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HomeMy WebLinkAboutSC_17-05_ MacLeod (2) Issued by WiRO SC17-05 Surf City Permit Number CAMA MINOR DEVELOPMENT PERMIT Coastal Management 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 Mary MacLeod authorizing development in the Estuarine Shoreline (AEC) at 386 Atkinson Point Road, in Surf City, Pender County as requested in the permittee's application, dated June 1, 2017, and received by DCM on June 2, 2017. This permit, issued on June 14, 2017, is subject to compliance with the application and drawing dated and received by DCM on June 2, 2017 (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: Construction of a 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 June 2, 2017. (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 CAMA LOCAL PERMIT OFFICIAL this permit,require further written permit approval.All work must cease when this permit expires on: 127 Cardinal D 've Extension December 31,2020 ' ilmington, N 28405-3845 In issuing this permit it is agreed that this project is consistent with the local Land l+r Use Plan and all applicable ordinances. This permit may not be transferred to another party without the written approval of the Division of Coastal Management. MITTEE (Signature required if conditions abovgipgmejmit) Name: Mary MacLeod Minor Permit#SC17-05 Date: June 14, 2017 Page 2 of 3 (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' 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 vegetated and stabilized, and must remain in a vegetated state. (6) This permit does not authorize any development within 30 feet of the normal high water line. (7) 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. (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. NOTE: 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. SIGNATURE: DATE: � PERM ITTEE RECEIVED DCM WILMINGTON.NC 6 (.Locality Permit Number / Ocean Hazard Estuarine Shoreline Y. ORW Shoreline Public Trust Shoreline Other (For official use only) GENERAL INFORMATION LAND OWNER -MAILING ADDRESS Name MA .H44. L VID Address Les' G L2\JI V A// City DS.A).1)., State Pick . Zip ,5:701 Phone 7 2/ - f O - 4 ct 22 Email h'1Yvva G e o d e LA-I)• AUTHORIZED AGENT Name L A i2424( Address{ .O v 1' 4 k 2. G'4 CP ,/ City dS(4 G rt State 1.� e Zip2 44SPhone 911 • 232 . 333 2 Email IY 1 C. 0) O-1- 01-1 ,0„.1 • cowl LOCATION OF PROJECT: (Address,street name and/or directions to site;name of the a -acent waterbody.) 3 S cv I LI So T® 1 1.J T -127D . AUJI W,4fs TAf *St-tep G ITYI rJ.c . 2e 44 ' DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) (20 k1 S-riel e cr F `D JL.l-LIJ 1 SIZE OF LOT/PARCEL: (,p 5-2- square feet • i4 acres PROPOSED USE: Residential u (Single-family Er-Multi-family ) Commercial/Industrial Ej Other El 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: 11144 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: 1006 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 STORM WATER MANAGEMENT PERMIT: Is the project located in an area subject to a State RECEIVED INGTON, NC Stnrmwater Management Permit issued by the NC Division of Energy_ Mineral and Land Resources(ILVIW • ['HER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA nor development permit, including, but not limited to: Drinking Water Well, Septic Tank(or other sanitary waste atment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA rtii,cation, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and iers. Check with your Local Permit Off,cer for more information. 'ATEMENT OF OWNERSHIP: he undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a son authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person :ed as landowner on this application has a signie,cant interest in the real property described therein. This interest can be ;cribed as: (check one) i an owner or record title,Title is vested in name of M A M Ac-LE O l) Deed Book De, 4624 page (578 in the rPtxjb e 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. 1TIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS: rthermore certify that the following persons are owners of properties adjoining this property. I aft,rm that I have given TUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit. (Name) (Address) 9-I6.4ARi> LE 1-4 2E2 ' 3I7 Eh(1EwATMt2- CitAg RI). I411,/ ilifgl d 44 2g171 f2o38 k O(p -}QYv )00 b \,,t)l Liu��r';orb n�G . 2$4O 5 KNOWLEDGEMENTS: e undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which be susceptible to erosion and/or Aooding. I acknowledge that the Local Permit Off,cer has explained to me the particu- iazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza- and AoodprooL ng techniques. thermore certify that I am authorized to grant,and do in fact grant, permission to Division of Coastal Management staff, Local Permit Off,cer and their agents to enter on the aforementioned lands in connection with evaluating information ed to this permit application. This the I 651.- day of Sit t3e ,20 I, 'owner or person authorized tglitct as his/her agent for purpose of i,ling a CAMA permit application application includes: general information(this form),a site drawing as described on the back of this application,the !rship statement,the Ocean Hazard AEC Notice where necessary,a check for $100.00 made payable to the locality,and information as may be provided orally by the applicant. The details of the application as described by these sources are rporated without reference in any permit which may be issued. Deviation from these details will constitute v� �YED )ermit.Anv person develoning in an AFC withn�rt Hermit is cnhiect to�;.,it criminal and a�tm;n;o*. CGTON,NC 1. . •os a ervice CERTIFIED MAIL° RECEIPT � Domestic Mail Only ✓• For rtelivAry information-visit our website at wtvlv.usps.com . • AL USE 3 Certified Mail Fee 33.35 n $ $2.75 C14$f2 Extra Services&Fees(check bar,add fee qgerpritaii•to) ❑Return Receipt(hardcopy) $ 7VV ��l�1y��IUU/f� 3 ['Return Receipt(electronic) $ $1)a Lr4f Postmark 3 ❑Certified Mail Restricted Delivery $ $U.CIO Here 3 ❑Adult Signature Required $ tl0— ❑Adult Signature Restricted Delivery$ Postage to.70 ro $ Total Postage and Sr go il6�f12�2�117 s 1 Sent To f"�.�g e 123- TA eke.tia 3 Street andApt No.,o�q150 ffox o. LO (O �iAwe oD 1>12-. to 1 L. .I Nero N NC/ '2 3 4o 5 A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail A unique identifier for your mailpiece. associate for assistance.To receive a duplicate Electronic verification of delivery or attdlrrpted 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 spedfied by name,or to the addressee's authorized agent. nportant Reminders: -Adult signature service,which requires the You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class 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 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. 3 Form 3800.Aoril 2015(Reverse)PSN 7530-02-000-9047 Receipts for Certified Mail (Staple Here) CQ 2811- ae23- 1� )2K-SR' A aD P Dt)P -0'2 c8 )•3 C 284-R's City,State,Zip Code Dear Adjacent Property: This letter is to inform you that I, ► ekbe,`r N Lr o have applied for a CAMA Minor Property Owner Permit on property at 3 a, A��1 L�01 70 l> ' ' C, �a COUNTY Perm my p PertY '" Property Address County. As required by CAMA regulations,I have endosed 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 fomt If you have any questions or comments about my proposed project,please act me at 7Z) - e40 - 4 9 2-2 ,or by mail at the address fisted below. If you wish to Applicant's Telephone file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program,you may submit them to: LPO NAME Local Permit Officer for LOCAL GOVERNMENT LOCAL GOVERNMENT ADDRESS CITY,STATE,ZIP CODE Sincerely, Awke A 4L r d� Property 39 C Ave Mailing Address f)1413 1 FA. 1570 City,State,Zip Code RECEIVED DCM WILMINGTON. Ne I. . 'os a ervice CERTIFIED MAIL° RECEIPT u Domestic Mail Only r 3 For delivery information,visit our website at tVLVW.LIST S.com . WI tsic" C` ' AL USE D Certified Mail Fee f3 35 0482 2c 02 co Extra Services&Fees(check x,add fee inpe) • El Return Receipt(hardcopy) $ V1•����VV 3 ❑Return Receipt(electronic) $ $0.00 Postmark • ❑Certified Mall Restricted Delivery $ $Q_00 Here • 0 Adult Signature Required $ $0.00 0 Adult Signature Restricted Delivery$ rPostage $0.70 o $ 06/02/2017 3 Total Postage and Fpgs 80 I 9 IGC Sent To vI cg A faj/ L.6H`zt gJ �ity vw . 1NOTe-,J l 14 L 2$Al 1 I V—i FII VWIViiO III YG'I ICi11tO. A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail A unique identifier for your mailpiece. associate for assistance.To receive a duplicate Electronic verification of delivery`or attempteu return receipt for no additional fee,present this delivery. LISPS®-postmarked Certified Mail receipt to the A record of delivery(including the recipient's retail associate. signature)that is retained 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 Mail®,First-Class Package Services, available at retail). or Priority Mail0 service. -Adult signature restricted delivery service,which Certified Mail service is not available for requires the signee to be at least 21 years of agE International mail. and provides delivery to the addressee specified Insurance coverage is not available for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■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 tee,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. S Form 3800.Ands 2m s raav„r<or PAID 7tan_nnaln tonAO r � Receipts for Certified Mail (Staple Here) CO 72 /.?0 ate, lG4/19,2.6 e/I1ef Adj cent Property Owner /9reie RI) "�ili g Addr f11��u itess nl, Al‘ 2g4/1 City,State,Zip Code Dear Adjacent Property: r This letter is to inform you that I, RA AY1"t AG ZFOD have applied for a CAMA Minor Property Owner Q � ?&/, COUN1YPermit on my property at 3G /-1 fIN /V / i , 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 72:41. " g�d • 4 q 2 2 ,or by mail at the address listed below. If you wish to Applicant's Telephone file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program,you may submit them to: LPO NAME Local Permit Officer for LOCAL GOVERNMENT LOCAL GOVERNMENT ADDRESS CITY,STATE,ZIP CODE Sincerely, h /}, ,y it/t4z-A-c>h Property OvMer C.3g 62-44X- AVE Mailing Address C AA-Ak �A City,State,Zip Code RECEIVED DCM WII MItir,Trvo �� From: Simpson, Shaun Sent: Wednesday,July 26, 2017 10:20 AM To: 'Mary MacLeod' <mmacleod@iup.edu> Subject: RE: CAMA Minor Permit SC17-05 I'm sorry to say that it was not delivered, or, once in the building was miss-routed with slim hopes for recovery! I am relieved that you have the original, and thank you in advance for(re)signing. Shaun Simpson Permit Support&Customer Service NC Department of Environmental Quality NC Division of Coastal Management 127 Cardinal Drive Ext. Wilmington,NC 28405 Phone:(910)796-7226 Shaun.Simpson@ncdenr.gov E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties. From: Mary MacLeod [mailto:mmacleod@iup.edu] Sent: Wednesday,July 26, 2017 10:08 AM To: Simpson, Shaun <shaun.simpson@ncdenr.gov> Subject: Re: CAMA Minor Permit SC17-05 Good morning, Ms. Simpson, I signed and returned the CAMA permit form, mailing it to the Cardinal Drive Ext. address, on June 17. Are you certain you haven't received it? Mary Mary MacLeod Associate Professor IUP Philosophy, Chair(HSS 505H) Women's and Gender Studies,Affiliated Faculty • mmacleodCa)iup.edu (724) 357-2310 On Jul 26, 2017, at 9:36 AM, "Simpson, Shaun" <shaun.simpson@ncdenr.gov>wrote: Hello Ms. MacLeod, Minor Permit SC17-05 was sent via USPS to your attention on June 14, 2017. We have not yet received your signed copy. If you did not receive, or no longer have the original, please sign/scan this attachment and I'll have Jason Dail sign and scan a copy back to you. Thank you for your prompt reply, Shaun Ms.Shaun Simpson Permit Support&Customer Service NC Department of Environmental Quality NC Division of Coastal Management 127 Cardinal Drive Ext. Wilmington,NC 28405 Phone:(910)796-7226 ROY COOPER IC MICHAEL S. REGAN - Coastal Management ENVIRONMENTAL QUALITY BRAXTON DAVIS June 14, 2017 Mary MacLeod 639 Clark Avenue Indiana, PA 15701 Dear Ms. McLeod: Attached is CAMA Minor Development Permit No. SC 17-05 for work to be done at 5386 Atkinson Pt. Road, in Surf City, Pender County. An electronic copy has been sent to the Town of Surf City Inspection Department and to your agent To validate this permit, please sign both copies of the permit as indicated for our records. Retain the orange copy for your files and 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 SC Inspection Dept. Larry Price-Agent State of North Carolina I Environmental Quality I Coastal Management 127 Cardinal Drive Ext.,Wilmington,NC 28405 919 796 7215 Ar() T 17 ,„ CAMA PERMIT APPLIED FOR PROJECP construct a famil- sin le dwelling�► y at 5386 Atkinson Pt. Rd., adjacent to Waters Bay, in Surf City, Pender County. COMMENTS ACCEPTED THROUGH N/A APPLICANT: FOR MORE DETAILS CONTACT THE LOCAL PERMIT OFFICER BELOW: Mary MacLeod NC Div. of Coastal Management 639 Clark Avenue 127 Cardinal Dr. Extension Indiana, PA 15701 Wilmington, NC 28405 Jason Dail, Field Representative 910-796-7221 Agent: Larry Price (910) 232-3332 - NOTES - -LEGEND- 1. This plot plan is of an 45 existing parcel of land. SIR.E 2'Bet bon Rod EIR•Existing bon Rod • $ 2. Subject to restrictive E1P-Existing tjat Iron gips e i covenants,easements of �-C +sed Point it record,zoning ordinance,& DB"Map underground utilities,if eny. Deed Book MB•Map Book $ PG•Page 3 No title search by surveyor. R.W-Right-of-Way 4. References,MB 57,PG 83 MBL Minimum Building Line DB 4624,PG 1578 MMNL-Mean High Water Line 5. Flood Zone-AE 9/VE 10(Effective) I'1CiIAIITY MAP" ATS Flood Zone-VE 14(Preliminary) Community Panel*370186 4235 J 6. Zone-MHS-SURF CITY Setbacks. Front-15' Side-7.5 Rear-20 RA/ R/V ATKINSON POINT ROAD 50' PUBIC RIGHT-DF-WAY EWE N53'48'521 Y 19.35 N55.4'00'E 50A2 Inc3 ' IP 1 ' •EIP S55'33'59'V 50.11' Ei{1 R/Va r--'i+-A11= - n ( PROPOSED 24' 1MOE GRAVEL DRIVE ATKINSON POINT f 1 LOTS 35 and 36 8.0'I 34.0' 8.1' MB 4, PG 132 a,' 1 PROPOSED — RICH CORKER RECOMBINATION LOT 38R DB 1559, PC 5 1 RE N MB 57, PG 83 `4Y3' 34'0"z44'0' + DB 4541, PG 92 . I ii FLOOD UNE IS APPROXIMATE AND I., ? 4 SCALED FROM FENDER AlCOUNTY GIS_B L- _ /FLOOD MAPS A FEMA E-T� I,o UNCTERED` — SCREENEp 11Pcf101CUO CALCIL4I1pNS, 45"v ,o DECK 1 PORCH tor M1Kuo to B4#.al)-6,3Y1 W(0.14 SC) '^ 21.0' �$ t3'O'x9'2' PRC►OM=fILMI[ACE-1.656 If (Walfosw Motel.ofa+c-0 If Ar 0 TOTAL MPfRNOUf COKRACE-1,666 ff(I6,1717 REAR UNCOVERED DECK SHALL BE -1�., 1 g STRUCTURALLY PROPOSED TTHE°F PC6t1farl a MIO►ORTY BMW 75'KC-3,624 If .--*4.-... RESIDENCE IS LOCATED *1.5' rpT,LiIIPONOUS - -.-...4 •\ FROM THE AE/VE FLOOD LINE. N (tetllw 7s'ACC s11s.«X e>r(17'7f0 LOT 37R �. —EIP 0,14 ACRES S. S6014 'M CP S72• 1423 I 44,B'I✓ IP ,23' CP NORTH CAROLINA TOPSAIL SOUND PENDER COUNTY 1,WESTON LYALL,CERTIFY THAT THIS PLAT WAS DRAWN UNDER MY SUPERVISION FROM AN ACTUAL 30 15 0 30 60 SURVEY BUT PER DEED BOOK 4824,PAGE 1578; THAT THIS PLAT WAS NOT PREPARED IN ACCORDANCE WITH as.47.30 AS AMENDED. GRAPHIC SCALE WITNESS MY ORIGINAL SIGNATURE,REGISTRATION I _ NUMBER AND SEAL THIS 2ND DAY OF APRIL,A.D. 2017. PRELIMINARY PLOT PLAN FOR "+ +I11116j" MARY MacLEOD �, �CARD•'i, `‘,c LOT 37R, ATKINSON POINT ROAD �� OfES.�/�'}}.. j� xf � � 2 2Q S = RICH CORKER RECOMBINATION(ATKINSON POINT) / / SEAL y SURF CITY,NC sl_rlr SCALE:I•=3G TOPSAIL TOWNSHIP, PENDER COUNTY NI:um 41.17 1i L-4438 ei % ati 1t_ �yZ. 0w e MAY it SMT •�n7oIE�r/Iu vS qV-'� ," WESTON LYALL, PE, PLS, PLLC ,, TON,'r+•Z 214 HIGHWAY 17N SUITE 1 REGISTRATION NUMBER L•4438 '+++++�++" HOLLY RIDGE,NC 28445 RECEIVED PHONE:S1042E-9961 FIRM LICENSE 01.6011137 DCM WILMINGTON, N __- STRUCTURAL.&CIVIL ENGINEERING&LAND SURVEYING ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMA MINOR PERMITS I hereby certify that I own property adjacent to 10 AP{ M la t LC-0 I) 's 2 , (Na f,Prcrtopperty Owner) 3 36 property located at /11-1�-l ,t oi1 t oA/V! AP / Address, Lot, Block, Road,etc.) / on , in c3t( eF G /� , 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 RECEIVED DCM WILMINGTON, NC Date Date Check From(Name) Name of Permit Holder Vendor Check Check Permit Number NOTES Received Deposited Number amount 6/5/2017 Larry Rice Mary LacLeod BB&T 2756 $100.00 minor,386 Atkinson Pt. JD rct.4206D Construction Rd. SC PnCo