PN_21-11_ Stafford

Issued by WiRO RECEIVED PN21.11
Pender County Permit Number
ill i
LAMA DCM WILMINGTON,
MINOR DEVELOPMENT
PERMIT z _ !�
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 Marian and Richard Stafford authorizing development in the Estuarine Shoreline (AEC) at 76 Watchpost
Place, in Hampstead, Pender County as requested in the permittee's application, dated May 14, 2021, and received by
DCM on May 18, 2021. This permit, issued on June 7, 2021, is subject to compliance with the application and drawing
dated and received by DCM on May 18, 2021 (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.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on May 18,2021.
(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
December 31,2024 Wilmington, NC 28405-3845
In issuing this permit it is agreed that this project is consistent with the local Land C5
i . /�
Use Plan and all applicable ordinances. This permit may not be transferred to 1''�U
another party without the written approval of the Division of Coastal PERMITTEE
Management.
(Signature required if conditions above apply to permit)

Name: Marian and Richard Stafford
Minor Permit#PN21.11
Date: June 7, 2021
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. In this case, and according to the application package, 2,819 sq. ft. of built upon area is
authorized on the subject property.
(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 G\- • (- DATE: 6 z
PERM ITTEE

;ate �;.
ROY COOPER 0; ' "
Governor
JOHN NICHOLSON .
Interim Secretary
BRAXTON DAVIS NORTH CAROLINA
Director Environmental Quality
June 8, 2021
Marian & Richard Stafford
104 Kemp Road East
Greensboro, NC 27410
Dear Mr. & Mrs.Stafford,
Attached is CAMA Minor Development Permit PN 21-11 for work to be done at 76 Watchpost Place,
Hampstead in Pender County. An electronic copy has been sent to the Pender County Inspections
Department and your Agent.
To validate this permit, please sign both copies as indicated for our records. Retain the gold 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,
(inlia ji74._.saiiiii4,
Anita M. Webb
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRO files
PN Inspection Dept.
Goodrich Architecture, P.A. -Agent
vf/
Q? NorthWil CarolinamingtonOffice Department
Cardinal of EnvironmentalDrive Quality I Divisionlmington,oNorthf Coastal
Caro Management
NNORMCN CU D_E
na
wAr.eaam—I-Q..w� /S 910.796.7215

Locality 140_t►'lp 5-L1 Permit Number
PH /H- I1
Ocean I lazard Estuarine Shoreline Y• ORW Shoreline Public Trust Shoreline Other
(For(*ciul use only) RECEIVED
GENERAL INFORMATION
MAY 18 2021
LAND OWNER-MAILING ADDRESS
Name Marian & Richard Stafford DCM WILMINGTON, NC
Address 104 Kemp Road E.
City_Greensboro State NC Zip 27410 Phone 336_669.0483 1336.399.5925
Email [e-mail] I [e-mail]
AUTHORIZED AGENT
Name Goodrich Architecture, P.A.
Address 3142 Wrightsville Ave.
City Wilmington State NC _� Zip 28403 Phone [phone]
Email [e-mail] •
LOCATION OF PROJECT: (Address,street name and/or directions to site; name of the adjacent waterhody.)
76 Watchpost Place, Hampstead, NC 28443- Lot 54 of Salter's Haven,Topsail Township,
Pender County- Intracoastal Waterway
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
New construction of a single family, stick-framed residence, Drive & walkways
SIZE OF LOT/PARCEL: 11,323 square feet 0.26 acres
PROPOSED USE: Residential ® (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 IIAZARD 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: 2,819 square feet(includes the arca of the foundation of all buildings,driveways,covered decks,
concrete or masonry patios,etc.that arc within the applicable AEC.Attach your calculations with the project drawing.)
STATE STORM WATER MANAGEMENT PERMIT: Is the project located in an arca subject to a State
Stormwater Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)?
YES X NO The lot is in Salter's Haven which has an existing Stormwater permit (Permit No. SW8 190103)
If yes, list the total built upon arca/impervious surface allowed for your lot or parcel:_(25%) 2,832 square feet.

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,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)
X_an owner or record title,Title is vested in name of Marian & Richard Stafford
see Deed Book 4724 page 2701-2703 in the Pender 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 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)
(1) Mark Robert Blecher 368 Whisper Park Dr., Wilmington, NC 28411
(2) Alfred Stewart 326 Scottsdale Dr., Wilmington, NC 28411
(3) Salters Haven Yacht Club, Inc. 60 Gregory Rd., Belville, NC 28451
(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 lam 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 14th _ day of May ,20 21
Landowner or p rson authorized to act as his/her agent for purpose of filing a CAMA permit application
This applicatiouu 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 44E0Enelise 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 culeyisrgilTilion.
DCM WILMINGTON, NC

Locality Permit Number
. Ocean Hazard Estuarine Shoreline ORW Shoreline Public"Trust Shoreline Other
(For eider!use only) RECEIVED
GENERAL INFORMATION MAY 18 2021
LAND OWNER-MAILING ADDRESS
Name Marian & Richard Stafford OCM �N1LMfNGTC>N, NC
Address 104 Kemp Road E.
City Greensboro State NC Zip 27410 Phone [phone].399.5925
Email [e-mail] I [e-mail]
AUTHORIZED AGENT
Name Goodrich Architecture, P.A.
Address 3142 Wrightsville Ave.
City Wilmington State NC Zip 28403 Phone [phone]
Email [e-mail]
LOCATION OF PROJECT: (Address,street name and/or directions to site;name of the adjacent waterbody.)
76 Watchpost Place, Hampstead, NC 28443 - Lot 54 of Salter's Haven,Topsail Township,
Pender County - Intracoastal Waterway
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
NC Division of Coastal Management 4 A B
Cashier's Official Receipt
Date: C(1-:__D_y---
' ' 20
.-124Lif
A-r4e-6:L------
Received From: ,:eii $
D64
, ...,,,
Permit No.: Check No.: d
Applicant's Name: a 'if tkiti kfb County:
Project Address:
7�ir .�/4. � -
, .6,,,,,
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant i
Date:
Signature of Field Representativ . Date:

DigiSign Verified: 251 FA93F-C473-40ED-9423-7EE52F648EF7
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Marian & Richard Stafford
Mailing Address: 104 Kemp Road E.
Greensboro, NC 27410
Phone Number: 336.669.0483 1336.399.5925
Email Address: [e-mail] ( [e-mail]
I certify that I have authorized Goodrich Architecture, P.A.
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
New Construction of Single Family -4 Bedroom Residence, Drive & Walkways
at my property located at 76 Watchpost Place, Hampstead, NC 28443 - Lot 54 of Salter's Haxen
in Pender County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Rick Stafford Marian Stafford
Print or Type Name
04-29-2021 04-29-2021
Title
04 / 29 / 2021
Date
RECEIVED
MAY 18 2021
This certification is valid through 04 / 29 / 2022
DCM WILMINGTON, NC

Receipts for
Certified Mail
(Staple Here)
04.29.21
Date
Alfred Stewart
Adjacent Property Owner
326 Scottsdale Dr.
Mailing Address
Wilmington. NC 28411
City, State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, Marian & Richard Stafford have applied for a CAMA Minor
Property Owner
Permit on my property at 76 Watchpost Place (Lot 54), Hampstead, NC 28443 ,in Pender
Property Address
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 336.669.0483 1336.399.5925 ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the County of Pender 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
Sincerely,
Marian & Richard Stafford
Property Owner
104 Kemp Road E.
Mailing Address
Greensboro, NC 27410
City, State,Zip Code
RECEIVED
MAY 182021
DCM WILMINGTON, NC

I. . •osta ervice
CERTIFIED MAIL° RECEIPT
a Domestic Mail Only
9 0For delivery information,visit our website at www.usps.com'°.
tit4 4t1 i F
rl Certified Mail Fee 0406
16
$3.6I
n $ $2_85 60
Extra Services&Fees(check box,add fee a&wprmyyte)
0 Return Receipt(hardcopy) $ 'V''
7 0 Return Receipt(electronic) $ $11.1 II 1 Postmark
3 ❑Certified Mail Restricted Delivery $ $0_00 Here
3 D Adult Signature Required $ $ I.00
❑Adult Signature Restricted Delivery$
3 Postage
n $1 .60
a $ o /17/2021
Total Postage and Fees
$ $3.11_i
Sent To iZ rG / #t eoe
Street an Apt.No. or Pb§ox No. T v
6ty,State,ZIP+ c S� o c1A Or,

,:erniriea man service proviaes me renewing oenenrs:
I A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
I A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
I Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. • USPS®-postmarked Certified Mail receipt to the
I 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
mportant Reminders: -Adult signature service,which requires the
I You may purchase Certified Mall service with signee to be at least 21 years of age(not
First-Class Mail°,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,which
I Certified Mail service is not available for requires the signee to be at least 21 years of agl
International mail. and provides delivery to the addressee specified
I 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 •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. LISPS 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.

Receipts for
Certified Mail
(Staple Here)
04.29.21
Date
Mark Robert Blecher
Adjacent Property Owner
368 Whisper Park Dr.
Mailing Address
Wilmington. NC 28411
City, State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, Marian & Richard Stafford have applied for a CAMA Minor
Property Owner
Permit on my property at 76 Watchpost Place (Lot 54), Hampstead, NC 28443 , in Pender
Property Address
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 336.669.0483 1336.399.5925 ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the County of Pender 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
Sincerely,
Marian & Richard Stafford
Property Owner
104 Kemp Road E.
Mailing Address
Greensboro, NC 27410
City,State, Zip Code
RECEIVED
MAY 182021
DCM WILMINGTON, NC

