2011-029

FROM
TLL--EE -Eili 1 ': 1B From: THE P' -4J&Itti8>
FAX ko. : �"46620064 Jul. 26 2011 04 : 1 BPM P 1
911384a7o113 To:70-166FLQE4 P.2/3
'loom of H,0141g`8ogc�
D A2� zo„
JUL0 D
TOWN OF HOLDEN BEACH
2011-D29
Pormit Number
CAMA
MINOR DEVELOPMENT
PERMIT i;
of OQUW is" by Lori itatw of Nara: Carolina, t k"$tment al• t W(ronn
sod Hrturel RMUrcac and the Gw" ResourCas Camrneettatl far dayl @W oot
in an isms of arMrmunenr cioncem pcxxuar* to g9c iott 11U.&W of• the
Ganwat -Waal& -cwRtaI was Ma►"nn,ene
Issued to Tony & Constance Blevins, authorizilg developmen', ;r the Ckean Hazard (ABG) at 691 tk an Boulevard
West, in Holden Beach Urtmswicik Coti,,iri, as ie>i tir4616d in the pelrnittee's appliral~on, dated Jttrta 30,2011, This perrrct,
issued on July 25, 2011, is subject t4 compliance with the appllestion and site drawing (where consistent with the
pern)It), all applicable regulations " special ocndibons and notes set forth below, Any violation of these terms may
suNact permittee to a fine, irnpriscnmerit of civil actin,, Or may cause the petrtlit to be null and ,told.
i
This permit authorizes: Constuct a 6'x20' uncovered elevated deck that will include a cargo lift and
concrete pad undemseth on the street aide of the home.
(1) All propaeec dow6opritni and associated oorjstructon M;At be done in acwdanoe with wo permitted wart plat
drewings(s) dated MeniVed on July 1, 2011.
(2) AU construciion must cottarm to the N.0 Building Cade requirements and all other kxal, Stao and Federal regulations,
applicable Iocal ordinances and FEMA I" Regulations
(3) Any change or changes in the puns for dovufopirent, constrtx:tien, or land use activities wilt require a reevaluation and
rnt:dttcation of this parmft-
(4 A copy of this permit shail be postea or avaltable on s ta. Contact thin off1w at 910-e42-f tt&0 for a final inspection at
comp;etion cf wctk.
I 44dditio„al Pamit Conditions
This permit acliol may he appealed by 11he perrmtltee o, othaf qualiAed ptxsoos
w0in twaaty X days of the iSSving date. From ilia date w ae apoai, any
work oor*cted under tKS Oertnit MUSZ 0"M until lute Appeal is Cited, TN.9
penult rwift be on the pMed s to and wcmibl6 to ttip Dmmtl cfp<C g whet: this
PMACt IS fnS'W ted for CMtpliaAM Any mailWax* wtxk or proiea
modlica ctl not covered under this 0Axw . teeultp further wntten permit
eoorovat. The m*aban date of thix peri-lt hz been ax%n*)d in a=tdarc*
with Sault Law ION406.
Al Afork roust cease when this permit expires on:
060-Z.15
to isS&V this pens R is agreed that ttrs projM is catsistcxlt with the focal ! And
Use Plan lad 41 applicable ardinances. This pony,! may not be transtwted to
a^rafher t::any wil-it the mftri apprerai of the Dvicion of Coastal
Rhonda Wooten
CAMA LOCA' PERMIT OFFICIAL
110 Rothschild Street
� � �,H� fc�en Beach, NC 26462
PERM ITTEE
("Ngnarure requiraa it cond tfons sbove apply to permi!)
AUG 0 2 2011
DCM WILMINGTON, NC

FROM : FAX t=' : - !946620064 Jul. 26 2011 04 :• 18PM P2
JIJL-i'S-2011 15:10 From: TH8 PL�NUNSP 910R42 F00:; To:7e46620064 P. 3%3
Name: Tony & Constance Sievins
!boron Permit # Z11.029
Date: Jelly 25, 2011
Page 2
(0) i no stritoturs must set back a agnimum of 60 fleet {rorn the firs. ll-ie Qf 61)10 n8tur� vsgeta:inn, as deternnirtad by
the DCR the LPQ or other sgeigned agent of the DCM.
(6) The parmirw is raqulredl to contact the Local Penr,tt ()mw 910-842.6080, Shortly b9fore, he plans to begin
mnswdw to amt%o a seek rnaasureme t hat will be efttive for sixty (ba) dayz tr *g 6 major ehorelirta
clWge. Consbvction twat begin within sixty (60) days of the delen ti wjon or the measurament is void and mast
be nedore,
z7) AJi buildings cons!rrtt.d within trio man hauM am she6 comply with the NO' Bulding Code, I;wluding t,*
Co85tal and Flood Plain Constr xdon Standards of the N. C. Building Code, and the ! ocel Flood Carnage
Prmtention Ordinance as required oy the WOW Road insurance Program. if eryProvisions of ire bUlding code
or a flood damage pmvention ordina%e aria irconsieWt vAtn any of ha follcming AEC standards, the mmro
restrictive Prnvis;pn shall corft?.
(6) Ail twlid%go must be eievated on pilings with 8 diameter Q° at least 8 WtU in dinMeter if round, or $ Fiches to a
side if Wam, and the first floor Oval of the siiis and joists must rmet tt.e 100 yedt' Food i8ve1 elevation.
(9) Ail pltirr s strati have a tip penatratwn greater Man eight feet heIGW into ipvi%t 9r-vur d elevation under the shotura,
(1t))Dune dmlurba ices will ba allowed oNy to ifhe extort nereasery for development and if the dune's protective vaiue is
not weakened or reduwad. ()Wiwi dune areas wit! be immediately stabilized,
(11)Ali unomolidated material resulting from assoeistW grading and landscacing shall be retained on site by etleotive
sadim oration and erasion crmtml measures. DstWrbed woad shall be vegataMvely etabili ed (planted and
mulched) within 14 days of constructeur, Completion.
02)Any sWoture sudtaiwd by this pernit shall be relocated ordiemartled WhW it becomes imminently threatened by
changes In stioreitis configuration. The 8t'uctu:elS? Sttat!. re owttd of dinmamIrrri Whhin fwn va2m M tha Gmn
050 Upon its CaraV& QUY139Ho4P�Ut;'r, if natural
shoreline rowvery or beach renourist wiv takes piece w bin two yew of IN time tho structure bmin :s
immineriliy threatonod, so that the structure iS tta longer iriv nenty trre*r0d, titan It rood not W relocated o,
dismantled at ttrat time. This a;ri ftom. shall not affect the permit hoklers -tht to mk arthorizmlion of ternpomry
protective MOWN allowed raider CRC rules.
(13y The pursed construction shalt meet all raqulwPOW of Town of Hoiden Rcacfi Code rJf ar,dinaGes.
SIGNATURE: ��
FERMI j ME
DATE

r \
Locality � V Permit Number
Ocean Hazard ✓ Estuarine Shoreline ORNV Shoreline Public Trust Shoreline Other
GENERAL INFORMATION
LAND OWNER
Name T(�nti 4-COn5�QrxCQ Q(eo",
Address to 91 o Bw
City. Ha 2h V>@PkC, State
(For official use only)
Zip.1?41a Phone '704 — 6(o7,- 0 0Io
Email F x -i�— '"l I o—O `I (0—,gq aq
AUTHORIZED AGENT
Name L v N w S v,,-A-•h
address a,SI S-1 4Qi I&Q-, GeaCh CZA
City State
Email 5+0'r r-,bu" lde-s C4, CO3C- • r-, C4
Zip'-"6.7- Phone ci 10" SC4 (o -;DLq 66
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) (09 1 043W
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) (p`k20` O Qg.% Z)*-c\- F-)4e,5le,
0 V% V,001d V� & e- cs4 h ow.e % r%&.t e q Cq r9 c, L'% S-4- 3--V yade-1-
SIZE OF LOT/PARCEL: 1square
$ 9 ST feet acres
PROPOSED USE: Residential E5-' (Single-family Multi -family CommerciaHndustrial Other El
COMPLETE EITHER (1) OR (2) BELOW (Contact}'our Local Permit Officer if you are not sure which AEC applies
to your propert}'):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: 10 � square feet (includes
air conditioned living space, parking elevated above around level, non -conditioned space elev3.tejio'�r level but
ezcludine96
non -load -bearing attic space) DCM WILMINGTON, NC
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER I1'VIP VfUS," 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 )-our calculations with the project drawing.)
STATE STORININVAT R .-NLANAGE-NiENT PER,NIIT: Is the project located in an area subject to a State Stormwater
hlana,ement Permit i sued by the NC Division of Water Quality?
YES NO
If yes, list the total built upon area`impervious surface allowed for your lot or parcel: square feet.

OTHER PER ITS II:11' 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
othe,rs. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CANNA 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)
ron4 a-Co"!Si Cq ee CSlev i nS
P"an owner or record title, Title is vested in "'� , see Deed Book 2-3 od
page 1 19_ in the e r%,,sw i <_k- 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 R. attach to this application.
NOTIFICATION OF ADJACENT PROPERTI' OWNERS:
I furthermore certif}, that the following persons are owners of properties adjoining this property. I affirm that I have given
'ACTUAL NOTICE to each of them concerning in,,, intent to develop this property and to apply for a CAIfA permit.
(Address)
Cs"I) A-)CLr., 5gne I_._' l58'0 WgMpanoga T'ra1 0S &rri,\! O
It
Zg 0(v
(093(2)
(3)
(Name)
(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 andlor 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. RECEIVED
L—,r VN ^ S Y-",-4-h
DCM WILMINGTON, NC
JUL 27 ' i' This the ���c day of- , 20 1 I
Landowner or person authorized to act as"his'her agent f,,,lr purpose of filing a CAMA permit application
This application includes: general h formation (this form), a site draiving as described on the back of this application, the
ownership statement, the Ocean Ha_atd AEC Notice where necessary, a check for .S100.00 made pgwable to the locality, and
am• information as nz;7v be provided oralh, bt• the applicant. Tile details of the application as described br lease sources nee
incorporated without relerence in any pernzit which mai• he issued Deviation from these details it -ill constitute a violation oj,
any permit..4nv person developing in an .4EC ivithow permit is subject to civil, criminal and administrative octi.9tz

i2ffl rE
FAX NO. :7046620064 Jul. 01 2011 10:01AM P1
•
��b9
AEC HAZARD NOTICE z4,-
Prvjett Is in An: zoccan Er: *bls Area
High Hazard F!ood Area Inlet Hazard Aran
Property Owner, 7bn!A. dr C% ^slrar, ce & 4v % - a
Property Address: rpgt 4iiW k►o\A"•' S&-L1' , t-1 • c-
rt-ae,et ^Tu.ot
_
Cali Brunswick County Gi$ for
Date Lot Was Plattod: De,XQL 4
this information! 910-263-2690.
Trwu► 0.w# ;•s--,t°r'�
This shall be completed.
This nonce it intended to make yen, fr.? apoLca: l aware cf the
SPECIAL NOTE: rhip ha-2a,-d mice is required fordctieloptncni
special risks asd cer:ditiom associ.a:ad aitt do _bpoteat in tyh
in sreas mbjec so saddt , and:turssivesiorrns and trosion. pemuts
area, � bicb 1; subject to ratiami hzxar&3uch assto.m., erosion
issued for development is this ateaaxpire or,t7ect rrbz3l Of the
srtd cut eats. The NatS Cf ICC Coastal Re;otl'"S ComrtisSios
lbird year Collt wing the year in Nhich the permit was issued.
:Vgaire%atynur+tceiveartAECH=vJ'P!otic!andsc'snox%dge
Shett[}bef,retccrki+esi7;cr. hsp,eect;:!r,ttul.CC Pamir
AM noti:a in writing before a permit f t t:c:t lopm n: can be:
'.)facer roast be conuicto to detertuine the vegetaticr. line and
r--sued.
setback disumv: at your M a. lithe prapu i., hasseen little charge
ik, Car *rissior,'s rules on building stasderds, c-ceanfront
"nrth ti amaofperinitissuance,andthrproposedde+alcptnent
can still rocct the s_ii+nck requirement, the ; p0 will inform
s:ttkeu anal dune al torstior„ are designed to rninirriza, but not
of iminat_, pre rr; lvS9 COt~] hazards 3 ¢-1r!,ia?
p. ) permits. the
you
that you may begin work- Substantial progress on the project
Coastal Resources Commis, tor. doe: xt the safety of
most bo cmde Rithin 0 days of triis setbaex determinztion, or
the setback must be mmeasured. Also, the occu n wce ofa major
rh.r?cveloprrxrtan!acstr,:snoiicbiiit;forfunrrdamageto
the development. Perztlts issued in *he Oscan Hzzard Area of
s-lombnechar.ZeastF.ercs1!tofastormwithintie80-daypetixi
£n� ironmt.-Aal Co,cern include the condition that structures be
a o
�Yil1 rneess+tau rcmeasutemenl of the setbs,k, it is taper pot
rtiocatedofdismand:difti;twbecomeimurrimnlithratcvolby
(fe'' �•OticlsitA
tdr Eire-tericat
the lzti:e
' pt xpiresfororlcial
1r�n-'Al to continue the worts after the hat
t + t, r F : g ,, . r,:
!t_nges ir_ sltOre.nt .txt..g! au'� .='e s4^a_tu,.tai rtt;t tx
teiocated o; dit;mant3rd within two (?) years cf becoming
permit expired
ri y,iffout-atiorpilirssfavebeer?13ce3and.subs;nNai
imminent y thmraNned, mnd in aa:r case open it! collapse or
`
css is antinui rettrmit sear be authorized. It is
r
subsidtrtc
viii %v rk 14permc
t nla++ilr! to continue wotk aher permit expiration.
he best available inforrnation, as as:spud by !ha ::os;tal
Resource; Commi3sioo, ird ra'!s that t c anne3't 'long-term
a4MECe octan trosior rate for the area w.here yo!a prre,ity is
iocatedis. _.>- Eta peryeat,
The rate was cstablishzd by cweE,il sn;l;'s:s of orr!ai yh'.tr';mphs
:•fate corst!ine taaco o.c- the past 5;'j years.
Swaic, alto indicant dhitt the shore!ine ecut2 rnrve AS much as
Zilff feet iotnewmi in a major srormn.
Th ;'ood •ratt-s in a major stotm stc wecdicvtd do of abot:t
Cot t dcto in this era,
?re Ford oceanfront protection nett as.jres are bc,,%L aaurishr::c,-a
and reiOWtion of 1-hreatent:d structi .s. Rard eras",oa control
stroct srei such a� bulkkads, seawalls, revet-mits. groim, it.tics
and, Dwakwaters are prohib14ed. iemporitry.sabd bags may bL
at41hcsrN.t,d t.odcr cc::air. conditions,
TF.e appliciari.mrs-..iA tp•,+It;{?eih:s isi'c^..ationznd r:quiTIC trctrU
ivy signing this cotice in the space below. Without the propel
signs:ure, the apphcmien will not Fit eornpltic.
\,!,
For more inlarnmafan, contare:
,r
Wei Permit C457-^5r
fpVltd Qf XOLDW ULM*
Andress ita goirrscHIiLD STREWr
iiOLC> N �KACt� M.C. 74w
Phona ldumt' r
10Q33ECEIVED
DCM WILMINGTON, NC
JUL 2 7 2011
(�) (!
9L,----
Prop9ety etsnets Sivaturs La e
_ ridQc`99i�LT:D- T6 Ni S iC,?r?3 Ii�iO::a7zl� i;1i rrA TrTZE��S 9l7i

WM EIP "EL— N -
CATVEi NRB " N83'09158E I
MH /'0.00 X EB
�
SBI 30"W O x t FENCE
(TIE) 5730 CLO
LOT 'B' I
D ed Book 2300, Pg.18
rn
( rmerly Lot 10, Map
B ok 2 1 /2, Pg. 130)
,.0 7,989 SO. FT.
q x^,d�t� o rT, LOT 8
I5 I .3
6.6'
PORCH I
LOT 12 z N
m N
O
EXISTING 12.0' o I
IHOUSE
a , w I
z Ln
I O W
V)
o OI 0 Sw0 I
O j N WWZ
0>0
O W J w
PORCH
38.0'� ERB
W (TIES 11.4'
S81'3�0 Nf�B - I
49.77 21.6'� o
cV IEIP �f o
I �
0 I 0 rn 4.0' D
I -i o
r- 0 O I
ABANDONED O
ISTREET
I
Trio P I ZONE
ICP �—.-
A50.00' ZONE
I � a11 e`^�(S83'10'00"W I I
W4
w ems- I I
LOT 9 I F�,CFIVED
IMap Book 2 1/2, Pg• 130 I DCM WILMINGTON, NC I
I JUL 2 7 !"� �� zc
Iz
I I
C 2004 WITHERS & RAVENEL - BRUNSWICK SURVEYING , ,,Tr WITHERS RAV E

I*HEREBY CERTIFY THAT THE ATTACHED PLAT OF
SURVEY IS A TRUE AND CORRECT REPRESENTATION
OF LAND SURVEYED AND PLATTED UNDER MY SUPERVISION
AND IS IN ACCORDANCE WITH THE STANDARDS OF
PRACTICE FOR LAND RVEYING IN NORTH CAROLINA*z,,71b7
``1 s 1 &
EDWARD S. KILMQAI. _ /�_ SATE
`e �ON1CJ J/O' a -y
yQ �r VIEW BLVB WE 1
:t— SEAL OCEAN o' R/
6w
L-2661 0
%
S EDGE OF ASPHALT PAVEMENT
�.�� �.� roes
0 I t 1�`
WM EIP "B__
N B3"O9' 5B" E
CATV� NRB " 50 00' �� EB
IMop Book 2 1 �2, P9. 130
TIE LINE:
COMMENCING AT MONUMENT "HB 19'. (N.C. GRID COORDINATES:
N = 59,148.5078 AND E = 2,209,859.1850; THENCE S 8313'05"W
1,863.75 FEET TO MONUMENT "HB 13", (N.C. GRID COORDINATES:
N = 58,928.4128 AND E = 2,208,008.4745; THENCE S 82'43'48"W
806.53 FEET TO NRB "A"; THENCE N 83'09'58"E 50.00 FEET TO
EIP "B". ALL BEARINGS ARE ORIENTED TO N.C. GRID NORTH, N.A.D.
1983. ALL DISTANCES ARE HORIZONTAL GRID DISTANCES.
SCALE FACTOR: 1.000145.
ERB
0—
N S2"5= "-E �I
9�
I
ro
`V, I ZONE VE 19
v VE 20
ZONE
(� 2006, WITHERS & RAVENEL - BRUNSWICK SURVEYING
NOTES:
WITHERS &- RAV E N E L -
BRUNSWICK SURVEYING
*PART OF LOTS #9&10 ARE
0
20
40
IN A FLOOD HAZARD ZONE
POLY S HOME RD., SW
20
SUPPLY, NORTH CAROLINA 28462
NORTH
E
SCALE
t" = 20
FEET
F.I.R.M 3720200500 J
EFFECTIVE DATE 06-02-06.
TEL: [phone] FAX: [phone]
WWW.WITHERSRAVENEL.COM
Office: Wilmington Office:
111 MacKenan Drive 7040 Wrightsville Ave, Suite 101.
Cary, NC 27511 Wilmington, NC 28403
SEERECENEE)Cary
T10:1 �q��,�-y�'
OW'WQ
VICINITY MAP
NOT TO SCALE
LEGEND:
NRB
0
NEW REBAR
l' " "IVIlIVl7 1
Y I• • 1
tel: [phone] tel: [phone]
Plat Survey For
\
EIP O EXISTING IRON PIPE
O EXISTING REBAR
COMPUTED POINT
JUL 2 7 1t111
ACOASTAE WATf3R WAY
C
1CP
p
TELEPHONE PEDESTAL
CONSTANCE BLEVINS
INIR
ANUUOLLAR
❑
a SWORD-
DR'
CAN
❑
CABLE TELEVISION BOX
MADE FROM LOTS 9&10, (691 OCEAN BOULEVARD WEST),
RSN DR.
BEACH, NC
EB
SBL
❑
❑
ELECTRIC BOX
BUILDING SETBACK LINE
C.R.ROBERTS MAP, (MAP BOOK 13, PAGE 48), BRUNSWICK
HOLDEN
wM
❑
WATER METER
COUNTY, NORTH CAROLINA AND EXISTING PHYSICAL EVIDENCE.
5
WV
❑
WATER VALVE
TOWNSHIP
COUNTY
STATE
DATE
OMAN VIEW
CLO 0 SEWER CLEANOUT
3 ATUNnc BLVD. wEsi
OCEAN
LOCK WOOD FOLLY
BRUNSWICK
NORTH CAROLINA
12-15-06
FIELD BOOK 702-67
FILE NO. 061515
JOB NO. 061515

Co -So_- i i
Date
Mo,r �anrz Li�
Adjacent Property O:vner
IS?0 WAw,AGnoa4 'r'RiAt_
tvtailing'Address IN;4 3 a5
S61 rr1,=4,o„ O 2i• o6
City, State, Zip Code
ON (Domestic Mall Only
For delivaN informati(
co
Certified Fee
a
O
Return Receipt Fee
p
(Endorsement Required)
C3
Restricted Delivery Fee
r
(Endorsement Required)
a
Total Postage & Fees
$
rl
a
Postmark `
1 Here
2011
Er sent to
e
o --
Street, pt. No; S
Dear Adjacent Property: � or PO Box No. ( S430 LAJIC m P otr, oa r}'r�....... r.r.. 3O
City, tale, ZIP+4
�r,, r, -k-oh (Z-A, OZg(ND
This letter is to inform you that I, 'rune\,, }Curs •,cc Q IPS Form 3800,
r
Property Cnvner
Perini', on my property at . C9 9 l 0 a W o d e� 6eac�, , N , C , in Brunswick
County
Property Address
County. As required by CA?A.A regulations, I have enclosed a copy of my permit application and project
dra`rring(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 9 10 — b 29 — (0 4 5 4 or by mail at the address listed belovr. if you wish to
Applicant's Telephone
iile Viritten comment-c or objections Ivith the Town of Holden Beach CA,",iA Minor Perm", Procram, you may submit
them to:
Rhonda Wooten
Local Permit Officer for Town of Holden Beach
110 Rothschild Su eel
Holden Beach, NC 28162
Sincerely, &nr--- A-,� , A g Q_n4
Pro^=31 Owner
�5t5•-i � I�h Q2g�h 2c�
klailino Address
�0 , a. 8 4 6 '2`
City, State, Zip Code
RECEIVED
DCM WILMINGTON, NC
JUL 2 7 All

