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SC_18-02_ Pelon (2)
Issued by WiRO SC18-02 Surf City Permit Number CAMA MINOR DEVELOPMENT PERMIT Coastal Management ENVIRONMENTAL QUALITY 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 Bill Pelon authorizing development in the Ocean Hazard Area (AEC) at 1201 N. Shore Drive, in Surf City, Pender County as requested in the permittee's application package, dated December 29, 2017. This permit, issued on January 10, 2018, is subject to compliance with the application and site drawing (where consistent with the permit) dated and received by DCM on January 2, 2018, and 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: Clearing,grading and construction of a new residential dwelling. (1) All proposed development and associated construction must be done in accordance with the permitted drawing dated and received by DCM on January 2, 2018. (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, and/or land use activities will require re-evaluation and modification of this permit. (4) A copy of this permit shall be posted or available on site throughout the construction process. Contact this office at(910) 796-7221 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 compliance. Any maintenance work or project modification not covered under this permit,require further written permit approval.All work must cease when this Jason Dail permit expires on: CAMA LOCAL PERMIT OFFICIAL December31,2021 127 Cardinal Drive Extension In issuing this permit it is agreed that this project is consistent with the local Land Wilmington, NC 28405-3845 Use Plan and all applicable ordinances. This permit may not be transferred to RECEIVED another party without the written approval of the Division of CoastalILPJIINGToN, I Management. 1�r� Name: Bill Pelon Minor Permit#SC18-02 Date: January 2, 2018 Page 2 (5) The permittee is required to contact the Local Permit Officer (910) 796-7221, shortly before he plans to begin construction to arrange a setback measurement that will be effective for sixty (60) days barring a major shoreline change. Construction must begin within sixty (60) days of the determination or the measurement is void and must be redone. (6) Any structure(s) constructed within the Ocean Hazard area 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. (7) All other structure(s) must be set back a minimum of 60 feet from the First Line of Stable Natural Vegetation (FLSNV), as determined by the DCM, the LPO, or another assigned agent of the DCM. (8) 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. (9) Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently threatened by changes in shoreline configuration. The structure(s) shall be relocated or dismantled within two years of the time when it becomes imminently threatened, and in any case upon its collapse or subsidence. However, if natural shoreline recovery or beach renourishment takes place within two years of the time the structure becomes imminently threatened, so that the structure is no longer imminently threatened, then it need not be relocated or dismantled at that time. This condition shall not affect the permit holder's right to seek authorization of temporary protective measures allowed under CRC rules. (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. )` W 6 DATE: ‘43_1_13_ SIGNATURE. � PERMITTEE RECEIVED DCM WILMING i ON. 5,c, Locality Permit Number 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 Ocean Hazard Estuarine Shoreline ORW Shoreline .Public Trust Shoreline Other treatment system),Building,Electrical,Plumbing,Healing and Air Conditioning,insulation and Energy Conservation,HA (For official use ar1)9 Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile HomePark Approval,Highway Connection,and others.Check with your Local Permit Officer for more information. GENERAL INFORMATION STATEMENT OF OWNERSHIP: LAND OWNER+ -MAILING ADDRESS I,the undersigned,an applicant l'or a CAMA minor development permit,being either the owner of property in anAEC or a '' Name r< .%\k‘Ct D . tQ`OY1 person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that die person Q n listed as landowner on this application has a significant interest in the real property described therein.This interest can be Address ` 0--}- 1 A0'b �+ described as:(check one) r �p City O.I%Q�leQ{� State 1 V. Zi�honc IN 7 "��5 • an owner or record title,Title is vested in vine of au D*^�• 4 ,e l o r\ ,dy p�o� rz, mot co see Deed Book y�p S�!► pa .�in the p�1kiP W County Registry of Deeds. Email W �7y+ • AUTHORIZED AGENT —nn owner by virtue of inheritance.Applicant is an heir to the estate of • Name :probate was in County. Address — if other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application. City hate Lip Phone 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 Email ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit. LOCATION OF PROJECT:(Address,street manic and/or directions to site:name of the adjacent watcrbody,) (Name) (Address) cllh3"40.",01Vti Sr. 42bSNe.ittu slta 6uf.,aw/ VS_ 2342,5 19.01 N. Shore Dr. Sul c.:T J N.C. ` S1.115— (2)Et & d F%tnv o r\ tU So Larvp Vita< t e ilVsr�relt7. T,SC-295 �4f. oC . (3) (4) )ESCR11''I'ION OF PROJECT:(List all Pro osed construction and sod disturbance.) C1,o..In U p� q1j OV� ACICNOWLi'sDGEMENTS: level rem- Qom tow s-Fo utrA tor. oR 9no ea soil, pea." 1 C►hdseo.Ql I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an awn which r-0 e-k _ e/ t rrr i (fl s1 Sn a tilp p I tc_ t oik a T e.e. 0jo,viT�'ty; may be susceptible to erosion antUor 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 stabihiza• IIZE OF LOT/PARCEL: Sitatit square feet acres (ion and floodprooftng techniques. 'ROPOSED USE:Residential'E` (Single-family El Multi-family 0) Commercial/Industrial❑ Other 0 I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management stafT, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information :OMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer/J'yau are not sure which AEC applies o your property): related to this permit application. C� I) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes ` p ,�J"�' This the !�� day of�RL ,20 LI it conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level butLA: ` U xcluding non-load-bearing attic spaccj + Z Landowner or person authorized to act as his/her agent for purpose of filing a CAMA permit npphicatigtt` Z 2) COASTAL SHORELIN'AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT (.J ap IPON SURFACES 0 quare feet(includes the area of the foundation of all buildings,driveways,covered decks, This application incl es:general information(this form),a site drawing as described on the hock of licat the onerete or masonry patios,etc.that arc within the applicable AEC.Attach your calculations with the project drawing.) oar'metship statement,the Ocean thaws!AEC Notice inhere necessa;a;acheck,lb,SUMO made prrva !us and any information ation as may be provided orally by the applicant.The details of the application as describeca i t soaq ate 'FATE STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State incorporated without reference in any permit mlrich gray be issued.Deviation from these(lentils Will c•c4t4'rt +widen of tormwatcr Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)7 may permit.Any person developing in an AEC without perm[is subject to civil,criadual and arbriinlcnar(Ve ([m. 'I3S NO V _ z •yes,list the total built upon urea/impervious surlitec allowed for your lot or parcel: 4 0 2 square feet. Q 0 p ROY COOPER Governor N MICHAEL S. REGAN Secretary Coastal Management ENVIRONMENTAL DUALITY BRAXTON DAVIS on,efor January 10, 2018 William D. Pelon PO Box 700 Hampstead, NC 28443 Dear Mr. Pelon: Attached is CAMA Minor Development Permit SC 18-02 for work to be done at 1201 N. Shore Dr., in Surf City, Pender County. An electronic copy has been sent to the Surf City Inspections Department. To validate this permit, please sign both copies as indicated for our records. Retain the orange copy for your files, and return the white copy to us within 20 days of receipt in the enclosed, self-addressed envelope This is not a valid permit until it is signed and returned to our office. Thank you for your prompt attention to this matter. Sincerely, Shaun K. Simpson Permit Support Technician Enclosures Cc: WiRO files SC Inspections Dept. State of North Carolina I Environmental Quality I Coastal Management 127 Cardinal Drive Ext.,Wilmington,NC 28405 LAA48 cvuii 3iNts-ku44---- 'S4'i tuaLs.,___,ThjmeL_5-7.,f An— dsLitjt krAers,I. 12! in- I piagxAisw0s1 10- -Aft_ c). 1 q ( 0 ��-- flECE IVED DCM WILMINGTON, NC .IAN 0 2 2018__ ' lot Icn N c" • \o /1--* N 'K�J�vr44• �N� 5 R`Jet 2 • �• c$,, o'er- �c . New �i co ©� r �N w e (o9 �d o�� to eyy��\ - 2 o��' ��Site Oo PGG , 6` yro�e ,� �eo� a) , ,�'Lj nt\G �� (j°. G Pt\o .��g��`' r < VICINITY MAP N.T.S. 0 e''' CER11FICA1E OF SURVEYOR �Qh Danny Marco Padgett dais d :-D(r_l rD that undermy direction and e7roxislon,the�. 3 ��� �, attachedphydramfromanactud survey mode under my supervbion.That �� 1 � the ratio of deporturoa b 1:5.000+.Witness my, hand and aed thb i 9 day of 1 1 7. 0. DANNY M PADGETT R.LS.L-2639 moo. CD 0 11:01 ttlllllll// •s. F `,\,��N CAR0C,,,, �� moo. �� �o .���. G\'S'Te,: /y.,' bt \ ^opQ )9 .C13 _ SEAL `�` L-2639 i9 �9.�� '. 1 .6 SUR\�-yP 6v oL 9 , s� \"/- co, h C(% 1p 0,0- 7 ‹i' ‘ ? 40 . 0* 04(‘ �.� 90_ D y r •AFC• moo' �\�. �/ �(,fv1 1 GTON, NC �' �°` � d��� � 0 2 2018 ur` 6e4NIM 4 .. 1\1 o Sr te �• Notes: 1: Total Area: 5,440 Sq. Ft. +/- 2: This Survey is of an Existing Parcel of Land. 3: Subject to Restrictive Covenants, Easement .._J .11!1'1.-_ '4.••• • • • 0.% I.4N) • •P • . 1"..;•• "4••• • r '4.'0., • • ••. 44, AL• f, Nt-,;•;,;' • .1* c. • I. -ver. . lot ' Ian . 1. 1ek" N sArq N �r.e �g4, 2�0 m �� �O'c5 0 1\ New R`�e< o i 0 say\ oL �a O��Je Rio (oP coy-13 `te co P`GGe 66` Shoe Ocee" lk 4) , 0�' l9 < VICINITY MAP N.T.S. N°Jg a,.7R'S o� CERTIFICATE OF SURVEYOR .4 i Danny Marco Padgett d,certify (� op �� that under my direction and supervision,the \ c• 3 �_` ��\' '� 000tual surmytoched �mode ider sunny emy aipxdnion.draw Ran That rL� 1 V— the ratio of departures b 1:5,000+.Minas my hand and sod this 19 day of D pan. L y� DANNY PADGETT R.L4AriS L— O. O `�ttt1tiitttiii 1�� 'o. �� :,.\\O�� �S................ F OC/ /,, \ ��' O� = �`c• CFO ;9 '51 sea C2)- = SEAL • = \ Qca\AOJse = L-2639 �c0 -',V4,0 SURv�y�� I \--; l��/0146 ''�,Iiiiiii1P`c". h. co . �+ t �0 (&)#CP DeckCp / 5 /2' \- 1 EC..IVED \5‘0.. rtm WILMINGTON, NC 50• ,�-5o� JAN 0 2 2018 •5 \ <Do o O. te e C\• Notes: 1: Total Area: 5,440 Sq. Ft. +/- 2: This Survey is of an Existing Parcel of Land. 3: Subject to Restrictive Covenants, Easement ..-J i uv:u-- &w...-,. .. '..:'.t a,.+ms.' - •,,, _w as�si'a lam.r. ..'.,..n .•,..Rw.7,.. .....re'.+s,:s�zr,a - -'.•....,:�,:, ti'i�"�.:.yHn u5l.l+:ss:r.�„>_. t-ti...^4r.^ = -Zflte:.:..ei- -.r•.vwi�cNa.;!.9R�+�ca�:q-'.-a-*Msx t,*'t. .St&.t.+.cs...i,"...M�w•n'AW+F.*Y+:.twea.: .... P, d • ;s • , I �s $ 1 - • • j.' r k F w tom. a _l; ` 4 y C .) • '��:. ... ... ,.....r rr..,�;: .,.•:.•a-a crr.. ... c ,�. .h::a.. tom.,-,_ ..,.ZCv.._.nrx,ss..,o�t,r,A e, ._'� �sw.'.-wa.,�y.-._1.. . rsz,... e. n. - r -. a.. j...... i_ .x..��..1......r. +•, .4,.y.-r.x. _ .a Hot 'plan h N �v�Q �g1`L") /1- Zoo rL 1 m • �• ��04,5 Oc*1 New RNet `6.,.-'co ©" o mN a (1.,e �. ops° yy�(\ 2 � t P ,ske S co PGGe t SVoce Ocean 20 5p1� P3°°:\ ��-g6cDo `o VICINITY MAP N.T.S. I, CERTIFICATE CC SURVEYOR V2h s 4 Danny Marco Padgett b, , c203.ce_, that under.ay dreaded ry.wka the ,. 3 �`4 g�" nud,M Ml�extra trap aam 20!