2011-030

. SEF-26-2011 08:52A FROM:FAIRFIELD IHN/SLEEP 91048688Se
SEA'-26-2011 08:28 From:TFE PLAN&INSP 9108427063
T0:1S10842700, P.
To:9104858868 P.2/4
Torun of Holden Beach
Local Government
2011.030
Permit Number
LAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Envirarwmant.
and Naeual Resouroec and the Coastal Rrsourca Conurg ion fbr development
in an w w of onvli onment concern punuantto Sectlon 113A-118 of the
General Statutes, "Coastal Area Management -
Issued to Genes S. Ammons, authorizing development in the Ocean Hazard (AEC) at 491 OBW, in Holden Beach
Brunswick County, as requested in the permittee's application, dated September 6, 2011. This permit, issued on
September 23, 2011, Is subject to mmpiiance with the applicalion 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 petmitauthorires: CONSTRUCT A 16' X 17' UNCOVERED UATTACHED FROM HOUSE DECK.
(1) All proposed development and associated construction must be done In accordance with the permitted work plot
drwMngs(s) dated remived on September 6k, 2011.
(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 he posted or available on site. Contact this office at 91GU2-6080 for a final inspection
at completion of work.
(Additional Permit Conditions on Page 2)
This panntl action may he appealed by the pemttse w other quat,f19d persons
within twenty (20) days of the iMirtg date. Fm tha data of an appeal, any
work casductud under this permit must cease until the appeal Is resolved, This
permit must be on the project site aid accessibet to ibe permit alfioer when the
piq)W is inspected f0f cOmpl nce. Any maintenance work or project
mOdifxMion clot cd+ered un*r ttis permit, require further wrimn pefflt
3pprovai. Ail work must cease when this permit eOres on:
DECEMEER 31, April 9, 2015
In iasuing this lierrryt it is agreed that tbs pmjad ie consistent with the local land
Use Ptan and al applicable ordinarmes. This permit may not he tmsferred to
anothet party wittwut the wri@en approval of the t)ivision of Coasts►
Manarfer "t.
Rhonda Wooten
CAMA LOCAL PERMIT OFFICIAL
110 Rothschild Street
Holden Beach NC 28462
FERMI E
ISignatura required it coalitions above apply to permit}
E I V E E-1
0CM WILMINGTON, NC
AUG 2 9 2011

SEP-26-281' 08:51A FROM:FAIR=IELD INN/SLEEP 9104868868 T0:1910E,12i003 P.
SEP-26-2011 08:28 From:THE HLRAINSP 910842YOW Io:y104�ibbbttf
Name: Gene S Ammons
Minor Permit # 2011.030
Date: September 23, 2011
Page 2
(5) The structure must set back a minimum of 60 foot feet from the first line of stable natural vegetation, as
determined by the DCM, the LPO, or other assigned agent of the DCM.
(6) The permittee is required to contact the Local Permit Officer910.842-61180, 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.
(7) All buildings constructed whhln 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.
(8) All buildings must be elevated an pilings with a diameter of at least 8 inches in diameter if round, or 8
inches to a side if square; and the first floor level of the sills and joists must treat the 100-year flood level
elevation.
(9) All pilings shall have a tip penetration greater than eight foot below the lowest ground elevation under the
structure.
(10)Dune disturbances will be allowed only to the extent necessary for development and if the dung's
protective value is not weakened or reduced. Disturbed dune areas will be immediately stabilized.
(11)AiI unconsolidated material resulting from associated grnd'mg and landscaping shall bo retalned on site
by effective sedimentation and erosion control measures, Disturbed areas shall be vegotatatively
stabilized (planted and mulched) within 14 days of construction completion.
(12)Aoy structure authorized by this permit shall be ralocated or dismantled when it becomes imminendy
threatened by changes in shoreline configuration. The structures) shall be relocated or dismantled
within two years of the time when it becomes Imminently threatened, and in any case upon its collapse or
subsidence, However, If natural shoreline recovery or beach renourishment takes place within two years
of the time the structure becomes imminently threatened, so that the structure Is no longer imminently
threatened, then it need not be relocated or dismantled at that time. This condition shall not affect the
permit holder's right to seek authorisation of temporary protective measures allowed under CRC rules.
03)The 16' x 17' uncovered deck shall be unattached from the structure and it shall be landward of the fronzl dune.
Rhonda Wooten, Local Permit Officer
SIGNATURE.' DATE:k2—.2 6 -//
PERMiTTEE
RECEIVED
DCM WILMINGTON, NC
AUG 292011

