HB_04-021_Rudisill

Mar 07 04 09:58a Elaine T. Rudisill 'yu48821b-/9 P•a
Mar 04 04 05:17p TOWN OF HOLDEN BEACH 9108429315 P•2
TOWN OF HOIDEN HE a)OO ti Oa I
Permit Number
BEACH
Loral Gmernment CAMA
- MINOR DEVELOPMENT -
PERMIT
ss authorized by thi State of North Carolina, neparbeent of Envimm�t,
and Natural Resourrs acid rice Coastal Nesourvs Coarmaaion for development
an an area or onvironinent concern pursuant to Simon 113^-1" of the
General Staums.'Coastal Area MaognneoV
issued to Y2N u i _ authorizing deveinpment_in Estuarine Shoreline Area
Area
at 1 i00 �`EQiLy� . as requested in the permittee's application, dated � la- Y This
permit. issued on —_—. 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_-vidaGo»_of these terms mail subject permittee to a fine, imprisonment or Civil action, or may
cause the permit to be null and void.
PERMIT TO CONSTRUCT RETAINING WALL AND ADD FILL
MATERIAL!!Nrr!! r r►r! rM!
(1) All proposed development and associated construction m,��bIer done in accordance
with the pemtitted work plat d#awings(s) submitted on �y
(2) All construction must conform to the International Building Code requirements and
all other local, State and Federal regulations and the total flood damage prevention
ordinance as requited by the Nittional Flood Insurance Program.
(3) Any change or changes in the plans for development, construction, or land use
activities will require a re-evaltiation and modification of this permit
(4) The total amount of land disturbing activity shall not exceed one acre.
(5) All tmconsolidated material resulting from associated grading and landscaping shall
be retained on site by effective. sedimentation and erosigA con�tr/oll nwasurres.
TNs permit actin may be appealed by the pa0lee or otter
gw4ed porsons wmn m" (2M days d the 6suing date. Fnzn local Perron OMcal (signava a)
the dale of at mid
an appeal. any won:acted under lll� pear A nwa
cease until the appeal 6 msdved. RHONDA PHILLIPS
Th6 pemnt must be on he proied site and arzessitle to the pert
dfist when the onied6 impaled for mrtp/ance. CMM local Pearil Official
Any maintenance wak a prokratnn project mo0lnotjepvened under
INS arrrrt requie fudbW Milan permit approval.
Al work trust tease Men ttis pe d etpires m De&orbu 31,
In 63irg ibis PaMA It 6 ageed bat this pgeel k mtts6lOnt wdlt
he heat Land Jse Flan and all applicable ordnance$.
TNs pernil may not be bamiened to another P44Y niMaut Ore 1
written approval of the Division of Coast at IAanagts vad. Pnn_-�(�pygyrta+ rrr''�J� ad It mnoti n, above apply to p^rmlt)
II II 1111 10 •V I� 11
-ACH
EET
_846"

Mar 07 04 09:59a Elaine T. Rudisill 7049921579
Mar 04 04 05:17p TOWN OF HOLDEN BERCH 9109429315
P.4
p.3
Namec:t+evlrn u`14 1�I
Minor Permit # Ii8 a17GCV 0I�>
Page Two
(6) The terms of the settlepnent agreement requires that the project is in compliance with
7H,0306(c). In keeping with that regulation no direct or indirect public funds may be
used for the proposed project. This includes expenditures for construction and
perpetual maintenance of 'toads, waterlines, sewer lines and associated facilities- Costs
incurred to maintain all mods and utilities shall be the responsibility of the developers and
/or the Holden Beach Wes( Property Owners Association.
(7) Pursuant to 15 NCA , Subchapter 71 .0406 (b), this permit may not be assigned,
transferred, or otherwise disposed of to a third party, except by the Mvision Director-
(9) All development will Ike subject to the conditions and use standards for inlet hazard
areas as described in NCAiY Tl SA:07H.0310.
(9) Permittee is not authgized to commence work until the proposed adjacent road is
completed and the necessaty utilities area approved and installed.
(10) The structure must beset back 60 feet from the first line of stable natural vegetation
(FLSNV). The pernmuce i required to contact the Local Permit Officer shortly before he
plans to begin constructio to arrange a setback measurement which will be effective for
sixty (60) days barring a jor shoreline change. Construction must begin within sixty
(60) days of the deterrnina on or the measurement is void and must be redone.
(t i) fhe structure must le located entirely off of the frontal dune, and if a primary dune
is present, landward of th crest of the primary dune.
(12) Any structure shal be relocated or dismantled when it becomes imminently
threatened by changes in shoreline configuration. The structure(s) shall be relocated or
dismantled within 2 year of the time when it becomes imminently threatened, and in any
case upon its collapse or ubsidence.
Thus permit action may be appea"by l
penal at other X L t px �i_ ✓ t. VlJey .�`
qualified persons witin twenty (20) days oftPaissuing
Cie dale of an appeal, any wok conducted
dale. From tonal Pe)rrryel I is ai , -
r the permit null �.�i r
cease unfit appeal isrresoresolved.v.
Cc
7ii (: 11i�`rr—1 ( I
This petard rmW be on Be pl*cl site and a
to the permil CAMA meal Permit ORroal
office' when the project is inspected for con^p
Any maintenance wars or pitted noQ6caf
i not covered under 0
rus asrtnil. require Irdher wuben pernit 13PPIV
ial. A
AN work null cease when it's permt expires in
December 21
2007
In issuing this permit it is agreed that this Pic
act is consistem with '
P.e to al Lard Ilse Plan and all applicable adl
lances. � �
Tres peme may = ne t2rcierted to anct
or party will., the pertm.Cec lsg--etpnrerlrmrdY6mnsabcwe:pyyto
written approval of the Owvun, d Coastal
ement. -
v ��

Mar U7 U4 09:59a Elaine T. Rudisill
Mar 04 04 05:17p TOWN OPIHOLOEM BEACH
7049821579 P.5
910/3425315 p.4
NameeYEYI
Minor Permit #His ,Z> Lo O
Page
I
(13) No impermeable surfax shall be allowed over any functional part of the septic
system. Septic sy rem m be installed according to Brunswick County Health
Department # S
All piling shall be located rniimurn of five feet from all portions Of the septic syterlt.
(14) All pilings shall be not liess than 8 (eight) inches to a side of square.
(15) All pilings shall have t p penetration greater than 16 feet below the lowest ground
elevation under the strut - For those structures so located on the primary dune or
nearer to the ocean, the pilinlis must extend to 5 feet below mean sea level.
(16) All foundations and structures shall be designed to be stable during applicable
fluctuations in ground elevation and wave force during a 100 year storm.
(17) In accordance with "1 I5� NCAC 711. 0308(a), no seawall or riprap revetments will
be i
wilt be allowed in the future Owuld any structure become threatened from erosion._
i
This prmit atom may be appeared by the Plermilloe or dher
gruifec persons wren twenty (37) ears of ine " uirsg date. From \ L II .' Oth '' signatu{re)I
Ira dare li ae appeal are ward concluded urd this pernW mssl i/1 G 1'A 7rn'7I 1 1 1 I l lit S _
cease unlit hue appeal s resMal r. t
This permil mssl be on the praiect site and aces;iNe 10 the penrur CAMA Local Permit Official
officer when the project is inspected for compliant: L
Any mesnenarcie woe ir prgeet nud%afiat n e. co eyed cards
this pamR, reyure kn1w write permit; approval'�
All work must cease when this permit espiras on Uei camber 31,
2007
In Gering this perm) i is ag*Q that this purled �-r*
sisfent aih
ne ..
local land Use Plan and al app4r�ite ardirwl
this pemil may nq be kartslaned b anotheJ wlthgit me P�� (�Atne �� if mtt6tipls above apply to perm[)
wrllen appmvel of pie Division d CWOM Wana94resa.
MAP, 19 2004
-- — — COA�jLM OrAGEMENT

