TB_21-22_ Keith (2)

RECEIVED
Issued by WiRO OCT 2 7 2021 TB21.22
Topsail Beach Permit Number
DCM WILMINGTON, NC
CAMA
MINOR DEVELOPMENT •
PERMIT ` ,4
NORTH CAROLINA
Environmental Quality
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 Clark Keith authorizing development in the Ocean Hazard Area of Environmental Concern (AEC) at 1512
Ocean Blvd., Topsail Beach, Pender County as requested in the permittee's application package, dated September
22, 2021, and received by DCM on September 28, 2021. This permit, issued on October 14, 2021, is subject to
compliance with the application and site drawing (where consistent with the permit) dated sealed on September 28, 2021
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 dwelling.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat drawing
prepared by Charles F. Riggs and Associates Inc., and dated mapped on September 8, 2021. The authorized work plat
was received by the Division of Coastal Management on September 28, 2021.
(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. This permit must be on the project Jason Dail
site and accessible to the permit officer when the project is inspected for
compliance. Any maintenance work or project modification not covered under C A LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this 127 Cardinal Drive Extension
permit expires on:
Wilmington, NC 28405-3845
December 31,2024

Name: Clark Keith
Minor Permit#TB 21-22
Date: October 14,2021
Page 2
(5) The permittee is required to contact the LPO at(910) 796-7221, shortly before he/she 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.
(6) Any/all structures constructed within the Ocean Hazard area shall comply with the NC Building Code, including the
Coastal and Flood Plain Construction Standards of the N. C. Building Code, and the Local Flood Damage
Prevention Ordinance as required by the National Flood Insurance Program. If any provisions of the building code
or a flood damage prevention ordinance are inconsistent with any of the following Area of Environmental Concern
(AEC)standards,the more restrictive provision shall control.
(7) 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 vegetated and stabilized (planted and
mulched)within 14 days of construction completion.
(8) This permit does not authorize the removal and/or transportation of sand from the subject property.
(9) All buildings must be elevated on pilings with a diameter of at least 8 inches in diameter if round, or 8 inches to a
side if square; and the first-floor level of the sills and joists must meet the 100-year flood level elevation.
(10)All pilings shall have a tip penetration greater than eight feet below the lowest ground elevation under the structure.
(11)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 Coastal Resources Commission(CRC) Rules.
(12)Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
n i7 ~

Tom &L h
Locality l SI Z _OCeA ''"�/! _' .. Permit Number
Ocean Hazard _ Estuarine Shoreline ...,.... ORW Shoreline Public`Crust Shoreline Other,... _
(For Trial use only)
GENERA(.,INFORMATION
LAND OWNER-MAILING ADDRESS
Name C j ' C. _----
Addtess
City f o �. State 11..)� zip.?MO Phone 14_11-„.2
m�+1......1, (At k _ _e___ .eIIL, cow- _—
AUTHORIZED AGENT
Name LRL. C. __ '�� w-...
AddressrIs7o �. __ro . 444 11 ....w __
City S' ,-- OirySt t �-- _... pith epitaph. 'tci- - 2S 1r,__
Email _i.141e-_._ t sideccost -4..c. er! cc","-
LOCATION OF PROJECT: (Address,street name and/or directions to site;name of the nOccnt waterbnd)0
151 Z oeepkto T tJ • ._ 1)-44= 44e,47.._. C 2eq 5--
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) YA.461, STt_
SIZE OF LOT/PARCEL: .. .. .___....__ square feet L. __.._ acres
PROPOSED USE:Residential (Single-fatoily Multi-family 0 i ('ommercialFlmitintrtal] other 0
COMPLETE EITHER(1)OR(2)BELOW(Contact yoar Local Peruth Officer i/'you are ant sure which AEC dies
to year properly):
(1) OCEAN HAZARD AECs:TOTAL.FLOOR AREA OF PROPOSED SYR wilt RE:. .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 (W BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUlL'1•
UPON SURFACES; _.,square 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 STORMWAI"ER MANAGEMENT PERMIT: Is the project located in au area subject to State
Stomata-Management Permit issued by the NC Division of Energy, Miner a; and Land Resources(DEMLR)'1
YES _ NO,
If vest_Iiit the total built upon area/impervious sur face allowed for your lot or porcel: _.... __.__,._ square feet.

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 Conseivati"n,FIA
Certification.Sand Dune,Sediment Control,Subdivision Approval,Mobile Home Palk Approval,Highway Connon,and
others,Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
I,the undersigned,an applicant fora CAMA minor development permit,being either the owner of property in an ARC or a
person authorized to act as an agent for purposes of applying tier a CAMA minor development permit,certify that the person
listed as landowner on this application has a significant interest in the real piopetty described therein.This interest can be
described as:(check one)
-an owner or record title,Title is vested in name of
see Deed Book q7 lir p t c. gas- an the County Registry of Deeds.
an owner by virtue of inheritance.Applicant is an heir to the estate of
probates in __..county.
if other interest,such as written contract ut lease,explain below or use a separate sheet&attach to this application.
NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
I fhrthartnore certify that the following persons are owners of ptuperaies 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.
(Name) (Address)
(I) 4Vo to-.J _._ .0 rgAn•.-4 21101
1.
(2) ✓lower hire vg r f 31 I t Ala u 0 w 1„A.,.• - Z.1?a'?
(3) DAal#,I A 1 A t r __...L .Z.1 3.-1<p few a, _._Ct t _._W— 782i 11
O
ACKNOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for tut 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 recoantnendations concealing stabiliza-
tion and tlondproofing techniques.
I furthermore certify that I am authorized to grant,and do in i wt 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.
This the Z1.- day of.6404. ,20 Z t
Landowner or n he i to act as hisihcr agent for purpose of tiling a CAMA permit application
1 kis appllcation imitates:general information(ibis,orris),a site drawing as described en tire bath of this application,the
ownership statement, the Ocean Hazard ANC Notice where necessary, a check Jar$I nt1.00 made payable to the locality,and
any information as may be provided molly by the applicant. The details of are application as described by these somees are
incorporated without reference in any permit which may be barred Deviation from these details will constitute a violation of
any pencil. Any person developing in an ARC without permit is tublk'ct to civil,criminal and administrative action.

AGENT AUTHORIZATION FOR CAMA ERMIT APPLICATION
Name of Property Owner Requesting Permit: eigfrk
Mailing Address: _'J1I K.1.5 y
ge'
Phone Number: 70q- 341 - 6 736
Email Address: C/qi P-1 Y5. r1-1
I certify that I have authorized ZA1/:///A-,.- (e0,444/ cLrdt 64-
Agerlt; ontrartof
to act on my behalf, for the purpose of applying for and obtaining a$ CAMA permits
necessary for the following proposed development: _PIA*,/,
at my property located at I 5-I Z. eXe,A-)....) f?tvci .
in Pr.--ttiC.r County.
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.
Property Owner Information:
k:z1/
Signature
t-
Print or Type Name
Title
61 121 cR49 1
Date
This certification is valid through / ,./2c.;2 2..

ROY COOPER ! '�,
Governor
ELIZABETH S.BISER
Secretary
BRAXTON DAVIS NORTH CAROLINA
Director Environment, 'r)uality
October 14, 2021
Clark Keith
4717 Asbury Drive
Monroe, NC 28110
Dear Mr. Keith,
Attached is CAMA Minor Development Permit TB 21-22 for work to be done at 1512 Ocean Blvd in
Topsail Beach, Pender County. An electronic copy has been sent to the Topsail Beach Inspections
Department and your Agent.
To validate this permit, please sign both copies as indicated for our records. Retain the gold copy for
your files, and return the white copy 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,
y Yl_ &v &/(Jh
Anita M. Webb
Permit Support Technician
N.C. Division of Coastal Management
Enclosures
Cc: WiRO files
TB Inspection Dept.
Beachside Custom Homes-Agent

I,JALES.LED28,PROFESSIONAL LAND SURVEYOR. DO
HEREBY Cum THAT i HAVE SURVEYED THE PROPERTY AS
SHORN HEREON N ACCORDAN:E NTH THE STANDARIS OF IA 1;Y.4
PRACTICE FOR LAND SIRRKYNG N NORTH CAROu1A THAT [�p� Rg 5WM
THE RATIO OF PRECISION AS CunN ATED BY LATTUDES AND .,/' 1 1 - /::' •.^`� (I,1:47,LN Rk OCEAN BOULEVARD �'
DEPARTURES IS .ILId� ,• [ •=1 ;} fd! .� j q 9
i ERR NAP y I /..A'► �6� Vr
.AWLS A LEYRS P.LS 1-4562 VN
2 S
dI Id I . `_� Nten ANNATCN
MIS IS TO CERTIFY THAT THE SUBJECT PROPERTY IS •\V\'r �I,
LOCATED N Row ZONE YAMS %INCH NOW OR FORMERLY i C•`}
K A SPECIAL ROOD HAZARD AREA AS 4' BRANCO PARTNERS Im 4
DETERMINED BY 9 FEDERAL EMERGENCY WANAREMD0 i1 D.B. 765,P. 189 J
AGENCY,LAND THE NATIONAL n000 INSURANCE PROCFAM. I LOT 9,BLOCK 39
CeMs7GHNro SS2 i2D a PEawARY TB soot . NOW OR FORMERLY L. NEW TOPSAIL BEACH A ,.....3
T N
D.B.4556 TEP. 267 =I + M.B.4,P. 2 I I$ I V b
LOT TO,BLOCK 39
NEW TOPSAIL BEACH ^dThis
M.B. 4, P.2 I I 73• RBI' 'V REVIEW A APPROVAL BY THE ACT T��M
_ S41'04 35 E 124.36' NSB J027'N 2R.i1B• I y..
EN 5349' Y vj 41,QD 29.87 TB' °EWN
LALL PONTS NON N0M1.IJp1ED
* 1'5 53,_,7,
`'19l'c(475'l --j N./•� UNLESS OTIHERMSE IgTED
too� 7s. .10' 10.0' St 1C..
NOW OR FORMERLY ry I. js K I ,,_.� 18.3. a J !_ �I inNERT
BALDASSARE Hi �. S III d 7 : v' 1 SrTBAnLe
D.8. 4673,P. 663 'O I 7 I 7.5' $ I7.IF 1a IIIII�' 1� —�'ir T� ' FRONT-.7.5'
LOT 12, BLOCK 39 7.3'K x 8 x W•w'
REAR • 20'
NEW TOPSAIL BEACH ry (b! R,
SIDE -7.5'
M.B. 4,P. 2 1 k 1 K74' g I R X € a i t
o a g fe p 85
4' I ( R : "6 U. CLARR KEITH 6 NFE,
1 11 0' I § HEIST KEITH
L7.5'SETBACK(1001')-,,A_ _i IIllifflui ' ' -
_
g
r ])TE tn.J.6' ).6' a8 4745.P.905
56.35 A tij A 40.98' A1'v� 30.82 62' EfR 49,
AOIDNER� EN N4T'03'19"W 128.16' 6T1p'Dy�
3•MOOD I I 8 ti ' i RENCNARK
SAILA
PICKET FENCE bR 4202-92-4559-D000
FLOOD ZONE "AE" ryI al FLOOD ZONE"VE" 4! FLOOD ZONE"VE" I
(ELEVATON-13'+3') •
(ELEYATON-1(+3} i (ELEVATION-15'43') 10
08 785,s P. 169
IS
m I� 0.8 4871. P.,5311
NOW OR FORMERLY nI D.B 4673. P. 6U
HECKAl110RN ; NOW OR FOIRMERLY I afl 4745, P. 105
BRAMCO PARTNERS '' W8 4, P. 2
D.B. 1871, P. 1598 '5
LOT 14, BLOCK 39 cA D.B. 765,P. 189 v
NEW TOPSAIL BEACH _I LOT 13.BLOCK 39 a LEFi�
M.O. 4, P.2 NEW TOPSAIL BEACH o ,8 CC -CONTROL CORNER
H M.B. 4,P. 2 U ECN-MING CONCRETE NCRU ENT(FO ADKCONTNX CORN
O EOPCS-ELSTID COTRONTON SPIPEPINDLE
g I )EN .E.OSTiNG IRON ROD(FOUND)
PDS . ( UK E•E1OT 40 PP 5ERNC -KNOC N NM.(Fc4M. M II0OION1RRCL CONTROL CORM
PROPOSED DWELLING WITIIOUT EAVES -2.S1B SaFt. F3R NMP �r S ERRS-EXISTING RAUIOAD SPIKE(FOUND)
PRDPDFD CTYCRFTF 1919K _'Se Ft S
PROPOSED NPERVIDUS SURFACE -3,222 San. /Rl-MINIMUM BUILDING lA'E
TQTAL'01 AREA -7 5d Re Ft N43104'57-R 128.52' IRR/AN-NON OIl IF 4*7 O PANT
PROPOSED NIPERV0US AREA - 42.4% FMN SCR-SET CONOKTE II0N NENT(CONTROL CORNER)
SIP .SET IRON PIPE
PROPOSED OSED OMELI.NG I5 SINGLE STORY ON PILINGS N THE i six.SET 9A0NEDC NAL(CONTROL CORNER)
GROuN0.OPEN BELOW. � -CENTFJBNE-KALON NM.(CONTROL CORNER)
- �-POSER POLE
D BENCHMARK: ERN TE R HR C/L NTERSECTOI OF ASPHALT O' (�•TELEPHONE PEDESTAL
ELEVATION: 5.06 A A &OCEAN BOULEVARD Bt'.SPOT ELEVATION
KRTCAL DA1UW NAVD 68 C -UGHT POLE
KR11CAL DAMN OBTANl1)NTH TOPCON ORS USNO
N.C.GEOOETC CONTINUWS CVERATN4O REFERENCE STATIONS —44,N POWER UNE
Dom
CHARLES F. RIGGS & ASSOCIATES, INC.(C-730) BOUNDARY SURVEY & PRELIMINARY PLOT PLAY GRAPHIC SCALE
FOR ar
X
LAND SURVEYING - CONVENTIONAL GLOBAL POSITIONING SYSTEMS, CLARK KEITH WIFE,1FE, BETSY KEITH
LAND PLANNING & COMPUTER MAPPING
(dress)
502 NEW BRIDGE STREET LANDFALL EXECUTIVE SUITES LOT 11, BLOCK 39, NEW TOPSAIL BEACH, M.B. 4, P. 2 I loch-20 FL
P.O. BOX 1570 1213 CULBRETH DRIVE TOPSAIL BEACH TOWNSHIP, PENDER COUNTY, NORTH CAROLINA ACTUAL FIELD SURVEY DATE: SEPTEMBER 7, 2(
JACKSONVILLE,N.C.28541-1570 WILMINGTON,N.C. 28405 C_ARK KEITH & WIFE, BETSY KEITH; OWNERS, D.B. 4745, P. 9D5 MAPPING DATE: SEPTEMBER 8,2021
TELEPHONE: [phone] TELEPHONE: [phone] 1512 OCEAN BOULEVARD FIELD BOOK: 1231 , PAGE: a_
E-MAIL: ri9p61endtri9961ondnc.corn !PROJECT NUMBER: 21-D9-05 I

OCEAN HAZARD AEC NOTICE
Project is in an: Ocean Erodible Area High Hazard Flood Area , inlet Hazard Area
Property Owner: CJAr t k Cw 4.L
Property Address: i 5�12- PC s 11.,..�
•
Date Lot Was Flatted: -7
This notice is intended to make you,the applicant,aware of the SPECIAL NOTE: I Iris hazard notice is required for
special risks and conditions associated with development in this development in areas subject to sudden and massive strums and
area,which is subject to natural hazards such as storms,erosion erosion Permits issued for devetoptncnt in this area expire on
and currents. The rules of the Coastal Resources (:omumissi,it December 11 of the third }car following the year in which the
require that you receive an Alf' tl:uard Noti:c and permit was. issued. Shealy before work begins on the project
acknowledge that notice in Nvriting before a permit for site.the (neat Permit Officer must he contacted to determine the
development can he issued. vegetation tine and setback distance at your site. If the property
has seen little change since the time of permit issu;hncc.and the
The Commission's rules on building Marinette, oceanfront proposed des•elnpment can still meet the setback requirement,
setbacks and dune alterations are designed to minimize, but not the CPO will inform you that you may begin work. Substantial
eliminate, properly loss from hazards. Ry granting permit:, the progress on the project Must he made within 60 .lays of this
Coastal Resources Commission does nut guarantee the yeete of setback detcnttinatiou,ur the setback must be re•►neasured Also,
the development and assumes no liability for future d:nn:t: to the occurrence of ;t a nor shoreline change as the result of a
the development. Permits issued in the Ocean lla°ard ,Area of storm wit in the 00-day period will necessitate re-measurement
Environmental Concern include the condition that structures be of the sethadk It is important that you check with die I.P0
relocated or dismantled if they become imminently threatened bcfine the permit expires for official approval to continue the
by changes in shoreline configuration. lire stru.tttre(st must be work after the permit has expired. Generally, if foundation
relocated or dismantled within two (2) years of becoming pilings have keen placed and substantial progress is continuing.
imminently threatened, and in any case upon its coltapee or permit renewal can be autlturized it is unlawful to continue
subsidence. work after permit rxptrntiou.
The best available information.as accepted by the C oust:it hbr more lnwrnration,touted:
Resources Coiytnission, indicates that the atmmni tong-tern
average ocill.erosion talc for the area where your property isJi)-SOIJ �``
located is feel per year. .in-/L
Loco!Permit Officer
I'he rate was established by careful analysis cif aerial
photographs of the coastline taken over the past 50 years
NC DFNR -
As:leis° indicate that the shoreline conk! Fume AN torch as
feet landward in a nhajur storm. Div. of Coastal Management
127 Cardinal Olive Ext
13 4(I)'1 waters in a major storm are predicted to he about Wilmington. NC 2$405 3845 _
feet deep in thus area.
Preferred oceanfront protection measure-.are knelt nourishment ,
and relocation of threatened structures. fluid erosion ,.onto! yia� )tip ^ '' f
structures such as bulkheads,seawalls,revelments,groin:,iwtties Phant Number
and breakwaters are prohibited. 'femporars sand bags rimy he
authorized under certain conditions.
The applicant must acknowledge this internatir•n old
requirements by signing this notice in the space below. Without
the proper signature.the application will not he complete.
, / .
Pmpeity Owner Signature Dote
Reused May 2010

. "0s ervice
CERTIFIED MAIL' RECEIPT
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PS form 3A00.April 1U"I r S477,305/7-iY.Y.t :v17 'Se*Reitet3e-14!li
Dear Adjacent Property }J f i
This letter is to i=itorm you That i; _. t "� ._ / t - ._.... have at:,r.,teo'o for a CAMA Minor
Pro city Owner
Permit on my property at 1 512 Ce.,ANr,
Property address
County. As required by i.AMA rec nation s nave er;c ec a a oy t` y peril aoi:pri :aeon and project
drawing(s)as not tiication of my proposed prof e1 e. No action is required from you"'you may sic n and return
the enclosed T1GV/Gj� f//3G/:iJ?i/tltEirt,ti�Jyou nave 'sy questions ns or is;"s e s at: ut!IT),f"; ,�. it o r j :,oiease
contact meat i 10. ✓ �1 Gf ..... .1by me,, it you h to
Applicants atti'" v
The written comments or chiectioris r,itri the i'w a s hiR rCAMA Mtnor Perm. it:si"ir' voii may siitvwt
them to:
Jason?Dail
tit pert n ef' v p d.;8eacr
NO.:1ENR,,0CM
12 arihna;Ct ::",A1 4RieaSiO1,
264 j'5
Sncerety,
CIAr
Property Owner
21711 4$Lt;,v-,,,
Mailing Address 4\7
kJG 21110
City,State,Zip Code

