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Home My WebLink AboutOI 12-05-BREWERIF ? tsl ar W ' id Local G&verr .m.E.qe 0112-05 PfJ rM K N; JWbey CAMA MINOR DEVELOPMENT 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 Donna & Gary Brewer, authorizing development in the Estuarine Shoreline (AEC) at 5908 E. Yacht Dr., in Oak Island, as requested in the rermittee's appkation, dated 1120/2012. This permit, issued on 2/6120112, is subject to compliance with the apoication and site drawing (where consistent with the permit), all appiieable r�guiations and special conditions and notes set forth below. Any violation of these terms may subject permiftee to a fine, Imprisonment or civil action, or may cause the permit to, be. null and void. This pennit authorizes: a single family residencewfth assxiated dekiciloprnent. (1) All proposed develops-rit and assWated consbruciion must be done in accordance with the Permitted work plat drawiNs(s') dated re—�;eiwd oq 112012012. 1 (2) NJI construction rn;.Ist conform to the N.C. Buildiq Code zwuirea*nts and all ct1r iocal, State. and Federal nulaiJorls, applicable local ordinances and FEMA Flecd Regulations, 13) Any charge -or changes in tie plans for development, construction, or land use, activ6es MY require a ro-evaluation and mo dification of this pernift. (4) A copy of this permit shall be posted or available on site. Contact this office at (910)278-5024 for a final I lion at comptefion of Wok nF (Addliffonal Permit Conditions on Page) FEB 0 9 2012 This pe. mit action may be appealed by the rermittee or other qualified Nfsons 'thin 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 paimitmus1 be or, the project site and accessible to the permit officer when the project is inspected for (.ornplianca. Any maintenance work or project mo6fication not covered under this permit, require further, written permit approval. All work must cease when this permit exores on: DECEMBER31,2015 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 WILMINGTON, NC CA Q� � Donna F. Coleman CAMA LOCAL PERMIT OFFICIAL A601 E. Oak island, D,, Oak Island, NC 28465 PERMUEE (Signature required if conditit)ns above apply to perm, it) I kk XVMVA Minor Permh # 0112-05 Date: 21612012 Page 2 (5) The amount of impervious surface shall not exceed 30% of the lot area within 75 feet of the, normal high water (Estuarine Shoreline Area of Environmental C oncem), in this case, 1350 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 the 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 a0vities, 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 for 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 muliched) within 14 days of construction completion. RECEIVu 4.11 FEB 0 9 2012 DCrVJ WJLM1t4GTON, NC SIGNATURE: DATE: PERMITTEE Permit Number Locality.--. Ocean Hazard Estuarine Shoreline_I Z' ORW Shoreline — Public Trust Shoreline— Other (For official use onky) G I, N E RA L I N F 0 RMILKED N. LAND OWNER Name -6�Qy ... ... Address Zip.-. 25,430 _Phone City State -.AAA-- RECEIVED AUTHORIZED AGENT DCM WILMINGTON, NC Naffle jTN X 4 LUI , L Address Ci State Zip Phone LOCATION OF PROJECT. (Address, street name and/or directions to site. If not oceanfront, what is the name of the adjacent waterbody.) DESCRIPTION OF PROJECT. (List all proposed construction and land disturbanc-0 SIZE OF LOT/PARCEL- 12. jP--<e- square feet acres PROPOSED USE: Residential --e:'--(S1ngIe-farnily-Ae—' Multi-farnity — ) (-7onimerciall"IndustTial Other TOTAL ENCLOSED FLOOR AREA OF A BtJILDING IN THE OCEAN HAZARD AREA OF ENVIRON- N r &VA decks) IENTAL CONCERN (AEQ: _ square (includes all floors and roof covered d ks) SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN THE COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): square feet (Calculations includes the area of the roof/drip line of all buildings, driveways, covered decks1� concrete or masonry patios, etc., that are within the applicable AEC. Attach your calculations with the project drawing.) 80c r, V'0+ C r- e etci Choose the AEC area that applies to your property: (Dwithin 7-5 feet of Normal High Water,?NrormallAlater Level for the Estuarine Shoreline AEC (2) within 575 feet of Normal High Wateri Normal Water Level for the Estuarine Shoreline AEC, adjacent to Outstanding Resource Waters (3) within 30 feet of Normal High Water/ Norrn,-J Water Level for the Public Trust Shoreline AEC (Contact your Local Permit Officer if you are not sure which AEC applies to your property.) STATE STORMWATER MANAGEMENT PERMIT. Is the project located in an area subject to a State Stormwater I I Management Permit issued by the NC Division of Water Q11a itY? NOje'. . 11 '1, q11rAv,;r(-d fhrvoiir lot orl)arcel: square feet, OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor develop- nientpermit. As a service we have compiled a listing of the kinds of permits that might be required. We suggest you check over the list with your LPO to determine if any of these apply to your project, Zoning, 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, and others. STATEMENT OF OWNERSHIP: 1, the under -signed, 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 person listed as landowner on this application has a significant interest in the real property described therein. This interest can be described as: (check one) v""an owner or record title, Title is vested in <jM D6n,%*. 'B ry we I- '.., see Deed Book Z 38 page in the 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 sheetH& ECEIVED attach to this application. NOTIFICATION OF ADJACENT PROPERTY OWNERS- ]AN 2 7 2M 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 permi-L (Name) (Address) (2) sit (3) (4) FOR DEVELOPERS IN OCEAN HAZARD AND F STUARINE HAZARD AREAS - I 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 particular hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabilization and floodproofing techniques. PEKMISSION TO ENTER ON LAND: I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents to 0 enter on the aforementioned lands in connection with evaluating information related to this permit application. This application includes: general information (this form), a site drawing as described on the back of this application, the ownership statement, the AEC hazard notice where necessary, a check for $100.00 made payable to the locality, and any information as may be provided orally by the applicant. The details of the application as described by these sources are incorporated without reference in any permit which. may be issued. Deviation from, these details will constitute a violation of any pert -nit. Any person developing in an AEC without pen -nit is subject to civil, criminal and administrative action. 11is the Y_day of 2C, /-?— Landowner or person authorized to act as his agent for purpose of filing a CAMA permit application. PLAT OF SURVEY FOR LOT 1. BLOCK S. SECTION XTN SMITMVILLE TOWNSHIP BM.AHSWICK CCARM OAK ISLAND, NORTH CAROLINA o' ad` 60' 90, BLOCK 5 SECTION } TRANQUIL HARBOR OAK ISLAND, N.C. M8 S PG 96 &C.R. NOTES` THE PROPERTY SHOWN HEREON IS LOCATED IN A FLOOD HAZARD ZONE AE- BASE ELEVATION DETERMINED V. REF„ F.I.R.M. COMMUNITY NUMBER 370523. PANEL. 2076, SUFFIX 'J' DATED 6/2/06. IMPERVIOUS AREA CALCULATIONS TOTAL AREA WITHIN LOT = 12065.3 SC.FT, USABLE AREA (30%) = 3619.6 SQFT. A.E.G. AREA CALCULATMN& TOTAL AF-C. AREA = 4500,0 SQFT. USABLE A.E.C. AREA (307) = 13SU SQFT. o. A> a 1'gA'rIC IprRACQgSrgL z T; Vgrf�WAy ¢ J '� �tJIR/PILL t I t - c'r f e LOT 2 R ! _. 01 61 pk ,... _.,. bpi LOT 1 12065.3 SQ, FT. I a~ c. 0.28 ACRES �5• A.e 4� Lr� O 1 X D.6L 1 m P 2 i i jjj� P � �t��` Jti✓ x 947 t� lltf ! Lr set �l� NDZ f,_Y j o R E G i V E D IR DCM WILMI GTON, NC tASr Hr`�,Rj- JAN 2 7 ZM VE 60 _ Nfls. W EXCEPT AS SPECIFICALLY STATED OR SHOW TIE LOCAT"S ti UNDLYTC£ki�NO uiF'JT{ES ON MS PLAT, rMS :iN,Y*Y DOES NOT PURPORT A5 STKINN HEREON ARE BASED ON ABCL£-- M REFLECT ANY OF � FO1.OIHNC V*4C9 MAY GROOND STRIPCIVRES NO RECORDED DRAN4ICs RF AFPild'AET;.E TA E f3JEUF.'CT REAL ESTATE- EASOAN S. OTHER 'HAN POSSARE FASSEMENT-5 powaVJ r.E %AvEYOW. i.00ATTONS OF Lwc) :3fidY;R3' * Ufi..IriS TrJkf:S MAY THAT YAItE YtSi@tE AT 't€E iYlE OF NAK NG OF Tms SURArE FRAWNG SETBACK LINES; VARY FREMA OCATION% .&�40914� HTKCY1, j ADDITIONAL BURED Ul9LI'lESyaMCI''UHX3 WSTRCISk£ Cf1Vi?PdH'+o8 MICA R6SINICT- MAY BE ENCOUNTERED_ N3 EXCAVATIONS mR '' Xa*m OR or-n LAN-9 USE REOLAAPQ1S *CPC MADE WRING '�E. ?000R£SS OF THIS IIJJj OTHER ANY OT f*CTS CHAT AN AUVRA'T£ AND SI}R:ky To LOCA'?" BURIED I171;.{TIES/ CURRENT'TITLE S'£ABC4 MAY DFSCL`SE. STROCT:RiES, STATE OF NMTM CM".'NA �1NSW ICK C"ry E1ATf fyaCIDIl6bA3pg0 ' RO 'T 6. **ENRY, A, G RIWY T�`ty C:'qA+� 'sY1WVI':Y BY: Qw/w ::ik. '+ �+ .. I^_COSO I'HAT 7M VM WAS ORAWIf UNDER NY ¢� P'EPYIa011 fllgl AN ACTUAL FELD /¢ QlRVEY MA9f. i✓1LTER MY SUPERVI Ok ; "t DWAMM BY: C.KE OEDY F1EZ ROOK :3_.2011...3 MAT IME UTA OF PRE3ASK)N AS 4 SEAL LEC.f:ND: '!'FLIP SURVEYING CALOAA10 SY OMftTE1t M t0000 THAT THE 8W16AWIE8 NOT ','t1A'+EYm I L-3521 4 ARE ESdOYM AS BR004 LNEs PLOTTED CA= EXISTM !RON PIPE FOL N] tYi ("YY FROET `d6F'S> dA1Kw FU' "D tN 9011tS LC f L '?(P - NE"k mah $ pE 'wl PR C FL�1C3 1C.YAiAL LAND r�+`LI VE1`Cif� TSJB`FR" R"A� r.R - EYsSTiNG £;f€#i ROD F;AmD MY HAND AND SEAL TWS TkE _ t1 Y KR - NEW *ON400 MY P,O #".{ X433 �85MF IOAKISLANDDR. L A0 2e ,;P.— n> W sN +ahu tee, w k u Y OAK G N.C. 23�dG5 ,� TEL: $IC 27e,sa/a L:9I -._ ��.0 FAX: 9fO-279-3799 I F_�a., e- ,q,zl 7, z4ofwf . . . ............ . -I <05by .1 '160001 'Ah 661-4-kWolz -clot r )ewrlovrr A)R ----------- 2=71 ell, Us, to 2s —C) eoMnW-7 LOW 71 WIP it RAMTOf LEGPk,D MEN -RAVEL 2W FRONT WMACK wamw NMWWW EAST WWMWWRwW 'z H9 gig I D n Adjacent Pr p rty Owner Mai, g ddr City. State, Zip Code Dear Adjacent Property. Ln to .,-w •3euvery information vtstt our -•x na ;tte at'&—t- IF-01711 � 1 f 171 sL-85 o Ceftfed Fee M Return Receipt €e4 0.15 paelk Here Cl (Er domement Required), Restdcled Delivery Fe a $0.00 C3 (Erxicstsement I U �5. 2t# 01/1712012 to TOW Postage & Fees ru 510�t TO C3 - ;............ or POBox " ..............y ........... ... ------------- city, state, ZIA This letter is to inform you that I, 1� Z�617& I r w r have applied for a CAMA Minor Property Owner Permit on my property at . 6-104''. q ¢ _ �r,-r t�cz.k_�s. . in Brunswick —� Prope y 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 atG 8G or by mail at the address listed below. If you wish to Applicant's Telephone - {de written comments or objections with the the Town of Oak Island CAMA Minor Permit Program, you may submit them to: Donna F. Coleman Local Permit Officer for the Town of Oak island 4601 E Oak Island Dr. Oak island, NC 28465 Sincerely. _ Property Ter 18aurer /Q_a( _ Mailing Address Ae4rn e ysy_� flc , Ga I/ as`Y3o City, State, Zip Code RECEIVED DCM WILMINGTON, NC JAN 2 7 LM ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMA MINOR PERMITS I hereby certify that I own property adjacent to (Name of Property Owner) Property located at Address,/Lot, Block, Road, etc.) on in . ....... N.C. (Waterbody) (Town and/or County) He has described to me as shown in the attached application and project drawing(s), the development he is proposing at that location, and, I have no objections to his proposal. APPLICATLQN AND DRAWING OF RRQPQSED DEVELOPMENT ATTACHED) RECEIVED DGM WILMINGTON, NC etA�-� la- 6-�akt ........... Signature el ugg le --D -p Kr m Print or Type Name �/ V, _ � 117 gl- I .-V Telephone Number / i JAN S 7 1 -62 . ............. Date I hereby certify that I own property adjacent to '� C I ec,c , 1"'s (Naam, a of Property Owned property located at Address, Lot, Block, Road, etc.) ' t i on _�_..._—. 1..:_; , in :�.,lL... �`r't-q� �. , N.C. (Waterbody) (Town and/or County) He has described to me as shown in the attached application and project drawing(s), the development he is proposing at that location, and, I have no objections to his proposal. APPLICATION AND..._DRAWING OF PROPOSED DEVELOPMENT ATTACHED) ign ture Print or Type Name 01C '3-�2y Telephone Number Date 1111 RECEIVED DCM WILMINGTON, NC JAN 2 7 2M NOTICE OF FILING OF APPLICATION FOR CAMA MINOR DEVELOPMENT PERMIT Pursuant to NCGS 113-A-119(b), Town of Oak Island, a locality authorized to issue CAMA permits, hereby gives NOTICE that the following applications for CAMA Minor Development Permit(s) have been received: The applications may be inspected at the address below. Later comments will be accepted and considered up to time of permit decision. Notice of the permit decision in this matter will be provided upon written request. Number Name OI 12-03 Mary Pennington OI 12-04 Todd Surratt OI 12-05 Donna & Gary Brewer Address Development Comments through 1426 E. Beach Dr. Single Family Residence February 10, 2012 1110 E. Dolphin Dr. land grading February 10,2012 5908 E. Yacht Dr. Single Family Residence February 10, 2012 Donna Coleman CAMA Local Permit Officer Town of Oak Island 4601 E. Oak Island Dr. Oak Island, NC 28465 Phone: (910) 278-5024 PLEASE PUBLISH ON: January 25, 2012 Billing information for this ad: Cathy Robbins Town of Oak Island 4601 E. Oak Island Drive Oak Island, NC 28465 RECEIVED DCM WILMINGTON, NC JAN 2 7 2M CAMA Minor Permit Log 2011-2012 Oak Island Wiro / Pg. 1 Date Quarterly report received: 4-23-12 3rd Quarter Permit No. Applicant's Name Project Location Date RO received App. Date on , App. Date RO received Permit Date of permit Decision Date App. Filed Date RO rcv'd Public Notice AEC App Complete Appr. for Payment 11-41 Newton, Johnny 6602 E Yacht Dr 1/9/12 11/10/11 1/9/12 1/6/12 12/15/11 1/9/12 n/a Y Y 11-42 Flanders, Chris. 1904 E Dolphin Dr 1/9/12 12/20/11 1/9/12 1/13/12 12/22/11 1/9/12 Y Y Y 11-43 Odell, W H 5103 W Beach Dr 1/9/12 12/29/11 1/9/12 1/13/12 12/29/11 1/9/12 Y Y Y 12-01 Davenport, John 6020 W Beach Dr 2/2/12 1/4/12 2/9/12 1/27/12 1/5/12 2/2/12 Y Y Y 12-02 Hodges, Larry 1130 E Dolphin Dr 1/27/12 1/6/12 2/9/12 2/3/12 1/10/12 1/27/12 Y Y Y 12-03 Pennington, Mary 1426 E Beach Dr 1/27/12 1/12/12 2/9/12 2/10/12 1/19/12 1/27112 Y Y Y 12-04 Surratt, Todd 1110 E Dolphin Dr 1/27/12 1/20/12 2/9/12 2/10/12 1/20/12 1/27/12 Y Y Y 12-05 Brewer, Gary 5908 E Yacht Dr 1/27/12 1/14/12 2/9/12 2/6/12 1/20/12 1/27/12 n/a Y Y 12-06 Brannon, George 3307 W Beach Dr 3/16/12 2/6/12 3/16/12 312/12 2/8/12 3/16/12 Y Y Y 12-07 Newton, Johnny 6602 E Yacht Dr 3/16/12 2/22/12 3/16/12 2/27/12 2/8/12 3/16/12 n/a Y Y 12-08 Morris, Chad 1404 E Yacht Dr 3/16/12 2/21/12 3/16/12 3/16/12 2/27/12 3/16/12 n/a Y Y 12-09 Evers, Marybeth 602 E Beach Dr 3/16/12 2122/12 3/16/12 3/16/12 2/23/12 3/16/12 Y Y Y 12-10 Clift, John 2618 E Beach Dr 4/20/12 2/28/12 4/20/12 3/23/12 2/29/12 4/20/12 Y Y Y 12-11 Richards/Audette 123 SE 67th St 4/23/12 3/7/12 4/23/12 3/23/12 3/8/12 4/20/12 Y Y Y 12-12 Keese, Brian 5524 E Beach Dr 3/16/12 3/7/12 4/23/12 3/23/12 3/8/12 3/16/12 Y Y Y 12-13 OI Elks Lodge2769 106 E Dolphin Dr 3/16/12 3/8/12 4/23/12 3/21/12 3/8/12 3/16/12 Y Y Y 12-14 Milby, William 6910 W Beach Dr 4/23/12 8/3/12 4/23/12 3/30/12 3/9/12 4/23/12 Y Y Y 12-15 Haywood III, Edgan 717 Country Club Dr -4/23/12 3/22/12 4/23/12 3/30/12 3/22/12 4/23/12 Y Y Y LPO COMPOSITE RECORD FORM FOR MINOR PERMITS LOCALITY: Oak Island FOR QUARTER: 3rd Year: 2012 C E C - LL N ! O sn m N a1 x VT L W Cn c >. V T o` UJ Llf '>� F^ LL LL Fite # Applicant Name Project Address M .� oc o m � A m S° m�0 ii o OU�a E O Z C 0 O' M 2LL0 y S F- n. ® p }� _ U m t1 a (n C ai E Q O O 6 O '� o(D C R M 93 °- :9 ay V 10 Q M 0 0 Q Mt �1:a) F--XU Oi 11-41 Johnny Newton 6602 E. Yacht Dr. 12/15/2011 12/2112011 12/191201 1/6/2012 ES 0- demolition OI 11-42 Christopher Flanders 1904 E. Dolphin Dr. 12/22/2011 1/4/2012 116/2012 1/1312012 OE SFR Oi 11-43 WH Odell 5103 W. Beach Dr. 12/15/2011 12/21/2011 12/19/2011 116/2012 OE 0- Driveway OI 12-01 John Davenport Jr. 6020 W Beach Dr. 1/5/2012 1/11/2012 1/6/2012 1/27/2012 OE,CS 0 - Addition 01 12-02 Larry & Chichi Hodges 1130 E. Dolphin Dr. 1/10/2012 1/18/2012 1/24/2012 2/3/2012 OE O- Retaing wall Of 12-03 Mary Pennington 1426 E. Beach Dr. 1/19/2012 1/25/2012 1/24/2012 2/1012012 OE 0- landscaping 01 12-04 Todd Surratt 1110 E_ Dolphin Dr. 1/20/2012 1/25/2012 1/24/2012 2/10/2012 OE O- Clear/Fill 01 12-05 Gary Brewer 5908 E. Yacht Dr. 1/20/2012 1/2612012 1/24/2012 21112012 Ok C SFR 01 12-06 George Brannon 3307 W. Beach Dr. 2/8/2012 2/1512012 2/9/2012 3/212012 OE SFR OI 12-07 Johnny Newton 6602 E. Yacht Dr, 2/8/2012 2115/2012 2/9/2012 2/27/2012 CS SFR 01 12-08 Chad Morris 1404 W. Yacht Dr, 2/27/2012 2/29/2012 311 /2012 3/16/2012 CS 0 - landscaping 01 12-09 Mary Beth & Dan Evers 602 E. Beach Dr. 2/23/2012 2/29/2012 3/1/2012 3/16/2012 OE SFR OI 12-10 John Clift 2618 E. Beach Dr. 2129/2012 3/14/2012 3/1/2012 3/23/2012 OE 0 -enclose deck 01 12-11 Richards/Audette 123 SE 67th St. 3f7/2012 3/14/2012 3/9/2012 3/30/2012 OE 0- driveway 01 12-12 Brian Keesee 5524 E. Beach Dr. 3/8/2012 3/14/2012 3/9/2012 3/30/2012 OE demolition/fill OI 12-13 IO Elks #2769 106 E. Dolphin Dr. 3/8/2012 3/1412012 3/9/2012 3/3012012 OE 0 - ice machine 01 12-14 William Miiby 6910 W. Beach Dr. 1 3/9/2012 3/14/2012 3/9/2012 313012012 OE,HN,IH 0-pool/fence OI 12-15 Edgar Haywood 717 Country Club Dr. 1 3/12/2012 3/14/2012 3/912012 3/30/2012 OE O - deck Return To: Division of Coastal Management 127 Cardnial Dr. Ext Wilmington.. NC 28405 Signature Gz�� —a- -- Date: 4/22/2012 Phone Number: ` 112" <- i- RECEIVED APR 2 3 2012 I)C; IM WILMINGTON, NC REQUISTION FOR PAYMENT OF CAMA MINOR PERMIT PROGRAM IMPLEMENTATION AND ENFORCEMENT Local Government: (��, Period Covered: 1t Quarter (July - Aug - Sept) FY: 2011-2012 2nd Quarter (Oct - Nov - Dec) X 3rd Quarter (Jan - Feb - Mar) 4d' Quarter (Apr - May - Jun) Services Rendered: OH/� ES 4 _ Permits processed @ $55.00 each $ 91V (Cities and towns) OH_ ES = Permits processed @ $75.00 each $ (Counties) OH A ES J = �� Final Inspections @ $40.00 each OH-24 ES_3 _ Exemptions investigated @ $25.00 each $ OH ES = Violations resolved @ $100.00 each $ OU LPO Training (not to exceed $200.00) $ TOTAL AMOUNT REQUESTED UNDER THIS REQUISITION $ /r-7'q0. The above information is an accurate account of activities carried out by the local government staff during the period specified above. I approve for payment. f i DCM Regional resentative Date: 11—d-3 DATE RCVD IN WILMINGTON OFFICE: A,,23 DATE SENT TO MOREHEAD CITY OFFICE: DATE PAID: