Tibbs, Emory - 91406C

❑DREDGE & FILL N9 91406 A B (0 D
$ Previous permit
GENERAL PERMIT Date previous permit issued
}New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorizedby the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC ` /�H . I) OL) ❑ Rules attached. .n,GeneraI Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name F^vM J r A. (�I IP6( Authorized Agent yr1YT cv' i C__ CSC � r"
Address (��� i Sc+ I �� it l'o mj S ))n '0 Project Location (County): ((r6LA I e u % t cu-'' '14
City j tih �U State �L ZIP %6i-)d Street Address/State Road/Lot #(s) i!-i-� ., 117... <i-•.r.>Mx
Phone # (Sy'J) a �I - v��j 3a rn>„A J Di I'-R_
Email e W -{ .� -1 S e,vtn S JA C * w. Subdivision �
City A)PrJl 14 ZIP-Zs`S)cJ
Affected ❑ CW ❑ EW ❑ PTA ®"ES ❑ PTS Adj. Wtr. Body Bo J'> S.,_u, ��-. ,Qn man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body L}
ORW: yes/no PNA: ye; no
Type of Project/ Activity
Shoreline Leneth " //S r
(Scaled" 36)
Access Length
Pier (dock) length ""�
__
Fixed Platform(s)
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--—
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—
Floating Platform(s)
Finger pier(s)
.__—.I—
Total Platform area
Groin length/N
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Yjod
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
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channel CTrI
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Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
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SAV observed:
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A buildingpermit/zoning y q y: : 0, p n I
permit/zonin permit may be required b 'lQ -� I ,. <.� t •
Permit Conditions__. i ,;l
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
`n!
Agent or Applicant PRINTED Name Permit Officer
Vr''s`PRINTED Name
fK'
Signature **Please read compliance statement on back of permit** Signature 1
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�1/t 7trI : _Jf12. �.J f
Application Feels) Check JI/Money Order Issuing Date Expiration Date

�&dewrw ❑CAMA ❑ DREDGE & FILL N9 91406 A B C� D
GENERAL PERMIT Previous permit
� Date previous permit issued
,❑ New [:]Modification ❑ Complete Reissue ❑ 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:
I SA NCAC I )i;') ❑ Rules attached. M. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address
City State 1-. ZIP i' T `, J r )
Phone # (_ )
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Affected ❑ cW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body in ayman/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPI MA ❑PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(scale:) ` 3 6)
cr.,, fl—.e., k .. //
Access Length—--
Pier dock length
Fixed Platform(s)
—
r
—
Floating Platform(s)
_
._..,.
..,.,-__—I
.-_,,,_
Finger pier(s)�_
_
_
—I
_
_
.—.
Total Platform area
Groin length/#
ulkhead/Ripraplength
A(stanceoffshore--
Breakwater/Sill—
Maxdistance/length e""
channel
Cubic yards _....�-_—L�
Boat ramp
Boathouse/ Boatlift .—
Beach Bulldozing
Other
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-
,/y+Basin,
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—
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SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no-�—
Riparian Waiver Attached: ves no
—
—
—
T^
Y—
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a
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A building permit/zoning permit may be required by:
Permit Conditions
TARMAM/NEUSF/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
Fee(s) Check #/Money Order
Issuing Date
Expiration Date

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NORTII CAROLINA NON -WARRANTY DEED
Excise TIN s0
Parcel Identifier No. Contbinc evith 03150145352U)OOVeriiied by, t=+���nfy on the _day of 2tJ23.
MaillBox to: Jphn Est�nttm� P.A.604C CedarPoint 131vd.. Cedar Poiot NC 28984
This instrument tuns prepared by: J( —I E TANTOM P.A.. Attorney at 1 aw NC7 "I'I'I'hh. WORK PERFORMED OR REQ[1Es"t-
Briefdescription for tire Index:
Lot I A per file tt3462
I "IS DEED made this % day of _ _ J l�, 2023 by and between:
GRANTOR GRANTEE: �— —
ANGELA GOWEN TIBBS
141 SALTY SHORES POINT DRIVE
NEWPORT, NC 28570
nter in appropriate block for each party: name, address, a
EMORY WAYNE TIBBS,.IR. and wife
ANGEL,A GOWEN TIBBS
141 SALTY SHORES POINT DRIVE
NEWPORT, NC 28570
of
or
`11te designation (Irantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall includ
singular, plural, masculine, feminine or neuter as required by context.
WITNESSE I1, that the Grantors, fora valuable consideration paid by the Grantee, the receipt ofwhich islie reby acknowledged, ha
by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated in G
Township, County of Carteret State of North Carolina and more particularly described as follows:
BEING all of Tract to as shown on Map recorded in Carteret County Register of Deeds file 04627.
The property hereinabove described was acquired by Grantor by instrument recorded in Book , page
A man showing the above described property is recorded in Map Book Page of the Carteret County Registry.

