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Home My WebLink AboutPN_20-21_ Maki i=�EUl_IvcL) DEC 072020 Issued by WiRO PN20-21 Pender County DCM WILMINGTON, NC - 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 Paul Maki authorizing development in the Estuarine Shoreline (AEC) at 88 Waterfront Circle, in Hampstead, Pender County as requested in the permittee's application, dated November 9, 2020, and received by DCM on November 10 2020. This permit, issued on November 30, 2020, is subject to compliance with the application and drawing dated and received by DCM on November 10, 2020 (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: Single-family residence with amenities. (1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated received by DCM on November 10, 2020. (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 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 C MA LOCAL PERMIT OFFICIAL this permit, require further written permit approval.All work must cease when this permit expires on: 127 Cardinal Drive Extension Wilmingto , C 28405-3845 December 31,2023 In issuing this permit it is agreed that this project is consistent with the local Land L��/fY Use Plan and all applicable ordinances. This permit may not be transferred to another party without the written approval of the Division of Coastal PERMITTEE Management. (Signature required if conditions above apply to permit) • . - • Name: Paul Maki Minor Permit# PN20-21 Date: November 30, 2020 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) 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, including but not limited to the house (including eaves), foundation pad, covered decking, etc. shall extend into the 30-foot coastal shoreline buffer. (8) The amount of impervious surface/coverage on this property shall not exceed 25% within 575 feet of the Normal High Water line. (9) 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. (10)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: )C 1 PERM ITTEE ,...., ROY COOPER fiiF MICHAEL S. REGAN BRAXTON DAVIS November 30, 2020 Paul & Mary Maki P.O. Box 1453 Hampstead, NC 28443 Dear Mr. & Mrs. Maki, Attached is CAMA Minor Development Permit PN 20-21 for work to be done at 88 Waterfront Circle, Hampstead in Pender County. An electronic copy has been sent to the Pender County Inspections Department. To validate this permit, please sign both copies as indicated for our records. Retain the orange copy for your files, and return the white copy to us within 20 days 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, ham ', • �� 6,A Anita M.Webb Permit Support 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 fe"*Lie T y2„ - Z1 rrrFravt c'r e i6k',de ^N 4->r Locality I ldPf Permit Number -21 . Ocean Hazard Estuarine Shoreline X ORW Shoreline Public Trust Shoreline RECEIVED (For official use only) GENERAL INFORMATION LAND OWNER-MAILING ADDRF,YSS Name ill L � f Address Fe &?( /h 5 3 — s City #fj✓1iffSTei}4 State WC- Zip 8yi/.5 Phone 9(d 6`r'`67 / Email P, XL C M/E1< i r93 r L_ .cor+ AUTHORIZED AGENT Name S74 .Address City State � Zip Phone Email LOCATION OF PROJECT:(Address,street name and/or directions to site;name of the adjacent waterbody.) • u%Atr r �e-o f,i ro e Z��2j//e' 4# S I7/f1I Ak yV5 DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) rt/e/ri Nowte As Pen e441-,vS SIZE OF LOT/PARCEL: /9., 7V square feet . a 9 acres PROPOSED USE: Residential ®/ (Single-family D Multi-family ) Commercial/Industrial Other � - COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer ifyou 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-bearing