White, Shirlley Ann

—I CAMA / -- DREDGE & FILL A B (C D
GENERAL PERMIT Previous permit #
1New * ''Modification ]Complete Reissue -Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources (w t
and the Coastal Resources Commission in an area of environ entaj concern pursuant to 15A NCAC{.. tiles attached.
�^F ✓ °f &% 7" Project Location. County
Applicant Name /
Address ? �. ► i +^^' ° Street Address/ State Road/#Lot;#(s)
City —Lew Stag
Phone #
Authorized Agent
❑ CW r�r S �EIPTS
AffectedC OEA ❑ HHF ❑ IH ❑ BA /A
AEC(s):
❑ PWS:
ORW: yes / no PNA yes /
Type of Project/ Activity
Pier (dock) length _
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap lengthy ,,�
avg distance offshore!
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bul
Other
Shoreline Length -/
SAV: not sure yes iol
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes
M
Subdivision
City ( el- ,f r t �' � # ZIP
Phone # O River Basin
Adj. Wtr. Body 'r ° (nat /�rl /unkn)
Closest Maj. Wtr. Body U., #
C,
(Scale:,t/-fi
A building permit may be required by: ,_ ' '#t"~-❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) 011'
Notes/ Special Conditions I',, - , 4• t
Agent or Applicant Printed Name
Signature,tk Please read compliance statement on back of permit
,u1
Application Fee(s) Check #
Permit Officer's Printed Name
Sign
/,t r } w y
f , t
Issuing Date lExpiratiot ate

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
http://www.nccoastaimanagement.net/
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:[phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
Revised 08/27/14

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Tracking Number: 7016 3560 0000 9082 1927
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RECEIVED
MAR 2 0 2018
I)CM- NIHD CITY
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3/15/18
Date
Roger & Helen Becton
Adjacent Property Owner
111 Dolphin Bay Estates
Mailing Address
Cedar Point, NC 28584
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I,
Shirley Ann White
Property Owner
Receipts for
Certified Mail
(Staple Here)
have applied for a CAMA Minor
Permit on my property at 109 Dolphin Bay Estates in COUNTY
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 [phone] or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to
Sincerely,
Shirley Ann White
Property Owner
102 White Cap Cr
Mailing Address
Emerald Isle, NC 28594
City, State, Zip Code
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE, ZIP CODE
MAR 2 0 2018
DCM- MHO CITY

ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to Shirley Ann White Is
(Name of Property Owner)
property located at 109 Dolphin Bay Estates
Address, Lot, Block, Road, etc.)
on White Oak River in Cedar Point 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)
Signature
Roger & Helen Becton
Print or Type Name
Telephone Number
Date
RECEIVED
MAR 2 0 2018
DCM- MHD CITY

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Tracking Number: 7016 3560 0000 9082 1897
This item was delivered on 03/1912018 at 14:10:00
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RECEIVED
MAR 2 0 2018
DCM- MHD CITY
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rz,

3/15/18
Date
Amber Smith
Adjacent Property Owner
107 Dolphin Bay Estates
Mailing Address
Cedar Point NC 28584
City, State, Zip Code
Dear Adjacent Property:
Receipts for
Certified Mail
(Staple Here)
This letter is to inform you that I, Shirley Ann White have applied for a CAMA Minor
Property Owner
Permit on my property at 109 Dolphin Bay Estates in COUNTY
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 [phone]
Applicant's Telephone
,or by mail at the address listed below. If you wish to
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program, you may submit
them to:
Sincerely,
Shidley Ann White
Property Owner
102 White Cap Ct
Mailing Address
Emerald Isle, NC 28594
City, State, Zip Code
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE, ZIP CODE
REC VED
MAR 2 0 2018
DCM- MHD CITY

on
ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
aby certify that I own property adjacent to Shirley Ann White
(Name of Property Owner)
I
arty located at log Dolphin Bay Estates
Address, Lot, Block, Road, etc.)
White Oak River in Cedar Point 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)
Signature
Amber Smith
Print or Type Name
Telephone Number
Date
RECND
MAR 2®?w
DC hI- STY

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Shiriley Ann White
Mailing Address:
Phone Number:
Email Address:
102 White Cap Ct
Emerald Isle, NC 28594
[phone]
n/a
I certify that I have authorized Bruce Rogers ,
Agent /Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
repair sea wall and construct new home
at my property located at 109 Dolphin Bay Estates Cedar Point, NC
in Carteret
County.
/ furthermore certify that 1 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 related to this
permit application.
Property Owner Information:
Signature
Shirley Ann White
Print or Type Name
Title
Date
This certification is valid through 03 / 15 / 2019
RECEIVED
MAR 2 0 2018
DCM- iMHD CITY

