SCEX_11-01_ Kearney (2)

&i/e/PLX //-'%>cality 37--y Permit Number ')>!f.-e-e'
;ean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
ENERAL INFORMATION
LF
kND OWNER Y a�,-t.f',�; �
rme %lel (.L`QcrNe� PillIdress 37-- 9 OIL.« g J
ty v VC1-S Doc a State I\1 (- Z•ip2 5 31 Phone C i ()- 20 r to0 05
UTHORIZED AGENT
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rme z1N O 'OIn
'dress 1 '-C 51 O( 0 v , 5itilve Qo
ty-shq2kX(cfLi State N L Zip Z g l 1,U Phone (T 10 33d 3 3 0
)CATION OF PROJECT: (Address, street name and/or directions tp,site. If not oceanfront,what is the name of the
jacent waterbody.) Si to N Si-IGR E pa., so O - Ctill N1 C
A ttANi ri c Ocr r-
ESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
(ADD A tic k to' BiAclk £ss in O,.cs ks-r)tkCo 2Y°Owti I ro5
P,r40 pc Sloe ser a r S1AI (is fits 2N'`) DikkoA Iit'
ZE OF LOT/PARCEL: f O'�U square feet acres
WOPOSED USE: Residential (Single-family Multi-family ) Commercial/Industrial
:her
JTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVIRON-
ENTAL CONCERN (AEC): "0 - square feet(includes all floors and roof covered decks)
ZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT-UPON SURFACES IN THE
DASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN(AEC): square feet
'alculations includes the area of the roof/drip line of all buildings,driveways,covered decks,concrete or masonry patios,
;.,that are within the applicable AEC.Attach your calculations with the project drawing .)
Noose the AEC area that applies to your property:
(1 within 75 feet of Normal High Water/Normal Water Level for the Estuarine Shoreline AEC
(2) ithin 575 feet of Normal High Water/Normal Water Level for the Estuarine Shoreline AEC, adjacent to
Outstanding Resource Waters IttK „x(3)within 30 feet of Normal High Water/Normal Water Level for the Public Trust Shorelin kg.
�•0 Li.
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
iA � 042011
CATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area�ubject to a State Stormwater
anagement Permit issued by the NC Division of Water Quality? CM WILMINGTON NC

d c0Ask APPLICATION FOR
CAMA MINOR
4. 0),
DEVELOPMENT
> :„....
PERMIT
In 1974, the North Carolina General Assembly passed the Coastal Area
Management Act 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
necessary from the applicant.Please go over this folder with the Local Permit
Officer (LPO) for the locality in which you plan to build to be certain that
you understand what information he or she needs.
Under CAMA regulations,the minor permit is to be issued within 25 days once
a 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
up
your drawing meets the specifications given inside and that your application
fee is attached.
So
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 it
" oll Permit Officer to determine which of these you may need.A listing is included
10 on page 2 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
0110
* lof our beautiful and productive coast.
now ,,...
Coastal Resources Commission
Division of Coastal Management
o •
F I ! F
i.
* mow-- • --. L'` €I! � t» d,

HER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA minor develop-
It permit.As a service we have compiled a listing of the kinds of permits that might be required.We suggest you check over the list
i your LPO to determine if any of these apply to your project.Zoning,Drinking Water Well,Septic Tank(or other sanitary waste
tment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA Certification, r"
d Dune,Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and others.
ATEMENT OF OWNERSHIP: Z
ie undersigned, an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
son authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
ed as landowner on this application has a significant interest in the real property described therein.This interest can be
cribed as: (check one)
_an owner or record title,Title is vested in TC2\1`( Vtoar n , see Deed Book 376:1
;e 300 in the Te710 fart. County Registry of Deeds.
_an owner by virtue of inheritance.Applicant is an heir to the estate of ;
bate was in County.
_if other interest, such as written contract or lease, explain below or use a separate sheet&attach to this application.
1TIFICATION OF ADJACENT PROPERTY OWNERS:
rthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
TUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)` 1
k 5 W w Cps t( Q, 5 T E �`�1�{ �+ , wc1 .l_ Da)
C35 r\1C. tS'a wEsr CoQ �f�555¢40 rlc, Z? 55
LACE N 25420,ift ', Ptklns0A ( 31 Q, N► StiVC De)
z � IC I 1./s0 LOOP 12-0 U40,V5ictio i N ( 23 LtNt 3
R DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
knowledge that the land owner is aware that the proposed development is planned for an area which may be susceptible
,rosion and/or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems
xciated with this lot.This explanation was accompanied by recommendations concerning stabilization and floodproofing
miques.
RMISSION TO ENTER ON LAND:
rthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents to
er on the aforementioned lands in connection with evaluating information related to this permit application.
s application includes: general information(this form), a site drawing as described on the back of this application,the ('`
nership statement, the AEC hazard notice where necessary, a check for$100.00 made payable to the locality,and any N
)rmation as may be provided orally by the applicant.The details of the application as described by these sources are
orporated without reference in any permit which may be issued. Deviation from these details will constitute a violation
my permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.
This the 3 day of ,20 I� EruE I V E
It M 4 2e11

