OI 12-04-SURRATT

V
36� 1I-IZ-
oak Island
Local Government
0112-04 Revised
Permit Number
CAMA
WN0&9RQ--=%K
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 concem pursuant to Section 113A-118 of the
General Statutes, "Coastal Area Management'
Issued to Todd J Surratt, authorizing development in the Ocean Hazard (AEC) at 1110 E. Dolphin Dr., in Oak Island, as
requested in the permittee's application, dated 1/20/12. This permit, issued on 2/1012012 and revised 5/3/2012, 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: cleating and fill in the front 150' of the lot, for construction of a 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 1/20/2012 and revised on 5/3/2012..
(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 [phone] for a final inspection at
completion of work
(Additional Permit Conditions on Page 2) RECEIVED
DCM WILMINGTON, NC
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:
DECEMBER 31, 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.
Oa{ I land NC 28465
PERMITTEE
(Signature required if conditions above apply to permit)

Name: Todd J Surratt
Minor Permit # 0112-04
Date:1120/12 & revised 5/3112
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 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)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.
RECEIVED
DCM WILMINGTON, NC
NOV 0 l 2012
SIGNATURES %-^�� DATE:
PERMITTEE

Oak Island 0112-04
Local Government Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT 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 Todd J Surraft, authorizing development in the Ocean Hazard (AEC) at 1110 E. Dolphin Dr., in Oak Island, as
requested in the permittee's application, dated 1/20/2012. This permit, issued on 2/10012, 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: clearing and fill in the front 150' of the lot only, for preparation fora single family residence.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
draWngs(s) dated received on 1120/2012,
(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 [phone] for a final inspection at
completion of work.
(Additional Permit Conditions on Pap 2)
FE.9 0 9 2012
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 mot 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:
DECEMBER 31, 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
ManageraenL
Donna F. Coleman
LAMA LOCAL PERMIT OFFICIAL
4601 E. Oak Island Or,
Oak Island, NC 2W5
PERMITTEE
(Signature required if conditions above apply to permit)

Name: Todd J Surraft
Minor Permit # 0112-04
Date: 211012012
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) Ail 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 1 00-year flood level elevation.
(9) All pilings shall have a tip penetration greater than eight feet below the lowest ground elevation under the structure,
(1 O)Dune disturbances 411 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.
(II)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 Leafs of the time
when it becomes imminently threatened, and in any case uDon 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,
C,TV�
0 9 2012
SIGNATURE: DATE:
PERMITTEE

d
1�as
I
:rr.,i
Locality _CL Permit IN'unlb'z�r
Ocean Hazard _V E,5ruarMe Shoreline
G-ENTERAL INFOR1\4ATION I -
LAND OW
Na.rne
Address. Q 12->oy W
OKW Shoreline -Public Trust Silor-cline _0zher
(For official use only)
City be_K4t r\ State NC- - -Zip
Name
Plnoc
Address 0-3u Z_ C_ Y 0. CA--r I—) r -
City CState K Y, zip 2.944C Phone
LOCATION OF PROJECT-. (Address, street name and/or directions to site. If not oceanfront, what is the narne of
the adjacent waterbody?)
?EVI DESCRIPTION OF PROJECT.- {List all proposed consmuction and land disturbance.) Pk-00d1L gLiz-
10� kAj WA,�xj:�
n
m nn�
41 n
SIZE 017 LOTIR-A-RCEL: 88 (t I square feet 4 b -acres
PROPOSED USE: Residential Z (Single-family Multi-farnily -nericall/Industrial
Die Com,
Other
on TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF EINW-
RON-MENITALCONCERNI (AEC): �i6�O squax.- feet (includes all floors and roof -covered decks)
avt,
SIZE OF BUILDING FOOTPRINT AND OTHER LMPERVIOUS OR BUILT -UPON SURFACES LN
THE COASTAL SHORELINE AREA OF EPMR0N1VMNT-AL CONICERN (AEC): CC C' sq.
(Calculations include 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.) RECEIVED
0 Choose the AEC area that applies to your propertr. DCM WILMINGTON, NC
(1) within 75 feet of Normal High Water for the Estuarine Shoreline AEC J A N 27 2612
(2) within 575 feet of Normal High Water for the Estuarine Shoreline AEC, adjacent to Outstanding
Resource Waters
S i
(3) within 30,feet of the Public Trust Shoreline AEC
Sig (Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
ST,,,TE ST 0 RNIWATE R KAUNAGEMENT PERNf IT- Is the project located ire an area subject to a
Scanic StorrnwaEcr Managern-,nr Permit issued I &,e N.C. Division ofWater Quality?
0
,'C7N'ious surfact a1h),m-d for ycur!o-, or a,,arcef
kh�

OTHER R ER.: UTS NLAVY BE QUIRED— The actraity, ym, are planning may require permits other than the CAINGI n-Jinor
development permit. As a service -ue Rare compiled a.iist of dw kinds of l3erraits that might be required, We su cst mu check over the disc
with your L110 to determine if any of these apply to your project: Zoning, t?ruu' ing 7a:er Well, Septic Iar4 'ter other sat tar; waste
treatment system). Burning, Electricai Plumbing, Hzadng, and it Conditioning, Insulation and Enerz, Conservation, plat: Cerzifcation,
Sand Dune, Sedirnent Control, .Subdivision Approval, Mobile Home ParkApproval. Highway, Connection, and others.
I, the undersigned, an applicant f it a CAIMA minor development permit, being either the owner of property in an AEC car a
person authorized to act as an agent for purposes of apptving fora CANLk minor development permit, certify that the person
listed as landowner on this application has a significant interest in the rear property described therein. This interest can be
described as: (check one) }}
V/ owner or record title. Title is vtisted in 5LWY-a-4+1
see Deed Book v
page ( 30 1 in the _��5 W i CC- J County Registry of Deeds.
an owner by virtue of inheritance.AD licant is an heir to the estate of
probate was m
County
if other interest, such as written contract or lease, explain below or use a separate sheet and attach to this application.
NOTIFICATION OF ADJACENT P PE T'' NT.RS:
I furthermore certify that tlae silo wing persons are aavners of properties adjoins g `his p ropertys I awrtrm that I [lave git=e
ACTUAL i.''►OUCE to each of th,to concerning my intent to develop this prop -ry an"; to lane; :'Cr a C NIA pc.rrziit.
(1)
(2)
(3)
(4)
''tiarne?
t U-� N ;d.l5
L We06a
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 particuJR1VE0s,-Gci-
aced with this lot. This explanation was accompanied by recommendations concerning stabilizaMf�#ze
niques.
PERMISSION TO ENTER ON LAND: J A N 2 7 2W 2
I f n-therinore 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 form;, a site drawing as described on the back of this application., the
ownership statement, the A4? C hazard notice where necessary, a check for $100.00 .trade payable to the locality, and any intbr-
mation 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 w1iich may be issued. Deviation from these ,-4etails will constitute a violation of any permit. ,U-ty
person developing In an i'L C winhout permit is subject io civil, criminai and adlni .Strat 'e ac-Hon. '
4
r
r-t
ai..a i.l ior. aF.d .4,i eit4 i1`J i ..x.,��.c

AEC HAZARD NOTICE
Project Is In An: _ Ocean Erodible Area High Hazard Mood Area .Inlet Hazard Area
Property Owner:
Property Address: tp)UU37 '�--
Date Lot Was Platted:Platted:r a� Y
This notice is intended to make you, the applicant, aware of the
special risks and conditions associated with development in this
are, 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 C 1-1azard Notice and acknowledge
that notice in writing before a permit for development can he
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 Y. 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
-3 Meet landward in a major storm.
The flood waters in a major storm are predicted to be about
_/5 _ feet deep in this area.
Preferred oee�rout 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 acimowledge this information and requirements
by signing this notice in the space below. Without the proper
signature, the application will not be complete.
IV/ 26 /1
,art Signata gate
SPECIAL NOTE: This hazard notice is required fordevetopment
i i ass subject tv sudden.and massive storms and erosion, Permits
issued for development in this area expire on December 31 ofthe
third year following the year in which the permit was issued.
Shortly before work begim on the project site, the Local Permit
Officer must be contacted to determine the vegetation lime and
setback distance at your site. if the property has seen little change
since the time ofpetrmit issuance, and the proposed development
can still meet the setback requirement, the I,PO 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 o£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.
Local Permit Offer
Aditss `
Locality
( C1 I D� 'P,') g 50
Phone Number
RECEIVED
DCM WILMINGTON, NC
JAN 2 7 Al2

VICINITY MAP
NOT TO SCALE
1
SITE t
g 5 1
a a 1
EAST DOLPHIN DRIVE
EAST BEACH DRIVE 1
1
1
LINE BEARING DISTANCE 1
L1 S 71-02`01" E 50.42'
L2 N 84' 1 1.51 " W 50.06,
LOT AREA=20,881.3 SF/ 0.479 ACRES 1
X 3D%= t
IMPERVIOUS AREA ALLOWED=6,264.4 SF
TOTAL IMPERVIOUS AREA=3,023.9 E'F t
HOUSE=2,380.0 SF 1
CONCRETE DRIVE=643.9 SF 1
RETAINAGE CALCULATIONS
IMPERVIOUS AREA OVERAGE=0.0 SF 1
0.0 SF X ((1.5in)/(12in/ft)�=0.0 CF REQUIRED
DRIVE DRAINAGE PITS=(3 X3 X3'),(2) .4) = 21.6 CF
HOUSE DRAINAGE PITS=(140 X2 X.S;(.4) = 56.0 OF
TOTAL RETAINAGE PROVIDED = 77.6 OF I
%- 1
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60' PUBLIC RIGHT-OF-WAY
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LEGEND (IF USED)
IRF=IRON ROD OR REBAR FOUND
PF=PIPE FOUND
MBL=MINIMUM BUILDING LINE
IRS=IRON REBAR SET
CMF=CONCRETE MONUMENT FOUND
CP=CALCULATED POINT
PDE=PUBLIC DRAINAGE EASEMENT
FFE=FINISHED FLOOR ELEVATION
BFE=BASE FLOOD ELEVATION
CAMA=COASTAL AREA MANAGEMENT AGENCY
PP=POWER POLE
OHU=OVERHEAD UTILITIES
F E.M.A.=FEDERAL EMERGENCY MANAGEMENT
AGENCY
F.I.R.M.= FEDERAL INSURANCE RATE MAP
UGU=UNDERGROUND UTILITIES
OAK
ISLAND
ZONING
—it
24.0'
L2
}� MEAN HIGH
1/ WATER LINE
0
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CEIVLP
ILMINGTOIN, NC
AN 2 7 .26�12
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106
1 1
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3' X 3' X 3' PIT
FILLED WITH # 57
STONE WRAPPED W/
FILTER FABRIC (OR
APPROVED EQUAL)
(TYPICAL)
OK—R— '
SETBACKS
FRONT= GRAPHIC SCALE
SIDES= 8'
REAR= 20' 30 0 15 30 60
1 INCH = 60 FEET
FLOOD CERTIFICATION: � R E L I M I N A R `( , SITE P LA N
THIS PROPERTY LIES WITHIN A F.E.M.A. SPECIAL FLOOD HAZARD AREA
VE-16/15 & AE-15/14 AS SHOWN ON F.E.M.A, F.I.R.M. 372020-5600—J.

AdjacenPro�erty r�er
City, State, Zip Code
Dear Adjacent Property:
' (Domestic Mail Only; Na Insurance Coverage Provided)
..
For delivery inh>rmatiOn viGit our website at WWWUSPA Corn ,
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Cortified roe
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Return R�€t Fee ;r
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This letter is to inform you that 1, ! s. ^ `-- U Y V, have applied fc r a LAMA Minor
tt Property Owner
Permit on my property at t ©► Y . in Oak Island.
Property Address
As required by CAMA regulations, I have enclosed a copy of my permit application and pr(, ect
drawings) as notification of my proposed project. No action is required from you or you mt,i r sign and return
the enclosed no objection form. if you have any questions or comments about my proposE(I project, please
contact meat - •f 16) 4411 .76E or by mail at the address listed Belo o, It you wish to
Applicant's Telephone
file written comments or objections with the Town of Oak Island CAMA Minor Permit Proc,ram, you may submit
them to:
Donna F. Coleman
Local Permit Officer for the Town of Oak Isla d
4601 E. Oak Island Dr.
Oak Island, NC 28465
RECEIVED
Sincerely, ( DCM WILMINGTON, NC
Property
��e� � I�Sefn JAN 2 7 2-612
Mailing Address
City, State, Zip Code

Redpipts for
-�90A,Iig Mail
(St kAe Here)
pey
-Y Hr,
Agent property Owner
in
Nc 2--stf I
City, State, Zip Code
Dear Adjacent Property:
644 This letter is to inform you that 1, S(,kv I
have applied fdr "i CAMA Minor
Property Owner
Permit an my property at I H O E. -CO k-, in Oak Island.
Property Address
As required by CAMA regulations, I have enclosed a copy of my permit application and proj(ct
drawing(s) as notification of my proposed project. No action is required from you or you moy sign and return
the enclosed no objection form. If you have any questions or comments about my proposr d 3roject, please
contact me at 3 O&S or by mail at the address listed
beld�v. If you wish to
Applicant's Telephone
file written comments or objections with the Town of Oak Island CAMA Minor Permit Prcera *n, you may submit
them to:
Donna F. Coleman RECEIVED
Local Permit Officer for the Town of Oak Isf 0CM WILMINGTON, NC
4601 G. Oak Island Dr.
Oak Island, NC 28465
J A N 2 7
Sincerely,
6M SLy roA GlibJ e4�-- Cyt) "A, A
Property Owner
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ru
Mailing Address Ir
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City, State, Zip Code Ln
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Pastage
$ Jay
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Postmark
Return Receipt FeeAA
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(Endorsement Required)
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Total Postage & Foes
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'rf!# VA),-' ,
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
OI 12-03 Mary Pennington
OI 12-04 Todd Surratt
OI 12-05 Donna & Gary Brewer
Address Development Comments through
1426 E. Beach Dr. Single Family Residence February 10, 2012
1110 E. Dolphin Dr. land grading February 10,2012
5908 E. Yacht Dr. Single Family Residence February 10, 2012
Donna Coleman
CAMA Local Permit Officer
Town of Oak Island
4601 E. Oak Island Dr.
Oak Island, NC 28465
Phone: [phone]
PLEASE PUBLISH ON: January 25, 2012
Billing information for this ad:
Cathy Robbins
Town of Oak Island
4601 E. Oak Island Drive
Oak Island, NC 28465
RECEIVED
DCM WILMINGTON, NC
JAN 2 7 LM

CAMA Minor Permit
I Log 2011'-2012
Oak Island
Wiro / Pg. 1
Date Quarterly report received: 4-23-12
3rd 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
Date RO
rcv'd
Public
Notice
AEC
App
Complete
Appr. for
Payment
11-41
Newton, Johnny
6602 E Yacht Dr
1/9/12
11/10/11
1/9/12
1/6/12
12/15/11
1/9/12
n/a
Y
Y
11-42
Flanders, Chris.
1904 E Dolphin Dr
1/9/12
12/,20/11
1/9/12
1/13/12
12/22/11
1/9/12
Y
Y
Y
11-43
Odell, W H
5103 W Beach Dr
1/9/12
12/29/11
1/9/12
1/13/12
12/29/11
1/9/12
Y
Y
Y
12-01
Davenport, John
6020 W Beach Dr
-2/2/12
1/4/12
2/9/12
1/27/12
1/5/12
2/2/12
Y
Y
Y
12-02
Hodges, Larry
1130 E Dolphin Dr
1/27/12
. 1/6/12
2/9/12
2/3/12
1/10/12
1/27/12
Y
Y
Y
12-03
Pennington, Mary
1426 E Beach Dr
1/27/12
1/12/12
2/9/12
2/10/12
1/19/12
1/27/12
Y
-Y
Y
12-04
Surraft, Todd
1110 E Dolphin Dr
1/27/12
1/20/12
2/9/12
2/10/12
1/20/12
1/27/12
Y
Y
Y
12-05
Brewer, Gary
5908 E Yacht Dr
1/27/12
1/14/12
2/9112
2/6/12
1/20/12
1/27/12
n/a
Y
Y
12-06
Brannon, George
3307 W Beach Dr
3/16/12
2/6/12
3/16/12
3/2/12
2/8/12
3/16/12
Y
Y
Y
12-07
Newton, Johnny
6602 E Yacht Dr
3/16/12
2/22/12
3/16/12
2/27/12
2/8/12
3/16/12
n/a
Y
Y
12-08
Morris, Chad
1404 E Yacht Dr
3/16/12
2/21/12
3/16/12
3/16/12
2/27/12
3/16/12
n/a
Y
Y
12-09
Evers, Marybeth
602 E Beach Dr
3/16/12
2/22/12
3/16/12
3/16/12
2/23/12
3/16/12
Y
Y
Y
12-10
Clift, John
2618 E Beach Dr
4/20/12
2/28/12
4/20/12
3/23/12
2/29/12
4/20/12
Y
Y
Y
12-11
Richards/Audette
123 SE 67th St
4/23/12
3/7/12
4/23/12
3/23/12
3/8/12
4/20/12
Y
Y
Y
12-12
Keese, Brian
5524 E Beach Dr -
3/16/12
3/7/12
4/23/12
3/23/12
3/8/12
3/16/12
Y
Y
Y
12-13
OI Elks Lodge2769
106 E Dolphin Dr
3/16/12
3/8/12
4/23/12
3/21/12
3/8/12
3/16/12
1'
Y
Y
12-14
Milby, William
6910 W Beach Dr
4/23/12
8/3/12
- 4/23/12
3/30/12
3/9/12
4/23/12
Y
Y
Y
12-15
Haywood III, Edgan
717 Country Club Dr
-4/23/12
3/22/12
4/23/112
3/30/12
3/22/12
4/23/12
Y
Y
Y

LPO COMPOSITE RECORD FORM FOR MINOR PERMITS
LOCALITY: Oak Island FOR QUARTER: 3rd Year: 2012
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Project Address
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OI 11-41
Johnny Newton
6602 E. Yacht Dr.
12/15/2011
12/21/2011
12/19/2011
1/6/2012
ES
O- demolition
01 11-42
Christopher Flanders
1904 E Dolphin Dr.
12/22/2011
1/4/2012
1/6/2012
1/1312012
OE
SFR
01 11-43
WH Odell
5103 W. Beach Dr.
12/15/2011
12/21/2011
1211912011
1/6/2012
OE
O - Driveway
OI 12-01
John Davenport Jr.
6020 W. Beach Dr.
1/5/2012
1/1112012
1/6/2012
1/27/2012
OE,CS
0 -Addition
01 12-02
Larry & Chichi Hodges
1130 E_ Dolphin Dr.
1/10/2012
1/18/2012
1/2412012
2/3/2012
OE
0- Retaing wall
OI 12-03
Mary Pennington
1426 E. Beach Dr.
1/19/2012
1/25/2012
1/24/2012
2/10/2012
OE
0- landscaping
01 12-04
Todd Surratt
1110 E. Dolphin Dr.
1120/2012
1/25/2012
1/24/2012
2/10/2012
OE
0 - Clear/Fill
OI 12-05
Gary Brewer
5908 E. Yacht Dr.
1/20/2012
1/25/2012
1/24/2012
2/1t2012
0K C3
SFR
01 12-06
George Brannon
3307 W. Beach Dr.
218/2012
2/15/2012
2/9/2012
3/2/2012
OE
SFR
01 12-07
Johnny Newton
6602 E. Yacht Dr.
2/8/2012
2/15/2012
2/9/2012
212712012
CS
SFR
01 12-08
Chad Morris
1404 W. Yacht Dr.
2/27/2012
2J29/2012
3/1/2012
3/16/2012
CS
0 - landscaping
01 12-09
Mary Beth & Dan Evers
602 E. Beach Dr.
2/23/2012
2/29/2012
3/1/2012
3/16/2012
OE
SFR
OI 12-10
John Clift
2618 E. Beach Dr.
2/29/2012
3/14/2012
3/1/2012
3/23/2012
OE
0 -enclose deck
OI 12-11
Richards/Audette
123 SE 67th St.
3/7/2012
3/14/2012
3/9/2012
3130/2012
OE
O- driveway
01 12-12
Brian Keesee
5524 E. Beach Dr.
3/8/2012
3/14/2012
3/912012
3/30/2012
OE
demolition/fill
01 12-13
10 Elks #2769
106 E. Dolphin Dr.
3/8/2012
3/14/2012
3/9/2012
3/30/2012
OE
0 - ice machine
01 12-14
William Mflby
6910 W. Beach Dr.
3/912012
3/14/2012
3/9/2012
3/30/2012
OE,HH,IH
0 ool/fence
OI 12-15
Edgar Haywood
717 Country Club Dr.
3/12/2012
3/14/2012
3/9/2012
3/30/2012
OE
O - deck
Return To: Division of Coastal Management
127 Cardnial Dr. Ext
Wilmington. NC 28405
Signatur'__�,,s
Date: 4/2212012
Phone Number: q10 -Z(Arl
APR 2 3 2012
I)CM WILMINGTON, NC

REQUISTION FOR PAYMENT
OF CAMA MINOR PERMIT PROGRAM
IMPLEMENTATION AND ENFORCEMENT
Local Government: O K, ls&,vjh>
Period Covered: 1" Quarter (July -Aug -Sept)
FY: 2011-2012 2nd Quarter (Oct - Nov - Dec)
X 3rd Quarter (Jan - Feb - Mar)
4d` Quarter (Apr - May - Jun)
Services Rendered:
OH 14 ES _ Permits processed @ $55.00 each
(Cities and towns)
OH ES = Permits processed @ $75.00 each $
(Counties)
OH ES 3 = 5" Final Inspections @ $40.00 each $ c2_ 00
OH-2 ES� = CIC4 Exemptions investigated @ $25.00 each $
OH ES = Violations resolved @ $100.00 each $ 600,
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 pay ent.
DCM Regional ,PIPIpresentative
Date: 5I-d- -/.A,
DATE RCVD IN WILMINGTON OFFICE: 4-,2 3 -/aL
DATE SENT TO MOREHEAD CITY OFFICE:
DATE PAID: