32-18 White, Shirley

Carteret County WO-32-18
Local Government Permit Number
CAMA
MINOR 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 Shirley Ann White, authorizing development in the Estuarine Shoreline (AEC) at 109 Dolphin Bay Estates, in
Cedar Point, NC, as requested in the permittee's application, dated 06/12/18. This permit, issued on 06/22/18, 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: Demolition of existing single-family dwelling and construction of new single-family dwelling
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)dated received on 06/14/18.
(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 252-222-5833 for a final inspection at
completion of work.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualified persons
within twenty(20)days of the issuing dale. This permit must be on the project
site and accessible to the permit officer when the project is inspected for 'V A__
compliance.Any maintenance work or project modification not covered under , rf
this permit,require further written permit approval.All work must cease when this Dean Lombreglia
permit expires on: CAMA LOCAL P MIT OFFICIAL
DECEMBER 31,2021 701 Ced oint Blvd
In issuing this permit it is agreed that this project is consistent with the kcal Land C ar P t, NC 28584
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. PERMITTEE
(Signature required if conditions above apply to permit)

Name: Shirley Ann White
Minor Permit#WO-32-18
Date: 06/22/18
Page 2
(5) The amount of impervious surface shall not exceed 30%of the lot area within 75 feet of Normal High Water
(Estuarine Shoreline Area of Environmental Concern), in this case, 2,183 square feet is authorized,
(6) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing,all
development/construction shall be located a distance of 30 feet landward of Normal High Water. No portion of the
roof overhang shall encroach into the 30 ft. buffer.
(7) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Prior to any land-disturbing activities,a barrier line of filter cloth must
be installed between the land disturbing activity and the adjacent marsh or water areas, until such time as the area
has been properly stabilized with a vegetative cover.
(8) Any proposed for grading within the 30' buffer from the Normal High Water must be contoured to prevent additional
stormwater runoff to the adjacent marsh. This area shall be immediately vegetatively stabilized, and must remain in
a vegetated state.
(9) All other disturbed areas shall be vegetatively stabilized(planted and mulched) within 14 days of construction
completion.
SIGNATURE: DATE:
PE MITTEE

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Locality , C Pr @n49XaktilhjPermit Number \co'sF‘'
Ocean Hazard Estuarine Shoreline V- ORW Shoreline Public Trust Shoreline Other
(For official use only)
GENERAL INFORMATION
LAND OWNER-MAILING ADDRESS
Name rJ1-‘ r .y Ar•
Address 102 W
City Et. 0.X4s. \t State 'Iv L Zip US°4 Phone 2c Z 1::; H 3T k 3
Email ( Q
AUTHORIZED AGENT
Name
Address pU (5c..v A L4 !
City State N t,,,, Zip 23 q Phone Z$~L 'LLI 14Z711
Email c.c.s_ p eG ,c
LOCATION OF PROJECT: (Address,street name and/or directions to site; name of the adjacent waterbody.)
P\.:• K�\.0\ rs-c die 90,W' NC.
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
r....r— r1-e r U L
SIZE OF LOT/PARCEL: 1U S-l'S square feet acres
PROPOSED USE: Residential, (Single-family Multi-family ) Commercial/Industrial fl Other �
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer if you are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but
excluding non-load-bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: 151 ,square feet(includes the area of the foundation of all buildings,driveways,covered decks,
concrete or masonry patios,etc. that are within the applicable AEC.Attach your calculations with the project drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
Stormwater Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)?
YES NO I
If yes,list the total built upon area/impervious surface allowed for your lot or parcel: square feet.

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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMIAIVER FORM
Name of Property Owner: Shirley Ann White
Address of Property: 109 Dolphin Bay Estates Cedar Point, NC Carteret County
(Lot or Street#, Street or Road, City&County)
Agent's Name#: Bruce Rogers Mailing Address: PO Box 4338
Agent's phone#: [phone] Emerald Isle, NC 28594
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing_the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http://www.nccoastalmanagement.net/web/cm/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15'from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pro rty Owner Information) (Riparian Property Owner Information)
ata
.Si natur 7/
Signature
Shirley Ann White Amber Smith
Print or Type Name Print or Type Name
102 White Cap Ct 107 Dolphin Bay Estates
Mailing Address Mailing Address
Emerald Isle, NC 28594 Cedar Point, NC 28584
City/State/Zip City/State/Zip
[phone]
Telephone Number/Email Address Telephone Number/Email Address
6/12/18
Date Date ---
(Revised Aug. 2014)

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
Name of Property Owner: Shirley Ann White
Address of Property: 109 Dolphin Bay Estates Cedar Point, NC Carteret County
(Lot or Street#, Street or Road, City&County)
Agent's Name#: Bruce Rogers Mailing Address: PO Box 4338
Agent's phone#: [phone] Emerald Isle, NC 28594
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing_the development
they are proposing. A description or drawing. with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at httpJ/www.nccoastalmanagement.net/web/cm/staff-listinq or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15'from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15'setback requirement.
(Prop O ner Information) (Riparian Property Owner Information)
Signature Signature
Shirley Ann White Roger& Helen Becton
Print or Type Name Print or Type Name
102 White Cap Ct 111 Dolphin Bay Estates
Mailing Address Mailing Address
Emerald Isle, NC 28594 Cedar Point, NC 28584
City/State/Zip City/State/Zip
[phone]
Telephone Number/Email Address Telephone Number/Email Address
6/12/18
Dale Date
(Revised Aug. 2014)

OTHER PERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA
minor development permit,including,but not limited to:Drinking Water Well,Septic Tank(or other sanitary waste
treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
Certification, Sand Dune, Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
others.Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
I,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
listed as landowner on this application has a significant interest in the real property described therein.This interest can be
described as:(check one)
.( an owner or record title,Title is vested in name of Sh:..
see Deed Book 15S.3 page 14 S in the Q. 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 RIPARIAN PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name) ` (Address)
(1) \p'�^ •e \ 4"-1 bc,11Z`l e-
(2) C ! s tLC'tq,n OQtDL..., Zw.%.% t.StitV Pe.r.`r QZ:... t
/
(3)(4)
ACKNOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
may be susceptible to erosion and/or flooding.I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
I furthermore certify that I am authorized to grant,and do in fact grant,permission to Division of Coastal Management staff,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
This the a 2. day of l,* ,20
Landowner or son au ortz o act as his/her agent for purpose of filing a CAMA permit application
This application includes:general information(this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necessary, a check for$100.00 made payable to the locality, and
any information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued Deviation from these details will constitute a violation of
any permit.Any person developing in an AEC without permit is subject to civil, criminal and administrative action.