HomeMy WebLinkAboutNTB_15-25_HartmanIssued by WiRO NTB15-25
North Topsail Beach 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-118 of the
General Statutes, "Coastal Area Management"
Issued to Karen Hartman authorizing development in both the Ocean Hazard and the Estuarine Shoreline (ORW) Areas
of Environmental Concern (AECs) at 3693 Island Drive, in North Topsail Beach, Onslow County as requested in the
permittee's application package, dated October 20, 2015 and received by DCM on October 28, 2015. This permit,
issued on November 13, 2015, 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: Installation of a swimming pool.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received by the Division of Coastal Management on October 28, 2015.
(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) 766-7221 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:
December 31.2018
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.
I Jason Dail
CAMA LOCAL PERMIT OFFICIAL
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
PERMITTEE
(Signature required if conditions above apply to permit)
Name: Karen Hartman
Minor Permit # NTB 15.25
Date: October 13, 2015
Page 2
(5) All buildings/structures 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) 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 vegetate and stabilized (planted and
mulched) within 14 days of construction completion.
(7) The amount of impervious surface/coverage on this property shall not exceed 25% within 575 feet of the Normal
High Water line, to include the pool coping, pool house and/or decking.
(8) All buildings must be elevated on pilings with a diameter of at least 8 inches in diameter if round, or 8 inches to a
side if square; and the first floor level of the sills and joists must meet the 100-year flood level elevation.
(9) All pilings shall have a tip penetration greater than eight (8) feet below the lowest ground elevation under the
structure. The deck shall be constructed independently from the residence and shall be structurally detached.
(10) This permit does not authorize the excavation or filling of any wetlands or open water areas
(11) 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.
(12) 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:
PERMITTEE
DATE:
Issued by WiRO
North Topsail Beach
NTB15.25
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-118 of the
General Statutes, "Coastal Area Management"
Issued to Karen Hartman authorizing development in both the Ocean Hazard and the Estuarine Shoreline (ORW) Areas
of Environmental Concern (AECs) at 3693 Island Drive, in North Topsail Beach, Onslow County as requested in the
pernittee's application package, dated October 20, 2015 and received by DCM on October 28, 2015. This permit,
issued on November 13, 2015, 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: Installation of a swimming pool.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received by the Division of Coastal Management on October 28, 2015.
(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) 766-7221 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:
December 31, 2018
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.
Jason Dail
CAMA LOCAL PERMIT OFFICIAL
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
PERMITTEE
(Signature required if conditions above apply to permit)
,al(dings/structures shall comply with the NC Building Code, including the Coastal and Flood Plain Constructioi
-gtandards 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) 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 vegetate and stabilized (planted and
mulched) within 14 days of construction completion.
(7) The amount of impervious surface/coverage on this property shall not exceed 25% within 575 feet of the Normal
High Water line, to include the pool coping, pool house and/or decking.
(8) All buildings must be elevated on pilings with a diameter of at least 8 inches in diameter if round, or 8 inches to a
side if square; and the first floor level of the sills and joists must meet the 100-year flood level elevation.
(9) All pilings shall have a tip penetration greater than eight (8) feet below the lowest ground elevation under the
structure. The deck shall be constructed independently from the residence and shall be structurally detached.
(10) This permit does not authorize the excavation or filling of any wetlands or open water areas.
(11) 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.
(12) 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: DATE:
PERMITTEE
Coastal Management
ENVIRONMENTAL QUALITY
November 13, 2015
Ms. Karen Hartman
3693 Island Drive
North Topsail Beach, NC 28460
PAT MCCRORY
Gomm,
DONALD R. VAN DER VAART
secretary
BRAXTON DAVIS
Director
Dear Ms. Hartman:
3693 Island Drive, in North Topsail Beach, Onslow County. A copy of the permit has been sent
to your agent.
In order to validate this permit, please both copies of the permit as indicated for our records.
Please retain the gold copy for your files and sign both pages of the white copy then return 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.
Enclosures
Cc: WiRO files
Sincerely,
A-',�
Shaun K. Simpson
Permit Support Tec&'n
-55'-^Noth1ng Compares
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive En., Wilmington, NC 28405
910-796-7215
Issued by WiRO NTB15-25
North Topsail Beach 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-118 of the
General Statutes, "Coastal Area Management"
Issued to Karen Hartman authorizing development in both the Ocean Hazard and the Estuarine Shoreline (ORW) Areas
of Environmental Concern (AECs) at 3693 Island Drive, in North Topsail Beach, Onslow County as requested in the
permittee's application package, dated October 20, 2015 and received by DCM on October 28, 2015. This permit,
issued on November 13, 2015, 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: Installation of a swimming pool.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received by the Division of Coastal Management on October 28, 2015.
(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) 766-7221 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:
December 31, 2018
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.
Jason Dail
CAMA LOCAL PERMIT OFFICIAL
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
PERMITTEE
(Signature required if conditions above apply to permit)
Name: Karen Hartman
Minor Permit # NTB 15-25
Date: October 13, 2015
Page 2
(5) All buildings/structures 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) 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 vegetate and stabilized (planted and
mulched) within 14 days of construction completion.
(7) The amount of impervious surface/coverage on this property shall not exceed 25% within 575 feet of the Normal
High Water line, to include the pool coping, pool house and/or decking.
(8) All buildings must be elevated on pilings with a diameter of at least 8 inches in diameter if round, or 8 inches to a
side if square; and the first floor level of the sills and joists must meet the 100-year flood level elevation.
(9) All pilings shall have a tip penetration greater than eight (8) feet below the lowest ground elevation under the
structure. The deck shall be constructed independently from the residence and shall be structurally detached.
(10) This permit does not authorize the excavation or filling of any wetlands or open water areas
(11) 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.
(12) 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:
PERMITTEE
DATE:
Coastal Management
ENVIRONMENTAL OUALIW
November 13, 2015
Ms. Karen Hartman
3693 Island Drive
North Topsail Beach, NC 28460
PAT MCCRORY
Gov or
DONALD R. VAN DER VAART
Seamy
BRAXTON DAVIS
Diredor
Dear Ms. Hartman:
3693 Island Drive, in North Topsail Beach, Onslow County. A copy of the permit has been sent
to your agent.
In order to validate this permit, please both copies of the permit as indicated for our records.
Please retain the gold copy for your files and sign both pages of the white copy then return 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.
Enclosures
Cc: WiRO files
Sincerely,
AtShaunK. Simpson
Permit Support Tech ' n
nothing Compares.
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Driw Ext., Wilmington, NC 29405
910-796-7215
Al V /s-a)l
tawll.y Purmh Namisa
Occal Rear) _ Lrslue ivo SMrslau, ORW ShmeBno _ Public %at Sherelino_ albs_
(p'nr ofclal we only)
GENERAL INFORMATION
LAND OWNER
Address 3693 Island Or
City Norm Tapsial eaadr Stale NC Zip30180 Phane 91gM8648J
Entail Inkhadman@aol.cum
AUTHORIZED AGENT
Name Michael Afiy - Nn'A BteRdefa Inc.
Address 13480 NC Hwy 50
City Surf Cily Some NC Zip 2WS Phone 91D-329.9819
Email mmaftfyfioamall.corn
LOCATION OF PROJECT: (Address sheet revuB e andiorri irceli les la site. )fnot coaudi onq what is lbc mine ordle
adjacent walerbody.)IC'Ww 409 :( q & AiTLl
DESCRIPTION OF PROJECT. (List all Proposed construction and land disturbance.) SWIOIHIjngi700( _
SIZE OF LOT/PARCEL: 40,075.2 square feet .92 acres
PROPOSED USE: Residential m (Singhc-family Mulli-filmi Commereia0lnduarl l ❑ Other 0
COMPLETE EITHER(i)OR(2) BELOW WmOacryour LaodPerm!/Offl r(/J•ou arcnotsure whichAECapillet
royalrrpaperry):
(1)OCEAN HAZARD AEG: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: 4707 square feet (includes
conditioned living space, puking clavoted shove ground level, non -conditioned space elevated shave grouts level but
excluding non-food-beving attic glance)
(2) COASTAL SHORELINE AECm SIZE OF BUILDING FOOTPRINTAND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: 1786 square fcc((includes the ors of the mof/drip line ofall buildings, driveways, covered decks,
concrete or masonry Patios, me f ut me within the applicable AEC. Attach your calculmiam with the pmject drawing.)
STATE STORM WATER MANAGEMENT PERMIT: Is the project Incmed in an men subject to a State Stomrwmcr
Management Parma issued by the NC Division of Water Quality?
YES= NCO✓
Ifycs, list the total built upon area/impervious surface allowed for your hat orporeel: squuerwL
OTHER PEMIITS MAY BE REQUIRED: The Milroy you me planning may require Pennies other than the CAMA
minor development reach, including, but nut limited to: Drinking Water (Yell, Septic Tank (or other smUb,y waste
Ie Manna t system), Building, Elcamed, Plumbing, Hating and Air Conditioning, [mutation and Energy Conservation, FIA
Certification, Sond Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, mid
Others. Check with your Local Permit Officer for more information.
STATEMENT OF O W NERSH I P:
1, the undersigned, an sppliam for a CA MA minor development permit, being either the owner of Properly in an AEC or a
person authorized to act as on agent for purposes ofapplying for a CAMA minor development permit, certify that the person
listed as Wndawner on this application fins a significant interest in the real property described therein. This interest an be
described as: (check one)
✓�an owner or record title, Tate is vesmd in , sec Deed Bouk 4093
page 591 in the Onslow Cowry• Registry Of Oads.
Qan owner by virtue of Inheritance. Applicant is on heir to the estate of
probate was In County.
Qrotbcr interest, such as written contract or lease, explain below or me a separate sheet &attach to this application
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
1 fsrrthomgne certify that the following persons are owners ofpropenics adjoining this property, 1 aMan that 1 have given
ACTUAL NOTICE to well of them concerning my intent to develop this properly and to apply for n CA MA Permit.
(Name) (Address)
(1) Thomas J & Leanne G Anderson 24672 Apple Sauce Ln Hollywood, MD 20636
(2)-R1plldsamk1esstLC eM64Aemhvlaw4M38nneFBeechrN628468
(3) C-t�r ee>•k 2J Wei' i% f�• ��-..1i. u�
(4) _
ACENOWLEDGENIENTS:
I, the undersigned, acknowledge that the land owner is aware (list the proposed development is planned far an area which
May be ill waptiblc to erosion andlar flooding. I acknowledge that the Local Permit OOlcer has explained to me tiro portta-
lot Immel problems associated will, this Inc. This explanation cams accompanied by recommendations concerning stabilim-
lion and 0oodproofing techniques.
I funhermare artily that 1 am authorized to grant, and do in fact gem, permission to Division ofComtal Management stair•
the Local Permit Ol6ar and their agents to enter on the afan— oKkmcd loads in onmeohm will, evaluating infom,ation
related (o this permit application.
This Ilse 20 day of October 2016
Landowner or person mlhm&d tofict as hisdtcr agent fro purpose of filing s
This app/lallon lneludae general informnrinn (this form), ad re crowing us dmcribedon the bad' ofabis ip#lo km. the
11 embip sralamenr, the Oman licemil Notice "'hone nwmsary, r ebeck lor, SIW 00 crude pn}nb(e ro the bxnlly, and
any fr/pnnallrn car may he prurieed orally by rbr applirmr. Tbedeluils uillw giplicatimr car Jr:eribed bl� I/icxnmumar rem
Ifin falporated wilhonl n%nmcein anypc cab wlec;,,aW herhared. Dev)allofr n o. there &jai& will cour"bure a vinkn/nn of
RECEIV t.An)•person devloping In an AEC irrohnnal penmli id anbjeet to civil, criminal mid odroblrrnarive artloo.
DCM WILMINGTON, NC
ocl 2 9 2015
Y is
IN
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PHIS IS A Pqy. IT 15 PLAN FOR PERNIii ING NUUrvut;3ii
PIM IT IS Of THE RE51RT 6 A �.dt�CRFOG'4
"'- O
A'N'A 0UI;OERS
SOAVEY. kl BFMDVEIENTS SHOaN ARE
MAY. ALL I
PgOPOSEp. 1NI5 PLAN IS NOE f0 DE DSF➢ i'Bb0 � 9 t
- LoT j -
MEAL ESTW SALES OR CONVEYANCES a' SEAL E
'aC L-wo
f
NORTHY�INDS
.OURf NI'm I
WITNESS NY NMI AND sEAE MIS //� __ '✓
%"-Mega OP„'
STIMP SM9 TOWIP OPIMI,
GATE: OIMOS/IS SCALES
DAY OF dZ4 —. "IS,
A
xv. n oiii GRAPHIC SCALE: I"SO.
SgB,
SLUSH OR HEATH CREEK
CAfA-WWL
AS SURVEYED BY OTHERS
COASTAL VEGETATION y
LINE AS SURVEYED
BY OTHERS
nn'32'52"E
28. g
I�
I I
I I
I I
I I
I I
I i
I I
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I I
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WETLANDS
AS SURVEYED
BY OTHERS
I �I
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N
m �
'ZTLAND LINE
AS SURVEYED \ `
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n �
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S� Ij
of I
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jut DECK
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O
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It'-84 x 24'-6
I POOL DEC(
1DETAIL
I
15 3 STORY
WOOD FRAMEELLING
TRACT II
13
VENTERS,JRJAYNE D.
LOT I LOT 2
ONWPILINGSCARL
Ica 1556 SF BUAAND
GAYLE VENTERS
DB.1021,PG.694
In
GRAVE, DRIVE
VE ZONE
1428 SF BUA
EL.= 11.0
WM S
_
164°05oo w�75_Oo_____—
VE ZONE
EL.= 13.0
(100' PUBLIC R/W)
s N.C. H WY 210 - ISLAND DRI VE
I CERTIFY THAT THIS MAP WAS DRAWN UNDER
MY SUPERVISION FROM AN ACTUAL SURVEY
MADE UNDER MY SUPERVISION FROM INFORMA-
TION SHOWN ON e�LAT: THAT THE POSITIONAL
ACCURACY IS �aGdG� : AND THAT THIS MAP -
MEETS THE REQUIREMENTS OF THE STANDARDS �.
OF PRACTICE FOR LAND SURVEYING IN NORTH W
CAROLINA (21 NCAC 56. 1600).
THIS DAYA)F% QCT 20�1�__tr
SEAL
PROFESSIONAL LAND SURVEYOR
VICINITY MAP
NOTE: THIS PROPERTY IS
LOCATED WITHIN THE 100
YR. FLOODPLAIN AS SHOWN ON FIRM
COMMUNITY PANEL 37204266 OOJ.
LEGEND
EIP EXISTING IRON PIPE
■ EXISTING CONTROL MONUMENT
CO SEWER CLEAN OUT
WM WATER METER
BUILDING HEIGHT IS 43.21
IMPERVIOUS BREAXDOWN
HOUSE 1556
SF
DRIVE 1428
SF
POOL 198
SF
TOTAL 3182
SF
30% IMP. ALLOWED
PER NTB
17.3% IMP. SHOWN
ZONE = R-20
SET8ACKS
FRONT 30
SIDE 10'
REAR 10'
REFERENCE
MB 43 PC 235
PROPOSED POOL FOR
JAI -%
.,,,,A' N FA OU I I W6
szFEss p�.GiL-; - LOT 3 -
SEAL
L-3370
50 25 0 _5.0 . 100
GRAPHIC SCALE: 1'■ 50'
NOkTHV\IINDS
STUMP SOUND TOWNSHIP ONSLOW COUNTY NORTH CAROLINA
DATE: 00/08/15 SCALE: 10= 50'
s 3TROUD INCINBRRING, P.A.
IVV12-0 OA'EYA DWE 0-0647
WHAWTONX 2d4D.S
f91085-0775
7012 1640 0001 8248 3076
Receipts for
Certified Mail
(Staple Here)
Date
to z� � ►r�QrJ�,� �"
Tho.. s T
Adjacent Property Owner
Mating Address
11=„tl a r A D 2d aG
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I, _ Xaf..n 4,'4«..—. have applied for a CAMA Minor
Property Owner
Permit on my property at _ ✓2L pia I sla, d br NTB ZS`!Go
n PenderlOnslow
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 forth. If you have any questions or comments about my proposed project, please
contact me at `
`Iro 3ZY- 98/1 (�,m ) or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Surf City CAMA Minor Permit Program, you may submit
them to:
Sincerely,
Property Owner
/ 3 y 9D IflL l�wy sa
Mailing Address
C. c,. .u& z8yy�
City, State, Zip Code
Jason Dail, Field Representative
NC Division of Coastal Management
Town of Surf City Local Permit Program
127 Cardinal Drive Extension
Wilmington, NC 28405
U.S. Postal Service..,
CERTIFIED MAIL,, RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
For delivery information visit our website at www.usps.com
u rI
°
�,
0445
N P°
08
40.00
Certifetl Fee
Postmark
O Return Receipt Fee
p (Endorsement Required)
1<0. 00
Here
O Resbicted Delivery Fee
(EndorsementRequired)
$
n TotalPoaageaf�o
10/20/2015
ra l2
61
rut
senf To
A �WVNK Apt Air:
w Po Box Ala
t` ________________
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7012 1640 0001 8248 3069
L?a,S-
ae
elwo*
!-rvr R- t J%
Adjacent'Property Owner
Zi W<f!7Y1.n D�
Mailing Address
2.:1" A... 7wci: 1V7 0857S 0
City, Slate, Zip Code
Dear Adjacent Property:
Receipts for
Certified Mail
(Staple Here)
This letter is to inform you that I, %"i< NV41a , have applied for a CAMA Minor
Property Owner
Permit on my property at 4 93 /UT.$ 2 W4, in PenderlOnslow
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 4to13z9 - 99(9/ ),or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Surf City CAMA Minor Permit Program, you may submit
them to:
Jason Dail, Field Representative
NC Division of Coastal Management
Town of Surf City Local Permit Program
127 Cardinal Drive Extension
Wilmington, NC 28405
Sincerely, % Postal
TIFIED MAIL. RECEIPT
/7n t5,,, jri�.
Property Owner Vo
rn
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Mailing Address A I �/ ru Pe 0445
JV!} 04;e /VC- 2AYel r Certified Fee $0.00 O$
City, State, Zip de o Retum Receipt Fee Po mark
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Restdotetl Delivery Fee
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Total Postage s Fees $ 10/20/2015
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