TB_21-14_ Gorman (2)

RECEIVED
Issued by WiRO JUL 12 2021 TB21-14
Topsail Beach Permit Number
CAMA DCM WILMINGTON, NC
L
MINOR DEVELOPMENT
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 Jackie Gorman authorizing development in the Estuarine Shoreline Area of Environmental Concern (AEC) at .
1214 Carolina Boulevard, in Topsail Beach, Pender County as requested in the permittee's application dated June 9,
2021and received by DCM on June 9, 2021. This permit, issued on June 28, 2021, 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: Construction of new dwelling.
(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 June 9, 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.
(Additional Permit Conditions on Page 2)
71/2:,(1
This permit action may be appealed by the permittee or other qualified persons Jason Dail
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 AMA Local Permit Officer
compliance. Any maintenance work or project modification not covered under 127 Cardinal Drive Extension
this permit,require further written permit approval.All work must cease when this Wilmington, NC 28405-3845 nsio
permit expires on:
December 31,2024 111
K9a-azi
In issuing this permit it is agreed that this project is consistent with the local Land
IISP Plan and all aoolicable ordinances. This permit may not be transferred to PERMITTEE

-
Name: Jackie Gorman
Minor Permit#TB21-14
Date Issued: June 28, 2021
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) Should the amount of impervious coverage within the 75' Area of Environmental Concern (AEC), the applicant shall
effectively demonstrate, through innovative construction and design that the amount of impervious surfaces
exceeding 30% impervious coverage within the 75' Coastal Shoreline AEC shall be managed and the AEC
protected.
(8) Upon completion of construction and prior to the issuance of a Certificate of Occupancy(CO), a letter of certification
must be received from the designer of the innovative system installed, certifying that the permitted system has been
installed in accordance with this permit, the approved plans and his design specifications. Any deviations from the
approved plans and specifications must be noted on the Certification and a permit modification may be required
prior to receiving a CO.
(9) No structures shall be located within the 30' Coastal Shoreline buffer, as measured 30' from the normal high water
line.
(10)This permit does not authorize the excavation or filling of any wetlands or open water areas.
(11)Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
SIGNATURE -i ` DATE: 202007-/
PERMITTEE

ROY COOPER }� '
Governor \r44,0
JOHN NICHOLSON
Interim Secretary
BRAXTON DAVIS NORTH CAROLINA
Director Environmental Quality
June 28, 2021
Jackie Gorman
143 Old Forest Creek Drive
Chapel Hill, NC 27514
Dear Ms. Gorman,
Attached is CAMA Minor Development Permit TB 21-14 for work to be done at 1214 Carolina 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 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.
Si erely,
Anita M.Webb
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRO files
TB Inspection Dept.
Peter Hedrick—Shelby Contracting

Issued byWiRO RECEIVED TB21-06
Permit Number
Topsail Beach MAY 1 0 2021
CAMA ;:
CM WILMINGTON, . �
‘%t
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 Jackie Gorman authorizing development in the Estuarine Shoreline Area of Environmental Concern (AEC) at
1214 Carolina Boulevard, in Topsail Beach, Pender County as requested in the permittee's application dated April 5,
2021, and received by DCM on April 15, 2021. This permit, issued on May 1, 2021, 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: Demolition of existing residence and clearing/grading of lot.
(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 April 15, 2021. This permit does not authorize the creation of any new
structures. Future development activities on the subject property will require re-evaluation by DCM.
(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 Extension
this permit,require further written permit approval.All work must cease when this
permit expires on: Wilmington, NC 28405-3845
December 31,2024 '-
iL .;;r 4
In issuing this permit it is agreed that this project is consistent with the local Land /

. Jackie Gorman
,or Permit#TB21-06
date Issued: May 1, 2021
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 structures shall be located within the 30' Coastal Shoreline buffer.
(8) This permit does not authorize the excavation or filling of any wetlands or open water areas.
(9) 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:A �.r f,�_ L1lt,CG��— DATE: ? : _ ) 2
PERMITTEE

•
Locality Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(Pt'r official ace only)
GENERAL INFORMATION
LAND OWNER- AILING ADDRESS
Name Jtl(. to (-7prtman
Address 141.3 0'it "forest Cr k
City tit/I II1 I( IU C lip) `s 14;,1 UIk ' 19 -q 2' -`10` 4
Email -tc 6 Y I e. N')Q�1.Gan —
AUTHORIZED AGENT
Name TOE( ar;4 CShe-(k1 CairzdwLc
r)
Address b D l (.Gr V'er C.# Q (�
(.ityCAS 'HMO Q/ tiie /iput munc +o J ' 2116
Email Sketticaritqdyty (Toth
LOCATION OF PROJECT:(Address.street name andror directions to site:name of the adjacent watcrbody.)
1 019- CG r O n a 1 lr
l6ps ) s(4.di11 443
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) d epia ex.4,9 601,se
t.)JnS ,rVd- Yip(tionte Sind It siimiO )-0 Ste-Pf•
SIZE OF LOT/PARCEL: LO ps Y square feet r 1 �n.
PROPOSED USE:Residential (Single-tinnily ) Commercial Industrial Other
COMPLETE EIT1II:R(I)OR(2)BELOW(Contact.your Loco!Permit Officer iJyou are not sure which..IEC applies
co 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-hearing attic space)
(2) COASTALSHO( EL USE AECs:SI/.I OF BUILDING FOOI'PItIN TANI)UfliER IM1'hRVIOUS OR BUILT
UPON SURFACES:lily square feel(includes the area of the foundation of all buildings.dri eways.covered decks,
concrete or masonry patios.etc. that are within the applicable AEC.Attach your calculations S1 all the project drawing.t
STATE STOR%IWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
Stormwater Managcmcnt Permit issued by the NC Division of Energy,Mineral and Land Resources(DIAILR):'
YES NO X
If yes.list the total built upon area`impervious surface allowed for your lot or parcel: square feet.

R PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
ievelopment permit.including.but not limited to: Drinking Water Well.Septic Tank(or other sanitary waste
:nt system)_Building.Electrical,Plumbirllg,Heating and Air Conditioning,insulation and Energy Conservation.FIA
:atian,Sand Dune.Sediment Control.Subdis ision Approval,Mobile(tome Park Approval.highway. Connection,and
Check with your Local Permit Officer for more initirmation.
EN1F.NT OF OWNERSHIP: •
indersigned,an applicant for a C:\\lA minor development permit,being either the owner of property in an AFC or a �l
authorized to act its an agent for purposes of applying for a CAMA minor development permit.certify that the pet-son
as landowner on this application has a significant interest in the real property described therein.This interest can be
bed as:(check one)
n owner or record title.Title is vested in name of � ( aunty Regism ecC Deeds.zed Book . 1^(D C page a 4in the t
in owner by virtue of inheritance.Applicant is an heir to the estate of County.
probate was in
,(other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
IFICAl'ION OF AI)J\C EN I'RIPARIAN PROPERTY OWNERS:
hennore certify that the following persons are owners of properties adjoining this property. I affirm that I have;gisen
'UAL NOTICE to each of them concerning my intent to develop this property and to apply or a CAM.\permit.
(Name) (:Aelessl �� �
4 SQ i / i. • I • , Carr• a !! 1Veo -
antIA
(\OH LE.l)(l':,lEr l•S:
undersigned.acknowledge that the land owner is aware that the proposed development is planned for an area which
be susceptible to erosion and/or flooding. 1 acknowledge that the Local Permit Officer has explained to me the particu-
lazard problems associated with this kit.This explanation was accompanied by recommendations concerning.tabiliza-
and lloodprooling techniques.
rlhermure certify that I am authorized to grant.and do in fact grant.permission to Division of Coastal Management staff,
Loral Permit Officer and their agents to enter on the alorementiuned lands in connection with evaluating information
ted to this perms application. a . i /�
This the 1 T day ofslViiC� ..0 21
rtir
w owrer r pers t authorized to act as his'her agent for purpose of filing a CAMA permit application
is application includes:general naarnr<rrion(thisjdrtio.a site drawing as described on the back of this application.the
nership.statement. the Ocean floauel-t i-C Notice where ne'ccssar-i'.a check kw SI(KM crude-psruhh:to u+c locality.and
t,injnrrnutinn as may he pr-rrrided orally by the upplicata. The details of the application as described hr these sources are
rorpuraled without refs n-ire•r in any penal!which may be issued. Deviation pont these details will nirrsrit1Nc a violation of RECEIVED
t'permit.Any person developing in an alsC'without permit is subject to civil. c rirrrrnui and uebuini,rrerrire action.
JUN 09 2021
DCM WILMINGTON,NC

Locality �� ach Permit Number a 21 - 4
Ocean Hazard Estuarine Shoreline ORW Shoreline. Public Trust Shoreline Other
(For official use only)
GENERAL INLOR. LAIION
LAND OWNER- MAILING ADDRESS
Name \ A i e e7C)rtnArl
Address 1 1'3 01 d1 To rest- Creek 1Dr 'L q
City CU) Ili l( ``Sine MC Zip)16jlT)hune 919 "cvI - I014
Email tC%rIn31(jCiCk;ei c9w ett .ow%
Al 'I'l1ORIZED AA-AI
`+
Name ( + i€ar;ck C91e-(61
c dw )
Address b O I Car v-€r et. --
city 64ta � �e, �,:,; ktt, 2 29'h,,,I,. Clip 447 S 2915
Email Sl t6li laihro c 'ln9 I11 C r7'pia/ 1) C/a/11
LOCATION OF PROJECT:(Address.street name and'or directions to site:name of the adjacent waterbody.)
Its 4- UroUnCi 1310
-Tzsps gru oil
UN:S('1(1PfIO\ OF PROJECT:(List all proposed construction and land disturbance.) ems Q + v
t).)nS .rvc " taw((tose s;ng Lit sfol 0 )-0 ste-i-f ..
1.01 PARCEL: (elqlogal square feel r 1 acres
PROPOSED USE: Residential K (Single-tinnily( Multi-family ❑ ) Commercial/lndustrial❑ Other ❑
(1)A1PI.E I'F.EITHER(I)OR(2)BEIA)W (Comae(your Local Permit Officer if you are not sure which AEC applies
ro 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) COASTALSIIO tN.lc.�\E AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES:I/1 a square feet(includes the area of the foundation of all buildings,driveways,covered decks,
concrete or masonry patios,etc.that are within the applicable AEC.Attach your calculations with the project drawing.)
STATE STORMW ATER MANAGEMENT PERMIT: is the project located in an area subject to a State
Stormwater Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMUR)?
YES NO X
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: square feet.

ER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
•development permit. including,but not limited to: Drinking Water Well.Septic Tank(or other sanitary waste
rent system).Building,Electrical,Plumbing,Heating and Air Conditioning,insulation and Energy Conservation,FIA
ication,Sand Dune,Sediment Control.Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
Check with your Local Permit Officer for more intimation.
CEMENT OF ON\FRSUIP:
undersigned,an applicant for a C.\MA minor development permit,being either the owner of property in an AEC or a
n authorized to act as an agent for purposes of applying for a CAMA minor development permit.certify that the person
as landowner on this application has a significant interest in the real property described therein.This interest can be
ihed as:(check one)
in owner or record tide,Title is vested in name of �L l ' 6YrnGn
teed Book 41(o ( page — in dn. County Registry of Deeds.
to 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.
IFICATION OF ADJACENT RIPARIAN PROPERTY ON NE:RS:
hennore certify that the following persons arc owners of properties adjoining this property. I affirm that I have given
UM.NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Nam.;i (Address)
Sv • , CQr• 4 - T w�► gee
. - 4 la Al ._ . 0 a .�frili-el•
\ON f,Et)(;l,Ml \I'S:
undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
he susceptible to erosion and/or flooding.1 acknowledge that the Local Permit Officer has explained to me the particu-
ward problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
and tloodproofing techniques.
bet-more certify that I am authorized to grant.and do in fact grant.permission to Division of Coastal Management staff,
.Deal Permit Officer and their agents to enter on the ati►rementioned lands in connection with evaluating intimnation
ed to this peen. application. a4+1
This the 1 day of„cVl/1Pi ,20 '
lowner or pers authorized to act as his.her agent for purpose of filing a CAMA permit application
application includes:general in%rmation(this jbnn).a site drawing as described on the buck oft/us application, the
xship statement, the Ocean Iln_rurl AEC Notice where necessary,a check for SI1%).0I)made payable to the localiq:and
n/nrrnution us may he p,nrided orally by the applicant. The details(tithe application as described hr these sources are
1puraled without reference in any permit which may be issued. Deviation.front these details will constitute a violation o/
7ennit.Any person developing in an AEC without permit is subject to civil.criminal and administrative action. RECEIVED
JUN 09 2021
DCM WILMINGTON,NC

Locality Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline. Public Trust Shoreline Other
/For n•(Jicial free(illp;
GENERAL INFORMATION
LAND OWNER- DING kl)lRNSS
Name Jtic ie (-7C)rni r)
Address1 Cf. 01 Q\j T orect Cdr k Dr
City Cka 0 idi5 t 4i.+1„U1,.: '9 19 - 24 -1o(1C
Email kcArInl<1cj4GEe, gW)Qif+CGYt
AUTHORIZED LIORIZED AGENT
Name '1•427 e -Rear,4 ccM(k1 Czh i-chat
Address b n I C at- %ter tt .
Email S Ir e.l61 Calf r.,r►n9 111 S a , c/-
LOCATION OF PROJECT: .address.street name andior directions to site:name of the adjacent Natcrbody.)
l 1 4- UroUrirk �l,J
UES('RI P 11O\ OF PROJECT:(List all proposed construction and land disturbance.) Ifj e-yho stl1t
Ci.)nsi-{vc ` ratokm ' nc Li sfr'h -0 ste-Pf-. .
SIZE OF LOT/PARCEL: ( TI square feet • 1 1.0, acre
PROPOSED USE: Residential Commercial.Industrial El Other El
C'OMPI.ETE EITHER(I)OR(2)11E1.O\A (('onlue,your Local Permit Officer if you are not sure which.4Ff 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 ciesated above ground level but
excluding nun-load-hearing attic space)
12) COASTAL SIR) I INE AL:Cs:SIZE OF BUILDING FOO1'PRIN I'AND 0IHER I\IPI•RVIOI:S OR WILT
UPON SURFAC l:S:lay square feet(includes the area of the foundation of all buildings.dr,t•et+av s.covered decks,
concrete or masonry patios.etc.that are a+ithin the applicable AL:('..Attach your calculations a ith the project drawing.(
STATE STORMVIATER \1.1NACENIENT PERMIT: Is the project located in an area subject to a State
Stormwater Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DFMLR)"
YES NO /\
If yes,list the total built upon area impervious surface allowed k r your lot or parcel: square feet.

lil NC Division of Coastal Management
Cashier's Official Receipt 14 3 3 4 A B
Date: 20Z(
•
Received From: $ hD
Permit No.: Check No.:
Applicant's Name: � County
Project Address: f� � �� Jc�% v_ . 7---
1
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: t>'All
Tffr,ia Date:
Signature of Field Representative: Data
Al. rtillff
i NOTICE F: to cac!i uftitrrrre—-___ ._____
Date:
(hiatttel (Address),, � �� �!', _
NOS LE DGE.NIEN I S:
undersigned.acknow ledge that the land owner is apt are that the proposed development is planned or an area which
ic susceptible to erosion andlor flooding,I acknowledge that the Local Permit Officer has explained to me the particu-
zard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
nd lloodprooting techniques.
hermore certify that I am authorized to grant.and do ill fact grant.permission to Division of Coastal Management staff,
ocal Permit Officer and their agents to enter on the albrementioned lands in connection with evaluating inhumation
rd to this perm.t application. cfT�
This the T day ofAiMe .=t!.V 1
iA
!owner or pets authorized to act as his her agent for purpose of tiling a CAMIA permit application
application includes:general inlurmation tthis form).a site drawing as described on the hack of this application.the
e+rsbip statement. the Ocean f!a'nrd AEC Notice where necessary.a check/or S IIll).00 made pen ethic to the locality card
Minn:union as may be provided orally by the applicant. The details Of the application as described by these sources are
,tpur•ated without reference in any permit which may he issued.Deviation!runt these details will ccnr.vitine a violation of RECEIVED
permit.Ant person developing to aniAl.0 Without permit is subject to civil.criminal and admmt.ltritti e action.
• JUN 09 2021
DCM WILMINGTON,NC

Date Date Check From Name of Vendor Check Check Permit Rct.
Received Deposited Permit Holder Number amount Number/Comments
rct.
6/10/2021 Shelby Contracting, Shelby Gorman Bank of 1108 $100.00 Minor fee, 1214 Carolina Blvd, JD
Inc. America Topsail Beach PnCo

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GORMAN RESIDENCE , Urban�5�911"""`" ""' 1 i o? N2(') p
m LOT 7, BLOCK 30 CAROLINA BLVD 111111IIII Architect,PA P.O.Box10537 I° 4 2t g
17 1214 CAROLINA BLVD. Myrtle Beach,SC Wilmington,NC 28404 z�, uo A o .
x, > free.[877]866.4660 t.[910]256-5076 tic ,,,, +°���
g Z TOPSAIL BEACH, NC 28445 f.[843]839.2970 free.[877]866.4660 .�.d Y

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❑Adult Signature Restricted Delivery ❑ RDevlsetered M
❑ Certified Ma ® 0 Return Bedell
❑ Certified Mail Restricted DeliveryMerchandise
9590 9402 5492 9249 3378 09
❑ Collect on Delivery ❑
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2.. Article Number Cr 15 D 4 6 9 ❑ insured Mail Restricted Delivery
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7020 2450 ODDD Domestic Retu
PS Form 3811 , July 2015 PSN 7530-02-000-9053
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVER
■ Complete items 1, 2, and 3. nature I,'
■ Print your name and address on the reverse 4 3LL
so that we can return the card to you. - Ou'1'�i.
• Attach this card to the back of the mailpiece, B. Reb ived by{Pri d Nam C. (
or on the front if space permits. - ,1-C-I\ L.. u 1 e \ y
1. Article Addressed to: D. Is delivery address different fro tem 1?
If YES, enter delivery address below:
ji '1)1-y.,(1 -A-vkify I, i
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3. Service Type 0 Priority
lift IU �III I 'IIII (I1I ' 111 (
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7020 0640 0002 2348 4859 ed Mail
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PS Form 3811 , July 2020 PSN 7530-02-000-9053 Domestic

MICHAEL UNDERWOOD & ASSOCIATES, P.A. a
PROFESSIONAL LAND SURVEYORS _ C-373'
102 CINEMA DRIVE, SUITE A -•-•-•-• rT
WILMINGTON, NC 28403 . 1(
Apvitc
Phone: [phone] ,.
Fax: [phone] '
Jacquelene Wilson Gorman
c/o Shelby Contracting
via email
Attn: Peter Hedrick Email: [e-mail] }{
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Re: New Topsail Beach DATE: 5/4/21
Lot 7, Block 30 INVOICE #: C-37377
AMOUNT DUE: $ 850.I
DATE DESCRIPTION AMOUll
May,21 Land records research, FEMA research, Site visit, Lot survey and
mapping. Obtain spot/ground elevations.
Fee $ 850.

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Jttiauuuuuu i Ju'a::r r ""v"" _--- $2.85
ipt $2.85 Return Receipt
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tage -$0.55 Total $7.85
Amount : $0.55 _ -- -
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Grand Total :
$7. 79 Debit Card Remitted $7.85
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tted $7.79 Account #: XXXXXXXXXXXX7865
lasterCard Approval # : 141462
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#: 242 Debit Card Purchase: $7 .85
)32885 AID: A0000000042203 Chip
'urchase: $7.79 AL : US DEBIT
)00422' 3 Chip PIN: Verified
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