SC_20-49_ Lanier

RECEIVED
SC20-49
Issued by WiRO DEC 1 8 2020 Permit Number
Surf City
CAMA DCM WILMINGTON, NC
11.*:
MINOR DEVELOPMENT 4 r
PERMIT NORTH CAROLINA
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 Lanier Family, LLC authorizing development in the Estuarine Shoreline Area of Environmental Concern
(AEC) at 1161 Spot Lane, in Surf City, Pender County as requested in the permittee's application dated November 12,
2020, and received by DCM on November 19, 2020. This permit, issued on December 9, 2020, is subject to compliance
with the application and site details (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:Grading of lots and pouring of concrete pad(s).
(1) All proposed development and associated construction must be done in accordance with the application package dated
received by the Division of Coastal Management on November 19, 2020.
(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 Jason Dail
site and accessible to the permit officer when the project is inspected for CAMA Local Permit Officer
compliance. Any maintenance work or project modification not covered under 127 Cardinal Drive E nsion
this permit,require further written permit approval.All work must cease when this
permit expires on: W m gton, NC 28 5-3845,
December 31,2023
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 PERMITTPP

Name: Lanier Family, LLC
Minor Permit#SC20-49
Date Issued: December 9,2020
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 vegetated 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 impervious coverage shall be located within the 30'Coastal Shoreline buffer.
(8) All concrete and/or composite pads shall be located a distance greater than 30-feet from the normal/mean high
water line.
(9) This permit does not authorize the excavation or filling of any wetlands or open water areas.
(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.
SIGNATURE: DATE: )4A)--// 7/. 6)
PERMITTEE

Locality . ( u1V1k') Permit NumberOcean Hazard Estuarine Shoreline
ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER- MAILING ADDRE S
Name_Lan ' e( -- C`
Address RD
City ji,i/f — State /�/ Zip ,ff P�ne '9/a —� /9 - 11/7—
Email_ Q�, /Gf/1/(X e�t ' 1 ,eeM
AUTHORIZED AGENT
Name / f(-fl:�� �- )i W/
Address I' D 6 U(1
y5ziee>„4-
,V l / 41/0 07 7% /7
7-7
Cit State • Zi�c Phone
Email_ d0///14/ /it / nlp� p i/,&Y - _
LOCATION OF PROJECT: (Address,street i ame and/or directions to site;name of the adjacent waterbody.)
1 & I _S a 14fie &/1,9 >o #1,Addiddi *
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
7,04 / •//'x2`f t 91/W2r ,4h3
SIZE OF LOT/PARCEL: square feet l0 i 0fs) acres
PROPOSED USE: Residential ❑ (Single-family❑ Multi-family ❑ ) Commercial/Industrial ❑ Other 1E3/
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 SILO E . E AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: Al square feet(includes the area of the foundation of all buildings,driveways,covered decks,
concrete or masonry tios,etc. that are within the applicable AEC.Attach your calculations with the projR +EiNtD
STATE STORM WATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
Stormwatcr Management Permit issued by the NC Division of Energy, Mineral and Land Resources(DE v1'L '?1 9 2020
YES NO
DCM yyjaMIGTON, NC

1
OTHER PERMITS MAY BE REQUIRED:The activity you arc 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, Fleating and Air Conditioning,Insulation and Energy Conservation,FIA
Certification,Sand Dune,Sediment Control, Subdivision Approval,Mobile Home Park Approval,I lighway 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)
J._ an owner or,reIcro_rd tit L—
,Title is vested in name of h( V-- Ft L-t__,L_-
1� l
see Deed Book L-kU iVNI1 page 0 in the 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 properly. 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. 7/6
(Nor e) ,,t A Lh
at. ( dress)
(I)
IV .4 Vki, (e65 .DAN V(40 -40/C
(2) T -}_e. BAk(A Btafic . ft o (
(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 stall,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application. /
i This the a_ day of `) V _,20 )6
Landowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application
This application includes:general information(this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice whew 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 mores are
incorporated witlhout reference in any permit which may be issued. Deviation from these details will coartarEIMEiion of
any permit.Any person developing in an AEC without permit is subject to civil, criminal and administrative action.
NOV19