10 HAVE AND TO HOLD the aforesaid lot or parcel of hind and till privileges and ;yrpurtenaaccs thereto belonging India Grantee in
fee simple.
And the Grantors covenant with the tirmnce, that Otantote ara sewed ol'the premises illfee rs will It the the right to convey the same
in fee simple, that title is marketable and lice and clear of all encumbrances, and that cirantos will warrant and depend the title
against the lawful claims of all persons ahoutsoevo, otherthan the foli,nving exccptions.
x.This conveyance is made subject to easements and restrictions if any, appearing of record,
IN WITNESS \Vt ICRF.OP, thn Grmhx has dulyftxeutied the fo goi tp ns of the (lily and v t first above written.
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i �— < (SEAL)
GEL A GOWEN TIBBS
(SEAL)
(SEAL)
' '
SLAL-STAMP State Of County of e�
1, the undersigned Notary Public of the County of AA" 11kt.tJ and State of 1"l' certify that ANGELA.
GOWEN TIBBS personally appeared before me this day and acknowledged the due execution of the.foregoing
instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this ,97 day of
_ // E
Commission 4Q n %
MExpires: �'.501 � O��
No ary Pubic:
SFAL-STAMP State of - Countyof
1, the undersigned Notary Public of the County of _ and State of _ _, certify that
personally appeared before me this day and acknowledged
the due execution of the foregoing instrument for the purposes therein expressed, Witness my hand and Notarial stamp
or seal this day of 2019.
My Commission Pxpires:
Notary Public:
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FOR X[i41R3
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EMORY WAYNE TIBBS, JR.
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WIFE, ANGELA GOWEN TIBBS
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Coastal Management
FNVIRONMENTAL QUALITY
APPLI(AHON FOR
DEVELOPMENT
PERMIT
In 1974, the North Carolina General Assembly passed tits Coastal Area Maomancnt Act
(CANtA) and set the stage for guiding development in fragile and productive arcs% that
border the state's sounds and ocemrfrout, Along with requiring special care by those wlw
build and dcvctop, the General Assembly directed the Coastal Resources Commission
(CRC) to implentenl clear regulations that minimize the burden on the applicant,
]'his application for :t minor development permit under CAhIA is part of the
Commission's effort to meet the spirit and intent of the General Assembly. it has been
designed to he straightforward and require no more time or effort than necessary from
tote applicant. ]'lease go over this folder with the Local Permit Officer (L'PO) for the
locality in which you plan to build to be certain that you understand what information he
or she needs before Von apply.
Under CAMA regulations, the minor permit is to be issued within 25 days once a
complete application is in hand. Often less time is needed if the project is simple.'f he
process generally takes about 18 days. You can speed the approval process by making
certain that your application is complete and signed, that your drawing meets the
specifications given inside and that your application fee is attached.
Other permits are sometimes required for development in the coastal area. While these
are not CANIA-related, we urge you to check with the Local Permit Officer to determine
which of these you may need. A list is included on page tnvo of this folder.
We appreciate your cooperation with the North Carolina Coastal -Management Program
and your willingness to build in a way that protects the resources of our beautiful and
productive coast.
Coastal Resources Commission
Division of Coastal Management
}MAI l(xwrtH iP)52-201 E;Rel iszsi
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I
Locality
Permit Number—..
Ogcall I h/ard __, I'sturu-inc Shtxcline— t 1?w slaweline— Poll Pubtic frlvst Shoreline {hhcr
t/'irt o1ji,°i,d we fmh)
CtlNFRAI, INUORNVVI ION'
I:ANI) {}ytNi:I2- \1:1II,IN{. Al/UR4:SS
Nanw
�I('
Cov. / "e. 7 � State ! `.' t_-.. J,ill (� K b
t
---
AITT11ORIZED AGUN"I
\atrle
wJdress
nIa
Imai(
VOC'A 1,10% 01' PIiOJI'A"I': (Address, sirret uumr aid.for directions to site: nsune,otf the adjacent waterbody. i
� t v1i e=l `J 1 .1- 1 7_ _-Z_ A -- b r e l 2 L\%
DESCRIPTION OF PROJECT: (List all pro
s !'t ' {'r ctF'c'• tC rr, ov
construction and land distiabancc
-C 5�+ay } t Ivnlf ry�1t 4
i,q I ;S •W? #t-t 5
SIZE Oh I.O'1'll'AR('EL: _. _ e _ ac e_ % t S, q 3 Ar- t
PROPOSED hSEI: Residential (single-family ❑ Multi-Ihmily []) C'nnuncrcialfliuinstrial [] Other
('OA(P! LTE El'PIIER (1) OR (2) RELOW (Contact your Local Permit Officer if you art' not sure which .AEC applies i
to your property I.
(1) OCEAN HAZARD AE('s: I'O'1'At, FLOOR AREA OF PROPOSh;D STRU("Yt RVI-'—" siluarc feet (includesi
air comlitiofIed Iiv111g spice, parking cicrated above grotntd Ieve1, non -Conditioned space cicvated 'Above ground level but
e.vdudiuh non -load br.arint; attic space)
(2) COAS'I`At,SHORELINE Alt('s: SIZE OF IIUILDING FOOI PRINTANt) tY HFIt.IMPERVIOUS OR Ill 1VT
UPON SURhACES: - feet (includes tlic area of the I-uundalion of all huildings, driveways, covered decks,
concretc of masonry patios.,re�.tc. thal itre within tnh�e implicable AIV Attach your enlculatittns with the project drawing.)
.P-% c7<P a Wi ttr r V !/it'-7- 0--
S I"ATE 41Y)RMWAI'FR MANA(;h;MI N 1 Pl:I2MI l- is the Inoiv t located in an area subject to a State
Stot mwotcr Maria gian/ nt Permit issued by the NC Division of Energy, Mineral and Land Resources ()LMl,R)?
NTS NO t�
,: It vvs, list the total built upon areaJilipci-vious surface allowed for your lot or parcel: square feet.