ti
m
Ln
r` _
Date
Postage e $
1\ hboA- Erg ks o� CO\7
Adjacent Property Owner Certified Fee
t 3 o i P Return Receipt Fee Postmark
MEE
O (Endorsement Required) `i 0 1 201�
Mailing Address ,,
ICSSRestricted Delivery Fee
Q r�•�t^O v► �2 "� a M (Endorsement Required)
City, State, Zip Code Total Postage &Fees $ _28 '
ri -
E, Sent To
0 o bey+ ��; k son
p'�-... O Sti(, Apt eeo.�"'-3 0 �'---•�--1-----•------------------•-----------•-•---•--_._...
t��rrbrOOke C c'C1B
Dear:,dfacent Property: or Po Box No.
�•e--------------••------
City, State, ZIP+4 � Y � ��t
n'i-D n 1�
This letter is to inform you that I, -L0 ny J-Cot, s4A,,c-e L.,"' August "' See Reverse for l.structiol S
ave app ;e or a CAMA Minor
Property C^,mer
Permit on my propeit-y at (o91 Q 6W �p1da., �eae h
County in Brunswick
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
draMng(s) as noti icet on of my proposed project. No action is required from you or you may sign and return
the endose"I no objection form. If you have any questions or comments about my proposed project, please
contact re at q 10 - b2y •-(o 454 or by mail at the address listed below. If you wish to
Applicant's Telephone
rile :vritteh comments cr objections vAt;n the Town of Holden Beach CAMA. Minor Permi; Program, you may submit
them to:
Rhonda Wooten
Local Permit Clificer for Tovm of Holden Beach
110 Rothschild Strut
Holden Beach, NO 28162
Sincerely,
Prope. y O':4nar
aSt5--f 4c,(cly-, Ge2 ch 2�
Mailing Address
Su12 a tN , C, a194b'2-
City, State, Zip Code
RECEIVED
DCM WILMINGTON, NC
JUL 2 7 'Ail

VL--Zone
Application
ToNvn of Holden Beach
Floodplain Development Permit Application
Date : (cr-30--4 Permit Number
Location of Property
Type of Development :
Residential Construction .i Nonresidential Construction -i
.addition Renovation _i Other (specifv) �!— DeckS.x�nsioh (A"KtSr�
Size of Development:
Q!nC r 2Ae `.jt 5b t.14MC v\-Z,, 4
FIRM Data: Nlap Panel Noc000"0 Suffix 0- `lap Panel Date
Flood Zone VF (Enter zone & not v/n)
Development Standards Data:
1. Base flood elevation (BFE) per FIRM at development site t I ' using NAVD SS
?. Regulatory flood protection elevation must be at or above the bottom of the lowest supporting
horizontal member and all attendant utilities to include but not limited to, all heating. air
conditioning and electrical equipment must be installed andcosucted using NAVD SS.tr
3. V-Zone Certification is required prior to a C.O. being issued by the Building Inspector.
-'.. A11 -walls constructed below base flood elevation shall be constructed break a wav walls III
accordance with FEMA's technical bulletin.
5. Will garage (if applicable) be used for anv purpose other than parking vehicles, buildin_
access, or storage? If Ves. then the garage must be used in determiniil� t}le lowest floor
ele�'atlo7l.
ADDlicant acknov.,ledgment: 1, the Undersigned, understand that the issuance of a floodplain
development permit It COntlmgent upon the above information beiP.g correct and that the plans and
supporting data have been or shall be provided as required. I also understand that prior to
occupancy of the structure being permitted, an elevation certificate signed by a professional
engineer or registered land surve`•or must be on file with the Town of Holden Beach Building
Department indicating the "as built" elevations in relation to mean sea level (1NISL).
Print or Type Name of App1}cant Print or Type Name of Agent
Sig*,later: of:lpi�lica�ate —
r
Address k felcphone Number
Floodplain N•lana.*rr
SI IIatU1'e of Agent &, Date
Address LE Telephone Number