Permit Number
Locality
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER
Name - S ✓i� /'i /(� �'
Address A a, -8 DO G elld---
City tgYE _T V 1,LL1E�_ State Al (:f_ Zip ak3c)6 Phone 7/0
Email
AUTHORIZED AGENT
Name
Address 4-D
City State
Email
/E-
Zip 2�.&hone %/lJ Z7"> 3— I FA:Z
!NAqA.
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) y`� � t 4_) 0_( SY �YUC,+ 0­ 119X'
ncoV���ed deCV-.
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) G L
SIZE OF LOT/PARCEL: square feet
acres
PROPOSED USE: Residential (Single-family 0--m-,ulti-family 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: 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: 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? E E I
YES NOS_
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: SLlpa2e6e f,1
€CIA WILMINGTON, NC

O'1 hr,rc 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:
I, 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 t%i ��'P� % %� ty�i f'e Deed Book
page in the W I Gk 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)
0p 1d) go, gam/ ,,oLv��L �'�> Roe/""IV14L. 5-g-_
r21 /92)%P1 &�?�0 k4AL_fZ1 //Li' 0,f_Z:�A) 3LUb, !d1(/01o%eV
(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 day of ; 20
Landowne4 peisoffauthorized to act as'*liis/her'agent for purpose of filing a CAMA 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 action.

SEP-26-2011 08:51A FRC11:FAIRFIELU I4VSLEEP 9104868858 T0:191084270C3 P.1
SEP-26-2011 08:2e From'TH9 PLANUNSP 9100427003 To:9104868968 P.414
AEC HAZARD NOTICE
Project Is In An: t}eean ErodibieArea
High Huard Flood Area Inlet Hazard Area
Property Owner; t� Yk�',r Ammons
Froperiy Addro8s. OM E )`�
liQ. ►�.1_
�� `�^-3��
Call Brunswick County GIS for
Date Lot Was Platted:
this information! 910-253-2690.
This shall be completed.
This aotice is intended toinake you, the applicant, aware of the
SPECIAL NOTE, This hazard notice is required for development
special risks and conditions associated with development in this
in areas subject to sudden andmassive storms and erosion. Permits
area, which is subject to natural hazards such as storms, erosion
issued fordeveloprnent in this area expire on December 31 of the
and wrrtnts. The rules of the Coastal Resources Commission
third year following the year in which the permit was issued.
require that you receive auAEC Hazard Notice and acknowledge
Shortly before work begins on the project site, the Local Permit
that notice in writing before a permit for development can be
Officer must be contacted to determine the vegetation tine and
issued.
setback distance at your site. If the property has sccnlittle change
since the tilde of permit issuance, and the proposed development
The Commission's rules on building sraruiards oceAnfront
can still meet the setback requirement:, the LPO will inform you
setbacks and dune alterations are designed to minimize, but not
that you may begin work Substantial progress on the project
eliminate, property loss from hazards. By granting permits, the
must be made within 60 days of this setback determination, or
Coastal Resources Commission dots not guarantee the safety of
the setback must be remeasured. Also, the occurrence of a major
the development and assumes no liability for future darriage to
shoreline change as the resultofa storm within the60-day period
the development. Permits issued in the Ocean liasard Area of
will necessitate remeastuement of the setback. it is important
Environmental Concern include the condition that structures be
that you check with the LPO before the permit expires for official
relocated or dismantled if they become imminently thruitteacd by
approval to continue the work after the permit has expired.
changes in shoreline configuration. The structure(s) must be
Generally, if foundation pilings have been placed and substantial
relocated or dismantled within two (2) years of becoming
progress is continuing, permit. renewal can be authorized. It is
imminently threatened, and in any case upon its collapse or
unlawful to continue work after permit expiration.
subsidence.
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual long-term
average cc -can erosion rate for Elie area where your property is
located is feet per year.
The rate was established by carefu l analysis of a erialphotobraphs
of the coastline taken over the past 50 years.
Studies also indicate that the shoreline could move as [Huth as
3n t laridward in a major storm,
The flood waters in a major storm arc prWicted to be about
feet deep 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,sand bags may be
authorized under certain conditions.
The applicant must acknowledge this information and requirements
by signing this notice in the space below. Without the proper
signature, the application will not be complete.
For more information, contact;
�Awda L)a�m
Local Permit Officer
TCPWN Of HOU M FLOM
Address pip $1OM
HOLDEN BEACH, M C. SIM
Localily jj /�
- �[ 6-2
Phono Nvmber
RECEIVED
DCM WILMINGTON, NC
AUG 292011

70

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Adjacent roperty Owner
Mailing A dress
City, State, Zip Code
Dear Adjacent Property:
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This letter is to inform you that I, N &MO E=a-- — have applied for a CAMA Minor
Property Owner
Permit on my property at �1 ()Jl�GJ in Brunswick
County
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 questions or comments about my proposed project, please
contact me at t✓� %.��4'" �L ���--,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Town of Holden Beach CAMA Minor Permit Program, you may submit
them to;
Rhonda Wooten
Local Permit Officer for Town of Holden Beach
110 Rothschild Street
Holden Beach, NC 28462
Sincerely,
rvNciy/vrU�, /� ,9
Mailing Address
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City, State, Zip Code ��

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Adjacent roperty Owner
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M ' ing Address
City, State, Zip Code
Dear Adjacent Property:
CERTIFlEDA H ;m iECEFP.T!, z
'(Dolhsurdoce C04verage�Provided)
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This letter is to inform you that I, Ol e n'Z' A r,1 VVVa W 5 have applied for a CAMA Minor
Property Owner
Permit on my property at 9011 C, 9 11
_, in Brunswick
County
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 questions or comments about my proposed project, please
contact me at 0110 ~ (12;tff -y 01 Ll ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Town of Holden Beach CAMA Minor Permit Program, you may submit
them to:
Rhonda Wooten
Local Permit Officer for Town of Holden Beach
110 Rothschild Street
Holden Beach, NC 28462
Sincerely,
Property w ' r
rY
Mailing Add ess f r
City, State, Zip Code

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Date
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Dear Adjacent Property: r -,- ,,... ...__._>.::=-=
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This letter is to inform you that I, �� ��P+4
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Permit on my property at�11 ��rL✓ - - — -
County
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 questions or comments about my proposed project, please
contact me at Cj f����� �' or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Town of Holden Beach CAMA Minor Permit Program, you may submit
them to:
Rhonda Wooten
Local Permit Officer for Town of Holden Beach
110 Rothschild Street
Holden Beach, NC 28462
Sincerely,
Property goer - / /!" �B
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Mailing Address
City, State, Zip Code

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Dear Adjacent Property:
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This letter is to inform you that I,
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Property!
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Permit on my property at
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County
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 questions or comments about my proposed project, please
contact me at 0 — (oA •-17 Q t ti ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Town of Holden Beach CAMA Minor Permit Program, you may submit
them to:
Rhonda Wooten
Local Permit Officer for Town of Holden Beach
110 Rothschild Street
Holden Beach, NC 28462
Sincerely,
Property w r
i/17y
Mailing Addle ss
City, State, Zip Code

TOWN OF HOLDEN BEACH
ZONING PERMIT APPLICATION
All sections must. be completed, if not applicable write N/A.
Section 1: Basic Data
Name: S Telephone #:
Holden Beach Property Address:
Lot: I- 5ci "'L 53 Subdivision:
Permanent Mailing Address (print same if local address above applies):
Street Address: & f rj 0 1 Gq 10 .)-
City/State/Zip Code:�t�
Contractor Who Will Perform Work'
Contact Person: e-i= %.ems Telephone: ei 1('44B% $
Address: ;jj Ll -��(c�t� r►CIi a id_
Section 2: Specific Criteria Required to Support Application Approval:
Type of Structure:
New: Ik Alteration: ❑ Repair: ❑ Relocate: ❑ Driveway: ❑ Fence: ❑ Other: ❑
Property Use:
Single Family: 1' Two Family: ❑ Apartment: ❑ Condominium: ❑ Townhouse: ❑ Other: ❑
Please describe:
Number of Bedrooms:
Required Setbacks in Feet:
Front: _ :�?15 Rear: 90 Side:
Platted Area in Square Feet: Ni'A-- Usable Area in Square Feet per Survey Vvig---
Town Ordinance: No building shall exceed a maximum height of 35 feet measured from
ground level to the highest point of the structure.
Designated Ground Level in Feet Above Mean Sea Level: _ 1
Highest Point of Structure above Mean Sea Level:
Ground Level is a measured point per the following:
1. FEMA flood area "AE": Measuring Point is minus 10 feet from the base flood elevation.
2. FEMA flood area "VE": Measuring point is minus 8 feet from the base flood elevation.
3. FEMA flood area "AE" and "VE" where the minus 10 and 8 foot measurements from the base flood
elevation is below undisturbed soil: Measuring point is the lowest original soil under the structure after the
disturbed soil has been balanced (see Town Ordinance for definition of "balanced").
4. FEMA flood area "X": Measuring point is to be the lowest original soil under the structure after the
undisturbed soil has been balanced.
Flood Zone (AE, VE, X): Base Flood: V 4- Elevation:
Type of Driveway Material: {V JA- Driveway Area (in square feet)*V J -
Lowest Original Grade Elevation below Building in Feet: i^✓8 iQ---
Proposed Finished Grade in Feet as Shown on Fill Plan if Fill is to be Placed on Lot: &204-
Is Fill Material Being Proposed on the Lot? Yes: No:)�-lf Yes, Depth of Fill:
Proposed Concrete Slab Elevation as Shown on the Stortnwater Plan: W i Yv-
Piling Depth Below Original Grade in Feet:
Certification to be Completed by Applicant:
"I certify that any construction, alteration or replacement of building and/or use of land
shyll carri out in accordance with the information and Zoning Permit criteria listed above."
eect
otzed Signature Printed Natne Date
n 3: To be Completed by Town of Holden Beach Zoning Official
CAMA Permit Required? Yes: ❑ No: ❑ Stortnwater Permit Required? Yes: ❑ No: Ll
Zoning District Determination for Property: Residential District (RI Zone) ❑
Residential District (R2 Zone) ❑ Commercial District (C Zone) ❑
Zoning Official Approval Signature:
Date:
This permit expires 1 year from the date of issue.