Mar 07 04 09:59a
Mar D4 04 05:17p
Elaine T. Rudisill 7048821579 P.6
TOWN OF HOLDEN BERCH 9108429315 p•5
Name
Minor Permit #HB
Page
(IN) permanent structures] shall be permitted at a density of no more than one unit per
15,000
square feet of land.
(19) Only residential stru tures of four units or less or non-residential structures of less
than 5,000 square feet tot4ll floor area shall be allowed. ibis condition shall not apply to
the subdivision access road.
(20) the structure must be elevated and bottom of lowest Horizontal Structural Member
excluding pilings must motet the 100 —year flood level elevation of Q `i feet_
(21)No fill material is to Pe placed within the 60 foot ocean setback on Lots 200-213.
No land disturbance or d61oe disturbance is to occur within the 60 foot setback.
(22)No retaining wall or bulkheads will be allowed on the oceanfront lots 200-213
(23)Prior to the placement of any soil fill material on the lots, the property owner or their
appointed representative shall apply for a Stormwater Permit from the Town of
Holden Beach which_; Your Stormwater Permit was approved on March 20, 2001,
(24) Driveways to oce$nfront lots are to "ramp -up" to meet the elevation G(
the existing, natural
topography. Natal at dimes and topography is to be preserved po the
greatest extent possible.' o O
(25) No disturbance cl dune area will be allowed when other techniques of
construction can
utilized and alternative site locations exits to avoid unnecessary done
impacts. , —j
iz)ti
This permit action may be appealed by the pernudee or other
qualified persons will Nverty )20) days of the issuing date. From
the date of an appeal, any work conducted under this pem:il must
cease until the appeal is resolved.
This pearl must be on the project site and accllssible to the permit
officer when the project is inspected for compliagcs.
Any maintenance work m project modficalJonipat covered under
this pernil. secure further written permit approval.
AM wank must case wlon this perml eApies an'December 31,
ZVI
in issuing this mnYl it is agreed that W Pico is ctnsislenl with
the total Land Use Plan and all applicable ordinances.
This pertrkl may not be transferred to andhef party without the
warren approval d the Division of Coastal Managersl
n
1
Pamgtee (signature tequired ii car diiuns above apply to p3anili
12

Mar 07 04 09:59a Elaine T. Rudisill 7048021579 p.7
M,ar 04 04 05:17p TOWN OF HOLDEN BERCH 9108429315 10.6
Name
Minor Permit #HB
Page
(26) All development and construction shall meet all code requirements
located in the Code of Ordinances for the Town of Holden Beach.
(27) All construction permitted shalt be located landward of the
vegetation line and the entire frontal done.
(28)The coastal wetland line most be verified by the Division of Coastal
Management on lots 1`214-222 prior to any construction or fill work
being done on these lots.
(29)No fill material is to be placed in federal or coastal wetlands.
Temporary storage of materials or soil in wetlands is strictly
prohibited.
(30)The proposed retaining walls most be kept in gooid.repaiF so as to
prevent fill material from entering the wetlands. 1 " ✓ ! :L
p (31)The retaining walls must he dept in good repair
material from entering thee wetlands. e
DIVISION OF
(32) The retaining wall sections must be constructed prior to anyC'EME
backfilling activities. The wall sections must be structurally tight to
prevent seepage of backfdl materials through the structure.
(33) Prior to the placement of any soil fill material on the lots, the
property owner or their appointed representative shall apply for a
Stormwater Permit form the Town of Holden Beach.
This permit action may be appealed by the permittee or other
qualifed persons within twenty i20i 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 pe"I
officer when the project is inspected for compliance.
Any maintenance work or project moddicabon not Cmvered under
',his permit, require further written perm l approval.
All work must Cease when Iris permit a spires on December 01,
2DO7
In issuing Ibis permit it is agreed that this project is consistent with
this Iacal Lard Use fin aed all appyrab!e arAna,n,,,
This permil may not be haWarred to another party w:;hpa the
rrilfen approval of be Division of Coastal kf",iment
r �
vehill {signature required 0 coindi iorrs above apply 10 permit)
T

