OIB_16-26_Blohm

jl
Local Government Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
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 Sheri Blohm, authorizing development in the Ocean Hazard (AEC) at Unit 33-C at Starboard by the Sea, 263
West First St. in Ocean Isle Beach, as requested in the permittee's application dated April 28, 2016, and received
complete on May 2, 2016. This permit, issued on May 12, 2016, 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: Demolition and reconstruction of the structure, decking, drive, and associated landscaping as shown on the
site plan.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on May 2, 2016,
(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 910-579-3469 for a final inspection at
completion of work.
ii (Additional Permit Conditions on Page 2) CLCi Vi=1J
OCIvII WILMINGTON, I
IAY 2 3 2016
This permit action may be appealed by the pennillee or other qualified persons
within twenty (20) days of the issuing date. 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 pemtil, require further written permit approval. All work must cease when this
permit expires on
December 31, 2019
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 parry without the written approval of the Division of Coastal
Management.
Keith F. Dycus
CAMA LOCAL PERMIT OFFICIAL
3 West Third Street
Ocean Isle Beach, NC 28469
PERMITTEE
(Signature required if conditions above apply to permit)
L

Name: Sheri Blohm
Minor Permit # OIB 16-26
Date: May 12, 2016
Page 2
(5) The permittee is required to contact the Local Permit Officer 910-579-3469, 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.
(6) All buildings 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 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 vegetatatively stabilized (planted and
mulched) within 14 days of construction completion.
(8) Dune disturbances will be allowed only to the extent necessary for development and if the dune's protective value is
not weakened or reduced. Disturbed dune areas will be immediately stabilized.
(9) 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 hokler's right to seek authorization of temporary
protective measures allowed under CRC rules.
RECEIVED
W>A VIII_ NAINGTON, NC:
MAY 2 3 2016
SIGNATURE: e� lam % __ DATE: - 13
PERMITTEE

Ocean Isle Beach 01B 16.26
Local Government Permit Number
CAMA
MINOR DEVELOPMENT --'
PERMIT �"'
Z
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 Sheri Blohm, authorizing development in the Ocean Hazard (AEC) at Unit 33-C at Starboard by the Sea, 264
West First St. in Ocean Isle Beach, as requested in the permittee's application dated April 28, 2016, and received
complete on May 2, 2016. This permit, issued on May 12, 2016, 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: Demolition and reconstruction of the structure, decking, drive, and associated landscaping as shown on the
site plan.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on May 2, 2016.
(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 910-579-3469 for a final inspection at
completion of work. RECEIVED
DCM WILMINGTCN N(
(Additional Permit Conditions on Page 2)
MAY 16 2016
This permit action may be appealed by the permiltee or other qualified persons
within twenty (20) days of the issuing date. 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, 2019
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 party without the written approval of the Division of Coastal
Management.
Keith F. Dycus
CAMA LOCAL PERMIT OFFICIAL
3 West Third Street
Ocean Isle Beach, NC 28469
PERMITTEE
(Signature required if conditions above apply to permit)
�'L MC

Name: Sheri Blohm
Minor Permit # 01B 16-26
Date: May 12, 2016
Page 2
The permittee is required to contact the Local Permit Officer 910-579-3469, 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.
(6) All buildings 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 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 vegetatatively stabilized (planted and
mulched) within 14 days of construction completion.
(8) Dune disturbances will be allowed only to the extent necessary for development and if the dune's protective value is
not weakened or reduced. Disturbed dune areas will be immediately stabilized.
(9) 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 anv case uoon 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: DATE:
PERMITTEE
RECEIVED
DCM WILMINGTCN, NC
MAY 16 2016

04/28/2016 09:04 7574947650 PORTLOCK PS PAGE 01/02
AEC HAZARD NOTICE
Project Is in An: X Ocean Erodible Area x High Hazard Flood Area Inlet Hazard Area
Property Owner: Sheri Blohm
Property Address: 263 33-C W 1st Street 'Ocean Isle Beach NC
Date Lot Was Platted; . 11 / 19 / 19,9 ;�n
This notice is intended to make you, the applicant, aware of the
special risks and conditions associated with development in this
area, which is subject to natural hazards such as storms, erosion
and =Tents*. The rules of the Coastal Resources Commission
require that you receive anA9C Hazard Notiw and acknowledge
that notice in writing before a permit for development can be
issued.
The Commission's rules on building standards, oceanfront
sctbade; and dune alterations ate designed to minimize, but not
eliminate, property loss from hazards. By granting permits, the
Coastal Resources Commission does not guarantee the safety of
the development and assumeq no liability for future damage to
the development. Permits issued in the Ocean Hazard Area of
Environmental Concern include the condition that structures be
relocated or dismantled ifthcy become imminently threatened by
changes in shoreline configuration, Thle structitre(s) must be
relocated or dismantled within two ("i) years of becoming
imminently threatened, and in any easb upon its collapse or
subsidence.
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual long-term
average ocean erosion rate for the area where your property is
locWed is 2 feet per year.
The rate was established by careful analysis ofaerial photographs
of the coastline taken over the past 50 years.
Studies also indicate that the shorcUrie could move as much as
aO feet landward in a major storm.
T'b f Nod waters in a major, storm ate predicted to be about
1—M feet deep in this area.
Preferred oceanfront protection measures are beach nourishment
and relocation of threatened stnrotures. Hard erosion control
structures such as bullrheads, seawalls, revetments, groins, jetties
and breakwaters are prohibited, Temporary sand bags may be
authorized under certain conditions.
The applicant mustacknowledge this information andruquhnmmu
by signing this notice in the space bellow. Without the proper
signature, the application will not be complete.
applicant ftnaturs Date
SPECIAL NOTE. This hazard notice is required for development
in areas subject to sudden and massive storms and erosion. Permits
issued for developmentin this area expire on December 3I ofthe
third year following the year in which the permit was issued.
Shortly before work begins on the project site, the Local Permit
Officer must be contacted to determine the vegetation fine and
setback distance at your site. Ifthe property has seen little change
since the time of permit issuance, and the proposed development
can still meet the setback requirement, the LPO will inform you
that you may begin work. Substantial progress on the project
must be made within 60 days of this setback determination, or
the setback must be remeasured. Also, the occurrence of major
shoreline change as the result ofa storm within the 60-dayperiod
will necessitate remeasurement of the setback. It is important
that you check with the LPO before the permitexpires for official
approval to continue the work after the permit has expired.
Crcnerally, iffoundationpilings have been placed and substantial
progress is continuing, permit renewal can be authorised. it is
unlawful to continue work after permit expiration,.
For more information, contact.
Justin Whiteside
Local Permit Officer
3 West Third Street, Ocean Isle Beach, NC 28469
Address
Town of Ocean Isle Beach
Locality
[phone]
Phone Number
A
IE
MAY 2 2016
Eels
RECEIVED
MM WILMINGTCN
MAY. 4 5 2016 Revised 2107

04/28/2016 09:04 7574947650 PORTLOCK PS PAGE 02/02
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
Sheri Blohm
2909 Scotsman Ruo
Chesapeake, VA 23321
[phone]
[e-mail]
I certify that I have authorized Elizabeth Nclson/Cape Fear Engineering
r
Agent 1 Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: demo and reconstruction of
structures, decks and drives
at my property located at 263 33-C W 1st Street, Ocean Isle Beach NC
in Brunswick 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:
t;D C�C�COd[s
Signature D
Sheri. Blohm E2 2016
Print or Type Name
OFOCEAN ISLE BEACH
Pro er Owner PLANNING 81NSPECTfONS i
Title
04 / 28 t 2016
Date
This certification is valid through 04 / 28 I 2017
RECEIVED
DCM WILMINGTON, NO
MAY 0 5 2016

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MAY 0 5 2016

Date 04/22/16
__ Munroe_Fami1X_Holdings LLC_,___ _._____,
215 S Water Street, Suite 103
Wilmington, NC 28401
Re: CAMA Application Notification
Dear Munroe Family Holdings, LLC.
This letter is to inform you that I have applied for a Minor CAMA Permit on my
property located at Lot , Block , Section , with a
physical address of 263 33-C W 1 st Street, Unit C, Ocean Isle Beach, NC 28469 ,
Ocean Isle Beach, North Carolina. CAMA regulations require me to notify you of
my intentions. I have enclosed a copy of my permit application and a copy of the
proposed project drawing.
If you have any questions on my proposed project, please contact Justin
Whiteside, Local CAMA Permit Officer for the Town of Ocean Isle Beach at
910-579-3469.
Sincerely,
Starboard By the Sea POA
5970 Fairview Road, Suite 710
Charlotte, NC 28210
h27
CMAY D
RECEIVED
i3CM WILMINGTON, NO
MAY 0 5 1016

Date 04/22/16
_ Edward, Lee. BarhamlJr_____________.
1113 Gilgo Rd
Oriental, NC 28751
Re: CAMA Application Notification
Dear Mr. Barham
This letter is to inform you that I have applied for a Minor CAMA Permit on my
property located at Lot , Block , Section , with a
physical address of 263 33-C W 1st Street, Unit C, Ocean Isle Beach, NC 28469
Ocean Isle Beach, North Carolina. CAMA regulations require me to notify you of
my intentions. I have enclosed a copy of my permit application and a copy of the
proposed project drawing.
If you have any questions on my proposed project, please contact Justin
Whiteside, Local CAMA Permit Officer for the Town of Ocean Isle Beach at
910-579-3469,
Sincerely,
IE@190W
Starboard By the Sea POA
iAF�MAY2 2016
5970 Fairview Road, Suite 710
I TO'NN OF OCEAN ISLE
Charlotte, NC 28210
PLACINING & NSPEC
RECFIVED
DCM WILtdINGTON, NC
MAY 0 5 2016

M Aerates that there art no do tlq e (6 j ll nn*gQO
Valorem taxes, i006, a0000sm0nia or ii`r' W
hone which the Brun0wl0k Oounty Tax IIIIIIIII I II II III IIII I IIIIII III II I III s3584 P133s mmopRap
Collector Is charged whh4pI�y9r��'hot `a're'a
hen on: Parcel Number�S,Z_l�. EO.? Brunswick County, NC Reglsier of Deeds page I of B
as notated by the Brunewlok County
As"Seor's OMoe, This Is not a car"wilon C
that the parcel number matches the deed Q
PtMa,L
0 In
Date (get) lax Cd. ar. 7sx' o pa� = Ck ✓ Cash $
13iorsorm cx;sErd CasaS_,Finance
afmgtal. sepU,dano7naepn
OOacunrnMoxsa"ssa3s °r`h`''"�MagtA Excise TaxS000.00 FsvrXleaawMCtc3repoygp�aglpad
Parcel ID# 257FI03103
Prepared By. I Timothy ks A1veg �Attopa�g6@
Raleigh, NqDWkP
Return To: GRANTEE Q 2909 Scotsman Run, Chesapeake, VA 23321
Brief Description for Index:
Unit C, Bldg 33, Ph V, Starboard by the Sea
f�
NORTH CAROLINA G�"(WARR`kN'I'Y DEED
This Deed made tlTssOOday of October, 2014, by and between the Estate of
William Harvey Crofton and William Harvey Crofton HI and wife, Nancy Crofton
("Grantor") and Sheri C Blohm and husband, Robert C Blohm ("Grantee"). The
designation Grantor and Grantee as used herein shall include said parties, their heirs,
successors and assigns, and shall include singular, plural, masculine, feminine or neuter
as required by context ((��
WITNESSETH, that the &Ui3emtion paid by the Grantee,
the receipt of which is h Zd has and by these presents does grant,
bargain, sell and convey uhto the Grantee in fee simple, all that certain lot or parcel of
land situated in the City of Ocean Isle Beach, Shallotte Township, Brunswick County,
North Carolina and more particularly described as follows:
See Attached Exhibit A.
The properly hereinabove described for by instrument
recorded in Book 810, Page 537,eq Brrap� egistry and Estate File 14 E 2778,
Wake County. See also I� BI I? Y 1767, Wake County.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges
and appurtenances thereto belonging to the Grantee in fee simple.
d
RECEIVED
DCM WILMINGTON, NC
TVA °
�DVB*%@@O °*Qt MAY 0 5 2016

