SH_14-01_ Simmons

M
WiRO for the Town of Shallotte
Local Government
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environment,
and Natural Resources 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"
SH 14-01
Permit Number
Issued to Jeff Simmons, authorizing development in the Public Trust Shoreline (AEC), located at 4812 Main
Street, adjacent to the Shallotte River, in Shallotte, in Brunswick County, as requested in the permittee's
application, dated received November 12, 2014. This permit, issued on November 21, 2Q14, is subject to
compliance with the application and site drawing (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 the addition of a covered, elevated, slatted, wooden deck (approximately 564 sq. ft.) to an
existing building and associated landscaping.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on November 12, 2014.
(2) The proposed development qualifies for the Urban Waterfront requirements and use standards of
15A NCAC 07H .0209(g).
(3) 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.
(4) Any change or changes in the plans for development, construction, or land use activities will require a
re-evaluation and modification of this permit.
(5) 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 site and accessible to the permit
officer when the project is inspected for compliance. Any
maintenance work or project modification not covered under this
permit, require further written permit approval. All work must cease
when this permit expires on:
December31, 2017
In issuing this permit it is agreed that this project is consistent with
the local Land Use Plan and all applicable ordinances. This permit
' T/a1MacPherson
ACTING CAMA LOCAL PERMI ICIAL
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
RECEIVED
DCM WILMINGTO
PERMITTEE
( at required if conditions above apply to permit)

w
Name: Jeff Simmons
Minor Permit # SH 14.01
Date: November 21, 2014
Page 2
(6) This permit does not authorize development within any wetlands or open water areas.
(7) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing,
all develop ment/construction shall be located a distance of 30 feet landward of Normal High Water.
(8) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Prior to any land -disturbing activities, a bamer line of filter cloth must be
installed between the land disturbing activity and the adjacent marsh or water areas, until such time as the area has beer
properly stabilized with a vegetative cover.
(9) Prior to any development, silt fence shall be properly installed between all planned land disturbance and the adjacent
marsh and open water areas; the silt fence shall be properly maintained throughout the construction period. Silt fence
shall be installed such that it is properly toed -in to the soil.
(10) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion.
(11) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise disposes
of to a third -parry.
SIGNATURE: DATE:
T E
RECEIVED
DCM WILMINGTON
DEC 0 2 2014

Locality
Ocean Hazard Estuarine Shoreline V ORW Shoreline
GENERAL INFORMATION
LAND OWNER
Name
Address
��J J
City S �pt. ��, o State
Email
AUTHORIZErENT
/Name /` /zc-Gear,,
(For official use only)
fy C'
Permit Number
Public Trust Shoreline Other
Zip ZVj—q53 Phone q10 5'7y e 9 q I
Address 41101 b 1 taA)rag cZ-
City %��1 &.,N c 6 State S C— ZipXj J %7 Phone f y_) 1/
Email /�/Zib�/� 30b o /d 404
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) "/b'/y IVIA 11 Yf .SA ._
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) �ej iaw
SIZE OF LOT/PARCEL:
square feet acres
PROPOSED USE: Residential (Single-family Multi -family ❑ ) Commercial/Industrial ther ❑
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer if you are not sure which AEC applie
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (include
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non -load -bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: square feet (includes the area of the roof/drip line 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 STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Management Permit issued by the NC Division of Water Quality?
YES NO
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: R F= G pe feet.
DCM WILMINGTON, NC

90
ro
b
r
APPLICATION FOR
CAMAMINOR z
DEVELOPMENT
PERMIT
In 1974, the North Carolina General Assembly passed the Coastal Area Management Act
(CAMA) and set the stage for -guiding development in fragile and productive areas that
border the state's sounds and oceanfront. Along with requiring special care by those who
build and develop, the General Assembly directed the Coastal Resources Commission
(CRC) to implement clear regulations that minimize the burden on the applicant.
This application for a minor development permit under CAMA is part of the
Commission's effort to meet the spirit and intent of the General Assembly. It has been
designed to be straightforward and require no more time or effort than necessary from
the applicant. Please go over this folder with the Local Permit Officer (LPO) for the
locality in which you plan to build to be certain that you understand what information he
or she needs before you apply.
Under CAMA regulations, the minor permit is to be issued within 25 days once a
complete application is in hand. Often less time is needed if the project is simple. The
process generally takes about 18 days. You can speed the approval process by making
certain that your application is complete and signed, that your drawing meets the
specifications given inside and that your application fee is attached.
Other permits are sometimes required for development in the coastal area. While these
are not CAMA-related, we urge you to check with the Local Permit Officer to determine
which of these you may need. A list is included on page two of this folder.
We appreciate your cooperation with the North Carolina Coastal Management Program
and your willingness to build in a way that protects the resources of our beautiful and
productive coast.
Coastal Resources Commission
Division of Coastal Management
RECEIVED
DCM WILMINGTON,
N O V 1 2 2014
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OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, ar
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the persc
listed as landowner on this application has a significant interest in the real property described therein. This interest can be
described as: (check one)
an owner or record title, Title is vested in Gh _ , Sk oJ1gd,-*e Deed Book
page in the R, rv715W ) c,K County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in
County.
if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name)
(2)
(3)
(4)
ACKNOWLEDGEMENTS:
(Address)
I, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which
may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu.
lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
I furthermore certify that I am authorized to grant, and do in fact grant, permission to Division of Coastal Management stal
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
/6/3/'
This the day of , 20 _
or person authorized to act as his/her agent for purpose of filing a CAMA permit application
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necessary, a check for $100.00 made payable to the locality, ar,
any information as may be provided orally by the applicant. The details of the application as described by these sources ar
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation
any permit. Any person developing in an AEC without permit is subject to civil, criminal and administraitivEdc E D
', '.tu iAlii RAtNrT0N NCB

SITE DRAWING/APPLICATION CHECKLIST
ise make sure your site drawing includes the following information required for a CAMA minor development permit.
Local Permit Officer will help you, if requested.
MITO VIf-11rI35-3[1]I6I
Label roads
Label highways right-of-ways
Label local setback lines
Label any and all structures and driveways currently existing on property
Label adjacent waterbody
YSICAL CHARACTERISTICS
Draw and label normal high water line (contact LPO for assistance)
Draw location of on -site wastewater system
If you will be working in the ocean hazard area:
Draw and label dune ridges (include spot elevations)
Draw and label toe of dunes
Identify and locate first line of stable vegetation (contact LPO for assistance)
Draw and label erosion setback line (contact LPO for assistance)
Draw and label topographical features (optional)
If you will be working in a coastal shoreline area:
Show the roof overhang as a dotted line around the structure
Draw and label landward limit of AEC
Draw and label all wetland lines (contact LPO for assistance)
Draw and label the 30-foot buffer line
VELOPMENT PLANS
Draw and label all proposed structures
Draw and label areas that will be disturbed and/or landscaped
Note size of piling and depth to be placed in ground
Draw and label all areas to be paved or graveled
Show all areas to be disturbed
Show landscaping
1TE TO APPLICANT
ie you:
• completed all blanks and/or indicated if not applicable? RECEIVED
• notified and listed adjacent property owners?
DCM WILMINGTOIV NC
• included your site drawing?
• signed and dated the application? N 0 V 1 2 2014
• enclosed the $100.00 fee?
• completed an AEC Hazard Notice, if necessary? (Must be signed by the property owner)
:� �. u ,�......� ...
FOR STAFF USE
Notice Posted Final Inspection Fee Received
Inspections

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
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A. Sign a
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❑ Addressee
B. ecc iv y (Print of a e) C. Date of Delivery
D. Is a live address diff nt from em 1?
❑ Yes
If YES, enter�delivery address below:
❑ No
LMIN(.a-i•OiuoN
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Certifie❑ ess Mail
J� C ❑ Registe❑ Return Receipt for Merchandise
❑ Insured ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) Cl Yes
2. Article Number 7 013 1090 0001 8619 8754
(Transfer from service label)
Domestic Return Receipt 1c2596'o2-d1-15ao
PS Form 3.U1, February 2004
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
/ eDor
A..1 �/, Jo A, /ZaA A.'
1,_J//w/1374- IV�z?C/o
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2. Article Number,
(Transfer from service
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a� Received by ( Printed Name) C. Date of D
1�n rn zho��2rC� I(-3 Deli
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
'M WILMINGTON, NC
Service Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
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4. Restricted Delivery? (Extra Fee) ❑ Yes
7013 logo 0001 8619 8730
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
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Street, Apt. No.; /�
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AMA PERMIT
APPLIED.
Applicant proposes to
- • - - - - . -
runswicK Goun
y a r
APPLICANT:
Kevin Richard
4101 Ditchford Ct.
Myrtle Reach, SC 29577
For: Jeff Simmons
FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
NC Div. of Coastal Management
127 Cardinal Dr. Ext.
1Nilming�, ton, NC 28405
Tara MacPherson, Field Specialist
910-796-7425

Dear Adjacent Property Owner
This letter is to inform you that I have applied for a CAMA minor permit for my property
at 4812 Main Street, Shallotte, NC 28459. As required by CAMA regulations I have
enclosed a copy of my permit as well as proposed drawing as notification of my project.
This permit will be required to do additions to an existing deck and appropriate
landscaping within the 30" AEC. No action is required if you have no objections to this
permit. If you wish to file written comments or objections you may submit them within 10
days to the Division of Coastal Management.
Jo Ann and Jeffery Simmons
�-i1'%-."EiVED
DCM WILMINGTON,
NOV 1 2 2014

A014 MyC;rwt - lest Details
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY 1OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: 1y Qh/N t ��>C��ry /y, -! f' no•�-{
Address of Property: y��L /j'%Ar�' S jAj7`� �, �� Z J j
-�j}'' iLot or Street #, Street or Road, City & County)
Agent's Name #: cd e.Ss e ,SIMM av! Mailing Address:
Agent's phone #: �to - 2 -) 9 -.7G 3 -S,-- Ale z,00 D
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http://www.nccoastalmanagement.netlweb/cm/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
S nature
Print or Type Name
1pd X -?
Mailing Address
S�14//it- , �G 2'? �
City/State2ip
Telephone Number / Email Address
1(-)- 13/-//V
Date
(Riparian Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number / Email Address
Date
1 ; "CCEIV
M WILMINGI
NOV 1 2 21

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skvarla, III
Governor Director Secretary
AGENT AUTHORIZATION FORM
Date:
Name of Property Owner Applying for Permit:
�Lr YU ns
Owner's Mailing Address:
a J64s9
Phone Number (cl(6 ) 510 �-8 cl Y 17
Name of Authorized Agent for this project:
Agent' Mailing Address:
i Zr
Phone Number(RI) 4//4, 'Ys.76c
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
For my property located at �lZ �Gtiti Sl -� S °`1 Ate- ,7, Wf
This certification is valid thru (date)
w� c,� C'� C-fi �� I ' 4
�
operty Owner Signature Date
127 Cardinal Drive Ext., Wilmington, NC 28405
Phone: [phone] FAX. [phone] Internet: www nccoastalmanagement.net
RECEIVED
DCM WILMINGTON, NC
N O V 12 2014

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 1 0'3/r
Name of Property Owner Applying for Permit:
.40 A v jF> . 'S� Je);[�-rc
Mailing Address:
I certify that I have authorized (agent) J—e SS e S /m, m OAS to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at)
This certification is valid thru (date)
Owner Signature
Date
RECEIVED
DCM WILMINGTON, N,

Anns! 10 1 4,
W RU Qu of
m rluwlRoan,! A MAN A gnmoods bmr ill maivy, 0 4"4?q%Oq IN 10"w"
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November 6, 2014 , 2:21 Delivered SHALLOTTE, NC 29470
pm
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T`0Ur item was delivered at2:21 prn on November 6.2014 in SHALLOTTE, NC 28470
November 4, 2014, 9:09 am
Available for Pickup
SHALLOTTE, NC 28459
November 4, 2014 , 9:09 am
Arrived at Unit
SHALLOTTE, NC 28470
November 4, 2014, 4:19 am
Departed USPS Facility
FAYETTEVILLE, NC 28302
November 3, 2014, 11:21
Arrived at USPS Origin
FAYETTEVILLE, NC 28302
Pm
Facility
November 3, 2014, 5:48 pm
Departed Post Office
ASH, NC 28420
November 3, 2014 , 3:31 pm
Picked Up
ASH, NC 28420
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RECEIVED
DCM WILMINGTON, NC
MXLJ513SJCXW Copyright© 2014 USPS. All Rights Reserved

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November 3, 2014 , 10:42 Delivered
WILMINGTON, NC 28401
am
Your item was delivered at 10:42 am on November 3.2014 in WILMINGTON. NC 284C
October 31, 2014 , 4:59 pm Departed Post Office
ASH, NC 28420
October 31, 2014 , 4:01 pm Picked Up
ASH, NC 28420
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RECEIVES
DCM WILMINGTON
kink/ 1 2 W11.

DIVISION OF COASTAL MANAGEMEIkTT ,2el lO -�
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FO
Name of Individual Applying For Permit:
g <s4Address of Property: Mti n
(Lot or Street #, Street or Road)
I��'tiS ek 0"� VUL
(City and County)
I hereby certify that I own property adjacent to the above -referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposiriQ. A de ription or drawing, with dimensions, should be provided with this letter.
here ,� I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, moorinNaea
as, bre water, boat house or boat lift must be set
bck a minimum distance of 15' from m of 'parian access - unless waived by me. (If you
wish to waive the setback, you must it appropriate blank below.)
X
I do wish to waive
I do not wish
Simi Name
Print Name
Telephone Number with Area Code
ee 15' \iback requirement.
ve thetback requirement.
Aj'A
NCDENR

1 V'I
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PRELIM14ARY
GRAVEL
GRAVEL
c5
NOT FOR REGORGING OR CONVEYANCE
EXISTING
BUILDING
i
ASPHALT
10
TLM INVESTMENTS, LLC
(REPUTED OWNER)
NRB
DEED BOOK 2769-1115
MAP CABINET V, PAGE 239
y
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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
November 24, 2014
Jeff Simmons
PO Box 7
Shallotte, NC 28459
Dear Mr. Simmons:
John E. Skvarla, III
Secretary
Attached is CAMA Minor Development Permit # SH 14-0- for work to be done at 4812 Main Stree
adjacent to the Shallotte River, in Shallotte, Brunswick County.
In order to validate this permit, please sign both copies of the permit as indicated for our record
Please retain the orange copy for your files and sign both pages of the white copy and return to us within
20 days of receipt, in the enclosed, self-addressed envelope.
This is not valid permit until signed and returned to our office.
Thank you for your prompt attention to this matter.
Enclosures
cc: WiRO files
Sincerely,
ShSand
on
Peomer Supp
NC Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, NC 28405
RECEIVED
DCM WILMINGTON,
Division of Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405 DEC 0 2 2014
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net

W
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
November 24, 2014
Jeff Simmons
PO Box 7
Shallotte, NC 28459
Dear Mr. Simmons:
John E. Skvarla, III
Secretary
Attached is CAMA Minor Development Permit # SH 14-0- for work to be done at 4812 Main Stree
adjacent to the Shallotte River, in Shallotte, Brunswick County.
In order to validate this permit, please sign both copies of the permit as indicated for our record
Please retain the orange copy for your files and sign both pages of the white copy and return to us within
20 days of receipt, in the enclosed, self-addressed envelope.
This is not valid permit until signed and returned to our office.
Thank you for your prompt attention to this matter.
Enclosures
cc: WiRO files
Sincerely,
Shaun K. Simpson
Permit and Customer Supp`
NC Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, NC 28405
Division of Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net

■ Complete items 1, 2, and 3.
■ Print your namia and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
490 T
—To
3 d 0 s
IIIIIIIIIII IIIIIIII IIIIIII IIIIIII II IIII
9590 9401 0024 5071 2327 86
WKIN
B. Received by (Printed Name)
❑ Agent
❑ Addressee
C. Date of Delivery
D. Is delivery address different from item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
❑ Registered Mail-
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricte
❑ Certified Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
TN
z f nm —ir.a lahall ❑ Collect on Delivery Restricted Delivery 0 Signature Confirmation
❑ Signature Confirmation
7 015 0640 0005 2 814 4302 Restricted Delivery Restricted Delivery
'S Form 3811, April 2015 PSN 7530-02-000-9053 Domestic Return Receipt

UNITED STAT S First -Class Mail
Postage & Fees Paid
s'ww.r sLM[stt. USPS
Permit No. G-10
10 .�► A 1:15
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• Sender' Olease print your name, address, and ZIP+40 in this box"
S/M' M OAJS
i`o -7
sA � f I c) 4 tf 111!C • 2—v ev s
USPS TRACwNG #
9590 9401 0024 5071 2327 86

■ Complete item: 1, 2, and 3.
IN Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
g 70 ova c�v7a� ,et✓
/79 4 2ie44. 30o6'F
III' �' III IIIIIIII II II II IIIII III I I I
9590 9401 0024 5071 2327 93
Agent
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ste of Delivery
A.
X
B. Reo(eived by (Printed Na-9)
D. Is delivery address different from ito
If YES, enter delivery address beld
()z
3. Service Type
Ll Priority Mail Expresso
❑ Adult Signature
❑ Registered Mail -
El Adult Signature Restricted Delivery
El Registered Mail Restricte
El Certified WHO
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
TN
nle ni.,. k— /T--f , f nm �a—i— inhAh I Collect on Delivery Restricted Delivery Signature Confirmation
2. .i-❑ Signature Confirmation
7 015 0640 0005 2 814 4326 Restricted Delivery Restricted Delivery
:IS Form 3811, April 2015 PSN 7530-02-000-9053
Domestic Return Receipt

UNITED STATES°16��ICE
A.
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4® in this box•
�O fox 7
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USPS TRACKING #
9590 9401 0024 5071 2327 93

DENR CAMA Daily Check Log for WIRO
Date
Received
Check From (Name)
Name of Permit Holder
10/22/2014 Allied Marine Contractors LLC Marvin Rozear
10/23/2014 F and S Marine Contractors Inc James Petrilla
10/23/2014 Logan Marine LLC Matthews Family Properties
10/23/2014 EasternBuilders of the Carolinas, Inc Jeffrey and Veronica Delaney
10/24/2014 J. Cutler and B. Cutler Turtle Harbour HOA
10/24/2014 Swannsborough Yacht_C_lu_b_lnc Bobby Denning_
10/24/2014 McKim s Creed Sawmill Point
10/24/2014 Steen Moss same
10/24/2014 William G. McRainey Parks
- -_ -
10/27/2014 Mark Lewis Crew Boats -_Inc. dba Old Marina Swan Point Marina
_Town
10/27/2014 Coastal Earth Works Inc Barbara Hulek Zucker
_
10/28/2014 Poteat-Smith Properties, LLC Henderson
10/28/2014 Jerry D. Edwards and Karen C. Edwards same
10/29/2014 Town of Topsail Beach same
10/30/2014 Southeastern Coastal Construction Co Murphey
10/31/2014 Allied Marine Contractors LLC Glenn Holloday
10/31/2014 Backwater Marine Construction Inc. Knight, Windham, Braswell_
11/3/2014 Town of Surf City same
11 /3/2014 Dale E. and Cynthia M. Joslin same
11/4/2014 Stacey Hamm and Kevin M. Hamm same_
11/4/2014 Pippin Marine Construction, LLC Scott Sullivan
11/4/2014 Wrightsville Beach Marina Sam Clary/Wrightsville Beach Marina
11/5/2014 F and S Marine Contractors Inc Brock and Scott
11/5/2014 Connaway Marine Construction, Inc
11/6/2014 Pleasure Island Partners, LLC Stewart Pittman for Pleasure Island Partners,
11/6/20�ech LLC Paul M. Wiles_
_
11/7/2014 Gary and Lynne Greene Dockside
11/7/2014 Connaway Marine Construction, Inc Michael Saintsmg & John Koloski
11/7/2014I Inlet View Bar 7 Grill Shallotte Point Phase 11
11/10/2014 Mark Lewis Crew Boats Inc. dba Old Town Marina Swan PointMarina
1111012014
Charles F. Riggs & Associates Inc. Eddie Keith Wood
-- - --
11/12/2014
Bostic Building Corporation McLeod, III
Check
Vendor Number
PNC Bank
4101
Coming Federal Credit Un
1110
First Ckizens Bank
4032
B of A
5720
_
SoundBank
18928
Vantage South Bank
177510
INC SECU f
1433
First Community Bank 1
7939
PNC Bank
1959
First Bank
4173
Wells Fargo Bank-
1053
-
First Citizens Bank
_-
6531
First Citizens Bank
002908
B' irst Federal
of&T
9283
6919
1694
PNC Bank
B of A
Bank of the Ozark;
B of A
Wells Fargo Bank
B of A
BB&T -- - -
PNC Bank
Rank
Check amount I Permit Number/Comments
$200.00'GP 1283 Corcus Ferry Rd., Hampstead
$400.00 GP for #4 Sunset Street, WB
$200.00 GP 65068D
$100.00 minor fee, 4180 Island Drive, NTS
$100.00 MP renewal, #64-00
$200.00 GP 65004D
$200.00 renewal and mod. Fees, 76-9T
$600,00 GP 64076D
$200.00 GP 64075D
$250.00 major fee, Swan Point Madn_a_, Ons.
_ $400.00 GP 65010D
$400.00 major fee, E. Beach Dr. Oak Island
- $400.00 GP 64034D --T- --
$200.00 GP65011D
$200.00 GP 65013D
$400.00 GP 64035D
$600.00LGPs 64077D, 64078D, 64079D - -
$100.00 renewal request, 190-05
90001 $200.00 GP for 800 #B Canal Dr., CBT
3179
2331
- 4113
_ 6862
2008
---1845
- - 4272
- - 6867
- - 2549
---r- — 1967
13732
5656
$200.00 GP 65016D
$200.00 GP 65015D _
$100.00 MP renewal, #173-00
$200.007GP65012D $200.00 lots 11 & 12 Pensacola/ PN Co.
$400 00 major fee, Pleasure Island Partners, LLC —
$200.00 GP 65017D
- $400.00 major fee, Dockside,-
_ $200,00 lots 2 & 4 The Peninsula @SC
$100.00 mod. Fee, 185-08 - —
$150.00 Ck#2 + #1959 for major fee, S_wan Point Marina, Ons.
$100.00 minor fee, 1681 New River Inlet Rd, NTB Ons