OI 11-25-PHARMA PHAMS,LLC

Oak Island 0111-25
Local Government Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT i i
as authorized by the State of North Carolina, Department of Environment,
and Natural Resources 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 Pharma Phams, LLC, authorizing development in the Ocean Hazard (AEC) at 6624 W. Beach Dr., in Oak
Island, as requested in the permittee's application, dated 7/29/2011. This permit, issued on 8/19/2011, 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: the removal of existing landscaping, replacement of sod, trees and shrubs. Relocation of sprinkler heads
and a fence.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 7/29/2011.
(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 be posted or available on site. Contact this office at (910) 2 , for a final inspection at
completion of work. i t.TICII iv I: L
(Additional Permit Conditions on Page 2) AUG 0 5 2011
This permit action may be appealed by the permittee or other qualified persons
within twenty (20) days of the issuing date. From the date of an appear, 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 permit officer when the
project is inspected for compliance. Any maintenance work or project
modification not covered under this permit, require further written permit
approval. All work must ease when this permit expires on:
May 15, 2015
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal
Management.
Donna F. Coleman
CAMA LOCAL PERMIT OFFICIAL
4601 E. Oak Island Dr.
Oak Island, NC 28465
PERMITTEE
(Signature required if conditions above apply to permit)

Name: Pharma Phams, LLC
Minor Permit # 0111-25
Date: 8119/2011
Page 2
(5) The structure must set back a minimum of 60 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 Officer [phone], 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 within the ocean hazard area shall comply with the NC Building Code, including the
Coastal and Flood Plain Construction Standards of the N. C. Building Code, and the Local Flood Damage
Prevention Ordinance as required by the National Flood Insurance Program. If any provisions of the building code
or a flood damage prevention ordinance are inconsistent with any of the following AEC standards, the more
restrictive provision shall control.
(8) All buildings must be elevated on pilings with a diameter of at least 8 inches in diameter d round, or 8 inches to a
side 4 square; and the first floor level of the sills and joists must meet the 100-year flood level elevation.
(9) All pilings shall have a tip penetration greater than eight feet below the lowest ground elevation under the structure.
(10)Dune disturbances will be allowed only to the extent necessary for development and if the dune's protective value is
not weakened or reduced. Disturbed dune areas will be immediately stabilized.
(11)AII unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetatatively stabilized (planted and
mulched) within 14 days of construction completion.
(12)Any structure authorized by this permit shall be relocated or dismantled when it becomes imminently threatened by
changes in shoreline configuration. The structure(s) shall be relocated or dismantled within two years of the time
when it becomes imminently threatened, and in any case upon its collapse or subsidence. However, if natural
shoreline recovery or beach renourishment takes place within two years of the time the structure becomes
imminently threatened, so that the structure is no longer imminently threatened, then it need not be relocated or
dismantled at that time. This condition shall not affect the permit holder's right to seek authorization of temporary
protective measures allowed under CRC rules.
Pufflugm
Li r,v1 W i LtviJ�G `@' ; NC
SIGNATURE: DATE:
PERMITTEE

