NTB_13-21_ Gardner (2)

Issued by WiRO NTB13-21
North Topsail Beach Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT i i
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 John and Salley Gardner authorizing development in the Estuarine Shoreline (ORW) Area of Environmental
Concern (AEC) at 187 Flamingo/188 Gull (Roger's Bay Camp Ground), in North Topsail Beach, Onslow County as
requested in the permittee's application package, dated May 31, 2013, and received as complete by DCM on June 15,
2013.This permit, issued on July 8, 2013, 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: Recondition and improve gravel parking area(s) and/or camp site pad.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received by the Division of Coastal Management on June 15, 2013.
(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.
isIECEIVED
DCM WILMINGTON, NC
(Additional Permit Conditions on Page 2) JUL 17 2013
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
modification not covered under this permit, require further written permit
approval. All work must cease when this permit expires on:
December 31, 2016
Jason Dail
CAMA OCAL PERMIT OFFICIAL
127 Cardinal Drive Extension
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
annther nartv withnut the written annrnval of the Divisinn of Coastal
t �_

Name: John and Salley Gardner
Minor Permit # NTB 13-21
Date: July 8, 2013
Page 2
(5) 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 vegetate and stabilized (planted and
mulched) within 14 days of construction completion.
(6) The amount of impervious surface/coverage on this property shall not exceed 25% within 575 feet of the Normal
High Water line.
(7) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
development/construction shall be located a distance of 30 feet landward of Normal High Water.
(8) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third -party.
F-AEGEIVED
DCM WILMINGTON, NC
JUL 17 2013
SIGNATURE: 4AADATE: 7 /5 )3
PERMITTEE

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GENERAL INFORMATION
LAND OWNER
Name .3 0_kA Sa W
Address 10 j, K l 1~ j In/ A
City tit I A ►v� State' A) C Zip 27i t 2 Phone Ci ti `1- T, �- 3 `�
Email U t? t A,1
AUTHORIZED AGENT
Name
Address
City
Email
State Zip Phone
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of t .s
adjacent waterbody.) 1 ` 7 I ar^ ` �a I rsS Vr U 1 \ O �d� fA `5 e) v N/ 1) `
t16.2 ! �F �> Icy ��t '5 (", A 1510',c.0
DESCRIPTION OF VROJECT: (Lisi all proposed construction and land dixbrbance.) '� o �K M eL,.t 1N f e. t\agi 1, z
ar d rAoJOk%1�. kNo 0 wd.t KW 0..t•1
SIZE OF LOT/PARCEL: ;Z q a d_ square feet acres
PROPOSED USE: Residential (Single-family [] Multi -family ❑ ) Commercial/Industrial E] Other
(7.V
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Perncit Officer if you 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)
__'ZOASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: (� �f 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 a State Stormwater
Management Permit issued by the NC Division of Water Quality?
YES NOX
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: 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 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:
1, 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)
Xan owner or record title, Title is vested in 0 n g-'a ) Ou> `41 U A r �� , see Deed Book) 3 7 Y / /art q €" tIqe
page4!5 1 in the 0 fi f) CA,, 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.
(Name) (Address)
(1) 1 vi l Q7 xAog AAA 1J*ic �, 4f I ly,
(2) t I T' 1 �1 I 1 r3 Gael c" 1(-0, v'e.v) lJ-e-11r .sde col � Z o )��v1 /kld-1.
(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.
This the I 7' day of M_ ,� l� , 20 J �
person authorized to act as W/her agent for purpose of filing a CAMA permit
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean HazardAEC 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
any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.

