77-23 Fasolino, Victor and Lora

Town of Beaufort 77-23
Issued by DCM Permit Number
RECEIVED CAMA
JUL 24 2023 MINOR DEVELOPMENT
DCM-MHD CITY PERMIT
as authorized by the State of North Carolina, Department of Environmental Quality 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 Victor and Lora Fasolino, authorizing development in the Estuarine Shoreline (AEC) at 138 Gallants Point
Road, in Beaufort, Carteret County, as requested in the permittee's application, dated June 24, 2023, and received on
July 5, 2023, and accepted as complete on July 18, 2023. This permit, issued on July 21, 2023, 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:Construction of a single family home
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated DCH-MHD CITY July 05,2023,July 17,2023, and July 18,2023.
(2) Any change or changes in the plans for development, construction,and/or land use activities will require re-evaluation and
modification of this permit.All construction shall 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 252-515-5400 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 J
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 Wayne Hall
modification not covered under this permit, require further written permit NC Division of Coastal Management
approval.All work must cease when this permit expires on:
400 Commerce Ave
DECEMBER 31, 2026 Morehead City, NC 28557
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 wdtten approval of the Division of Coastal
Management. PERM17EE or Authorized Agent
(Signature required if conditions above apply to permit)

RECEIVED
Name: Victor and Lora Fasolino JUL 2 4 2023
Minor Permit#77-23
Date: July 21, 2023 DCM-MHD CITY
Page 2
(5) 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 property stabilized with a vegetative cover.
(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 Level. No portion of
the roof overhang shall encroach into the 30 ft. buffer.
(7) The amount of impervious surface/coverage on this property shall not exceed 30%within 75 feet of the Normal High
Water Line, in this case,4,793 square feet is authorized.
(8) Any proposed for grading within the 30' buffer from the Normal High Water Level 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 graded and filled slopes shall be of a sufficient angle to retain a vegetative cover or other erosion control device
or structure.
(10) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Sedimentation and erosion control measures shall be properly
maintained throughout the construction period.
(11) This permit does not authorize the excavation or filling of any wetlands or open water areas, even temporarily.
(12) Any structure(s)constructed within the Estuarine Shoreline AEC 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.
(13) Pursuant to 15A NCAC, Subchapter 7J.0406(b),this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
(14) The Permittee and/or the Permittee's Authorized Agent shall be responsible for obtaining any and all
necessary authorizations, approvals, or zoning and building permits from the local government having
jurisdiction(Town of Beaufort and/or Carteret County)prior to commencing work.
SIGNATURE: Z�rlDATE: 12 3
PERMITTEE or AUTHORIZED AGENT

'V -V v -V -_v
'V IV 20' DRAINAGE
'V -V -V �v 'V -V -V -'V EASEMENT ILO
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-V -V % %
-V -V -V -V 121%2- 1082
11
irface within in LAMA 15'.6E(,(dairsulation %
IPA
Impervious surface within AEG= 1 qq3sf
Area within the 15'AEC,=15,q78.5sf
V
Impervious area as a percent of total AEG-13.9% -v 3
LCAMA76'JAEC
SOUND SHORE CONSTRUCTION,INC. NC LIC,#58698 138 Gallarift Point Rd. DATE:7/18/2023 PAGE

aW
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Impervious surface between CAMA 30'line and 75'AEC line
Area within dwelling= 1737 sq.ft. �1���-�-- +firms
Area of rear parch= 132 sq.ft. T=� —
Area of roof overhang= 124 sa.ft. �t--' ?, r
TOTAL AREA= 1993 sq.ft. m
40 N <
RSCEIVEG �,, 40. . w o
JUL 17 2023 �' <
DCM-MHD CITY
C • CAMA AREA PLAN
SOUND BHORE CONSTRUCTION,INC. NC LIC.#58698 138 Gallant's Point Rd. DATE:7/15/2023 PAGE

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Garages 967 sq ,
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TOTAL. ;Sul sq ft
LOT COVERGE PLAN
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SOUND SHORE CONOTRUCTION,INC. NC 61C.H glltify8 1S8 Gailant's Point Rd. DAM e11204029
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Town of Beaufort 77-23
Issued by DCM Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environmental Quality 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 Victor and Lora Fasolino, authorizing development in the Estuarine Shoreline (AEC) at 138 Gallants Point
Road, in Beaufort, Carteret County, as requested in the permittee's application, dated June 24, 2023, and received on
July 5, 2023, and accepted as complete on July 18, 2023. This permit, issued on July 21, 2023, 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: Construction of a single family home
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated DCH-MHD CITY July 05, 2023,July 17, 2023, and July 18,2023.
(2) Any change or changes in the plans for development,construction, and/or land use activities will require re-evaluation and
modification of this permit. All construction shall 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 252-515-5400 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 �7
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 Wayne Hall
modification not covered under this permit, require further written permit NC Division of Coastal Management
approval.All work must cease when this permit expires on: g
400 Commerce Ave
DECEMBER 31, 2026 Morehead City, NC 28557
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. PERMITTEE or Authorized Agent
(Signature required if conditions above apply to permit)

Prdperty lines Intrrsact 4-
low hi"li-tido Ilan In Werth
fwisnnS Solkhead Wall i \ , `' '
;
j.............. 10'Easement Setback l ine
30'CAMA Una
Proposed New Dweliips; *•
Flov■9.5'
+�-+— PropartyUne
\� n WON
Concrete Driveway ,
J
130 '.�\ y
�s'p�b+�`Rlne
PLOT PLAN
1 ..
158 GALLANTS POINT RD
1'' = 20' j t 4e,a
PLOT PLAN
BOUND SHORE CONSTRUCTION,INC. NC IIC,N 88888 138 Q8118011'8 Point Rd. DATE:e11212023 PAGE

SITE HRAWING/APPLICATION CHECKLIST
please make sure your site drawing inchaks the following inforPtation required for a LAMA minor development permit.
The Local permit Officer will help yoa.if requested. APPLICATION f iONi FOR n
PHYSICAf.1AWNSIONS
t.abel reads N
CAMA MINOR
tAbel hilthw'elya right-of-ways DEVELOPMENT
Label heal setback lines
✓ I abcl any and ap sduchtres and driveways curredtly existing on property
Ott§tttii Mt1nn�.�trlfant
Label adjacent waterbody @NVIHnNMkiltA6 W-JAWY PERMIT
PHYSICAI.CHARAC tER14TiCS
Draw and label hormal high water line(contact LPO for assistance) In 10141 the North f'arhilna tipa@rol A04embl,Y pAwr@d the C'nastol Area Nimtagement Alt
A#,Draw location of on-site wastewater system ICAMAI Rod 5uf the 040f rat muldink dvvplopmolif In rr@pile anti praducth•e areas that
It'you will be working in the ocean hazard area: biH'd@r flip ttiaf@`s itnundil Pad avpAntr'flnt,AInnN with requiring special care,Foy those who
Dtaw and label dune ridges(include spot elevations) build And d@t4lap,lh@ ti@a@rAl AFt@in110[IIr@vI@d(tie Coastal ttlesourrea Cammissioa
jUNI'.)to impl@manl pl@ar I'@gulg#j#N4(hill jilh imiC@ fit@ burden on the applicant.
Dtaw and label use of dunes
Identify and locate first line of stable vegetaNun(contact LPO for assistance)
w Maw and label erosion setback lief(confect LPO for assistance) this Application not a odhor d0olopolpnf p@finit nndpr UAMA is part of the
_ Dhtw and label topographical features(optional) cinutolAsion'it @ffnri In m@@t flip fipirlt Rod intent of 1110(:seers(Assembly,It has been
d@gjmnpd fti hp stralilhlrflrwnrd pint)rMgllirp nil not*lime or effort than necessary from
If you will he working in a coastal shoreline area: the apldtpant,pipnrp No avor fhht NW@r with thv I:auol permit officer ILPO)for the
—or'Show the roof overhang as a dotter)line around the structure iflpalit)'itt whiph Yap plan to build to his vprfaln thot you understand what Information he
_— Draw and label landward limit of AEC of ithp n@odt hater@ poll Apply;
�V_Draw and label all wetland lines(contact LPO for assistance)
_✓Draw and label the 30-foot buffer line tlndpr CAM A rupulailono,rho Minot pprmlf Is to Ito ttisued within 29 days once a
DEVELOPMENT PLANS poolplpte appilpattnn is In hand.f lava joss Au time is adpd if the project Is simple.the
pla@pry gpnpraliy tok@tt About 10 dPI's,Yau Can gptird fill,approval process by making
Draw and label ail proposed structures @@malt(that your applleallan is vamplelp and ripnpd,that your drawing meets the
_— Draw and label areas that will he disturbed and/or landscaped ►ppolflpatluns mlvpn Itudde AAd that your tipplivation fps Is attached.
.r Note size of piling and depth at he placed in ground
r�--Draw and label till areas to be paved or graveled t)Ihpr p@rothii Pro samptinl@M r@tluir@d for d@v@IHpmpat in the coastal area.While these
_-y Show all arms tb be disturbed orp not VAMA-Mmi@d,wp orp@;ou tit ith@@k with th@ I•ocal Permit Officer to determine
._It I Show landscapigg whiph III thpc@ yea may n@@d.A itrt 111 Inplod@d an pomp Iwo of this folder.
NOTE TO APPLICANT
1Me pppf@eioi@ yflar pnnparatlfln with th@ Norio t'arulhia Coastal Management progratoi
Have you:
and yflat'willinmllprr to build in P way that protprtt flip resources of our beautiful and
• completed all blanks and/or indicated if not applicable.? pfatlnutivu 01104.
• nodfled and listed adjacent property owners?
• included your site drawing? Coastal Resources Commission
• signed and dated the application? Division of Coastal Management
enclosed the S 100,00 fee?
• completed an AEC kazard Notice,if necessary?(Musa be signed by the property owner) a ^o
FOR STAFF U89
Site Notice Posted. <'iba
i ectioa ("ae Received { �
Silo tnapectiotts
Jul Co S il., C]o
elate nf'Actift leaned :,„„ Exempted �� Mnied Appeal Deadline(20 days from pernlh nrteuaj V_ Ill Nl Nita 1401411, lilt Ac�t:aA ■/�,� 5

Name: Victor and Lora Fasolino
Minor Permit#77-23
Date: July 21, 2023
Page 2
(5) 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.
(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 Level. No portion of
the roof overhang shall encroach into the 30 ft. buffer.
(7) The amount of impervious surface/coverage on this property shall not exceed 30%within 75 feet of the Normal High
Water Line, in this case,4,793 square feet is authorized.
(8) .AlLdevelopment shall provi r-a_.buffet.zone-along_thpmarginof the Estuarine Water which is sufficient to confine
visible siltat' ffer zone-nearestt ie land disturbmq devetoprnenF_
(9) Any proposed for grading within the 30' buffer from the Normal High Water Level 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.
(10) All graded and filled slopes shall be of a sufficient angle to retain a vegetative cover or other erosion control device
or structure.
(11) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Sedimentation and erosion control measures shall be property
maintained throughout the construction period.
(12) This permit does not authorize the excavation or filling of any wetlands or open water areas,even temporarily.
(13) Any structure(s)constructed within the Estuarine Shoreline AEC 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.
(14) Pursuant to 15A NCAC, Subchapter 7J.0406(b),this permit may not be assigned,transferred, sold or otherwise
disposed of to a third-party.
(15) The Permittee and/or the Permittee's Authorized Agent shall be responsible for obtaining any and all
necessary authorizations,approvals,or zoning and building permits from the local government having
jurisdiction (Town of Beaufort and/or Carteret County)prior to commencing work.
SIGNATURE: DATE:
PERMITTEE or AUTHORIZED AGENT

tG, �„ tt„ � • k k
00... APPROX
r LOCATION
k. ♦ 001 RETA I N I NG WALE-mow
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[LOCATION
P dap
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M
SURVEY PLAN
8OUN0 SHORE CONSTRUCTION,INC. NC LIC•M U690 Qspolit's Point R;, DATE;4/20,2023 PAQE
pP
a

