PN_18-15_ Futch

Issued by WiRO PN18-15
Pender County Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT Coastal Management
ENVIRONMENTAL atIALITY
as authorized by the State of North Carolina, Departmeht 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 Kenneth Wayne Futch authorizing development in the Estuarine Shoreline (AEC) at 316 Creekview Drive
(lot 63), in Hampstead, Pender County as requested in the permittee's application, dated May 30, 2018, and received by
DCM on August 21, 2018, This permit, issued on September 4, 2018, is subject to compliance with the application and
drawing dated and received by DCM on August 21, 2108 (where consistent with the permit), all applicable regulations
and special conditions and notes set forth below. Any violation of these terms may subject the permittee to a fine,
imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes:Construction of a detached garage.
(1) At proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on August 21, 2018.
(2) Any change or changes in the plans for development, construction, and/or land use activities will require re-evaluation and
modification of this permit.
(3) A copy of this permit shall be posted or available on site throughout the construction process. Contact this office at(910)
766-7221 for a final inspection at completion of wort.
RECEIVEL
(Additional Permit Conditions on Page 2) I I I T 1 6 Z 018
M if h iviiNGTON, NC
-his permit action may be appealed by the permittee or other qualified persons
within twenty (20)days of the'ssuing date. This permit must be on the project
site and accessible to the permit officer when the project is inspected for Jason Dail
compliance. Any maintenance work or project modification not covered under CAMA LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this
permit expires on: 127 Cardinal Drive Extension
Wilmington, NC 28405-3845
December 31,2021
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 V
another party without the written approval of the Division of Coastal PERMITTEE
Management.
(Signature required if conditions above apply to permit)

Name: Kenneth Wayne Futch
Minor Permit#PN18-15
Date: September 4,2018
Page 2 of 2
(4) 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.
(5) All development shall be located at least 30' landward of the normal high water line.
(6) This permit does not authorize the excavation or filling of any wetlands,even temporarily.
(7) No impervious coverage/built upon area, including but not limited to the house (including eaves), foundation pad,
covered decking,etc.shall extend into the 30-foot coastal shoreline buffer.
(8) All structures shall comply with the NC Building Code, including the Coastal and Flood Plain Construction Standards
of the N. C. 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.
(9) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
I
RECEIVED
OCT 1 6 2018
JGT•► i C
SIGNATURE:X �' �� DATE: 5( �S !'S
PERMITTEE

ROY COOPER
Governor
,4*
4
MICHAEL S. REGAN
Secretory
BRAXTON DAVIS
D,reanr
September 4, 2018
Kenneth Wayne Futch
PO Box 943
Hampstead, NC 28443
Dear Mr. Futch:
Attached is CAMA Minor Development Permit PN 18-15 for work to be done at 316 Creekview Dr.,
in Hampstead, Pender County. An electronic copy has been sent to the Pender County Inspections
Department and to your agent.
To validate this permit, please sign both copies as indicated for our records. Retain the orange copy for
your files, and = -_ _ of receipt in the enclosed, self-addressed
envelope.
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Sincerely, _
r Shaun K. Simpson
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc:WiRO files
PN Co. Inspection Dept.
F.Watts-Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
919 796 7215

Locality �,
Permit Number
. Ocean Hazard Estuarine Shoreline V ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER- MAILING ADDRESS/
Name .fjriR _ 1.;\ r ruag_kx --- --
Address —Pc--"Eo4c__9 y5
City t .m.QS-►Qad _ — State YlC Zip._ ,t+13 Phone c1.IQ_A33. .3009
Email— _ cftig7
AUTHORIZED AGENT
Name F:erri riSS ►�4�1-}S. --------
Address
CitY� - .. 7 tils\.._ State r1C, Zip ApAsi Phone cob .131
Email L..►Z' -AAATTS (a? ci.cll.Corv ._
LOCATION OF PROJECT: (Address,street name and/or directions to site;name of the adjacent waterbody.)
Lo4 l03 311, Cresa_Kvieu1 r NciAl , 4oc_�1, ( 0 YY\ e.e_K
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
.1d G-ka_.
SIZE OF LOT/PARCEL: square feet L 11 acres
PROPOSED USE: Residential [Zi (Single-family[l Multi-family ❑ ) Commercial/Industrial ❑ Other ❑
COMPLETE EITHER(1)OR(2) BELOW(Contact your Local Permit Officer ifyort are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but
excluding non-load-hearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT z
UPON SURFACES: (,7(, square feet(includes the area of the foundation of all buildings,driveways,covered decks, z
concrete or masonry patios,etc. that arc within the applicable AEC.Attach your calculations with the project drawing.
z
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State v 2
Stormwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources(DEMLR)?
w
YES NO ✓ 2
—— 0
If yes, list the total built upon area/impervious surface allowed for your lot or parcel:. square feet. a 'CJ

I EXISTING
SETBACKS / EIPP ON LINE VINYL F NCE
FRONT: 30' ,•PF- ,kP,Q),'10.13' FROM CORNER` CP
REAAR:10'25' �OCP c��/p�' EIP: 0��
• al .0 L
(PER PENDER COUNTY ZONING) Iik N( •
i�� e� Ci-./
,1 V\
_ ( 75' C.O.D. - O `J'' 'C5
SETBACK LINE -/ �
(FROM N.H.W.) �- ,
EIP CP EIP ON LINE
_ L- -0..
• • 10.15' FROM
FLAG MARKED 'END' CP 6� , /• COSTING CON•'TE CORNER
�o 9-02. FouNDA1TON EIPP S 65'18'30* W
N4,1 ''�li�,!, PRaPOSED_26 x266 GAR GE / 74.00'
< digik / \ / RETAINING WALL
EDGE OF MARSH • (LOT 63) \
\�\\\\II III///�� '` 8,787,SgFty
'S 40103'30* W 141.55'
,\\` -s C A R oe ///- NORMAL HIGH WATER \
�,? .• ES S% / --,, LOCATED PIN FLAG \/ ��.v . EIPP /
? •'0 �i� — SET BY COUNTY
/ E
/ — 3 51 8 = PIERS /O•)/i AGMARKED "START'.
•9� ,O;\ r� t`�. 20' DRAINAGE EASEMENT
••Q ��,•�� C.. J D.B. 3430, PG. 162
//ATILT\\\\\�fa �� ) /
REVISION I tides`•/0-
1) NEW NHW UNE SHOWN AS FLAGGED BY COUNTY. BY: WRD. DATE 1/25/2018. \ cc -• 4'�.
2) RELOCATE PROPOSED GARAGE PER WENT. BY: EB3. DATE: 8/16/18. \ J cn�0F`•
LEGEND
•EIP EXISTING IRON PIPE RECEIVED
•EIPP EXISTING IRON PINCH PIPE DCM W!LMINGTON, NC
•CP COMPUTED POINT
;I-
CURB INLET 4
TELEPHONE PEDISTAL ell WATER METER —
— ADJOINING PROPERTY LINE 100 0 100
a. SEWER CLEANOUT BOUNDARY UNE WWI
ELECTRICAL PEDISTAL �� SPOT ELEVATION00,000
RIGHT-OF-WAY LINE
JOB 114-1020.XX -- BUILDING SETBACK UNE SCALE 1' = 100' FEET
VICINITY MAP # ria.li\I�I��� FENTRISS HOMES, LLC
NOT TO SCALE '$♦*�••• ♦ *i. LOT 63-DEERFIELD SUBDIVISION- M.B. 13, PG. 59
�:j� ����,,�;��`� P.I.D. # 3292-01-2943-0000 (314 CREEKVIEW DRIVE)
• 4 �.w►.►/. .:1 GENERAL NOTES
`I �4��i�'i�. �•4,:tt :
1. THIS IS A PLOT PLAN ON AN DOSING PARCEL(S)OF LAND AND IS FCR THE PURPOSE OF SHOIWNG THE
6� �0� �� .r,•�� " o�•�IA2_ N APPROXIMATE LOCATION OF THE PROPOSED DWFIIAIG.
`14'1� �i�4' 1I& 4( • 2. FLOC)NOTE BY GRAPHIC PLOTING THE SUECT PARCEL APPEARS TO BE PARTIALLY N FL00D HAZARD ZONE'AE'� 1 • WTH A BASE FLOCO ELEVATION OF 10' ACING TO DFIRM MAP 3720329200 J, DATE 2/16/07.
THE FL00D UNE SHOWN HEREON IS PER THE CUNT EFFFECTPEE FEMA FLOOD MAP.
♦ ctAB 3. PROPERTY ZONED: 'RP'(RESIDENTIAL PERFANCE).
4. HOUSE PLAN PROVDED BY FENTRISS HES,LLC.
4 >' 5. BEARINGS ARE REFERENCED TO D.B. 3430,PG. 162.
il t1* •6. ALL DISTANCES ARE HCRIZCNTAI GROUND DISTANCES.
.,� ��,�j�� i ri.�o ►., 7. THE IMPERNOUS AREA SHOWN(IF ANY)IS AN ESTIMATE BASED ON THE FOUNDATION, DRIVEWAY AND WALKWAY LAYOUT
♦i 4'�'�:•Zk•- All"--
��'�\���• i,�v AS SHOWN WITHIN THE BOUNDARIES OF THE LOT, AND INCLUDES ANY AREAS MITFNN THE PUBIC R/W.
'-.^- �0���������77���I .l I�$♦I�t�� 8. UTIUTIES SHOWN - IF ANY-MAY OR MAY NOT BE ALL THAT ARE PRESENT ON SITE.
►��►�I► 11 .;1 s S�,��+l I HEREBY CERTIFY TO WAYNE FLITCH THAT THIS PLOT PLAN EXHIBIT IS A TRUE AND ACCURATE
�i�',`'!G iV:.:.°'::a "%; ''s REPRESENTATION OF THE RECORDED PARCE & PROPOSED HOUSE FOOTPRINT, AND THAT THE PLOT
�` ��'.�i '�'',o�i''/ZiLI°n/ '' ;i to PLAN WAS PREPARED UNDER MY SUP R ON.
\ •4'�'��':I's'�\�� MILE 0. M CALL III, PLS -3518 DATE ©2018
DEERFIELD SUBDIVISION LOT 63 ATLANTIC COAST SURVEY,PLLC
M.B. 13, PG. 59 PLOT PLAN UODSE P-0922
Topsail Township Fender County North Carolina FLITCH RESIDENCE (910) 443--0090 rw"".. "NC,,rvey.,,,,•