TOW-Ni OF HOLDEN BEACH
ZONING PERJMIT APPLICATION
All sections must be completed, if not applicable write N/A.
Section 1: Basic Data
Name: 'to 'L, d- eo.-\S4'a negv, ^n Telephone 9:
Holden Beach Property Address: 9i 0(3w +\_id:-, @,.-o , Q .c
Lot: Subdivision:
Permanent Flailing Address (print sarne if local address above applies):
Street Address: I SFS 4,ect4Jh(Q,, A (—,N.
City/State/Zip Code: _Moocesviila w , CI Z'S117
Contractor \Vho \Fill Perform Work: ,S+,orm aL4',(Aar% � ITN .
Contact Person: L nn Telephone:t� 1�
Address: SiS-I l e� 2ge�1 P.�l S�P�Iy , N, C' asq(e'L
Section 2: Specific Criteria Required to Support Application Approval:
Type of Structure:
New: = Alteration: _'- Repair: C Relocate: D Driveway: .D Fence: Other:
Property Use:
Single Family:�Two Family: = Apa:iment: U Condominium: r_ Townhouse: ` Other:
Ei
Please describe: _Bt„ (o ` X(5r OPe� 19 otna (oYXZu' ©nc��-�e Slab
Number of Bedrooms:
Required Setbacks in Feet:
Front: )Lb r Rear: 7 _S ' Sid . 5 r
Platted Area i Square Feet: • 7 T39' Usable e n Square per v '1 3C11
n Squ� a e Area i Feet �r Survey
Town Ordinance: No buildina shall exceed a maximurn height of35 feet measured from
ground level to the highest point of the structure.
Designated Ground Level in Feet Above IN -lean Sea Level: '-I
Highest Point of Structure above \lean Sea Level:
Ground Level is a measured point per the follov.in,:
1. FERIA flood area "AE-": P:leasurin, Point is minus 10 feet from the base flood elevation.
?. FENIA flood area "1'E": Mea3wing point is miss S feet fronh the base flood ele,atior .
_. FEN LA flood area "AE" and " VE% wlhcre the minus 10 and S too: measurements trom the base flood
ele,aaon is below undisturbed SOiI: .meaSt!i ing point is the kxxtst ori_in21 soi! under the SirOCit re er the
disturbed soil has been balanced (see Town Ordinance For definition of''balanced').
4. FENIA flood arca''X' : it 'a t b the lo: the structure a er the
•1� s rir. point is o e :eSt �ri�ina� soli under
undisturbed soil has been balanced.
Flood Zone (AE, VE. \): Base Flood: Elevation:
Type of Driveway Material: Q� Vay Q 1 Driveway Area (in square feet):
Lo:vest Original Grade Elevation belo%% Building in Feet:
Proposed Finished Grade in Feet as Sho,.vn on Fill Plan if Fill is to be Placed on Lot: A/�
Is Fill Material Being Proposed on the Lot? Yes: No: Yes, Depth of Fill:
Proposed Concrete Slab Elevation as Sho'.cn on the Stornw,aier Plan:
Piling Depth Belov.• Orizinal Grade in Feet:
Certiiicatlon to be Completed by, Applicant:
"I certify' that alw colist ructiOn.. a lieration Or replacennent of building and/Or use of land
shall be carried OUt in ac-cordance with the information and Zoning Permit criteria listed
Authorized Signature Printe Nanie Date
Section 3: To be Completed by To«n of Holden Beach Zoning Official
CA\IF, Permit Required? Yes: j No: L Stornm ,er Permit Required? Yes: I No
Zonliw,, Districi Determination for Property: Residential District (RI Zone)
Residential District (R? Zone) 7, Corrunereial District (C Zone)
Zoning Official .Approval Signature:
This permit expire's I year fr0n1 the date of issue.
Date.

PRINTED BY 111E STANDARD REGISTERR COMPANY. USA ZIPSET"�
CD
�.NGY MAh� OMB 3067-0077
,�2i("' �:..•�`.' CR' FEDERAL EMERGENCY MANAGEMENT AGENCY l::tpirex: Feb. 1987
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
This form is to be used for: 1) New/Emergency Program construction in Special Flood Hazard Areas; 2) Pre -FIRM construction after
September 30, 1982; 3) Post -FIRM construction; and, 4) Other buildings rated as Post -FIRM rules.
54 12Z_ IYA IQ (� 1
BUILDING OWNER'S ADDRESS
NAME
PROPERTY LOCATION (Lot and Block numbers and address if available)
I certify that the information on this certificate represents my best efforts to interpret the data available. I understand that any false
statement may be punishable by fine or imprisonment under 18 U.S. code, Section 1001.
SECTION I ELIGIBILITY CERTIFICATION (Completed by Local Community Permit Official ora Registered Professional Engineer,
Architect, or Surveyor)
COMMUNITY NO.
PANEL NO.
SUFFIX
DATE OF FIRM
FIRM ZONE
DATE OF CONSTR.
BASE FLOOD ELEV.
BUILDING IS
(In AO Zone, use depth)
❑ New/Emergency
❑ Pr M Reg.
375352
0005D
C
12-18-85
V17
3-24-87
17
ost-FIRM Reg.
YES NO It is intended that the building described above will be constructed in compliance with the community's flood plain
❑ ❑ ordinance. The certifier may rely on community records. The lowest floor (including basement) will be at an elevation
of ft, NGVD. Failure to construct the building at this elevation may place the building in violation of
,,th'b community's flood plain management ordinance.
YE �l0 The building described above has been constructed in compliance with the community's flood plain management
�' ❑ ordinance based on elevation data and visual inspection or other reasonable means.
If NO is checked, attach copy of variance issued by the community.
YES NO The mobile home located at the address described above has been tied down (anchored) in compliance with the
❑ ❑ community's flood plain management ordinance, or in compliance with the NFIP Specifications.
MOBILE HOME MAKE
MODEL
YR. OF MANUFACTURE
SERIAL NO.
DIMENSIONS
X
(Community Permit Official or Registered Professional Engineer, Architect, or Surveyor)
NAME Dwight E. Carroll ADDRESS 110 Rothschild St.
SIGNATURE i
SECTION 11 ELEV
NC ,Io 28462
9-10-87 PHnNF 842-6488
CERTIFICATION (Certified by a Local Community Permit Official or a Registered Professional Engineer,
Architect, or Surveyor.)
FIRM ZONE Al-A30: I certify that the building at the property location described above has the lowest floor (including basement)
at an elevation of feet, NGVD (mean sea level) and the average grade at the building site is at

Message Conf irmation Report
Name/Number
7545407
Page
1
Start Time
JUL-01-2011 09:25AM FRI
Elapsed Time
00,101,
Mode
STD ECM
Results
[ O. K]
JUL-01-201109:25 AM FRI
Fax Number . 9108427003
Name THB PLAN&INSP
NOTICE OF FILING
OF APPLICATION FOR
CAMA MINOR DEVELOPMENT PERMIT
Pursuant to NCGS 1 13A-1 19(b),401_C Sn c` a d/� I , a locality
authorized to issue CAMA permits in Areas of Environmental Concern, hereby gives NOTICE
that on 1 In
1�4�for a CAMA pennit to
C'UnS� ruc-� q (9' �( ao� u CoveYe CaC 1�)r aay red, UYCeYYMih,
a►id 0. my -%III: at �ql Own ! �]lr�yard �)PH
The application may hP ;�,,�,., m-i st the a dress below. Public wnunents received by
y d t q will be considered.
Later comments will be accepted and consrde cd 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.
�fo,
CAM Local Permit Offic
Town of Holden Beach /
Address: I Q
Phone:__ Ab Hl`P
PLEASE PUBLISII ON: 9— 7_1
- RECEIVED
DCM WILMINGTON, NC
JUL 2 7 Ail

LPO COMPOSITE RECORD FORM FOR MINOR PERMITS
LOCALITY: Town of Holden Beach FOR QUARTER: 1st Year: 07-Oct
0
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File #
Applicant Name
Project Address
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2011-028
Taylor -Womble Properties
127 Ocean Boulevard West
06-Jun
09-Jun
13-Junel22-june
25-Jun
O
1 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
Wilmington, NC 28405
RECEIVED Signature: Rhonda Wooten
DCM WILMINGTON, NC
Date: 07-oct-11
OCT 1 1 2011 Phone Number: 910-842-6080

CAMA Minor Permit
I Log 2011-2012
Holden Beach
Wiro / Pg. 1
Date. Quarterly report received: 10-7-11
1 st 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 MU
rcvId
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
812/11
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
9/16/111
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

REQUISTION FOR PAYMENT
OF CAMA MINOR PERMIT PROGRAM
IMPLEMENTATION AND ENFORCEMENT
Local Government: / -h ld ez) i6etf k,
Period Covered: X 1" Quarter (July -Aug -Sept)
FY: 2011-2012 2nd Quarter (Oct - Nov - Dec)
3rd Quarter (Jan - Feb - Mar)
4 Quarter (Apr - May - Jun)
Services Rendered:
OH ,3 .ES
OH ES
OH pZ ES 3
OH ES
OH ES
J Permits processed @ $55.00 each $ �rp�
(Cities and towns)
Permits processed @ $75.00 each $
(Counties)
Fnal'Inspections @ $40.00 each
Exemptions investigated @ $25.00 each
Violations resolved @ $100.00 each
LPO Training (not to exceed $200.00)
TOTAL AMOUNT REQUESTED UNDER THIS REQUISITION
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:
DATE RCVD IN WILMINGTON OFFICE:
DATE SENT TO MOREHEAD CITY OFFICE:
DATE TAID:

LPO COMPOSITE RECORD FOR FINAL SITE INSPECTIONS
LOCALITY: Town of Holden Beach 1 st quarter
YEAR:11
CU
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Qi
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p? U
� L
1 O U
v
C
O W a
File #
Applicant Name
Project Address
o (D LL O o 6
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Q
Y
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>, LL a) a) o �/, 0
H (n W 13f C)
1d
>� L L L
H W = co co
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
0 CT 1 1 2011
Signature: Rhonda Wooten
Date: 07-Oct-11
Telephone: [phone]