•
CERTIFIED MAIL RECEIPT
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PS Porm watts,April 2-015 PS:,1 f.4,04 s, It • t• n
Dear Adjacent Property.
This letter is to inform you Zflat I,
Cl/4(k— :•:ave
Permit an my property at i5iz Bluc . in•iik443W
Properry
County. As required by CAVA ye.E,ficeu CO Try pei•r•:1:..ippr.. ,,,;cii protect
drawingts)as notification or my of000s.f.d proiw,I.No actior.is requir€<lfr,J:i.: :17 rr,zi s and return
the enclosed no objectoi fOrrr! If you%a ve an:;u:;Ths u-rspcs-,ic 3 ,r.;;ease
contact me at q10- 5-‘11•zril ! ;f you wis!
ApOicant's
file written comments oz.oiecti<x,s it Pz:-11.;*, :nay•:.:tiz-mit
them to:
127 Or
Sincerely,
ClAvIc
Property Owner
Z17/-1 4$‘04-
Mailing Address
14440oree )...)6, 2e/10
City,State:Zip Code

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CERTIFIED MAIL' RECEIPT
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P3 rutm 3800,April 201s 8s.Nerse for In.
Dear Adjacent Property. t t 1. ` 4
This letter is to inform you that i, C iA{ 5 t- 44 V`� haVe.3pp!'ted for a CAMA Minor
Property YNner
Permit on my property at.__,.__S I... .._.DCf,t_%-+ .t+ = _.._ _._._.�....,r Brett. ,
Property Address
County. As required by CAW,regulationa, s,;3 e enclosed a may„l my permit at ii:atirr,and pio;ect
drawing(s)as notification of my proposed project.No action is required from yoc or von may sign and return
the enclosed no objection form.If you baVe dny,questions or Lorry netts about my proposed project,please
contact me at 47110 • 54/1-tS” ......_.......lr by la?!$1 the irt �listed. , you wish to
Applicant's',eieano e
file written comments or objections with the NC DENR Minor Permit Progra�, you may submit
v t'
them to:
Jason Dad
LoOat Perron Ofi; er for North Tcpsai 8eacta
NCDENR,Dr.:M
127 Cardinal Dr,v-e Extension
Wilmington,NC 2e405
Sincerely,
C LA414, ic—tiVL
Property Owner
C/71 45 IPActi Dr
Mailing Address
rVIOKIYGc. ,'VC, 20116
City,State,Zip Code

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Receipts for
Certified Mail
(Staple Here)
•22• z I
co PA 1-►.�u ¶
Ad jacglit-4;61 P`rooe,�ty Owner
t
Mrs ress uG O
City,State,Zip Code
Dear Adjacent Property: L ) l
This letter is to inform you that 1, v � ) / nave app ied for a CAMA Minor
Property Owner
Permit on my property at 15 i 2 Q Ct i;
u(� ., �gyy
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 sicn and return
the enclosed no objection form.If you have any questions or comments about my proposed project,please
contact me at Ito 5 ii•ZSsy ;or by mail at the actress listed below. If you rash to
Applicant's Telephone -
file written comments or objections with the NC DENR CAMA Minor Permit Program,you may submit
them to:
Jason Dail
Local Permit Officer for North Topsail Beach
NCDENR!DCM
127 Cardinal Drive Extension
Wilmington,NC 28405
Sincerely,
Property Owner
�717454cAr.3 �)r-
Mailing Address
City,State,Zip Code RECEIVED
OCT 0 6 2021
DCM WILMINGTON, NC

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to a- /09-4E K— • 's
(Name of Property Owner)
property located at I -C7 v d C"-N` .731-4/1>
Address, Lot, Block,Road, etc.)
on , in ,N C.
(Waterbody) .461ot1r Topsail Beach,etisfei 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)
2tv«a ueuthevP rs
p
Si• t r� 1 M 7 e-S
2va3s-94- rV. /312.4-144e
Print or Type Name
33 - c7 '— y , 77
Telephone Number
_ 9 2ci /z-'
fiat
RECEIVED
OCT 0 6 2021