Affl
i'A
AQ=
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis
Governor Director
July 9, 2013
John & Sally Gardner
106 Kilt Way
Durham, NC 27712
Dear Mr. & Mrs. Gardner:
John E. Skvarla, III
Secretary
Attached is CAMA Minor Development Permit # NTB 13-21 for work to be done for at 187 Flamingo /
188 Gull, in North Topsail Beach, Onslow County.
In order to validate this permit, please sign both copies of the permit as indicated for our records.
Please retain the gold copy for your files and 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
Phone: [phone] \ FAX: [phone] Internet: www.nccoastalmanagement.net

J
3

Date
S t i Z cx ri i e- ,M ctt� eccJ
Adjacent P .operty, Owner
Mailing Address W T _5 q
City, Zip Code
Dear Adjacent Property;
(Domestic Mail Only -Nu hj:iiarance
Coverage Provided)
For delivery Informationvisit our
r`
website atwww.usps.coM,)
I
Certified Fee
# 3 -tit
11 ,
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d
Return Receipt Fee
(Endorsement Required)
$2. 55
Postmaek
Here
0
Restdoted Delivery Fee
(Endorsement Required))-t.
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ru
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Total Postage& Fees
$
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Sup anne.
W1c:ecv
or PO Box No.
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This letter is to inform you that #, h� `�`� I 1 f � aY�' pplied for a CAMA Minor
Property Own r
Permit on my property at 18 G u j 1 /\'D s In ONSLOW
PropMV 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 R $i $ — �� y or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments oc objections with the NC DENR CAMA Minor Permit Program, you may submit them to:
Jason ball
Local Permit Officer for North Topsail Beach
NCDENRIDCM
127 Cardinal Drive Extension
Wilmington, NC 28405
Sincerely,
J-ohn q
Property Owner
o(,p Y,t t~r w AY
Mailing Address
,/� C— y7 71 Z
City, State, Zip Code

513 t t3.
Date
TodA Cr�y�n
� Adjace�z 6t Property Owner�
z 3 e, 1; (poi
MajB� Address
6 Ake
City, State, Zip Code
Dear Adjacent Property:
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CO Postage
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*3.11)
Ceniffed Fee
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Return Receipt Fee
Postmark
Here
ED (Endorsement fQuued)
4•2.55
0
Restrfcted Delivery Fee
1] (Endorsement Aequlred)
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$ I.f , 31
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Er ent ate.
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or PO Box No. (�etylesdrz ��
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cry sfa,e, Z1TEXt r)C +o A N G z 7 2 5
This letter is to inform you that I, O)i6 4 90,44 ell G-C- f01n !tZhave applied for a CAMA Minor
Property Owner
Permit on my property at /97 F IA4-rnC1 D I I S'a (I"11 S , in ONSLOW
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 Cq`uestions or comments about my proposed project, please
contact me at Rj q � 19 q 3 9 7 ,or by mail at the address listed below. If you wish to
Applicanfs Telephone
file written comments or objections Wth 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,
fbhn q s��I GGIn'
Properly Owner
l0 6 4 Lr T tti% A
Mailing Address
City, State, Zip Code

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR LAMA MINOR PERMITS
I hereby certify that I own property adjacent to 10 1 ri i �! �� v �v'n�'► 's
(Name of Property Owner)
property located at
•p�5
Address, Lot, Block, Road, etc.)
on I.t b SDUhd In ! N.C.
(Waterbody) (North Topsail Beach, Onslow County)
He has described to me as shown in the attached application and project dravAng(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

Dail, Jason
From: Dail, Jason
Sent: Wednesday, June 05, 2013 3:53 PM
To: 'Salley Gardner'
Cc: 'Rogers Bay Manager'
Subject: RE: CAMA Minor Permit Application
Mrs. Gardner,
I received your application for minor development, pursuant to the CAMA and Coastal Resources Commission's Rules, at
187 Flamingo/188 Gull, in Rogers Bay Camp Ground. I will set up a file and prepare the package for review; however,
please note that because you post dated the check (no.1147) for 6/15/13, 1 cannot officially accept it as complete and
run the public notice until the time we deposit the check (6/15/13).
If for some reason you need to contact me, please feel free to do so.
Thank you and take care,
Jason Dail
lasoa► Dail
Field Representative
'.C. Division of Coastal Management
127Cardinal Drive Extension
%vilsningto►t, AC 2 S
ph: (910)79�
Fax: [phone]Q64
E m ail: 1asottAai1(Pi%cdenr Eov
�4 ccoastaimanage►nell t.tirt
North Carolina Department of
nment and Natural Res
*Please note that e-mail correspondence to and from this address may be subject to the North Carolina Public records
Law and may be disclosed to third parties. *
Please complete the DENR Customer Service Survey by May 31 to give us feedback on how we are doing and how we can
improve: htti2s:Z/.www.surve-vmonkgv.comZsl2Ol3DENRCustomerService
Please contact eacOncdenrgov ifyou have problems accessing the survey.
From: Salley Gardner [mailto:[e-mail]]
Sent: Tuesday, June 04, 2013 9:24 AM
To: Dail, Jason
Cc: [e-mail]
Subject: CAMA Minor Permit Application
Importance: High
Good morning Jason,

Attached is our application for the CAMA minor permit. We look forward to hearing from you soon.
5;x�
Salley Gardner
Staff Assistant
Duke Child Abuse and Neglect Medical Evaluation Clinic
4020 N. Roxboro Street
Durham, NC 27704
Office: 919-479-2695 Fax: [phone]

AFFIDAVIT OF PUBLICATION
STATE OF NORTH CAROLINA
COUNTY OF NEW HANOVER
CAMA MINOR PERMIT NOTICE
Notary c o
g Before the undersigned, a Public Said County and State,
Pursuant to NCGS 113A-119(b), the
North Carolina Division of Coastal
Management, an agency authorized
to issue CAMA permits in areas of
Anita Thomas
environmental concern, hereby
gives NOTICE that on June 15r
2013, John Salley Gardner pro-
Who, being duly sworn or affirmed, according to the law, says that he/she is
g y g y
posed to maintain a gravel parking
Rad and construct a walkway for
4021 Is-
ogers Bay Campground,
land Dr., adjacent to Stump Sound,
Publisher's Assistant
in North Topsail Beach, Onslow
County. The application may be in-
spected at the address below. Pub-
lic comments received by July 5,
of THE STAR -NEWS, a corporation organized and doing business under the Laws of the State of
2013 will considered. Later
North Carolina, and publishing a newspaper known as STAR -NEWS in the City of Wilmington
p gy g
comments will be accepted and°
will
considered up to the time of permit
decision. Project modifications may,
CAMA MINOR PERMIT NOTICE Pursuant to NCGS 113A-119b, the North Carolina Division
occur based on further review and
comments. Notice of the permit
of Coastal Management, an agency authorized to issue CAMA permits in areas of
decision in this matter will be pro-
environmental concern, hereby gives NOTICE that on June 15, 2013, John & Salley Gardner
vided upon written request.
Jason Dail Field Representative
Division of Coastal Management
proposed
127 Cardinal Drive Extension
wjlmington, NC 28405-3845
Phone: [phone]
was inserted in the aforesaid newspaper in space, and on dates as follows:
61201x
And at the time of such publication Star -News was a newspaper meeting all the requirements and
qualifications prescribed by Sec. No. 1-597 G.S. of N.C.
�� JLIYWA Title: Publisher's Assistant
worn or affirmed to, and subscribed before me this oZ� day of
A.D.,
Testimony Whereof, I have hereunto set my hand and affixed my offici e
year aforesaid.
. �
`�
NR4?y Publi
PUB00
My commission expires 114
1- _LJ1 day of _, 20e
Upon reading the aforegoing affidavit with the advertisement thereto annexed it is adjudged by the Court that the
publication was duly and properly made and that the summons has been duly and legally served on the defendant(s).
This day of
MAIL TO:
Clerk of Superior Court
1�
iUi`.i '41, ilil