Four Miss North Carolina Teen USA 's has crossed over to win the Miss North Carolina USA title . The first was Chelsea Cooley , who went on to win the Miss USA title and place in the top 10 at Miss Universe . The second was Erin O ' Kelley , Miss North Carolina Teen USA 2001 who made the top 15 at Miss USA 2007 . The third was Julia Dalton who was a second runner up in Miss Teen USA 2008 . However , she did n't place at Miss USA 2015 . And the fourth was Katie Coble , a second runner up in Miss Teen USA 2007 and a non finalist in Miss USA 2017
Miss USA 2015
Miss USA 2015
Miss North Carolina Teen USA