attic space) (2) COASTAL SHORELIJE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT UPON SURFACES:3/3 qsquare 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.) STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State RECEIVED Stormwater Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)? YES NO NOV 1 0 2020 if yes,list the total built upon area/impervious surface allowed for your lot or parcel: square feet. DCM WILMINGTON, NC F w ,.e7)/so hAle "/ 5 x /1/. _J-44 sac/ / t'A/eZe4. iS -e , c/ji. to'Air fvn rvi ass 7-0 &oPt QI /A70 de; my'i. Sze f )4,( 44,4/e CfeJ - 7. � ��l / Z¢/l, RECEIVED NOV 1 0 2020 DCM WILMINGTON, NC tiyy?'o 1� F�Top1 N PROPOSED WATERFRONT CIR 40., (2)17 WIDE (45'PRIVATE RN) ti f 1 O�/ a GRAVEL C.C. °R SIT DRIVEWA N=222584.50 Q- E=2396014.88 �r'F` YfoRQrY NAP(NTS) EIR N48°05'08•E R' • ' S sl EWi . ..EIR; — i4.91' —- S46°OT79'W:75.04' $Mr T— — — — ..:■,■ bbo NOTES ®0 ® 15 l �Q 1 N 1.THIS SURVEY IS OF AN EXISTING PARCEL OF C.C. 1 J _ LAND. N=299514.40 —25.0'-1-- 2.SUBJECT TO RESTRICTIVE COVENANTS, E-2395956 80 W PORCH 15' Z EASEMENTS OF RECORD,ZONING ORDINANCE,8 01 F UNDERGROUND UTILITIES,IF ANY. 5.0' ;. 3.NO TITLE SEARCH BY SURVEYOR. .7 h P s 4.REFERENCES;MB 95,PG 98 5.FLOOD ZONE:X,AE 12 8 VE-14,COMMUNITY A PANEL 3720-329200-J,EFFECTIVE DATE 2/18i1)7 b FLOOD ZONES SCALED FROM FIRM MAPS PROPOSED 4-- 8.ZONE:PENDER COUNTY RP LOT 43 T RESIDENCE T SETBACKS:FRONT-15',SIDE-5',REAR-12.5' (BASED ON LOW-IMPACT STORMWATER DEVELOPMENT PER MB 95,PG 98) 7.THIS PROPERTY IS LOCATED ADJACENT TO AN FLOOD ZONE X ni LOT 41 OUTSTANDING RESOURCE WATERS(ORW)ZONE, .__ - - AND IS ENTIRELY WITHIN THE 575'AREA OF ENV1ROMENTAL CONCERN. FLOOD ZONE AE-12 A. 12'PORCH - - -'._- 8.FIELD DATA COLLECTED 8-24-20 1 - FLOOD ZONE VE-141 - - - - ��--- s''0y al t. �P� -LEGEND- *Q� O A� f SIR-1/2'Set Iron Rod 4'OAK QQ�. EIP-Existing Iron Pipe N. EIR-Existing Iron Rod b Q\,..43 CP-Calculated Point ("' C? - CO-Sewer Cleanout v WM-Water Meter EB-Electric Box -�-_ COASTAL BUFFER RAN-Right-of-Way DB-Deed Book S42,00,38,E EIR --'-'t MB-Map Book 19.91 R PG-P EB-Existing Electric Box -N42" 1'4' -Existing Lightpole CP OP CP f 19.8T MBL-Minimum Building Line - — — — '8'99'E 47.38 Sunsyed -Property Line _ _ N49°15'41'E ArPRROX _MEAN-JOH WATER CP - -Property Line 3.34' -- __ _ Not Surveyed N51.11 RECEIVED 24.86' IMPERVIOUS CALCULATIONS: N(N 1 0 2020 PROPERTY INFORMATION: LOT AREA-12,745 SF(0.29 AC) LOT AREA WITHIN 575'AEC-12,745 SF OWNER:WU INVESTMENTS,LLC PROPOSED BUILDING-3,134 SF 30GREGORYRD SUITE i DCM WI_MINGTON, NC PROPOSED GRAVEL DRIVEWAY-0 SF BELV GC 2SAL1 TOTAL IMPERVIOUS COVERAGE:3,134 SF LOT AREA:4 PB 95,PG 98 SALTERS HAVEN AT LEA MARINA :0.41 AC. PERCENT IMPERVIOUS-24.6%(MAX 25% PIN S3292-80-0449-0000 NORTH CAROLN IN 575'AEC) MINDEN COUIfTY GRAPHIC SCALE IN FEET 30 15 0 30 60 LL I,WESTON LTA ,rworoMm►oL LAND wNVEYCR Nu4OSo1 L. u I L-4474,COMM MAT TINS PLOT PLAN WAS DRAWN MOOR WY SNPONNINILL MOM AN ACTUAL OPTS SURVEY WADS USWNS NY SUinNaTOLI 011AP SOON 7 PASS SO)AND TIE POL LOWING NIPOEWATiON WAS USED TO PELrOWI@ Till SUOVEn CLASS OP SUNVEYi St poornoeuu.ACCtMl SOS D11q TYPs OP M PRIUMIMANY PLOT PLAN POR MELD RLOCCO NND VSSN 1ISPM DATUM NADIS SOOT,NAVOS% °a°D MOIL;SNOW 074 DOWwLED OINDAR NIhP T PAUL MAKI ...Ts,US SUNSET PINT. .`N CRp'gi, /J �'C l��1 4�, LOT 42,SALTERS HAVEN AT LEA MARINA 'V• F Y', s HAMPSTEAD,NC R3:OCT 26,2020 2 QQoSEA4 % PENDER COUNTY R2:OCT0SER 21,2020 SOMA 1•r 40 L L-4438 TOPSAIL TOWNSHIP,NC SEPT 9,zezo �,,� WESTON LYALL, PE, PLS, PLLC Ti AL/ 1/11/1 •$ 1„r s;*1 v� _ 214 TS --- 1-N SUITS 1 W_ N LYALL t y �Pii MOLLY MOSS,NO 2•44s REGISTRATION NYLrNA L�42a ,,�'LNLNLN%%1,�, STRUCTURAL&^„NFL ENEG1!NEERING&LAND SURVEYING '91-1' O FACTORY R sk //164(11-4 * ul \\,.,,%.. 7c(, O "71- ,p WAWATERFRONT CIR �� O °��ti ct (45' PRIVATE R/W) N 222584.50 Ili oR SITE E=239601.681 I '. BOC ELEV.16.4 ( I I S� x \& LEvtIl VICINITY MAP(NTS) E^IRn N48°05'09"E EIR 5'SIDEWALK EIR / 11 "-V 74.91' �o o o S48°07'19"W 75.04' / III~ — — — W M ,,/ 1 B❑❑ ( III/ ER❑ EB I I 1 C.C. \ III it - NOTES - N=222534.40 \V`_II,III 1.THIS SURVEY IS OF AN EXISTING PARCEL OF LAND. E=2395958.80 II`I 2.SUBJECT TO RESTRICTIVE COVENANTS, r - II I EASEMENTS OF RECORD,ZONING ORDINANCE,& 30' MBL II I I UNDERGROUND UTILITIES, IA I 1 IF ANY. \\ �I�V� 3.NO TITLE SEARCH BY SURVEYOR. 4.REFERENCES;MB 95,PG 98 \ \\\ o �� 1A\ I I 5.FLOOD ZONE:X,AE 14&VE-14,COMMUNITY \ \ i� \ IIII V I PANEL 3720-329200-J,EFFECTIVE DATE 2/16/07 \ \ �� \ II I FLOOD ZONES SCALED FROM FIRM MAPS \ \ � W �� 1'\ Z IIIIIII\ I 6.ZONE:PENDER COUNTY RP \ \ \ cn o \ 1 61h \I SETBACKS:FRONT-30',SIDE-10',REAR-25' \ \ \\ \p i� \ (Pi III 4 I 7.FIELD DATA COLLECTED 6-24-20 co r- \-_�_-IIA I \\\� fi 3\m 16 i-i'PLOOD ZONE X Q jl t.¢T 41 \ - _ _ _ \\\\�' "'l 15 E�QO_D_ZONE AE-14 —!� ��VI O \\\\ �`--4LOOD ZONE VE-14 \� \I �P� \ _ \ \\ \\ " -j -75-AE$ \ �P \, 1 I 1\� I 0�.�` .\ \\\ -T 12 -_-- \ � \\ \ ?1 1►-f �I \I O� �' - LEGEND -�\\ �__�__ 11 - \ \ \ ; 1 1 I v C, SIR-1/2"Set Iron Rod •. \\ L---i-i-o----� \ �� 1, 1 I 1 \� v EIP-Existing Iron Pipe \ \ \ ; \\ \` �,_ - 1) ) I I II v EIR-Existing Iron Rod __-�_ ` / I CP Calculated Point • ; 9---�`` '-;' I CO-Sewer Cleanout �----i_8 _— —i-i� ) WM-Water Meter \ I �— __ + �� ) EB-Electric Box '� .� \� ��=—L=—�O ,A�1 i��-- — R/W-Right-of-Way ___-- _ �Z // DB-Deed Book S42`(,08':E O ---7::::- -' _ . MB-Map Book 1'9,�9�1�� _-- ---------- '�E PG-Page \ ��_---_------- / - - EB Existing Electric Box .--------- ---�� 42°01'40"W LP-Existing Lightpole _ — N CP CP CP-------- 19 87' MBL-Minimum Building Line — — - _ N54°58'3 ��J Surveyed Line N49°15'41"E gPPROX MEAN HIGH WgTER CP - - Property Line Not Surveyed 3.34' N51°11'32'E 24.65' RECEIVED NOV Q /l� PROPERTY INFORMATION: 1OWNER:WLI INVESTMENTS,LLC 30 GREGORY RD SUITE 1 DCM WILMINGTON, NC BELVILLE,NC 28451 LOT 42,PB 95,PG 98 SALTERS HAVEN AT LEA MARINA AREA:0.41 AC. PIN#3292-60-0449-0000 NORTH CAROLINA OTHER PERMITS MAY BE REQUIRED:The activity you are 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,Heating 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 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 MI74_ !( " "Ji /1 / Y � f see Deed Book .�� / / page 3 t in the .Q)t./M' eX 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 are owners of properties adjoining this property. 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) P o Y (1,1-P e 41r k (I) 16 .RKAND fekgi NI a F,I/ rt4,1;4 f 40/�<<sr e R/ ; 7,57_,F Le id(2) �i,y ruL a., eY A41it:� cres ) eei.4R code f1#u-e for (3) Cg4041e AG?c /TX -met/ (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 'iformation related to this permit application. q ��'(/�G This the day of ., A 6 - 64ed e 7111k Landowner 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 necessaiy, 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 sonlves are incorporated without reference in any permit which may be issued. Deviation from these details will constitute a D any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative R NOV 1 0 2020 DCM WILMINGTON, NC • Developer-installed fences abutting owner's property must be maintained by the Owner. • The use of brick pillars is recommended. • If fencing encroaches on utility or maintenance easements it will be the homeowner's responsibility to replace