HomeMy WebLinkAboutTB_20-03_ Letter (2) Issued by WiRO TB20-03
Topsail Beach Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT 4
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"
Issued to Michelle and Joe Letter authorizing development in the Ocean Hazard (AECs) at 1159 North Anderson Blvd, in
TopsaiL Beach, Pender County as requested in the permittee's application, dated January 8, 2020, and received by DCM on
January 14, 2020. This permit, issued on January 31, 2020, is subject to compliance with the application and drawing dated
received by DCM on January 14, 2020, (where consistent with the permit), all applicable regulations and special conditions
and notes set forth below. Any violation of these terms may subject the permittee to a fine, imprisonment or civil action, or
may cause the permit to be null and void.
This permit authorizes: Construction of an 8'x 20' deck and walkway.
(1) All proposed development and associated construction must be done in accordance with the permitted drawings dated
received by DCM on January 14, 2020.
(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)
0
W 0
This permit action may be appealed by the permittee or other qualified persons > cit
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 OFFIsc,si w
this permit,require further written permit approval.All work must cease when this 127 Cardinal Drive Extensn
permit expires on:
Wilmington, NC 2:41 -384 0
December3l,2023 ro-
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 i21/
another party without the written approval of the Division of Coastal PERMITTEE
Management. (Signature required if conditions above apply to permit)
Name: Michelle and Joe Letter
Minor Permit#TB20-03
Date: January 31, 2020
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) This permit does not authorize the removal of sand or vegetation from/on/in the frontal dune.
(7) With exception of a beach access walkway and 500 sq. ft. or less of elevated uncovered decking, all other
structure(s) must be set back a minimum of 60 feet from the First Line of Stable Natural Vegetation (FLSNV), as
determined by the DCM, the LPO, or another assigned agent of the DCM.
(8) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetated and stabilized (planted and
mulched)within 14 days of construction completion.
(9) Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently threatened by
changes in shoreline configuration. The structure(s) shall be relocated or dismantled within two years of the time
when it becomes imminently threatened, and in any case upon its collapse or subsidence. However, if natural
shoreline recovery or beach renourishment takes place within two years of the time the structure becomes
imminently threatened, so that the structure is no longer imminently threatened, then it need not be relocated or
dismantled at that time. This condition shall not affect the permit holder's right to seek authorization of temporary
protective measures allowed under CRC rules.
(10) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
NOTE: All construction must conform to the N.C. Building Code requirements and all other local, State and Federal
regulations, applicable local ordinances and FEMA Flood Regulations.
�`/
SIGNATURE: DATE: DC �/20
PERMITTEE RECEIVED
DCM WILMINGTON, NC
FEB 1 3 2020
j C
Locality � �'" di — C '�
}(' Permit Number
Ocean II:rrard \ F.stuaritte Shoreline ORW Shoreline Public Thaler Shcreliei Other
(For official we on!}')
GENI.RALJNFORMATION
LAND OWNER-MAILIN<, ADDRESS
Na __t <,. 1149 ¢
Address ¢c)ce ar411
City `TA,,. , state _Fi4r ,,. zip,3 341,4haac 2A'5 - 2 ne- 4'(27f
Emailte
AUTHORIZED AGENT
Name
3
Address•-air 0V . .. _. forJi4+ a
City /6)I 4? '6 State /VC lap ;73a Phoee a 4") 5r2 9—7 4'
Email 401,0 _ tLez.,..f of r .C.Drl')
LOCATION OF PROJECT:(Address,street non*andtor directions to sac;name of the adjacatt waierbady.)
159 ALA ah} geAzi A1J - WS
DESCRIVI'ION OF PROJECT:(List all proposed cvrrsiruction and land disturbance.) Cori eeie ' 4 ens
X- (,t1/1 Yi ST. re-,..ct-ern ,Q a1" 4- T/' Cam/ ,?Gt. Lk j _A'X*0C('
SIZE OF LOT/PARCEL: A. square feet � li9 acres
PROPOSED USE.:Residential 14 (Single-family® Multi-family❑ ) Commercial/Industrial® Other [�
COMPLETE EITHER(I)OR(2) IWLOW(Contact you Loco!Permit Ofcer:fpva are fart sire width AEC
epflitcy
to,trroiir property):: f e V
j r SIC -K
(I) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: 1 r bU square fcct(Melautcs
air conditioned living space.,parking elevated above ground Leval, non-conditioned space elevated above ground level but
excluding non-brat-bearing attic space)
(2) COASTAL.SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTi IER IMPI YIOUS OR BUILT
UPON SURFACES: square feet(includes the area attic foundation ofa.11 buildings,,driveways,covered dtx a,
unlade de or masonry patios,etc,that are within the applicable AEC Attach your calculations with the project dr A i* )
STATE STORM WATER MANAGEMENT PERMIT: Is the project located in an area subject to a Slate > O o
Stonnwater Management Permit issued by the NC Division of Energy, Mineral and Land R fumes(N MLR t -a'
YES._ NO •—+
0 Li
If yes,list the total built upon areaa/inipcivies surface allowed for your lot cw parcel: square t Q
C.i
OTHER PERMITS MAY RE REQUIRED:The activity you are planning nay require permits other than the CAMA
rnir101 development permit,including,but riot limited to:Drinking Water Well,Septic Tank(or other sanitary waste
trcatnteut system).Building,Electrical,Plumbing I[eating and Air Conditioning,insulation and Energy Conservation,HA
Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile lime Park Approval,I lighway Connection.and
others.Cheek with your Local Permit Officer for more information_
STATEMENT OF OWNERSHIP:
I,the undersigned,an applicant fur a CAMA minor development permit,being either tlx:owner of property in an AFC:Or a
person authorized to act as an agent for putpumes of applying for*CAMA minor development permit,certify that the person
listed as landowner on this application has a significant interest in the real property dcseribcd therein.This interest can be
described as: (check one)
an OWncr ur rce d title,Title is vested in MOW of /4 e p 1 4' Lei*1 eJr
see t.kerl Book page in the Pew 1 P/' County Registry of Deeds_
an owner by virtue of inheritance.Applicant is an heir to the estate of
probate was in County.
if other inters,such as written contract or lease,explain below or use a set?aratc sheet&attach to this t licarinm_
....... ......
NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
I furthermore certify that the follrnving persons arc owners of properties adjoining this property. I affirm drat I have given
ACTUAL NCrlTCE to each of them concerning my intent to develop this property and to apply Int a CAMA permit
(Name) } �y (Address) f} J/ /) fy1��'
(`) t l L-+C. .5..f.`.'/....iL ate! `�F" t J V �/_EA4/ k ��Ts �" 7'*L'/_..... F if
(2) i 1.Y14 y ►y?.._. ...__ (Q„ S�o "ui i _.. G��` k�ix� c 1` � _L
(T) /
(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 tut_This explanation was accompanied by recommendations concerning atabitiza-
lion and flnodproofrag techniques.
i furthermore certify that I am authorized to grant,and do in fact grant,pern'iission to Division of Coastal Management surly.
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 r.} day of 20 20
2-6
OP\--
Landowner or person authorized to act as his/her agent for purpose of filing a LAMA permit application
This Sapp ieenion incIwrlrs:general information(this framer),a site drawing as elescrilled an the back of this application. the
ownership chip.sl atrmein, the Ocean Nazar!AEC Notice► here reecassaiy. a check.for$100 tl0 made priyable to the locality. and
any information at may he provided orally by the applicant. The deioils of the application as described by these snrurrs are
Imcarpaoralcd n iti►oni reference in any permit which may be issued. Deviation fawn these detail"will constitute a violrrllotl of
any permit.Any person developing;in an AEC withori!permit is sabjcel to civil,criminal etnd adnu istrative section.
RECEIVED
DCM WILMINGTON, NC
JAN 1 4 2020
AGENT Alt- 1 4,TiQM F , R CAMA PERMIT APPUCAT1ON
Name of Property Owner Requesting Permit Oki(AA<1k
Mang Address: I o� �e G rat
lr et 3M/247
Phone Number: q iC .(. - 7
Email Address: YsifilC VV. k N _i
certify that I haw authorized o tvuA -
Agent f Contrac r
to act on my behalf, for the pun:o a of apptying for and obtaining ail CAMA permits
necessary for the following proposed development:
at my property located at a .
in fie County-
I furthermore eerily that I em authorized to gran( and do Ei fact peat permission to
Division of Coastal Management sue!` fha Local Permit mar ardd their agents lo eider
on the aforementioned tends its connection with evaluating information related to t
his
permit apphcatton,
PTopestx oar Ian:
LWACkilh
• S+gnatere
Prim or Type Nome
Taw
•
Ttivs certificirbce vsYdthrough ----I _fr. RECEIVED
DCM WILMINGTON, NC
•
JAN 1 4 2020
"r:S=.97;,,,i1: .; ROY COOPER
it Z �' Governor
= MICHAEL S. REGAN
Secretary
BRAXTON DAVIS
January 31, 2020
Michelle and Joe Letter
12015 Royce Waterford Circle
Tampa, FL 33626
Dear Mr. & Mrs. Letter,
Attached is CAMA Minor Development Permit TB 20-03 for work to be done at 1159 N. Anderson Blvd in
Topsail Beach, Pender County. An electronic copy has been sent to the Topsail Beach Inspections
Department and your Agent.
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.
(...,,Ta,
Sincerely,
�� i
nya K. Pietila
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc:WiRO files
TB Inspection Dept.
John Cummins-Agent
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405
i
4
-' "'—".....' jkf i
V)
_052:_psle_184.7......s12:_,_4&kg- . 2 Alter i
t a1 e * p),1i C • a,0
i, t r tile p 0 ) cl,
.10 l it
c? .
gs ifoo,A 30 1 0 nj(, (top v%
3.
- 4.1 I C/.1% /all r,,kts abriwous to!uttf. 1
ese) 'Lot 51/ moo .%-
ro eitx wi % i ci,), %, f AA)," %,,,k
�
C �r ' IR` A
� �/ .sue „� u��sag, - S'
A�n e
, - i . 40:
- vR/� 5� � C �
L. �
.1 al,, ,i r -
..�` t i7E - ,4;wr 7 Aril 3 VIM,i' i : 2
r+fiiY' � , t : W.a'i M+ may
4 �iri dd'W ' ^� 1 v.r Z 41-F.f
1PPG 1 4 Lame •-r is C.a.040
iii i ft$111 , k .i Li k.:3e: :pileAd* . is.a..."1.$4.,
11 f Snl.
o'l .v '.._ ...* _ . 4?ciii§ 1
.= Inal4141K 4rn&110 ii t.4; Na:Nik tali 41. it
1/4., pima.. ifi., i
.2114.&.. : . —1% %Lv ' ' 4: ? ,
--11 40!,.1. 17i I ; k' .
.P.' n) t Ai 1 Aip.'''§fi . . ,. N . 441 414
IfitIt t 6 e 4+
V
.,.i • . �0 R CEI\ED
it 1DCIM ILMING fON, NC
• f f
ss' roor 0 SeZAiJr - .0. - - ' J N 1 4 020
, Permit #
.4._
Fee
•Ahaver•,ada emnwraa..
Building Permit Application
Town of Topsail Beach
820 S.Anderson Blvd
Topsail Deed NC 28445
Phone:0 11411k-5841 Fax:(910)32.8-1560
Date: Project Address; 11 )4- hibriPfrei blvd- TtpAt'l blAtin -
, L.
Property Owner MukvAtt, LOKI.: _
.",,
Mailing Address 110 IC Fr eA Water-Ivo( CY-cit.
City _ Slate 41, Zip 151,14,-Z-1,,
Signature Wick JAAAAAA, ..44110" Phone co55: Alp 4- 42,12
Applicant _ Cif Cokkra/ -T/14 03 A et e...i..nert eli, 1,ti
Genera.] Co titrdetor ‹..
Mailing Address 0 7 So 0 64 vim,,,---i- A-10..- c,001 „ed. etAw-ci Aic
'relephonc# (... ifyi ,..5-, _it- .7v 7 „9 FxriRil ' i
j ,i (tilCce-14 it'. coimq
Signature S Latc License*
Electrical Contractor
Mail ing Adcirets
Telephone it Email
Signature State License* —
Mccbmical Contractor_
Mulling Address
Telephone# Fionil
Sipaturc State Lica=4
RECEIVED
DCM WILMINGTON, NC
JAN 1 4 2020
U.S. Postal Service
CERTIFIED MAIL- RECEIPT
tin Da n •p;is AIRY Q ►'
�1
rf Ci ,.• ^ ,. . ;!S1r UJ` :^arl3v.po1
Inv Pt.Int
OFFICIAL USE
ate- rGh41,,c$
1 ya. .s_ .•.c p 95
o .Disk="o-+tom-a # b t�
Yp�y t (] p ID ❑a«Mm w wasi sar,r,T s_ •
4aotn4 Pronely
1'' Okla ss9+.rir■MiwMmgawp s OP
Cia7ROW 0110 •ct
P KlY 1 I►2-� R"`
City.State.zip Code 7, tip
Q �'! ► ROdtp-�
•
Dear Adiaoent Property :-cr r Inantttaur
This letter is to intomi you that t, U clt 1Vc Leflic have applied fora COMA Minor
�� 33 Property
Omer
P�nit an my property al k. l A 1, 6 ,in Topsail Beath
Properly Address
Pander County. As required by CN A regulations,I have enclosed a copy of my pewit application and
proles drawlrr(s)as notification of my proposed pro}ect No action is required Mut you or No may iv and return
ttie enclosed no objection form.if you have any questions or ccetaienls about my proper Pry pleas.
contact me at qg' tire .or by mat at the adds Med Now. gybe wish to
Applicanrs Telephone
MO whin s or obrections with the CAM Minor Pernik Promarn,you may oink theento;
Jason Dag,DC301 Field Representative
LPO,Town of Topes team
NC CEO 1 DCM
127 Carcfri4 Drive Ext.
Viikeington,NC 28405
tCkj.tG
Property Owner
17,-(21c; Nct, u003.e.,
Addrels
my 4.- 3`3 ZI
City,Stabs,Zip Code
RECEIVED
DCM WILMINGTON, NC
JAN 1 4 2020
U.S. Postal Service
CERTIFIED MAIL' RECEIPT
ti come.rac M'vi Vniy
k)
OFFI IAL USE
lrat aim�waiP*wlry
17- 11101 tel f3".�wrt�+ a i
bilk! ki &CY en
p Dawned wjawrd.anr,. a 0�� 0+4J1i rs+Arwcadp_
-"
• F
a*r .td
Ciy,Stale,Zip Code a ._ T
Dear Adjacent Property:
This Better is to in#orm you that I, 4k ! I l have aPPlied for a CAMA Minor
Ptt k Q; rcpetty CIVM r
POnnit an my pf at J } t • 5 5 n vet.
in PropertyAdtdress Topsail Beach,
Penter County. As reougred by CAMA regulations,1 have enclosed a copy of my appal:awn and
drawin9(s)as notification of racy proposed mint No action is requirod from you or you may sign and return
the used no objection form.:I r haw
-a7ny quest ns Or ccomenls about my Proposed paged,Pl�oa
ICC �
contact me ai W 4 G.-
� . _ byrut et the address Ism bebw. YI4Sh t4
Applicant's Telephone
tits written comments or*WWI with the CAW Minor Penns Program,y+Ow may suNne ftrem ex
Jason Dail.flC,M Field Repnsental.M
LPO,Tawn of Topsail Beach
NC DEO I DC/i
127 Cardinal Drive Ext.
Win,NC 28405
Poverty Owner
Making.address
M k FL- &362
City,State,rip Code
RECEIVED
D M WILMINGTON, NC
JAN 1 4 2020
t - -
A 6 a-or-- ,
E. • I . +•.• •••`- -
I •
-
• ! • -
r'"I Q f ct:..f.PTO!
�.1IN
li �« I ¶
lb ill
al
II It
to .-�ao
' Dumascss103. b
*ORAJ
I . 0 I A. .
k, Aa-5,... 1.... 1 „ : ,,,,,,
M.i ! 4 n, bra Avg", ,grAo
33- aPia4.• Are Twyey
mom 3 '0F " 1owe "a- -v t3(AZ to.)
�t r as.? �"riY`AG•
s 1 S * Si.a i^l4•1.
ck r�*SIP. i
0 ifiiki 1 ' ‘m PI-Lilieum- 'To
--it-IL-Tieg.41.,M , \ 5' 14f-ta - i I -
I -. .114'.14V ' - I ` Iti
,p- S ,0 1,fit
O.
-1.Ft t, tAl I
orttit.
A si's4T-_-.5.*Q'- 1..- --i t : �a P
A
•
:+I tit, le ' "
vl . 1 . . er1140, . -
,.""'" .t Wi° t tF
`` DCM WILMINGTON,
C
I
•
JAN 1 4 2020
OCEAN HAZARD AEC NOTICE
Project is in an: K Ocean Erodible Area High Hazard Flood Area inlet Hazard Area
Property Owner: kellt /-
Property Address: t k VI 14- PtNrii arc gy )Top sail ",Cot it s
Date Lot Was Platted:
This notice is intended to make you,the applicant,aware of the SPECIAL MOTE: This hazard notice is required for
special risks and conditions associated with develop ens in this development in areas subject to sudden and massive storms and
area,wlwich is subject to amoral hazards such as storms,croskin erosion. Permits issued for development in tfus area expire cut
and currants. The rules of the Coastal Resources Commission December 31 of the tlwrd year following the year in which the
require that you receive an AEC Hazard Notice and permit was issued. Shortly before vrorit begins on the project
ttaehnonaledge that notice in writing before a permit for site,the Local Permit Officer must be eontatted to determine the
development tarn be issued. vegetation tine and setback distance at your site. If the property
has seen little change since the time of permit issuance.,and the
The C'oromissiias's rules vo building standards, rnfautt promised develofrntnt can still meet the setback uegairement,
setbacks and dune&iterations arc designed to minimize,but not the LPO will in(orrm you that you may begin work.Suhatantial
eliminate, property loss from hazards. By granting permits, the progress on the project roust be made within 60 days of this
Coastal Resources Commissi n does.not gaaraatec 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 wilt necessitate re messurexnent
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 imminvrrdy threatened heftre the manna expires for official approval to continue the
by changes in shoreline configuration. The structure(s) must be work miler the permit has expired. Generally, if foundation
relocated or dismantled within two (2) years of becoming pilings have been placed and substantial progress is Wetinnirtg,
imminently threatened, and in any case upon its inflame or permit renewal can be authorized. It is unlawful to centime
subsidence. work after permit expiration.
The bad available information,as*emptied by the Coastal For more information,aAndact:
Resources Co mission, indicates that the annual long-term
average o c ion rate for the area vdierc your property is ,,,r1 f,h,.j c+' f i I.--
located is feet per year.
Local Penns'Officer
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years. N.C. Dept of Emaironnientat Ckralily
'F also indicate that the shoreline could move LC mach as Division of Coastal Management
dire fed taedward in a major storm. 127 Cardinal flrive Frinnginn
�/ VV1mington, NC 26405-3845
rwaters in a major rare arc pruiicted to be cleat
/ 1ft�t dew in this area.
Preferred oceanfront protection measures arc beach not g140 — _f 6 -
/ 7-/
and relocation of threatened structures. Hard erosion control
structures such as bulkheads,seawalls,revennerits,groins,jetties Phone Number
and breakwaters arc prohibited. Temporary sand hags may be
authorized under Certain conditions.
The applicant must acknowledge this in&rsnnatioc and
requirements by signing this notice in the space below. Without
the proper signature,the application will not be complete.
RECEIVED
tU DCM WILMINGTON, NC
1 .,k'dkl. (),,u., ,- 4 oe66, 1,1- _Ie.
Property Owner-Signature Dale JAN 1 4 2020
Revised May 2010
Receipts for
cMaii
(Staple Here)
1V -1q—,•220t9
Alchettic LA4-<c
Ifteri L tk4C orc CwrL-1c
City,Stale,by Code ic
Dear Adjacent Prop1
This iettsr is to edotm you that t, 3 1 "t e (--i ci (' rv",tt ) have**ad fora LAMA Minor
5�7 l Oscar
Permit on my party at AV rs.orl Topsal Beach,
Property Address
Pander County. As required by CAMA fegulatioes,1 have en bsed a copy of rrry Pew applicadon and
prcecf drawings)as rotticardcn of my promised project No mien is required from you or you may sign and return
the enclosed no doer form.d you have any questions or commis about my proposed pm}ed.please
contact me at 5 c't` <j — 3 S?,or by Tsai at ttse address Istd below If you wi5tr to
Applicant's Telephone
file written comments or oto a-lions,mit lho CAMA Minor Poorrnil Program,you may sutsrvi thus to:
Imam Dad.DCM Field Rep-mentally' ee
00,Tom of Topsai Beach
HD CEO)DCM
127 Cardir+ai Drive Ext
Wini .MC 28405
Ck C a MIY4 C-76rPrccerty Omer
o
Mating Address y�rq
city.Sufic rkp Code (4°
RECEIVED
DCM W!LMINGTON, NC
JAN 1 4 2020
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby cerr ry th.t i own property dim S'\7-c-c CI r ��
(Nana of Prop.rty Owner)
property located at k l rr1` VVY\Ck.i.h1,17til
i ` Address, Lot,Stock,Road,etc.)
on +1cA,n. t_L OR 1 r in rQ isimitet, ` N.C.
(Watery) cr. . Beta Pander County)
He has described to me as stiown in the attached application and Proied drz•vIncg(s),the dewkcirne et he is
proposing at hat location,and,I have no rotr ectic)rlS 4ti his ptopOs .
(APP!:)CATION AND DRAWING Of PROPOSED DEVELOPMENT ATTACHE[))
Signature
C jAk.
Print or Type Plasm
Telephone Nunber
Lalted
RECEIVED
0CM WILMINGTON, NC
JAN 1 4 2020
liell
NC Division of Coastal Management 10 9 3 7 A B ��
Cashier's Official Receipt
Date: I 7� 20 2 U
_�-0-66\so& �v lJ DU
Received From: $
Permit No.: M Check No.:
tv4
l'C
(7C/11
Applicant's Name: 18 `t4 vim- County:
ifi
Project Address: Iqt 1\1 • ��
/
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: Date:
Signature of Field Representative. • Date:
Date Date Check From Name of Vendor Check Check Permit Rct,
Received Deposited Permit Holder Number amount Number/Comments
1/22/2020 Michelle and same Bank of 102 $100.00 minor fee, 1159 N Anderson, JD rct.
Joseph Letter America Topsail Beach PnCo 10937