SC_12-07_ Fornwald

ISSUED BY WIRO SC12-07
Surf City
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina,Department of Environment,
and Natural Resources 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 Fornwald, authorizing development in the Estuarine Shoreline (AEC) at 930 Broadway Street, in Surf
City, Onslow County, as requested in the permittee's application, received by DCM on May 24, 2012. This permit,
issued on June 12, 2012, is subject to compliance with the application and site drawing (where consistent with the
permit), all applicable regulations and special conditions and notes set forth below. Any violation of these terms may
subject permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes: Construction of a single-family residence.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated received on May 24,2012.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at 910-796-7221for 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. From the date of an appeal, any
work conducted under this permit must cease until the appeal is resolved. This
permit must be on the project site and accessible to the permit officer when the
project is inspected for compliance. Any maintenance work or project Jason Dail
modification not covered under this permit, require further written permit �A A LOCAL PERMIT OFFICIAL
approval.All work must cease when this permit expires on: DCM WtLMINGT4 JUN 14 2011
127 Cardinal Drive
DECEMBER 31,2015 Wilmington, NC 28405
In issuing this permit it is agreed that this project is consistent with the local Land G
Use Plan and all applicable ordinances. This permit may not be transferred to cL
another party without the written approval of the Division of Coastal
Management. PERMITTEE
(Signature required if conditions above apply to permit)

Name: Paul Fornwald
Minor Permit#SC12-07
Date: 6/12/2012
Page 2
(5) The amount of impervious surface shall not exceed 30%of the lot area within 75 feet of Normal High Water
(Estuarine Shoreline Area of Environmental Concern). In this case,895 sq. ft. of impervious coverage is permitted
within 75'of the Normal High Water level.
(6) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
development/construction shall be located a distance of 30 feet landward of Normal High Water. No portion of the
roof overhang shall encroach into the 30 ft. buffer.
(7) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Prior to any land-disturbing activities, a barrier line of filter cloth must
be installed between the land disturbing activity and the adjacent marsh or water areas, until such time as the area
has been properly stabilized with a vegetative cover.
(8) Any proposed for grading within the 30' buffer from the Normal High Water must be contoured to prevent additional
stormwater runoff to the adjacent marsh. This area shall be immediately vegetatively stabilized, and must remain in
a vegetated state.
(9) All other disturbed areas shall be vegetatively stabilized (planted and mulched)within 14 days of construction
completion.
SIGNATURE: .`'fig 0C1- DATE: 6 l i 3�
PERMITTEE

r
•
GENERAL INFORMATION
LAND OWNER
Name PA V . ajki w A t,.i
Address f a O`3 S T1-F S T i 2 ��
City SU tZ F -r`t State k C 42944 S Phone 910-4 ( -3 t o q
Email Cron prL M . C O M
AUTHORIZED AGENT
Name
Address
City State Zip Phone
Email
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
adjacent waterbody.) � 3 O QQC >W A`t
ti — 0F*"0 El%s1 1+.3v
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) 5 V G-`v Ct-t
2 t-A-01/4.3s G
SIZE OF LOT/PARCEL: te`}5 square feet • 11 S S acres _ pE a.v i o s s Ces a.s C Q .
PROPOSED USE: Residential B" (Single-family Ell Multi-family ❑ ) Commerciallindusilial 0 Other 0
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer Myna are Not sure which AEC ciplies
to your properly):
(1) OCEAN HAZARD ABCs: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:19'1 t square feet(includes the area of the roof/drip line 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:la the project located in an area subject to a State Stormwater
nnMillatelptisfqt6n0 by the NC Division of Water Quality?
IN, NC
If M A ?4 LU I L upon area/impervious surface allowed for your lot or parcel: square feet-

OTHER PERMITS MAY BE REQUIRED:The activity you are planing 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) a -M-II
`/ an owner or record title,Title is vested in Pa A. 4 J u t4A-ok L R)R-1"-/1`;"sce Deed Book +
page 3 in the O►.1 S L o w 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 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) •
a2t3(1) c'A'sRtCLA To i t Po (30x 1122.S11 \<.%S$ MnE , Pi- 14-142
132.(2) CHQ%sq-boy �-4 Loa.; TIC L.Cop 20 tir11tL1LA D AL LE G14 , NC a1GtS
(3)
(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 er terLor1 ltIco U tioned lands in connection with evaluating information
related to this permit application. DCM WILMINGTON, NC
MAY 2 1 20 i r Ti the Ulm day of 1'1 A-1 ,20 t 2.
r . �a. 2 .
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 necessary, a check for$100.00 made payable to the locality, and
any information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
any permit.Any person developing in an AEC without permit is subject to civil, criminal and administrative action.

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Al;
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
June 11, 2012
Mr. Paul R. Fornwald
6095 6th Street
Surf City, NC 28445
Dear Mr. Fornwald:
Attached is CAMA Minor Development Permit#SC 12-07 for work to be done at 930 Broadway Street,
in Surf City, Onslow County.
In order to validate this permit, please sign both copies as indicated, for our records. Please retain the
gold copy for your files, sign both pages of the white copy, and return 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,
- Shaun K. Simpson
Permit Support Technician
Enclosures
cc: WiRO files
127 Cardinal Drive Ext.,Wilmington,NC 28405 One
Phone:[phone] FAX:[phone] Internet:www.nccoastalmanagement.net NorthCarolina
An Equal Opportunity!Affirmative Action Employer Naturally

SURVEY REFERENCE:
LOT 7 OLD SETTLERS BEACH SECTION 3 BLOCK 47 "s3,
MAP BOOK 1 1 AT PAGE 31 A4,��o j`'5'
To ts,
ONSLOW COUNTY REGISTRY y,6•
Ax
N "0li
4
NOTES: Pv v 4.o4P4
1. CORNERS ARE MARKED AS NOTED ON MAP. 0 ‘G
2. ALL DISTANCES ARE HORIZONTAL FIELD MEASUREMENTS. 4
3. AREA COMPUTED BY THE COORDINATE METHOD. P
4. THIS PROPERTY DOES LIE WITHIN A FLOOD HAZARDOUS AREA. VICINITY MAP (N.T.S)
PER F.I.R.M. MAP No. 3720424500K - DATED 2/16/07 - ONSLOW CO.
ELEVATION = 1 1.0' (SURF CITY REQUIRES A 1' FREE BOARD)
5. NO KNOWN HORIZONTAL CONTROL WITHIN 2,000'.
LEGEND:
O EIP (EXISTING IRON PIPE) CANAL
OR EIS (EXISTING IRON STAKE)
+ Pt. (POINT) �� / fff ��
® POWER/UTILITY POLE DOCK
PROPERTY LINE DOCK
- — — NON-SURVEYED LINE BULK HEAD HIGH WATER LINE
(CENTER LINE) 10.44' -�o S 28'39'20"E 4.83' o��-8.42'
- - R/W (RIGHT OF WAY) TIE
ERRS EXISTING RAILROAD SPIKE
-- .- .-.-.-.-.- FENCE c°
r-
O
p
30' BUFFER
30' C.A.M.A. LINE
4
0
BUILDING SET BACKS IN Z
FRONT 15' c- rn o
SIDES 7.5' y I - -1 o
REAR (CAMA) 30' O� r- - - - - `/ --1, 1.3'
r- o PROPOSED 36'X32' DWELLING
o Ri 4/1- WITH 10' COVERED DECK REAR &
z 1 STORY, 12'x8' COVERED PORCH FRONT
`--' 4i DWELLING TO
v-% \ ...1--1 1 75' AEC LINE
BE REMOVED o
LOT 7 10i r- u,
�/ 93
MB 11, PG 31 7 5 36. '� N
I 12.0' Iv) cn
30' BUFFER w - i a w
o - t a o oci LOT 6
96 SQ. FT. IMPERVIOUS SURFACE Q 6 a w p MB 11, PG 31
a.BLDG. (FRAME BUILDING) T.B.M. t o `�
ERRS o a N i7-1
(C.A.M.A) POWER POLE o o' a o
75' A.E.C. AREA ELEVATION = 4.80' P 0
4,190 SQ. FT. ' 10' 1 10'
0 - - - - - - -
30% = 1,257 SQ. FT. - - N 28'39'20'W 54.83'
895 SQ. FT. IMPERVIOUS SURFACE
INCLUDING OVER HANG & BLDG. IN 30' BUFFER
TOTAL LOT AREA BROADWAY STREET
7,645 SQ. FT. — —
35% = 2,676 SQ. FT.
1,971 SQ. FT. TOTAL IMPERVIOUS SURFACE
INCLUDING OVER HANG & BLDG. IN 30' BUFFER
AREA:

• A„,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management Dee Freeman
Beverly Eaves Perdue Braxton C. Davis Secretary
Governor Director
May 23, 2012
Paul Fornwald
6095 6th Street
Surf City, NC 28445
RE: INCOMPLETE APPLICATION ADDITIONAL INFORMATION REQUIRED
APPLICATION NUMBER—SC12-07
PROJECT ADDRESS— 930 Broadway Street, Surf City, NC
Dear Mr. Fornwald:
The Division of Coastal Management's Wilmington Regional office received a CAMA Minor Permit application from you on
May 21, 2012, requesting approval for development activities at 18°7'930 Broadway Street, in Surf City. In reviewing your application,
we have discovered that additional information is needed to complete the review process.Accordingly, I am requesting that you submit
the following additional information to this office:
1. On page 1 of the application, please correct number(2) Coastal Shoreline AEC.As indicated on the permit application
and site drawings,the proposed house will be 39'x 35',from drip edge to drip edge,giving a total footprint of 1,365 sq.
ft. of impervious coverage. In addition,the proposed driveways will account for some impervious coverage as the
Division of Water Quality only allows partial credit for pervious concrete(40%-60%depending on construction method).
The application and survey will need to be revised to account for all impervious coverage on the property,taking into
account the%credit given for the pervious driveway.
2. If the proposed development will create impervious greater than 30%within the AEC,you will need to provide a plan for
stormwater collection and/or treatment.
In accordance with the Department of Environment and Natural Resources regulations,we note that the application,as
submitted on May 21, 2012, is incomplete for processing. Upon resubmission of a complete application, a local decision will be made
in 25 days, provided this period is not extended as provided by law. Please contact me at 910-796-7221 if you have any questions.
spectfully yours,
iJ on Dail
ield Representative
Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, NC 28405
Cc: WiRO file
One
127 Cardinal Drive Ext.,Wilmington,NC 28405 NorthCarolina
Phone:[phone]\FAX:[phone] Internet:www.nccoastalmanagement.net Naturally

Receipts for
Certified Mail
(Staple Here)
S—„o— ZD\2
Date
C 5'Rbo iM. 4-
Adjacent Property Owner
2c 4 waoo
Mailing Address
RAL E%GtA tJ ( �� et
City, State,Zip Code
Dear Adjacent Property:
This letter is_to_inform-you that.!, ... 'R• .1'. u''A' __ have applied for a CAMA Minor -
Property Owner
Permit on my property at 9 3 O Q(Lo A fJ w r-y , in Pcndor/Onslow
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 9 t`� � e S 3 t 0 5 ,or by mail at the address listed below. if you wish to
Applicant's Telephone
file written comments or objections with the Surf City CAMA Minor Permit Program,you may submit
them to:
Jason Dail,Field Representative
NC Division of Coastal Management
Town of Surf City Local Permit Program •
127 Cardinal Drive Extension
Wilmington, NC 28405
Sincerely,
6Z t7
Property Owner
Logs (o Si
Mailing Address
uck' c_ c_ a8�4� RECEIVED
DCM WILMINGTON, NC
City,State,Zip Code
MAY 2 1 2012

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[X,Ivratti-bv i-NGTON, NC
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(Staple Here)
Date
97AT RtC.1A iOTH
Adjacent Property Owner
Po Sox 42.2S 1
Mailing Address
IC%ss rA M E C. , c L. 34'142.
City,State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, ?°'v` 9- • Cr-'9--'4""a°'": have applied for a CAMA Minor
Property Owner
Permit on my property at c► 3 0 32o--0w tam , in PeerlOnslow
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 q I 0 4(aS 3 ► 09 ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Surf City CAMA Minor Permit Program,you may submit
them to:
Jason Dail, Field Representative
NC Division of Coastal Management
Town of Surf City Local Permit Program
127 Cardinal Drive Extension
Wilmington, NC 28405
Sincerely,
2A1/4.31-
RECEIVED
Property Owner DCM WILMINGTON, NC
leoct5 b 'a+ S► . MAY 2 1 2012
Mailing Address
City,State,Zip Code •

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btreet,Apt.No.;
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• - - " _ . •

:ertified Mail Provides:
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nportant Reminders:
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i Certified Mail is not available for any class of international mail.
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valuables.please consider Insured or Registered Mail.
i For an additional fee,a Return Receipt may be requested to provide proof o
delivery.To obtain Return Receipt service,please complete and attach a Returr
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cle at the post office for postmarking. If a postmark on the Certified Mai
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MPORTANT: Save this receipt and present it when making an inquiry.
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Ara
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
May 25, 2012
[e-mail]
2 Pages
Star News
Legal Advertisement Section
Post Office Box 840
Wilmington,North Carolina 28402
Re: Fornwald Minor Public Notice
Kyle: Please publish the attached Notice in the Monday, May 28, 2012 issue.
The State Office of Budget and Management requires an original Affidavit of Publication prior to
payment for newspaper advertising. Please send the original affidavit of the published notice to Melissa
Sabastian, 400 Commerce Avenue, Morehead City,N.C. 28557 [phone].
Please send the original invoice and a copy of the affidavit for payment to Shaun Simpson at Division of
Coastal Management, 127 Cardinal Drive Extension, Wilmington,NC 28405, 910-796-7226.
Paying by Credit Card (number on file with Elsa Lawrence, Ref acct # 796-7215). Please send a fax of the
credit card receipt to me.
Thank you for your assistance in this matter. If you should have any questions, please contact me at our
Wilmington office.
Sincerely,
6/2.24.ii_
Shaun Simpson
Permit Support Techn i
Enclosure
cc: File Copy
Michele Walker DCM
127 Cardinal Drive Ext.,Wilmington,NC 28405 One
Phone:[phone] FAX:[phone] Internet:www.nccoastalmanagement.net NorthCarolina
An Equal Opportunity\Affirmative Action Employer Naturally

CAMA MINOR PERMIT NOTICE
Pursuant to NCGS 113A-119(b), the North Carolina Division of Coastal Management, an
agency authorized to issue CAMA permits in areas of environmental concern, hereby gives NOTICE
that on May 24, 2012 Paul R. Fornwald applied for a CAMA permit to remove the existing structure,
and construct a new single family dwelling at 930 Broadway St., adjacent to a man-made canal, in
Surf City, Onslow County. The application may be inspected at the address below. Public comments
received by June 12, 2012 will be considered. Later comments will be accepted and considered up
to the time of permit decision. Project modifications may occur based on further review and
comments. Notice of the permit decision in this matter will be provided upon written request.
Jason Dail
Field Representative
Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Phone: [phone]

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to Y(A L 2 Cv�ZN w A L-7 ,S
(Name of Property Owner)
property located at G 3 O >2O A d w Pr`i
Address, Lot, Block,Road, etc.)
on CAN��' , in 5L3 - C0-1 , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development he is
proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
Print or Type Name
Telephone Number
Date

AFFIDAVIT OF PUBLICATION '
STATE OF NORTH CAROLINA /
COUNTY OF NEW HANOVER
CAMA
MINOR
NCGS PERMIT
NOTICE
the Before the undersigned, a Notary Public of Said County and State,
Pursuant
North Carolina Division of Coastal
Management,an agency authorized Keith Raffone
to issue CAMA permits in areas of
environmental concern, hereby
gives NOTICE that on May 24,2012
Paul R.Fomwald applied for a CAMA Who,being duly sworn or affirmed,according to the law,says that he/she is
permit to remove the existing struc-
ture, and construct a new single
family dwelling at 930 Broadway Controller
St.,adjacent to a man-made canal,
in Surf City, Onslow County. The
application may be inspected at the
address below. Public comments of THE STAR-NEWS, a corporation organized and doing business under the Laws of the State of
received by June 12, 2012 will be
considered. Later comments will be North Carolina,and publishing a newspaper known as STAR-NEWS in the City of Wilmington
accepted and considered up to the
time of permit decision. Project
modifications may occur based on CAMA MINOR PERMIT NOTICE Pursuant to NCGS 113A-119b, the North Carolina Division
further review and comments. No- of Coastal Management,an agency authorized to issue CAMA permits in areas of
tice of the permit decision in this
matter will be provided upon writ- environmental concern, hereby gives NOTICE that on May 24, 2012 Paul R. Fornwald applied
ten request. , for a C
Jason Dail,Field Representative
Division of Coastal Management
127 Cardinal Drive Extension
•Wilmington,
91084
Phone: 05-3845
796-7221
I _
was inserted in the aforesaid newspaper in space,and on dates as follows:
5/28 lx
And at the time of such publication Star-News was a newspaper meeting all the requirements and
qualifications prescribed by Sec. No. 1-597 G.S.of N.C.
d4/14A
Title: Controller
49VlOPP If1f/
Sworn or affirmed to,and subs bed before me this �a,`Zy a' Cv,,��
L A.D., /Z ��`�\� �''�,,��
In stimony Whereof,I have hereunto set my hand and affix. y o� dal,they and
year aforesaid. YY
1`,l\€40 Public
My commission expires /2+� day of Si. ,20 1 ,,NUVER COJa��`�`
Upon reading the aforegoing affidavit with the advertisement thereto annexed it is adjudged by the Court that the said
publication was duly and properly made and that the summons has been duly and legally served on the defendant(s).
This day of
R E C E I V E D lerk of Superior Court
MAIL TO: DCM UWIIL.MINGTON, NC
IUN1 ? 2012

N() TIC13
CAMA - PERMIT
APPLIED FOR
PROJECT:
existing structure, and construct a new single
.,
adiacent-te-
a man-made canal, in Surf City, Onslow County.
COMMENTS ACCEPTED THROUGH June 12th, 2012
APPLICANT: FOR MORE DETAILS CONTACT
i8�o
Paul R. Fornwald rie 8FO iiiiA66�
930 Broadway Street 127 Cardinal Dr. Ext.
Surf City, NC 28445 Wilmington, NC 28405
Jason Dail, Field Representative
910-796-7221

--- -�'"^' �.........m...o.,....M,..,....�,...,,.,. —_ —. ..............��-...., —66-7549/2531 5722
P. R. FORNWALD
J. L. FORNWALD
6095-6TH ST. PH. 910-328-4381 _ 8— 1
SURF CITY, NC 28445 DATE
PAY TO THE \v G t� I I D.0� I
ORDER OF
JJ cren
p �
i V Ik. 6 &AG�.. C* - S U ZSLLARS �
s I CIO
COASTAL
federal credit union i`
PO BOX 58429 Raleigh NC 27658 i�^
5l a -U 7- r2 V ---- — ^�
MEMO i
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