.,IA9f[IL IJ►I4 MgYSRONAL LAND SURVEYOR. DO
Y R MAT I NAK SURKKD MC MdNCRtt AS
SHORN HEREON IN ACCORDANCE W N TIC STANDARDS Of r r..: I'I' (tL
PRACME FOR LAND SURVETNO N NORM CAROUNA NAT CC//LL j[TON Qi��KAL[pF
1NE RAUR7 OF PRCC19p1 AS CALCULATED BY LATITUDES AND CURKN AVENUE It 6CEAN 6DOUVAAE ) q�
DEPARTURES IS:_Lapin r L , . ...` ' c
ES ES
(OR I NMP IEEE v. I r s 0,6� PW
AWLS A LEMS PL.5. L-.552 I
NI 2
$ I6 i t NORM(SRETON
,NIS IS TO CERTIFY TNA1 11c WRAC,
PROPTY IS Rot M NNE
LOCATED N FL000 ZONE VARYS NNE. NOW OR FORMERLY o
��$y A SPECIAL R000 HAZARD AREA AS •I BRAMCO PARTNERS I^i r1
DETCRANYD BY TIE FEDERAL EMERGENCY YANAOEYENT r D.B. 765, P. 189 u
AGENCY.AND TE NATIONAL FL000 INSURANCE MOORAM. I LOT 9, BLOCK 39 I S "'
'YEW{5 a4/ Rr6RUARY TO 2007 NOW OR FORMERLY NEW TOPSAIL BEACH 8
LOT 0 56LOCK 39 =I I M.B. 4,P. 2 I
D.B. 4558. P 287
NEW TOPSAIL BEACH THIS PRCUMNARY PLOT PLAN IS SUL.CCT 60M
M.B. 4,P. 2 I 7,y. I6.I' it I P E APMOVAL 6Y LINE LOCAL JECT TOCTON
_ Sat'p4'3S'E T24.36' LN3r3o1rw 2v.w•
OR 53 49' ~ bri 41.00 �,i 29 RT EIR - OEMN
— ALL SSPOINTS1 MON E NOTED TIED
"61TJ 75 m LOT3'1— �1 [ UNLESS SI[RR1SI4 NOTED
r. 10.0' 7]• 41.E TOO'.
NOW OR FORMERLY Q I.I 6 x I µ le 3 p I ZONED
BALDASSARE LM d i : 1 1 zihm sr 1BACK3
D.B. 4673.P. 663 $ 7rf 7.9' b 't FRONT-75•
LOT 12. BLOCK 39 m 7.3'x I@ I x b x i e �, ' S SR[Q _ro.
NEW TOPSAIL BEACH N I M 75' SI
B O 8 $J
M.B. 4, P. 2 OI 7.4' it 3
,n agiI ii c ,6 o 8 : Pt CLAR215=K
I CLARK KOM!MK.
= I I 41.7 I i 6[TSv NEIM
v 1_7.3_SE76ACK(100.1') � _L� ? __ _ i Onr vwR1
0 I x7,0' 7.6' D.6 4745,P 905
_ 56.M' ) x 40.90' Irv. 30.e2' e.2' EN 49'
ADJCINERS� Ort N41'O8'19-W 128.16' g' 8STO'0yT yO 27 CW !ALAI
O ]'HOOD I I UT I KMCM4RK .202-92-4559-0000
33 PICKET MICE
r �1 m FLOOD ZONE'AE' §I FLOOD ZONE "VE" el FLOOD ZONE"VE" Brff*P.rES
(ELEVAT10N-13'+J') n i (ELEVATION-14'+3') k (ELEVATION-15'+3') IN De 765. P t69
0.9 .550. P. 207
—
p m $ i a I P.1596
Z NOW OR FORMERLY I Ds .473, P 663
^^ HECKATHORN ; NOW OR FORMERLY m a we.i7ai P 902
y/ C n BRAMCO PARTNERS a.
0.8. 4671,P. 1598 f
F J D.B. 765, P. 189 a �FFep
m LOT 14, BLOCK 39 ca
7 LOT 13,BLOCK 39
0 0 NEW TOPSAIL BEACH I NEW TOPSAIL BEACH $ CC CONTROL CORNER
N M.B. 4. P. 2 t [a [nsTING CONq(TI YDNlYENI(FDuroKcapa cgNMp
Z IN M.B. 4,P 2 8. 3 I Ks-[.STING COTTON SPINDLE
!2 OP (WING NON PIPE(FOUND)
ZI I OR EKISTING NON ROD(FOUN))
/'� y( CMN O9STN0 MAGNETIC NAL(FOJNOxC�ONIRO.CORNER)
1,! blIIIEOYD DMEU.NC MMpIT LAWS -2,316 SV FI. �CR( NMP CPR DOSING PARKER-MN NAL(FOUR) CORNER)
PROPOSED r`ONCHEI[DRIVE . ,21 Se r1 ERRS.ENS LNG RAILROAD SPIKE(FOUND)
NE
PROPOSED amutvgUs SURFACE .3.222 Soh �¢ L LIMP MINIMUM UMENTEBUILDIN LPO
PROM IDJ ARr .704 se Fl (IMP NON MdR7YEMTEO PANT
MOPOSEO IYPCRM011S ARCH .24; N43'04'S7'W ,26.52' RSPA/7 OCT CONCRETE OF MAT
CNN EYN SIP SET IRON PIP[PCNWENT(CONTROL CORNER)
SIR SET IRON ROD
aOSCO DWELLRIG IS SINGLE STORY ON PILINGS N MC 6 Um SILT YAp1EM NAIL(CONTRR CORNER)
GROUND,OPEN BELOW . PK SET. CENTERPA 0IC O1 NAIL(CONTROL CORNER)
g SSE[CCTT
SCPOWER PERI
NCIIMARK. EMN 9EBO�T 'F4A1D (01:7111PNONE
SPO E VAPEDESTAL
N:ELEVATIO SOTx
MN
VERNAL DATUM' NAVD 66 IS -U71T POLE
VERTICAL DATUM MOANED YIN TOPCON DRS USING --11y.-PonEIR uNE
NC SEDOEM CONTINUOUS OPERATING REFERENCE STATIONS
EYN
CHARLES F. RIGGS & ASSOCIATES, INC. (c-73o) BOUNDARY SURVEY & PRELIMINARY PLOT PLAN GRAPHIC SCALE
FOR c RK
LAND SURVEYING - CONVENTIONAL & GLOBAL POSITIONING SYSTEMS, CLARK KEITH & WIFE, BETSY KEITH
LAND PLANNING & COMPUTER MAPPING ( 01 Par)
502 NEW BRIDGE STREET LANDFALL EXECUTIVE SUITES LOT 11, BLOCK 39, NEW TOPSAIL BEACH. M.B. 4, P. 2 tlmh- eo D.
P.O. BOX 1570 1213 CULBRETH DRIVE TOPSAIL BEACH TOWNSHIP, PENDER COUNTY, NORTH CAROLINA ACTUAL FIELD SURVEY DATE: SEPTEMBER 7, 2021
JACKSONVILLE, N.C. 2 8541-1 5 70 WILMINGTON, N.C. 28405 CLARK KEITH & WIFE, BETSY KEITH; OWNERS, D.B. 4745, P. 905 MAPPING DATE' SEPTEMBER 8, 2021
TELEPHONE: (910)455-D877 TELEPHONE: [phone] 1512 OCEAN BOULEVARD FIELD BOOK: 1231 . PAGE: t E-MAIL: rigQRlondOrIggNl0ndnc.com [PROJECT NUMBER: 21-09-05 I

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FLOOR PLAN NOTES: 1;
Ara CEILINGPLATE NEg q NT IOROU• 'LOON. ;;
1 I I S'CEILING PUTS NEC.,I ICI PLOOP, Ch.s.'.,
/ —♦ .,J C
.15 - ,r dMENeq"e APE TO FRAMING 'f
I —= - 1 .ALL ANGLES ARE AS DEGREES UNLE55 NOTED L
. �.. I OTNERNeea Z.'
_ �_ '.'I _—�—_ —�j _ .— _ .PLOOR.COLINO ROOF ANDV.ALL IGENAL.
'NA --'a — i at SYR OR SRI GRADE OR SETTER.
•I I I I -ALL WALLS APE:RA AT Iroc INTERIOR IRALLS
Y FTDOIPDPCII ANLESS NOTED OTHERVNSE.
Q JI •TRUSSIELIANUR CTUR E SFOLLIEDI ENALL SE DESIGNED
INSTRUCTIONS
N TRUVTONSTOR.INSTALLATION
ACTUR[R3
0') -- --_- ---- ____ — — P}TRUC DEEP WITALSUPIR
_�' .FINAL TRUSS DESIGN KILL SORE Mtn ALL
eNEENNALL NYAC LOCATION%POTENTIAL CHASES
AND sroPeoE ENOWII ON PLANS
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I— --i _ At® ,-A{sIUD WAIL
I, _ �.:C=.=� ,.n'EIOD RILL
Z --T < L. _J I ,-i 11.1011 LABEL SEE SLNELIIM
—I )Ti _ A WINPrev IAItn St SUND'JLL --D
C 77
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? First Floor Plan AREA CALCULATIONS 5M
Z I14"=31-o" ..:. ___C 4)
IP u NOW.,