�O6.bTu Ii I1 BAH I.101111111IC. yr 1N P1337 2 e'er
All or a portion of the property conveyed _ includes or does not include
the primary residence of the Grantor.
And the Grantor covenants with the Grantee, that Grantor is seized of the
premises in fee simple, has the right to convey the same ��'pqy� impie, that title is
marketable and free and clear of all �BtBat Grantor will warrant and
defend the title against the persons whomsoever, other than the
following exceptions:
All easements, conditions, restrictions, and rights -of -way of record;
ad valorem taxes for 2014 and after
IN WITNESS WHEREOF, the Grantor has duly exect�d the foregoing as of the
day and year first above written hh gQ0 0 �Q
Estate of William Harvey VQ62
By: _(SEAL)
William Harvey C ofto co -Executor
Sheri Blhna, .o•net
"r%
ey
k . A �i� 1.1 / . i r %, ..;.,.
Wilffam F. „i t
Nancy Crofton( r
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NOTARYPAGES TO FOLLOW
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RECEIVED
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DCM WILMINGTON, NC
pod MAY 0 5 2016

oa�ac IINIIII11 iIIIIIIIIIIIIII 835P1338 "-,z 5° °
84 1} 39:5]ppp
.
qO BrunsnJak Canty, NC Register of Deeds Clemmono PROP
fill page 3 f 6
All or a portion of the property conveyed includes or _ does not include
the primary residence of the Grantor.
And the Grantor covenants with the Grantee, that r is seized of the
premises in fee simple, has the right to conve F mple, that title is
marketable and free and clear pI,yp���=�, and that Grantor will warrant and
defend the title against @AWs of all persons whomsoever, other than the
following exceptions:
All easements, conditions, restrictions, and rights -of -way of record,
ad valorem taxes for 2014 and after
IN WITNESS WHEREOF, the Grantor has dulyrxa�ted the foregoing as of the
day and year first above written obp�tft� %@@ o W�� ''
r2o 0
Estate of William HarveyQL
By: (SEAL)
William Harvey Crofton III, Co -Executor
Sheri Blohm, i
o0b
(SEAL) (SEAL)
William Harvey Crofton III Nancy Crofton
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NOTARYPAGES TO FOLLOW
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RECEIVED
DCM WILMINGTON, NIC
MAY 0.5 2016

poc°°eOahmillIIIIIIIIIIIIIIIIIIIIIIIIII 13584 P133s ,2� p�p
„_,R-2014
,339:3] 900
erunswaek County, NC Register of Oeeds page 4 of 6
STATE OFC YIKt0W1
COUNTYOF f1N3't w h nn�
1, the mmdersigoed PdltN7i�oQ§CCo� and State aforesaid, certify that
William Harvey Crofton o-Executor of the Estate of William Harvey Crofton
personally appeared before me this day, and providing satisfactory proof of his identity
using a valid drivers license, acknowledges the due execution of the foregoing instrument
for the purposes stated herein Witness my hand and Notarial stamp or seal, this 241'1—
day of October, 2014.
tr,,�t=C
0 n@t
I, the undersigned Notary Public of the County and State aforesaid, certify that
William Harvey Crofton III and wife, Nancy Crofton, personally appeared before me this
day, and providing satisfactory proof of his identity using a valid drivers license,
acknowledges the due execution of the foregoing he purposes stated
herein. Witness my hand and N,to�tar "day of October, 2014.
Ouoo
My Commission Expires:
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NC
MAY 0 5 2016

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IIIIII III I II I IIII IIII I III IIIIIIII Jill B3584 P1340 mmo3= s, yap
Brunswick County, NC Register of Deeds Rape 5 of 6
STATE OF A1;g;y W COUNTY OF a //,
T
I, the undersigned Notary Public of the County and State aforesaid, certify that
Sheri Blohm, Co -Executor of the Estate of William Harvey Crofton personally appeared
before me this day, and providing satisfactory proof of his identity using a valid drivers
license, acknowledges the due execution of the foregoing instrument for the purposes
stated herein. Witness my hand and Notarial stamp or seal, this RFM day of October,
2014.
g6�o*Qt
My Co s" n Expires:pOd obT /
3/1=
Notary Public
�jpMWg6�o� lAfiNANTA No ryCPublICINISDN
b Commanwealt0 nt Wrginia
J 7506318
My Commission EMplres Mar 31, 2015
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RECEIVED
DCM WILMINGTCN, NC
MAY 0 5 2016

41
Poi oil ty
iii inr B3.nd M. CL" 66'
EXHIBIT A
Those certain premises comprising a portion of Starboard by the Sea Condominium, said
Condominium having been established under Chapter 47-A of the North Carolina
General Statutes Unit Ownership Act and Declaration ominium dated June 19,
1981 and recorded in Book 476 Page ryyMO t`�ie _Register of Deeds of
Brunswick County, NorthWk n�ded by Amendments to Declaration recorded
in Book 487, Page 219 an ook 487, Page 222 and Book 494, Page 300 and Book 510.
Page 149 and Book 514, Page 28, Brunswick County Registry (the Declaration), the
premises hereby conveyed being more particularly described as follows:
1. Unit C of Building 33. Phase V, Starboard by the Sea Condominium, as described in
the Declaration and as shown on the Plan of Condominium (t�tg Plan) which is recorded
in Condominium Plat Book 2 Pages(�4,2 and 43�3tyFbv�*&'&ty Registry (the Unit).
I. A 1.06160 percentage El nterestt appurtenant to the Unit in all Common Areas
and Facilities of said Condominium, including the buildings and improvements on the
land described in the Declaration and as shown on the Plan; provided that in the event
additional units are added to the Condominium from time to time pursuant to the terms of
the Declaration, the percentage undivided interest appurtenant to the Unit shall be as
shown on Exhibit C-1 to the Declaration as amended in Book 514, Page 28, Brunswick
County Registry; together with the right of ingress to an y�es from said property, and
the right to use, for all purposes in comet a i b�,1 s successors and assigns,
and all other occupants fr o' e!4U and all portions of Starboard by the Sea
Condominium designate a Declaration of condominium as Common Areas and
Facilities.
The Unit herein conveyed is intended for use as a residential dwelling. This conveyance
is subject to easements and rights of way of record, to ad valorem taxes for the current
year, and to the reservations, restrictions on use and all covenants and obligations set
forth in the Declaration, in the Articles of Incorpor toboard Associates, Inc.,
and the By-laws of said Associ do �iRlaws are attached to the
Declaration and recorded ' 6 tc County Registry, all of which restrictions,
payments of charges and all other covenants, agreement, obligations, conditions and
provisions are incorporated in this deed by reference and constitute covenants running
with the land, equitable servitudes and liens to the extent set forth in said documents and
as provided by law. Grantee, his heirs, successors, administrators, executors and assigns,
by accepting this Deed, hereby expressly assume and agree to be bound by and comply
with all of the covenants, terms, provisions and conditions worth in the Declaration and
said Articles of Incorporation, By-laws ad &Qi s made thereunder,
including, but not limited tootjjttH%e payment of assessments for the
maintenance and operati fjai ondominium which may be levied against such unit.
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RECEIVED
DCM WILMINGTON, NC
MAY 0 5 2016

NmEs:
1. EASEDONNG.WYONMMMEO. Id, FEAR �'D
ENGPIENOE: WC.ONMARCHE42015
3. REFERENCE: MAPBOOK 2, PAGEI%. DEED BOON T,
PAGE 3.DEED 800K 3&], PAGE 1151, GEED BOON 1211.
PAGE 851.
3. ALL DIBTANCEEA0.E HOR 00.(GRW
4. APPROAM M MEAN IGGH WATER LINE.)TG DEMO PLAN
S. E ATION88A5EO ON HAWW.
8. MEAN HIGH WATER LINE NOT SURVEYED AT THM TIME I
I
SG 7W 4507Ar WT. SO7z TOV1
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CAMA MINIM
PERW
OCEAN ISLE BEACH
SHALLOTTE TOWNSI P
BPL94SWKX COUNTY
NORTH CiARCLNA
875-21 C+•I