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development permit
The Local Permit Officer will help you, if requested.
PHYSICAL DIMENSIONS
Labelroads
Label highways right-of-ways
Label local setback lines
Label any and all structures and driveways currently existing on property
_ Label adjacent waterbody
PHYSICAL CHARACTERISTICS
Draw and label normal high water line (contact LPO for assistance)
Draw location of on -site wastewater system
If you will be working in the ocean hazard area:
Draw and label dune ridges (include spot elevations)
Draw and label toe of dunes
Identify and locate first line of stable vegetation (contact LPO for assistance)
Draw and label erosion setback line (contact LPO for assistance)
_ Draw and label topographical features (optional)
If you will be working in a coastal shoreline area:
Show the roof overhang as a dotted line around the structure
Draw and label landward limit of AEC
Draw and label all wetland lines (contact LPO for assistance)
Draw and label the 30-foot buffer line
DEVELOPMENT PLANS
Draw and label all proposed structures
Draw and label areas that will be disturbed and/or landscaped
Note size of piling and depth to be placed in ground
Draw and label all areas to be paved or graveled
Show all areas to be disturbed
Show landscaping
NOTE TO APPLICANT
Have you'.
• completed all blanks and/or indicated if not applicable?
• notified and listed adjacent property owners?
• included your site drawing?
• signed and dated the application?
• enclosed the $100.00 fee?
• completed an AEC Hazard Notice, if necessary? (Must be signed by the property owner)
FOR STAFF USE
Site Notice Posted _ Final Inspection Fee Received
Site inspections
Date of Action. Issued _ Exempted Denied Appeal Deadline (20 days from permit action)
a
b
r
APPLICATION FOR
t.i
CAMA MINOR
z
DEVELOPMENT
Coastal Management
ENVIRONMENTAL QUALITY PERMIT
In 1974, the North Carolina General Assembly passed the Coastal Area Management Act
(CAMA) and set the stage for guiding development in fragile and productive areas that
border the state's sounds and oceanfront. Along with requiring special care by those who
build and develop, the General Assembly directed the Coastal Resources Commission
(CRC) to implement clear regulations that minimize the burden on the applicant.
This application for a minor development permit under CAMA is part of the
Commission's effort to meet the spirit and intent of the General Assembly. It has been
designed to be straightforward and require no more time or effort than necessary from
the applicant. Please go over this folder with the Local Permit Officer (LPO) for the
he
r^
locality in which you plan to build to be certain that you understand what information
O
or she needs before you apply.
a
r
Under CAMA regulations, the minor permit is to be issued within 25 days once a
q�
complete application is in hand. Often less time is needed if the project is simple. The
process generally takes about 18 days. You can speed the approval process by making
certain that your application is complete and signed, that your drawing meets the
specifications given inside and that your application fee is attached.
Other permits are sometimes required for development in the coastal area. While these
are not CAMA-related, we urge you to check with the Local Permit Officer to determine
which of these you may need. A list is included on page two of this folder.
We appreciate your cooperation with the North Carolina Coastal Management Program
and your willingness to build in a way that protects the resources of our beautiful and
productive coast.
Coastal Resources Commission
Division of Coastal Management
n
rn
zoo
O [
0
❑ O Z
z
DCM Form EB1952-2015/Revised M
® O_
0 � �

Locality
Ocean Hazard Estuarine Shoreline ORW Shoreline _
(For official use only)
GENERAL INFORMATION
LAND OWNER - MAILING ADDRESS
Name
Shirley Ann White
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
Public Trust Shoreline Other 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. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
I, 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 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
Address 102 White Cape Ct
City Emerald Isle state NC Zip 28591hone [phone]
N/A
AUTHORIZED AGENT
Name Bruce Rogers Crystal Coast Construction Unlimited LLC
Address PO Box 4338
City Emerald Isle State NC zip 28594 mu, (25 )241-4271
Email CCC sec rr com
LOCATION OF PROJECT: (Address, street name and/or directions to site, name of the adjacent waterbody.)
109 Dolphin Bay Estates Cedar Point, NC
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
replace existing sea wall tear down and replace house
SiZE OF LOT/PARCEL: 14, 573 square feet acres
PROPOSED USE: Residential EX (Single-family [x Multi -family ❑ ) Commercial/Industrial ❑ Other ❑
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer ifyou are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non -load -bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: 106are feet (includes the area of the foundation of all buildings, driveways, covered decks,
concrete or masonry patios, etc, that are within the applicable AEC. Attach your calculations with the project drawing.)
STATE STORMWATER MANAGEMENT PERMIT: is the project located in an area subject to a State
Stormwater Manairent Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)?
YES_ NO
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.
described as: (check one)
X an owner or record title, Title is vested in name of Shirley Ann White
see Deed Book 1 593 page 453 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 sheet & attach to this application.
NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
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 permit.
(,) A�n19�r Smit 107 Dolphin Ba�At'sre6tes Cedar Point, NC
(2) oger & elen acton 1 Dolphin ay states edar oint, NC
(3)
(4)
ACKNOWLEDGEMENTS:
I, the undersigned, 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 particu-
lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
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 tg enter on the aforementioned lands in connection with evaluating information
related to this permit applii*n.
This the _15— day of Marehz0 1_8
his/her agent for purpose of filing a CAMA permit application
01
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean HazaidAEC Notice where necessary, a checkfor Sl00.00 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 anv permit which may be issued. Deviation from these details will constitute a violation of
any permit. Any person developing in an AE.0 without permit is suhleci to civil, criminal and administrative action.
RECEIVE®
MAR 2 0 2018

J II3 aHW -VV.0(3
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REVISION BY
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