TB_12-04_ Bailey

RECEIVED
JUL 0 9 2012
Issued by WiRO TB 12-04
Surf City DCM WILMINGTON NC
Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environment,
and Natural Resources and the Coastal Resources Commission for development
in an area of environment concern pursuant to Section 113A-118 of the
General Statutes,"Coastal Area Management"
Issued to Ann Bailey, authorizing development in the Ocean Hazard (AEC) at 405 S. Anderson Boulevard, in Topsail
Beach, Pender County as requested in the permittee's application, dated June 7, 2012, and received by DCM on June
11, 2012. This permit, issued on July 2, 2012, 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: The re-construction of a 12'x 12'and 8'x 16'covered porch(located outside of the 60'oceanfront setback)
and a 12' x 28' uncovered porch (located within the 60'oceanfront setback).
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated received by DCM on June 11, 2012.
(2) All construction must 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 [phone] 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 _
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 Jason Dail
modification not covered under this permit, require further written permit CAMA LOCAL PERMIT OFFICIAL
approval.All work must cease when this permit expires on:
127 Cardinal Drive Extension
December 31,2015 Wilmington, NC 28405-3845
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 narty withniit the written annrnval of the rlivicinn of r nactal rr r..,Trrr

Name: Ann Bailey
Minor Permit#TB12-04
Date: July 2, 2012
Page 2
(5) Any structure(s) not authorized under this permit must be set back a minimum of 60 feet from the first line of stable
natural vegetation, as determined by the DCM, the LPO,or other assigned agent of the DCM.
(6) All decking located seaward of the 60' oceanfront setback shall be less than 500 square feet and structurally
independent from the residence, and/or any other structures bordering/abutting the 60' oceanfront setback. The
structure may be cosmetically attached, but must be structurally independent and supported by its own foundation
pilings. No cantilevering or knee bracing seaward of the 60'oceanfront setback is permissible.
(7) The permittee is required to contact the Local Permit Officer [phone], shortly before he plans to begin
construction to arrange a setback measurement that will be effective for sixty (60) days barring a major shoreline
change. Construction must begin within sixty (60) days of the determination or the measurement is void and must
be redone.
(8) Dune disturbances shall be allowed only to the extent necessary for development and if the dune's protective value
is not weakened or reduced.
(9) Disturbed dune areas will be immediately stabilized. All unconsolidated material resulting from associated grading
and landscaping shall be retained on site by effective sedimentation and erosion control measures. Disturbed areas
shall be vegetatively stabilized(planted and mulched)within 14 days of construction completion.
(10) Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently threatened by
changes in shoreline configuration. The structure(s) shall be relocated or dismantled within two years of the time
when it becomes imminently threatened, and in any case upon its collapse or subsidence. However, if natural
shoreline recovery or beach renourishment takes place within two years of the time the structure becomes
imminently threatened, so that the structure is no longer imminently threatened, then it need not be relocated or
dismantled at that time. This condition shall not affect the permit holder's right to seek authorization of temporary
protective measures allowed under CRC rules.
SIGNATURE: r!Z-pug DATE:
PERMITTEE •

---7-0—P5/9 1 L- gCA 614 . -TB ) .;),,, --,'' &
ci.
Locality Permit Number
.:
Ocean Hazard V Estuarine Shoreline _ ORW Shoreline Public:Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER
Name Ann 8a:'
Address 7/? I r` r ,- be-.City (,t1 l S o yi State/ /(),CI, Zictelgjgfig Phone 35 a pZ 9 3 4 7a 6
677SY3
Email
AUTHORIZED AGENT r ,
Name cif F�uJctrcU be ut kt j�S 1710irt�� ...Zi rp r�veiW°[ti T S ,24 C
Address A-x aC) ' V
City SV f-F C','-y State 2/LC, Zip2Y V3 Phone 9/0 4 1? 7=7 7
Email \e pi lc i in [Nc,w) )10 c 5OCH- .c yl'ia► I . Cc tNi
LOCATION OF PROJECT: (Address,street name and/or directions to site. If not oceanfront,what is the name of the
adjacent waterbody.) Lie)5 'jcycxt 11 ., f /Av c ,
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) 8u,'Icl how etc c k
t t (5.0 a ae S e�.s-foo
SIZE OF LOT/PARCEL: 70 % (5o square feet acres
PROPOSED USE: Residential (Single-family Multi-family 0 ) Commercial/Industrial 0 Other El
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: 1 18 3 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)
7,
COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UP N SURFACES: square feet(includes the area of the roof/drip line of all buildings,driveways,covered decks,
concrete or masonry patios,etc. that are within the applicable AEC.Attach your calculations with the project drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to aSitt Stormwater
Management Permit issued by the NC Division of Water Quality?
YES NO JUN 1 1 2012
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.
:AGM VViLMjNGTON, NC

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
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
described as: (check one) � ,
Van owner or record title,Title is vested in{•nn L. exxi 31('
,see Deed Book 4
page l in the 17Ct ,1'- 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 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.
(Na e) (Address)
(1) -�-,n Mc1 Ecc -max- Rock-.1 NC, c
(2QCA-fr,rjrn Ciaer).(e- r151 4W1 S-V "Dr- N.rI ckcx-y NG o'er LO
(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 to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
AN `IbistTi1e day of `Nv,e ,20
M WIL.MlNGI'O'N, NC:
L. •downers person authorized to act as his/her agent for purpose of filing a CAMA permit application
his application includes:general information (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necessary, a check for$100.00 made payable to the locality, and
any information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
As.,,,.,.,Yon»rl,,.,In.,i»`r i»n» APC i,ithervt narmit is evhiart to rivil criminal and administrative artinn_

411,75a
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
July 2, 2012
Jenkins Home Improvements, Inc.
Attn: Scott Edwards
PO Box 2044
Surf City, NC 28445
Dear Mr. Edwards:
Attached is CAMA Minor Development Permit#TB12-04 for work to be done for Ann Bailey at 405 S.
Anderson Blvd., in Surf City, Pender County.
In order to validate this permit, please sign both copies as indicated, for our records. Please retain the
gold copy for your files, sign both pages of the white copy, and return to us within 20 days of receipt, in the
enclosed, self-addressed envelope.
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Sincerely,
Shaun K. Simpson
Permit Support Technician
Enclosures
cc: WiRO files
127 Cardinal Drive Ext.,Wilmington,NC 28405 xj°. rolina
Phone:[phone] FAX:[phone] Internet:www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer Naturally

CAMA MINOR PERMIT NOTICE
Pursuant to NCGS 113A-119(b), the North Carolina Division of Coastal Management, an
agency authorized to issue CAMA permits in areas of environmental concern, hereby gives NOTICE
that on June 11, 2012 Ann Bailey applied for a CAMA permit to construct a deck at 405 S. Anderson
Blvd., adjacent to the Atlantic Ocean, in Topsail Beach, Pender County. The application may be
inspected at the address below. Public comments received by June 30, 2012 will be considered.
Later comments will be accepted and considered up to the time of permit decision. Project
modifications may occur based on further review and comments. Notice of the permit decision in this
matter will be provided upon written request.
Jason Dail
Field Representative
Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Phone: [phone]

4117,A,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
June 13, 2012
[e-mail]
2 Pages
Star News
Legal Advertisement Section
Post Office Box 840
Wilmington,North Carolina 28402
Re: Ann Bailey Minor Public Notice
Kyle: Please publish the attached Notice in the Friday, June 15, 2012 issue.
The State Office of Budget and Management requires an original Affidavit of Publication prior to
payment for newspaper advertising. Please send the original affidavit of the published notice to Melissa
Sabastian, 400 Commerce Avenue, Morehead City,N.C. 28557 [phone].
Please send the original invoice and a copy of the affidavit for payment to Shaun Simpson at Division of
Coastal Management, 127 Cardinal Drive Extension, Wilmington,NC 28405, 910-796-7226.
Paying by Credit Card (number on file with Elsa Lawrence, Ref acct # 796-7215). Please send a fax of the
credit card receipt to me.
Thank you for your assistance in this matter. If you should have any questions, please contact me at our
Wilmington office.
Sincerely,
Shaun Simpson
Permit Support Technician
Enclosure
cc: File Copy
Michele Walker - DCM
197('arrtinal11rivAFrt Wilminntnn N('71:111fl5 One. ,.