. . •ostal ervice
CERTIFIED MAIL° RECEIPT
• Domestic Mail Only
3 For delivery information,visit our website at www.usps.com°.
W11�►1n?lt,br , MC284t1 );
D
n Certified Mail Fee $ 6�1 141_Ih
J•
n Extra Services&Fees(check box,add fee Elko.) 6�1
❑Return Receipt(hardcopy) $ _ _
❑Return Receipt(electronic) $ $i 1-1 ii I Postmark
3 ❑Certified Mail Restricted Delivery $ +, j.C111 Here
❑Aduh Signature Required $ $0.00
0 Aduh Signature Restricted Delivery$ _
3 Postage
a $ 1 bi I 05/17/2021
Total Postage and Fees$ $s.0 r
Sent To
q„,4,fr
Oler
3 Street and Apt No.,or P . `sp r P._ r_k2?t
City,Mate.Z V I MW N,N C a g'/l1

::ernnea man service proviaes the renewing DeneTlts:
I A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
I A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
I Electronic verific23on of deffiergor attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
I 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
'mportant Reminders: -Adult signature service,which requires the
I You may purchase Certified Mall service with signee to beat least 21 years of age(not
First-Class Mail®,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,whlct
I Certified Mail service is not available for requires the signee to be at least 21 years of ag
intemational 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 ■To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear e
certain Priority Mail items. LISPS 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.

r •
a
Receipts for
Certified Mail
(Staple Here)
04.29.21
Date
Salters Haven Yacht Club, Inc.
Adjacent Property Owner
60 Gregory Rd.
Mailing Address
Belville. NC 28451
City, State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, Marian & Richard Stafford have applied for a CAMA Minor
Property Owner
Permit on my property at 76 Watchpost Place (Lot 54), Hampstead, NC 28443 , in Pender
Property Address
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 336.669.0483 I 336.399.5925 ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the County of Pender 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
Sincerely,
Marian & Richard Stafford
Property Owner
104 Kemp Road E.
Mailing Address
Greensboro, NC 27410
City, State,Zip Code
RECEIVED
MAY 18 2021
DCM WILMING T ON, NC

I. . Postal ervice
0 CERTIFIED MAIL° RECEIPT,
O Domestic Mail Only
0
O For delivery information,visit our website at www.usps.com'.
O Le led
1AL USE
n Certified Mall Fee J.bi l 0406
rl Extra Services&Fees(check box,add fee :s te) 60
3 El Return Receipt(hardcopy) $
n ❑Return Receipt(electronic) $ t i l-fill Postmark
O ❑Certified Mall Restricted Delivery S $(,00 Here
3 El Adult Signature Required $ $ft.(Jr
['Adult Signature Restricted Delivery S
3 Postage - - -
n $1 .60
0 Total Postage and Fees 05/17/2il21
$ $8.05
r▪ Sent To
Sal 4- r_5 Putt, Yet Clu Inc.
Street andApt.No.,or Pb Pox No.
L.'�-try-state;-zlP+ Q-./=(r�Q�_r4_R_d

.;,erttnea nisi'service provlaes the renewing inenents:
r A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
I A unique identifier for your maiaiece. associate for assistance.To receive a duplicate
r 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
'mportant Reminders: -Adult signature service,which requires the
r You may purchase Certified Mail service with signee to beat least 21 years of age(not
First-Class Mail°,First-Class Package Service°, available at retail).
or Priority Mail°service. -Adult signature restricted delivery service,which
r Certified Mail service is not available for requires the signee to be at least 21 years of agi
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 •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.
-aann ,..,

Locality Permit Number
. Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For gficial use only) RECEIVED
GENERAL INFORMATION
MAY 1 8 2021
LAND OWNER- MAILING ADDRESS
Name Marian & Richard Stafford DCM WiLMINGTrJN, NC
Address 104 Kemp Road E.
City Greensboro State NC Zip_27410 Phone [phone].399.5925
Email [e-mail] I [e-mail]
AUTHORIZED AGENT
Name Goodrich Architecture, P.A.
Address 3142 Wrightsville Ave.
City Wilmington State NC Zip 28403 _ Phone [phone]
Email [e-mail]
LOCATION OF PROJECT: (Address,street name and/or directions to site;name of the adjacent waterbody.)
76 Watchpost Place, Hampstead, NC 28443 - Lot 54 of Salter's Haven,Topsail Township,
Pender County - Intracoastal Waterway
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
New construction of a single family, stick-framed residence, Drive &walkways
SIZE OF LOT/PARCEL: 11,323 square feet 0.26 acres
PROPOSED USE: Residential ® (Single-family® Multi-family 0 ) Commercial/Industrial ❑ Other []
COMPLETE EITHER(I) OR(2) BELOW(Contact your Local Permit Officer if you are not sure which AEC applies
to your properly):
(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 SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: 2,819 square feet(includes the area of the foundation of all buildings,driveways,covered decks,
concrete or masonry patios,etc. that arc within the applicable AEC.Attach your calculations with the project drawing.)
STATE STORM WATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
Stormwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources(DEMLR)?
YES__X NO The lot is in Salter's Haven which has an existing Stormwater permit (Permit No. SW8 190103)
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: (25%) 2,832_square feet.`

Date Date Check From Name of Vendor Check Check Permit Rct. #
Received Deposited Permit Holder Number amount Number/Comments
5/20/2021 Goodrich Marian, Richard First 1216 $100.00 minor fee, 76 Watchpost Place, JD rct.
Architecture, PA Stafford Citizens Hampstead PnCo 14135
Bank