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
Label roads
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

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson Dee Freeman
Governor Director Secretary
January 6, 2011 • Exemption Number— SC41-01
Orin O'quin /'. Qg/c_, SG /U —6
General Contractor
1457 Old Folkstone Road
Sneads Ferry, NC 28460
CERTIFIED MAIL RECIEPT#7010 0290 0003 0834 3790
RE: EXEMPTED PROJECT (MINOR) EXEMPTION
STRUCTURAL ACCESSWAY(15A NCAC 7K .0207)
316w N. Shore Drive, Surf City, Pender County
OCEAN HAZARD AREA OF ENVIRONMENTAL CONCERN
Dear Mr. O'quin:
I have reviewed the information submitted to this office in your inquiry concerning the necessary filing of
an application for a minor development permit under the Coastal Area Management Act for the property owner,
Peggy Kearney. I have determined that the activity you propose is exempt from needing a minor development
permit as long as it remains consistent with your submitted site drawing received on January 4, 2011, and meet
the conditions specified below. If you plans should change and your project will no longer meet these
conditions, please contact me before proceeding.
STRUCTURAL ACCESSWAY EXEMPTED
1. The accessway must not exceed six feet in width and shall provide only pedestrian access to the
ocean beach.
2. The accessway must be constructed so as to make negligible alterations to the frontal dunes. This
means that the accessway must be constructed on raised posts or pilings of five feet or less in
depth, so that wherever possible only the posts or pilings touch the frontal dunes without any
alteration to the dunes. In no case shall the frontal dune be altered so as to significantly diminish its
capacity as a protective barrier against flooding and erosion.
3. Construction of the accessway be shall consistent with all other applicable local ordinances and N.
C. Building Code standards.
4. The accessway shall be constructed in a manner that would minimize any impedance of the public
use of the beach.
127 Cardinal Drive Ext.,Wilmington, NC 28405 One
Phone:[phone] FAX:[phone] Internet:www.nccoastalmanagement.net NorthCarolina
7t 7at,iriil/1/

Ale
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson Dee Freeman
Governor Director Secretary
January 6, 2011 Exemption Number— SC #11-01
Orin O'quin
General Contractor
1457 Old Folkstone Road
Sneads Ferry, NC 28460
CERTIFIED MAIL RECIEPT #7010 0290 0003 0834 3790
RE: EXEMPTED PROJECT (MINOR) EXEMPTION
STRUCTURAL ACCESSWAY (15A NCAC 7K .0207)
3165 N. Shore Drive, Surf City, Pender County
OCEAN HAZARD AREA OF ENVIRONMENTAL CONCERN
Dear Mr. O'quin:
I have reviewed the information submitted to this office in your inquiry concerning the necessary filing of
an application for a minor development permit under the Coastal Area Management Act for the property owner,
Peggy Kearney. I have determined that the activity you propose is exempt from needing a minor development
permit as long as it remains consistent with your submitted site drawing received on January 4, 2011, and meet
the conditions specified below. If you plans should change and your project will no longer meet these
conditions, please contact me before proceeding.
STRUCTURAL ACCESSWAY EXEMPTED
1. The accessway must not exceed six feet in width and shall provide only pedestrian access to the
ocean beach.
2. The accessway must be constructed so as to make negligible alterations to the frontal dunes. This
means that the accessway must be constructed on raised posts or pilings of five feet or less in
depth, so that wherever possible only the posts or pilings touch the frontal dunes without any
alteration to the dunes. In no case shall the frontal dune be altered so as to significantly diminish its
capacity as a protective barrier against flooding and erosion.
3. Construction of the accessway be shall consistent with all other applicable local ordinances and N.
C. Building Code standards.
4. The accessway shall be constructed in a manner that would minimize any impedance of the public
use of the beach.
127 Cardinal Drive Ext.,Wilmington,NC 28405 One
_... _._ ______. . . NnrthC irnlinn

.ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. ' ature
item 4 if Restricted Delivery is desired. ❑Agent
I Print your name and address on the reverse 0 Addressee
so that we can return the card to you. B. Received by Printed Name) C. Date of Delivery
I jj ►
Attach this card to the back of the mailpiece, , 41
or on the front if space permits. (J `�J `
D. Is delivery add nt froi&em ? Yes
Article Addressed to: If YES,enter deli eer ddressZelow: No
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4. Restricted Delivery?(Extra Fee) ❑Yes
!. Article Number 7010 0290 0003 0834 3790
(Transfer from service label)
S Form 3811,February 2004 Domestic Return Receipt 1o2595-02-M-1541

UNITED STATES POSTAL SERVICE First-CJasMail
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• Sender: Please print your name, address, and 2JP44.it'this box" —.-
RECEIVED
0 NC Div of Coastal Management
127 Cardinal Drive Extension JAN 1 2 2011
) ,.:. Wilmington, NC 28405-3845
DCMI WIL.MINGTON, NC
((-41)
k_ten-{ ,)_ o.(Aw it- ,ides✓
fr.. JIIi!iihilliiiiiiiiiiIIiIiitifiiiiil1IIiiiIIIIIIIIllIi:IJIiif1

Name: peggy Kearney c/o Orin O'quin
Exemption # SC 11-01
Date: January 6, 2011
Page 2
This exemption to CAMA permit requirements does not alleviate the necessity of your obtaining any
other State, Federal or Local authorization. This exemption expires 90 days from the date of the letter.
Enclosed please find check number 5650 in the amount of$100.00. This check, made out to NCDENR,
was received in the Wilmington Regional Office on January 4, 2011, for the processing fee for the minor permit
request.
Since ely,
o ey Snid
Field Representative
CC: Peggy Kearney, property owner
Dixon Ivey, Surf City
WiRO Files

Orin O. O'quin
N.C.Lic.General Contractor
1457 Old Folkston Rd_Sneads Ferry,N.C.
[phone] FAX[phone]
Cell:[phone]
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PFCEIVED
JAN 0 4 2011
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N.C.Lic.General Contractor
1467 Old Folkstone Road
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OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: ` I A`I(I,
Property Address: bNI 5 kwe Q�, 5� 4 �� 17�' 1N! L
Date Lot Was Platted:
This notice is intended to make you, the applicant, aware of the SPECIAL NOTE: This hazard notice is required for
special risks and conditions associated with development in this development in areas subject to sudden and massive storms and
area, which is subject to natural hazards such as storms, erosion erosion. Permits issued for development in this area expire on
and currents. The rules of the Coastal Resources Commission December 31 of the third year following the year in which the
require that you receive an AEC Hazard Notice and permit was issued. Shortly before work begins on the project
acknowledge that notice in writing before a permit for site,the Local Permit Officer must be contacted to determine the
development can be issued. vegetation line and setback distance at your site. If the property
has seen little change since the time of permit issuance, and the
The Commission's rules on building standards, oceanfront proposed development can still meet the setback requirement,
setbacks and dune alterations are designed to minimize, but not the LPO will inform you that you may begin work. Substantial
eliminate, property loss from hazards. By granting permits, the progress on the project must be made within 60 days of this
Coastal Resources Commission does not guarantee the safety of setback determination,or the setback must be remeasured. Also,
the development and assumes no liability for future damage to the occurrence of a major shoreline change as the result of a
the development. Permits issued in the Ocean Hazard Area of storm within the 60-day period will necessitate remeasurement
Environmental Concern include the condition that structures be of the setback. It is important that you check with the LPO
relocated or dismantled if they become imminently threatened before the permit expires for official approval to continue the
by changes in shoreline configuration. The structure(s) must be work after the permit has expired. Generally, if foundation
relocated or dismantled within two (2) years of becoming pilings have been placed and substantial progress is continuing,
imminently threatened, and in any case upon its collapse or permit renewal can be authorized. It is unlawful to continue
subsidence. work after permit expiration.
The best available information,as accepted by the Coastal For more information,contact:
Resources Commission, indicates that the annual long-term
average ocean sr9sion rate for the area where your property is
located is feet per year.
Local Permit Officer
The rate was established by careful analysis of aerial
photographs of the coastline taken over the past 50 years.
Stu+djgs also indicate that the shoreline could move as much as Address
�Y feet landward in a major storm.
The flood waters in a major storm are predicted to be about
I v feet deep in this area. Locality
Preferred oceanfront protection measures are beach nourishment
and relocation of threatened structures. Hard erosion control
structures such as bulkheads,seawalls,revetments,groins,jetties Phone Number
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.
RECEIVED
2< JAN 0 4 2011
Property Owner Signature Date
g:: WILMINGTON, I've
Rcwicarl Maw 9111f1

BEFORE YOU BUILD
Setting Back for Safety: A Guide to Wise Development Along the Oceanfront
When you build along the oceanfront,you take a calculated risk. The Reasons
Natural forces of water and wind collide with tons of force,even The beachfront is an ever-changing landform. The beach and
on calm days. the dunes are natural"shock absorbers,"taking the beating of the
wind and waves and protecting the inland areas. By
Man-made structures cannot be guaranteed to survive the force incorporating building setbacks into the regulations, you have a
of a hurricane. Long-term erosion (or barrier island migration) good chance of enjoying the full life of the structure. At first, it
may take from two to ten feet of the beach each year, and, seems very inviting to build your dream house as close to the
sooner or later,will threaten oceanfront structures. These are the beach as possible,but in five years you could find the dream has
facts of life for oceanfront property owners. become a nightmare as high tides and storm tides threaten your
investment.
The Coastal Resources Commission(CRC)has adopted rules for
building along the oceanfront. The rules are intended to avoid an The Exception
unreasonable risk to life and property, and to limit public and The Coastal Resources Commission recognized that these rules,
private losses from storm and long-term erosion. These rules initially passed in June 1979, might prove a hardship for some
lessen but do not eliminate the element of risk in oceanfront property owners. Therefore, they established an exception for
development. lots that cannot meet the setback requirement. The exception
allows buildings in front of the current setback, if the following
As you consider building along the oceanfront, the CRC wants conditions apply:
you to understand the rules and the risks. With this knowledge,
you can make a more informed decision about where and how to 1) the lot must have been platted as of June 1, 1979,and is
build in the coastal area. not capable of being enlarged by combining with
adjoining land under the same ownership;
The Rules 2) development must be constructed as far back on the
When you build along the oceanfront, coastal management rules property as possible and in no case less than 60 feet
require that the structure be sited to fit safely into the beach landward of the vegetation line;
environment. 3) no development can take place on the frontal dune;
4) special construction standards on piling depth and
Structures along the oceanfront, less than 5,000 square feet in square footage must be met;and
size, must be behind the frontal dune, landward of the crest of 5) all other CAMA, state and local regulations must be
the primary dune, and set back from the first line of stable met.
natural vegetation a distance equal to 30 times the annual
erosion rate (a minimum of 60 feet). The setback calculation The exception is not available in the Inlet Hazard Area.
increases as the size of the structure increases [15A NCAC
7H.0306(a)(2)]. For example: A structure between 5,000 and To determine eligibility for the exception the Local Permit
10,000 square feet would require a setback from the first line of Officer will make these measurements and observations:
stable, natural vegetation to a distance equal to 60 times the
annual erosion rate (a minimum of 120 feet). The graduated required setback from vegetation line
setback continues to increase through structure sizes greater than
100,000 square feet. exception setback(maximum feasible)
rear property line setback
max.allowable square footage on lowest floor
PRE-PERMIT STRUCTURE,INADEQUATE SETBACK
PERMITTED
STRUCTURE. PRE-STORM BEACH PROFILE
ADEQUATE POST-STORM BEACH PROFILE
SETBACK
-r - ONE YEAR AFTER STORM/BEACH REBUILDING

ATA,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H.Gregson Dee Freeman
Governor Director Secretary
AGENT AUTHORIZATION FORM
"L 22 t
Date:
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
2 IC QDRI "y1 NI
Owner's Mailing Address: Agent's Mailing Address:
3 \-\ Ra. 1 `{S7 kOrG\V eo
c„\ cs ZR`E66
11 5.3y
Phone Number I `2 2U (OC)(A v Phone Number(C10) 35c
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
(my property located) at 3 t N • s \ r g'' 3-A-(:(-
This certification is valid thru (date)
fi*-4179 /(1 /07 9—
Property Owner Signature Date
JAN 0 4 2011
127 Cardinal Drive Ext.,Wilmington,NC 28405 One
North Carolina

Receipts for
Certified Mail
1 1 (Staple Here)
�3 ,v
Date 4tii1 5 . A`,,( iNAcL A I I
AdjacentSro�rt t=m erl5 \A
nQteVrP; ZOQ_ 6- 27q`55
City,State,Zip Code
Dear Adjacent Property: 31 &{ I . 5 G ri c o e,
This letter is to inform you that I, 1 *'eDqC h k..1 have applied for a CAMA Minor
Pro rty Owner
Permit on my property at - ka N S +2 - ,in PQN) '...
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 retum
the enclosed no objection form.If you have any questions or comments about my proposed project,please
contact me at C'i IO 33(-1 331 U ,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:
Holley Snider
NC DENR DCM
127 Cardinal Drive Ext.
Wilmington,NC 28405
Sincerely, ` \ A-142 A k-
C1), ?..( ‘.‘
Property Owner
Mailing Address
5 E. -eccu C (-1 ( 6
City,State,Zip Code
ECEIVED
RAN 04 2011
DCM rniar A/Slr61 li�a a a.

