53161D - Topsail

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ENERAL PERMIT Previous permit#
Jew,' ❑Modification ❑Complete Reissue Partial Reissue Date previous permit issued
:ed by the State of North Carolina,Department of Environment and Natural Resources
,astal Resources Commission in an area of environmental concern pursuant to I SA NCAC -1 .\100
/� /- ules attached.
Name j �.►•I0 ' 1 P ,Li S .._ 1?jLAy c. Project Location: County .7 >r
Z.O S- AaIbei ....) jS.vi, Street Address/State Road/Lot#(s)
Sr>Z�. ?>t.fv4" State 1.)C.. ZIP Z.%L4L.( ( 0D of- "1-12.0...c 'AVL
asa )?ftrzs Z) 8 Fax#( ) Subdivision
d Agent City ) f'S► ..1- &S ALH ZIP -1;64
CW $ W >ZrTA 11 PTS Phone# ( ) River Basin��PE 1
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as / PNA yes / D, Crit.Hab. yes / no
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g permit may be required by: 1 g P'rjA1 t-- lj� I- ' . I I See note on back regarding River Basin ru
inecial Conditions L...nLL 17--C 4.-Seer.a.tr.3!.-- A I- 9-1 P • Via) --)t--' sr-`

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1;2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. x
❑Aget
• Print your name and address on the reverse ❑Addi
so that we can return the card to you. B. Receive by(Printed Name) C. Date of D
• Attach this card to the back of the mailpiece,
or on the front if space permits. Io GJ� lv el Sa 12
D. Ildelivery address different from item 1? ❑Yes
1. Article Added t� If YES,enter delivery address below: ❑No
po
lc) S�� G�/�- / 3. Se ice Type
^ Certified Mail 0 Exp Mail
V[rC. Registered eturn Receipt for Merch.
Z� �l ❑Insured Mail C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number 7004 2890 0003 2018 3227
(Transfer from service label)
PS Form 3811,February 2004 Domestic Return Receipt 102595-02
U.S. Postal Service.
N CERTIFIED MAILTM RECEIPT
ru (Domestic MaitOnly;No Insurance Coverage Provided)
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For delivery information visit our website at www.usps.come
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Total Postage&Fees $ ,j I ta� Ps
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[L Street,Apt.No.; 3. . 7
or PO Box No. f Q
City,State,ZIP+4 r"
PS Form 380J June 2002 See Reverse for Instructions

Receipts fo
Certified Mail
f (Staple Here)
I . ` /4, \
Date
Adjacent Property Owner
Mailing Address
%J��" ✓�; ,CAL./f
City, State,Zip Code
Dear Adjacent Property Owner:
This letter is to inform you that I, a�✓ 7 /S X.(.4/}gave applied for a CAMA Minor
Property Owner
Permit on my property at n�' G,:` p)LI 1` /7 c
Property Address
in Topsail Beach, Pender 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 by phone at ('=7/ ) 3 L Y - .S-8(/ / , or by mail'at
the address listed below. If you wish to file written comments or objections with the Topsail Beach CAMA
Minor Permit Program, you may submit them to:
Jimmy Canady, Local Permitting Officer
Town of Topsail Beach
820 S Anderson Blvd
••
Topsail Beach, NC 28445
Sincerely,

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to To Li/I v f°f''A?L 6 GA C 14 ,s
(Name of Property Owner)
property located at GAb ©F ¶ RotAT ( V C
(Address,Lot,Block,Road,etc.)
on 3 )KS Cil A Pk ist Ei , in Topsail Beach, Pender County,N.C.
(Water body)
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)
Signatur
b1 C44RE(, I4CL 01)
Print or Type Name
gip 3 .g- ac/b
Telephoneumber
)3 11 Csg
Date

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DEUVER
• bomplete items 1,2,and 3.)41so complete
it m 4 if Restricted Delivery is desired.
• Prir'('your name and address on the reverse
so that we can return the card to you. • B. c eiv;. by(Printed Name) C. D
• Attach this card to the back of the mailpiece, �e
or on the front if space permits. ---
D. Is delivery address different from item 1?
1. Article Addressed to: If YES,enter delivery address below:
0-1-4/64Att 144 )21,../(gArliter
p 0 la 3 33 . 3. Seytce Type
Certified Mail px ess Mail
Registered urn Receipt fc
O S l� ❑ Insured Mail ❑C.O.D.
C -Z S' 4. Restricted Delivery?(Extra Fee)
2. Article Number 7004 2890 0003 2018 321
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt
U.S. Postal Serviced
CERTIFIED MAILTM RECEIPT
ru (Domestic Mall Only;No Insurance Coverage Provided)
m
Foj delivery Information visit our website at www.usps.come
co
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Postage
Certified Fee q /7 �y(y
Retum Receipt Fee f /V D EP ier o p
(Endorsement Required) L �000
Restricted Delivery Fee N.
(Endorsement Required)co
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• Total Postage&Fees MINI
• O Sent To / q A (F.L-7 A) jaw
Street,Apt.No.; 3-4,6 LA...i
or PO Box No.
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City,State.ZIP+4
PS Form 3800,June 2002 See Reverse for Instructions

Receipts fa
Certified Mail
7 /6 3 (Staple Here)
Date /
0 t S L'T y o L G G b/ev e ' j F.f Gr//"G r/I:/2-1 S
Adjacent Property Owner
/l 6 33 2_
Mailing Address
r- 's A i 6_ 6 „<„,a e - 2 g 'r ,(
City,State,Zip Code
Dear Adjacent Property Owner:
This letter is to inform you that I, r 6 ' a,/'S 7/- 66h ve applied for a CAMA Minor
Property Owner
Permit on my property at L v 5 6-j✓,0 Q 774 jc 4,k1 ,
Property Address
in Topsail Beach, Pender 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 by phone at 6-7/6 --3 2 3 —58 -7/ , or by mail at
the address listed below. If you wish to file written comments or objections with the Topsail Beach CAMA
Minor Permit Program, you may submit them to:
Jimmy Canady, Local Permitting Officer
Town of Topsail Beach
820 S Anderson Blvd
Topsail Beach, NC 28445
Sincerely,

.
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TROUT AVENUE
20-700-4600
C�
P 5616( (-Trder Coo 1)
DATE GROSS DISCOUNT CHECK AMOUNT
'09 400.00 0.00 400.00
:if15IICIela lhiihCHhfd:Ia.'i[H.12101;111I.14ftV111:144dax9 li.RMla4:4:11 lelillia:[QIIel:I ntelii:111:11NADIZ:9:144411111111
Bank of America66-19
WN OF TOPSAIL BEACH of North Carolina 530
820 S.ANDERSON BLVD. Holly Ridge/Surf City
TOPSAIL BEACH, NC 28445 No. 0 3 0 9 61
DATE CHECK NO. CHECK AMOUNT
0211 I' 1'. ',411.11
0 DOLLARS AND 00 CENTS****
0
THIS DISBURSEMENT HAS BEEN APPROVED AS REQUIRED BY
R THE LOCAL GOVERNMENT BUDGET AND FISCAL CONTROL ACT.
0-5ZY W\,dij•ta,„,
AUTHORIZED SIGNATURE NP
AUT ORIZED SI ATURE PA.
096 LII' 1:053000 L961: 00060700003011'