N() T
CAMA PERMIT
APPLIED FOR
PROJECT: A • • - • • III _ - I • • _ - - : i ' - at
405 S. Anderson Blvd., adjacent to the Atlantic
—Ocean—in-Topsail--BeaGh—Pe-n-cter County.
9
COMMENTS ACCEPTED THROUGH June 30t, 2012
APPLICANT: FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
Scott Edwards (for Ann Bai/Py) NC Div. of Coastal Management
Jenkins HQmp Improvements, Inr:. 127 Cardinal Dr. Ext.
PO Box 2044 Wilmington, NC 28405
Surf City, NC 28445 Jason Dail, Field Representative
910-796-7221

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OCEAN HAZARD AEC NOTICE
Project is in an: v Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner: ' &&& r Bey
Property Address: IO 5c' ±11 -Av e'rlG✓'
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 pennit 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 re-measured.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 re-measurement
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 erosion rate for the area where your property is LJ01J 1)Pri L
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.
NC DENR
Studies also indicate that the shoreline could move as much as
feet landward in a major storm. Div. of Coastal Management
127 Cardinal Drive Ext.
The flood waters in a major storm are predicted to be about Wilmington, NC 28405-3845
feet deep in this area.
Preferred oceanfront protection measures are beach nourishment 9/6 7 7 Q6 _
and relocation of threatened structures. Hard erosion control
structures such as bulkheads,seawalls,revetments,groins,jetties Phon 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
dor . JUN 1 1 2012
Prope ► :uner Signature ate
DCM WILMINGTON; 44C

a
Receipts for
Certified Mail
7 � (Staple Here)
at
Oct-6ver Ccy eLi �'N
Adjacent Property Owner
751 4 - 5 , ffr tiLi)
Mailing Address
f-{,r �c -y , .-f'f. f?4(6, 1
City, State,Zip Code
Dear Adjacent Property: ,J
This letter is to inform you that I, �`i�►�n /C)a,' i°� have applied for a CAMA Minor
Property Owner 1
Permit on my property at L!U 5 t cJ 14 o c ryi , in PN/ON
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 a 5 - , y 3-6 7,7 ( ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Topsail Beach CAMA Minor Permit Officer,you may submit
them to:
Jason Dail, Field Representative
Local Permit Officer for Topsail Beach
NC DENR Div of Coastal Management
127 Cardinal Drive Extension
Wilmington,NC 20405
910-796-7221
Sincerely,
/ey
Property Owner �!
Ala T,� ,'•-j. nr.
Mailing Address
tt/,' sC,,� Ali, . 7sr.73 JUN 1 1
City, State,Zip Code 2012
DCM WILMINCTON Nc'

I. . "os a ervIceTM
CERTIFIED MAILTM RECEIPT
nr, (Domestic Mail Only;No Insurance Coverage Provided)
• For delivery Information visit our website at www.usps.com,
ir'46Z t4, =,bif ‘,1,
✓ Postage $ 3 ,p,‘ 86,4,,
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MI 0 8 2012
Restricted Delivery Fee
(Endorsement Required)
3
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Sent I
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Important Reminders:
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valuables,please consider Insured or Registered Mail.
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delivery.To obtain Return Receipt service,please complete and attach a Retun
Receipt(PS Form 3811)to the article and add applicable postage to cover thi
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver fo
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required.
• For an additional fee, delivery may be restricted to the addressee c
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receipt is not needed,detach and affix label with postage and mail.
IMPORTANT: Save this receipt and present it when making an inquiry.
PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at
Address, Lot, Block, Road, etc.)
on , in , N.C.
(Waterbody) (Topsail Beach, Pender 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
Print or Type Name
Telephone Number
Date

: U.S. Postal ServiceTM
CERTIFIED MAILTM RECEIPT
0 (Domestic Mail Only;No Insurance Coverage Provided)
r`
ru For delivery information visit our website at www.usps.comb
U.)
mPostage $ ! BEAC
Certified Fee
7 / � yZFes ark
O Rsem Receipt Fee Here
ate 1- /i C 'r/1`_ p (Endorsement Required) k N �� 2012
Th V tt I/l + }fP I('5 5 ct /, A P Restricted Delivery Fee
(Endorsement Required)
Adjacent Property Owner
/5;c1 e boy (At Ln Total Postage&Fees $ 4j
Mailing Address rn sent `s " �8��
City, State,Zip Code o Str (Apt.No.; � /
N 9 o O Box No./ 2, a/ ' ��I /�I
City ta�ZIP+ nC ,
PS Form 3800,August 2006 See Reverse for Instruc.ions
Dear Adjacent Property: ,/ r
This letter is to inform you that I, _ Ali KtI e y have applied for a CAMA Minor
Property Owner ff
Permit on my property at 1 05 `�o�"f h �)��I�r 5c1i1 , in PN/ON
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 o.S a 'a1 y 3 `6 7a 6 ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Topsail Beach CAMA Minor Permit Officer,you may submit
them to:
Jason Dail, Field Representative
Local Permit Officer for Topsail Beach
NC DENR Div of Coastal Management
127 Cardinal Drive Extension
Wilmington,NC 20405
910-796-7221
Sincerely,
_Ari� .r fey
Property Owner
D
Mailing Address R E C E p
(AA'/5.0/1 .�,�� a 7 �‘7' 3 if
City,State,Zip Code JUN 1 1 2012
DCM WILMINGTON, NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at
Address, Lot, Block, Road, etc.)
on , in , N.C.
(Waterbody) (Topsail Beach, Pender 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
Print or Type Name
Telephone Number
Date

AiriA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
AGENT AUTHORIZATION FORM
Date: 12
Name of Property Owner Applying for Permit: Name of Authorized Agent for this project:
Owner's Mailing Address: Agent's Mailing Address: /'
`11.@ Tri r��� �r �Y- &Y
1r11. Imo-, r(G aiW-1 6r- Ci-11 NC cceL1145
Phone Numbe a 5a - y 3-6 7a6 Phone Number riia Li 1 G
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):
C',C�' 1-h 7Ctlor\ (am' CCZCILir1 cfrfst doC.)-`
For my property located at -405 5 • A•r�',rC\a
This certification is valid thru (date) LO j4 S
4 iefi4
Property Owner Signature 7 D to
JUN 1 1 2
DCM WILMING201r0, � �,�c
127 Carriinal flrive Frt Wilminntnn NC 9A4(15 _.one. �„ �,

AFFIDAVIT OF PUBLICATION
STATE OF NORTH CAROLINA �y,/ �` ��
COUNTY OF NEW HANOVER ///
6(//
CAMA MINOR PERMIT NOTICE Before the undersigned,a Notary Public of Said County and State,
Pursuant to NCGS 113A-119(b), the
North Carolina Division of Coastal Man-
agement,an agency authorized to issue Keith Raffone
CAMA permits in areas of environmental
concern, hereby gives NOTICE that on
June 11,2012 Ann Bailey applied for a
CAMA permit to construct a deck at 405 Who,being duly sworn or affirmed,according to the law,says that he/she is
S.Anderson Blvd.,adjacent to the Atlan-
tic Ocean, in Topsail Beach, Pender
County. The application may be in-
spected commentst the receivedress by Junew. public 30,2012 Controller
will be considered. Later comments will
be accepted and considered up to the of THE STAR-NEWS, a corporation organized and doing business under the Laws of the State of
time of permit decision. Project modifi-
cations may occur based on further re- North Carolina,and publishing a newspaper known as STAR-NEWS in the City of Wilmington
view and comments. Notice of the per-
mit decision in this matter will be pro-
,vided upon written request. CAMA MINOR PERMIT NOTICE Pursuant to NCGS 113A-119b, the North Carolina Division
Jason ti
Field Representative of Coastal Management,an agency authorized to issue CAMA permits in areas of
Division of Coastal Management environmental concern, hereby gives NOTICE that on June 11, 2012 Ann Bailey applied for a
127 Cardinal Drive Extension
Wilmington,NC 28405-3845 CAMA p
Phone:[phone]
was inserted in the aforesaid newspaper in space,and on dates as follows:
6/15 lx
And at the time of such publication Star-Ne was a newspaper meeting all the requirements and
qualifications prescribed by Sec.No. 1- G.S.of N.C. ���ounu 'l" ','oup,,
eas,Loo
ti�
. r`S" NOTR/3 2�6
Title: Controller -
Sworn or a armed to,and subscribed before me this f gA Fi4ay of,,
A.D., 9012. .a `41././BL1G v
Z.
In estimony Whereof,I have hereunto set my hand and affixed my '
t Q4�,seal,the d l
year aforesaid. iej VER"nilfiiCO\- ‘‘`•
.. ,,-.- L L. `fie
Notary Public
My commission expires day of ,20 MY COMMISSION EXPIRES911212012
Upon reading the aforegoing affidavit with the advertisement thereto annexed it is adjudged by RE Ji taiil*ED
publication was duly and properly made and that the summons has been duly and legally served on t e 1 GTON, NC
This day of , JUN 2 5 20112
Clerk of Superior Court
MAIL TO:

JENKINS HOME IMPROVEMENTS
PO sox 2044 5655
SURF CITY NC 28445-0017 f l
PAY DATE � 66-19/530 C
TO THE
ORDER OF
$ /0U10C)
DOLLARS ' F...r..
Bank of America
ACH R/T 053000196 ---�
For 9 5 �--e5 41c i p50,1 f rcX