Localitye.yK a* i9d s,n 2< lr A cd. c. h Permit Number 0 r-6 /6 -, )-G
Ocean Hazard —.s/— Estuarine Shoreline ORW Shoreline
(For offwu l use only)
GENERAL INFORMATION
LAND OWNER
Name Sheri Blohm
Address
City Chesapeake State VA Zip 23321
Email N/A
AUTHORIZED AGENT
Name Elizabeth
Address 151 Poole
City Belville
P.E.
Suite 100
State NC
Email [e-mail]
Public Trust Shoreline Other
R
L56
FMAY
Phone [phone]
Zip 28451 Phone [phone]
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.
Q 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
i . person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
2 2016 listed as landowner on this application has a significant interest in the real property described therein. This interest can be
described as: (check one)
LOCATION OF PROJECT. (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) 263 33-C W 1 at St, Ocean Isle Beach, NC 28
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) Demo and reconstruction of
structure, decking and drive
SIZE OF LOT/PARCEL: 35, 002.8 square feet 0.80 acres associated with Condo C
PROPOSED USE: Residential [Z] (Single-family Multi -family Q ) Commercial/Industrial Other
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: 1,300 square feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non -load -bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: -AL4 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= NC=] M RECEIVEDWILMINGTONC
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: 49f square feet.
MAY 0 5 20%
Man owner or record title, Title is vested in Sher) Blohm see Deed Book 3584
page 1336 in the Brunswick County Registry of Deeds.
IIan owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
F--Jf other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
NOTIFICATION OFADJACENT 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) Munroe Family Holdings, LLC 215 S Water Street, Suite 103, Wilmington, NC 28401
(2) Edward Lee Barham, Jr. 1113 Gilgo Rd, Oriental, NC 28751
(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 _ 678 _ day of McCL , 20 le.
RECEIVED
ON WILMINGTON. NC
authorized to act as his/her agent for purpose of filing a CAMA permit application MAY 0 5 2016
This 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
any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CANIA minor development permit.
The Local Permit Officer will help you, if requested.
PHYSICAL DIMENSIONS
Labelroads
Label highways right-of-ways
Label local setback lines
Label any and all structures and driveways currently existing on property
Label adjacent waterbody
PHYSICAL CHARACTERISTICS
Draw and label normal high water line (contact LPO for assistance)
Draw location of on -site wastewater system
If you will be working in the ocean hazard area:
Draw and label dune ridges (include spot elevations)
Draw and label toe of dunes
Identify and locate first line of stable vegetation (contact LPO for assistance)
Draw and label erosion setback line (contact LPO for assistance)
Draw and label topographical features (optional)
If you will be working in a coastal shoreline area:
Show the roof overhang as a dotted line around the structure
Draw and label landward limit of AEC
Draw and label all wetland lines (contact LPO for assistance)
Draw and label the 30-foot buffer line
DEVELOPMENT PLANS
Draw and label all proposed structures
Draw and label areas that will be disturbed and/or landscaped
Note size of piling and depth to be placed in ground
Draw and label all areas to be paved or graveled
Show all areas to be disturbed
Show landscaping
NOTE TO APPLICANT
Have you:
• completed all blanks and/or indicated if not applicable?
• notified and listed adjacent property owners?
• included your site drawing?
• signed and dated the application?
• enclosed the $100.00 fee?
• completed an AEC Hazard Notice, if necessary? (Must be signed by the property owner)
Site Notice Posted
Site Inspections
Final Inspection
FOR STAFF USE
Fee Received
RECEIVED
DCM WILMINGTON, NC
MAY 0 5 2016
Date of Action: Issued Exempted Denied Appeal Deadline (20 days from permit action)
bpi COASLQ�
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y ti
APPLICATION FOR
CAMA MINOR
DEVELOPMENT
PERMIT
In 1974, the North Carolina General Assembly passed the Coastal Area Management Act
(CAMA) and set the stage for guiding development in fragile and productive areas that
border the state's sounds and oceanfront. Along with requiring special care by those who
build and develop, the General Assembly directed the Coastal Resources Commission
(CRC) to implement clear regulations that minimize the burden on the applicant.
This application for a minor development permit under CAMA is part of the
Commission's effort to meet the spirit and intent of the General Assembly. It has been
designed to be straightforward and require no more time or effort than necessary from
the applicant. Please go over this folder with the Local Permit Officer (LPO) for the
locality in which you plan to build to be certain that you understand what information he
or she needs before you apply.
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 your drawing meets the
specifications given inside and that your application fee is attached.
Other permits are sometimes required for development in the coastal area. While these
are not CAMA-related, we urge you to check with the Local Permit Officer to determine
which of these you may need. A list is included on page two of this folder.
We appreciate your cooperation with the North Carolina Coastal Management Program
and your willingness to build in a way that protects the resources of our beautiful and
productive coast.
Coastal Resources Commission
Division of Coastal Management
RECEIVED
DCM WILMINGTON, NC
MAY 0 5 2016
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DCM Form EB1952-2010/RevisedApril 2010