SC_19-40_ Carpenter

Issued by WiRO SC19-40
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
NORTH CAROLINA
as authorized by the State of North Carolina, Department of Environmental Quality 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"
I Issued to Arlen and Kathy Carpenter authorizing development in the Ocean Hazard (AECs) at 1906 N. Shore Drive, in
Surf City, Onslow County as requested in the permittee's application, dated September 26, 2019, and received by DCM on
November 4, 2019. This permit, issued on November 15, 2019, is subject to compliance with the application and drawing
dated received by DCM on November 4, 2019, (where consistent with the permit) and 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 beach access walkway, deck and structurally independent gazebo.
(1) All proposed development and associated construction must be done in accordance with the permitted drawing(s), dated
received by DCM on November 4, 2019.
(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)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 U
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site and accessible to the permit officer when the project is inspected for Jas n Dail
compliance. Any maintenance work or project modification not covered under CAM LOCAL PERMIT OFFICIAL =
this permit,require further written permit approval.All work must cease when this N O
127 Cardinal Drive Extensic
permit expires on: Wilmington, NC 28405-38' o
December 31,2022 / n 0 c___
In issuing this permit it is agreed that this project is consistent with the local Landgalooirik53
"'
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal PERMITTEE a
Management. (Signature required if conditions above apply to permit)
_ IL. l 1. 7-\1 / ;

Name: Arlen and Kathy Carpenter
Minor Permit#SC19-40
Date: November 15, 2019
Page 2 of 2
(4) 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.
(5) 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.
(6) The authorized gazebo shall be a free-standing structure and shall not be structurally connected to the
authorized decking.
(7) This permit does not authorize the removal of sand or vegetation from/on/in the frontal dune, with exception of that
necessary for piling installation.
(8) All portions of the authorized 300 sq. ft. or less of elevated uncovered decking and 200 sq. ft. gazebo, must be
constructed landward of the First Line of Stable Natural Vegetation (FLSNV), as determined by the DCM, the LPO,
or another assigned agent of the DCM.
(9) 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.
(10) 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.
(11) 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.
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SIGNATURE: °� D E: I 26 26
PERMITTEE 9 /zj: --_LV)d.,upL ��

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Locality V Permit Number 40
. Ocean Hazard Estuarine Shoreline ) ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER-MAILING ADDRESS
1 QT f Name rTt' i P r� d— /�( 'h y C � C"
Address 3 5 2 / Deer dun fer Coo( 1'
City h a rn et"' State A)C Zip 175.Z9 Phone (9 /9, 268- /9 6 f
Email Grlen . carp-en 1 er' e mar fi'h mat"s t l#a . COP')
AUTHORIZED AGENT
Name —_--
Address
City State • Zip Phone _
Email
LOCATION OF PROJECT: (Address,street name and/or directions to site;name of the adjacent waterbody.)
I °I D Nof+k Shofc Drt'Vc Ci A-L* N L
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) is u i / d deck
SIZE OF I.OT/PARCEL: t e)0 square feet b , 19 acres
PROPOSED USE: Residential (Single-family 0 Multi-family ❑ ) 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: 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: square feet(includes the area of the foundation of all buildings,driveways,covered decks,
concrete or masonry patios,etc.that arc within the applicable AEC.Attach your calculations with the projggt.S1mwing
CEIVED
STATE STORM WATER MANAGEMENT PERMIT: Is the project located in an area subject to a State EE
Stormwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources(DEMWO 4 2019
YES NO
- nf+11I IA111 ......----

OTHER PERMITS MAY 1W 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, Beating and Air Conditioning,insulation and Energy Conservation, HA
Certification,Sand Dune,Sediment Control, Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
1, 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) n
an owner or record title,Title is vested in name of Arlen+ KGt/ t_.UfperL e(
see Deed Book t3 9 page 07 / in the 0 n 5 /e,c.j County Registry of Deeds.
an owner by virtue of inheritance.Applicant is an heir to the estate of
; probate was in_ County.
if other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
i furthermore certify that the following persons arc owners of properties adjoining this property. i affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
(I) iarlet Morton Po Box 803 Laure I I-4i I ( NC g$35'1 1.o.1-4/3
(2) Madison /6(m5 LLC 5.5' .6e4nys Beach Road Front Roo 144 12U0 1-O7 /
(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 oZ 6 day of Selirenlber 20 I q
14-
Landowner or person authorized to ac 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 solaces are
incorporated without reference in any permit which may be issued. Deviation front these details will constituREGEWED
any permit.Any person developing in an AEC without permit is subject to civil, criminal and administrative action.
NOV 04 2019

ROY COOPER
Governor
' MICHAEL S. REGAN
Secretary
NORTH CAROLINA BRAXTON DAVIS
Environmental Quality Director
November 20, 2019
Arlen and Kathy Carpenter
5521 Deer Hunter Court
Garner, NC 27529
Mr. &Mrs.Carpenter,
Attached is CAMA Minor Development Permit SC 19-40 for work to be done at 1906 North Shore Drive,
in Surf City,Onslow 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 / 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.
Sinc rely,
nya . ietila
Permit upport Technician
N.C. Division of Coastal Management
Enclosures
Cc:WiRO files
SC Inspection Dept.
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

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RECEIVED
NOV 0 4 2019 cean

Receipts for
Certified Mail
(Staple Here)
7/21 zo/
Date
loci;son Forms LLC
Adjacent Pro,�erty Owner
Adjacent
f nnys .5e4c/) Rood
M fling Addr n
rnn f i sya/ 1/ 224,3b
City, State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, Arle Ka*by COrptn fer have applied for a CAMA Minor
Property Owner
Permit on my property at 1Uort/ Shore_ Drive 50(f C'fy / Al L ,in Pender/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 (9195 26$-19 L ,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
Sinnnccerellny,
14- cppoiti
Properly Owner
ST2/ Veer /Iunfer CtI
Mailing Address
Carder, /tiC 275'21
City,State,Zip Code
RECEIVED
NOV 04 2019

CERTIFIED MAIL® RECEIPT
1 Domestic Mail Only
1 For delivery information,visit our website at www.usps.coin
FR 11YA , 213AL USE
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7 Street andApt.No.,or -ctuic mr.
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r A receipt(this portion of the Certified Mail*abel). pfor an electronic return receipt,see a retail
r A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
I Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
I A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service' -Restricted delivery service,which provides
fora specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
'mportant Reminders: -Adult signature service,which requires the
r You may purchase Certified Mail service with signee to beat least 21 years of age(not
First-Class Mail®,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,which
r Certified Mail service is notavailable for requires the signee to be at least 21 years of agi
International mail. and provides delivery to the addressee specified
I 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
I 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.
'S Form 3800.AonI 2015(Reverse)PSN 7530-02.000-9047

Receipts for
Certified Mail
(Staple Here)
7/2/2o/9
Date
Janet Norto
Adjacent Property Owner
P40, aox 8,03
Mailing Address
Lv o rP 1 1411 i1 IUC 25351
City,State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, A r I et1'- K C t4i 1 Careentave applied for a CAMA Minor
Property Owner
Permit on my property at /VO( i Shote 0ts S Ci 1 , A e- 2d'1 Pender/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 Cq 1q' 265- 19 6 9 ,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,
1
Property Owner
c-'.z( Deer gonfe r C� -
Mailing Address
Gcirnert AJC .27529
City, State,Zip Code
RECEIVED
NOV 04 2019
DCM WILMINGTON. NC

1. . 'os a ervice
CERTIFIED MAIL° RECEIPT
p Domestic Mail Only
3• For delivery information,visit our website at www.usps.com .
o
' SAL. USE
1 Certified Mall Fee $3.50 0511
,, $ $2.80 i 08
Extra Services&Fees(check box,add esc� Tr ,a �.RldER PGS,
Return❑ Receipt(hardcop� $ � � Q,�.
3 0 Return Receipt(electronic) $ • Pow(,
3 ❑Certified Mall Restricted Delivery $ $O.�0 Flare C.
3 ❑Adult Signature Required $ to,on T'S,
❑Adult Signature Restricted Delivery$ ��� ') .,, _a
3 Postage $U.70
a $ 09/27/2019
9 Total Postage and fan-
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4 Sent To �1e� �er
3 "Skeet andApt.No.,or 0 ffoi lffo. 'r
City,state,ZIP+44

:eruTlea Mall service proviaes me toiiowing DeneTlis:
A receipt(this portion of the Certified Mail label).11 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 thr
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.
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,whicl
Certified Mail service is notavailable for requires the signee to beat least 21 years of ag
international mail, and provides delivery to the addressee specifies
Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agenl
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 t
certain Priority Mail items. LISPS postmark.If you would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office—for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt.attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records.

OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner:
Property Address:
Date Lot Was Platted:
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 re-measured.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 re-measurement
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 V/1o/ 1 4-/ (--
located is feet per year.
Local Permit Officer
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
N.C. Dept. of Environmental Quality
Studies also indicate that the shoreline could move as much as Division of Coastal Management
feet landward in a major storm. 127 Cardinal Drive Extension
The flood waters in a major storm are predicted to be about Wilmington, NC 28405-3845
feet deep in this area.
Preferred oceanfront protection measures are beach nourishment 9/O _ ^ �6)- 2'
and relocation of threatened structures. Hard erosion control 7
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
the proper signature,the application will not be complete.
(rr � ((�� GypAriti RECEIVED
I'^L1 iN- -1/2//9 NOV 0 4 2019
Property Owner Signature Date
DCM WILMINGTON, NC
Revised May 2010

qc? -NOTES-
Im 1.This plot plan Is of an
i, existing parcel of land. `,rE-
a 2.Subplot to restrictive �`, %.-
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record,zoning ordinance,8 b
In a underground utilities,l any. dr-C
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60.00' 60.00' 60.00' 60.00'
SLOW COUNTY L____ 60.00' --� �_ -.- -
S53'35 17'V S53 35 17'V S53'3 17'V S53'35'17'V S53'35'17'W S53'35'17'W S53'35'17'W ' S53'35'17'V S53'35'17'W S53'35'17'W S53'35'17'V S53'35'17'W
ESTON LYALL,PROFESSIONAL LAND SURVEYOR NUMBER L-4438,
Inn'THAT THIS PLOT PLAN WAS DRAWN UNDER MY SUPERVISION ATLANTIC OCEAN SURVEY FOR
HA AN ACTUAL GPS SURVEY MADE UNDER MY SUPERVISION FROM
1P BOOK 9,PAGE 71)AND THE FOLLOWING INFORMATION WAS USED
PERFORM THE SURVEY: CLASS OF SURVEY:8;POSITIONAL JOHN FONTANA
7URACY:S00 REIS;TYPE OF GPS FIELD PROCEDURE:VRSRTKGPS;
NM:NAD83'2007',NAVOIB;GEIOD MODEL:GEOID 03;COMBINED GRID LOTS 2-9 NORTH SHORE DR.
:TOR:0.9999473;UNITS:US SURVEY FEET;THIS IS A SURVEY OF AN SECTION 4•BLOCK 17 OLD SETTLERS BEACH
STING PARCEL OR PARCELS OF LAND AND DOES`NONLHLMIEEA NEW STUMP SOUND TOWNSHIP
IEET OR CHANGE AN EXISTING STREET- �....N CAARO 0 SCALE:1'=rRr ONSLOW COUNTY JVxs ao,zo+7
:PO ye-
A SURF CITY,NC
C
SEAL v S.
60 30 0 60 120 WESTON LYALL, PE, PLS, PLLC
(.e flON•2 ER L (+,.'>+//7 ' L-4438 O z14 HIGHWAY 17N SUITE 1
Li7VN WALL S :! QS HOLLY RIDGE.NC 28145
•9 of GRAPHIC SCALE
IOIBTRAT1ON N MOEN L•MS8 4ttiO ,' �` PHONE:91HOLLY NG EER G LICENSE LAND
D/rPA037
�.°- ""e,M,,,,,,:'° `� STRUCTURAL 8 CIVIL ENGINEERING 8 VWDSURVEYING
RECEIVED
t'%sT....- �
NOV 0 4 2019

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3. A. '•natur0
• Print your name and address on the reverse 0 Agent
so that we can return the card to you. X I�' �• 0 Addressee
. ■ Attach this card to the back of the mailpiece, B. 'eceirved b it_.Name) C. Date of Delivery
or on the front if space permits. I NIit il101 A I ._1.
1. Article Addressed to: D. Is delivery ad 5:,tor. Rem 1? 0 Yes
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C 0 Registerail ed Mall Restricted
❑Adult Signature ❑Registered Mail
❑Certified Mall® Delivery
9590 9402 5000 9063 6924 22 ❑Certified Mail Restricted Delivery 0 Return Receipt for
❑Collect on Delivery Merchandise
o Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery 0 Signature Confirmation(
112 p ❑Insured Mail 0 Signature Confirmation
19 0 0 0 07503
❑Insured Mail Restricted Delivery Restricted Delivery
3 8 5 6 7 5 0 3 (over$500)
-----------
PS Form 3811,July 2015 PSN y531:=o¢-wv.•au.... Domestic Retum Receipt
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete Items 1,2,and 3. A. Si, `ure
• Print your name and address on the reverse X ant
so that we can return the card to you. �..��. ❑Addressee
• Attach this card to the back of the mailpiece, IF f
eived by(Printed Name) C. Date.f D livery
or on the front if space permits. C.J a,-r--t" Ab^r /' I /
1. Article Addressed to: D. Is delivery address different from item 1? Cl -s
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2. Artirlo Ate,..,ti.,.rr:.......c.•-4------ • • ' .. 0 Collect on Delivery Restricted Delivery ❑Signature ConflrmationTM
19 1120 0000 3856 8869 0 Insured Mail El Signature Confirmation
❑Insured Mall Restricted Delivery Restricted Delivery
(over$500)
PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt
ARLEN H CARPENTER 798
KATHY A CARPENTER 15-3/5+0
5521 DEER HUNTER CT e53
GARNER,NC 27529-7410 (0/36/ i 9
1 /*3 Date
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iiiil NC Division of Coastal Management 9 0 7 0 A B C�
Cashier's Official Receipt
Date: i i 20/ r
AY'I $ po
Received From:
Permit No.: Check No.: W
CITVI4hwfrt
Applicant's Name: Frirfitt ,e 4, County:
J
Project Address: -g, ti ' 1' (di] �____
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant Date:
A
_c_rff
Signature of Field Representative: /t-7----/ Date:

1 Date Date Check From Name of Vendor Check Check Permit Rct
Received Deposited Permit Holder Number amount Number/Comments
11/5/2019 Arlen and Kathy Arlen and Kathy PNC Bank 798 $100.00 minor fee, 1906 N Shore Drive, JD rct
Carpenter Carpenter Surf City ONCO 9070