01 IIER PF.RNIPPti MAN, tIF REQ1IIREp pile activity voo are pl'tnning 1113y rulurre permits other flianthc C.AMA
minor derrkgrnx7it parmit, including, but nor hnuied to: t>unkint; l'V itW Well, 5eplre lank (tit other sane ny waste
treeatmcnl s} sitar), pudding. D1,C11 real, Plumbing_ I Icating and Air t oudniophrg. Insulation nut i nut�y (an�i.nmbon 1 In
Certificaocm, Sand ])tine, scditnenl Convol, `.ubdivkion Approval. Mobile I lone, Park Approved, highway Connection, and
athrrv. Check with yoin Locrd Peron Officer ibr nmm infnnual inn.
S4A11 N11 NTUFUINNERSIIIP:
1, the undcrsigned, an.Ipllltcaut I'll ,r (",NNI A minor dcvclopnuvrl pinuii, hein)a cdhCr drer osencr btproperlyt,ti 'm an ABC' er u i
person autborlt_cd to ate :is an ai'Cut lbr purpose. of tipplyiug lot, a CAN1A minor deaelopmc,nt permit, certify that the pecsoh
lis(dl as iandmvner,�n tins application has a sigudicant inlere,q in the Ical propcttY dcsc+rihrJ thrrcrn. I In~, nitcrc5t can kse
described as: fclh'eJk onc)
i*/"fie % 6? 77 _- 5
an oisnet or Iccoixi ntli 'fhlc is vested in name o£ rt+d/ ' ��
T _.
see t?ecsi Book � x'�0Y .. 'tic _ I D m ill(', r'� County Rci.Istry of Oceds.
an turner by, ciltuc of inheritance, Applicant is an heir to the est do kit
C;trunt
probate; w a;, ill .- __ y.
f other iutclest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
NO1'IFICATIO,N OF ADJACENT RIPARIAN PROPERTY OWNE1 6:
I iurlhctmore ceitity that the following persons are owners of proper ties adjoining this property. t affirm that I have given
ACTUAL NOTICE to each of then) concerning my intent to develop this property and to apply for jaa CAMA permit.
{Na}ree)) �_ (Address)! I 1
13tA/_�_'f �t1 eta (1 �� T fJt(� U r
t' L- 4eu }'4 f��rzcct� _ to N_. __� 5 a i •S f�
ACKNOWLEDGEMENTS:
I- the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which
may be susceptible to erosion and/or flooding, t acknowledge that the Local perrun Officer has explained to the the particil-
lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiGza-
tio) and floodproofingtechniyues.
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.
This the day ol'�� u . 20 X3
i,andowtier or person authorized to act is his/her agent for purpose of filing n CAMA permit application
This application hichrt/es: general it fornurtion (thinfornrj, if ,site thawing as described on the bark of this application, the
ownership. statement, the Ocean llpzard AEC Notice inhere necessary, it check lcir $t0( OO made payable to the locality, and
tart, information as met 'v he provided oratly by the applicant. Ill(, details of the application as ofescriberi by these sources ore
incorporated without reference in an'vpertnh which Wray be issued. Deviation J'nint these details rill constitute a violation of
rant, permit, An}=person developing in an AEC: without perinit is subject to civil, ci-inu)ral and arlrttinistrative action.

ST'T V DRANVINC APPLI('ATION ("TTCs;C'KT.ffiT
]'lease make sure yom site duovinte includes the 1'talloacing infmmation required for a ('AN]A miner dQ%,Qlupm a permit.
The Local Pet'ntit Officer will help you, if nqucsird,
tab lroods
I,abellut;la k.taght-ol�kcati;
... _ Cabal lal sctbark Ines
I -a auv and oat stiucunra and di'IiPtkays cunronlhy exisda); of pmpert)'
abet adtaCeat watcrbodv
Pt�s�stc;�t,ctt;iti:',c°rHittsrlcs
]haw and label noraud high water tine {Contact ITT liar assistance}
� Draw loe:ation ofon-site wastewatcr systcan
1f'vou Will be working, in the aeoam hazard area,
-- Draw ;aid label dune. ridges (include spot cicvations)
A --Draw
I,)rnv.md label too of duoes
nity and locate first Iva of stable vegetation (contact (110 for assktame )
aaa and label erosion setback line. (contact 1 PQ for assistance)
and label topographical featmFs (optional)
]f you kill be working in a coastal shoreline area:
Show the roof overhang as a dotted hie around the structure
_ Diaw and label landward limit ofAtiC
Prawn and label all wetland line, tconl,lct I.,Pit foras,ist ace)
Draav and label the 30-foot buffer line
I)U,VEI,OPMI,',N'T MANS
threw and labO all proposed struchues
S
and iel arc. as that ksill be disturbed andior landscaped
oipabng and depth ro be placed in ground
.nd )abet all areas to be paved or graveled
Show all areas to be disturbed
Show landscaping'
Nq7 k TO APPLICANT
Ibik'cvoll.
completed all blanks abdtor indiciited if not appliv able?
rt;atdied and listed adjacent properly owners?
included your site drawing?
• signed and d:ncd the .application')
• caiclowd the 9 100,00 iec''
completed ;ill Ali(' ) lazard Notice, it'ueccssary? (must be n411ncd by the property ow°nel
ht011 STAFF USE
Site Noftec Postcd _ __ final inspection . _. Fee Rcccivcd

N.C."DIVISION OF COASTAL' MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REO UESTED or HAND DELIVERED
' Name of AdJaecnt Riparian Praperty V+4itcr
Address
t ity, State Zip
[o Whom it Diay Conce n: 0 t
G�/_�,
l�hic con' poniieticc is to notify you as a riparian property owner thud i au t(pplying for a LAMA Minor perrnit to
' on my property at
t'a in Emerald Isle, Carteret County, which is adjacent to your property. A copy or the application and project drawing is
attached/enclosed for voar review.
If you have tit) objections to the proposed activity, please mark the appropriate statement below a return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be co ered that you have no
comtnens or obicctions. regarding this project.
If you have objections or comments, please mark the appropriate statement below a send your eorrespondence to: 7'owr�
of &uerald Isle, 7500 Llnarald Drive, Emerald Isle, NC 28594
Ifyou have any questions about the project, please do not hesitate to costa meat my address/number listed below, m
contact Planning Director Michelle Eitner or planner Jeff }Tall at 252-3 333R, or by email at: meimer emualdiae-
nc.cn�eorJhali�emtnaldis(e_ne.org respectively.
sincerely,
-- --- -- -- ------ -- ---
property Owner's Name Telephone Number
_.__
Address City State Lip
I have no objection r the project described in this con-esponderec.
I have objection to the project described in this c-orrespondeuce.
Adjacent Riptriat : ignaairc Date
PrtntorTv Namc� I'elephoneNrunba'
Address City state Zip
Revised July 021'
c r:

AENT AUTNORJ,K&TIOtJ bR CAINA PEJKWT— PPI ICA7Ii7N
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number; �j f1 L� c�S/ ��r� Cad( _S c)
Email Address
I certify that i have authorized 40i rt11
Agent f Contractor '
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: a, fQ C!wm4l . ^ Aoki r
j ".0 tad 17L1 i�r\dr �L ' C.,� S
at my property located at
in Carteret County. Yl�je9 n{j{ZcalS ysov r1N zcf
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 Inf \ation:
Signature
Print or Type Name
Title
Date
This certification is valid through l

H

S a�... ��}#&....

N-C. DIVISION OF COASTAL MANAGEMENT
ADJACENT IiIfaAR1AN RROPtERTY OWNER N()TIFICATION IMINOR PF-RMIT7
Namr of AgilwcIII i3t' Ifz 1 aofwfo' 01„1
At1J�riss j .-;_
Cm, State Y.qi
7b Whom It Aim' t.onvero
This car rup srxitmr as ra rx t;#y you a5 a riptain aproperty o.vntr that I am applying for a CAMA Minor permn tr
�j { ,�,:1, k$
��:�:r"��'."`-�-wl,�._......0.'Y"�_-}^±s'_.-�..... ._._.::...,
am m?^ property at
in ( County, which is adjacent to your property, A copy of the application stall pra;rrt
drawing is artachrrUrntlosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as sum
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspo e to:
160CAL PE:S2wr OhpIM, NAME OF LOCAL ('.(?VERNMEN'r,WAILING ADDRESS CITY, STA-m. ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at any address/number I isikNI wow, or
corout (LOCAL PERMIT OFFICER) at (PHONE NUMPER), or byemail at (LPO EMAIL)
stne"Cly. { #
Props Ovvner'sMarne ___..TelephoneNumber
Address " City State "Lip
. _6 I have no objection to the project deseribed ill this correspondence.
lIyh-a}vo objjection(s) to the project described in this coirespiandi cc
,t1ti)8Cdr11 Riparian. ienalure ,t
Print or Wylie Name l CICphtme Number

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY Y U 8 ,: W l ONVAS ti i P I4
To Who n it May Concern'
This carresporuience is to notify you as a riparian
that 1 ant applying for a CAMA Minor permit to
oil my property at 1Y'i_� i rd • ` .. i _ut" _ y n
in CA. r _ ._ County, which is adjacent to your property A ropy or the npphcation and project
drawing is attachedlencloacil for your review,
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me W Won
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
cotrtnients or objections regarding this projcct.
if you have objections or comments, please mark the appropriate statement below and send your correspondence to:
iIS)CAL PERMIT 01=110ER, NAME OF LOCAL. GOVF.RNMBNT, MAILING ADDRFS CITY, STAIF, ZIP CODE)
It you have any questions about the project, please do not hesitate to contact nie at my address number listed below, or
vootant (LOCAL I'141t MI I OFFICER) at (l'TiONE NUMBER), or by email at (1,K) EMAIL)
Siaticcety,
d�°9.30
___ � _ _�
Proi—wrty Owner's Name Telephnrie Number
Addrw;: City State Zip
! have no obJection to the project described in this correspondence
_ I have objection(s)10 the project described io this correspondence.
rc Adjacent Ripariti t) rt,dore )O /,q/„t<
IL
Print or type Nattic Tcicphone Niamber
114jitt s5 city Stine
ffla
Zip
�Ju
es,sd July z i r.:' s