Locality Permit Number -LL- Z5
Ocean Ha7ard —�- Estuarine Shoreline— ORW Shoreline — Public Trust Shoreline— Othcr- -'j J
(For official use only)
PW WK W—AMMUN-0-1-110T AIN, 111.1
LAND
Name
Address .�
City An1"eState --I—W_ Zip
Phone
AUTHO
Name ( 'Arl'j
Address
c Phone
City h C zip. z 75
LOCATION OFPROJE T (Ad4rem, street name
adjacent waterbody.) �)J7T�F Y Alei-I J
to site. If not oceanfront, what isAe name ()f the
DESCRIPTION OF PRO-JEC'F (List all proposed construction and land disturbance,)
SIZE OF LOTIPARCEIL:
square feet
acres
PROPOSED USE: Residential -IZ(Single-famiiy--.�Millti-famity— ) Commercial/lodustrial
Other
cx&-4"4-tn-n
TO'LAL ENCLOSED FLOOR AREA OFA BUILDING IN THE OCEAN HAZARD AREA OF ENVIRON-
MENTAL CONCERN (AEQ- _—LF12—square feet (includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER I MPERVIOUS OR BIjILT-UPON S(JRFACES IN THE
COASTAL SHORELINE AREA OF ENVIROINWENTAL CONCERN (.AEC). I-,'JtV square feet
(Calculations includes the area of the roobdrip line of all buildings, driveways, covered decks, - - t
etc., that are with it-, the applicable AEC. Attach your calculations with the project drawing .)
Choose the AEC area that applies to your property-.
(1) within 'IS feet of Normal High WatenNormal Water Level for the Estuarine Shoreline AakiJG 0 5 2011
(2) within 57-5 feet of Norma) I ligh Water/ Normal 'rater I -eve] tier the Estuarine Shoreline AEC, adjacent to
Outstanding Resource Waters . I i I , LNINGTON, NC
(3) within 30 feet of Normal High Wawrl Normal Water Level for the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER -MANAGENITENTPERNUT: is the project located in an area subject to a State Stormwater
Management Permit issued by the NC Division of Water Quality9
YES--- NLO-Me. . -
If yes, list the total built upon areajimpervious surface allowed for your lot or parcel: ........ . . ........ .. ... . .. ___ __ square feet.

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor develop-
nient permit. As a service we have compiled a listing of the kinds of permits that might be required. We suggest you check over the fist
with your LP0 to determine if any of thes6 apply to your project. Zoning, Drinking Water Well, Septic Tank (or other sanitary waste
treatment system), Building, Flectrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification,
Sand Ditne. Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and others.
STATEMENT OF OWNERSHIP:
1, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in anAEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certift, that the person
listed as landowner on this application har, a significant interest in thereal property described therein. This interest can be
described as: (check one)
arY owner or record title, Title is vested in '17 ;,
see Deed Book -,5/ 7Y
page 01* in the 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 tease, 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
ACTLlAL NOTICE to each of them concerning my intent to develop this property and to apply for a CANIA permit.
(--Narne) (Address)
(1)
(2)
IN
7 /f 40—cl-?
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware that ffie 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 particular h d ms
associated with this lot. This explanation was accompanied by recommendations concerning s
41E-Gadoofing
techniques,
PERMISSION TO ENTER ON LAND:
AUG 0 5 2011
I furthermore certify that I am authorized to grant and do in fact grant permission to the locaj f Adfo New
enter on the aforementioned lands in connection with evaluating infon-nation related to this iermi app ication.
This application includes: general infori-nation (this form), a site drawing as described on the back of this application, the
ownership statement, the AEC hazard 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 peNion developing in an AEC without permit is subject to civil., criminal and administrative action.
Z9 day of --Iv4-- 20 ji____
Landowner or person authorized to act as his agent for purpose of filing a CAMA permit application.

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Electronic Government Solutions - E Services
Page 1 of 2
be
(Notice: This site data is current as of 7/24/201.1)
Parcel Reportl
Subject Brunswick County
Parcel: 233NF027 Parcel Report
Parcel Information:
Parcel Data:
Field Address:
Parcel:
Account Number:
Parcel Description:
Deed Book:
Deed Page:
City Id:
City Name:
Impl_Use_Name:
6624 W.BEACH DR
233NF02! j
- 3086—M-6—
L-26 B-136R S-lA KINGS
LYNN PLAT N/350
3173
0168
14
OAK ISLAND
SFR RESORT
Parcel Information:
No. Of
4 BEDROOMS
Bedrooms:
Bath
Restrooms:
Fireplace;
NONE
No. Of
2.0 STORIES
Stories:
Air
Condition
CFNTRAI
Type:
Heat Type:
HEAT PUMP/GAS PACK
Heating
ELECTRIC
Type:
Interior
Flooring
CARPET
Namel:
Interior
Flooring
CERAMIC CLAY TILE
Name2:
Interior
Wall
DRYWALL/SHEETROCK
Namel:
Interior
Wall
Name2:
Roofing
ARCH SHINGLE
Type:
Roofing
Structure
GABLE
Name:
Exterior
Wall
AL/VNL SIDING
Typel:
Exterior
Wall
Type2:
Actual Year1995
Built:
Eff. Year
1995 DCM
Built:
HeatSq:
1702
�CE1V
AUG 0 5 2
ILMINGT4)N, NC
http://egs.brunsco.net:8080/EGSV3BWK/PCParcelReport.do?acctno=3306A233NF027 00... 7/25/2011

AEC HAZARD NOTICE
Project Is In An: .1/ Ocean Erodible Area
Property Owner:&,IpvFlk�ii
_-L High Hazard Flood Area L . Inlet Hazard Area
Property Address: L%'r c/ 6� CAS. T&
Date Lot Was Platted:
This notice is intended to make you, the applicant, aware of the
special risks and conditions associated with development in this
area, which is subject to natural hazards such as storms, erosion
and currents. The rules of the Coastal Resources Commission
require that you receive an AEC Hazard Notice and acknowledge
that notice in writing before a permit for development can be
issued.
The Commission's rules on building standards, oceanfront
setbacks and dune alterations are designed to minimize, but not
eliminate, property loss from hazards. By granting permits, the
Coastal Resources Commission does not guarantee the safety of
the development and assumes no liability for future damage to
the development. Permits issued in the Ocean Hazard Area of
Environmental Concern include the condition that structures be
relocated or dismantled if they become imminently threatened by
changes in shoreline configuration. The structure(s) must be
relocated or dismantled within two (2) years of becoming
imminently threatened, and in any case upon its collapse or
subsidence.
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual long-term
average ocean erosion rate for the area where your property is
located is Z feet per year.
The rate was established by careful analysis of aerial photographs
of the coastline taken over the past 50 years.
Studies also indicate that the shoreline could move as much as
S feet landward in a major storm.
The flood waters in a major storm are predicted to be about
1_Cfeet 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 no - e injthe space below. Without the proper
signature, theme TPIicatioA�will not be complete.
Applicant Signature
1.1� z ol
Date
SPECIAL NOTE: This hazard notice is required for development
in areas subject to sudden and massive storms and erosion. Permits
issued for development in this area expire on December 31 of the
third year following the year in which the permit was issued.
Shortly before work begins on the project site, the Local Permit
Officer must be contacted to determine the vegetation line and
setback distance at your site. If the property has seen little change
since the time ofpermit issuance, and the proposed development
can still meet the setback requirement, the LPO will inform you
that you may begin work. Substantial progress on the project
must be made within 60 days of this setback determination, or
the setback must be remeasured. Also, the occurrence of a major
shoreline change as the result of a storm within the 60-day period
will necessitate remeasurement of the setback. It is important
that you check with the LPO before the permit expires for official
approval to continue the work after the permit has expired.
Generally, if foundation pilings have been placed and substantial
progress is continuing, permit renewal can be authorized. It is
unlawful to continue work after permit expiration.
For more information, contact:
_ I �
Local Permit Officer
_HC I -�
Address
Locality
(Qt13) `2ci-
Phone Number
RECEIVED
AUG 0 5 2011
DCM WILMINGTON, INC
Revised 2107

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Dear Adjacent Property: fik
ZThis letter is to inform you that I, 'r' o t tns- / have applied for a CAMA Minor
on m
Property Owner
Permit y property ert ro at / /S,�� ��� in Oak Island.
y %�0,
Property Address
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 C � Z 2 ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Town of Oak Island CAMA Minor Permit Program, you may submit
them to:
mailipg Address
City, State, Zip Code
Donna F. Coleman
t ^^"' °ermit Officer for the Town of Oak Island
4601 E. Oak Island Dr.
Oak Island, NC 28465
RECEIVED
AUG 0 5 2011
DCM WILMINGTON, NC

