OI-11-29-KEESEE

Oak Island 0111-29
Local Government Permit Number
MINORCAMA
DEVELOPMENT
PERMIT
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 Brian K. Keesee, authorizing development in the Ocean Hazard (AEC) at 622 E. Beach Dr., in Oak Island, as
requested in the permittee's application, dated 812512011, This permit, issued on 9/1612011, 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: A new single family residence with associated development.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 812512011.
(2) All construction muss conform to the N.C. Building Code requirements and, all other local, State and Federal regulations,
applicable iocal ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require a rye -evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at [phone] for a final inspection at
completion of work. RECEIVED
DCM WILMINGTON, NC
(Additional Permit Conditions on PW 2)
SEP 2 3 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 appeal, any
work conducted under this permit must cease until the appeal is resolved. This
permit must be on the project site and accessible to the 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 cease when this permit expires on:
April 16, 2015
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicabe ordinances. This permit may not be transferred to
another party without the written approval of the Division. of Coastal,
Manargement.
Donna F. Coleman
CAL P iT ICIAL
Town akI d
PERMITTEE
,ignature required if conditions above apply to permit)

Name: Brian K. Keew
Minor Permit # Oi 11.29
Date: 0911612011
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 (601 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 if round, or 8 inches to a
side if 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)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 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 4 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.
SIGNATURE:
P
5
,J J
DATE: f
PERMITTEE
RECEIVED
DCM WILMiNGTON, NC
SEP 2 3 2011

Locality_ O "• ZA0 0 A- -- PermitNumber
Ocean Hazard !�Z— Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other H
(For official use only)
GENERAL INFORMATION
LAND OWNER
Name— o5n c n
Address
City Gat- ' st ­__ State AZ Zips& / Phone q / 0 "%'t 178' 10019 V
AUTHORIZED AGENT
Name erlcln 4� 4�ee.
Address
City_State Zip Phone
LOCATION OF PROJECT:
adjacent waterbody.)
name and/or directions to site. If not oceanfront, what is the name of the
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
L v�ti aSr� Y� tI�n chi
SIZE OF LOT/PARCEI:,: _ square feet _L!____ acres
PROPOSED USE: Residential V (Single-family Multi -family ) Coir ner ' l&
Other DCM WILMINGTON, NC
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA (3E FN BRO11
MENTAL CONCERN (AEC): square feet (includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT -UPON SURFACES IN THE
COASTAL, SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC). square feet
(Calculations includes the area of the roof/drip line of all buildings, driveways, covered decks, concrete or masonry patios,
etc., that are within the applicable AFC. Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property:
(1) within 75 feet of Normal High Water/Normal Water Level for the Estuarine Shoreline AEC
(2) within 575 feet of Notmal High Water/ Normal Water Level for the Estuarine Shoreline AEC, adjacent to
Outstanding Resource Waters
(3) within 34 feet of Normal High Waters' 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 MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Management Permit issued by the NC Division of Water Quality?
YES NO
If yes, list the total built upon area/impervious sw-face allowed for your Iot or parcel: __. square feet.

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA minor develop-
ment permit. As a service we have compiled a listing of the kinds of permits that might be required. We suggest you check over the list
with your LPO to determine if any of these apply to your project. Zoning, Drinking Water Well, Septic Tank (or other sanitary waste
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, hrsulation and Energy Conservation, FIA Certification,
Sand Dune, Sediment Control, Subdivision Approval, Mobile Horne 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 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 bYIGn U 141tdiff- Cb`ij�, ee Deed Book 0?911
page in the _�!,n SJ 1 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.
(1)
(2)
(3)
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I 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 particular- hazard problems
associated with this lot. This explanation was accompanied by recommendations concerninEIE@Getj4VLptjIoodproofing
techniques. DCM WILMINGTpN No
PERI"IISSION TO ENTER ON LAND: SEP 2 3 2011
1 furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents to
enter on the aforementioned lands in connection with evaluating information related to this permit application.
This application includes: general information (this foam), 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 person developing in anAEC without permit is subject to civil, criminal and administrative action.
This the day of , 20A_
N ___ r/
Landowner or person authorized to act as his agent for purpose of filing a CAMA permit application.

r
PLAT OF SURVEY FOR
BKK CONSTRUCTION, INC.
LOT 5, BLOCK 55, SECTION 'ELB'
SMITHVILLE TOWNSHIP, BRUNSWICK COUNTY
OAK ISLAND, NORTH CAROLINA
0' 30 60, 90,
EAST DOLPHIN DRIVE 60`µµMMRVV
.TAG ELEv.•6.39'
TELEPHONE S 82'13' C' E SS TAP
EIR 50.00' 7.98 SS TAPIV? — — _
T HBM : 7.26'
R
RECEIVED
DCM WILMINGTON, NC
23' SETBACK
�^----�
SEP 2 3 2011
LOT s
750MC SG FT'
IY
NOTES'
!
0.17 ACRES
THE PROPERTY SMOVN HEREON IS
LOCATED IN A FLOOD HAZARD ZONE:
X 8.41
��
RMINED NUMBER
16'. REFS ON F.I.R.N. C DE
370523, PANEL 2056, SUFFIX 'J'
0
DATED 6/2/D6.
LC' 6 8.U0=
I
---------
a L07 4
IMPERVIOUS AREA CALCULATIONS-.
34-00'
I ..
TOTAL AREA WITHIN LOT • 7300.0 SOFT,
PROPOSED
i
o
USABLE AREA(30X) 2250.0 SGFT,
PROPOSED HOUSE 144U SOFT.
-.
HOUSE
PROPOSED DRIVE 0442 SO.FT.
8.44
TOTAL PROPOSED 2284,2 SOFT.
2250.0(30X) - 2284.2(PROPOSED) •342 SOFT.
' !
!
34.2 SOFT. X .9375- 32.0 GALLONS
PROPOSED STORMWATER ROCK BOXES
3.O'X3.0'X3O'(6X.33)-53.5 C.F. X 7,5 • 401.0
GALLONS CONTAINED.
N 82'15'00' W/,,
OCATV POO& ALONG R/W TO-�
RW OF 9TH PLACE EAST
/
EAST BEACH
DRIVE
60 RAW
. . ,.
EXCEPT AS SPECIFlCALLY STATED OR SHOWN
THE LOCATIONS OF UNDERGROUND UTILITIES.
•' -
A „ ..'` .,
ON THIS PLAT, THIS SURREY DOES NOT PURPORT
AS SHOMH HEREON ARE BASED ON ABOIE-
GROUND STRUCTURES AND RECORDED DRAMgS
.,
TO REFLECT ANY OF THE F'OLLOVM 10" MAY
�E ArPucAel, To THE SuBaEcr REAL ESTATE.
PROVIDED THE "VEYOR. LOCATIONS OF
k .
EASEMENTS. OTHER ARAM POSSIBLE EASEMENTS
UNDERGROUND UT4;M/3TRVCTURES MAY
THAT YOM VBIBti AT THE TIME or MAKMNC
VARY FROM LOCATIONS SHOWN HEREOk­
OF THIS SURVEY; BURAINO SETBACK LINES;
ADDITIONAL BURRED UTRITIES/STRUCTURES
RRSTRICIIVE COVM MT% MA04WSM RESTRICT -
MAY BE ENCOUNTERED. NO EXCAVATIONS
-
IONS ZONING OR 0700 LAM USE RMAATENS
HERE MADE DURING THE PROORESS OF THIS
-
AND AMY OTHER FACTS THAT AN ACCURATE AND
SURVEY TO LOCATE BURIED UTILITIES/
-
CURRENT TITLE SEARCH MAY DISCLOSE.
STRUCTURES
STATE OF NORTH CAROLINA
BRUNSMK71 COUNY"
DATE SMRVETEp AUGUST M, 2MI
SCALE 1 INCH .30 FEET
SUIRWY V. OW/SM
JOB NUMBER 11-aS2
ROW B Mc ENRY, x+ cmnFti
THAT TENS MAP WAS DRAWN UNDER MY
54PERYMON FROM AR ACTUAL i1ElL1
SURVEY MADE UNDER MY SPERVSIQi:
THAT ME RATIO OF PRECISION As
CALCULATED BY COMPUTER IS IO.a)0 +;
MAT THE BOUNDARIES NOT SURVEYED
DNIN PLOTTED
ARE SINFORA5 ION FOUND
REFERENCED. INFORMATION FOUND IN Boats
VA TNESS MY HAND ANO SEAL THIS THE
ISM w OF AUGUST A.D. 2011
AND SURVEYOR REa
tN CARD
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GRAIN BY: C-K[MFIELDDY
FIELD BOOK LB-ZOII-S
NNM . NEW - EXISTING ION �R� FOUND
aR . EXITING IRON ROD FOUND
HIM . NEAR URON ROD SET
TOM . TEMPORARY gnat MARK
- SAWARY SEvuR
MMAG - NEW MAC NAIL SET
MCHENRY SURVEYING
PROFESSIONAL LAND SURVEYOR
P.O. BOX 439 - NOB E. OAK ISLAND DR.
OAK ISLAND, N.C. 28465
TEL•010-27B-pC74
FAX: 810,27"7W
F-0471
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AEC HAZARD NOTICE
Project Is In An: Ocean Erodible Area High Hazard Flood Area Inlet Hazard Area
Property Owner; �"1�r `► �_� ��
Property Address=
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 a 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
U5: feet landward in a major storm.
The flood waters in a major storm are predicted to be about
Ilk —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 sig ing this notice in the space below. Without the proper
signx, the applicatiop9l not be complete. ,
Applicant Signature l D
SPECIAL NOTE: This hazard notice is required for development
in areas subject to sudden and massive stones and erosion. Permits
issued for development in this area expire on December 31 of the
third year following the year in which the pen -nit 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 of permit 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 major
shoreline change as the result of storm within the 60-day period
will necessitate remeasurement of the setback. It is important
that you checkwith 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 aficr permit expiration.
For more information, contact:
F- (2d1c(YA
Local Permit Officer
q('DI C7-
Address (f nn
Clerk- Ts�anc�, ly l ZS�It��
Locality
�.qlo) aol-- '(�,o 4ri
Phone Number
dcolerna►�@. c'�.Uak-tsl�.nd. nc.us
RECEIVED
DCM WILMINGTON, NC
SEP232011
Re4 ised

U.S. Postal Service
CERTIFIED MAIL RECEIPT
;Domestic Mail Only; No Insurance Coverage Prov�oe
or delivery mtormation visit our webslte at www.usps.:on`
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In
T. Return Rereipt Fee
•�►!�
••t Owner— t1J (EnWrsement Required)
Mail •A..•co
City S
• Code
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Dear Adjacent Property:
This letter is to inform you that I, Y is n eat have applied for a CAMA Minor
Property Owner
Permit on my property at &L 1 for' On 4-�.rSibi rLd Aj(-,,in Brunswick
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 q /0 - A? X• $ q 762' 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 Coleman
Local Permit Officer for the Town of Oak Island
4601 E. Oak Island Dr.
Oak Island, NC 28465
Sincerely,
Property Owner
Ma
ilingAddressJ
O)r�.o�i kG l
RECEIVED
DCM WILMINGTON, NC
City, State, Zip Code S E P 2 3 2011

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sent To
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Dear Adjacent Property: M ° P080.No
�},� Cary, sr�ze, zta+a
This letter is to inform you that I, � r t of n < �' l
Property Owner
Permit on my property at &2aE. �, M �C1r n [1 Aj eA— wo in Brunswick
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 Q 1 n- 0 18•• g9 7✓or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the 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
Sincerely,
�6r tq o �ee-
Property Owner
) -114
&,�- A)o P"c� c(i
Mailing Addr?s
�o L"00(-E JUC kyU
City, State, Zip Code
DCM W1LMI
SEP 2 3

NOTICE OF FILING OF APPLICATION
FOR CAMA MINOR DEVELOPMENT PERMIT
Pursuant to NCGS 113-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 11-29
Brian Keesee
622 E. Beach Dr.
single family residence
September 14, 2011
OI 11-30
Ann Cordell
906 Elizabeth Dr.
covered porch addition
September 14, 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 31, 2011
Billing information for this ad:
Cathy Robbins
Town of Oak Island
4601 E. Oak Island Drive RECEIVED
Oak Island, NC 28465 DCM WILMINGTON, NC
SEP 2 3 2011

CAMA Minor Permil
Log 2011-2012
OakIsland
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
7/15/11
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
7/15111
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
8/5111
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
9/23/11
9/2/11
8/10/11
9123/11
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
9/23/11
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
9116/11
8/25/11
9/23/11
Y
Y
Y_
11-30
Cordell, Ann
906 Elizabeth Dr
9/23/11
8/23/11
9/23/11
9/9/11
8/25/11
9/23/11
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
............. . ...... .... . .....
LOCALITY: OAK ISLAND
. . .... . ....... . . . ...........
FOR QUARTER:
'1ST
Year..2011-2012
................... ...... -
(D
E
M 4)
(D
File #
Applicant Name
Project Address
LU 2
JJ
trro
0
Co
0
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0
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CL at 0
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0
0
0
0
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0- N 0
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g' X(1)
0111-20
Phil Williams 5212 E. Beach Dr. 06/10/11
16/15/2011
06/13/11
07/01111
QN
SFR
0111-21
........
Shaun Wilcox 3102 E. Yacht Dr. ............... . ......... . 06/13/11
6/1w011
�06/0 11
1 67_/1 i /I i
.. ..... . . ...........
_ES_-
SFR
0111-22
Lawrence Holland 7602 E. Beach Dr. OW711 1
07M 1/11
JOE
SFR
6/291201 1
9/11
0111-23
Traci & Charlie Crisco
3526 E. Beach Dr.
6r26/201 1
.7/8/2011
7118/2011
7/=201
0,H
SFR
0111-24
Kent & Shannon Lawrence
3015 W. Beach Dr.
7/1442011
17/20f2011
V20/2011
18&2011 10,H
SFR
0111-25
Phanna Pharns, LLC 6624 W. Beach Dr.
07/29/11
8/X2011
07128/11
V8119/11 1
1,H
SFR
O1 11-26
David & Holly Rickman
,
123 SW 12th St
- -
MI 0/11
18/17/2011
08/15/11
:09/02/11
ES
SFR
. . ........... . . . ........ .... . .. . ................. . .................
0111-27
Derek Williams . . . . ........... . .
127 SW 5th St
.........
18/1118/24/2011
08117111 109/09/11
ES
SFR
011128 !Annie
Grimes
5223 E. Pelican Dr. '08/19111
622 E. Beach Dr. 08/25/11 18/3112011
............ ....................
1 8/24=1 1
06131/11 109/09/11
0,H
SFR
0111-29
Brian Keesee
08/31/11
8/31/2011 08131111
09/1 &11 110,H
09=/1 I IES
SFR
SFR
0111-30 !Ann
Cordell
906 Elizabeth Dr.
0&26/11
. .......... .
0111-31
Sara Ann Sweet
. . . . . ..... . ..... ............. ....... .
1004 W. Pelican Dr.
------ -- ---
. .......................... .
09/09/1 1
9114/2011 09/14/11
09130/11 IES
SFR
0111-32
Jack Luciano
3216 E. Pelican Dr.RECEIVED
912/11
9114/2011:09/14/11
09/21/11
0,H
SFR
Return To
Return
Division of Coastal Management DCM WILMINGTON, 14C
Signature:
. ................... . .
. . . .........
127 .
Cardinal DriveExt. -19 2011
. ...... . .......... OCT
Date:
Phone Number:[
10/7/2011.
Wilmington, NC 28405-3845
91 &
201-8047

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205 Sherrill St
7/5/2011
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926 E. Beach Dr.
7/18/11
7/15/11
7/18/201110,H.
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............... ... . .............
906 E. Beach Dr.
i07/25/11
107/25/11
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. ........ —.---.,-07/25/11 ,
---- - . . . ................ ............
M&R 11-40,James Simpson
. . ................................
.1318 W. Beach Dr. . .. . .. . .........
08/02/11 �0&021111
08/02/11
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............
M&R 11-41 Bryan& Phyllis Soltz
1724 W. Pelican Dr.
............ ..
08/08/11 !0810
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08/08/11
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M&R 11 -42 Rebecca Young
616 E. Pelican Dr.
................ -
08/11/11
08/11/11
08/11/11
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M&R 11-43 Sherry Kent
. ..... . ......
1308 W. Beaqch Dr,
. . .....
08/12/11
10,H
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M&R 11-44 Elizabeth Wood
............. -- ............ . .. . ... . .. ........ . .. . .
5004 E. Yacht Dr.
. . ... ....... . ............. . ..
08/15/11
08/15/11
08115/11
ES
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SFR
M&R 11-45 Pat Wells
5714 W. Beach Dr.
... . ..... . ..... .
08/16111
08/16/11
08/16/11
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M&R 11-46, Sidney Thames
...... . ...........................
507 W. Beach Dr.
------ . .....................................
�08117/11
08/17/11
08117/11
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M&R 11477om Griffin ..............
5719 W. Beach Dr.
— . .....
08/17/11
08/17/11 08/17/11
..............
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M& R 11 -48, Terry Tucker . .....
W. Beach Dr.
.. . ...... .. . .. ....... . ----
09/13/11 09/13/11 09/13/11
0,11
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SFR
Return To: Division of Coastal Management
RECEIVI—=ID Signature:..--DCM WILMINGTON-,
. ..... 127 Cardinal Dr. Ext.
Date:
10/7/2011
4
2011
Wilmington, NC 28405-3845
Phone Number:
910 201-8047

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LOCALITY OAK ISLAND FOR QUARTER: 1ST
YEAR: 2011-2012
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OI 10-40
Leon Capel
216 SW 15th St
storage
717/2011
ES
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Dan Anderson
2016 W. Beach Dr.
SFR
7/14/2011
O,H
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JLeo Anderson
2928 E. Beach Dr.
SFR
8/10/2011
O,H
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Jeff Agee
2920 E. Pelican Dr.
deck
7/20/2011
ES
Ol 11-04
Peter Soward
2508 E. Dolphin Dr.
addition
7/21/2011
O.H
OI 11-05
Malcorn Mayer
226 W. Beach Dr.
pool,deck
7/21/2011
O,H
OI 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: 4ai., <�
Date: 10113/2011
Wilmington, NC 28405 Telephone: -910 201-8047

REQUISTION FOR PAYMENT
OF CAMA MINOR PERMIT PROGRAM
IMPLEMENTATION AND ENFORCEMENT
Local Government: O,q-A:�_
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:
OH S ES Permits processed @ $55.00 each
(Cities and towns)
OH ES = Permits processed @ $75.00 each
(Counties)
OH ES Final Inspections @ $40.00 each
OH/ ES _ /c� 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
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 Regionvif Repres tative
Date: /D -/ - / /
DATE RCVD IN WILMINGTON OFFICE: /0 —/`i —//
DATE SENT TO MOREHEAD CITY OFFICE:
DATE PAID: