SC_15-24_ Lloyd

Issued by WiRO SC15-24
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
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 Sterrett Lloyd authorizing development in the Estuarine Shoreline Area of Environmental Concern (AEC) at
Lot 19, The Peninsula, in Surf City, Pender County as requested in the permittee's application package, dated
November 7, 2015, and received by DCM on November 16, 2015. This permit, issued on November 30, 2015, 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 with amenities and utilities.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated received by DCM on November 16, 2015.
(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 [phone] 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 RECEIVED
compliance. Any maintenance work or project modification not covered under ,ACM WILMINGTON,
this permit,require further written permit approval.All work must cease when this Jason M I
permit expires on: QCT 4 5 201fjC A LOCAL PERMl
IT OFFICIAL
127 Cardinal Drive Extension
December31,2018 Wilmington 28405-3845
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicable ordinances. This permit may not be transferred to 4
another party without the written approval of the Division of Coastal ����

,
Name: Sterrett Lloyd
Minor Permit#SC15-24
Date: November 30, 2015
Page 2
(5) 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 vegetate and stabilized (planted and
mulched)within 14 days of construction completion.
(6) Any proposed for grading within the 30' buffer 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 vegetatively
stabilized, and must remain in a vegetated state.
(7) No structures shall be located within 30-feet of the normal or mean high water line(i.e. 30' Coastal Shoreline buffer),
including but not limited to concrete slabs, stepping stones, roof covers,accessory buildings,etc.
(8) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
SIGNATURES DOM ��ir•- IV D /iv0¢' �
- 4MlUEE
OCT 052016

Issued by WiRO SC15.24
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
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 Sterrett Lloyd authorizing development in the Estuarine Shoreline Area of Environmental Concern (AEC) at
Lot 19, The Peninsula, in Surf City, Pender County as requested in the permittee's application package, dated
November 7, 2015, and received by DCM on November 16, 2015. This permit, issued on November 30, 2015,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 with amenities and utilities.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated received by DCM on November 16,2015.
(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 [phone] 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
compliance. Any maintenance work or project modification not covered under Jason Dail
this permit,require further written permit approval.All work must cease when this C A LOCAL PERMIT OFFICIAL
permit expires on:
127 Cardinal Drive Extension
December31,2018 Wilmington, NC 28405-3845
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicable ordinances. This permit may not be transferred to
onnthor nnrhi withn,,t tho wriffon nnnrnvnl of tho rlivicinn of (:metal

Name: Sterrett Lloyd
Minor Permit#SC15.24
Date: November 30,2015
Page 2
(5) 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 vegetate and stabilized (planted and
mulched)within 14 days of construction completion.
(6) Any proposed for grading within the 30' buffer 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 vegetatively
stabilized,and must remain in a vegetated state.
(7) No structures shall be located within 30-feet of the normal or mean high water line(i.e.30'Coastal Shoreline buffer),
including but not limited to concrete slabs, stepping stones, roof covers,accessory buildings,etc.
(8) 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:
PERMITTEE

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GENERAL INFORMATION
LAND OWNER
Name S n't2►Zc77 uoy 0
Address (-0k I q Pe,-i,i Sa-A e T-oPSot il&idilt
City S U&E CA. State N C, Zip 02jkiLer Phonel'.. (t,..,
7
Email $TaJL t' rZ 1. 3 e /#off-.cc)o
AUTHORIZED AGENT / ,
Name 77-tD)7P/2 J /i t I L002.5 Z (G / /--r C. ` A.„4-IN,
,
Address PO gOX a O$3
City SVJL F C l State iJ L Zip ,;2Y103 Phone (q/0 ) qa d 2 U cr-
Email '1 orni6)%) isVlt-I4(6 (..LC 4l00. c.o-w‘
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of the
adjacent waterbody.) /u / 9 C(o?iYlj 14/c c T-4e tt / S e. v
ov., &/Vti-A-
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.
) 5 i N�'j 1C 'Fgwt r l y
�{ me- ) c uc 4 ,J
SIZE OF LOT/PARCEL: tit'ti" l. square f t acres
PROPOSED USE: Residential AI (Single-family g Multi-family 0 ) Commercial/Industrial❑ Other 0
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: 10-1 u 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) Nov 1 b(4.4114
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: 13 ao 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:Is the project located in an area subject to a State Stormwater
Manag ment Permit issued by the NC Division of Water Quality?
YES NO i 3 a
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: ✓lt, square feet.

I
OILIER 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) LI(0 O cl
an owner or record title,Title is vested in ,see Deed Book `` 'Or,
p ge (p4a in the P Q )o eL County Registry of Deeds.
I 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) • '
(1) ebw
oih �owa1I-K, ca►O tc tiv s VC- okf. Cok1 r. 0 14 Loa ))
(2) �ev\.tnsulki r la+ L Po 6DY 38I 8" ?0vrz5vL l L NL ,ce// 7
(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 enter on the aforementioned lands in connection with evaluating information
related to this permit application.
This the � day of ,cJ L\-+ ,20 /
L rson authorized o 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.
WI 1 e `i°15

•
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
BRAXTON DAVIS
Coastal Management Director
ENVIRONMENTAL QUALITY
September 29, 2016
Mr. Sterrett Lloyd
175 Atkinson Rd.
Surf City, NC 28445
Dear Mr. Lloyd:
Attached is modified CAMA Minor Development Permit# SC 15-24, for work to be done at Lot
19, the Peninsula, in Surf City, Pender County. A copy of the permit has been sent to Sunshine
- •escaping, and to the Town's Inspections Department.
.In or.er to validate the permit, please sign both copies as indicated for our records. Please
ret. n the orange copy for your files, sign both pages of the white copy, and return to us within
days of receipt, in the enclosed, self-addressed envelope.
Additionally, I am enclosing your original permit SC 15-24, issued on November 30, 2015.
A copy was sent to your agent at that time, Lee Thornton, but was never returned to us
with his or your signature. Please sign both pages of this white copy as well and return
in the same envelope.
Please realize that neither is a valid permit until signed and returned to our office.
Thank you for your prompt attention to this matter.
Sincerely,
Shaun K. Simpson
Permit Support Technician
[phone]
Enclosures
Cc: WiRO files
Town of Surf City Inspections Dept.
Barry - Sunshine Landscaping
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

PAT MCCRORY
Goremor
;;;;a
DONALD R. VAN DER VAART
Secretary
Coastal Management
ENVIRONMENTAL QUALITY BRAXTON DAVIS
Director
November 30, 2015
Sterrett Lloyd
do Thornton Builders, LLC
PO Box 2083
Surf City,NC 28443
Dear Mr. Lloyd:
Attached is CAMA Minor Development Permit# SC 15-24 for work to be done at Lot 19 The
Peninsula at Topsail, in Pender County.
In order to validate this permit,please sign both copies of the permit as indicated for our records.
Please retain the orange copy for your files, sign the front and back sides of the white copy, and
return to us within 20 days of receipt in the enclosed, self-addressed envelope. An electronic
copy has been sent to your agent.
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Si erely, •
Shaun K. Simpson
Permit Support Technician
Enclosures
Cc: WiRO files
•
e�
Nothing Compares

r
Ai-
? 6M1 ) P GCSv.
CAMA PERMIT
APPLIED FOR
PROJECT: Applicantproposes to construct
- dwellingat Lot 19 Peninsula,
a s�nale family
adjacent to Stump Sound, in Surf City,
Pender County.
COM\/IE TS ACCEPTED HROJGHNovember 30, 2015
APPLICANT: FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
Sterrett Lloyd NC Div. of Coastal Management
c/o PO Box 2083 127 Cardinal Dr. Extension
Surf City, NC 28443 Wilmington, NC 28405
Jason Dail, Field Representative
Agent: Thornton Builders 910-922-2058 910-796-7221
SC 15-24

Tow.Nsco
I,rHA91 ES FRWai RIMS PROT'_590NAL LAyD JSF1 CAR�i;,,, KM I/ ME
SURVEYOR, DO HEREBY CERTIFY THAT I E+'SS/'`.�'1Y' LAND DISTURBANCE FROM R/W TO 30'CARA BUFFER GROUND: 154 Sq.FI.
SURVEYED THE PROPERTY AS SHORN HEREON I 1 I FIRST FLOOR: 980 Sq.Ft tcv
9)
ACCORDANCE WITH THE STANDARDS OF PRAGTIC(Q M { _ RUNG DEPTH AS PER ENONEER u�.!>m I. I SECOND FLOG, 980 Sq.Ft
FOR LAND SURVEYING IN NORTH CAROJNA.3HAT L_2981 t = LANDSCAPING AS PER TOWN OF SURF OTY ORDINANCES I I THIRD Fl(OUR fl err).249 Sn Ft
THE RATIO OF PREO ON AS CALCUUIFSF 19
Lmorn
LAR D DEP TURES I '' l*'IQ rL E� TOTAL FLOOR AREA:23e3 Sq.Ft.
SIB!" AS PER HOUSE BANS
• Ncl�;'' I + ;V*4°
MeF., Arl
V AI r♦_ �I
i
THIS IS TO CERTIFY THAT THE SUBJECT PROPERTY IS LOCATED 1 f;
IN FLOOD ZONE AO (EL-8.0') W11101 IS A I I,I�I �IOTOGETE /
NONITY SI(ET01
l.3 NOT TO SELL
SPEOAL CY M HAZARD AGE AS DETERMINED BY THE FEDERALOD1 Stl •, ;= ��
EMERGENCY PROGRAM.
YENT AGENCY,ANO THE NATIONAL FLOOD A L BENCHMARK:
INSURANCE PROGRAM. COMMUNITY PANEL NUMBER tl
370180 J72042J40W.FEBRUARY 10.2007 'r / ; 2 `�L\_I ELEVATION:3.80'
R Mb / W •� `1V VVERTICAL DATUM OBTAINED NTH TOPCOH GRS
// pV 5 S �\ R9NGNC STARS CONTINUOUS OPERARNG
REFERENCE
1`i 1 KENT S. B�.P.
Itt I� O KENT S LLOYD,III O.B.214,P.78
rARK &RIFE
JANSEN J.LLOYD P.365
D.B.473,P.189
(it
I p O.B.613,P.87
LOT 20 IF I t`-?. I 0.B.999,P.333
BTIF SOIREE D.B.1095,P.28
THE PENINSULA I / 0.8.4409,P.1426 D.B.12e1,P.340
�. AT TOPSAIL D.B.1419,P.u9
V M.B. 56,P. 39 D.B.1559,P.195
I I D.B.1887,P.210
I I NMP
/ TAK IO D.B.2429,P.264
11.e1 EMN 4234-05-8463-0000 D.B.3868,P.145
D.B.4110,P.291
61 d / ZONED R-5 D.B.4262,P.332
NI/P& + N57'00'OO.E 119.76' 1 -Pm / 7nNWr,SF-TRACKS D.B.4513,P.169
D.B.4513,P.262
26.34' 10.49'T 19.52' EIR. 40.21' _ y,�6 EIR15.00' / FRONT-IS' D.B.4609.P.142
70 Y.B.4 P.90
UNE TABLE I to I 7e•anew* r �r r+gW' ` RODE EAR _JNY LAMA
8 NOW OR FORMERLY I.
o 90E -125'(J STORY) M.B.37,P.]9
UNE/ LENGTH DIRECTOR O LOT 19 o
t- JAMES BATTS '^ 5988 Sq.Ft. 9 8 8 ��'�,
r U 11.98' N34zY4/'W D.B. 1281,P. 340 A6 �� N z B 501E
0.137 ACRES G A 7.5'DRAINAGE&UTIUTY
yy .2 30.28' NJB 40'OHW LOT 14 CANAL ), (4484 Sq.Ft. I om <y66
EASEMENT EXISTS ALONG THE
SHAE'S LANDING 0 ABOVE HIGH g 0 ! ODE LANES OF LOTS 1-24
L3 7.89' N3370'45'W M.B. 31,P. 1 a I i : � STATE PERMIT OM!06012BM0D
L4 16.49' N35T8'43'W M.B. 31,P. 37 A WATER) ¢ I ,....,...Jr uwa �,*
ZONED R-5 n BBB �.
LS 33.52' N3275'22W z TIC T.e > k J 'a/L . 3'Y �000.
CC CONTROL CORNER
NECM EASING CONCRETE MONUMDIT(FOUNDXCONIRO CO
31.72' J 7.45' 22.30' EMI 30.63' 0.M ER 15.00' OP EASING IRON PIPE(FOUND)
NMPa 1 EMN OR OSSTING IRON ROI(FOUND)
L s57roD'DD•W n9.76'
E COSTING
MAGNETIC NAIL(FOUNOXCONTROL CO
EFS PK COSTING PAR16A-KALOI NAL(FOMD)(CdITRO MR
xE100104AN Mur NM EWES LSE ERRS-EXISTING RAILROAD SPIKE(FOUND)
Wtl aW,•,Q M I r MBL MINIMUM BUILDING UNE
OUST<a3[*1p, g71t MITT WORST tar, 8 NYP NON MONUMENTED PONT
BOIL s aaa9MltO ME) G R/W FIGHT OF WAY
PROPOSED OVEUNG&EASES WHIN 75'AEC -1070 Sq.Ft. I ' SO/ SET CONCRETE MONUMENT(CONTROL CORNER)
PROPOSED OPEN SLATTED W000 DRIVE -0 Sq.Ft SIP SET IRON PIPE
FW51Wn 1YIN(RE1F WALK WTRON 75'AFC -0 S.Ft OGOLGE••SILTY MGM SR SET IRON RO1
/ PROPOSED IMPERVIOUS SURFACE W1H1N 75'AEC-1070 Sq.FI. LOT 18 SPN SET PAAGNE1 NA NAILONIC N(CONTROL CRRN�CORNER)
)
TOTAL I OT AREA WHIN 75'AFC -3751 G Ft THE PENINSULA
PROPOSED IMPERVIOUS AREA MINN 75'AEC -28.51E AT TOPSAIL NMPy S�/E}IN q -CENTERIJNE
M.B. 56,P.39 I)III(
y-WATER METER
f *'i -FIRE HYDRANT
p -WATER VALVE
,( NOE / I ®-SANITARY SEWER MANHOLE
PROPOSED DWELLING&EAVES -1070 Sq.Ft -
PROPOSED OPEN SLATTED MO DRIVE -0 Sq.FI. / / / ® CLEAN OUT
TELEPHONE PEDESTAL
EXISTING 01NrRFTF WAR -250 Sn Ft R/W
1 PROSED TOTAL IMPERVIOUS SURFACE=1320 Sq.Ft. / ®-TELEVISOR PEDESTAL
TOTAL LOT AREA -44OP R4 St Ft /, ®-FIBER OPTIC CABLE MARKER
PROPOSED IMPERVIOUS AREA -29.4% -UCHT POLE
`i FCL,-POWER POLE
2 I -ELECTRIC UNE
TRANSFORMER
HOER^Y X3.6Y-E18SRNG SPOT ELEVATOR
STATE PERMIT SSG 0601281100 ALLOWS 1330 Sq.F1.OF BOUNDARY SURVEY & PRELIMINARY PLOT PLAN
A IMPERVIOUS SURFACE GRAPHICSCALE
M
JJ9,, FOR
KENT S. LLOYD, III 5 .
I CHARLES F. RIGGS & ASSOCIATES, INC. (C-7.90) & WIFE
(IXPUT)
JANSEN J. LLOYD 1'nc'-20 ft
I LAND SURVEYING - CONVENTIONAL & GLOBAL POSITIONING SYSTEMS, ACTUAL FIELD SURVEY DATE: DECEMBER 2, 20
LAND PLANNING & COMPUTER MAPPING LOT 19, PENINSULA AT TOPSAIL, M.B. 56, P. 39 MAPPING DATE: OCTOBER 30, 2015
A 502 NEW BRIDGE STREET LANDFALL EXECUTIVE SUITE 217 TOPSAIL TOWNSHIP, PENDER COUNTY, NORTH CAROLINA DRAWN BY: .1.Llt/ MS
P.O. BOX 1570 1213 CULBRETH DRIVE KENT S. LLOYD, III & WIFE JANSEN J. LLOYD, OWNERS, D.B. 4609, P. 1426 CHECKED BY: r=./ .rl::as
JACKSONVILLE, NC 28540-1570 WILMINGTON,NC 28405 WALTER R. ATKINSON ROAD FIELD BOOK: 789E PAGE: 71
5 TELEPHONE: [phone] TELEPHONE: [phone] (PROJECT NUMBER: 13-05-26-19
E-MAIL: rigg4lond06izec.rr.com

Receipts for
Certified Mail
(Staple Here)
Ct(�1,'t
Jeer s (v tip Ste\ i C CC
Adjacent Property d-wner
Qu Fio\ o 6
Mailing Add sc_s_S 1 k.—1
City,State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, SZ Gvtir (A- LA t)1 P have applied fora CAMA Minor
Property Owner
Permit on my property at c sL° ,in 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 (CJ) ca-& avS b ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the NC DENR CAMA Minor Permit Program,you may submit them to:
Jason Dail
Local Permit Officer for North Topsail Beach
NCDENR/DCM
127 Cardinal Drive Extension
Wilmington, NC 28405
Sincere! ,
rope er
40 „-a/ 3
Mailing Address
City,State,Zip Code 4 e.CC!E i V E D
DCM\N LMINGTON, NC
!kQV 1 6c015

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.0 0 Return Receipt(hardcopy) $ 1.1 : 6�
❑Return Receipt(electronic) $ I ..7� CC Postmark
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■A receipt(this portion of the Certified Mall label). for an electronic return receipt,see a retail
■A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
•Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
•A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service- -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
Important Reminders: -Adult signature service,which requires the
•You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mails,First-Class Package Service®, • available at retail).
or Priority Mails service. , -Adult signature restricted delivery service,which
•Certified Mail service is not available for requires the signee to be at least 21 years of age
international mail. and provides delivery to the addressee specified
■Insurance coverage is notavailable 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 dlbn'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.
Ana.on.c,o,..,.....,.,oc.,ocon,..,no.,n.,.-.

Receipts for
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(Staple Here)
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ate
D05o&f wM7 —
Adjacent Property Owner
22I0 Loot c.rDuo.s on--
1 Mailing address
cv(uie r, Ofh° B22- 1
City,State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, ,STCfLr( r «p have applied fora CAMA Minor
Property Owner
Permit on my property at 9f j i)pu41/ e T�.Scd L in 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 j(�) 2"2DS 3 ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the NC DENR CAMA Minor Permit Program,you may submit
them to:
Jason Dail
Local Permit Officer for North Topsail Beach
NCDENR I DCM
127 Cardinal Drive Extension
Wilmington,NC 28405
Sincere
P
er
Mailing Address
,State,ZipCod C1G
City, (,\�N111 tJ�1
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CERTIFIED MAIL° RECEIPT
✓ Domestic Mail Only
O For delivery information,visit our web site at wtvw.usps.com .
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3 ❑Certified Mail Restricted Delivery $ $0. _' `,(`.
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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
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 epeoifiep by name,or
to the addressee's authorized agent.
Important Reminders: -Adult signature service,which requires the
a You may purchase Certified Mail 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
•Certified Mail service is not available for requires the signee to be at least 21 years of age
international mail. and provides delivery to the addressee specified
•Insurance coverage is notavailable 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,gad with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item ata 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.

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date tk,��
Name of Property Owner Applying for Permit:
Mailing Address:
I CS
I certify that I have authorized(agent) t/e(-- -1W(-c `e)`•J to act on my
behalf,for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct(activity) 5 t S� - PAPA 1 '—
at(my property located at) Lo
This certification is valid thru (date) 1( - I r o 4/"/ 11111:17
.. �_
Pr t r rty 0 •ner Signature Date
a c(-` 11yGTON,NC
)LA\W ll_
``ov 1 6 915

DENR CAMA Daily Check Log for WIRO
Date
Date Deposit. Check Check Receipt
Received d Check From(Name) Name of Permit Holder Vendor Number amount Permit Number/Comments Refund/Rea,
11/12/2015, 11/13/15 Allied Marine Contractors LLC Scott Tucker B ofA 7909 $200.00 GP 66192D TM rct.0441C
11/12/2015 11/13/15 Richardson Construction Brian Hennessee BB&T 6162 $200.00 GP 66187D 'TM rct.0440E
11/12/2015 11/13/15 Carolina Marine Construction Inc Federal Point Yacht Club First Bank 9922 $400.00 major fee,910 Basin Road,CB NHCo RM rct.0381I
11/12/2015 11/13/15 Clements Marine Construction Inc Ray Sito First Citizens Bank 3957 $250.00 major fee,462 Causeway Dr,WB NHCo RM rct.0379I
11/12/2015 11/13/15 City of Wilmington same B of A 324120 $100.00 renewal fee,MP 61-12 RM rct. 0380
11/12/2015 11/13/15 Eduardo San Miguel same PNC Bank 1007 $600.00 GP 66197D JD rct.1054C
11/12/2015 11/13/15 Charles or Linda Honde same Navy Federal Credit Union 4012 $600.00 GP 66115D JD rct.1053C
11/13/2015 11/16/15 Carolina Coast Contracting,Corp 470 Anderson,LLC B of A 7000 $100.00 minor fee,179 Topsail Road,NTB Ons.Co JD rct.1056C
11/13/2015 11/16/15 Coastal Land Design James Taggart B of A 5123 $100.00 minor fee,230 N.Anderson Blvd.TB PN JD rct.1057C
11/16/2015 11/16/15 Allied Marine Contractors LLC Hays Lambert B of A 7996 $200.00 GP 66215D JD rct.1058C
11/16/2015 Charles Riggs&Assoc. Michael&Becky Steed First Citizens Bank 14263 $100.00 minor fee,135 Soundview,Hampst.PN JD rd.1063C
11/16/2015 Charles Riggs&Assoc. Sandy Feet,LLC First Citizens Bank 14265 $100.00 minor fee,111 Permuda Wynd NTB Ons JD rct.1062C
11/16/2015 St.Moritz HOA Inc same North State Bank 1563 $100.00 minor fee,4110 Island Dr.NTB Ons JD rct.1061E
11/16/2015 Charles Riggs&Assoc. Dennis&Mary Backer(Boeker/) First Citizens Bank 14264 $100.00 minor fee,614 Hampton Colony Cir NTB On JD rct.1059C
11/16/2015 Sunset Dock Assoc same First Citizens Bank 1103 $536.00 NOV 15-18D,$250,$250,$36 TM rct.0435(
11/17/2015 County of Brunswick same BB&T 742767 $400.00 GP 66219D HS rct.0996(
11/17/2015 Benjamin Spence Albright same BB&T 18168 $200.00 GP 66216D HS rct.09941
11/17/2015 Money Order from Brandon Grimes Chris Lutterloah Wells Fargo Bank 59183420956 $200.00 GP 66217D JD rct.1064C
11/17/2015 Southeastern Coastal Construction Co Robbie Brooks First Federal 9640 $400.00 GP 66218D JD rct.1065C
11/17/2015 Lee Thornton Lee Thornton Coastal Bank and Trust 992 $100.00 minor fee,S.Lloyd Lt 19 The PeninsulaSC/PPJD rct.1106C

DENR CAMA Daily Check Log for WIRO
Date
Date Deposite Check Check Receipt
Received d Check From(Name) Name of Permit Holder Vendor Number amount Permit Number/Comments Refund/Rea,
11/12/2015 11/13/15 Allied Marine Contractors LLC _ Scott Tucker B of A 7909 $200.00 GP 66192D TM rct.0441 C
11/12/2015 11/13/15 Richardson Construction Brian Hennessee BB&T 6162 $200.00 GP 66187D TM rct.0440E
11/12/2015 11/13/15 Carolina Marine Construction Inc Federal Point Yacht Club First Bank 9922 $400.00 major fee,910 Basin Road,CB NHCo RM rct.0381(
11/12/2015 11/13/15 Clements Marine Construction Inc Ray Sito First Citizens Bank 3957 $250.00 major fee,462 Causeway Dr,WB NHCo RM rct.03791
11/12/2015 11/13/15 City of Wilmington same B of A 324120 $100.00 renewal fee,MP 61-12 RM rct. 0380
11/12/2015 11/13/15 Eduardo San Miguel same PNC Bank 1007 $600.00 GP 66197D JD rct.1054E
11/12/2015 11/13/15 Charles or Linda Honde same Navy Federal Credit Union 4012 $600.00 GP 66115D JD rct.1053C
11/13/2015 11/16/15 Carolina Coast Contracting,Corp 470 Anderson,LLC B of A 7000 $100.00 minor fee,179 Topsail Road,NTB Ons.Co JD rct.1056C
11/13/2015 11/16/15 Coastal Land Design James Taggart B of A 5123 $100.00 minor fee,230 N.Anderson Blvd.TB PN JD rct.1057C
y Lambert l _of A 7996 $200.00 GP 66215D JD rot.1058C
=715 11/16/15 Allied Marine C �tractrs LLC Hays L�^bert B
Ct+ 14263 $100 0 minor fee,135 Soundview,Hampst.PN ,JD rct.1063C
Rigs ,it ti., 14265' $100.CO',-nor fee,111 Permuda W nd NTB Ons JD rct.1062C
Y
S Mcri,z HC ' same (North State B nk __ 1563 $100.00 minor fee,4110 Island Dr.NTB Ons JD rct.1061C
s Rigs 'Denn;3 n .iker/) First Citizens Back 14264 5100.00 minor fee,614 Hampton Colony Cir NTB On JD rct.1059C
11/16/2015: Sunset Dock Assoc same First Citizens Bank 1103 $536.00 NOV 15-18D,$250,$250,$36 TM rct.0435E
11/17/2015 County of Brunswick same BB&T 742767 $400.00 GP 66219D HS rct.0996E
11/17/2015 Benjamin Spence Albright same BB&T 18168 $200.00 GP 66216D HS rct.0994C
11/17/2015 Money Order from Brandon Grimes Chris Lutterloah Wells Fargo Bank 59183420956 $200.00 GP 66217D JD rct.1064C
11/17/2015 Southeastern Coastal Construction Co Robbie Brooks First Federal 9640 $400.00 GP 66218D JD rct.1065C
11/17/2015 Lee Thornton Lee Thornton _Coastal Bank and Trust 992 $100.00 minor fee,S.Lloyd Lt 19 The PeninsulaSC/PP JD rct.1106C
I
1