NTB_16-28_Bailey

Issued by WiRO NTB16-28
N. Topsail Beach Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT Coastal Management
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 Belmon and Vickie Bailey authorizing development in the Estuarine Shoreline (ORW) Area of Environmental
Concern (AECs) at Lot 201 Shell Street, Rogers Bay Campground, in North Topsail Beach, Onslow County as
requested in the permittee's application package, dated August 30, 2016 and received by DCM on September 1, 2016.
This permit, issued on September 14, 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: General site fill, grading and landscaping.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on September 1, 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, and/or land use activities will require re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site throughout the construction process. Contact this office at (910)
766-7221 for a final inspection at completion of work.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permidee or other qualified persons f 4 V
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 Jason Dail
compliance. Any maintenance work or project modification not covered under CAMA LOCAL PERMIT OFFICIAL
t�peI it expres On further written permit approval. All work must cease when this RECEIVED 7 Cardinal Drive Extension
DCM WILrAINGTON,
December31, 2019 ilmington, NC 28405-3845
In issuing this permit it is agreed that this project is consistent with the local Land SEP222016�
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. PERMITTEE
(Signature required if conditions above apply to permit)

Name: Belmon and Vickie Bailey
Minor Permit # NTB16-28
Date: September 14, 2016
Page 2 of 3
(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 vegetated and stabilized (planted and
mulched) within 14 days of construction completion.
(6) The amount of impervious surfacelcoverage on this property shall not exceed 25% within 575 feet of the Normal
High Water line contiguous with Stump Sound.
(7) Any and/or all gravel placed on the lot shall consist of a four (4) to six (6) inch layer of Grade 57 stone placed on top
of a layer of filter fabric. No other type of gravel shall be placed on the lot without prior authorization from the NO
Division of Coastal Management.
(8) This permit does not authorize the excavation or filling of any wetlands or open water areas.
(9) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third -party.
SIGNATURE: DATE: L
PERMITTEE
RECEIVED
DCM WILMINGTON, NC
SEP 2 2 2016

Coasta[Management
ENVIRONMENTAL QUALITY
September 14, 2016
Mr. & Mrs. Belmon Bailey
114 Clayton Rd.
Princeton, NC 27569
Dear Mr. & Mrs. Bailey:
PAT MCCRORY
cwerner
DONALD R. VAN DER VAART
Secr'elary
BRAXTON DAVIS
D" "'Io,
Attached is CAMA Minor Development Permit # NTB 16-28, for work to be done at Lot 21 Shell
St. Rogers bay Campground, in North Topsail Beach, Onslow County. An electronic copy of the
permit has been sent to the Town's Inspections Department.
In order to validate this permit, please sign both copies of the permit as indicated for our
records. Please retain the orange copy for your files, sign both pages of the white copy, and
return to us within 20 days of receipt, in the enclosed, self-addressed envelope.
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Sincerely,
Shaun K. Simpson
Permit Support Technician
Enclosures
Cc: WiRO files
Town of NTB Inspections Dept.
State of North Carolina I Enviromnental Quality I Coastal Management
127 Cardinal Drwe E#., Wilmington, NC 28405
919 796 7215

Locality
Ocean Hazard
I
Estuarine Shoreliney ORW Shoreline
(For official use only)
GENERAL INFORMATION
LAND OWNER - MAILING ADDRESS
Name
Permit Number /i /t `�
Public Trust Shoreline Other
Address ( /'
City Prt61 ` ,XJI State Ly, Jr P Zip_2 hone
Email du4'w - A of r& be 11soCty-Pt Y1�
AUTHORIZED AGENT
Address
City
State
Zip Phone
LOCATION OF PROJECT. (Address, street name and/or directions to site; name of the adjacent waterbody.)
/
�/ w stlpLf s+-�er's �Y-0.rn-1 - � Soup, t IRm r
DESCRIPTION OF PROJECT: (List all proposed constriction and land disturbance.) « i H J& S LU t U
V:0 A-.,4 nin,d 1pop) lof ial"U, ill Citvt l,U,- _ [0_0J5C_ - trYLev
SIZE OF LOT/PARCEL: square feet acres
PROPOSED USE: Residential Q (Single-family Ed Multi -family Commercial/Industrial ❑ Other ❑
COMPLETE EITHER (1) OR (2) BELOW (Contact yottr Local Permit Q ficer ifyon are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes
t i l tair 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
if 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.)
&WE
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State ECEIVED
Stonnwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources (DEjILMINGTON, NC
YES NO ..[
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: squai� NO—
W 1 2016

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)
_an owner or record title, Title is vested in name of DlAvittM IXOwl"\ Llk;'PN T i 't-y, 4, t e �iY'r�ey
see Deed Book �2 !Z page S ri �3 in the (OAL )OL. ) County Registry of Deeds.
Map recordej i n plat -t5obK 3c) Paq t✓ 34
_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 street & attach to this application.
NOTIFICATION OFADJACENT RIPARIAN PROPERTY OWNERS:
i fi,rthermore certify that the following persons are owners of properties adjoining this property. 1 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)
ACKNOWLEDGEMENTS:
(Address)
o?cZ She t t
Toi5l 15a;
bead,
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 3 6 day of u 5t, 20 �p
Landowner or person authorized to act as his/her agendfor purpose of filing a (AMA permit application
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 aciOCEIVED
DCM WILMINGTON, NC
SEP 012016

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PROPERTY OF
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BELMON BAILEY
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LOT #201
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ROGERS BAY CAMPGROUND
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4011A-2't ISLAND DRIVE
DB 1547 PAGE 423
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SCALE, V = 20'
LANDSCAPE TIMBERS ON
OR
NEAR PROPERTY LINE
FILL SIDE (SECURE WITH REEBAR)
II MARSH SIDE
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SHELL STREET

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Receipts for
Certified Mail
(Staple Here)
:Trine S Dl/o
Late
]�i1 qfY� 6 WaJTDrJ
Adjacent Property Owner
QUO 51._11 5i'
-4niling ddress
T o_sa; l .nhfaCit
City, State, Zip Code
Dear Adjacent Property:
�Q� r j�
This letter is to inform you that], / L,f100 A ' VtC.,I� f.e QJ shave applied for a CAMA Minor
Property Owner
Permit on my property at 0 5A&- /1 S'f - 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 oryou may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at q I q - q 1 1- a 581 0 r or by mail at the address listed below. If you wish to
Applicant's Telephone
9�Q- 4;LI—ac5z.1
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,
!7L'Imok1 64i�pi�
Property Owner T
114 Nctu'16n Rd
Mailing Address '
Pr; n 0-eJ A) /V C 756�j
City, State, Zip Code
RECEIVED
DCM WILMINGTON, NC
SEP 012016

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
1 hereby certify that I own property adjacent to ; v ' SEIOWA U rC ie j�Q �e t/
f (Name of Property Owner)
property located at �Q� � h P I I ,
Address, Lot, Block, Road, etc.) I - I
) R 7k ! TrceL 0'-" N.C.
on OciPfS J C.t in >\ln, %of,>Sa�
Waterbody) (Nort�Beach, Onlsow 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)
y
Signature 1 /�
jA1,flickm ]�ClC1t0(
Print or Type Name
(3/0) 23' lS3!
Telephone Number
Date
RECEIVED
DCM WILMINGTON, NC
SEP 01 2016

Receipts for
Certified Mail
(Staple Here)
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I, &IM.On ' - V r Gkle /..ct ; have applied for a CAMA Minor
Property Owner
Permit on my property at A61 SAel/ S1 • inONSLOW
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 oryou may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at 11 / R - 0,2 I - a 52/ o Y ,or by mail at the address listed below. If you wish to
Applicant's Telephone
ata- Iial-a5a
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,
-M Mnrr IXLi
Property Owner r
)141 G n Rd
Mailing Address
Pri h ae-4-on A/C cR `150
City, State, Zip Code
RECEIVED
DCM WILMINGTON, NC
SEP 01 2016

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to 'Be-66Y1
J _
(Name o_f/ Property Owner)
property located at d/�,q sh ,// � T -
L Address, Lot, Block, Road, etc.)
on R0Q pxs in AAb"Hn 7DLI-cad
(Waterbody) ' (North Topsail Beach, OnsloW 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)
4111.'X�Ezvt
SrgirI ure
Print or Type Name
94'X / ,%a1�l�
Telephone Number
Date
RECEIVED
DCM WILMINGTON, NC
SEP 01 2016

SITE DRAWING/APPLICATION CHECKLIST
Please make sure your site drawing includes the following information required for a CAMA minor development permit.
The Local Permit Officer will help you, if requested.
PHYSICAL DIMENSIONS
Label roads
Label highways right-of-ways
�(ELabel 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 ' not applicable?
• notified and listed adjacent property own — -' -
• 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
FOR STAFF USE
Final Inspection Fee Received
-RC6EIVEFi
DC 0,/!''_MINGT01,1. !,�"
Date of Action: Issued Exempted Denied Appeal Deadline (20 days from permit action)

6M L--M �T.P
Coastal Management
ENVIRONMENTAL QUALITY
�-� ckeek
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. lease 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
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RECEIVED
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DCM WILMINGTON.
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DCM Form EB 1952-2015/Revised SEP 01 2016�'
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