B. we • - rT 'TM
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0 (Domestic Mail Only;No Insurance Coverage Provided)
3
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ri
GRfrNMPOPNr: 2741!, 7 r
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Total Postage&Fees $ $3.24 01/03/2011
a
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ci
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or PO Box No.
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'S Form 3800,August 2006(Reverse)PSN 7530-02-000-9047

ORIN O. O'QUIN
N,C.Lie.General Contractor
J 3Li:iiv i::i3�4
8 9lY NORTH CAROLINA 28460
F9 � ,_at.12 Fax[phone]
G I 33 33 I d
CA j Re Qv r ! _ k c 510 sr�, s I /ENO Oftkit ,gore.
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to � C�V V-Q.C11;--1(\E 's
(Name of Property Owner)
property located at (,) 0 ` ^ d 02 50
/�
Address, Lot, Block Road,etc.)
(.�
on - ,,to \C.-- (SC � , in S", ••L1 T\ , N.C.
(Waterbody) (Town and/or Co�nty)
He has described to me as shown in the attached application and project drawing(s),the development I ie is
proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
Print or Type Name
Telephone Number
Date
RE r ..
'1 Q 4 2011
,l r!GTON, i C

Receipts for
Certified Mail
t .3 O (Staple Here)
Dat
C 1 N '3E: 3 EEG21 q y 4{t i,./S C s
Adjacent Property pwr •
147 .At k I,14.SCrl L- vo
pipcorri5 f.4o 6 ?Lt`f--5'
City,State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, 7 ��h Q.1 have applied for a CAMA Minor
Pro�erty Owner
Permit on my property at J.1 N •S WQE- fly'` ,in j"Qr 0-0 L..._
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 10 330 3310 ,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:
Holley Snider
NC DENR DCM
127 Cardinal Drive Ext.
Wilmington,NC 28405
Sincerely,
\ ) k (1 A-142 Sc—
Property Owner
Mailing Address
&i/-1-o� e (cc_ tV L ( 6
City,State,Zip Code
P7cElvED
AN042011
? ,,,,tq, TC N, NC

I. . -os a - vi - TM
CERTIFIED MAILTM RECEIPT
Li (Domestic Mail Only;No Insurance Coverage Provided)
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(Endorsement Required) $Q.00
n Total Postage&Fees $ $3.24 01/03/2011
Sent To
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J or PO Box No.
City,State,ZIP+4

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'S Form 3800,August 2006(Reverse)PSN 7530-02-000-9047

.ft,f't.1 IL r Pit "let!I!te•—i
tnurs V. ii 44,401111
N.G.Uc.General Contractor
1467 olkstone Road
SIVelja9 Font,.r410411-1 -CAROLINA 2164W
1:111)Pl--gi. 2 Fax[phone]
al I 0 330 33 1 0
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ADJACENT RIPARIAN PROPERTY OWNER STATEM EN"'
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to,t'-E99 _Q 'll2_,'\Q ,s
(Name of Property Owner)
property of O ro located at �
� Address, Lot, Block Road,etc.)
/n�
on 1. 1 l A \C-- aC , in S e..CL1•Tk C , N.C.
(Waterbody) (Town and/or Colunty)
He has described to me as shown in the attached application and project drawing(s),the development I is
proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
Print or Type Name
Telephone Number
Date
RECEIVED
JAM 0 4 2011

O'QUIN CONSTRUCTION 5650 N
PHONE[phone] 1
} 1457 OLD FOLKSTONE ROAD 1
SNEADS FERRY,NC 28480 t ` ' 1 ' 66-30/531 M
DATE 457
PAY} THE N � r NJ rL I ( `�k K
OR
ORDER OF $
oizpJ 1-- NUN O2.`0 - iitie DOLLARS 8 0n
ORIN O'QUIN OR TRACIE W.O'QUIN
First Citizens
Bank
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izens.com fi
FOR L��G�'Vt" �C'�...1'�!f 3 �a `y- ` 1.�� "�' A
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