itl.G. DIVISION OF COASTAL MANAOEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
_LF2tiF_t _t? 1ftJ�t.iURN ,Ft€ t;! H'F R C�U� 5�;��1� c�r.tlt\Nt? tl t6VERF t)
�t
ti<a r' �dr� 4ulttp:tetar^,t'nspertt rh r1t+
•lii.ess
slaw z'r3'
I.r Ni hoin iaN,.t> r>racera=.
i ter§� i rC�.Rr eed.'i.. 75�� II�l�Yt4 1'tril 4 111 �31 t itt rC). �Iti t)� 3C1 2�52St t iliit i7 � �Yii7l, if+( i i 'i'4'i t� ��t BElU1' (5C R"�tdi �+s
t• p � p p p Ep, f%
f I>�iZaty r (c7tii�ty. t bsulz is a ijacert i � asn pi�>��cst� A copy of theapplication and prf�lect
drwiNicr§ is airlacheddenrlosed for your review.
It'a kill have no objections to the proposed actrvvty, please mark the appropriate statement below and return to rrrc :, , wk' a
ars possible_ If no comments are received within itt da} s of receipt of tills notice; it will be considered dwil %ot' have tt�r
ranents car otbiec orss regarding this project.
i i'voli have oblectioris or comalents. please mark the approprrate statement below and send your corresponderlize w,
rl.C)(' 1l. I E-.R !I"f t7'FiC'ER;?�lAMF 01' LOCAL {iOVERNIMFNT, MAILING ADDRESS C,I� Y. STA-11%Z.l#� £:r Tk )
l ifyvrr have arsy questions about the project; please do not hesitate to contact me at addresstnumber listed below, rt:
oriiact tLOCAL PERMIT OFFft F,R) atl7'iiONE NUMBER), or by entail at. (I,PO EMAIL),
'isrt ;'ri`1t.
Prt pciti Owner s NaruQ
010 S77Y cs� s t
Telephone number
Address City State zip
! hilw no obli ctit;n to the project deserrbad lrt this Cozrespondence,
I haw obtecuorr4,$) to tlic project described in this correspondence
t, . . _
nrit
AEt•act,nT Rrntrri,ur `s,< trre T3irte
Print o. lYpc Name Tolevlwrie Number
;Jaz t'ttv. _ Stine . _. _ zip'-

RD.iACENT RIPARIAN PfiC�E'FR7VY OWN R OTIF'IG A'dTION (MINOR PERMIT)
is f; I I ILI? NiAlt , RIJ?.(JRN R( ({ if,I EI1 N'D f t+IVI 6?ff`C) �p
Ala
t,
x'a*i" oAi .;ti.t slim tin p`€spt.t5 Utit1kC; lh.1 i am 4p I, irr', for 4
�r{
i
aFx it. ,it � � 1"``i'�Yp 5>�ti C7 f•Y`�" P x1 'i-� >I,�r: •. '{°
4}; j,,,b''r.°- ._.... i irtSfl:}, Yei3k:I1 Ik 2i{.�amit to N'out (liltpCity A Cop} o lbe 3I}ft{!€.3 $i(3A6 :{tlft F}TsSI�� Q
z�31°<e tis erat: it tatt�xrlse{I;�eearlosara for Your rc vicly;
Ow {>l{k}io d acova.%, pleasee mark the ciph)`i7p."12t1v. St<4i±�i17Cpt }lsri{)� xit2!l TL'?ti3ei iA+ �,+. iz :�,.'i•
ssz,�s,.�i� l..�c4c.iaatlr�.�ts<a,crc:eeitetlwltlrin4b�lt3e�.,�fret�eif�tnl�titas�i�ttce.it>,~.�iii.i��ct�s�-s�i_r�tiihsss��.�.mt.,;�.,
s�fSCf9t3 g it}}J prOTC2t,
+� Yon .;,3V"C objections or COraiments, plewse imirk the appropriate Staternelli, beloNv Mid SCMI `.'(till c OITI-",IH311i{iE.iSs e::{:.
I_("2[ .a:. l'i'iR`il f 0i-I WI R_ NA-XIt' <}I'' LOCAL (iOVi% RNMFNT, N1AtLIN(s ADDRI'SS CITY, `.S IN3'i`_ Z!P C°_ DT t
i �tr„ .` ,:, t.le�.itins .af+ Lit the pr{>Icci, picas do _licat hesitate to cvrtaet tau at tzaS addressfnts as tr listed, eS,,aw, keI
t!,(,ICA1. I'VIZA-lil't1;'f"K'FRI) ill f lllfONIi .N'UMBF R), or h,r email :at- (ITT EIMI AiL.):
w'fi'dwr s City State dip
.. _... A Iakl�t4: f2Ei ph(f'tttTa}3l t{5.'jltE' y�1rulCCt llS'3]+S i�lilk`CI 1R illl4 {'(71 ({',`illt>ttllt,'FtG C'. _ ..
1 have fiiC:$tt3t ES; to tl1('. } l{)JCC1 (� `iff l�Ci� ltl t}ita ta3fft?SIk 11 (tl t2C@.
1tl;aerat IZtlaariall.aa12r #?ttc"�
('ruat cat 1,34se Nhlrfw� i'e:a,pllcxae Qtm ba