4
Date
Adjacent Property Owner
Mailing A/�ress
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City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I,
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tal ServiceIED MAILw RECEIPT
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nformation visit our website at www.u>ps.com
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fly For+;> 1HDCV August Zo05 5pv Cs_rvor�r 9r1; srte(tr4r5Su".�i-� i
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J �Property Owner /
Permit on my property at /� Z7/ 1�� / �eae 1 0-- , in Oak Island,
Property Address
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 %g - Z U ` S—Z � b_ ___— ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Town of Oak Island CAMA Minor Permit Program, you may submit
them to:
Donna F. Coleman
Local Permit Officer for the Town of Oak Island
4601 E. Oak Island Dr.
Oak Island, NC 28465
Zely, �7
Property Owner n L )
5-10
Mailing Address
City, State, Zip Code
RECEIVED
AUG 0 5 2011
0CM WILMiNGTON, NC

Date
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Sent To
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or PO Box No. ---------
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Dear AdacentProperty: )
This letter is to inform you that I, lv *'Jl1 /X 01J L' L have applied for a CAMA Minor
Property Owner
Permit on my property at �l 2 7 � , ems - ice` in Oak Island,
Property Address
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 9 /9 - Z 6 e 5-2 94 or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Town of Oak Island CAMA Minor Permit Program, you may submit
them to:
Donna F. Coleman
Local Permit Officer for the Town of Oak Island
4601 E. Oak Island Dr.
/1 Oak Island, NC 28465
Sin
Property Owner ok-,s Berl-n t-v)
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Maifin ddress
City, State, ip Code
J0 05 2011
'`` VVII INGTON, NC

NOTICE OF FILING OF APPLICATION
FOR CAMA MINOR DEVELOPMENT PERMIT
Pursuant to NCGS I I3-A-119(b), Town of Oak Island, a locality authorized to issue CAMA permits, hereby
gives NOTICE that the following applications for CAMA Minor Development Permit(s) have been received:
The applications may be inspected at the address below. Later comments will be accepted and considered up to
time of permit decision. Notice of the permit decision in this matter will be provided upon written request.
Number
Name
Address
Development
Comments through
OI 11-25
Pharma Phams LLC
6624 W. Beach Dr.
landscaping/fence
August 19, 2011
Donna Coleman
CAMA Local Permit Officer
Town of Oak Island
4601 E. Oak Island Dr.
Oak Island, NC 28465
Phone: [phone]
PLEASE PUBLISH ON: August 3, 2011
Billing information for this ad:
Cathy Robbins
Town of Oak Island P � '.' E I V E D
4601 E. Oak Island Drive
Oak Island, NC 28465
AUG 0 5 2011
DCM WILMINGTON, NC

CAMA Minor Permil
Log 2011-2012
Oak Island
Wiro / Pg. 1
Date Quarterly report received: 10-18-11
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
rcv'd
Public
Notice
AEC
App
Complete
Appr. for
Payment
11-20
Williams, Phil
5212 E Beach Dr
7/15/11
6/9/11
7115/11
7/1/11
6/10/11
7/15/11
Y
Y
Y
11-21
Wilcox, Shaun
3102 E Yacht Dr
10/25/11
6/13/11
10/18/11
7/11/11
6/13/11
10/18/11
n/a
Y
Y
11-22
Holland, Lawrence
7602 E Beach Dr
7/15/11
6/25/11
7/15/11
7/11/11
6/27/11
7/15/11
Y
Y
Y
11-23
Crisco, Charlie
3526 E Beach Dr
7/15/11
6/29/11
7/15/11
7/22/11
6/29/11
7/15/11
Y
Y
Y
11-24
Lawrence, Kent
3015 W Beach Dr
7/20/11
7/11/11
9/9/11
8/5/11
7/14/11
7/20/11
Y
Y
Y
11-25
Pharma Phams LLC
6624 W Beach Dr
8/5/11
7/29/11
8/5/11
8/19/11
7/29/11
8/5/11
Y
Y
Y
11-26
Rickman, David
123 SW 12th St
9/23/11
8/8/11
9123/11
9/2/11
8/10/11
9/23/11
n/a
Y
Y
11-27
Williams, Derek
127 SW 5th St
9/23/11
8/15/11
9/23/11
_9/9/11
8/19/11
9/23/11
n/a
Y
Y
11-28
Grimes, Annie
5223 E Pelican Dr
9/23111
8/18/11
9/23/11
9/9/11
8/19/11
9/23/11
Y
Y
Y
11-29
Keesee, Brian
622 E Beach Dr
9/23/11
8/25/11
9/23/11
9/16/11
8/25/11
9/23/11
Y
Y
Y_
11-30
Cordell, Ann
906 Elizabeth Dr
9123/11
8/23/11
9/23/11
9/9/11
8/25/11
9/23111
n/a
Y
Y
11-31
Sweet, Sara Ann
1004 W Pelican Dr
10/25/11
9/9/11
10/18/11
9/30/11
9/9/11
10/18/11
n/a
Y
Y
11-32
Luciano, Jack
1504 E Yacht Dr
10/25/11
9/12/11
10/18/11
9/21/11
9/12/11
10/18/11
Y
Y
Y