O
NOTICE OF FILING
OF APPLICATION FOR
CAMA MINOR DEVELOPMENT PERMIT
Pursuant to NCGS 113A-119(b),
DU KA Qi IMWi' l c ffl W , a locality
authorized to issue CAMA permits in Areas of Environmental Concern, hereby gives NOTICE
that on q— to- o_,© I
n/ ,
l�CIVle- YYId` s applied for a CAMA permit to
VANGM. e
J
The application may be inspected at the address below. Public comments received by
a3-ao 1 I will be considered.
Later comments will be accepted and considered 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.
PLEASE PUBLISH ON: 0
CAM Local Permit Officer for
Town of Holden Beach
Address: I L 0 T( AA
Phone: 46 Id.'P/1 &(.':(�

OCT-07-2011 13:19 From:THB PLAN&INSP 9108427003 To:3953964
P.2/4
No'rtCE: OF FILING
OF APPLICATION FOR
S'IAl [ OF N(]lUH C'AROL1NA
01' 13RLJNSWICK
CAMA MINOR DEVELOPMENT
COUNTY
PERMIT NOTICE
Pursuant to NCGS 113A-11900
Town of Holden iieach, a locality
authorized to issue CAMA permits
in Areas of Envlrowricutal concern,
NOTICE Llle on Sep-
AFFIDAVIT OF PUBLICATION
tiiinbcr 6, 2011, ariPliCetrt Gene S. Am-
t9inby ,201
mons applied for a CAMA permit to
construct a ls'xL6' uneoverod deck,
W.Ulttaclled from hOUSe at 491 Ocean
Bclorc LhC: undersigned, a Notary Public of said CAutll.v and Swte,
Boulevard West.
duly commissioned, qualified, and authorized by law to administer
The appl icatiori may be inspected at
the below widress. eublic comments
oaths, personal ly appeared
received by september 23, 2011, will
be considered. Later commenvi will
be acc:eptrd and considored tip to the
Scott R. Harrell
time or pernilt decision Project. rnud•
iflcatiorit: may occur based oil further
review and cuinrnents. Notice of the
who, being first duly sworn, does and says: that hr. is
permit ck cit;ion in this matter will be
provided Upon written requesI.
Wicrida Wooten
Permit Officer
Publisher
1A)Ui1 CAMA
110 Rothschild Street.
Huldea.Bcach. NC28462
N10)842.6080
(Owner, partner, publisher, or other officer ur cmploy�:c
se[A. a
authorized to make, this affidavit)
ol' The Brunswick Beacon, u newslYuper published, issued, and en-
tered a.s perimheal mail in the Town of ;hallotte in the said County
and SLaw, that he is authorized to make this affidavit rind ~worn state-
ment; that Lhc notice of other legal advertisement, a true copy of
which is atutched hvi:.Lo, was published in The Brunswick Rcacon
can the following date(s),
September 8, 2011
and Lh;iL the said newspaper in which such notice., paper dtrcuman►
or lu al advertisement was published, was at the Lime: of each and
every such publication, a newspaper meeting all the rcquircmcnLs
and qualificaLions rrf Section 1-397 of the General Statutes of North
Carolina and was a qualified newspaper within the meaning of Sec-
rr�� ��77 n� tion 1-597 01• Lhc Gcn(MLI Statutes of North Carolina.
((�� I ll V
1 3
D `� This the Sth day of September, 2011.
2OC� - 7 2-11
TOWN OF HOLDEN BE H
(Sig aturC. of portion making affidavit)
Sworn to and subscribed before ale this kith day of Septein-
ber, 2011.
(Notrary Public)
My commission vxpires: ❑ecellibu 29, 2014.
RECEIVED
DCM WILMINGTON-, NC
OCT 0 7 2011 :.

LPO COMPOSITE RECORD FORM FOR MINOR PERMITS
LOCALITY: Town of Holden Beach FOR QUARTER: 1st Year: 07-Oct
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2011-028
Taylor -Womble Properties
127 Ocean Boulevard West
06-Jun
09-Jun
13-June/22-june
25-Jun
O
SFR
2011-029
Tony & Constance Blevins
691 Ocean Boulevard West
01-Jul
07-Jul
14-Jul
25-Jul
O
0-uncovered deck and lift
2011-030
Gene S. Ammons
491 Ocean Boulevard West
06-Sep
08-Sep
19-Sep
23-Sept.
O
0-const. a 16' x 16' foot uncovered deck
Return To: Division of Coastal Management
127 Cardinal Drive Extension
HtL:tl V tU
DCM WILMINGTON, NC
Signature: Rhonda Wooten
Date: 07-Oct-11
Wilmington, NC 28405 OCT 1 1 2011 Phone Number: 910-842-6080

LPO COMPOSITE RECORD FOR FINAL SITE INSPECTIONS
LOCALITY: Town of Holden Beach 1 st quarter
YEAR:
21
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Applicant Name
Project Address
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2010-036
Royal
144 Sailfish Drive
SFR
12-Jul
ES
2010-048
Haley
1348 Ocean Boulevard West
SFR
28-Jul
1
2011-008
William
309 Windswept Way
SFR
12-Aug
H
2010-047
Sealey
126 Burlington Street
SFR
07-Sep
ES
2011-012
Sutton
139 Seagull Street
SFR
09-Sep
ES
Return To: Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, NC 28405
RECEIVED
DCM WILMINGTON, NC
oCT 1 12011
Signature: Rhonda Wooten
Date: 07-Oct-11
Telephone: [phone]

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REQUISTION FOR PAYMENT
OF CAMA MINOR PERMIT PROGRAM
IMPLEMENTATION AND ENFORCEMENT
Local Government: /-A Ids
Period Covered: X 1" Quarter. (July -Aug -Sept)
FY: 2011-2012 2nd a Quarter (Oct - Nov - Dec)
3 Quarter (Jan - Feb - Mar)
4th Quarter (Apr - May - Jun)
Services Rendered:
OH3 .ES = Permits processed @ $55.00 each $ f fpS 1
(Cities and towns)
OH ES = Permits processed @ $75.00 each $
(Counties)
OH c2 ES 3 = Final'Inspections @ $40.00 each $ GDD .
OH ES = Exemptions investigated @ $25.00 each $
OH ES = Violations resolved @ $100.00 each $
LPO Training (not to exceed $200.00) $
TOTAL AMOUNT REQUESTED UNDER THIS REQUISITION $ 3"-OD
The above information is an accurate account of activities carried out by the local government
staff during the period specified above. I approve for payment
CM Regional epr s ntative
Date: /Q - %- //
DATE RCVD IN WILMINGTON OFFICE: .14 - 17-! 1
DATE SENT TO MOREHEAD CITY OFFICE:
DATE,PAID:

CAMA Minor Permit
I Log 2011-2012
Holden Beach
Wiro / Pg. 1
Date. Quarterly report received: 10-7-11
1st Quarter
Permit
No.
Applicant's Name
Project Location
Date RO
received
App.
Date on
App.
Date RO
received
Permit
Date of
permit
Decision
Date
App.
Filed
ae KU
rcv'd
Public
Notice
AEC
App
Complete
Appr. for
Payment
11-028
Taylor -Womble Props
127 OBW
6/29/11
6/6/11
7/28/11
7/1/11
6/6/11
7/19/11
Y
Y
Y
11-029
Blevins, Tony
691 OBW
7/27/11
6/30/11
8/2/11
7/25/11
6/30/11
7/27/11
Y
Y
Y
11-030
Ammons, Gene
491 OBW
9/26/11
9/6/11
9/29/11
9/23/11
9/6/11
9/26/11
Y
Y
Y
11-031
Feeley, Brian
107 Schooner Dr
10/4/11
9/16/11
9/16/11
n/a
carry
over
11-032
Haire, Randy
261 Brunswick Ave #27
10/4/11
9/12/11
10/4/11
n/a
carry
over