OI 12-11-RICHARDS/AUDETTE

Oak Island 0112-11
Local Government Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT i
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 Nanagement"
Issued to Richa*fAudefte, authorizing development in the Ocean Hazard (AEC) at 123 SE 6711, Street, in Oak Island,
as requested in the permittee's application, dated 3/0712012, This permit, issued on 3/2012012, is subject to compliance
with the applicatior 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, of
may cause the permit to be null and void.
This permit authorizes: the development of a driveway with associated development
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 3/07/2012.
(2) All construc-ion must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable kcal ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at [phone] for a final inspection at
completion A work. RECEIVED
(Additional Permit Conditions on Page 2) DCM WILMINGTON, NC
APR 2 3 2612
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 4MCI
project is Inspected for compliance. Any maintenance work or project
modification not covered under this permit, require further written permit Donna F. Coleman
approval, All wort musilcease when this permit expires on: CAMA LOCAL PERMIT OFFICIAL
4fl ,,�ak Is d Dr.
DECEMBER 31, 2015
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicabe ordinances. This permit may not be transferred to PERLITTEE
another party without the written approval of the Division of Coastal (Signature required if conditions above apply to permit)
Management

Name: Richards/Audette
Minor Permit # 0112-11
Date: 312012012
Page 2
(5) The structure must set back a minimum of 60 feet from the first line of stable natural vegetation, as determined by
the DCM, the LPO, or other assigned agent of the DCM.
(6) The permittee is required to contact the Local Permit Officer [phone], 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.
(11) All buildings constructed within the ocean hazard area 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.
(8) All buildings must be elevated on pilings with a diameter of at least 8 inches in diameter K 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 feet below the lowest ground elevation under the structure.
(1 O)Dune disturbances will be allowed only to the extent necessary for development and if the dune's protective value is
not weakened or reduced, Disturbed dune areas will be immediately stabilized,
(I I)AII unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetatatively stabilized (planted and
mulched) within 14 days of construction completion,
(1 2)Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently threatened by
changes in shoreline configuration. The structures shall be relocated or dismantled within two Years of the time
when it becomes imminently threatened, and in any case upon its collapse or subsidence. However, if natural
shoreline recovery or beach renouhshment takes place within two years of the time the structure becomes
imminently threatened, so that the structure is no longer imminently threatened, then it need nct be relocated or
dismantled at that time. This condition shall not affect the permit holder's right to seek authorization of temporary
protective measures allowed under CRC rules.
SIGNATURE:
PeRMITTT
eRMITT
DATE: b%&V& J 0 J0 I d"
RECEIVED
DCM WILMINGTON, NC
APR 2 3 2M

Locality -O—aL --i—SLO'cil- — — Permit Number
Ocean Hazard Estuarine Sboreline— ORW Shoreline — Public Trust Shoreline-- Other
(For qfficidl use only) RECEIVED
DCM WILMINGTON, NC
GENER-,%L INF NJATI_Q ,�Nj APR 2 3 202
Address
State. _A.IC Zip—,��V--44PIione
AUTHORIZED AGEN'r
Name
Address
State Zip &,Z/ Phone I
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) _L,i 4-err 6'7" ,
DESCRIPTION OF PROJECT-. (List all proposed construction and land disturbance.)
-SIZE (IF LOT/PARCEL-
square feet /19 &QQ — acres
PROPOSED USE: Residential (Single-family—t�-- Multi -family— ) Commercial/Industrial
Other
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVIRON-
MENTAL CONCERN (AEC): 1405t square feet (includes all floors and roof covered decks)
SIZE OF BlUILDING FOOTPRINT AND OTHER. IMPERVIOUS OR BUILT -UPON SURFACES IN THE
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC). _N JA Squarefeet
(Calculations includes the area of the rooVdrip 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 theAEC area that applies to your property:
(1) within 75 feet of Normal High 'AlateriNormal 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 Wateri Normal Water Level: for the Public Trust Shoreline AEC
(Contact your Local PermitOfficer if you are not were which AEC applies to your property.)
STATE STORMWATER N14A NAGEMENT 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 arealimpervious surl5ace allowed for your lot or parcel: _ ._ s(luare feel.

OTHER PERMITS MAV BE REQUIRED: The activity you are planning may require peirmits other than the CAMA minor develop-
meryt permit. As a service we have compiled a listing -night he required. e suggest you check over g of the kinds of permits that i o the list
7
with your LPO to determine if any ofthese apply to your project. Zoning, Drinking Water Well, Septie'rank (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: *'
), 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 fora 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)
an owner or record title, Title is vested in ,see Deed Book �(p
page -=Aj in the �jyv-;14 .t-t (Ainty 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.
RECEIVED
eemWIEMINGTGN, NC
NOTIFICATION OF ADJACENT PROPERTY OWNERS: ArN z .3 au
I furthermore certify that the following persons are owner-, 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 CA.MA permit,
(Name) (Address)
ox A
(2)
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE 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.
PERMISSION 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
enter on the aforementioned lands in connection with evaluating information related to this permit application,
This application includes: general information (this farm), 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 permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.
Th is the — '7 day of - ryw� 20 -19,
Landowner or person authorized to act as A, agent for puipose of filing a CAMA permit application.

AEC HAZARD NOTICE
Project IsInAn: -Ocean Erodible Area -High Hazard Flood Area -Inlet Hazard Area
Property Address:
Date Lot Was Platted: 11 1
This notice is intended to make you, the applicant, aware of the
special risks and conditions associated with development in this
area, which is subject to natural hazards such as storms, erosion
and currents. The rules of the Coastal Resources Commission
require that you receive an AEC Mazard Notice aitd acknowledge
that notice in writing before a permit Car development can be
issued.
The Commission's rules on building standards, oceanfront
setbacks and dune alterations are designed to minimize, but not
eliminate, property loss from hazards. By granting permits, the
Coastal Resources Commission does not guarantee the safety of
the development and assumes no liability for future damage to
the development. Permits issued in the Ocean Hazard Area of
Environmental Concerti include the condition that structures be
relocated or dismantled if they become imminently threatened by
changes in shoreline configuration. The stnicture(s) must be
relocated or dismantled within two (2) years of becoming
imminently threatened, and in any case upon its collapse or
subsidence.
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual long-term
average ocean erosion rate for the area where your property is
located is 2. feet per year.
The rate was established by careful analysis of aerial photographs
of the coastline taken over the past 50 years,
Studies also indicate that I he shoreline could move as much as
3a,5_ feet landward in a major storm.
The flood waters in a major storm are predicted to be about
19 feet deep in this area.
Preferred oceanfront protection measures are beach nourishment
and relocation of threatened structures. Hard erosion control
structures such as bulkheads, seawalls, revetments, groins, jetties
and breakwaters are prohibited. Temporary sand bags may be
authorized under certain conditions.
The applicant must acknowledge this information and requirements
by signing this notice in the space below. Without the proper
signature, the application will not be complete
A—%
Applicant SignaiuDate
SPECIAL NOTE: This hazard notice is required for development
in areas subject to sudden and massive storms and erosion. Permits
issued for development in this area expire on December 31 of the
third year following the year in which the permit was issued.
Shortly before work begins on the project site, the Local Permit
Officer must be contacted to determine the vegetation line and
setback distance at your site. Ifthe property has seen little change
since the time of permit issuance, and the proposed development
can still meet the setback requirement, the LPO will inform you
that you may begin work. Substantial progress on the project
must be made within 60 days of this setback determination, or
the setback must he rerneasured. Also, the occurrence of a major
shoreline change as the result of a storm within the 60- day period
will necessitate remeasurement of the setback. It is important
that you check with the ITT before the permit expires for official
approval to continue the work after the permit has expired.
Generally, if foundation pilings have been placed and substantial
progress is continuing, permit renewal can be authorized, It is
unlawful to continue work after permit expiration.
For more information, eontar-t:
Local Permit Officer
�i (,() I e, C&L __T_SLw'd Dp--
Address
Locality
`k
(9 10) Qot -- Cno 49
Phone Number
40a zLp
RECEIVED
DCM WILMINGTON, NC
APR 2 3 iM

1. James F. Boney Jr:' certify that this plat was drawn under my supervision
East oak Island Dr.
an actual survey made under my superuision (description: Book $EE •. page
that the boundaries not surveyed are clearly indicated as drawn from information
jbund in Book Ref.; that the ratio of precision as calculated is 1:10,000; that
this plat uns prepared in accordance with "Sec .1600" as amended. Witness my
original signature, ra91st7ation. number and seat this 1st day of October,A.D.,2001.
SURVEYOR -�_- PLS No. L-2796
SNE
w w
to
o F;^i�Afl©�� '' show Reviseda P Proposed Res,
- m - n - �-
x"2p�k & Owner/Builder name. Atlantic ocean
r. �^ J. Hone L-27g6 ICINITY MAP
_ S } AL } NOTE; Revised 02-18-02 to show I Not to Scale
�L - 2798
�rj ��j EXISTING PILE FOUNDATION. JB L-2796
U
A
SUR`I�°r���i�TOTE: THIS PLAT IS NOT FOR RECORDATION
.........
.....*' CONVEYANCES OR SALES
25 1 i
fi 1 Lot-7 Existing Residence
' R C YVED
�
DCM WILMI GTON, N 9 74' 92' E 80.0' � �
( rwyei Area 2 ` 2M
Lot- 5
CanCc'C� e Q 1,1 -6
Vacant Lot<
N/F One -A Long Beach Prop.
.� EXISTING ¢ i r I Q) O' l
_ PILE is
FOUNDATION I M OI 4-3 Cd
REFERENCE: 49,7• 22,2'1 '-' 10. O I
Lat-6; Blk-lA; Sec-ELB o �.
(
Turtle Creek - Phase II � co
I a. 0
Map Bk-24,Pg-204
Bruns, Co. Reg.
LOth
M-exist. iron pipe 0
IM-iron rod set W
EM-exist. iron rod v1
0
F'EMA: FIRM 5-3-93
375354-0004-E
Zone - VE-18
Setbacks:
30' Front
25' Rear
8' Sides
(May Vary)
Veg. Line
04-04-01
?s,
co
in
z
W
Gnd. E1.-7.5'f
AREA to Veg. Line
10,800 S.F.t
0.248 Acres
— Toe Dune±
D u n e E1=10' f
I�
I�
I�
Iff
13
I
— _ — Toe Dune± !I
B e a c h
ip
EiR
a-) ,
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o
0
I
a
€ BEACH RENOURISHMENT PROJECT I
Public
Beach

ADJACEAff RIPARIAN PROPERTY OWNER
ST1CFEMEINT FOR CAMA MINOR PERMITS
I hereby certify that, I own Property adjacent to s
-44 ..........
(Name Of Property Owner)
property located at
...... . . .... ....... .
Address, Lot, Block, 0,30adr etc.)
Oil or W in
fwatei_b`&Wy) — — - - - ­­- . . .......
(Town and/or County)
He has described to me as shOwt, in the attached application and project drawing(s), the
development he is proposing at that location, and, I have no objections to his proposal.
(A?_PL1qA_[-1-0N'&N—D-qf'—AMq-Q 9F-F—RQPQEP !IEV FMEENL67M;Eat
rrinx or i ype Name
-
...... .... ... ..................
Jeleph;n . . umber
Date
RECEIVED
DCM WILMINGTON, NC
APR 2 3 20

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to.,
((Hams of Property Owner)
property located at 1 1 -C
Address. Lot, Block, Road, etc,)
. . . .. ..... ............ . ........
N.C.
(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.
(APPL'—CA:TLO—N-AND -DRAWING -g-F —PROPOSED DEVELOPMENT ATTACHED)
.... .. ... . . . ....... .............. . . . ......
......... .
Print or Type Marne
9 /0 �z
f .. * ... . ..... Telephone Number
4t.-L
Date
RECEIVED
DCM WILMINGTON, NC
APR 2 3 2012

NOTICE OF FILING OF APPLICATION
FOR CAMA MINOR DEVELOPMENT PERMIT
Pursuant to NCGS 11 3-A- I 19(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 wall be provided upon written request.
Number
Name
Address
Development
Comments through
01 12-10
John & Kimberly Clilt
2618 E. Beach Dr,
enclose existing deck
March 23, 2012
0112-11
Richards/Audette
123 SE 76hSt
driveway
March 30, 2012
0112-12
Brian Keesee
5524 E. Beach Dr.
demolition
March 30, 2012
0112-13
01 Elks #2769
106 E. Dolphin Dr.
self contained ice machine
March 30, 2012
0112-14
William Milby
6910 W. Beach Dr.
poollfence
March 30, 2012
0112-15
Edgar Haywood
717 Country Club Dr.
deck
March 30, 2012
Donna Coleman
CANLA Local Permit Officer
Town of Oak Island
4601 E. Oak Island Dr.
Oak Island, NC 28465
Phone: [phone]
PLEASE PUBLISH ON: March 14,2012
Billing information for this ad:
Cathy Robbins
Town of Oak Island
4601 E. Oak Island Drive
f)A- Tq1qnA NC ')R46i
RECEIVED
DCM WILMINGTON, NC
APR 2 3 26i2

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
1 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
1/9112
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
1/27/12
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
3/2/12
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
3/16/1.2
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
2/22/12
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
3/22112
4/23/12
Y
Y
Y

APO COMPOSITE RECORD FORM FOR MINOR PERMITS
LOCALITY: Oak Island FOR QUARTER: 3rd Year: 2012
7
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Oi 11-41
Johnny Newton
6602 E. Yacht Dr.
12/15/2011
12/21/2011
12/1912011,
1/6/2012
ES
O- demolition
01 11-42
Christopher Flanders
1904 E_ Dolphin Dr.
12/22/2011
1/4/2012
1/6/2012
1/1312012
OE
SFR
Oi 11-43
WH Odell
5103 W. Beach Dr.
12/15/2011
12121/2011
12/19/2011
116/2012
OE
0 - Driveway
01 12-01
John Davenport Jr.
6020 W. Beach Dr,
115/2012
1/11/2012
1/6/2012
1/27/2012
OE,CS
0 - Addition
01 12-02
Larry & Chichi Hodges
1130 E. Dolphin Dr.
1110/2012
1/18/2012
1/24/2012
213/2012
0E
O- Retaing wall
OI 12-03
Mary Pennington
1426 E. Beach Dr.
1/19/2012
1/25/2012
1/24/2012
2/1012012
OE
O- landscaping
01 12-04
Todd Surratt
1110 E. Dolphin Dr
1/20/2012
1/25/2012
1/24/2012
2/10/2012
OE
0 - Clear/Fill
01 12-05
Gary Brewer
5908 E. Yacht Dr_
1/20/2012
1125/2012
1/24/2012
211/2012
i� C3
SFR
Of 12-06
George Brannon
3307 W. Beach Dr.
2/8/2012
2/15/2012
2/9/2012
3/2/2012
OE
SFR
01 12-07
Johnny Newton
6602 E. Yacht Dr.
21812012
2/15/2012
2/9/2012
2/27/2012
CS
SFR
01 12-08
Chad Morris
1404 W. Yacht Dr.
2/27/2012
2/29/2012
3/1/2012
3/16/2012
CS
O - landscaping
Of 12-09
Mary Beth & Dan Evers
602 E. Beach Dr.
2/23/2012
2/29/2012
311/2012
3/16/2012
OE
SFR
01 12-10
John Clift
2618 E. Beach Dr.
2/29/2012
3/14/2012
3/112012
3/23/2012
OE
0 -enclose deck
OI 12-11
Richards/Audette
123 SE 67th St.
3/7/2012
3/14/2012
3/9/2012
3/30/2012
OE
0- driveway
Oi 12-12
Brian Keesee
5524 E. Beach Dr.
318/2012
3/14/2012
3/9/2012
3/30/2012
OE
demolition/fill
01 12-13
10 Elks #2769
106 E. Dolphin Dr.
3/8/2012
3/14/2012
3/9/2012
3/30/2012
OE
0 - ice machine
01 12-14
William Milby
6910 W. Beach Dr.
3/9/2012
3/14/2012
3/9/2012
3/30/2012
OE,HHJH
O - ool/fence
0112-15
Edgar Haywood
717 Country Club Dr.
3/12/2012
3/14/2012
3/9/2012
3/30/2012
0E
O - deck
Return To: Division of Coastal Management
127 Cardnial Dr. Ext
Wilmington, NC 2&405
Date: 4/22/2012
Phone Number: 910 ?_0i -g,049
111zrCEIVED
APR 2 3 2012
IBC: ti� WILMINGTON, NC

REQUISTION FOR PAYMENT
OF CAMA MINOR PERMIT PROGRAM
IMPLEMENTATION AND ENFORCEMENT
Local Government: 67",— 1S1,q1,jh>
Period Covered: l" 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 ter" _ Permits processed @ $55.00 each $ 71 G-
(Cities and towns)
OH ES = Permits processed @ $75.00 each $
(Counties)
OH ,,� ES 3 = S� Final Inspections @ $40.00 each $ 0200
OH21 ES� = -Z 4- Exemptions investigated @ $25.00 each $
OH ES = Violations resolved @ $100.00 each $ ry OU
LPO Training (not to exceed $200.00) $
TOTAL AMOUNT REQUESTED UNDER THIS REQUISITION
The above information is an accurate account of activities carried out by the local government
staff during the period specified above. I approve for7aent.
DCM Regional , ppresentative
Date: 11—d-3
DATE RCVD IN WILMINGTON OFFICE: q-�3 -/aL
DATE SENT TO MOREHEAD CITY OFFICE:
DATE PAID:
0