� �, lne 'aw dnatam b ixa0ma°aw.w 'e'Ty bma l :Ub 19 day of y. DNRlY GApITr RLS L-�.14 �O_ - 00 ``„nututniii % 1oThe SEAL L-2639 \I '''',/414RCO ?'-s\s‘ss �\ µ r aoorlvQi� \ca'G Oc'c`�® `6 pe° F O s `F\ e\ \ 50 o(e Notes: 1: Total Area: 5.440 Sq. Ft. +/- 2: This Survey is of on Existing Parcel of Land. 3: Subject to Restrictive Covenants, Easement of Record & Underground Utilities. 4: No Title Search by Surveyor. I V E D 6: Zoning: R5 6: Setbacks Per Surf City Zoning Regulations 7: Impervious Area: p WILMINGTON, Ni,., House w/eaves: 1.836 Sq. Ft. 4' Driveway Runners 250 Sq. Ft. Total: 2.066 Sq. Ft. 0.38% JAN 0 2 2018�8: No Trees Within Building Setbacks. December 19, 2017 Legend: Scale: 1"=20' Ref. M.B. 3, Pg. 86 0 Iron Stoke Project No.: pelon 1201.dwg ' Concrete Driveway Runner Drawn By. 20' 10' 0' 20' SURVEY FOR William D. Pelon and wife Danny Marco Padgett Surveying Lee H. Pelon P.O. Box 130 1201 N. Shore Drive Sneads Ferry, NC 28460 1' f 1 a lv -44ii `f,, , , k jiii i IP...3. Itt A „ , :,. ,_ . si , ‘,.; ,.. 1. ,..1; tip} iiiI f " -, 1; o I I r i'' sr s Aj 'ni( _ '•�#+..-1 ',Antis:1C16fi!'`. .'.!4 •�� t �! jai' ; 9 .R. ,.. r,, _ .. i --- 1 � I, Viy, 4iii !, qv ` 4 1a V. ✓ ! Girt i • r.'.��,. ft'ifV i�.F :Wx�1,...2_ �s._; ak .. .✓.��u � 'M /� � .51�•'•1. ... U Z [ `�0 N. s\no re- �c. b •v..s� r e•N�e_r t o cis 01\kY . W z o 1rr% n 0.1ize4 l.orc�sc o.Q0%1 t��nc�e�ertvikne c cx"�' filc,ks '�X�'^ e • u2 w Cz J L.H.,e14.1V P1RLKLJ AM, NU I lbt_ Project is in an: ' ` ,Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area W Property Owner: '►\\1aTv b. 4- Lee_ VI . PE 10 v\ Property Address: 1 O t N. S tA 0 v, �. D f, S o f C►Cry J /U, C , �g'4 f S Date Lot Was Platted: t This notice is intended to make you, the applicant, aware of the SPECIAL NOTE: This hazard notice is required for special risks and conditions associated with development in this development in areas subject to sudden and massive storms and area,which is subject to natural hazards such as storms, erosion erosion. Permits issued for development in this area expire on and currents. The rules of the Coastal Resources Commission December 31 of the third year following the year in which the require that you receive an AEC Hazard Notice and permit was issued. Shortly before work begins on the project acknowledge that notice in writing before a permit for site,the Local Permit Officer must be contacted to determine the development can be issued. vegetation line and setback distance at your site. If the property has seen little change since the time of permit issuance,and the The Commission's rules on building standards, oceanfront proposed development can still meet the setback requirement, setbacks and dune alterations are designed to minimize, but not the LPO will inform you that you may begin work. Substantial eliminate, property loss from hazards. By granting permits, the progress on the project must be made within 60 days of this Coastal Resources Commission does not guarantee the safety of setback determination,or the setback must be remeasured.Also, the development and assumes no liability for future damage to the occurrence of a major shoreline change as the result of a the development. Permits issued in the Ocean Hazard Area of storm within the 60-day period will necessitate remeasurement Environmental Concern include the condition that structures be of the setback. It is important that you check with the LPO relocated or dismantled if they become imminently threatened before the permit expires for official approval to continue the by changes in shoreline configuration. The structure(s) must be work after the permit has expired. Generally, if foundation relocated or dismantled within two (2) years of becoming pilings have been placed and substantial progress is continuing, imminently threatened, and in any case upon its collapse or permit renewal can be authorized. It is unlawful to continue subsidence. work after permit expiration. The best available information,as accepted by the Coastal For more information,contact: Resources Commission, indicates that the annual long-term average ocean erosion rate for the area where your property is SqS Or\ DO,A \ (F1e)L Reelcjii e) located is feet per year. t Local Permit Officer The rate was established by careful analysis of aerial photographs of the coastline taken over the past 50 years. t (�/ V.�►- D r ), `t `elfra t,Co r. Studies also indicate that the shoreline could move as much as Address - X 'L4. s ,�/, feet landward in a major storm. The flood waters in a major storm are predicted to be about '. C. U tut S 1 O s & epgc�Q.,.( l i iu al @Me T feet deep in this area. Locality Preferred oceanfront protection measures are beach nourishment 0 (D and relocation of threatened structures. Hard erosion control structures such as bulkheads,seawalls,revetments,groins,jetties Phone Number and breakwaters are prohibited. Temporary sand bags may be authorized under certain conditions. The applicant must acknowledge this information and requirements by signing this notice in the space below. Without i i E C 1 V E D the proper signature,the application will not be complete. DCIM WILMINGTON, NC � OiQe- -- ' � �g JAN 022018 (A) /0 property Owner Signature Date Revised May 2010 . . • . - - TM CERTIFIED MAIL,., RECEIPT ✓ (Domestic Mail Only;No Insurance Coverage Provided) p For delivery information visit our website at www.usps.com, nuReLFFET'0 F7VL pougb.1 0406 ✓ $2.75 04 Certified Fee $0.00 p Retum Receipt Fee $0.00 Postmark (Endorsement Required) $0.00 Here Restricted Delivery Fee �u'00 p (Endorsement Required) C:t I V E D ✓• Total Postage&F 0.7NI WILMINGTONQi�tE�72018 $6.8u p Sent To �d 2 h n 3 Street,or PO Box No. It 51) t51) Lain e W I (Act 1 0►'(%t. City State,ZIP+ aq S? 6 ;edified Mail Provides: A mailing receipt A unique identifier fOr your malpiece I A record of delivery kept by the Postal Service for two years mportant Reminders: I Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail Certified Mail is not available for any class of international mail. NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fc 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 Retun Receipt(PS Form 3811)to the article and add applicable postage to cover thl fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver fo a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. For an additional fee, delivery may be restricted to the addressee c addressee's authorized agent.Advise the clerk or mark the mailpiece with th endorsement"Restricted Delivery". If a postmark on the Certified Mail receipt is desired,please present the art cle at the post office for postmarking. If a postmark on the Certified Ma receipt is not needed,detach and affix label with postage and mail. • MPORTANT: Save this receipt and present it when making an inquiry. 'S Form 3809,August 2008(Reverse)PSN 7530-02-000-9047 r { December 27, 2017 Mr. Edward Finn 1150 Lamp Wick Lane Murrels Inlet, SC 29576 Dear Mr. Firm: This letter is to inform you that I, William D. Pelon, have applied for a CAMA Minor Permit on my property at 1201 North Shore Drive, Surf City NC in Pender County. As required by CAMA regulations, I have enclosed a copy of my permit application and project drawings 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 910-538-2455, or by mail at the address listed below. If you wish to file written comments or objections with the Local Government CAMA Minor Permit Program, you may submit them to: N. C. Division of Coastal Management Jason Dail 127 Cardinal Drive Extension Wilmington NC 28405 Sincerely, P William D. Pelon P. O. Box 700 Hampstead NC 28443 RECEIVED DCM WILMINGTON, NC JAN 0 2 2018 • - • . - TM CERTIFIED MAILTM RECEIPT (Domestic Mail Only;No insuran'p Coverage Provided) For delivery information visit our website at www.usps.com ',t t'.n . ram. po$3. OMB 0406 stage04 Certified Fee N Return Receipt Fee Postmark (Endorsement Required) Here Restricted Delivery Fee 3 (Endorsement Required) $IJ., _ 3 Total Postage&Fees $ 01/02/201 8 $6.6 ? Sent To ti tium.p4,re ] S`treet,Apt.No.; I� - or PO Box No. 1•2 N,c. Irlwv 53 W City,State,ZIP+4 %�re q q w, Mt, A 8 ;edified Mail Provides: A mailing receipt • A unique identifier for your mailpiece • A record of delivery kept by the Postal Service for two years mportant Reminders: Certified Mail may ONLY be combined with First-Class Mail®or Priority Maik I Certified Mail is not available for any class of international mail. I NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. Fo valuables,please consider Insured or Registered Mail. ▪ For an additional fee,a Return Receipt may be requested to provide proof a delivery.To obtain Return Receipt service,please complete and attach a Returr Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver fa a duplicate return receipt,a LISPS®postmark on your Certified Mail receipt it required. ■ For an additional fee, delivery may be restricted to the addressee o addressee's authorized agent.Advise the clerk or mark the mailpiece with thi endorsement"Restricted Delivery". I If a postmark on the Certified Mail receipt is desired,please present the arti cle at the post office for postmarking. If a postmark on the Certified Mai receipt is not needed,detach and affix label with postage and mail. MPORTANT:Save this receipt and present it when making an inquiry. 'S Form 3800,August 2006(Reverse)PSN 7530-02-Q00.9047 t 7 December 27, 2017 Mr. M. J. Humphrey,Jr. 6265 N. C. Hwy 53W Burgaw,NC 28425 Dear Mr. Humphrey: This letter is to inform you that I,William D. Pelon,have applied for a CAMA Minor Permit on my property at 1201 North Shore Drive, Surf City NC in Pender County. As required by CAMA regulations,I have enclosed a copy of my permit application and project drawings 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 910-538-2455, or by mail at the address listed below. If you wish to file written comments or objections with the Local Government CAMA Minor Permit Program, you may submit them to: N. C. Division of Coastal Management Jason Dail 127 Cardinal Drive Extension Wilmington NC 28405 Sincerely, William D. Pelon P. O. Box 700 Hampstead NC 28443 ECZ.::WED DC,Mi WILMINGTON, NC JAN 02 2018 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMA MINOR PERMITS I hereby certify that I own property adjacent to 04+r` MP\ V. VeAcAN .s c (Name of Property Owner) property located at 1�01 1V. J�Ore O'�'. Su•t'S �_ C Address, Lot, Block, Road etc.) on Pt'dZt... ()CCM\ , in Sv..%F C.l�t{ f�.�ila@.il` �0_ , N.C. (Waterbody) (Town and/or Cbu ty) 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 1zEC:_IVEC) DGN1 WILMINGTON, NC JAN 0 2 2018 Area Schedule(cross Bolding*AIM._ Mee Schedule(Condtioned( A..Sch.Mi(Unco'3600.l . Ara 1 Level Area ] Nome _. Nm. 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I- III II II 41 .. . . , . . .. ,r--...--1 ....„(, , :.. ..„.. . n 1 .4 1 ��� a� �x � �+.�--.� t i' § �1py�,r� e+. 4r � ;im Yt - - I ■■■■ ■■■■ ■■■ ri 'I 11\0 C 0. Slnor,e— Dc. 4v..Se_ rer4e ' t,n9s oc\ky , •• �n e.1iz� 1..ohas�.Q\I� u,ndQ'YeVnnkne mit filn k5 �‘� e • ii.1"1 NC Division of Coastal Management 5424 A B Cashier's Official Receipt Date: ( ^ " 2j F Received From: ./ 1 kt w ~' Pa/ex_ $ 6 0 ___ Permit No.: Check No Applicant's Name: V v t (?//44/1"1 L' ' County: -6 \4____ Project Address: IN( 5617-)a / ,%1 Please retain receipt for your records as proof of payment for permit issued. Signature of Agent or Applicant: Date: Signature of Field Representative. Date: Date Dat Check From Name of Permit Vendor Check Check Permit Rct. ; Received e Holder Number amount Number/Comments Dep osit ed 1/3/2018 William and Lee same First 5173 $100.00 minor fee, 1201 N. JD Pelon National Shore Dr., SC PnCo rct. . Bank