PN_19-09_ Spaulding

Issued by WiRO PN19-09
Pender County Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT •
NORTH CAROLINA
Environmental Quality
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 Robert Spaulding & Phyllis Lee authorizing development in the Estuarine Shoreline (AEC) at 728 Bay
Harbor Drive, in Hampstead, Pender County as requested in the permittee's application, dated June 4, 2019, and
received by DCM on June 17, 2019. This permit, issued on July 8, 2019, is subject to compliance with the application
and drawing dated June 4, 2019 and received by DCM on June 17, 2019 (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: a 22'x 18' kitchen expansion,a 18'x 22' bedroom expansion and deck expansion.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
June 4, 2019 and received by DCM on June 17, 2019.
(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 work.
(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. This permit must be on the project U
site and accessible to the permit officer when the project is inspected for Debra Wilson, District Manager Z
compliance. Any maintenance work or project modification not covered under CAMA LOCAL PERMIT OFFICiA L o� Z
this permit,require further written permit approval.All work must cease when this 127 Cardinal Drive Extensio ti 0O
permit expires on:
Wilmington, NC 28405-384 z
December31,2022 2
W J
In issuing this permit it is agreed that this project is consistent with the local Land CC
Use Plan and all applicable ordinances. This permit may not be transferred to 2
another party without the written approval of the Division of Coastal PERMITTEE U
Management. 0
(Signature required if conditions aboveply to permit)

4 - ►
Name: Robert Spaulding& Phyllis Lee
Minor Permit#PN19-09
Date: July 8„ 2019
Page 2 of 2
(4) All unconsolidated material resulting from demolition and construction 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) Any proposed for grading within the 30' Coastal Shoreline buffer(as measured from the Normal High Water level)
must be contoured to prevent additional stormwater runoff to the adjacent marsh and/or canal. This area shall be
immediately vegetated and stabilized,and must remain in a vegetated state.
(6) This permit does not authorize the excavation or filling of any wetlands, even temporarily.
(7) No impervious coverage/built upon area, (with the exception of 10 sq.ft.of open, uncovered, drip thru decking)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.
SIGNATURE: DATE: 4 11 /q
PERMITTEE
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ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
NORTHCAROLINA BRAXTON DAVIS
Environmental Gualin Director
July 9, 2019
Robert Spaulding,Jr.
Phyllis Lee
369 R.L. Honeycutt Drive
Wilmington, NC 28412
Dear Robert and Phyllis,
Attached is CAMA Minor Development Permit PN 19-09 for work to be done at 728 Bay Harbor Drive,
Hampstead in Pender County. An electronic copy has been sent to the Pender County Inspections
Department.
You have already signed and returned our official office copy. Please retain the enclosed orange copy for
your files.
Sin erely,
Le_ ,lV/C2r--
Tanya . etila
ermit port Technician
N.C. Division of Coastal Management
Enclosures
Cc:WiRO files
PN Inspection Dept.
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
919 796 7215

•
yiNiLocality © Permit Number /2.41 /Y-oR
. Ocean Hazard Estuarine Shoreline". ORW Shoreline Public Trust Shoreline Other
(for official use only)
GENERAL INFORMATION
LAND OWNER-MAILING ADDRESS
Name Robert 5 —. Ur._ cAOL.4./C.e 1
Address •L. {}__�nV>C_--- -----
City_ r — State )C - Zip t ll LPhone c to - ton---- 55 54
Email lb y 1115_M kelky Ah_ao . COrY1
AUTHORIZED AGENT
Name L ovted 0 W ne,,r - - -
Address
City ._. Stale -- - Zip Phone
Email
LOCATION OF PROJECT: (Address,street name and/or directions to site;name of the adjacent waterbody.)
vZ e •scLi +1 oe-bt r bri\rt
14o nps- d,., c a 3
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
pnd k,+cle n, end pond bc.drvo ran, Gc on d dt C t
P P
SIZE OF LOT/PARCEL: Oa,0Q1—square feet AiZ - acres
PROPOSED USE: Residential (Single-family' Multi-family ❑ ) Commercial/Industrial [] Other 0
COMPLETE EITHER(1)OR(2) BELOW(Contact•your Local Permit Officer if you are not sure which AECapplles .
to your properly):
(I) 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-bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: square feet(includes the area of the foundation of all buildings,driveways,covered decks,
concrete or masonry patios,etc. that are within the applicable AEC:.Attach your calculations with the project drawing.)
10 Squolrcfrat of op-tn de ? ; Lj w 4hin GbastI.l OK 6,4-
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State1V
Stormwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources(D�M
YES NO V
.JUN 7 2019
If yes,list the total built upon arca/impervious surface allowed for your lot or parcel: square teet.
1 DCM WILMINGTON, NC

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,FIA
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 CA MA minor development permit,being either the owner of property in an AFC 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) "� �+
N/ an owner or record title,Title is vested in name of l 1iS T'1• Let, tw't►p�, In s1 ►d I ObCI* M•
see Deed Book am to GP page 12 g in the -PeeNC .r" County Registry of Deeds.
4500, all, 3r.
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) C 1 ytotic i,at/15,3r. IL SDSgs1-+'ori' RocLi r?oirtr, IJC ze-ts3
(2) T pAL 3 R o .. 1,l•C_(TO SOX- -____SAgituky VOYIN2. t )C. al-52.6)
(3) —I"___Sp t.-fu--owner.-I w reolu4ofccd _ t Lkr _._ .... - Ad►d�s� lima(
ook o•11
(4) be *se •_:_•__.7?+D-n. .ltre-H1 -
Trip%L. 1• tro wl-1,cp _ v
ACKNOWLEDGEMENTS: 1abOX 5�'• N a45acp
i,the undersigned,acknowledge that the lancio rl;Yar t he jirbl�osed c evelopment 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 clay of j(„Ukt. Q,,20 ' -1
ephmIJ H.L
Landowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application
This application includes:general information ((his 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 o/the application as described by these sources are
incorporated without reference in any permit which may be issued. Deviation,li•onr these details will constitute a violation of
any permit.Any person developing in an AEC without permit is subject to civil, criminal and adminislr Wkihinkn
JUN 1 7 2019
DCM WILMINGTON, NC

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• Pender County
P.O. Box 1519
805 S.Walker Street ZONE-2019.01345
Burgaw, NC 28425
910-259-1202 Corn. 1= Date:
Permit Type: Zoning Permit
Pouf N •umber `towns
4214-88-9150-0000 728 BAY HARBOR DR Topsail
Owner afon Ainiligant**station
Name: Phyllis Lee Name: Robert Spaulding
Address: 369 R L Honeycutt DR Address: 369 R L Honeycutt DR
Wilmington NC 28412 Wilmington NC 28412
Phone: [phone] Phone: [phone]
Email: Email: spauldingrruncw.edu
RP-Residental Performance
•
Project oifi:
Addition onto existing SFD-18540'kitchen and deck.Total footprint 305:30' e9v. i, 5/31/17
Roco4Qlb-LP?—or,3/
JitkAA CAI)14. Qt0- 7/4 -71t . -
0'et4A.4 1A-:vt_1 /816//c?
S ture of Applicant
Date
3 l clf q RECEIVED
Signature of ng Official p
.JUN 17 ?„
Please be aware that private covenants and restrictions may apply to this property.
Applicant must comply with all private covenants and restrictions for this property. W I L M I N G T s N
Building permit must be obtained before starting construction if your project requires a permit.

Pender County •
Planning and Community Development
•
Planning Division , 1'
805 S.Walker Street i ' Phone: [phone]
PO Bpx 1519 Fax: [phone]
Burgaw,NC 28425 www.pendercountync.aov
Residential
Zoning Permit Aaplication
Owner/Applicant Name:
it) I q
NOTE:IF APPLICANT s NOT THE OWNER OF THE , LETTERAAL ANJ W.ER61 6 PERMISSION OR OFFER ID PURCHASE TO
THE SUBJECT PROPERTY IS REQUIRED. MAKE APPlJG►TION FOR
Omer/Applicant's Address:%311), RL c44}bi-- Phone: q! 0 -$ 50-t t05
aty/State/Zip Code: �Ji1nn' � dC
p., �
Person: Q '!Z..
Project Contact P
' - Raft. Phone: CO
Email Address: .,.1�• Q� twnr�..�< < q , S 3
Parcel Identlflcatlon No.: '/Z/'i-ire-4/.iro-C( (j Deed Book/Page: /f, Map Book/Page: /f/:1,
Project Address:328 Ray clovber De` aty: t C Lott S7
'A SITE PLAN DRAWN TO A MINIMUM SCALE OF 1"=60'IS REQUIRED WITH APPLICATION'
Proposed Use: New:0 Addition:CO-Accesson:CI Renovation:D Othern
Manufactured Home? YES:D NO:as
If an accessory structure,please provide the square footage: and dimensions 'x '
ZONING DISTRICT: RP:Egi.RA:D PD:Q RM:O MH:D Otherfl
REQUIRED SETBACKS: Front• Side: Rear: ZS- Corner: is-
PROPOSED SETBACKS: Front. Left Side: Right Side f Rear: Mt, Corner:
BUILDING SEPARATION: I L? 3f..
PROPOSED HEIGHT: NOTE:tf the proposed building height is within 5'd the allowed maxknum,a height verification survey Mil be required
LOT SUE: _4i 0L-
Are there any platted restrictions on the site/lot? YES:®NO:El
PROPERTY ACCESS: Public Roadway:0 Private Roadway® Recorded Easement:D
Water Source: - _. .--- - - Sewer Source:
--- D County _ _ _ . --- 0 County - - - --- -
— Community System —. --- -
Private Well Community System _
�� � Private Septic
113 Other:Slgrtature:(f4 ` Date:____O )Q�
(FOR OFFICE USE ONLY)
IS PROPERTY LOCATED IN FLOODPLAINt9/NO:If'yes'Zone Aer .
PROPERTY IN AK? "O p gr- HEIGHT VERIFICATION REQUIRED? YES/g/CEIVED
CAMA PERMIT REQUIRED? YES/NO FOUNDATION SURVEY REQUIRED? E)NO
IUN 1 7 201Y
STAFF INITUU,S/DATE: eCi 3 f1i/e
'PROPERTIES LOCATED IN A SPECIAL FLOOD HAZARD AREA WILL REQUIRE ADDMONAL INFORMATION.' WILMINGTON, NC,
Permit a 211(4 -IS' Revised:

Check All Sections That • u.1 .
111 IMPROVEMENT PERMIT SECTION #
EVALUATION OF THE SITE AND SOIL FOR SEPTIC SYSTEM SUFIABILTTY
❑IMPROVEMENT PERMIT(Up to 600 GPD) S250
❑IMPROVEMENT PERMIT(Ova 600 GPD) S500
❑REPAIR EXISTING SYSTEM (NO FEE)
EACH SITE EVALUATION CONSISTS OF UP TO 2 ACRES PER FEE.
*FOR SUBDIVISIONS/RECOMBINATIONS AND OFFSITE PROPOSALS A FINAL PLAT OR PLAN,APPROVED BY PENDER COUNTY PLANNING
AND ZONING,MUST BE SUBMITTED WITH THE APPLICATION. OTHER DOCUMENTS,AS APPLICABLE,MAY BE REQUIRED.
■ CONSTRUCTION AUTHORIZATION SECTION
A CONSTRUCTION AUTHORIZATION IS NEEDED TO OBTAIN A BUILDING PZRMtT AND INSTALL A 86PTIC SYSTEM
❑CONSTRUCTION AUTHORIZATION (NEW CONSTRUCTION,EXPANSION,RELOCATION,REVISION) S250
❑CBNSTRUCIION AUTHORIZATION $500
I REPAIR EXISTING SYSTEM (NO FEE)
ALL PARCELS,EASEMENTS,DECLARATIONS,ETC.MUST BE RECORDED PRIOR TO ISSUANCE OF A CONSTRUCTION AUTHORIZATION.
■ ENGINEERED OPTION PERMIT SECTION #
❑ENGINEERED OPTION SEPTIC PERMIT(Up to 600 GPD) S 150
❑ENGINEERED OPTION SEPTIC PERMIT(Over 600 GPD) S300
■ WELL PERMIT SECTION #
❑ NEW PRIVATE WELL PERMIT(FEE IS$250+COST OF SAMPLING KIT) $320
If the well will save more than one puIpooe(example:drinking water supply AND geothermal),indicate so on page 1 under"Describe your project".
❑WELL REPLACEMENT PERMIT S100 ❑WELL REPAIR/ABANDONMENT PERMIT (NO FEE)
■ EXISTING SYSTEM AUTHORIZATION SECTION
*ONLY APPLICABLE WHEN THERE IS NO INCREASE IN WAST>ISLOW*
'Al EXISTING SYSTEM AUTHORIZATION(FIELD VISIT REQUIRED) $75
(Additions,Outbuildings,Upfita,Constructing or placing a new or used facility on a site with existing septic)
0 EXISTING SYSTEM AUTHORIZATION(IN-OFFICE AUTHORIZATION) $25
❑MOBILE HOME PARK SPACE RECONNECTION (PER SPACE) $100
SIGNATURE SECTION CEIVED
TOTAL AMOUNT DUE: $�✓1 RECEIPT# .
.iUN 1 7 2019
Make checks payable to:Ponder County Health Dapa►bnont
THIS APPLICATION MUST BE SIGNED BY THE CURRENT OWNER OF THE PROPERTY OR THE OWNER'S LEGAL We TO N, NC
ONLY ORIGINAL SIGNATURES(NOT FAXED)CAN BE ACCEPTED.
ANY CHANGES TO APPLICATION INFORMATION,SITE PLANS OR ACCOMPANYING DOCUMENTS WILL REQUIRE NEW APPLICATION
AND ADDITIONAL FEES ANY UNAPPROVED CHANGES MAY VOID YOUR PERMIT.
OPERTY OWNER OR THE PROPERTY OWNER'S LEGAL REPRESENTATIVE. I HAVE READ THIS APPLICATION AND
�
AUTHORIZE THE PCHD TO ENTER THE PROPERTY AND PERFORM THE SERVICE(S)REQUESTED.
' /OWNER(SIONATURE). I'L bATE: .3 D.
/ I p / 19
PCHD 02/12

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PROPERTY LINE OF THIS SURVEY S.
MAP, DEED, NOT SURVEYED LINE N
• NO PERMANENT POINT SET OR RECOVERED _, _ ___.......
it',"M','2„'P1• TYPICAL POINT DESIGNATIONS
O EXISTING CONCRETE MONUMENT _
■ NEW CONCRETE MONUMENT a NEW P. K. NAIL D�
O EXISTING IRON PIPE 9 EXISTING RAILROAD SPIKE
• NEW IRON PIPE ®NEW RAILROAD SPIKE -
® EXISTING IRON STAKE 0 EXISTING NAIL I -
•NEW IRON STAKE O EXIST!NG TACK
A EXISTING P.K.NAIL 49 NEW TACK
INN
JoHNIECCARVASON '° y,� RECEIVED.
REGSTERED um)st112VEYOR RD.L=131T F
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FAX 19101392.712T ;
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1 JOHNIE C. GARRASON
1DRAWING
S 'I 1 4O' 0' 50' jo0• N.C. Regis$,.tI . NO. L-1347 1 -4- NUMBER
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' MOIR COUNT iRf AUR zarminimer
IIINVIIIONICIPITAL WAVES 111104001
P.O.B 1909jButpw,NC38425
Tbiepihoee 910259-1293
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CRKI NALSYS18MOWNER: DATBDIB ALUID
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Irma REPS DAn_421/1a
MUM M NIL 94
RECEIVED
_ JUN 1 7 2019
DCM WILMINGTON, NC

4
Receipts for
Certilied4tail
(Staple Here)
1wu.y, LOiq
Date
'. -Prop tr LLC
A ceOnt'P ppo y Owner
TZ—
Mai g Address
City,State,Zip Code t,,yamt TM
Stre i t C t s
Ptrci1 OLJY�5 ' �j]r) T4C1
Dear Adjacent Property: aePc \J�na1r -21'S2-to
�This letter is to inform you that I, 1`� 4A' ave applied for a CAMA Minor
Property Owner ,�
Permit on my property at 3a b(�Dn ,in � �t/1
Propert Address City I 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 'o 0 350 ,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/DCM
127 Cardinal Drive Ext.
Wilmington, NC 28405
o ieera' apoLAA.1.at1
Property Owner J
3�1 R Dom
Mailing Address
u))1gyvrTton, i\ c. 018(4 ) 2-
City,State,Zip Code
RECEIVED
JUN 1 7 2019
DCM WILMINGTON, NC,

I. . •os a ervice
CERTIFIED MAIL° RECEIPT
p Domestic Mail Only
r1 r For delivery information,visit our website at www.usps.com°.
r FIIOUAY VARI NA► NC 27526
a Certified Mail Fee
D $ #3.5u 0406
Extra Services&Fees(check box,add lee as�! ) 25
❑Return Receipt(hardcopy) $ n n
M ['Return Receipt*lectronlc) $ $0. �W Postmark
n ❑Certitied Mail Restrictehtelivery $ $( 00 Here
• DAdult Signature Required • $ $0.OV
❑Adult Signature Restricted Delivery$
1 Postage
n $ $1.45
a Total Postage and Fees ci6/Cl4/2014
$7.75
Sent To Dom zroj,,
Street and Apt. o.,or 150 fox Pro. 1
Q -a 5 •
City,State,Z)Pz µa --- -- aft`— " S

A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service- -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
nportant Reminders: -Adult signature service,which requires the
You may purchase Certified Mail service with signee to be at:least 21 years of age(not
First-Class Mailn,First-Class Package Service®, available at retail).
or Priorty Mail®service. -Adult signature restricted delivery service,which
Certified Mail service is not available for requires the signee to be at least 21 years of age
international mall. and provides delivejy tithe addressee specified
Insurance coverage Is not available for purchase by name,or to)readdressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the •To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear a
certain Priority Mail items. USPS postmark.If you would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office"for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records.
3 Form 3800,April 2015(Reverse)PSN 7530-02-000-9047

Receipts for
Certified Mail
(Staple Here)
DJtk\L 4, wig
CI Ni Dn,vi s •ar''.
Adjacen Property Owner
114$05" qraockt ?oar`o1
maiiino Addritss J
Koc. l �QIY1t ��1 C aZ$-yS
City,State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, I' o , r+ Spa dh ave applied for a CAMA Minor
Property Owner •
Permit on my property at 7c ,in � OI
Property ddress City/To
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 -350- ,or by mail at the address listed below. If you wish to
Applicariil'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/DCM
127 Cardinal Drive Ext.
Wilmington, NC 28405
•
Z C)berg Spo ck.
Property Owner
3 co of R L.-1400vey oL4 t- 1>rNrt
Mailing Address
(.3A mi,n.cbn, �1C.a,$'f t 2,
City,State,Zip Code
RECEIVED
JUN 1 7 2019
CC.".1 WIL!!AINGTON, NC

1. . •os a ervice
CERTIFIED MAIL® RECEIPT
r Domestic Mail Only
rl r For delivery information,visit our website at yvws1.4rsps.com°.
ROCKY. MINT, NC 28457
✓ t
Certified Mail Fee
7 0406
$ $3.5i I Plate)
Extra Services&Fees(check box,add fee a �i 25
A ❑Return Receipt(hardcopy) $
7 ❑Return Receipt(electronic) $ $0.00 Postmark
D ❑Certified Mail Restricted Delivery $ :n.00 Here
j ❑Adult Signature Required $ $0•00
❑Adult Signature Restricted Delivery$1
1 Postage
$0.85
-9 $ 06/04/2019
Total Postage and Fees
$ $7.15 41
rA Sent To C Ie{ • vu Ce
Street and Apt.No.,or F 31)
City,State,ZIP+4� �li vzoc ?_w 1 , c rte

A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. LISPS®-postmarked Certified Mail receipt to the
A record of delivery(including the recipient's retail associate.
signature)that is retained bgZheFestat Service'"Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent
nportant Reminders: -Adult signature service,which requires the
You may purchase Certified Mall service with signee to beat least 21 years of age(not
First-Class Mails,First-Class Package Service®, available at retail).
or Priority Mail0 service. ' -Adult signature restricted delivery service,which
Certified Mail service is not available for requires the signee to be at least 21 years of age
international mail. and provides delivery to the addressee specified
Insurance coverage Is not available for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the •Tonsure that your Certified Mail receipt is
Insurance coverage automatically included with acepted as legal proof of mailing,it should bear a
certain Priority Mail items. ISPS postmark If you would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the maitpiece,you may request ` Certified Mail item at a Post Office-for
the following services: postmarking.If you don't need a postmark on this
•Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailplece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records.
3 Form 3800.And 2015(Reverse)PSN 7530-02000-9047

Date Date Check From Name of Vendor Check Check Permit Rct. #
Received Deposited Permit Holder Number amount Number/Comments
7/9/2019 Phyllis Lee and same PNCBank 768 $100.00 minor fee, 728 Bay Harbor Dr, TP rct.
Robert Spaulding Hampstead PnCo 8739
Jr.