. a
Locality ..4,./ 4 _ ` Air, , I// Permit Number �c� 2 R
. Ocean Hazard "t ore me .. ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION .
LAND OWNER- MAILING ADDRE S
Name._. Lai t ee_
i--1---
Address PrO 17) LAND
y.s/� VC-
Emai , 7 YIshone "//' /% - 51i57Cit J�yn��fj ((y����/j�2 /)///�/+� /f State//���� �il�1---`�Ro n( , /t///✓�/C eM aiimigi/i'�
AUTHORIZED AGENT /- 'MLc%
Name /7f ®WfveV2---
Address 10060,)0
City5i1e2 el/4- State / . Zip 7 Phone i�� .77 / (�-7
Email _ ��� /a4fYrn ;gP J //�e o ____.
LOCATION OF PROJECT: (Address,street:ame and/or directions to site; name of the adjacent waterbody.)
0& I ____ tft 14fie Q 4/ df &d7 tot olAidadifr,40-1007
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
pfi, /62 // 'xQ V' #W727-/(3,413
SIZE OF LOT/PARCEL: square feet let 0 3 acres
PROPOSED USE: Residential ❑ (Single-tbmily❑ Multi-family ❑ ) Commercial/Industrial ❑ Other LED/
COMPLETE EITHER(I)OR(2) BELOW(Contact your Local Permit Officer ifyou are not sure which AEC applies
to pour property):
(1) OCEAN IIAZARD 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 SIIOiF. . NE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR RUILT
UPON SURFACES: square feet(includes the area of the foundation of all buildings,driveways,covered decks,
concrete or masonytios,etc. that arc within the applicable AEC.Attach your calculations with the projRt +EirotD
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a Stale
Stormwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources(DEIv . ?1 9 2020
YES NO
rlrMA MI MI IC:Tnk mr

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: i—dhigicamdo
Mailing Address:
PIO eiti( c=)jqo C
--Stkioeb 6;q 9f46-5
Phone Number: qio 7""1
Email Address: dot)flfi, Iaflhif1Z.-Lp& ) ? ml < < (tom
I certify that I have authorizedOtAt14--Ce--(
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permitsn
necessaryfor the followingproposed development: � I I4 V4 C-��i� QQ
p p / (�
at m ro ert located at 1 ( � I � i-th( thIt Y p Y ('�
in County.
1 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.
Pro erty Owner Informati : ,
(
Si na ure•.
14- 12/
Print or Type Name
I Title /)
t�( I 1� l L&-"
Date RECEIVED
NOV 1 9 2020
This certification is valid through l l DCM WILMINGTON, NC

ROY COOPER
k. N \* MICHAEL S. REGAN
BRAXTON DAVIS
December 9, 2020
Lanier Family, LLC
P.O. Box 2190
Surf City, NC 28445
Dear Ms. Lanier,
Attached is CAMA Minor Development Permit SC 20-49 for work to be done at 1161 Spot Lane Holly
Ridge in, 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.
Sin rely,
G4-
411/C666'
Anita M.Webb
Permit Support 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

Receipts for
Certified Mail
j/01-/ i)
(Staple Here)
.2ylptierdim
013* " gA res c jj7,17/ 9
City, State,Zi Code
t� l/
Dear Adjacent Property: -�k' r
This letter is to inform you that I, have applied for a CAMA Minor
Pro erty 0z
Permit on my property at J l 0( ,in Pender/Onslow
Prope y 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 haveany questions or comments about my proposed project,please
gip a hacontact me at q9' /" 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
Si -y, y
Property Owner
?d -S, ,a06
TAldriss
City,Stat ip Code
RECEIVED
NOV 1 9 20'0
DCM WILMINGTON, NC

r CERTIFIED MAIL° RECEIPT
Domestic Mail Only ,
n
n For delivery information,visit our website at www.usps.coma.
Rocky Poi ntj 11C28457
Certified Mail Fee f3■55 0482
] Extra Services&Fees(check box,add fee ti1■ �RIppt 'ate) [14
] ['Return Receipt(hardcopy) $ � II
] 0 Return Receipt(electronic) $ $J-00 Postmark
] ❑Certified Mail Restricted Delivery $ SO.00 Here
] ❑Adult Signature Required $ $a1.00
❑Adult Signature Restricted Delivery$ i V
] Postage
55
° s 11/16/2i+20
] Total Postage and Fees
$ $6.95
]9 Sent To
Street and Apt.No.,or P box Mo.
"pity$tote,2lP+4a

.ernnea man service proviaes me Tonowing oenents:
I 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
Electronic verification of delivery or attempted 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.
'mportant Reminders: -Adult signature service,which requires the
I You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Maily,First-Class Package Service°, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,whicl
Certified Mail service is not available for requires the signee to be at least 21 years of ag
international mail. and provides dellgery to the addressee specifies
Insurance coverage is not available 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 e
certain Priority Mail items. LISPS postmark.If you would like a postmark on
I For an additional fee,and with a proper this Certified Mall 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 retum receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
, ®///g /.-- r�-w
I hereby certifythat I own property adjacent to tok,S16-- M /4
� .li(--
P P Y 1 s
(Na of ro a Owner
property located at A(/ ,
Address, , BI , Road,,etc.)&4W�
, 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
NOV 1 9 2020
DCM WILMINGTON, NC

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
"DDA Gi ,
Name of Property Owner Requesting Permit: 11 I6(., Fm;/ /LC
Mailing Address:
P � � aiRo c
NC. :9445
Phone Number: qlo q q
Email Address: U'Of)ng, I an(l2- Mom ( I , (ISY�
I certify that I have authorized DOOki-G�-L
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits ,�
necessaryfor the followingproposed development: / 1 J 1 o�'' / L�cenr ± QGID
p p P
at myroperty located at 1 � 157L �-wrY t e of ,e4 76
p Y � � �
in County.
1 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.
Pro erty Owner Informati n:
Si na ure•.
Print or Type Name
I Title
` ( I la" I gAad RECEIVED
ED
NOV 1920?
This certification is valid through I / DCM WILMINGTON. NC

OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodibje Area Hazard h Flood Area Inlet Hazard Area
Property Owner: OAt 11 .d4A 0144, S,}0*4,4
Property Address: fl 1 1 t ft L% L ?1 //y
ietOr
Date Lot Was Platted: iCh P'aided
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 Uncs0 4-1 (--
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
Wilmington, NC 28405-3845
The flood waters in a major storm are predicted to be about
feet deep in this area.
Preferred oceanfront protection measures are beach nourishment 9/D ! ( _ 0)- '
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
the proper signature,the application will not be complete.
t_41 •-• RECEIVED
1-(4,
Property Owner Signature Date
NOV 1 9 2020
DCM viumiiai6V NC

•
Receipts for
Certified Mail
(Staple Here)
e. t Mj—#iJ
Ofeatent nrtil orzt,„
Di_
M ipcy ,% �79 /t'C c77 Y'J3
City, State, p Code
/�
Dear Adjacent Property: ,___) `1 n r t v��
This letter is to inform you that I, bAi have applied for a CAMA Minor
Property Owner
Permit on my property at Ma (/ � — ,in Pender/Onslow
Prop rty 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 anyquestions or comments about my proposed project,please
`v ��
contact me at ea V7,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
—Th 127 Cardinal Drive Extension
Wilmington,NC 28405
•mere,,
AL ii' i fi
• ii. c2/f
�.iling Address �j
Ci ,Sta$ip Code
RECEIVEr
NOV 19
DCM WILMINGT :°«. . —

• CERTIFIED MAIL® RECF r
3 Domestic Mail Only
rl• For delivery information,visit our website at www.usps.com'.
Ht34910 awl kliCs 241443
Certified Mail Fee
$3.55 0482
$ $2.85 04
Extra Services&Fees(check box,add fee wertilyte)
El Return Receipt(hardcopy) $
3 El Return Receipt(electronic) $ sn.no Postmark
3 D Certified Mall Restricted Delivery $ SO Here
3 ID Adult Signature Required $ $0.00
0 Adult Signature Restricted Delivery$
3
Postage
$0.55
$
11/16/2020
) Total Postage and Fees
$6.95
Sent To
Street and Apt.No.,or POEloieffo.
state,Z1P+46

MI.1111Cu Man: ...v............._..------'----.._-
A receipt(this portion of ed Mail label). for an electronic return receipt,see a retail
A unique identifier for yob associate for assistance.T�o rerpive,e duplicate
Electronic verification of o mpted return receipt for no aWfional tee,present this
USPS®-postmarked Certified Mail receipt to the
delivery.
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.
mportant Reminders: -Adult signature service,which requires the
I 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,whlci
i Certified Mail service Is not available for requires the signee to be at least 21 years of ag
international mail. and provides delivery to the addressee specifies
I 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 i
certain Priority Mail items. USPS postmark.If you would like a postmark on
I For an additional fee,and with a proper this Certified Mall 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 portior
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.

ADJACENT RIPARIAN PROPERTY OWNER STA NT
FOR CAMA MINOR PERMITS
/VI?4421-/---
/ � ILt
I hereby certify that I own property adjacent to J 6L /t< /c --,--: s
/ (Na f Pr Owner)
property located at l// )/ -
Address, Lot, Blo d,etc.)
on �r�t��� ,in 1 1 4ffeAL- , 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 ATTACH ED1
Signature
Print or Type Name
Telephone Number
Date
RECEIVEI'
NOV 1 9 1 j
DCM WILMINCT:"

A -9\ 'f)(r j c-7/ in
l°� , �C �_V
0/
//i/
•
`0 - - -� LQ. � /
II
AI'
7 (,�,, 1.5 `,11642 / a , ;/ - .
. /r<� +,i$, - ? asp �/� �) 0
\\41... r 727 \
Y-:•,N tiS' Z tf' Ar.lt —7
} 7 \\\ 0,j3,, .........<�L`Rx 3�( 3
—A, ,7< A,/ Poa+‘
oQ _ +�h5 gi
— TT '
• < — +49$ —> L -› .
>< (6 . ,
< 7/<,,„ c,. / •._ __QL,•`, 60
-r�Ob > . � y O
7
U) ; >‹
. \\ 1\ ..--..,.. .'e C)?g z .2 /
Cl
/ /
r
CA ./,//i( j. . - -,_-
ro
.J fad 7
RECEIVED C - -�'+ - :/ ?�
NOV 1 9 2020
CTT7) I nCM WILMINGTON. NC - N.

1;11
NC Division of Coastal Management 1199
Cashier's Official Receipt 11670 ABC D
GO
Date: 211_
20
Received From:
$
Permit No.: 7
f _ Check No.
Applicant's Name: lZt�(i 0 .,, i1 / I
County: ✓v 4 tJ�—
Project Address: 5 qi ii
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applic. t:
Date:
Signature of Field Represe i taf
Date:
RECEIVED
NOV 1 9 2020
DCM WILMINGTON, NC
South State CAMA permits for 16 pads @ the Point section 100.00

Date Date Check From Name of Vendor Check Check Permit Rct.
Received Deposited Permit Holder Number amount Number/Comments
11/20/2020 Lanier Family LLC, Lanier Familiy, LLC South State 1199 $100.00 minor fee, 1161 Spot Lane, Surf JD rct.
DBA Lanier's Bank City PnCo 11670
Campground