cr. l M`j�'..,« s l '/r _.�° 'Li a c,�t .r+,..ua el �r K �[.3..a l at4 k. .,, tgit Ai ` 4 fte- .,- zi�. x k`z' n�.yd' ' ,
���'f h��t:d +dyl k-0 � ,Natrle of propdtlyyO [fem Y.+��iMr•I�W9���4 ��P 1p1A" Y y�y "d-lrMl w �1k'G..�{''X Y4 '41 a,'�y„� �.ir
t iti4?,*a�4x+a 4 r r' eha l6n.P°.r 5,r r vc1. I�ais:Y Q A "'� a WrS dC"' �� .,-'a..w . p n k« x S� ilt
ac r.r§§yI ..its xIr rrC- d U r i yy6 drt t.. ara ,- '7 JM h_� ; ',,7:2,,,, ''� ,v
+ pg�J Ip .�"I�- v 7,, r�F a 0�� 1f :" �v^x F IaS9 nP" n rrr 'a ak -fF6 5s � ,,,�I.:
A -» fit? IA u t rt rAtld[es5o(.1'mP u . Jri i+if il'ar-4 a 141,1 x
�t`C,�5i`�Vj��., SL_{ad ��D^S(niJ9x�tls3µ r� e �.K # r�-�ru t¢Sl�-f �.m era s
'f�1, "s S a a., ri'E d4a G.re' r " .e.� ,, •ol ^' �f6P
-411Eri;0 F4..,,• TMa ttiiiAAdressa[Owne Cy fin
..��r�m�#rf( '1M r z ww,4a !!`-r; wl.,v"}� 'r'v',F" v "l Ys^Li 7h y. «F.��iR'k�`a �""`�
c a r M r 4`4'e3 S'a-. ht ak f1t,.� a dd-.. r xar dx,_ ag- •'i x q. i
x ,�,44"V,rot 1 �411.V Se[RBIL S' I4...[ *4-44Si ear. a r'Jh rc" e
s S1 i, I ,-'»x x t...., r s ..dr.ri i ( r ;to l ,; �,�.I.i wr wY,L v itt f
�c t'� .r *4, hgraN a f� ft!!� r, t 1 P xk !� r Jr+"ttx dvyxd r�r- f�•.-,,,..a �� ylo~ > P#."^rout .
S'fai rz M.w �p w ��?r"kq�e"otS�Netjx}r��fiL'a., �%� kl' f "iv a.y, 4.' 'm"v" m"I �fr�` r �'^rS yr� d w+, au
0. a Ts s + ..f e' flSi o 1 .)." ,, './�. t u Er» ,.
�` PC��YS�'yuyXJ^�vJ�`*t:'. erJxapti.�rlY'9r,�d'�j/;7r � r a"" ll$�-�r it k�"'s x i +t� � p J aS''�"".`�''�,F'�3�`a st al'11'F +'4'
5i Ly rr rk t Y7"U Jr x" $tS., rFry�y'y`jril �yrS-- µ�] JY�Vm l lu�f'4I.1i �P�{q �'Afi„ `.'i (y,.. : 11if. x
.xn r{. ,I.d N i � �Y ,44N'Q✓L' 4�15 1 "'IITf1 YN5'C.fim °I �. } '"its I I�
�' r^' �' � , ,+ t I M" I Mill �,.P.M
• ��y$,,pp a• s{Iry�el ir��. r��s� f 1.fi w'Iv xra nor°,..., .wwvaxmus.° �n� t 1.wk M M g,Jrf w`��I y4:i'Cc:sdP�.L`{�qr �,
u „ 34' G �,i0t14 f 4� isM1 t 1 TINT,44:.0 11LWp P4+'a`11 rw�a1 gilt q fc in xis i di,,.x p 1I5 i I 1 '�'irn tics'
as ,is
1, riX M 4 a Iltr�.ys a T ,zv + ,, Y+.rx i If$ 4` u i -r .•,P rfiat , , R.nv' +r-. r 1 '`�,'" n ADJAC TRIPA r�r n rl at 77gg;;,,�,jj��FF °�V�ane• -- 4 ' 4I t. '1,4,
+EQ}+i '� �a,�',y ��i 7r F ts�"a/J. Vq h �ritOa ��1� OptRNO� ASi�tiAldr+,y}I N',ilk*�'v^irxT#vi�'�``{�, r4
+' iy,1^5V41�3rrv>r :j F, , ', jl.'tt, 03oKatT a eafi }fad 6$,e,,,,aYj a IPlaa`Se7N�OViPcer� Pe '... � 'lf
�. m`F-iY ; rrrr' '4r�'� fix, _.I Exln "f'e darl-`32q,ro { h1Fe"'a7 �xary l,�rc1H itya� } ,+y^5 'ri«wY,'.iW µY d '�E r�N Y 9 . tiro
i r`!; 5$14 i4i1 reSYce[tif lefLb+Cmg[olettye totfie argirbreO 5a IOCCIle�� ngr g I i
i• t
nn,
,., „t}r�+I Harm 4111014eil,mdrne,es'sheymaon"tt't 'etiecht�l*itet'a�Iera�OPme }ale to*4; P true d
tr t. l wr it Ion os 1 rtmc_w h_ai,..lt[a . cli wav[rlerialim�s o z x ya .c,
ve;
`l, 4 ,144Fipt Lhr + iri rr,..,3w �,nQui .,.x° r�'r s-^• t II" '4 vlis_ K„Itt ixr ,,
tt h t sV d ici w!C d+lfL)iO NbT+,wrt@t `a , F' r* r `S:e te' ..oli6e-el °53 »- ( .la" rr ener ,^l raa'..
ti
bleGtonsca, e t tbttlhaua aer,,,a+p' ' pasta .
r x s^wa.}' „ 'J4. -.z'!`:G am' vfEf{Yv..r�cu"".Y�. ^-� rr.thr r'�`�.fbat -t :4r'a Kx'. r .�"'i^cA -'�1.. "Kr r r7 "--'.r'+,r��
O Coastal���'
r '``' 'r^r114' 'a r `IF>Y-A, _B' ¢roj '4 xP�P� ri ' illaf'N G. 0+
1,tZ €°I r t»,s` '�;*`..M�nagema{!t �n vti, +t4'[s'itln' nyr9 9-th,1 �► pi ,,,, ) , t▪ p i a IV:
x° r=VA
,, gtr,ii fr�r� s�,irai urn Gvasrai aatiiiiiii# 9taesh1,0t hlcr aic w t -▪ ,t ,s F
jectlarrw `s�L. w v
044
vr"t0 00,01 -,--„ Ct tiOkl1"'18W ir.°1 No' *? oT+ a l rtµy y�{ ISIM ' wa`.:
v �'�'j1C �'r `P,�, y,�tr �ar + ;�' 1' ''(;`.0 M4t)���, I gdNy�°y a III�Y �i{i � I r 4 I a 1W'� ��� P.
J 1 [ 'y xvll �6 1F��1. "l�FtrY,mp I'.^�i I wL9.�h �,r�,L, 1' tlp�p ,f, I14J`Nrl1I, ' 11ea '� I° x t d I. _
I vJPi,{, q,�",: Pal b5 t.r h' k� �I y,} & J '1 A hkP e F d I 'dc w' r[
{C r,'� J« 7a. c�� Iz�N 7 t,f' 'k 1 `d 11 l S.#,�,.:,x�i'--dtn �� tl A I pI� li � 4 w I r� N ICE �" a� Id.��'
i :WNW l rv+'t i 1e�'.�.Nru Ju�IF 3r kr >tt ,iF`FJ�tl,, 28 it �� r"d d' �114 , ry;'I'ud �ittN
�k a 44�, �+,�.k� ,,:W , C"r 1kl a I w.$ � � x�h�k IVER'SE�Cipp Po r � s I •Fs� 9',�k I -k 4 ..
's I: eI 'ti,. e .� ,� fb ,w .>Fa r u'1 ,,,rC t [I'� 8fd ���^,vat` `-�l5 �,16t Pa rr-
' grota rt' kperseluD s a m[n----jdtsfin a itikg0 • Patna
..--i g44rFay.'' _-`- ShltPr {d{_apjniobOflulQaiR'PSfl.Platir”�,,:v.54�(i • .f., ,ti tip-. I :� i' nu 6 G
tat
-.x, {' ' ntet ro� tes nktkt "Y' ° O'k .7.vv.,.-` W:41; 4 'i 1; '4 'a.�M1 t
�re�r St sx" PP ry,F .x {0 ar{rr� 'r(a �` �� rya' /{ .e. �1�`�(r,.`': I,'�'v3 e `'L�,x�'1F-C y =trSi'�.i�jr,. ''1'S
v rl{4 P4fysar-0q - r�- i5 .'''S"drdi.+�d" wt 'i S.o-4N9rraF3. r xi,y�rr''�x'F''�I.1e"' 3'< ,'' ' 3-„cF`fx„Sr,
r °*, 5. r# ,.� ~r hi �ygltBSo ''").of lit45'£saibaLrkt+�'q '� ati�,,,S�t,'„git y,'r p-.s ,n ,, K ,cg L^' '
���at e x d - ,-u, ymaZ.R s "3gfa!'o a- 8t i° 'l.tv'L r», Rti.1 t 'v u1+ s i � ��ry{y.,xs,� p
Ykl'',N i ly .ke . :r Y ? pS:X".€ h Ar J r,t�, r F nl I4, +.]F ' N "r, As
1, + M�'{„ 'r3.-,t- t',vn p/dd k 't „ rs F l irnhk V eLrhe / ,tI' ga�� 'i'I'T 5 4- S't p
4 <frff'q ay,,� s� ''"� itli4 Wd t 4 ', d ktit n P,rM'a."^ .*� I'I ak s.g"'} i v1J
p
hnp. lira
i"Yf . ry bb OMC SaiTl�Yr nth �/P ''� � x l-#= yki r �
rv � e I M r A1� d1' r8 F v, 4 a-e i 4 ` ' F .:f� A
k� Li *4S g 414clir•p RR. . e «� r scK t'*rL escin- d ,yd91 , ,
a y1 ca Fl I ft.4:jr'�'S 5'f la i App/y, + rtUdinr7, d{ �i .r ,. d'"4 ku &�.
v;• ;9,r0 tk ,�, at-mays:1 :: . {, '4 Cc`L1g40,rlj,"`r xFK -,�gz�4., J�'.r/F-. q 'a' tarF "e tur, i„ '�' " 4
`rs$Pr t s�i"' J�M >;.'.,tl'tre<"` Paz"+a" ,� £% t:- - - k � 11, n: s_zinr. g�.tasg Frrr'I".e'' ,.+9
; �`•dw it n�'5 6,fi Id1RS/41 PD Sh "r:mt ri"r tl etgtPRF',, ' rCt twit '*rn« ir---e-kart _ _.
it s y zr 4[xJ'C c, 'a. ,17-, �rriga t} v ^, �/11�!0i . zg.M• . a *u,�+� £°ram �. 1 � -
i d th� `?°'d nt Y"t_Cz' sati m. k�1',tea " rs 5� ' ,a m a a�>iF'�.�...,yr acx,l .tp,.+ , 'iy*"
"}' r '"'^' J 4, t"'^ygg t�F P II i M i ,"y .Yibn+' w xr'id ,x, ,,a
-i n,'fairF k. a,,e&A. N4'rN 001i r s 4 P.�P it ,xknaa 'V.'''.
: rr t - 3` .
�- II��'II ¢ g�zJS+t`3AwY ��sZ�,tC+ 'r'E��y , � 1g� qr { .Sal D �uF� y 3.�d Ay� ,yru• 101
x r ri .i »�y1 abici8aB r t :ot b;i, P ki J(k1��` tt i i;,1, mil .a tHal� F"r �'` 2°�' , ,
d I,31PIry'.J��F�I oga i r€a{`}W ,x"Pdn,IIP� 4 fi s300, wry tttt1 1I E ,J,e ,' ,II,I�M a i„1 r` h 1 sRfe a ;L1 �. r
tg � �x�;Wilt v•4 J1'l M9' a j `f I �y Ilp"�a td� L rc�, � � 'u , 'rR m w G ,
p�Ytx s�'���`��ram' u } F I7.'ilpl �� ryI41 �6 ; , I11F , }
iic
1 x* 9 8 fh"G 4f �11 ��r§? J e • h'4r`@- :4 r' �y %PF " °-W �I F: O.r 'v`.
Mr rw , , II YK4, d >K l�+ h II�'ty 11." + i rl I N ii r hi '' a x'n
4 •P ,'r,V4. sinlie srr �1 1 [ �I y',dh ar !A Nr t jP 4nh � ` yr �n
' 4 x ay' 17n 1,, '°bi v'u jl� o jm rr,q r ,4+P VnS,ax�46&P it r a 7;4-
K 'e e u 40.1 � e o f ' n, r''t4 ,7 y� [ .a eat W 9 i . a '.- f "k
y{,c.4.S EMI, �A 1 FgF y ' 4sL a M ,r-.. j ly. ,or" i wo - l x., .v,3�µzN -�_
�r�rtivlyti ... iK{i ."t4p . F c{y�SrT' Y��p4eT-,Y4f yAy 1.� 1 .1' dr.,'J"_r' Af�fd'�.e
C^) fir, k�4'FSNCY "rS f °E• C M ',. 1 h 'r kp{ t" 1 �^„'1
'ill` 'n,41 ,F}`t,fy ,rat.. r' t .r SF,n,�v,r G�''7�i-. ',iG,�' 1`=+yr v`"� ;sfr`n'''w m.s `"r ''
' gP. r rk« Yan.,x .' Rat .. �7s,Ev o-@c�.r
https://mail.google.com/mail/u/ONtinbox/KtbxLwHDhgcdpVcFXzkjKLFzRIHdZkcnxV?projector=1&mossagePartld=0.1 1/1

,AGENT AUTHORIZATION FOR CAMA PERMIT APPI,ICATION
Name of Property Owner Requesting Permit: Ja,vnes Co Aes
Mailing Address: 1675D S4: 1-.est..r Circle_
in;nn KYL11or1
Phone Number: 5S?- 630 — 7687
S
Email Address: jinn coo..-lei 4 Ca 9mns1• Coin
I certify that I have authorized 3re ui r CAM nay
Mp Agenti Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Re P la c` ba l Check
a A jell]
at my property located at 1,57 Si, nny Si'cif �T%✓e. W Sh,'o5 n� A/C a 7889
in 'Ron N Pit County.
I 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:
9„„1
Signature sk`a
i M
Jo-✓he,$ Coa4es J Y1 v Print or Type Name
r a'r �^ s'"m' zY< d¢ha'*1bj ^nib3`. A
' ' n
Title k 'k` ` '�k' r $ �.
)'.a� 4 -' }e „n 4 g �„�
{ % n'n R 1" r� ^ 3 pit `.• •• Jet
01 1 0Z 1 .2023
4. ✓'Date �
4p � ��
$. "I'9: T f ii
ti •x
This certification is valid through p 1 "� ( '"`
a