I.ocidity permit Number OTHER PERMITS MAY HE REQUIRED:The activity you are plaunitt);may require permits other than the CAMA
minor dOVIOpment permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
(Bean 140-ard P,stuarige Stron:linc ORW Shoreline—Public Trust Shoreline _ Other treatment system),Building,Electrical,Plumbing,Heating and Air Cmulliiunhtg,insulation and Energy Conservation,FiA
se n�d1p1 Cet'tifieatk+n.Sand Dune,Sediment Control,Subdivision AppmvAl•Mobile Home Park Approval,Highway Connection.and
(Far 4?#cial n� others,Cbes:k with your Local Pennit Officer for more information.
(IYFOR_RLATION
9TATEM1IF;NT OF OWNERSHIP:
LAND OW NNR-MAILING ADDRESS I,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC'or a
i r� pemn authotized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
Vame._Vi�_L►�T 4 d e,01 T' s6 L-�1-� ___.___.,_�_ lisled av landowner on this a li the real ro eft described they
pp Cation has a significant interest in P p Y ern.This interest can be
�� ST described ns:(check one)
Address. Va- !�S L 2lo•, srri6, / r
City OffJyf'D r State /r C Zi !hone 03 " Z�r 9 3 yes' r an Owttcr or record t r,Title is vested in name of � rP �'V�# �I
p��� see Deed 13iwk, page 14 in the__�. .!�T"k1��_�County Registry of Deeds
AUTHORIZED AGENT ^aft owner by virtue Of inhcritance.Applicant is an heir to the estate of
-�- pn+bnte teas in County.
Name
"" � - --'— —if other interest,such as written contract or Ieaac,explain bclo*or use n arpamte sheet&attach to this application.
Addrem
NOTIFICATION OFADdACRNT RIPARIAN PROPERTY OW'NERq:
City State Zip__ Phone _ _ I furthermore certify that the following persons are owners of properties adjoining this property.I afltrm that I have given
(mall W� _ ACTiJAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) t, (Arkiress)
I,OCATION OF PROJECT:(Address,street name and/or directions to site,:pname of the adjaceht woterhody.) (1) R—RdA Z- —Jv«L jra
I �� �4F4tA/YT's l�slr✓7-
wi, stFil�bn?"_
Al 4!!.. (4)
T
OP.SCRIPTiON OF PROJF Qr.(List all proposed construction and land disturbance.) _ ACKNON'LVOGEMENTS:
_ I,the undersigned,acknowledge that the land owner is aware that the proposed development is platuled for an area which
C ews "7� "� may be susceptible to erosion and/or flooding.I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with thin lot.This explanation was accompanied by recommendations concerning stabiliza-
SI7,F;OF LOT/PARCEL: Q,,3 �/square feet �i L`� rtcrev tion And fltxaipmnfing techniques,
PROPORD USE:Residential&r (Single-family pl"Multi-family[]I Commercial/Industrial Q Other [] 11Mrthermorc certify that i am authorized to grant,and do in fact grunt,permission to Division of Coastal Managcnient staff.
the Local Permit Officer and their agents to enter on the Aforementioned(ands in connection with evahratinp inlimnation
COMPLETE EITHER(1)O$(2)BRLOW(Contact your local Permit(Weer T/'you are nor sure which AEC applies related to this permit Application,
►nyeurprvyrarty): Titi+the day of X(QV6 20of 3
(1) OCEAN HAZARDAECs:TOTAL FLOOR AREA OF PROPOSICD STRUCTURE: _square feet t inGludce
l
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but 2 _
4
excluding non-1 wd-bearing attic space) Landowner or person authorized to act as his/her agent for purpose r+f filing a CAMA permit application
(2) COASTAL SHORELINE AEC%:S17.F OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT This application Includes.general inibrmatio"(this ibrrtn),a site drvwing a.v rlescrthed on the back al thin application,the
UPON SURFACESkrMitare feet(Includes the area of the foundation of all buildings,driveways,covered deck{r, Ocean Matnrrl Ah'C�Notice where recces.earl•,a c heck for.5100.00 made
ownership statement,the Na)-ahle In the Tncn!lrt:and
crncrctc-ar masonry patios,etc,that are within the applicable AEC.Attach your calculations with the project drawing..) an,information as may be mvi y p1 ettills ofthe application lication as descr'
� y p dad avail hP the a r!lrant.The. 1 p Thad hi-rhnre sauttws air
SIA I f S i'()RMK'ATNR MANAGEMENT PERMIT:Is the project located in an area subject to a State incorporated without relertnce ih ant,par nNl which urav be issued. lotion/iv these derails will cansiipttn a violation of
t rnrro r,iiyr rtlanagcnu nt P unit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)'? anypermir.Any person developing in an AFSC wiprour permit is sdl'ie to civil.c �itr�arive saviors.
„t .,ilr„p,„area/impervious surface allowed fbr your lot or parcel: ----square feet. rJV(11 iJ

pull Ilaants Poitt$ d_. p1 # 41{��4Q�Q Beau forN C.NE1N FZEStDENGE
8
Flood Zone: AE 6, Proposed Finish Floor Elevation:ON
able of Arnie la Floor " Fidor � TOTAL
Heated Uylpj 2416
Porches 628 itd0 _ 888
Aare es 997 987__
Foundation
1) Foundation shall bear on undisturbed virgin soil rated at 2,000 lbarsf min Plumbing
2) Foundation concrete shall be 2500 Pei minimum 1) All plumbing shall be in accordance with the 2018 NC Plumbing Code
3) Steel reinforeing shall be clean and free of rust 2) All DWV piping shag be either PVC or ABS,Behedule 40 pipe
Framing 3) All water lines shall pe Pox or PVC
1) Framing material shall be SPF or Hem-Fir M2 or better, 4) Them shall be shut off valves at every faucet:
2) Provide all nailing and fastening according to N C 13 B,C,Chapter 29 5) Not water heater shrill be 40 gal min,electric HWH.
3) Truaaes shall be pre-engineered and certillad. Electric
4) TruaS bracing shalt be in accorder+ce with the manufacturer's plan, 1) 'rhere shall be a total of 1-200 amp meter ee(vl<:es on the dwelling
5) Headers for Trues Bearing Exterior Walls 2) All electrical work shall comply with the Naltonal Electrlcal Code.
QpAbUl9; NeatlHr_EI&@; 3) Provide smoke det0tors as shown,120 volt with battery back-up,Interconnected.
T-314" 2-2x10 4) Provide exhauat fans to all baths with no opersteble windows
31"-0 1 -2x10 HVAC
8) Hoadars for Non-Load Bearing Walla: 1) Provide 4 separate"mint-split"systems as Indicated,Installed per manufacturers
Hee: recommendation
4��' atiec9ts 2-2x4 Insulation
TY-0 1-2x4 1) Install R-19 insulation In all exterior walls,R-38 In ceiling of second floor.
Window&Door Schedule: 2) Thermopano Insulated,low-E glass windows
1) Sixes as Indicated directly on Floor Plans 3) All windows and doors to be caulked and tape easier in place
2) Windows to be vinyl single hung,low-E,Insulated 91e49 and meet air infiltration standards 4) Fire rated Injected foam fill for all plumbing and electrical penetration of exterior walla.
3) Exterior doors to be foam core Insulated fiberglass with Insulated glass panels floors and attic per UL WL-1001.
150 MPH WI TE$ AbbilIf-At3LE TQ HI5�It„�N,
7 ROOF TRUSSES shall be faatenAd to exterior walls with one Simpson H10 connector at each end
1, WINDOWS AND DOORS shall be labeled with a mirlltnufn t)sslgn Pressure Rating of 43 or greater, of each truss.
as per Section 4402,(mean roof height of 2T). 8 4ABLE ROOF OVERHANGS sftpll not be greater than 24".
2. FOOTINGS shall be minimum 24"wide and 8"tali with 2-06 rebers 9, ROOF SHEATHING.No Joints In roof sheathing shall occur within 24"of any gable and no
3. EXTERIOR WALL STUDS$11011 be 2x8,SPF lumber,1S"on center,"stud grade" sheathing pieces shall be lees than 48"In length.
4. STRUCTURAL BRACING,Ali walla shelf be sheathed with 7114-rated OSB board.No walls of lava 10. ROOF COVERING:Roof shingles shall be fiberglass and asphaltic type with a self sealing strip
than 25%sheathing are proposed.Section 4408.2 and applied with 6 nails per shingle.
5. EXTERIOR WALL SHEATHING. shall be 7f18" rated OSB sheathing nailed with 8d common nails,
8"o,c.at all edge%and 12"o.0 in all intermediate fields.Whore sheathing covers double top plOtes
and band joists,two rowa of staggered nails,3"0.0.shall be used.Section 4408.4.All wall
sheathing shall be applied to overlap construction Joints(junctir3ne at rim Joist and junctions of
gables to mein wails)at least teal vertically.Section 4408.
e. GABLES shall be tied Into the - 9 aming with a minlmum of one 8'-2x4 SPF brace allgned
perpendicular to the gable for every 8'of gable length.Nailing shall be as per Figure 4406.7B.
TITLE PAGE
SOUND SHORE CONSTRUCTION,INC. NC LIC.0 Ss698 138 Gtail*"Ve Paint Rd. DATE 62d1023 PAGE
4"
)iII a ti

COMPLETE • COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3. "'ved
'
■ Print your name and address on the reverse �� Agent
so that we can return the card to you. ❑Addressee
■ Attach this card to the back of the mailpiece, B. ted Na ) Da of D ivery
or on the front if space permits. ��f �I�G
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
If YES,enter delivery address below: ❑ No
II I IIII'I I'II I'I I II III I'I I ICI II I I III II II II I III 3. Service Type ❑Priority Mail Express®
❑Adult Signature ❑Registered MaiIT"'
❑Adult Signature Restricted Delivery ❑Registered Mail Restricted
O Certified Mail(D Delivery
9590 9402 7594 2098 0845 43 ❑Certified Mail Restricted Delivery ❑Signature ConfirmationTM
❑Collect on Delivery ❑Signature Confirmation
❑Collect on Delivery Restricted Delivery Restricted Delivery
7022 0410 0001 4104 8675 ❑Ins nsuured Mail
❑Ired Mail Restricted Delivery
--- — — over$500
PS Form 3811,July 2020 PSN 7530-02-000-9053 -- - Domestic Return Receipt
SECTIONSENDER:COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY
■ Complete items 1,2,and 3. A. Si:�' !nature
■ Print your name and address on the reverse X .�� Z ❑Agent
so that we can return the card to you. ❑Addressee
■ Attach this card to the back of the mailpiece, �—�° ` by e) C. Date of Delivery
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different fro item 1? ❑Yes
If YES,enter delivery address below: ❑ No
A'qZ";'� 9/way
F-.f'a -z-" T s T
gs'i
Z.3. Service Type ❑Priority Mail Express®
it I�III'I I'll I'I l ll I ll I'I I I'I ll l I Il I II I III Ill ❑Adult Signature ❑Registered Mail-
0 Adult Signature Restricted Delivery ❑Registered Mail Restricted
❑Certified WHO Delivery
9590 9402 7594 2098 0845 67 ❑Certified Mail Restricted Delivery ❑Signature Confirmation^^
❑Collect on Delivery ❑Signature Confirmation
❑Collect on Delivery Restricted Delivery Restricted Delivery
022 0410 0001 4104 8668 0InsuredMail
❑Insured Mail Restricted Delivery
(over$500)
PS Form 3811,July 2020 PSN 7530-02-000-9053 DonrlbAlc Retum Receipt

Receipts for
Certified kW
( Here)
Dale
Q1,d S F�9r°ae7
ovier
Ift�1r7—. )y c- --?8cr lJ4
City,state,Zo c0de
Dew Ad*W Property:
T']-S is ID it rrn yW I, YE ASp L l N 4 them armed fcr a LAMA Minor
offer
Perrrsit sn my V0Wty at 1.78 G?9e.Z eV7, j0O/•y7— in COUNTY
Property Address
County. As rn by CAMA WAAorzs,I haw mAmd a coff-$ yy pemvit a ppik abo n arAJ prcect
&mng(s)as noffilcafim of my Pq)OW X*CL No action i5 r6qLared you of ym mr apt mun.
the erxiosed no.dW%w bv,.Nym bawe my qjeswm cr omm*ift a 'pDposed Propea Please
contact me at?S'R or by rW at it address tad below. tt you w►sh�D
- ma's T _ - -
qe m1kn mmmb ordpMm m1h the LOCAL G0V9WJE?ff CAMA mar P PtWW,you may submit
hem io:
LPO m1151
Lowl Perrrd Oftur lix LOCAL GOVERNIVIEW,
LDCAL G .RNW- tf ASS
CITY,STATE,ZIP CODE
Sincerity,
Property OWrner
Mailing Address
1`4 state,Zip code
ti.J ,4J
r.
.a�
N�

Receipts for
Cermw ma
Ad' r, i°oww
I= 8 vaIX elf III L s. R.v
Maifmg Address
rn�s©LP-roww
City;State,Zip Code
Dear Adjacent Prsty_
Ttnss letter is to irrf M YW ttrat t, Vi 41- I`&--<I L Jf'lJ haw apoed ter a CAMA Minor
rtY owmr
%r.,g on my Mjperty at l 3 ' j9ed- Lr9rY7'"A f. 2,in COUNTY
Pmperty Address
C"t-y- As reqxed by i `IA ram;I tr ave erg a L"opy of my permit aWcation and project
draiwg€s)as notiftation of my pDposed p vpct,No acbon is mqfired hm you or you may sign and return
the enclosed no o*rAm V n.I ym vive any quisfims or cxmwft ptea�
intact nre at e b 9_ 3 ,5- .0r b y gt t-a ter: If-yw VvIl`w
Ap1s T
file mitten corgi oro*cWswah ft LOCAL B tflNT C,AMA N&w Permft Pray ,you may atbrA
ttn ta: a ,9177,,V
Local Parra Off"f tr t_WAt_GOVERNMENT
CITY,STAG � ADDRESS CODE /�D�f}} "�,U C-
Y cj
Siricerety. .
Property Cwmer
) 9/-9 fi'.po r- S Y
Maffina Address
City,State,zip Code

SITE DRANVING/APPLICATION CHECKLIST 99
Please make sure your situ drawing includes the following information required for a CAMA minor development permit. ro
The Local Permit Officer will help you.if requested.
PHYSICAL biMEN5ION5 "? aPPLiCATION FOR Yl
„ Label rands
Label highways right-of-ways CAMA MINOR
_L Label local setb"lines "
✓ Label any and all structures and driveways currerttly existing on property DEVELOPMENT
Label adjacent xy COURtal Mtt9q
PHYSICAL CNAt1CTEkI2ITICS myllsoMM€MTAr H1/1Ptt f
PERMIT
ER IT
Draw and label hormel high water line(contact LPO for assistance)
A4WDrdw IOedtiOn of on-site wastewater system In I994,the North Carolina General Att@o►bly patted the Coastal Area Management Att
ICAMAI and t@t the%tape flit guiding development In rrogile and producth•e areas that
If you will be working in the ocean hazard area: border the tfat@'t ioundt and oveantrutlQ Ailing with requiring special care by those who
_Dt'aw and label dune ridges(include spot elevations) build and develop,the General Att@mhiy dirligied the Coastal Resources Commission
Diaw and label toe of dunes (U NC)10 itnpl@menl clear regnlaNDD%that minimire the burden on the applicant.
Identify and locate first line of stable vegetation(contact LPO for ussisuwce)
Dtaw and label erosion setback IinG(contact LPO fbr assistance) 11414 application for a tnlnor d@trlopm@nt p@troll nnd@r CAMA is part of the
Draw and label topographical features(optional) Lommi%tiotl'%%iron to meet the Njliril and mien(of the tieneral Assembly.It has been
detlpn@d to be siratphtforwafd and foquir@ no More time or effort than necessary from
If you will be working in a coastal shoreline area: the applicant,pleat@ so over€hit!`Diller With the Local permit Officer(LPO)for the
_'Show the roof overhang as a dotted line around the structure ID@allty in whieb you plan to build to be certain that you understand what Information Ile
—y Draw and label landward limit of AEC Dr the n@@dt bofor@ you apply,
,/Draw and label all wetland lines(contact LPO for assistance)
e Draw and label the 30-foot buffer tine tinder CAMA repulatlont,the oiintlr p@ralit i%to be i quad within 25 days once a
DEVELOPMENT PLANS complete application it in band,Often Ian%tittle I%needed if the project is simple.The
pro@@89 generally tak@t about IN da}c Vou can tp@ed the approval process by making
Draw and label all proposed structures a@rtaln that your application It @otnpieto and tign@d,that your drawing meem the
Draw and label areas that will be disturbed and/or landscaped
ipe@Ill@atlntl%gh'@n Itltlde and that Your appiieatirta he Is attached.
Note size of pilibg and depth w be placed in ground
_ Draw and label ell areas to be paved or graveled Other permim are%am@tire@t rquir@d for development in the coastal area.While these
Show all areas to be disturbed al Permit officer to determine
g are nD€CAMAar@Ianed,we urge you ID eh@@k will the I-t� e
Show landseapig
Which lit lit@%@ you may need,A Itif It included on page I"of this folder.
NOTE TO APPLICANT
Have you: We appr@@lat@ your cooperation with the North Cgrolino Coastal Management Program
• and pour Wiliingn@tt to build in a way that prntertt the resources of our beautiful and
completed all blanks and/or indicated if not applicabld'
• dfled and listed ad' pratlnetis'@
no %aunt,
JaCCllt property Oµ71ei"b.
• included your site drawing? Coastal Resources Commission
• signed and dated the application? Division of Coastal Management
• enclosed the 5100.00 fee? rn
• completed an.A+C hazard Notice,if necessary?(Mutt be signed by the property owner) y `d
FOR STAFF USE = r
Site NMlue Posted Final inspection w Fee Received ❑x y
Site Inspections R E C E I V F D k
Jul_ 0 ,5
Date of Action:Issued Nxem ted _ _ Denied �_Appeal Deadline(20 days froth permit action)
P _ P t#'M Porto hAlu1740l5lRevlied
DCM--M H 1) %ITV

LdMahty Permit Number_ OTHER PERMITS MAY BE REQUIRED:The activity you are Planning may require permits other than the CAMA
minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
Crean Hazard Estuatirte Sborcunc ORw Shoreline Public Trust Shorch4c other treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,insulation and Energy Conservation,FiA
(For official ore(Inly) Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
others,Check with your Local Permit Officer for more information,
GENERAL INFORMATION STATEMENT OF OWNERSHIP:
LAND OWNER-MAILING ADDRESS r I,the undersigned,an applicant fora LAMA minor development permit;being either the owner of property in an AEC or a
Nome V r sy L/�✓d pennon authorized to act as an agent for purposes of applying for a CAMA minor development peruut,certify that the person
__L G T�_T 0 �f listed as landowner on this application has a significant interest in the real property described therein.This interest can be
Address / FlfO*- Sr; described as:(check one)
p ?� J�. I
City JJ EeV>�d�r`_State �Zip Phone 07" Z(i 9-3 y� �an owner or record[i q Title is vested in name of V/G7Q�Q__("/9SOL/CVO
see Deed Book page, is the e& County Registryf Aecds
Ismail VL��C/�.'�L. /•ly0 ® ILIITa�Lf'/�• • COh�
AUTHORIZED AGENT _an owner by virtue of inheritance.Applicant is an heir to the estate of
probate was in County.
Name
`if other interest,such as written contract or lease,explain below or use a separate sheet At attach to this application.
Address
NOTIFICATION OFADJACfiNT RIPARIAN PROPERTY OWNERS:
City State Zip Phone I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
Email ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
LOCATION OF PROJECT: Address,street name and/or directions to site:name of the ad'ec (Name) (Address)
( ebtwaterbody.) (i) 1VV,&R PT l�i�f/SCfIN7 I!(of Bp��F�f /1L�L B� M/OOCF?pzr�s�DF
13� G.9i.c.gT'� t�oi�✓r ,lPv (2) y — !silo?
dF�/Yr IV C. .2 S�/6 (3) rr_O� SErl�bal!' �E7/E[.OI��Fi�'T tt_j SOS' F�fsryr"
—� ---- (a) BF Arz,E-O�Y�
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) ACKNON LEDGEMENTS:
I,the undersigned,acknowledge that the lotl owner is aware that the proposed development is plaWwd for an area which
C revs r'.r v e.r/e n� o .VB Kvae may be susceptible to erosion and/or flooding.I acknowledge that the Local Permit Officer has explained to me the particu-
tar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning ilabaiza-
SIZE OF LOT/PARCEL:48,;y�,quare feet 40a A-V acres tion and floodproofing techniques,
PROPOSED USE:Residential W (-Single-far[tily geMulti-family❑) Commercial/Industrial Q Other I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
COMPLETE EITHER(1)OQ(2)BELOW(Confacl your Locat Pfrinif Officer ifyou are notsupe which AEC applies related to this permit application,
to,teur property):
(1) OCEAN HAZARD AECsi TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes ) 7hts the _day of Jrt>JV�;�p?3
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but
excluding non-load-bearing attic space) Landowner or person authorized e of filing a CAMA permit application
Pe to act as his/her agent for purpose
(2) COASTAL SHORELINEAECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES&rare feet(includes the area of the foundation of all buildings,driveways,covered decks, ��apphcaHon Includes:general!tnfrmation(this farm),a site drawing as described on the back of this application,the
concrete or masonry patios,etc,that are within the applicable AEC.Attach your calculations with the project drawing.) ownership statement,the Ocean Naaard 1 FC Notice where neces. 1'a rherk for SI00,00 made payable to the localiht and
any information as may he provided orally by the applicant.The detallr rr(the application as dercribod by these sourves are
STATE STORM*AATIrR MANAGEMENT PERMIT:Is the project located in an area subject to a grate intwrporated without nefemnee ih any polmil which nrav be issued•De atiun frvnLtjhese details will curtstiluto a viulatiun uJ'
NOW) u r Management P:nnit issued by the NC Division of Energy,Mineral and Land Resources(DkMLR)9 anypermit.Any person developiyg in an 48C without permit is sdbJ to civil.r'�[fEAGfu Ngl�ti'ive action.
vr'S \O
tr li.r rh-,oral tv,ih upon"tealimpervious surface allowed fbr your lot or parcel: — xqum feet.
FJUI_ ►� h
DCt�-

Buildlna Mane►. I)—S C94Ilants Point Road Nf_?M12tZ§24Aoo Beaufort,N C NEW RESipENCE
GENERA NOTE8
Flood Zons; AEG, Proposed Finish Floor Elevation;9.61
Table of Areas is Floor Floor t'OTA►
Heated Living2438 as 8071
Porches 628 2d0 an
Gera es 07 887
Foundation
1) Foundation owl bear on undisturbed virgin soil rated at 2,000 Ibslsf min Plumbing
2) Foundation concrete shall be 2500 psi minimum 1) All plumbing shall be In accordance with the 2018 NC Plumbing Code
3) Stoat reinforcing shall be clean end free of rust 2) All 0WV piping shall be either PVC or ASS,Schedule 40 pipe
Framing 3) All water lines shall De Pax or PVC
1) Framing material shall be SPF or Hem-Fir#2 or better. 4) There shall be shut on valves at every faucet
2) Provide all palling and fastening according to N C S,SC.Chapter 29 5) Hot water heater shall be 40 gal min electric HWH.
3) Trusses shall be pre-engineered and certified. Electric
4) Truss bracing shall be in accordance with the manufactursrs plan. 1) Thera shall be a total of 1.200 amp meter services on the dwelling
5) Headers for Truss Bearing Exterior Wells. 2) All electrical work Shall comply vrith the National Electrical Code.
OgMIng HAWAr Slzr. 3) Provide smoke detoctore as shown,120 volt with battery back-up,Interconnected.
T—3'4" 2—2x10 4) Provide exhaust lane to all baths with no operatable windows
3'3'—0 1—2x10 HVAC
8) Headers for Non-Load Bearing Walls: 1) Provide 4 separate"minl-splft"systems as Indkst ti,installed per manufacturers
Opitaiig Header Slze: recommendation
T'—3'4" 2—20 Insulation
3'3'—0 1—20 1) Install R-19 insulation In all exterior walls,R-38 In ceiling of second floor.
Window 6 Door Schedulai 2) Thermopane Insulated,low"E glass windows
1) Sizes as indicated directly on Floor Plans 3) All windows and dog to be caulked and tape easier in place
2) Windows to be vinyl single hung,low•E Insulated gists and meet air infiltration standards 4) Fire rated Injected foam All for all plumbing and electrical penetration of exterior walla,
3) Exterior doors to be foam core Insulated fiberglass with Insulated glass panels floors and attle per UL WL-Ml,
150 MPH WIND ZONE NOTES APPLE T-T----- - N
I ROOF TRUSSES shall be fastendd to exterior walls with one Simpson H10 connector at each end
1, WINDOWS AND DOORS shall be labeled with a minimum Design Pressure Rating of 43 or greater, of each trues,
as per Section 4402,(mean roof height of 2T). 8 GABLE ROOF OVERHANGS shell not be greater than 24".
2. FOOTINGS shall be minimum 24"wide and 8"tall with 2-05 rabsrs 9 ROOF SHEATHING,No joints in roof sheathing shall occur within 24"of any gable and no
3. EXTERIOR WALL STUDS shall be 2x8,SPF lumber,18"on center,"stud grade' sheathing pieces shall be less than 48'In length
4. STRUCTURAL BRACING.All walls shell be sheathed with 7I14'rated 088 board.No walls of lass 10. ROOF COVERING Roof shingled shall be fiberglass and asphalt type with a self sealing strip
then 25%sheathing are proposed.Sectlon4408,2. and applied with 8 nails per shingle
5. EXTERIOR WALL SHEATHING. shell be V18" rated 098 sheathing nailed with Sd common nails,
8'O.c.at all edges and 12'o.o in all intermediate fields.Whert sheathing covers double top plates
and band Joists,two rows of staggered nails,3"o.c,shell be used.Section 4408.4.All wall
sheathing shall be applied to overlap construction Joints(junctions at rim Joist and Junctions of
gables to main walls)at least 12"vertically.Section 4408
8. GAIILEQ shall be tied into the telling framing wth a minimum of one 8'-2x4 SPF brace aligned
perpendicular to the gable for every 8'of gable length Nailing shall be as per Figure 4408.78.
TITLE PAGE
SOUND SNORE CONSTRUCTION,INC. NC LIC.#6M99 138 Gallant's Point Rd. DATE:5120/2023 MOa
RECEIVEi.:
JUL 05 2CP 1
DCM-M► c) CATY

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LOCATION MAP • ,0
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SURVEY PLAN
BOUND BNORE CONBTRUCTION,INC. NC LIC.N 61>M 138 OliisrN•Point Rd, DATE:4/20/2023 PAGN C
'Jul_ 0 5

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PLOTPLAN 1
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PLOT PLAN
BOUND 5MORE CONITRUOOK INC. NC LIC.0 88808 138 GZatit's Point Rd. DATE:611202023 PAOQ
RECEIVED
Jul_ U 5 202?
DCM-MHD CITY

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IMPERVIOUS SURFACE / LOT COVERAGE
House,First Floor 2416 sq ft
Garages 987 sq h ; '
Porches,First Floor 628 fq k I ac•a
Front Walkwsy 128 L „
Driveway 1492:a R
TOTAL 56SI sq ft
LOT COVERGE PLAN
80UND 8HORE COWRUCTIOK INC. NC LIC,M 99999 138 Q4111+nt's Point Rd. DAM 612012023 PAGE
RECEIVED
JUL 0 5 202:�
DCM-MHD CITY

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OVERVIEW
BOUND SHORE CONSTRUCTION,INC. NC IIC.0 88698 138 Gallant's Point Rd, OAT;:6/20/2023 PAO/
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JUL 05 2023
DCM-MHD CITY

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FIRST FLOOR PLAN
BOUND$HOME CONBTRUC'(ION,INC. NC I IC.0 111$698 138 Galin V8 Point Rd. DATE;$11612023
J
JUL 0 5
DCM-dV mt) CITY

COMPLETESENDM • COMPI ETE THIS SECTIONON DELIVERY
■ Complete items 1,2,and 3. A. S' nature
■ Print your name and address on the reverse X /�� ❑Agent
so that we can return the card to you. ❑Addressee
■ Attach this card to the back of the mailpiece, B. ec(eivedrb rinted((Na ) Da of D ivery
or on the front if space permits. pall 1 145 7 0 -42
1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes
RO (FrPT L ! If YES,enter delivery address below: ❑ No
II I IIIIII IIII Iil I II III III I III II I I III II II II I III 3. Service Type ❑Priority Mail Express®
❑Adult Signature ❑Registered Mail*"'
❑Adult Signature Restricted Delivery ❑Registered Mail Restricted
❑Certified Mail® Delivery
9590 9402 7594 2098 0845 43 ❑Certified Mail Restricted Delivery ❑Signature Confirmation-
El Collect on Delivery ❑Signature Confirmation
- ❑Collect on Delivery Restricted Delivery Restricted Delivery
7022 0410 0001 4104 8675 13InsuredMail
❑Insured Mail Restricted Delivery
—- --- - -- (over$500
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt
COMPLETE •N I COMPLETE THIS SECTIONON DELIVERY
■ Complete items 1,2,and 3. A. Signature
■ Print your name and address on the reverse X ❑Agent
so that we can return the card to you. ❑Addressee
■ Attach this card to the back of the mailpiece, by e) C. Date of Delivery
or on the front if space permits.
1. Article Addressed to: D. Is delivery address different fr item 1? ❑Yes
If YES,enter delivery address below: ❑ No
3. Service Type ❑Priority Mail Express®
II I'I�III IIII I'I I II III I'I I I'I II I I III I II I III I ❑Adult Signature ❑Registered Mail-
0 Adult Signature Restricted Delivery ❑Registered Mail Restricted
❑Certified Mail8 Delivery
9590 9402 7594 2098 0845 67 ❑Certified Mail Restricted Delivery ❑Signature Confirmation-
0 Collect on Delivery ❑Signature Confirmation
- ❑Collect on Delivery Restricted Delivery Restricted Delivery
022 0410 0001 4104 8668 ❑Insured Mail
❑Insured Mail Restricted Delivery
over$500)
PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt

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Receipts for
CerbTied OW
(S4*Hem)
OGd SE',9iiOD.PT DEV�'LOP/riE�7-'
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Car,State,Zp Code
Ths t9ea is b Wmm pau tgd t, 1�i G �i9SO L/NO have a*W for a CAMA Minor
Pmp"Owner
�, rproperijr .?8 G�� &ry75 Pv .y7 /Pv m COUNTY
Property Address
Carr. As ra*ied by t hm I a+cop d y►t=aippi' ian and pm*d
drawings)as naligcAm of olpraposed pmjmi Na acbm is mquM d ko to oryon mW*p and rein
the enclosed no d*cion fin w lyan haMe any quesbma abadayPflPaeert t omse,
contact me at?C'F --lip 9— .7 Y14— ,or by mM at l*address Isbd belaw g you wish to
Applicant's Telephone
Ve woken aommenlsarableriasnipfieLOCALGOVERlAfENT C4JAhootPernA Frogwm,you may submit
them h
LPO NAW G 09m/ 1
Lod PaTrA Oftu for LOCAL GOVEIildlAM
LOCAL GD%ff3a&"T ADDRESS
C",STATE,ZW CODE ode
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Property Owner
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Ma&V Address
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city,stma.zip Code
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Ma/ffing Address
seTawN. D�' I9909
City,State,Tip Cade
Dear Adjacent Property: 1 / t�
Ties WW is tQ inform you t�i, V'C— hm a g0ed frx a CAMA Minor
Property ONner
P+tirrrit m rrty popety at 139 Rjr,,.in COUNTY
PfopertyAddress
County_ As by CAMA rewA&mos,l hare erdosed a copy of my pent application and project
drawAXs)as nWe*m of nrtl p owd poled No acidrt a m¢gtmW hoer you oryou nay sign and return
the enclosed no ablecian inns gym#rage any Queskm or abaetrsfrpcpaeed P*4 0mm
contact me at Aa " -'2(o f' .?y�S' .err by nvi atlime addres bbil l elonr_ fyou mish b
AppkaWs Tdeou*
fee wrd*n convnetls croblecbonswO titeLOCAL GOVERNMENT CAMAMkwPtsrmtProgran,you may mrb w
ahem 1rx LPO a i9rr»9
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Local Petrel Oftw for LOCAL GOVERNMIENT
LOCAL GOVERNMIEWADDRESS
CtiY,STATE,ZIP CODE
Sincerely..
tltA,
Pra "owner
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Mailing Address
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city.Stye,zip Coda
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