Mar 07 04 09:59a Elaine T. Rud1sill-ru4atselara r.o
Mar 04 04 05:17P TOWN OF HOLDEN HERCH 9108429315 P•7
Name
Minor Permit *HB
Page
Please be advised that if you the owner or your authorized agent has
any questions concerning the ordinances or etc. you may call Town Hall
[phone]
NOTE: The proposed area of development is an inlet hazard area that is especially
vulnerable to erosion, flooding and other adverse effects of sand , wind and water because
of its proximity to a dynamics ocean inlet. Inlet hazard areas are subject to inlet migration,
rapid and severe changes in watercourses, flooding and strong tides.
NOTE: fast history has shown that the area is severely affected by flooding during strong
winds and eaeeptional high tides and that there is a high probability that the inlet will
continue to migrate back and forth across Shallotte Inlet over time and may effect severe
erosion along the spplicaues-property.
NOTE: Permanent erosion control structures may cause significant adverse impacts on the
value and enjoyment of adjacent properties or public access to sad use of the ocean beach,
and , therefore, are prohibited. Such structures include, but are not limited to; bulkheads;
seawalls; revetments; jetties; groins and breakwaters
NOTE: Only sandbags placed above mean high water and parallel to the shore may be
used to protect only imminently threatened roads and associated right of ways, and
buildings and associated septic systems. A structure will be considered threatened if its
fems"tion, septic system or right of --way in the case of rands is less than 20 feet from the
erosion scarp.
NOTE: Sandbags are temporary erosion control structures and may only remain in place
for up to two years after the date of approval if it is protecting a building with a total floor
area of 5JW sq. it or less, or up to five years if the building has a total floor area of more
than 5,000 sq. it- The property owner shall remove the sandbags within 39 days of the end
of the allowable time period.
NOTE: Plans and specifications of all water system improvements most be approve by the
Division of Environmental Health prior to the award of a contract or the initiation of
construction ( as requ eed by 10 NCAC IOD.0900 et. Seq.). For information , contact the
Public Water Supply Section at (919) 733-24f411.
This perm action may be appealed by the permitlee or other
Qualified persons within twenty (20) days of the issuing date. From
the dale of an appeal. any work conducted under this permit must
cease until the appeal is resolved.
This permit must he on the project site and accessible to the permit
ofierwhen the project is inspected la compliance.
Any maintenance work or project modificalion not covered under
Ibis permit, require further written permit approval.
At work must erase when ess permit emr s on December 31.
2007
In issuing this penal it is agreed that this prgec; is cpnsislent vr;'h
he beat Land Use Plan and al aWicaWe ordinances.
This permit may not be trarsiened to another party w+t.4014 the
written approval of the Division of Coastal Manaoemeol.

Mar 07 C4 09:59a Elaine T. Rudisill '/U4UUeLb"/U P.tr
Mar 04 04 05:18P TOWN OF HOLDEN BERCH SlOS429315 P•e
3U d Cjct ea Yi -i�i vd, Wei
AEC HAZARD NOTICE
Project Is in An: _ Ocean Erodible Area _ High Hazard Flood Area Inlet Hazard Area
Date Lot Was Platted:
This notice is intended to make vim, the applicant, aware
of the special risks and conaitions associated with
development in this area, which is subject to natural
hazards such as s tomis, erosion and currents. The rules of
the CuasW Resources Commission require that You
receive an AF.0 I-lazrd Notice and acknowledge that
notice in writing before a permit for development can be
issued.
The Qummission'snilesonbuildingstandards,oceanfront
setbacksanddtine alteration aredesigned tominimize,but
not eliminate, property loss from hazards. By granting
permits, the Coastal Resources Commission does not
guarantee the safety of the development and assumes no
liability for future clamage to thedevelopment
The best available information, w accepted by tie Coastal
Resources Commission, indicates that the annual ocean
erosion rate for the area where your property is located is
feet par year.
The rate was established by careful analysis of aerial
photographs of the coastline Taken over the past 50 years.
Studies aLT indicate that the shoreline could move as
much a.- feet landward in a major storm.
ocd waters in a m ajorstorm arepredicted to beabout
feet deer in this area.
Preferred oceanfront protection measures are beach
nourishment and relocation of threatened structures.
Hard erosion control structures such as bulkheads,
seawalls, revetments, groins, jetties and breakwaters are
prohibited.Temporary devices, including sand bags, may
the allowed under certain conditions.
This structure shall be relocated or dismantled within two
year; of becoming imminently threatened.
The applicant must acknowledge this information and
requirements by si.gning this notice in the below space.
Without the proper signature, the application. will not be
min IHe.
!Date
SPECIAL NOTE: This hazard notice is required for
development in areas subject to sudden and massive
storms and erosion. Permmi is issued for developmen t in :his
area expire on December 31 of the third year Jullow ing the
yearin which the permit was issued. Sltorth" before work
begins on the project site, the L[Kal permit Officer will
determine the vegeta tion line andsetback distance at your
site. If the property has seen little change and the proposed
development can still meet the setback requirement, the
LPO willinform you that you may begin work.It is impor-
tant at you check with the LPO before the permit expires
for official approval to continue the work after the Perrot
has expired. Generally, if foundation pilings have been
placed and substantial progress is continuing, permit
renewal may not be necessary. If substantial progress has
not been made, the permit must be renewed and a new
setback line established. It is unlawful to continue work
after permit expiration without this approval.
For more information, contact:
foul Permit Officer
t i c Tom, <<d
Address le.�-e%—�. c
T�i1 f �a/i j4}�Tl'" I
1%TO
pl'i I N
COpsl -NIA
Revised 11193

