SC_21-33_ 1823 (2)

-
Issued by WiRO SC21-33
Surf City Permit Number
CAMA
MINOR DEVELOPMENT
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 1823 N. Shore Drive, LLC authorizing development in the Ocean Hazard Area of Environmental Concern
(AEC) at 1823 N. Shore Drive, Surf City, Pender County as requested in the permittee's application package, dated
November 15, 2021, and received by DCM on December 3, 2021. This permit, issued on December 20, 2021, is
subject to compliance with the application and site drawing (where consistent with the permit) dated received on
December 3, 2021, 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: Residential dwelling with parking.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat drawing
received by the Division of Coastal Management on December 3, 2021.
(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.
(5) All structures shall be set back a minimum of 60 feet from the first line of stable natural vegetation (FLSNV) or
static vegetation line (SVL) (whichever is most restrictive), as determined by the DCM, the Local Permit Officer
(LPO), or another assigned agent of the DCM.
(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 127 Cardinal Drive Extension
permit expires on:
Wilmington, NC 28405-3845
December 31,2024
In issuing this permit it is agreed that this project is consistent with the local Land Xl IRA Plan an i all annlicahin nr iinancac This narmit may not he trancferre i to

Name: 1823 N. Shore Drive, LLC
Minor Permit#SC21-33
Date: December 20, 2021
Page 2
(6) The permittee is required to contact the LPO at [phone], shortly before he/she 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.
(7) Any/all structures 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 Area of Environmental Concern
(AEC)standards, the more restrictive provision shall control.
(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) This permit does not authorize the removal and/or transportation of sand from the subject property.
(10)All buildings must be elevated on pilings with a diameter of at least 8 inches in diameter if round, or 8 inches to a
side if square; and the first-floor level of the sills and joists must meet the 100-year flood level elevation.
(11)All pilings shall have a tip penetration greater than eight feet below the lowest ground elevation under the structure.
(12)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 Coastal Resources Commission (CRC) Rules.
(13)Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.

°TITER PERMITS NIM.RE REQUIRED The aatIVIty you aie platining:nay require perruns her than the CAMA
minor develotirliCrit permit.including but not limited tit Drinking Water Vsell Setitte Tan r other tiarctutY waste
5555 trvittnwnt aystensi building,Litectrical ithing I Icating and ,t;cots&t tatting Insulation and tranagy Conservation,HA
Cetttitiettrion Sand Dune Soirmer It(.Itstitnad:Stibdt.itiRM Approval,Mob&Home Park Appecnail,Hatdsway.Courtetibn4.and
otheNt Check with your Local Perrnit Officer ke more inftundanon
NT INHYRNINTION
STA IF NI EN I OF OWNERST DP:
,Y3.SFR-MAILING,N I/DRESS 1.the tatTer,letleth,L43 appliCani 1.4,..t.4.),CiVrtilAlltift01 desklopeuent pettint.Iselin,:either the nstatrer of property It
62-3 14,%Vlort Vi. LLC kiill: .1eve., 11.(Y1httv 1..„,„,„,,,0„„,,,,,i„,„,,,,„,..„„„:,r,,.t,„,/,„,,„„1 appiy tug for 4 CANtA th mat tieselotarient perrno,certify INA tl,.'rk,l'selo
, ti,a,N.I'AS taitii,,,t Wr,t)ili apt:slit:abort has a suit:ruin:AO tinctest in the teal prop:Its&scribed ilictent 1 Iris Inteses1 con be
it B2.3 Ni.Voit Die. &scribed as tslteek one I
ViE CON4 State tait: lap.1*). 44KPlunte q lei•421.bbi 1 4 044Ttel;SE iteyord title Idle its st,...staigi In haute tist 1%23 ifi VIOre. CW: 1.4.4.0
i big tc Sail irdiC34 qgnilAti,cowl ,e,,..,lx,,,,i ii„„1., 55'11 imu.: 441) in the SI DVS/ t.'atints,Registrs of'Deeds
RIZED C F I ___,Inf,,, ,flnli‘IflanCt APPIKWP is ail tittir to the,ts3.4h:.,3
i. .. .N --
qeStlit Nan,.Pii Cis 1 Pxc-- ............................ _ _ , • om„t,
a viiM I-1 tki .(.4kik-f. I
.11 - .,.. , ,,,,t),:r,',',..,E;, .114.'h;1,".si rtnen CE:irm.:10 at tea,- es:plan helots ot n-y a.S..'n,t,11,;Sh,,;(1'&Ati,aCh tt.,1111-21)1,4,:tt,t1
7144S'' - q10 .;2Cf Rq1/47 I No tuft TION 4 41' TN 3 Hi-P*041A\PROPER:IA(04 St ERS:
:.:art:it:at:tote.....tt:tt, t.,:it tie niliaset:-:te:itt.att..a. t st tt.::-tir iti at t,ghett at t,t: tit',tett tatswitit:, i ttif:t al OA
uectovl t4a 1( wtsivii iga t(. avvi sd II sa,\Mitt IY to tiaert at tit.itit ttir est:atti, t s trazad to ides se'a tt t.ttt tt. at:gt ia ria:1 :tg ,itrt,:tid its:art.'
.tt: tit t ttttiti t ' t — , ' a : OVI. 4-Trut titteni-cl 3otss- ivoN boO-r Tr 4 AptX!Pic- 2-7S-39
5._N!..4101:Q_b(..c.6)..t,e_ (Lkt_t,:x_ biA4S- (DAte-t.t4 co.) ci-snanickm tiinfiloitxj ZZ31 MbrItrviron mews 114i-ck‘t)ft.44-1,krA
ok 1.24:S12-i cs--7 62. . Rlote Emfititilrusti 124 c2.0.1v. Sovvis ci,c-tlerTeei gt 21s1-4
,..:A.•.J.,w-.2,,..,1,1,-;',icv.: ettooc,w (---, ,,,, ‘41.:.\DDI,FIS43I',HINTti
S:
A t-114.k4. faffitiq itSii6(Mct on 014,63.14f\ atioyi
,,,, ,,,Ks-t-i.: 4igeto ..,::.„,.... :.„,,,3d,1..,,,„„:„,,,, ....:,,„ .......
,,F:i4:...•:•:.(i.,,,ii.i.' fli .,;:,::...:-;,:•,••.• iNitiOtt-ii 7, '•. :1!, :,, ir:,3,,s,,n.li'.:7 ---
. R.:.o....,,,,,.........-.-::::: ,...,.:=•..-tro 2,W ''',,j ',.'`,' '',',1-,,, ad.'.',,C,i1)Z i•O',0",,,,,,,"..•''"",,,,,,!,H t,.., :,<1 \1,40,,',...:,,':,,,.
,',H,:::',,,,,g,,,,I.;,,,i!,.10,,,li,''''''''',' ,',''',.‘`.:1.1'`.:.',., ,a1',1,tt,W,,I,.,
ITI I:i IIIIRID ORO)Bt.'i OW if it!vita iwar fsn,41 Permit qfficer if ia11 are froi 3tife Whf;...' ,/( afflias t(,h,a; 1 h,Oa i p,::ih 1 appi:;;*kl
r:pertil;
mitt
siiektstIf %I'd st to I'1/41.Ft 0:01(ARV Ii.(.)ft"PROITTSID St RI 4'II RI:31C1 4
C)1 squiee te,..s 33310(3T.:, /24 3::,the: k a ,ia,:, 14. -..,.. 2.1
,,,i i,w,p,,,, par hue.2.,;:t.,d a,:is e `,„€,'. .d tetei ittat-coutittratea>pace elestated trbose,grouttei,,,,,;1 rut
tttitstrertnivt.1.attii.scoge 1 X'A.-Al,,c1-st im, E attE110.11,,d 1..,AC°au ta,.:tilt 0;.:vri roi:parp,.,,..31.13111.1,,1,'A Ne'l A mmit avpiwultott
k ST s..$ StIORFLENE ATVs.-'0;%.3','33'ft 3)3 N 31 l''' h,TPRAN C tI',TS i rf I ft it IMP!.Ref t n tft rift PIT .1.
at tit::ttiitis yarn, t.- that,ge is ithi.nirr,iltietible stbd, ts,ri,;eitt tait
PORNIVV,ITER AIN:NAGE\IF NI PERNIII:Is 1113.-lit ora 3,c:43e.,I In :313 3it.,',1 N'ubjc,:t tti t Stare titt gtisi,tttiat nrt;:.tar itlyetif t at inni/ty Intl!te..?,,,., . RECEIVED,
er ..1-dfr.,....,..;:iitrIl i' frat l'..0vzd by ihe ItiC.:'Di:titrot or iiiittatty Mittehtt and TAM idesourcest it MI it:t
Nat
- ---
s,Ise total itiiilt upon:Arc imperitiestis mod:tree allowed ha vont Int at parcet tit-wale ieet DEC 0 3 2021
DCM WILMINGTON, NC

ON `NOIONIIAllIM INOCI
120Z SO 330 . !.
/ ,
CRAIR038
; Viri l'''' P';:,,': ..ii'j?'ijii,',..`.• ':ii'.1,1.1..'.I!-',N i::1 l'Si,t,:...,i, •'•),C1.INI I:Mt)14,. i‘i,4,1• • ••:'
'••••,,-,11, -1•:, ••.,-, ',•.'P.4.,','
1-Z •rcti ' • ,SI ,, •.,. iiii rl ,1 ,1,1 l'!•:ii,,Nsi 1011;1 404..1)44 1400
k. !,,,i,th,,,,,,,,,i,,,p,,I,,:::4,•;,i
-war )i ii,irfri),ItT PHA:8/)9,i 1.,.M,.0;,./pH,f,,,,,t?,t1 te,),I rl(t t',two 0 w);40/zi
'" ile.0 .
‘..)1714- 1- r9 ri‘d tAQ )11keir VS?1 ' MAW/IS bu 5 VALIS
''''''' '. '''.'. :i. 41"14 •.',Is),i ! ",R)
..... ....: ...................... ..... ...... ..
•-''
ET la„SLZ. '')14 f.itaM At).41 S bUlAd` fugal:,irti PSAA1-hifiof4 /tot -' t gi--S.5 LZISirtir lis418.
itmitio40%41 sMaW utivtl)Utal ISZ2 I A7.,101,0.11,r1) tACXA,_VelASPi-1211 .. ""--C- 03.' frb1C-0 -151171.5Thir)
sct --)(1111fiV 1 41. g
Imo.liVhi Nslro R )1hittio9ro
''1/4111\1/41/41t 1/4 13"1/4<i01/4111%',..0.1‘MN 2 Vi.41141S •If+,,Oi 4%.4111.14/S. I olbebe * olb '''"'''''Sitiv“/ - cl --, 1 1 04 hIloq
„4,„..,,,5,,,,„,,,,,,,,;:.,,,„;,..;.;;„.II ,.0pq 1mp.1;.:, ..,..4,;:.!=1/4,pull=;,=1/4 t0iil 1 ,.=':=4.=1,... L... ,,,!=-Ay,. i;- 1 4-krn2,' 11 Li Pli)Ni' ..,.
.... ......_ .... _....... 1-Y161 S13 Ild 1119111
Nik111(1 1 — :It SI'A Nrvid -
.1\4')N 114Y114011.1 14
—,....-------A ...- -
,.- 7t Si ,i i•=11<.=::,=14:::),:=..ru,,.?1/4r<1-1 ,, 4 , mv .7gmfio - :
„ ,, o 1SIION' M. -/A0IS ,1 o 1g * \=.; mitievub?
pi Aq —01ipi i1 „ ivguly93d(11.b4,1 '
•
' L i4Q'LI47*bib --,!,,..s.Htev -xi kM.r) OYA "')
._.._. ''.,ty f14,11):)",140;),!til 0,,,,,,r,p,-,1,,:mr,,10,1,:te,I.,'"11 Iii t,:.:AP.It IM,tp.16irS Z!,eq ilow iddr.,iip,.!,•.;.,..0.0i,thli St':r.,/,,,i „ ... ....
00,.,:.11 my:,,plia,., mard itrra,del.:,-)r,t•tii,U4 ViW.-1 V 104 ill.qit1R JO 1,11,001Zid ti,j r.1,711,tIV,;^1.CI p,,,it,i11111V,,10.1:0 A/144107 'INSTc) 1‘1144"1 ')-11 *AI JouiS'N. sziai
In,it;,,tladt1/4.01p)Imi1/41/4(,;1/41411,E.ill,Air,,q )11IITi ItrA31(1()Fe V.1)iota/1=1/4,11v,-)i=i".1 luraNdtir ka' F',Will,..mpul:,71; I SS:4701(1V )N.1"11VIA,-)14 N W1(INV"i
411S),4N,M0 AO I N.3113.1V.1 S
NO.RIA 40 tS.I IVWN:49
tiinirtiflojw al(mi toj.rp31110 tilmid man]1110A IIIIV.1.3)q!D 5J.1,120 .j,, .. ",)..*, . .''..V.W.- . .',1:,,''•",7'...-Pt...`,C.:,,' . '
MTV'tlf)IPMW:rir.W4litfl"It,,,,,e,dv IIE)t 7ntuef4 siAtrIN•11480.-kilay 444144f-mimpsitkritiojtiwulos;
VIA'UoilVw)tit.i,,.)0,4))))))unntli ;1/4,!t,,,,,,,i,,,,...)5,•. pap;1=fitm1/411 ituipm=1,1 Fil1/41t04 4'Rufp0/.k;•/,;;:nsic ttengw:ril .---- ;,.1,; . ,i ; -- " ,,,,,,is :\• y: itit4p104s:44,11411451-pt1/4"A=1.1 filM11.:
9SRM AIPIUNS,Pqw.1,,i VP!s1libs•11.4v, ,'Ir...,f,.11:Ifiulitj ,.,)roimi!I lou rig f turnimit'It(wad 1134t141a4,lo99.11 1 .......,_ ..... ,,; so-;
vviv.)1111ml'rAno slituixillmbal ion Iiivutwfd P•5r rtn(ill',111E':nit a3t111039 39 MIN'SitiV934 11311.IA) -,,,oli-,,;quazd

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
, .
PAI(V1 •
It616tVi Name of Property Owner Requesting Permit' I?).2-: A.SVRsti Dr. IL c-
. Mailing Address: 1A2$ t• , Swat e 1),/
CiAtui wc-
Phone Number: 1Vt . 4Y? 62)1-1
Email Address: jqtt0 ;1\ oatt
I certify that I have authorized VStt(IL4att Pc, Pt-- 1PLLL
contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: _2332ftiaLiti
%"'N camiki 1‘;:tfattriq . ftv14ah-an
at my property located at I CtS23 .c&A.L4.- Cd c, "1-844
in "V.V1 County.
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.
Prope .0 er Information:
•
RECEIVED
DEC 03 2021
Signature
flibliqb<_ DCM WILMINGTON, NC,
Print or Type Name
A
Title
11 I
Date
This certification is valid through 13j 222.

ROY COOPER
Governor
L
ELIZABETH S.BISER
Secretary
BRAXTON DAVIS NORTH CAROLINA
Director Environmental Quality
December 20, 2021
1823 N. Shore Drive, LLC
Jesse Zimmer
1823 N. Shore Drive
Surf City, NC 28445
Dear Mr.Zimmer,
Attached is CAMA Minor Development Permit SC 21-33 for work to be done at 1823 N. Shore Drive in
Surf City, Onslow County. An electronic copy has been sent to the Surf City Inspections Department and
your Agent.
To validate this permit, please sign both copies as indicated for our records. Retain the gold 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 erely, //
4.)AC
Anita M.Webb
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRO files
SC Inspection Dept.
Weston Lyall, PE, PLS, PLLC.—Agent

-NOTES -
-;,
1. THIS SURVEY IS OF AN EXISTING PARCEL OF LAND
0
,-
,
2.SUBJECT TO RESTRICTIVE COVENANTS,
i
A
/ U, •
13 sP
EASEMENTS OF RECORD,ZONING ORDINANCE,& UNDERGROUND UTILITIES.IF ANY i
<3 A
o,
3.NO TITLE SEARCH BY SURVEYOR.
4] -,
4.REFERENCES:DB 5579,PG 967 MB 9.PG 70
','
5.FLOOD ZONE. VE 13& 14(EFFECTIVE)COMMUNITY PANEL#3i20-424500-L, i ,„ A
-1 -A
EFFECTIVE DATE 6-2-2021. FLOOD ZONES SCALED FROM GIS
I 'P%
6.ZONE:SURF CITY R-5
+..t.
4 3
SETBACKS PER TOWN' FRONT- 15.SIDE 7.5,REAR.20
tS,
7. FIELD WORK COMPLETED 11-09-21
syso-
SITE ‘4
0"‘4
06
`t\G
r'
N
- LEGEND-
---
1,•c`')\
SIR- 1/2"Set Iron Rod
VICINITY MAP NITS)
EIP-Existing iron Pipe
EIR-Existing Iron Rod
CP-Calculated Point
RIW-Right-of-Way
I
DB-Deed Book
1 i
M8-Map Book
THE POOLE FAMILY TRUST *,
...1.1
PG-Page
DB 1734,PG 672
CONTROL CORNER
cn 1
EOP-Existing Edge of Pavement
i N=255770.95
PP-Existing Powerpole
1 E=2447571.66
WM-Existing Water Meter 1
MBL-Minimum Building LineI
k/I
EI ':
P N5347'37"E 49.78'
IR
(
.'t
----........,_ -Property Line Surveyed
—————-Property Line Not Surveyed
I
f•A) /'
(se
...{.,1
ci.
9
________________IMPERVIOUS CALCULATIONS:
LOT AREA-4.990 SP(ifirAZT-
IELEVATED POOL
......_,_
PROPOSED RESIDENCE•1,184 sF
..
PROPOSED DFIIVEWAY-0 SF
a 6.5 OPEN DECK
TOTAL IMPERVIOuS COVERAGE:1,164 SF(23.7%)
Z Z
11.1 Cr
FLOOD ZONE VE:.13 _9.-- __ - - -- ----------- - ------
rZ)
FLOOD ZONE VE-14 5-
z LLI IL PROPOSED 03
g
t
46.5'X 25' co
r•-• ...z
di
- '- RESIDENCE 9
I M
MOM!
i
i ...t
1
. ?
JOSEPH&TRACY
f
YELENIC
8 ........
i
R.
MATT&SHANNON
DI3 5366,PG 619
„..
LEININGER
Da 4183,PG 899
8.5' i‘'`),
I
("II PROPOSED 12' I
RECEIVED
,
OPEN DECK 1 8.5'
I -cli
, I
I
CONTROL CORNER
— "--75'1-713r----
DEC 0 3 2021
N=2556E30.7'9
PROPOSED 24' I ....
E=2447590.74.
91
WIDE
GRAVEL 1,,)
DCM WILMINGTON, NC
• DRIVEWAY ,
EIR
R/W
I PP
R/W
853°2702W 55.7g EIR S53°3939'W 49.93'
(t) IR
P3
N SHORE DRIVE c0
PROPERTY INFORMATION.
60'R/W
OWNER: 1823 N SHORE DR.LLC
FIRST LINE OF VEGETATION
1823 N SHORE r)p
Ht71N CANai is.

c/
WESTONLYALL
... gym
.structural&Ov71 Engineering Land Surveyincl serving Eastern North Carolina
STRUCTURAL ENGINEERING
CIVIL ENGINEERING
LAND SURVEYING
214 Highway 17 N. Suite I
Holly Ridge,NC 28445
910-329-9961 Office
Firm License#P-0937 www.WestonLyall.net
November 15, 2021
To: North Carolina Division of Coastal Management
127 Cardinal Drive
Wilmington,NC 28405
Subject: 1823 N. Shore Dr, Surf City,NC 28445
The purpose of this letter is to notify the North Carolina Division of Coastal Management of
the proposed single-family residence to be built at 1823 N. Shore Dr. (PIN#424512755782),
Surf City, Onslow County. The property owner is 1823 N. Shore Dr. LLC Attn: Jesse
Zimmer, who can be contacted at(919)427-0817. Please see the enclosed CAMA Minor
Permit Application as well as the preliminary plot plan for the proposed dimensions and
location of the project.
Thank you,
t p`
Weston Lyall, PE, PLS, PLLC
RECEIVED
DEC 0 3 2021
DCM WILMINGTON, NC
Pile Plans,Foundation Designs, Structural Designs, Structural Analysis,
Stormwater Designs,Commercial and Residential Properties
Subdivision Designs,Land Surveys,Plot Plans,Elevation Certificates
All Your Engineering and Surveying Needs
I.icenserl Fnnineer in NC RC VA AI MS

U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date: November 30, 2022
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for(1) community official, (2) insurance agent/company, and (3)building owner.
SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Number:
1823 N. SHORE DR. LLC
A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number
Box No.
1823 N. SHORE DRIVE
City State ZIP Code
SURF CITY North Carolina 28445
A3. Property Description (Lot and Block Numbers,Tax Parcel Number, Legal Description, etc.)
PIN:424512755782
A4. Building Use(e.g., Residential, Non-Residential,Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat.34-26-36 Long.-77-30-56 Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 6
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 412.00 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0.00 sq in
RECEIVED
d) Engineered flood openings? ❑ Yes El No
A9. For a building with an attached garage: DEC 0 3 2021
a) Square footage of attached garage sq ft
DCM WILMINGTON, NC
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade
c) Total net area of flood openings in A9.b sq in
d) Engineered flood openings? ❑ Yes ❑ No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM) INFORMATION
B1. NFIP Community Name&Community Number B2. County Name B3. State
370186 Town Of Surf City ONSLOW North Carolina
B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth)
Revised Date
3720424500 L 06-02-2021 06-02-2021 VE 14
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes x❑ No
Designation Date: ❑ CBRS ❑ OPA

`
OMB No 1660-0008
ELEVAUUONCERUUrICAUE Expiration Dallp, November JU.2O22
IMPORTANT: |n these spaces,copy the corresponding information front Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apit.. Uftt, Suite, ondio Bldg. No)crP0, Route and Box No. ' Policy Number
1823N. SHORE DRIVE
city -- Sta,O ---- ZIP Code
--- Company NA|C-Number --
SURF CITY North Carolina 28446
' .
SECTION C-BUILDING ELEVATION INFORK8ATION(SURVEY.R2OU|RED) '
C1 Building elevations are based on: FX1 Construction Drawings- [J8v�wVU�wC����^ [] Fim���n�ouu�n |
^ /
*A new Elevation Certificate will ma required wh*nuonuti uconoay the building iscomplete.
C2. Elevations-Zones A1-A3D.AE.AM.A(with 8FE). VE. V1-VJO. V(with BFE). AR,ARIA,AWAE ARIA1 D.
Cmnp��Items C2.a-h below according m the bui�ingUiay,omopou8odm Item A7 |nPue�oRknon�. envo',�����~~~~
Benchmark Utilized: N/A ' Vm�dcm| Dm�um Goo\u12b
---- ---------' � � � 70?
Indicate elevation datum used for the elevations initenise)through h)Ue|ow --~ ~ ° �"�/
�l NGVD182& �J NAVD1O88 [l0\ha�Sov/oe�
Dotum used-- horbu|Winy-~ vouonsmuot --theaamnasU`--usedox-me FE. --------- «� TCj- -
NC
Check the meuuuemen\u�ed,
a) Top ofbottom floor(including basement,uraw|oPuce.or enclosure floor) 02 Z feet [l meters
b) Top of the next higher floor . _ feet meters
o) Bottom o/the lowest horizontal structural member(V Zones only) _________' 14.2 hvot meters
d) Attached garage(top ofslab) _______ N/A F-1 fee/ Pmeteru ,
e) Lowest elevation of machinery ov equipment servicing the bui|diog
l42 �� heo� �l meters(D000nbe1ypemfa4uipmentand|ouohoninCommen�) ._ '._ ^�
[� [�
0 Luvweta�acent<hniahed>gm md grade next 5
g(LAG) _ _ -__��.b feet meters�~ ^�
~
g) Highest adjacent(8n|mUod)grade next to building(H4G) 6,2 fee( Fl meters
N nodmmt�uwamxe|evm�onny�ec�o,��/na including
------ ' meters M �e� Fl meters____support_ /A �l__-__- _____ __� -�
SECTION D-BWRVEYOR, ENGINEER.OR ARCHITECT CERTIFICATION
` ~
This
cartification is to be signed and sealed by a land suiveyor,engineer, o mhkou authorized information.
/certify that Me information on this Cietlificate represents my Oosto4forts to interprot 8m data available /umdemtanaNat any false
statement may be punishable byhnmormp/isnnnont/mdo /8(1S Co/le. Section /00/
Were latitude and longitude in Section A provided bye licensed land ou/veyo,? ��]Yes No Check here i/attachments.
Certiher'mNume ---��rise�����----------
VVmstonLyaU |--4430
ll8e ------ ---------------------------------- ---- `
Ownmr/PLS
Company Name --- ---------- ----------------------
Weston Lya|}. PE, PLG. PLLC �
Address -- -- /
214MVVY17N su
. ,
City State
Holly Ridge Noilh Carolina 28445 two I
' *
Signature Date 'Telephone Ext. �
11-22-2021 (910)329'9961
Copy all pages of this Elevation rtificateando|| _ �for<1> --un official,
--2)insurance agent/cornpaoy-arid )building
owner.
______-_
Cummen�(inu�d�gtype of equipment and�ouhon. per C2(e). i�opp|icaWo)
This elevation certificate is preliminary only for a proposed iesidence. Elevations noted are per construction drawings.
Section A8.The estimated enclosure area is determined lrom preliminary construction drawings Final calculations are determined with
the finished construction elevation certificate. As per engineered plans, all ground level enclosure walls shall be constructed as break-
away,

OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30, 2022
IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number:
1823 N. SHORE DRIVE
City State ZIP Code Company NAIC Number
SURF CITY North Carolina 28445
SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A(without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request,
complete Sections A, Band C. For Items El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,
enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below
the highest adjacent grade(HAG)and the lowest adjacent grade(LAG).
a) Top of bottom floor(including basement,
crawlspace, or enclosure) is ❑feet ❑meters ❑above or ❑ below the HAG.
b) Top of bottom floor(including basement,
crawlspace, or enclosure) is ❑feet ❑meters ❑above or ❑ below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions),
the next higher floor(elevation C2.b in
the diagrams) of the building is ❑feet ❑meters ❑above or ❑below the HAG.
E3. Attached garage(top of slab) is ❑feet ❑meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment
servicingthe buildingis
_ ❑feet ❑meters ❑above or below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F—PROPERTY OWNER (OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A(without a FEMA-issued or
community-issued BFE)or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
RECEIVED
DEC 0 3 2021
DCM WILMINGTON, NC

OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30, 2022
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number:
1823 N. SHORE DRIVE
City State ZIP Code Company NAIC Number
SURF CITY North Carolina 28445
SECTION G—COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement
used in Items G8—G10. In Puerto Rico only, enter meters.
Gi. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,
engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation
data in the Comments area below.)
G2 ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO.
G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes.
G4. Permit Number G5. Date Permit Issued G6. Date Certificate of
Compliance/Occupancy Issued
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as-built lowest floor(including basement)
of the building: ❑ feet ❑ meters Datum
G9. BFE or(in Zone AO)depth of flooding at the building site: ❑ feet ❑ meters Datum
G10. Community's design flood elevation: ❑ feet ❑ meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments (including type of equipment and location, per C2(e), if applicable)
RECEIVED
DEC 0 3 2021
DCM WILMINGTON, NC

BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2022
IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number:
1823 N. SHORE DRIVE
City State ZIP Code Company NAIC Number
SURF CITY North Carolina 28445
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the
instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View"and
"Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or
vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
Photo One
Photo One Caption Clear Photo One
RECEIVED
0 2021
DCM WILMINDECGTON, NC
Photo Two

BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2022
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt., Unit. Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number:
1823 N. SHORE DRIVE
City State ZIP Code Company NAIC Number
SURF CITY North Carolina 28445
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
Photo Three
Photo Three Caption Clear Photo Thee
RECEIVED
DEC 0 3 2021
DCM WILMINGTON, NC
Photo Four

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
i)ate:
aapv‘47ut 9ekç
Name of Adjacent Riparian Property Owner
In.
A dress
2-1c361
City,State Zip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying fir a CAMA Minor Neon to
Wild a it) -LLsnAt iloakam4iummt 644tik fainclabzel
on my property at _12)2.. 1. ,&vvyk, brL_ ClkoJC, 2t444's
in Okl_66 County, which is adjacent to"rout property. A copy of tlw application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mai k the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS MY. STATE,ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below,or
contact(LOCAL PERMIT OFFICER)at(PHONE NUMBER),or by email at; (LP() EMAIL).
Sincerely,
RECEIVED
ibiglAltxt by .ILL POVV tAIMW .4 12 . 6811
WDIELCMI°N3 2021
GTON NC
Property Owner's Name elephone Number
DCM
Address ( State Lip
have no objection to the project described in this con espondence.
I have objection(s)to the project described in this correspondence.
.„.
Adjacent Riparian Signature Date
Print or Type Name Telephone Number
Address

. •os a ervice
CERTIFIED MAIL° RECEIPT
• Domestic Mail Only
• For deliveryinformation,visit our website at www.us s com"'.
' p .
-I Certified Mail Fee
n $ $3.75 i l445
7l Extra Services&Fees(check box,add fee a'eii U_f0(fte)
-9 ❑Return Receipt(hardcopy) $ $
n ❑Return Receipt(electronic) $ $0• l0 Postmark
• ❑Certified Mall Restricted Delivery $ d ri lil
t Here
• ❑Adult Signature Rgguired $ t71t�•fJ�1
❑Adult Signature Restricted Delivery$ i�
J Postage
$I:i 58
• $
Total Postage and Fees 1 I? 171
- $
$7.38
- Sent To
U
• Street and Apt.No.,or PO Box No.
City,State,ZIP+4

, I NIIGY mall am vn.c F/IVvf aca Nr0 rVrlVnrrry YOIIOII11..7.
A receipt(this portion of the Certified Mall label). for an electronic return receipt,see a retail
A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service' -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
nportant Reminders: -Adult signature service,which requires the
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
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 Al).
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.
9 Form 38001 April 2015(Reverse)PSN 7530-02-000-9047

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
(I—
A - .4-91(01 !1_ Wilt Date-Apr
Name of Adjacent Riparian Pr erty Owner
Addre�sls,.�
City, State Zip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I ttm applying for a C:AMA Minor permit to
on my property at I?)2,3 ice,&Iux . by• (Alt. pc 2-s4.4.
in (AIM( County,which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mat I:the appropriate statement below and return t0 me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will he considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER,NAME OF LOCAL GOVERNMENT, MAI I.INt i ADDRESS CITY, STATE,ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed.below,or
contact(LOCAL PERMIT OFFICER)at(PHONE NUMBER), or by email at: (LPG EMAIL).
Sincerely,
t 2-S 1 ` 1`o k. LLC .J S Xl 71(Ylliuf q i 6 .4 j • Ls 1 r1
Property Owner's Name 1 °1� >i , Number
Address City State 1;
I have no objection to the project described in this correspondence.
I have objection(s)to the project described in this correspondence, RECEIVED
DEC 03 2r
Adjacent Riparian Signature Date
DCM WILMINGTON, NC
Print or Type Name Telephone N►mther
Address t'.it y State Zip

I - S - y -
CERTIFIED MAIL® RECEIPT
-I Domestic Mail Only
For delivery information,visit our website at www.usps.com
11 i (Af' p142 U
A Certified Mail Fee
0445$3.75
. _
Extra Services&Fees(chetk box,add feed .Prete)
-9 D Return Receipt(hardcopy)
El Return Receipt(electronic) $ $1"..t,00 Postmark
El Certified Mail Restricted Delivery $ it 00 Here
Adult Signature Required • $ t 0 00
Adult Signature Restricted Delivery$
Postage
0.58
A 12/02r)021
n Total Postage and Fees
$7.38
$
Sent To
-Street and Apt.No.,or PO Box No.
City,State,ZIP+4
_— —

/a:r HrrcY mau AGa Yrarc I/INYruc.7 UM raluaJWHIM WWIICIRL.
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 attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to the
A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service' -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent
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 notavailable 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 mailplece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT.Save thls receipt for your records.
c Fn.n.min_e.,di 91115 tataveireal xu 7c1n-r10-rwtione7

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
hip. F MjtW -nu _ Matt
Name of Adjacent Riparian Property Owner
124YeArl Svc C,A
Address
CO 1NG 2N2-61
City, State Zip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying; for a LAMA Minor permit to
on my property at 132,3 N_�� � t�1.'-��1 .C._.(AIM I.._t -.._2~?44.
`J.._._._
in jallq6 County, which is adjacent to your property. A copy of the application and project
drawing is attacked/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below- and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice,it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER,NAME OF LOCAL 6OVERNIvMENT, MAILING ADDRESS CITY, S T ATE,ZIP CODE)
If you have any questions about the project,please do not hesitate to contact me at my address/number listed below,or
contact(LOCAL PERMIT OFFICER)at(PHONE NUMBER). or by email at:(LPO EMAIL).
Sincerely,
1 2 ,SAO Ck.. � .11x- A4..:LkSs,t. '; Iu/ ctio .4Z7. c38n
Property Owner's Name Telephone Number
Address % j , State
I have no objection to the project described in this correspondence. RECEIVED
I have objection(s)to the project described in this correspondence.
DEC 03 20?1
Adjacent Riparian Signature
'°OCM WILMINGTON, NC
Print or Type Name Telephone Number
Address State Zip

Y f i'4* 64gGa gYiWYTEir"4 R. R o -
I co a k 61 a. .`,7,.(:.` 1 I g(5' , mm .
cco. 6.Ei
= = 1..•.+ c 4 4, E gi. -4. z-i •
2. 4) •
. c c r . .
5 5 21 I:-51
m ?.4-E '' g a§ .. c.La. .;_.• ,.,„
Perr 13'3,3333,3,3e3 01111-*PERMITS VIAN' —
r„0 i ...•11
1 t. ?A: SA -87',
minor nevelopinent Iscrrni3 2. 2, cl . ......., a w.15:.s..K ,.... ..-.
.11....gd____,*Warm::SD,gc,,a , f,z..,,‘ ."i-.,,,,,; • _Opt!, ,..::,:.'i .:•:-.. ,.,•'.,,-, _„„..__ tet0tment system'3 Buntline 7 > i'...)4 Lci 1 = =
i5 to gx
x:
.2 .. ,.
others Cheek with your Lo 0,40 t0 0,0,
M 13.-.. 1) a
KRA!,I NIVR.NIAILON 0 0 i ,.0
S(A IE MEN t OF()WNE V
0
3 OWNER-tIAI1,3N4;ADDRESS 1,the umieruened.an pipit
W v 3:1
itaZ 14,c4flort. Dv. Li.,c, Mn 3...ts\rt. tm)hcv,
= 6-
a) ' "-• .---1:31 M
. tEz3 N• voire„ De,.. tiCSalbed,t.. =;IR':k• :, .-... D
Z rt in
co 0
...._i 5c'
Ltiff CilM s''"'' K- filataliml.,,,, citet.421.0tyli_...... 4 CIWItel., ,.,,,,,d!'it
a). v...., • -0
tbcittv&stl(lik4 egtywel,cimit.. .
S) 3
w
WC491411 (Mat t 1.1) _t Pt,stRA.c. ___, fi: —
2+14 ttiMWati ii N *UK, I L.n
.76
..<
tiatt.i f4 liqt -'''-. 7,1144-S.1qr.,,,, 6110 .S2f4 ReVit( NO1111(3.`tr1tr,013 ‘D./1 '11116' 0
c
oJestont4att 6 oicstto kiati. aiew 'i.1 11 %31 Nil 1133-'13 3.33:34 F13 ,
94 0
0 a(.1 0 °Wen it'TY1X u., 0
1-3 N.*Ye IX,C0,4( C41%14,Kv-4 2-9)443- (DifokOW Co.) iskilf-td 9/lc:VW a)
co 0 W
03 1.24stri s-s--7B2. potke Faertil4-To
3
a) a)
— —
O 73 g
'}: , , , . ::',-,y,.,'c..,,,,!,,,.:z.,,,,,.•1: ..,t1 .•:,;•it<t•.,,,,,i eybotwA hur-
0 =
. •
ilitit 5i'aciv.. feowtitq rtstiaout On Ott On4itiO6 "g
13 CC
= 3
is1331r3-1333,,113: r33:33
..
11-E IT ri!HT i'tif)tktt(2)1331(3W 0 ontkp..t prikr to,rti P„rrasit ty'llt-er.3.3„r VW are oar mrr,r.,,kir kr lir applir, . . . ,. , CD
,., . . , ,,
fiA'1, fl V: g
' I 0 0 VI
C 3:is,11<kt Ri) l,1-1.-5,3 Tofu.II()OR ARF f,,ov PROPC3S11)Si RI 1..11 R33/19 1,,..:1,Filf,!:.,:° • ' :,( ,/ / (7)*
co o =
c 0. I 0
.i Iv.,Jig.: ..1,,.;,..: plikwg.:333,33,3113,333.13e,te g1,,i1,11,,CI ,,,, O,P11' ,N1 WW.,'.'::rle333Mett:Mote 34333u:3j:3, : :3 1 6r-3,33;r701-3. C = 0
a
z -
0
CO
:33 33,3 33:31'33,/3-3 3. ,...., 0.,
N c)
f:SiORNIWVIER NI VS-3(A ND'S 1.-r3 RAM.T.II,,,,.r -r<,. ..,.!!<,
< ,,......1.„,1,,v,1)i r"l!tiel,I v,,, ,,t 1,,,Zi-r,' , ,,, ,..,. .' ., .`3,4i;Old i,a,ssi Ntt,'4:4I.W•',, ,, " '' r...1 .)4.
N)
1-
n1:4
tV
1!•.'qt,"1,1.1!kiliiii Ivor,area impet 3,ie‘p,,,,iil:',1,,':,..!;1,,,,,,,-...i I,;'AAP ki.:, :.•' ,i, •.;;:.:::.

Date Date Check From Name of Vendor Check Check Permit Rc
Received Deposited Permit Holder Number amount Number/Comments
12/6/2021 Weston Lyall 1823 N Shore Dr, Coastal 2477 $100.00 minor fee, 1823 N Shore Dr, Surf JD rc
LLC Bank and City OnCo 1602
Trust