y_ c1 t�_._t .!!4S Permit Number
l.ocnl i t 2 � � .._ __
Ocean Hazard _ Estuarine ShoreliTte _..___. ORW Shoreline.___, public must Shoreline Other
(For alfteial use:nay)
GENERAL tIVORMA'I'IOf
LAND OWNER-MAILING ADDRESS
4i
Address .D . .
yt ieN t State fv C. Zip e r 1a.Phone 0'i- ,74 ) - 3c
City __...._...__.� __
Email.......C (At) _ - e Aft 44 EISILe el I eo.- _ _..._
AUTHORIZED AGENT
Name /11toc•.. -a4J+rtS ff ._._ 3c+�?^G.._ eie_....._._ ___
il., 64,c4.....4.2 __
Address 1./5-10 l.1 r a,...: )- i
City _ J t„ `._.. .....6.yY %} . si.t4 .....A ...,_....._...... ,i1, Vz • i,Dne ..q id '.. / -..4 s- f.__........
i t.. (((ram +_/ / _._.
Email 6�.1L ...e_ IS t 3i,C,�fCtt '.Lb+1.-6wt,ep, ' Gy`--
LOCATION OF PROJECT: (Address,street name and/or directions to site. lame of the adjacent waterbody.)
tJ . 1 ,L1d9.... A1c .
144ds9 28Ci 11r
DESCRIPTION OF PROJECT:(List all proposed construction and land dis+ut bance.) S1/44,6( .$F4-.
11
SIZE OF LOT/PARCEL: __..__._ . sctnare feet ;�cc=cs
PROPOSED USE: Residential (Single-fami1'4i Mvlutti-tauuly 0 ) Comc+tcrcial:"l+atlt,triai 0 Other 0
COMPLETE EITHER(1)OR(2)BELOW((uuact yottr Local Pertttit Officer if'you ure uoar sure which AEC:applies
to yoar property):
(I) OCEAN HAZARD AI?,(:s:'I'OTAI,FLOOR)R AREA OF PROPOSED Si KticTURE:dr f tl,square feet(includes
air conditioned living space,parking elevated above ground level,non-conditioned'sp;,ce elevated above ground level but
excluding non-load-bearing attic space)
(2) COASTAL SHORELINE ALCs:SIZE OF ROWING F0C3` PRIN't AND OTHER IMPERVIOUS OR l3Ull;F
UPON SURFACES: ____ .square feet(includes the area of the foundation of.All Imildings,driveways,covered decks,
concrete or masonry patios,etc.teat are w,vithin the applicable AEC.Attach your cal(titations with the project drawing.)
STATE STORMWt'1'ER MANAGEMENT PERMIT: Is tltc,project located in an a ca subject to a State
Stormwater Management Permit issued by the NC i))shoe of Energy, 1Mtiiicra Mt; Land Resources(DEMI:R)'?
YES _ NO752
square feet.
If yes,list the total built upon area/impervious srrltrct:allowed for you' lot or l:ut'4e17 _._ .

Locality 1 1 914j ' _ €'t,rntit Nuiiiber
Ocean Hazard _ Estuarine Shoreline .. ORW Shoreline Folic,T ust Shoietitte Othef
{For official use anti.=i
GENERAL IN ORMATION
LAND OWNER-MAILING ADDRESS
.
Name n tt- _k --r'�"" __....
Address (I I'.1 Alin -Q t ,..... _
t- P. _.
City�[�!'W�4 (c.� ._..�._..__._ State _�? �-._
Erna____C t At k _f,-i\A,- e 44 L.t.Elyil4 4$_-__4p— .. ___... . ._, ._ __.........._______
{ AUTHORIZED AGENT
414 6'5 IQ'.. Lam__
Name � _..���tE.�'.�-ti� .._._�,C� -=!_..__...__ _
Address 115 70 1, _ c0 _a_...-,' r
City ,-Civ14'- j. Stag ._. :.__.___... �'it)e_ 17l5ltri3te ..gig ".Ca _"..Z5J-_._.
Lam
Email ) t_L_ , LSt. p ccea_. Gwc45% �-c!"1 . .._,..._...__ _ ..........._ ..._
LOCATION OF PROJECT: (Address,street ;races:uttdior directions to site.;lame of the ad acent waterbody.)
151 '2- oeeviNo Bta , lits4,4 344.isq.......tvi„ 28ciii5.---
_, . _____
..,........_ ___... . _.._ _ .
NC Division of Coastal Management
• iiiil Cashier's Official Receipt 15583 A B ' D
Date: f . Z ( 20 g
6II2L5; ?c 4 r $Received From:
Permit No.: Check No.:
.,tiA.......
Applicant's Name: r- , County:
Project Address: /(5 (2 £2á'i& 144 ; II.21
Please retain receipt for your records as proof of payment for permit issued.
.
Signature of Agent or Applicant: Date:
" r
,„q
Signature of Field Renresentativ . Data!

gl NC Division of Coastal Management 15 5 8 3
Cashier's Official Receipt A B D
f . 1 Date: 20
it 0 ..----
Received From: ��/dc L74c $
..------
Permit No.: Check No.:
CIt
Applicant's Name: i� _ County:
Project Address: /5-I aladA, 6 a7T?! /
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: Date:
Ir77...,277,q
Signature of Field Representativ . Date:

ate Date Check From Name of Vendor Check Check Permit Rct. #
eived Deposited Permit Holder Number amount Number/Comments
(2021 Beachside Custom Clark Keith PNC Bank 6115 $100.00 Minor fee, 1512 Ocean Blvd, JD rct.
Homes, LLC Topsail Beach PnCo 15583