the fencing if it must be removed to access the easement. • Invisible pet containment fencing is permitted without approval Article IV 4.01 Building Setbacks,Min. SF,Max Impervious The ARC would like to see the following setbacks maintained: Front—20' Side—5' Rear—20' Marina Rear—40' Max Height—40' Setbacks should be maintained from the property line, not edge of curb. No structure or accessory structure including but not limited to: HVAC, shed, pool, equipment screening, patio, outdoor amenities, stairs or any other structural member should encroach these setbacks, unless otherwise approved by the ARC. Driveways may encroach the side setback up to 3' from the property line. The minimum heated square footage requirement in Salters Haven is 1600 sq. ft. for one story with a minimum of 120 sq. ft. front porch space; and, 2000 sq. ft. for two store with a minimum of 48 sq. ft. of front porch space. In accordance with Stormwater permit number SW8 190103 the allowable impervious surface area is as follows: Lot Number Built Upon Area Lots 1-37, 75-119 6500 sf Lots 38-54 4200 sf Lots 55-65, 68-74 4500 sf Lots 66-67 5000 sf e/ RECEIVED NOV 1 0 2020 ARC Design Guidelines 16 DCM WILMINGTOIV, NC October 6, 2020fi tfr 1,1 I J C (1-6 Jason Dail ll Field Representative DC NC Department of Environmental Equality NC Division of Coastal Management Dear Jason, Thank you for all your help please find CAMA permit application for 88 waterfront circle Hampstead Lot#42 Pender County Building permit number RBLD-1044. Thanks again. Warm Regards, Paul Maki jar4eT /AJFor/14-T/0 - /7 A/ttiti r AR c itoKi f xv✓1/G pder e ,cr/ g 4,9 TT r ) r 5 LA -/oy RECEIVED NOV 1 0 2020 DCM WILMINGTON, NC The AEC Allocation of Impervious Cover in the 75' Coastal Shoreline AEC (to the extent of the ORW AEC) is as follows: Lot# 575°AEC 75°AEC 30%of AEC Impervious 30%CAMA AEC Buffer Restricted Restricted Limit(built between 30' (SF)(No disturbance and 75' AEC setbacks) within buffer area) 18 Y 19 Y 37 Y 38 Y 39 Y 40 Y 41 Y Y Y 42 Y Y Y 43 Y Y Y 44 Y Y Y 45 Y Y Y ' 46 Y Y Y 47 Y Y Y _ _ _ _ 48 Y Y Y 49 Y Y Y 50 Y Y Y 51 Y Y Y 52 Y Y Y 53 Y Y Y 54 Y Y Y 55 Y 1.632 Y 56 Y 1.620 Y 57 Y 1,620 Y 58 Y 1,620 Y 59 Y 3,064 Y 60 Y 1,733 Y 61 Y 1,733 Y 62 Y 1,733 Y 63 Y 1,733 Y 64 Y 1,456 Y 65 Y 568 Y • 66 Y 1,575 Y 67 Y 2,861 Y 68 Y 1,853 Y 69 Y 1,688 Y 70 Y 1,688 Y 71 Y 1.688 Y 72 Y 1.687 Y 73 Y 1,189 Y 74 Y 468 Y 6A-er2-el, RECEIVED /v.) � 4.02 Variance 7 � / NOV 1 0 2020 ARC Design Guidelines 17 DCM WILMINGTON. NC BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 88 Waterfront Circle City State ZIP Code Company NAIC Number HAMPSTEAD North Carolina 28443 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Photo Three Photo Three Photo Three Caption Photo Four � �/,�/) LiU1 G/ AIs�� /PP rJ yU / RECEIVED NOV 1 0 2020 C DCM WILMINGTON, NC Photo Four Photo Four Caption Clear Photo Four FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit. Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 88 Waterfront Circle City State ZIP Code Company NAIC Number HAMPSTEAD North Carolina 28443 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and 'Rear View"; and, if required, "Right Side View"and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Photo One Photo One Photo One Caption Photo Two ,reSS.7.1°. /11 RECEIVED NOV 1 0 2020 DCM WILMINGTON. NC Photc Two Photo Two Caption FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 5 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 88 Waterfront Circle City State ZIP Code Company NAIC Number HAMPSTEAD North Carolina 28443 SECTION G—COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE) or Zone AO. G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. G4, Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor(including basement) of the building: ❑ feet ❑ meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) • Afft) tATi U 00:5"-.6 'A, • 1 ' RECEIVED NOV 1 0 2020 DCM WILMINGTON, NC ❑ Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 4 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 88 Waterfront Circle City State ZIP Code Company NAIC Number HAMPSTEAD North Carolina 28443 SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A(without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG)and the lowest adjacent grade (LAG). a) Top of bottom floor(including basement, crawlspace, or enclosure) is ❑feet ❑meters ❑above or ❑below the HAG. b) Top of bottom floor(including basement, crawlspace, or enclosure) is ❑feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage (top of slab) is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or ❑below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A. B, and E for Zone A(without a FEMA-issued or community-issued BFE)or Zone AO must sign here. The statements in Sections A, B. and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments L) n f„QIY /1 Iq:fRECEIVED NOV 1 0 2020 DCM WILMINGTON, NC ❑ Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 3 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30,2022 IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit. Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 88 Waterfront Circle City State ZIP Code Company NAIC Number HAMPSTEAD North Carolina 28443 SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑x Construction Drawings' ❑Building Under Construction' ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE), VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,ARJAO. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters. Benchmark Utilized: WA Vertical Datum:Geoid 12A VRS RTK GPS Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor(including basement,crawlspace, or enclosure floor) 16.2 ❑x feet ❑ meters b) Top of the next higher floor 26.7 ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A 0 feet ❑meters d) Attached garage(top of slab) N/A 0 feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) N/A ❑ feet ❑ meters f) Lowest adjacent(finished)grade next to building(LAG) 15.5 ❑x feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 16.5 ❑F feet 0 meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support ❑ feet .❑ meters SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer, or architect authorized by law to certify elevation information I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? El Yes ❑No 0 Check here if attachments. Certifier's Name License Number Weston Lyall L-4438 Title 0oisisstseset Owner/PLS � .+O Company Name 7 r' y Weston Lyall,PE, PLS, PLLC e -�. . I - Address Z tryL o= ` 214 Highway 17 N. Suite 1 'h. City State ZIP Code �'�. tir' �� Holly Ridge North Carolina 28445 **'••` bN Cd,r .. -ehnuus" Signature Date Telephone Ext. 1141 09-08-2020 (910)329-9961 Copy all pages of this Eleva n Certificate and all attachments for(1)community official, (2)insurance agent/company,and(3)building owner. Comments(including type of equipment and location,per C2(e), if applicable) This elevation certificate is per construction drawings by others. Final elevations to be determined with final elevation certificate. Sections B8&B9: Information noted is the effective flood zone. The flood zone will be change to AE 13 flood zonFEMA flood map. Section C2 f&g: Ground elevations are estimated/prorated. 1 . 47/1i NOV 1 0 2020 A/ILMINGTON, NG FEMA Form 086-0-33(12/19) Replaces all previous editions. DCM WILMING (3 2 of 6 U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2022 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for(1)community official. (2)insurance agent/company, and (3) building owner. SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: PAUL MAKI A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 88 Waterfront Circle City State ZIP Code HAMPSTEAD North Carolina 28443 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PIN# 3292-60-0449-0000 A4. Building Use (e.g., Residential, Non-Residential,Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat.34-21-15.28 Long.-77-41-17.21 Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 B A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in d) Engineered flood openings? ❑ Yes ❑ No A9. For a building with an attached garage: a) Square footage of attached garage sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grac c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes ❑ No SECTION B—FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name &Community Number B2. County Name B3. State .PENDER COUNTY 370344 Pender North Carolina B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 3720329200 J 02-16-2007 02-16-2007 AE 12 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: RFCEIVED B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area (OPA)7,, Yd 211 No Designation Date: ❑ CBRS ❑ OPA DCM WILMINGTON, NC FEMA Form 086-0-33 (12/191 Replaces all previous editions. Form Paae 1 of 6 Receipts for Certified Mail (Staple Here) Date -/ rf)01 ey L o! Adjacent Proeerty ner / ''7 / S e' 4ie Cove c r z P MaiMaip Address deg734 #7.3-ley City,State,Zip Code Dear Adjacent Property: This letter is to inform you that I, PAHL Ri✓J 67*K/ have applied for a CAMA Minor Property Owner ll Permit on my property at gy A A-rer ;f rek C/r e -f ,in l7 /M iTP,t) Property Address City/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 ek �6 V' 6 Y J7 ,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 P4-1/4-- MA rl Property Owner 6 . 66 x /v. --5 Mailing Address //A JAI City, State,Zip Code �/,/,�� er g � RECEIVED UU / NfV 1 0 2020 DCM WILMINGTON, NC 10/6/2020 IMG_4544.png ■ AT&T S 8 AM 4r, ST: Done 40f4 ADJACENT RIPARIAN PROPERTY OWNER STATEM€NTT FORA ,MINOR PEP/MI'1 S .:,u. 9°�'.".'eR.^_T�z"4 h"?A':�_T�k""' ♦. c.. ,._.B.:S:;,.._SN YANIp@5'.<p;':;;... :a-;.... ...,...:..:. •!•••6G.—.1.91, �.ST i•' Tp.d.^w:.i`. K L 4/0/ AAA( /O'Alt CMs' fug forA.-7r�epZ.;a ::w-zer+.•r:.tSca,'--;.aar r.r t.6..[°ae►rmiea.—mrI:'Is T'8s ..41a t,Pt,....Ma FOYSQ',I.!P a kaationarait Z. • • • RECEIVED • .aim*. NOV 1 0 20211 DCM WILMINGTON. NC https://mail.google.com/mail/u/1/#inbox?projector=1 f c AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION -I� Name of Property Owner Requesting Permit: I trt/l. f(i Mailing Address: get. / y s Phone Number: 9/0 - 7 7 Email Address: PAM r? Mk/( � /f.'3 L�1(4i4/L I certify that I have authorized P,It 11- C-/1/14'/<'je G L , 'Y� �C.L '/_ Agent/Contractor /'e)tie1",gL C Ow7 TX to act on my behalf, for the purpose of applying for and obtaining all CAMA permits / necessary for the following proposed development: SALT (t", /-f{,/e/ at my property located at /, ? t��= <Cl� (/12 L e in Ogia County. l 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: rx4 i Signature et_� /644 Printor Type Name Title IOiI /1W q 2 '2I Date RECEIVED This certification is valid through / / t'•'',,v 1 0 2020 DCM WILMINGTON, NC ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMA MINOR PERMITS s . OL 4-70.14 -10 �i� :• i hereby certify that i own property adjacent to G (Name of Property Owner) { -4 r gD Gtl ee t'TO G/r�L e ,� property located at r'd kw,A:• � (Address, Lot, Block,Road,etc.) on ��T Co4s'9 J L{j}f(j'f�✓, n Pender County, N.C. (Waterbody) he/She has described to me as shown in the attached application and project drawing(s),the development he is - f r{ _ proposing at that location, and, I have no objections to his proposal. (APPLICATION ANb DRAWING OF PROPOSED DEVELOPMENT ATTACHED) 9 Signature Irk M1 Print or Type Name Telephone Number Dat I • • i Mgt � e• � ° 3 �t� x.,b � � f.Y- ri:� r'-.; .. y�4A x .X ky Receipts for Certified Mail (Staple Here) Date nm 7�T"T/ M Adjacent Property �er r R o y �,� X ,) oT 9/ Mailing Adr 2 v , 757i City,State,Zip Code Dear Adjacent Property: }l This letter is to inform you that I, ` 4 yL�f r/ / /��, have applied for a CAMA Minor Property Owner ,p Permit on my property at ?t (44 7 r F OJV7- C/JCL , in Pe,ole , Property Address City/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 9/D—gt4-6/77 ,or by mail at the address listed below. If you wish to Applicants 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 &We ierAic/ Writ �/'/ Property Owner f 0. , ex Mailing Address thA . sre4A , AJC a � City, State,Zip Code ---7019941hei /: 241' RECEIVED NOV 1 0 2G DCM WILMINGT' F `ANY \\_\... .. ........._\ _ _ "45',,,,, • } l', T. PROPOSED WATERFRONT CIR 12 WIDE °"F GRAVEL (4b PRIVATE RIC C.C. �r SIT DRNEWA 7.50 4.08 �0EM rr TNEIRrN480509E dR• aatto .pr • �J 74.91' ��6 : 8w0P1 eft 7i0 ' ) -NOTES- ® IN :::::: is lhall{:J. g 1 THIS SURVEY IS OF AN EXISTING PARCEL OF C.C. ( •:'"-` LAND. Ns222534.40 4•-II •• :'••'•:f•:•-:!-25.0.4_ 2.SUBJECT TO RESTRICTIVE COVENANTS- E-2996958 80 0 �.: •• •"'1'. EASEMENTS OF RECORD,ZONING ORDINANCE,8 �.:�� : q UNDERGROUND UTILITIES,IF ANY. 5.0'--- 3.NO TITLE SEARCH BY SURVEYOR. 2•=h 4.REFERENCES:MB%.PG% .: 5.FLOOD ZONE:X,AE 12 8 VE•14,COMMUNITY :it PANEL 3720-320200-J.EFFECTIVE DATE 2118107 PROPOSED b FLOOD ZONES SCALED FROM FIRM MAPS 1 8.ZONE:FENDER COUNTY RP LOT43 T RESIDENCE _ (BASEDSETBACKS:FRONT-I SIDE-5EA ONLO�Ar MPACTSTfiR 12.5' DEVELOPMENT PER MB%,PG 98) 7.THIS PROPERTY IS LOCATED ADJACENT TO AN OUTSTANDING RESOURCE WATERS(ORW)ZOtE, FLOOD ZONE X LOT 41 AND IS ENTIRELY WITHIN THE 575 AREA OF �— �.'�": __,-� -:, ENVIROMENTAL CONCERN. FLOOD ZONE AE-12 V 12 PORCH . — — 8.FIELD DATA COLLECTED 624-20 — —FLOOD ZONE VE-14el -LEGEND- Fe 4 O ,.1` Of SIR-1/2'Set Iron Rod EIP-Existing Iron Pipe 4'OAFC ` EIR-Existing Iron Rod p QO CP-Calculated Point c9 / CO-Sewer Cleanout v WM-Water Meter EB-Electric Box ---_ COASTAL B(J� R/W-R19M-of-Way _ DB-Deed Book S42'DD'38'E O �— MB-Map Book 19.91`� NEIR PG-Page EB-Existing Electric Box --1442'01'401W LP-Existing Lightpole CP CP CP 19.8T MBL-Minimum Building Line — — — _ 'E 47.38, Property tLine Surveyed�MOXMEAN HIGH N49'1541E- GWAS CP -- — ._ -Property Line 3.34' \ -- - Not Surveyed N51'11'32'E-\ 24.05' IMPERVIOUS CALCULATIONS: I PROPERTY INFORMATION: LOT AREA•12,745 SF(0.29 AC) LOT AREA WITHIN 575 AEC-12,745 SF OWNER:WLI INVESTMENTS,LW PROPOSED BUILDING-3,134 SF 30 GREGORY RD SMITE I 461 PROPOSED GRAVEL DRIVEWAY-0 SF BELV 95, NC 2t PG fiB S ALTERS LOT 42,PB% TOTAL IMPERVIOUS COVERAGE:3,134 SF TERS HAVEN AT LEA MARINA AREA 0.41 AC. PERCENT IMPERVIOUS 24.61%(MAX 25% PIN*3292-80-0449-0000 ISORMN 04111011.111A IN 575 AEC) !MOM COUSIN GRAPHIC SCALE IN FEET x 15 0 30 so I.OOOIMCO LYML.-OO PONNOMIL LoaOlt MMOMOO MOM LAM,f»711MT TOOL PLOT K C MO OMNI ION NY MWOOUO1100 NNW AO A/1OAL!O UMW I MOO WW NY 11411 O SNP OOOO;7 PMOO Ml♦MIS 1111110shollioll OOOO111INTLON WY VOID 110 1111000101 TOO MOOORY OLAM OF tOMO1 A POO MOOML AO01MO07.0M M/TTlO CO OM PINILININANY PLOT PLAN PON t•O ousimum111111MOOPOI WOW,WS$VOW,MMus% MOO MOOY OMD M O011OOM M 7OM MOO WO SOMPOV NEL PAUL MAKI N CARpI LOT 42,SALTERS HAVEN AT LEA MARINA 'v/�/ HAMPSTEAD,NC 2 aq.' 41-N. PENDER COUNTYRI:oct:a 2020 SEAL rm ocroarw Z,,ama ! �t�'r TOPS IL TOWNSHIP,NC %*T°,2030 L-a o¢ WESTON LYALL, PE PLS, PLLC 14-it cod //ti 't -...... 11.8T 7 you Lin 1•111 I 1b IEW 11�LTT1011 INNINE L-44SS ;~'/�a4n„%%%.`�� STRUCTURAL.s BIC* bQL ND SURVEYING "r4.3-IHa9 ww,.CunemGtycgyR ,..: MARY MAKI - ` PAUL MAKI 8619/530 1122 Eventide Blvd. 3006 Wilmington, NC 28411 e Oczt /�`a�_?mil is C A Pa 2) - „7- $ 'aa _ BANK OF AMERICA ACH HIT ,30000196 u 000651499617n' 3006 —_.—___ m. ilil NC Division of Coastal Management Cashier's Official Receipt 7 7 5 A B • Date: /1- ( O 20 Received From: fl (/�,� c" It 1 a t( $ /L ��-- Permit No.: t ( Check Now Applicant's Name: l County _-(1 L_____C± --, �-�Project Address: ritl:fC(-7-1,-11.. 16-' - (r7 / Please retain receipt for your records as proof of payment for permit issued. Signature of Agent or Applicant: Date: Signature of Field Representallyw I Date: c. 4: /OW 2 w4Tlre-Frot- Cur 46 AT/�e iiev l�A-m R-- IUD ►J QQ 6 ,6 r./ y Locality Permit Number � Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline O � rCE'V (For official use only) K GENERAL INFORMATION LAND OWNER-MAILING ADDRFSS Name l Al/L A41- I — Address 0 6"3 Cit ✓lf %Pl}/J State /�C� ZiIFS`�y=j Phone y � Email PAHL C Mir/Kr 715- 9N44,L .GC/44 AUTHORIZED AGENT Name g:// -- .Address City State Zip Phone Email LOCATION OF PROJECT:(Address,street name and/or directions to site;name of the adjacent waterbody.) LtrlAr / Fe-r 4411s-7-77fI Y DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) /Ve crude As Perit(a ni ?c square '1 SIZE OF LOT/PARCEL: ig, ?y- feet . A acres PROPOSED USE: Residential [f�.."' (Single-family❑ Multi-family ❑ ) Commercial/Industrial ❑ Other [] COMPLETE EITHER(1`OR(2) BELOW(Contact your Local Permit Officer if you 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-bearing attic space) (2) COASTAL SHOREL1J4E AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT UPON SURFACES:3/3 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.) STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State RECEIVED Stormwater Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)? NOV 1 0 2020 YES NO If yes,list the total built upon area/impervious surface allowed for your lot or parcel:_`___ square feet. eWILMINGTON.NC NC Division of Coastal Management 10 3 0 9 ABC D Cashier's Official Receipt lill.III:::im /� , ' , Date: r 1 1 20`� vVW f� q 1>Vv1 L �. 1 Received From: - t v` $ Jj� Permit No.: I Check No.: ✓12 y" `. 1, Applicant's Name: VG'""" County: Project Address: CA \NS2i k Giv v r , kwybittua, Please ret -ceipt for your records as proof of payment for permit issued. Signature of Agent or Applicant: Date: il i -y)?-1) Signature of Field Representative: A. aLAA ' Date. Iiill NC Division of Coastal Management Cashier's Official Receipt A /err_11775 Date: O 20- Received From: 'F{A/111 ` (14 /1/ 4�1 $ //9 Permit No.: Check No.: k t1 �/ Applicant's Name: County: `1 F ,1444-1-rP-14 1- 6:kr4._ ri ivy jere,t4 Project Address: Please retain receipt for your records as proof of payment for permit issued. Signature of Agent or Applicant: Date: Signature of Field Representative: Date: Date Date Check From Name of Vendor Check Check Permit Rct. # Received Deposited Permit Holder Number amount Number/Comments 11/10/2020 Paul Maki same Bank of 3006 $100.00 minor fee, 88 Waterfront Cir Dr, TP rct. America Hampstead PNCO 10309 T