LPO COMPOSITE RECORD FORM FOR MINOR PERMITS
I -
---
—LOC.A-LITY: QAK ISLAND
... . ...... ..
—Year:.2011-2012
FORQUARTER:
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Applicant Name
Project Address
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0111-20
Phil Williams 5212 E. Beach Dr. 06/10/11 61l5/2011:06113/11
07/01/11
0
SFR
0111-21
-Shaun Wilcox 3102 E. Yacht —Dr. !06/13/11 St'1512011
Lawrence Holland E. Beach Dr. 06Q7/11 6/29/2011
SFR0111-22
SFR
06/08ifl
06129/11
07111/11
fts
107111/11
OE
0111-23
1 Traci & Charlie Crisco
3526 E. Beach Dr.
6QW01 1
702011
7/18=11
7/22/2011
0,H
SFR
0111-24
=Kent& Shannon Lawrence
3015 W. Beach Dr, 17/14/2011
7/20/2011
7/20/2011 1802011
O,H
SFR
;
0111-25
P 6624 W.
Khanna Pharns,LLC Beach Dr.
07/29/11
8WO1 1
07128/11
08/1 W1 I
1,lt
SFR
0111-26
David & Holly Rickman
. . . ..........
123 SW 12th St
M1 Dtl I
8117r2011
08/15/11
109/02/11
ES
SFR
011127 !Derek
Williams ......................
127 SW 5th St
.. ............
08/18111
WC2011
08117M1 1109)09111
IES
SFR
0111-?8 !Annie
Grimes ---.5-223
E. Pelican Dr......—l-
91.11 1.8/24l/.20.1
I-
M31 /11 109/09/11
10,H
SFR
... . ... . .. .. ... ...... . ...
Brian Keesee . .
622 E. Beach Dr.
................... .......... . ... . .
0111-29
08/25111 �•8/31/2011
08/31/11
09/16111
110,H
SFR
0111-30
......... ..........
Ann Cordell
906 Elizabeth Dr.
0&26/11
8/3112011
08131111
09/09/11
'ES
SFR
0111-31 !Sara
Ann Sweet .. . ............... .............
1004 W. Pelican Dr.
09/09/11
9/14/2011
09114/11
09/30/11 1 E-S
SFR
0111-32
- - ------
Jack Luciano 3216 E. Pelican Dr. R E Q E I V E Q
912/11 ..................
. . . ..............
9114/2011109/14/11
09121111
0,H
SFR
...................
Signature:'
I
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Return To:
..........
Division of Coastal Management DCM WILMINGTON, 14C
...... . .. . ... ..... . . .... ..
127 Cardinal Drive Ext. 0CLL"011
..........
. . ...... ..... . --
..... . . . . ....... -
Data:
1017t2o1l
Phone Number:;
910
1-8047 i
_LW—umington,
NC 28405-3845