CAMA PERMIT NOTICE
Pursuant to NCGS 113A-119(b), the
mutdcipality of Town of Holden Beach, a
locality authorized to issue CAMA permits
in the areas of environmental concern,
hereby gives NOTICE that on February 13,
2004, applicant Steven Rudisill, applied for
a CAMA minor development permit to add
fill -material and -retaining-wall at 1360
Ocean Blvd. West.
The application may be inspected at the
below address. Public comments received
by February 27, 2004, will be considered.
Later comments will be accepted and con-
sidered 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
Rhonda Phillips
Local CAMA Permit Officer
110 Rothschild Street
Holden Beach, NC 28462
(910)8426488
Feb. i9
STATE OF NORTH CAROLINA
COUNTY OF BRUNSWICK
TOWN OF HOLDEN BEACH
110 ROTHSCHILD STREET
HOLDEN BEACH, NC 28462
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and State,
duly commissioned, qualified, and authorized by law to administer
oaths, personally appeared
Scott R. Harrell
who, being first duly sworn, deposes and says: that he is
Publisher
(Owner, partner, publisher, or other officer or employee__
authorized to make this affidavit;'
of The Brunswick Beacon, a newspaper published, issued, and en-
tered as periodical mail m the Town of Shallotte in the said County
and State; that he is authorized to make this affidavit and sworn state-
ment; that the notice or other legal advertisement, a true copy of
which is attached hereto, was published in The Brunswick Beacon on
the following date(s):
February 19, 2004
and that the said newspaper in which such notice, paper document or
legal advertisement was published, was at the time of each and every
such publication, a newspaper meeting all the requirements and qual-
ifications of Section 1-597 of the General Statutes of North Carolina
and was a qualified newspaper within the meaning of Section 1-597
of the General Statutes of North Carolina.
This the 19th day of February, 2004.
l
(Signature of person making affidavit)
Sworn to and subscribed before me this 19th day of
February, 2004. ,.;,'
a p / tkOTAgy l: _
�J
1300
(Notary Public) KcoV_,.o
My commission expires: December 29, 2004.

Locality l/� Permit Number _j-_��y —6 . i
GENERAL INFORMATION 1
LAND OWNER � V-4L ts', R' I I
Name � � Y�1 '" `T.
Address
City &M2eka /v C- State is �' Zip 7 Phone
AUTHORIZED A ENT
Name S�`es'
Address
City Q y'Q 2 \7 State �f
LOCATION OF PROJECT
1�60 tn(2, uR�
(If not oceanfront, is waterbody natural or manmade?)
4-t-0
713U - 3 V1-S?PC)
Zip � I C 7- Phone � Z - 7ZZZ6
DESCRIPTION OF PROJECT �l LL + 6 v I KKe "i
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard _ Estuarine Shoreline _ORW Shoreline _
PROPOSED USE
Residential _ Commercial/Industrial _ Other
SQUARE FOOTAGE OF BUILDING FOOTPRINT AND
BUILT -UPON SURFACES (such as driveways, etc.) within
of an ORW shoreline)
the
C E Q V E
FEB 12 2D05
SQUARE FOOTAGE OF TOTAL FLOOR AREA OF BUW16 AG `"=�
SQUARE FOOTAGE OF SITE 1,4q At` COASTAL MANAGEMENT
OTHER PERMITS MAY BE REQUIRED
The activity you are planning may require
permits other than the CAMA minor
development permit. As a service we have
compiled a listing of the kinds of permits that
might be required. We suggest you check
over the list with your LPO to determine if
any of these apply to your project.
Zoning, Drinking Water Well, Septic Tank
(or other sanitary waste treatment system),
Burning, 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.
BEACH

STATEMENT OF OWNERSHIP
I, the undersigned, an a CAN
IA for a CAA minor development permit, being either the owner of roperty in r p Z
an AEC or a person aut onzed 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
7an
described therein. This interest can be described as: (check one)/
owner or record tit];,Title is vested in S k- r-P RlJ.J 1S-�1 see Deed Book
page in the j!:� County egistryo Dee s.
_ an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
if other interest, such as written contact or lease, explain below or use a separate sheet and attach to this
application.
r
O
n
a
NOTIFICATION OF ADJACENT PROPERTY OWNERS r
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)
(2)
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I aclrnowledge that the landowner 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 rmioffit ez has explained to me the
particular hazard problems associated with this lot. This explanation companied by recommendations
concerning stabilization and floodproofing techniques. a
PERMISSION TO ENTER ON LAND FEB 2 2p04
I furthermore certify that I am authorized to grant and do in fact grant i siorim'A� �6t@ic�r
and his agents to enter on the aforementioned lands in connection with evali r� re ted to this
permit application. co
This application includes: general information (this form), a site drawing as described on the back of this ap-
plication, the ownership statement, the AEC hazard notice where necessary, a check for $50.00 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 incorpornted without reference in any permit which may be issued. Deviation
from these details will rnnstitute a violation of any permit. Any person developing in an AEC without a per-
mit is subject to civil, criminal and administrative action.
This the _JZ— day of Ff Q 20.
Land owner or-pers3n—authorized to act as his agent
for purposes of filing a CAMA permit application.

2-(2-
(da<<)
IL(qE o1
b C 7'Z
_[ 1t4VlClt ft 1 ?o
This letter is to inform you that I have applied for a CAMA permit on property at
C 3 6y 6 g Lot 2 M r Subdivision _B U
in BRUNSWICK COUNTY, TOWN OF HOLDEN BEACH, NC, owned by
lC c a I have enclosed a copy of permit
application and a copy of the drawing of proposed project.
If you have any comments on proposed project, please contact the Coastal
Representative listed below. No response within ten (10) days is the same as no objection
when you have been notified by Certified mail.
Rhonda Phillips or Doug Gillette
110 Rothschild Street
Holden Beach, NC 28462
(910) - 842-6488
Sincerely,
Applicant or Agent
Mailing Address
Telephone

2- ('Z- d`F
(date)
u
This letter is to inform you that I have applied for a CAMA permit on property at
— A D 'by; ` ) Lot 2 I It- Subdivision f-F !6 U_
in BRUNSWICK COUNTY, TOWN OF HOLDEN BEACH, NC, owned by
"'t `— 1 ` Ct tic. / . I have enclosed a copy of permit
application and a copy of the drawing of proposed project.
If you have any comments on proposed project, please contact the Coastal
Representative listed below. No response within ten (10) days is the same as no objection
when you have been notified by Certified mail.
Sincerely,
Applicant or Agent
Mailing Address
Telephone
Rhonda Phillips or Doug Gillette
110 Rothschild Street
Holden Beach, NC 28411
(910) - 842-6488 Ln
3 5s9��R�► tfew.CO
u
PS Farm 3900, June 2D02 See Reverse for Instructions

11I11�ai1, NIIIn;H IS LUCAIED IN TIIF SUBDIVISION JURISUIUIum up Irrvr, IWVT14.vi
d I I I1 ULAt:lI AND THAT I HEREBY ADOPT THIS PLAN OI' SUBDIVISION WITH MY
T !-NSEN1, ESTABLISH MINIMUM BUILDING SETBACK LINES AND DEDICATE ALL
Is, ALLEYS, WALKS, PARKS AND OTHER SITES AND EASEMENTS TO, PUBLIC OR
i)iVATE USE AS NOTED.
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PROJECT .
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DATE 1Vj&W DES. JPN
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