•
OTHER PERMITS MAY BE REQUIRED:The activity you arc planning may require permits other than the CAMA
minor development permit,including,but not limited to: Drinking Water Well,Septic Tank(or other sanitary waste
treatment system),Building,Electrical, Plumbing, Pleating and Air Conditioning, Insulation and Energy Conservation, HA
Certification, Sand Dune, Sediment Control,Subdivision Approval,Mobile Home Park Approval, Highway Connection,and
others. Check with your Local Permit Officer for more information.
• STATEMENT OF OWNERSHIP:
I,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
listed as landowner on this application has a significant interest in the real property described therein. This interest can be
described as:(check one)
/ an owner or record title,Title is vested in name of Kent-v-4-h 4. e.
see Deed Book 3430 page I tap in the --Pen County Registry of Deeds.
an owner by virtue of inheritance.Applicant is an heir to the estate of
;probate was in County.
if other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
I furthermore certify that the following persons arc owners of properties adjoining this properly. I affirm that i have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
(I) —TO mml A Srrii44 h 312 CreQKvi ve Ncy„jp.MMePd ► c 4g4-t
(2) _Mad .-"Tiouia_ ---ji45 �p � �� ri� Lr qieq, a81 S
(3) J f1C. -
I (4) - - — _— - - — - -- --
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. I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
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 30 _ day of -,20
4j
1,,,,,,„„ts l )Lner or person authorized to act as his/her agent for purpose of filing a CAMA permit application
This application includes:general information (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean hazard AEC Notice where necessary; a check for$100.00 made payable to the locality and
any information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
any permit.Any person developing in an AEC without permit is subject to civil, criminal and administrative actiotiECEIVED
DCM WILMINGTON. NC

10;19 f•41•,.N 90•L1
' ' • ., .-._.'•'.-.......'"1:-...1.1:i*.
1, Eill ill",
_. REAR ELEVATION SIDE ELEVATIO
1ni— r �• -_ {,wa,L. 8. SECTION 7 SCALE.Ur•r-o (b 1 SCALE:Ur•1.44
, 1. Mn 1IHU.
La.•ncowrt .. 7 umeruo xt•s '_. 4
11 vt•CH.0 OMwb
�-. 1�� tt0[r1.0.G OLOOITCOOG 1..... 't.r.1Y [
J
7`: .__vco.rxresuea:w .. __ �r _.. ..: 4
.1414,nw•.me. -_ .� noun 001
/ oK.w.w ewsn1o01 pp''pq yp'�{I��g„
4: / re:Lca•r,cnacuos 1�. ' LL..O L.0&�
SIDE ELEVATION - FRONT EL•EVATIC
rat.M•011rOtw1.+•1.•.• (5` (4) •
• rm...a.•Lan.. ' ecaE:IR•.v-o swe:ur•r-o
Mr 4L0•MnRrW{2) •
,•0111q•L4rI LOM,.TOW
WALL SECTION i. a''
q%L{h{.Y1•.ra —MI.. - i: -r- -- r
r —1
•
tri
I I It 4 y
71, GARAGE N 'L—X GAPAG!
20.1•11:Td 7j4•IQ...4.
•1 !, r
o
M
(—rfl .1 _- .L_ L. J ..
it
! •
zm WO
I r .11
m HOQas
Z
ROOF PLAN FOUNDATION GARAGE PI—AA
0 3' SCALE:IM••rc ..`9LALE:Iw•.r r 1 I wsLE:1K••r.c

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: lrnnvJ-1. it) ruki,
Mailing Address: �i a,c cN3
licupler_k_cl r c F y 43
Phone Number: 3tOq
Email Address: K-Puck, 42'7 ( rrin; I . con.
I certify that I have authorized «fin-14-s
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: -Thu.\d 1 Cc.-
at my property located at 316 CreeKv eu3 Napio/J, tiC
in cier County.
I furthermore certify that 1 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:
iV3-44-1-Pi-el: Signature
W ,J-'- La• I"- uTc -
Print or Type Name
ULA/A/cf2
Title !/
I I Zvl 1�
Date
This certification is valid through I I RECEIVED
DCM WILMINGTON, NC
III %, € iy

U.S. Postal Service'"
CERTIFIED MAIL® RECEIPT
io Domestic Mail Only
in
rU For delivery information,visit our website at www.usps.com..
WL� . N 0, P R7 >7 p,,�
r 7 tom-_ -.i E
j- Certified Mail Fee $3.4, IIlse!
O
Extra Services&Fees(check box add1a at -�7 7 5' ) (I
❑Return Receipt(hardcopy) $ fy
Q ❑ReturnReceipt(electronic) $ $0.r1�fr0 Postmark
O ❑Certified Mail Restricted Delivery $ $0-fJll Here
Q El Adult Signature Required S $0.c1[I
0 Adult Signature Restricted Delivery$
El PostagerU I1, 1
$
.rin-1 Total Postage and s 10>'1 /il 11
$ $i.91
Lrl Sent To
rq
ncl.a
O Street andhpC No.,-or 6bir„ o.
... •
PS Form 3800,April 201:'P03 7530-02-000-9047 See Reverse for Instructions
'c+1
- r-
SENDER: COMPLETE THIS SECTION COMPLETE THIS SEr T n tr:ON OE!is FRY
A. re Oe- 0 .
• Complete items 1,2,and 3.• Print your name and address on the reverse f , Id gent
. 0 Addressee
so that we caii-Yeturn the card to you.
• Attach this card to the back of the mailpiece, B elv .by(Printed Name) jC. Date of Delivery
or on the front if space permits. ,' \'� j 2 18
1. Article Addressed to: D. Is deliv- address different from item 1? 0 Y .
If YES,e erei' ery address below: O
1'4 5 Ll,,n�► :.AIM fi J� ��NG To N 14
i..... 't kvv,1n r\c_ a2,-ko5
3. Service Type 0 Priority Mail Express®
I I IIIII I II III II I II IIIII II II I'I I 'III III G Adult Signature 0 Registered Mail'"
0
0 Adult Signature Restricted Delivery Registered Mail Restricted
0 Certified Mail® Delivery
❑Certified Mail Restricted Delivery ❑Return Receipt for
9590 9401 01t89 5234 9008 62 ❑CotifiedMailllect on Merchandise
0 Collect on Delivery Restricted Delivery 0 Signature Confirmation'"
2. Article Number(Transfer from service label) _ ❑Insured Mail
0 0 Signature Confirmation
Insured Mail Restricted Delivery Restricted Delivery
15 1520 0001 0048 2 50 5,- '- (over$soo)
, my 2015 PSN 7530-02-000-9053 Domestic Return Receipt
RECEIVED
DCM WILMINGTON, NC

U.S. Postal Servicer'
CERTIFIED MAIL° RECEIPT
ca Domestic Mail Only
r
CI For delivery information,visit our website at www.usps.com
.b I"'., *t z, 5 g gi > care
- Certified Mall Fee $3.45 0457
o $ $2.75 08
Services&Fees(check box,add fee py9are)
Receipt(spy) S
tR▪ ❑Ream Receipt(electronic) $ $)O a UO Peso mark
En ['Certified Mail Restricted Delivery $ ii I.iti I Here
D perm Signature Required $ $0.ft0
❑Adult Slgnaase Restricted Delivery$
p Postage $0.71
nu $
Total Postage and bos91 06/11/2018
$
u7 Sent To
a TOIr\n\4_ Sry i4-l1
D b'troet and•Apt.No.,or P0I3ox N?.
N ---I1204 �r4+-22.►a(L0 Lang.
City,stet- •+air-- --------
PS Form 3800,April 2015 PSN 7530-02-000-9047 See Reverse for Instructions
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3. A. Sigrpature
• Print your-name and address on the reverse -Al / j 0 Agent j
so that we can return the card to you. .6 4' _ ..essee
■ Attach this card to the back of the mailpiece, = Received by(Printed Name) C. D-e .f+elivery
or on the front if space permits. • (Gt A
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes -
If YES,enter delivery address below: ❑ No
. 1 O MYY'L\ S mr4-h
"6614 `1-1-04-►enh0rn l.A.Ae
-----1 k?:nh nc arnL 4
3. Service Type 0 Priority Mail Express®
11111 II II II I II IIIII I IIMail,^
0 Adult Signature Restricted Delivery ❑Registered Mail Restricted
❑Certified Mail® Delivery
9590 9401 0189 5234 9008 79 0 Certified Mail Restricted Delivery 0 Return Receipt for
0 Collect on Delivery Merchandise
2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation,.
',tail ❑Signature Confirmation
7 015 1520 0001 0048 5 018 i it Restricted=.,Nivery Restricted Delivery
PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
RECEIVED
DCM WILMINGTON, NC
,';1, `. 'IJ

Receipts for
Certified Mail
(Staple Here)
5 a9• �OI4
Date
To rn Property
Owner
3IP CreeKviect) Dr. I160'4 sTA0-1--lenan._
Mailing Address
Ncul4s-lanA, (IC 22y43 �09, , RC_ 614
City,State,Zip Code �}
Dear Adjacent Property:
This letter is to inform you that I, I<e nne1-h Fu-Fch have applied for a CAMA Minor
Property Owner
Permit on my property at 31 to C ry eK Vi eu] brave ,in P1 -10[.-.d ,
Property Address CRY/Town
In 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 at 910. 13 a•3009 ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the CAMA Minor Permit Program,you may submit them to:
Jason Dail,DCM Field Representative
LPO,County of Pender
NC DEQ I DCM
127 Cardinal Drive Ext.
Wilmington,NC 28405
1�enrie.4-f, it) Fu1C�
Property Owner
�r oiSox 9,43
Mailing Address
Naplen ne. .1E-{13
City,State,Zip Code
RECEIVED
DCM WILMINGTON, NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to Kenr 44 k) Fri rh
(Name of Property Owner)
property located at 316 Creekviou) )rile. Nam.I .avc�l, RC
(Address, Lot, Block, Road,etc.)
on YYl111 ('rf v K ,in Pender County, N.C.
(Waterbody)
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)
Signature
Print or Type Name
Telephone Number
Date
RECEIVED
DCM WILMINGTON. NC

Date Date Check From Name of Vendor Check Check Permit Rct. #
Received Deposited Permit Holder Number amount Number/Comments
8/23/2018 Fentriss Homes LLC Kenneth Futch First Bank 1159 $100.00 minor fee, Lot 63, 316 JD rct. 6944
Creekview Drive,
Hampstead PnCo