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. ....... ... LOCALITY: Oak island
'FOR QUARTER: 1ST
...... . . ........
. . . ......... . .
Year: .2011-2012
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Carolyn Hicks
205 Sherrill St
7/5/2011 17111201117/5/2011
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NC Beachouse LLC
926 E. Beach Dr,
711811 1_t7/15/11
J7/18/20
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M&R 11-39: Heln eLedford
. ........ ..
906 E. Beach Dr. ........ . .... . .........
07/25111
07/25/11
07/25/11
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M&R 11 -40. James Simpson1318 W. Beach Dr, / 0802/11 08/02111 .08/02/11 0, H RM
......... . . .... . .......... ____ . . . . . .. . ......... . . ....
M&R 1141 Bryan& Phyllis Soltz
. ..........
1724 W. Pelican Dr.
. . . .......................... . .. . ... . ...
08/08/11
0 8/08/11 �08/08/11
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SFR
M&R 11-42 Rebecca Young
616 E. Pelican Dr.
......... . . ....... ..
08/11/11
08/11/11
08111/11
O,H
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SFR
M&R 1143 Sherry Kent .1308
W. Beaqch Dr,
.................. . .. ... ....... ...........
08/12/11 i08/12/11
1
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SFR
M&R 11-44 Elizabeth Wood 5004 E. Yacht Dr. . .. .... . .. ..... - ----- ....... . .. . ........................ . . ........ .08/15/11 '08115/11 08115/11 ES RM
....................
M&R 11-45:PatWells
. .....
5714 W. Beach Dr.
..... . ..... . . . . ................... .
08/16/1 1
08116/11 08/16/11
............. .............
................... . .
RM
SFR
M&R 11461 Sidney Thames 507 W. Beach Dr.
. ......... . . . .. . . ........... . . .......... . . ... . ...
08117/11 08117/11 08/17/11
..............
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SFR
R M&1147.Tom Griffin 5719 W. Beach Dr. .. . ........ . ....... 08/17/11 08/17/11 08/17111
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SFR
SFR
M & R 11 -48 Terry Tucker 3909 W. Beach Dr.
......................................... .......... ........... . . ............ 09/13111 09/13/11 09/13111 O,H RM
............
RECE'�E
Return To: Division of Coastal Management
. ......... .. ................................ . . ..... .............................. DC "N+LhlWGT0 _
_
NG
Signature::
127 Cardinal Dr. Ext.
— ----- . .
Date:
10/7/2011
............................
..............
...........
-
Wilminqton, NC 28405-3845
Phone Number:
910 201-8047

e_ry I t KtI.VKU 1-UK HNAL 51 1 t INSNt(; 1 IONS
LOCALITY OAK ISLAND FOR QUARTER: 1ST
YEAR: 2011-2012
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Leon Capel
216 SW 15th St
storage
7/7/2011
ES
OI 10-41
Dan Anderson
2016 W. Beach Dr.
SFR
7/14/2011
O,H
OI 10-47
Leo Anderson
2928 E. Beach Dr,
SFR
8/10/2011
O,H
OI 11-03
Jeff Agee
2920 E Pelican Dr.
deck
7/20/2011
ES
OI 11-04
Peter Soward
2508 E. Dolphin Dr.
addition
7/21/2011
O.H
OI 11-05
Malcom Mayer
226 W. Beach Dr.
pool,deck
712112011
O,H
Ol 11-11
Robert Yingling
610 E. Beach Dr.
addition
7/20/2011
O,H
RECEIVED
OCT1
Return To: Division of Coastal Management
127 Cardinal Dr. Ext.
Signature-. i
Date: 10/13/2011
Wilmington, NC 28405 Telephone: -910 201-8047

REQUISTION FOR PAYMENT
OF CAMA MINOR PERMIT PROGRAM
IMPLEMENTATION AND ENFORCEMENT
Local Government: oi9-/ 16/fi/yY_ � >
Period Covered: X I" Quarter (July -Aug -Sept)
FY: 2011-2012 2nd Quarter (Oct - Nov - Dec)
3rd Quarter (Jan - Feb - Mar)
41h Quarter (Apr - May - Jun)
Services Rendered:
i
OH $ ES _ /-3 Permits processed @ $55.00 each
(Cities and towns)
OH ES = Permits processed @ $75.00 each
(Counties)
OH 6 ES _ Final Inspections @ $40.00 each
OHES 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
$ 021�) .11 , 0e
The above information is an accurate account of activities carried out by the local government
staff during the period specified above. I approve for payme .
DCM Regiomif Repres tative
Date: /0 —/ - / /
DATE RCVD IN WILMINGTON OFFICE:
DATE SENT TO MOREHEAD CITY OFFICE:
DATE PAID: