BC_09-09_Chambers

Brunswick County D / tO BC09-09
Local Government a, (MOD)
Permit Number
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-119 of the
General Statutes, "Coastal Area Management'
Issued to Jack & Janex Chambers, authorizing development in the Estuarine Shoreline (AEC) at 1780 Chadwick
Landing Drive, in Shallotte, NC , as requested in the permittee's application, dated 05-Oct-10. This permit, issued on
13-Oct-10, 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: Two 6' High Retaining Walls Approximately 2' Landside of Mean High Water
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 13-Oct-10.
(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 910.253.2034 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. From the date of an appeal, any
work conducted under this permit must cease until the appeal is resolved. 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:
DECEMBER 31, 2013
IN
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
another party without the written approval of the Division of Coastal
Management. DCM
OL kJaAJ!", A, V
Connie Marlowe
CAMA LOCAL PERMIT OFFICIAL
ECEIVED PO Box249
Boll a NC 284p-�
OCT 14 2010
PER ITTEE
WILMING
TQhiukillrequired if conditions above apply to permit)

Name: Jack & Janex Chambers
Minor Permit # BC09-09 (MOD)
Date:13-Oct-10
Page 2
(5) The amount of impervious surface shall not exceed 30% of the lot area within 75 feet of Normal High Water
(Estuarine Shoreline Area of Environmental Concern), in this case, 0 square feet is authorized.
(6) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
development/construction shall be located a distance of 30 feet landward of Normal High Water. No portion of the
roof overhang shall encroach into the 30 ft. buffer.
(7) 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 barrier 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 been properly stabilized with a vegetative cover.
(8) Any proposed grading within the 30' buffer from the Normal High Water must be contoured to prevent additional
stormwater runoff to the adjacent marsh. This area shall be immediately vegetatively stabilized, and must remain in
a vegetated state.
(9) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
completion.
SIGNATURE: DATE: 1 T) "
PERMITTliE

HACK
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent tO c7ACK E ZRNeX UA� 's
(Name of Property Owner)
property located at 1 `% $ 0
(Lot, Block, Road,
onk,%-41e SulloMe Rive( in Q)-YUNStviCK CAUU+� 't N.C.
(Waterbody) (Town and/or County)
Applicant's phone#:916-195-A39A Mailing Address:_17$0C6)d&iic.K IAA-lLislw.
ShAllot*F IV.C- ag970
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by properly owner proposing development)
QAAA
n av n� can J1 �j�
PP Imo- JUT �s 1�;
1. ".�
P)J-aA-Q- ko-t,-k
-,-6
-t-ke_ _e4Lce.&'Le�
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Mailing Address Signature
S h A \\ 0- °+e- . N . C . a8 LOO ")
City/State/Zip Print or Type Name
Telephone Numbernn n/ Telephone Number
(22 � e) - ls� `i'I� maou /O-(o-/D 16 - 7-1-0
ignatufe Date Date
RECEIVED
oCr 13 2010

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to tTfiCK E JAIJex ChB to IOC2 's
(Name of Property Owner)
property located at
(Lot, Block, Road; etc.)
one s%do-H'e Aiyea ,in f3YL)ti5WiC-Vi C0UN.)+ N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: q 10-IS5 a3`laMailing Address: IWOChAAOi(AkgcL,bR.5,W,
ir)PA1Al. C aa4 70
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
pp (To be filled in by property owner proposing development) A-T r" Q
O��a L V ClJ1 Q_ o C�/LO i �l vr1 qp d� Io �-
w-Q- w i-� *6 c�v .,�u�cQ P.0 e aa-. l ot-k
0"SL & zu—
(Information for Property Owner Applying
for Permit)
1790CWU3ieK I�K- S, LO _
Mailing Address
ShA IIo-te - A1. C , 2$470
City/State/Zip
910-155 --139Q-
Telephone Number A
Q.1 ,y"��rm�hP2� 1 D-to -10
nature Date
(Riparian Property Owner Information)
_- _Jr_-
-IL I 3
Telephone Number
/c - 4a
Date
RECEIVED
OCT 13 2010

Brunswick County BC09-09
Local Government Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
s aauthorized 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"
Issued to Jack & Janex Chambers, authorizing development in the Estuarine Shoreline (AEC) at 1780 Chadwick
Landing Drive, in Shallotte, NC , as requested in the permittee's application, dated 02-Dec-09. This permit, issued on
22-Dec-09, 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: Redevelopment for 12' x 22' Top Deck, 12' x 12' Top Deck, and Tx 19' Lower Deck with 5' wide Steps
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 07-Dec-09.
(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 910.253.2034 for a final inspection at
completion of work.
(Additional Permit Conditions on Paget) RECEIVED
DCM WILMINGTON, NC
SEC 2 3 2009
This permit action may be appealed by the permittee or other qualified persons
within twenty (20) days of the issuing date. From the date of an appeal, any
work conducted under this permit must cease until the appeal is resolved. 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:
DECEMBER 31, 2012
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
another parry without the written approval of the Division of Coastal
Management.
Connie Marlowe
CAMA LOCAL PERMIT OFFICIAL
PO Box 249
Bolivia2NC 2842�%
PERMITIT
TEE
(Signature required if conditions above apply to permit)

., I

Name: Jack✓£ Janex Chambers
Minor Permit # BC09.09
Date: 22-Dec-09
Page 2
(5) The amount of impervious surface shall not exceed 30% of the lot area within 75 feet of Normal High Water
(Estuarine Shoreline Area of Environmental Concern), in this case, 0 square feet is authorized.
(6) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
developmenUconstruction shall be located a distance of 30 feet landward of Normal High Water. No portion of the
roof overhang shall encroach into the 30 ft. buffer.
(7) 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 barrier 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 been properly stabilized with a vegetative cover.
(8) Any proposed grading within the 30' buffer from the Normal High Water must be contoured to prevent additional
stornwater runoff to the adjacent marsh. This area shall be immediately vegetatively stabilized, and must remain in
a vegetated state.
(9) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of construction
complefion.
SIGNATURE'S DATE:
PERMITTEE

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Locality tLA a d ,C L Co
Permit Number 13C o I - Ug
Ocean Hazard Estuarine Shoreline " ORW Shoreline Public Trust Shoreline Other
(For official use only) -Fe'k Pr~rc.Ll # 23abbbe)46r7
GENERAL INFORMATION
LAND OWNER
Name
f �►
w •ire -
AUTHORIZED AGENT
Name
Address F v
City S lax l I pi -if— State t�C, Zip aR 459 Phone q 10 -r1 5 q 4 a `i l
LOCATION OF PROJECT: (Address, street name and/or directions to sitg. If no oceanfront, what is the name of the
adjjlacentw/aterb/o'dy.) e ) eAtAV IZJ. Llfle Jlla9t--h no
ESf R.}.Git%0
"1'I�Ji, (-
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
CJf0.Ws46q1 �—i c
SIZE OF ISOT/PARCEL: J
PROPOSE SE: Residential
Other
7_rxquare leer acres
�x8 g 7-0 Or
(Single-familyVMulti-family )
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVIRON-
MENTAL CONCERN (AEC):
square feet (includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN THE
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): 5_ square feetAg
(Calculations 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 .)
Choose the AEC area that applies to your property:
(1) within 75 feet of Normal High Water/Normal Water Level for the Estuarine Shoreline AEC
(2) within 575 feet of Normal High Water/ Normal Water Level for the Estuarine Shoreline AEC, adjacent to
Outstanding Resource Waters
(3) within 30 feet of Normal High Water/ Normal Water Level for the Public Trust Shoreline AE(R E C E 8 ��
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.) rr pp pp
STATE STORMWATE ANAGEMENT PERMIT. Is the project located in an area subject to a Statt99044
Management Permit i ed by the NC Division of Water Quality? .
DC" YES_ NO WILMINGTON, NC
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.

R PVRMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor develop-
,ermit. As a service we have compiled a listing of the kinds of permits that might be required. We suggest you check over the list
our LPO to determine if any of these apply to your project. Zoning, Drinking Water Well, Septic Tank (or other sanitary waste
ent system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification,
)une, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and others.
EMENT OF OWNERSHIP:
undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
s 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
.bed as: (check one) I
oa- d" R. Ciximb� S `j
in owner or record title, Title is vested in man eK��,.Wr �l et S see Deed Book
JCIL in the gtj-15L Mrj� County Registry of Deeds.
in owner by virtue of inheritance. Applicant is an heir to the estate of
to was in
County.
f other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
IFICATION OF ADJACENT PROPERTY OWNERS:
iermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
UAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(NAmA) (Address)
DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
1 3
SC,r
aowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible
ision and/or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems
iated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing
iques.
MISSION TO ENTER ON LAND:
hermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents to
on the aforementioned lands in connection with evaluating information related to this permit application.
application includes: general information (this form), a site drawing as described on the back of this application, the
rship statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any
station as may be provided orally by the applicant. The details of the application as described by these sources are
porated without reference in any permit which may be issued. Deviation from these details will constitute a violation
y permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.
RECEIVED This the 0 day of De(embe r 20t�Xl_
DEC 0 7 2009
Landowner or person authorized to act as his agent for purpose of filing a CAMA permit application.

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Adjacent Pro�erty Owner ff
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LnMailing
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City, State, Zip Code4303, 3ga -qqt t,
DearAdjacent Property:
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Postage $
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This
letter is to inform you that I, URc-K + cJ!-r/I/eX QIAMUe have applied for a CAMA Minor
Property Owner nn
RYUN$Ui Cj<
Permit on my property at N kQ C tO iGK W j - N in Ct
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at G to -155 -cM9l- or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to:
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE, ZIP CODE
Sincerely,
r kK k- 0AiVeX Ci 4CWS
Property Owner
Mailing Address
Sint\\O-N1e, n)Cf -219�7J
City, State, Zip Code

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Adjacent arty Owner
4O1nl g2AC_�
M 'ling Address —�
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City, State, Zip Code9w _y r)1 _ 1915
Dear Adjacent Property:
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certified Fee
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Retum Receipt Fee
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(Endorsement Required)
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12102t2009
Sent To
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O Street Apt Na.:P,� 1 C 1.'
M1 or PO Box No.P17-d _'�V� -._!:".!%i----_J_.w...--__.
CiN•Sha%SZ'I .0 d—
This letter is to inform you that I, _r��C K�ue�C���l'�have applied for a CAMA Minor
Property Owner
�.y. �yurtscvrcl�
Permit on my property at �745 a C%ArIwlc K l�,dw • j�SAU d r Ey NCC in 69diVFY
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at q/0- 7 55 - ,:2 39.2- ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to: COMnI i e— -W A140UJ --
P-0. &Y, 'IL{ (j LPO NAME
R r A) C. aSi Local Permit Officer for LOCAL GOVERNMENT 2-2LOCALGOVERNMENT ADDRESS
CITY, STATE, ZIP CODE
Sincerely,
Property Owner
17S6 Chadw;cK L,v 8, W., is
Mailing Address
►t► Uo� % , N_C• - 2 !R "Icy
City, State, Zip Code

MCDENR .
North Carolina Department of tnvironment and Natural Resources
Division of Coastal.Magagement
Michael F. Easley, Govemor James H. Gregson,'Oirector
Authorized Agent. Consent Agreement
in order to obtain any CAMA permit(s) required foy
specific activities described in the attached sketch.
LOCATION OF -•
_ .i • Jrr fll a4t
PROPERTY OWNER MAILING ADAREss:.
PHONE NO. /�� ✓r
William G Ross Jr., Secretary
hereby authorized to act on my behalf
listed below. The authorization is limited to the
.AUTHORIZED AGENT.MAILING ADDRESS:
_T)D ?2m �f 13
5kc,IIair-: IUC
PHONE No. 910 q - UN D
Signature of Property Owner.
Signature of Authorized Agent
Dal
127 Cardinal Drive ExL, Wilmington, North Carolina 29405-3M
Phone: 910-796d2151 F.AX 910-395.39641lntemet www nccoastalmanagementnet
An Eu dl 0pmU=1y1A6mafxeAdon enpbyer-50% Rwided110%PmtCw==Paper

hrunr:wick CounLy tv{i Gter of beed, I,1.:1 WN N05— ICC46i1)
IenberL J. Itohlnsnn
Inst 917733 Owk 131 dge 53 1.1' ° __._.. !l• Ad13yL rnq 3554
06/211/1999 11.m1 :16Itecs rtul ._. Id F'_.._. uvAI
1 7oq& ftftl x�
STATE OF NORTH C& LINA ' %GrNERAL WARAANTY DEED
REVENUE STAMPS: $ PARCTLn2300007607
DRAWN BY: M. SCOTT BOYLES, Attorney At Law
319-A North 4th Stre% Wilmington. NC 28401
Brief Le Lat_ 3, Ire Chadwick Property
This deed made a ntered his . ,
1999. by and between J N HOW RANCH and wi eT`�TgD. BRANCH, the
Grantor, and JACK R. CHAMBERS and wi JANEX 0. CHAMBERS, the Grantees.
whose oddress is: 1780 Chadwick Lending Dr. SW., Shalotte, NC 28443,
WRNESSETH, that the Grantor for a valuable cansideretion paid by the Grantee, the
receipt of which is hereby acknowledged, has and by these presents does grant.
bargain, sell and convey unto th ntee m fee simple, all that certain lot or parcel of
land located in the county of. State of NORTH CAROLINA, more
particularly described ass: r�-.vn„r Qua D
To locate the beginning corner, begin at a Long Leaf Pine Corner in Wine Branch;
runs thence South 10 degrees West, 1141.41 feet to an iron pipe; runs thence
South 119 degrees and 49 minutes West 420 feat to an iron stake; runs thence
South 76 degrees East 16 feetly an iron pipe; runs thence South 76 degrees East
245.08 feet to an iron stake, beginning point, runs thence South 14 degrees
West 213.64 feet to the Notthern edge o hallotte River, runs thence with
the Northern edge of L'ux allott4River, o es 44 minutes and 15
seconds East 104.72 f to a point f e Northern a ittla Shallotte River,
runs thence NarM 14 agrees East 1 B feet to an iron pipe; runs thence North
76 degrees 00 minutes West 100 feet to the place and point of BEGINNING. The
same being Lot #3 of the Ira Chadwick Property according to a survey made by Jan
K. Dale, R.LS., #L1250, June 25. 1974.
To have and to hold the aforesai t or parcel, together with all privileges and
appurtenances thereto, here belonginvo the Grantor in fee simple.
The Grantor covenants t o Gra Mat the Gm ad of the premises in
fee simple, has the right convey the can in fee simple. Mat a title is marketable
and free and clear of all encumbrances, and at Grantor will warrant and defend the
tide against the lawful claims of all persons whomever except for the exceptions
hereinafter stated. Tide to the property hereinabove described is subject to the
following exceptions: The provisions of all applicable zoning and land use ordinances,
statutes and regulations: 1299 ad valorem taxes and all applicable restrictive
covenants and utility easements cord.
In witness whereof Me Gran as I.ereunt Is hand and seal, or if corporate.
has caused this instrumen be sig d ig'�n its cdt}I a by its duly authorized
officers and irs seal to b reunto a authority o d of Directors. the
day and year first above written.
1flXMAK000
©F101; -
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This instrument is be' re-recciF,dCd toj c�coorrrect the county name.�
� v°avWQ�Q-`°'r4LsDa

CAMA PERMIT NOTICE
Pursuant to NCGS 113A-119(b), Brunswick County, a locality authorized to issue
CAMA permits in areas of environmental concern, hereby gives NOTICE that on
07-Dec-09 Jack & Janex Chambers applied for a CAMA minor development
permit to construct a 12' x 22' Top Deck/12' x 12' Top Deck/7' x 19' Lower Deck
& 5' Wide Steps to 7' x 19' Lower Deck at 1780 Chadwick Landing Drive in
Shallotte NC 28470. The application may be inspected at the address below.
Public comments received by 21-Dec-09 will be considered. Later comments will
be accepted and considered up to the time of permit decision. Project
modifications may occur based on further review and comments. Notice of the
permit decision in this matter will be provided upon written request.
Connie Marlowe
CAMA Local Permit Officer for
Brunswick County
PO Box 249
Bolivia, NC 28422
Phone [phone]
PLEASE PUBLISH ON December 9, 2009

CAMA PERMIT NOTICE
Pursuant to NCGS 113A-119(b),
Brunswick County a locality autho-
rized to issue CAMA permits in areas
of environmental concern, hereby
gives NOTICE that on 07-Dec-09 Jack
& Janes Chambers applied for a
CAMA minor development permit to
construct a 12' x 22' Top Deck/12' x
12' 7bp Deck/7' x 19' Lower Deck & 5'
wiled Steps to 7' x 19' Lower Deck at
1780 Chadwick landing Drive in Shal-
its received by 21-Dec-09 will
idered. Later comments will
pled and considered up to the
permit decision. Pro)ectmod-
Ls may occur based on further
and comments. Nonce of the
decision in this matter will be
it upon written request
CAMA Local
PO Box 249'.
Bolivia, NC 28422
Phone [phone]
Dec. 10
STATE OF NORTH CAROLINA '3C G) 9 — U9
COUNTY OF BRUNSWICK
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and State,
duly commissioned, qualified, and authorized by law to administer
oaths, personally appeared
Scott R. Harrell
who, being first duly sworn, deposes and says: that he is
Publisher
(Owner, partner, publisher, or other officer or employee
authorized to make this affidavit)
of The Brunswick Beacon, a newspaper published, issued, and en-
tered as periodical mail in the Town of Shallotte in the said County
and State; that he is authorized to make this affidavit and sworn state-
ment that the notice or other legal advertisement, a true copy of
which is attached hereto, was published in The Brunswick Beacon
on the following date(s):
December 10, 2009
and that the said newspaper in which such notice, paper document
or legal advertisement was published, was at the time of each and
every such publication, a newspaper meeting all the requirements
and qualifications of Section 1-597 of the General Statutes of North
Carolina and was a qualified newspaper within the meaning of Sec-
tion 1-597 of the General Statutes of North Carolina.
This the 10th day of December, 2009.
(Sig ature of person making affidavit)
Sworn to and subscribed before me this loth day of Decem-
ber, 2009.
c 6 ��
Notary Public)
My commission expires: December 29, 200 P
C C E 14 Y C D
JAN 13 2010