Brown, Roger Ray

^ ❑CAMA / R DREDGE &FILL ( - / C'i No. 75734 A B C ®GENERAL PERMIT D Previous permit '�
U,Mew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑ Rules attached.
Applicant Name / c' Project Location: County l r <7
Address �� 'kJ t l a / Street Address/ State Road/ Lot #(s)
City i % f ); / /i' State /V" ZIP S_ / J/ ��C✓ / —
Phone # O ') 7�T " A �) E-Mail Subdivision ,
Authorized Agent City f f —J ZIP /
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AEC(s): Adj. Wtr. Body
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ORW: yes no PNA yes / no Closest Maj. Wr. Body ! c i
Type of Project/ Activity
(Scale: )
Pier
Fixe
Float
Fing
Groi
Bulkl
Basin
Boat
Boatl
Beac
Othe
Shen
SAV,
Mors
Phot
Wai
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on backofpermit"
Application Fee($) � k #
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Signature
❑ See note on back regarding River Basin rules.
4"-
Date

Hurricane Florence and TS Michael
Replacement/Repair Request Form
Date of Request:
C.
Property Owner Name:
Address of Property:
Telephone Number: 7 Sz— 2 Z i Z Y/ f
Type of Work: / !z✓ - �'
NOTE:
• The Emergency CAMA General Permit 2500 is for repairs and replacement of water -
dependent structures damaged because of Hurricane Florence and/or TS Michael. The
replacement, reconstruction and maintenance excavation activities shall conform to
current standards and rules. All work under the Emergency CAMA GP 2500 must be
made in the same footprint of the previous structure with no additions, expansions, or
enlargements.
• if any portion of a structure being replaced is within the 15' setback of the riparian line or
access area, signatures of the adjacent riparian property owner(s) must be obtained
acknowledg ng the notification and waiver of the setback on the forms provided by
DCM.
• Any maintenance excavation or dredging requires signatures of the adjacent riparian
property owner(s) on the notification forms provided by DCM.
Signature:
RECEIVED
SEP 17 2019
DCM-MHD CITY

FOR REGISTRATION REGISTER OF DEEDS
Karen 5 HarEesl
September 17 20191 pq 42:20 AM
TERESA DEED 6 P
FEE Sa6 00
MC REVENUE STAMP: $638.00
FILE # 1649239
I�t,ll�L�er�
'VZRTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $I (Q33 IN
Parcel Identifier No.733513030380000 Verified by Carteret County on the _ day oC
Mail/Box to: vfe,heatltly. Whs ady, We ate, Lupton & Massie, PA. P O Box 360 Beaufort, NC 28516
This instrument was prepared by: C. R. Wheatly, III
Brief description for the Index: 724 Island Road
THIS DEED made this � day oR A 1 1 5 1 _ 2019, by and between
GRANTOR GRANTEE
Winfred Parrish and wife, Rita]oan Parrish
601 West Walnut Street
Kokomo, IN 46901
Phillip Parrish and wife, Anna Parrish
1717 Camden Ave.
Durham, NC 27704
Dolhe Blake, widow
By and through her attorney in fact
Candis Kimrey Tilley
Also known as
Candis Tilley Vaughn
1151 South Main Street
Apt. 239
Wake Forest, NC 27587
As Tenants in Common
for each Grantor and Grantee: name,
or
Roger Ray Brawn, It and wife,
Judith Lynnette Brown
210 NW Craven Middle School Road
New Been, NC 28562
2019.
character of
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall
include singular, plural, mascu8ne, feminine or neuter as required by context.
NC BarAssociation Fonn No. 3 0 1976, Revised ®1/1 R010
Printed by Agreement with the NC Bar Association
RECEIVED
SEP 19 2019
DCM-MHD CITY

1649239
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
ackn6wledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that
certain lot or parcel of land situated in the Harkers Island Township, Carteret County, North Carolina and more
particularly described as follows:
See Attached Exhibit "A"
All or a portion of the property herein conveyed does not include the primary residence of a Grantor.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 521, Page 61.
A map showing the above described property is recorded in Plat Book 33, Page 852, Carteret County Registry.
TO HAVE AND TO HOLD the aforesaid lot of parcel of land and all privileges and appurtenances thereto belonging to
the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey
the same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and
defend the tide against the lawful claims of all persons whomsoever, other than the following exceptions:
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
Signature Page to Follow
NC Bar Association Folm No. 3 ® 1976, Revised® 1/1/1010
Printed by Agreement with the NC B. Association
RECEIVED
SEP 19 2019
DCM-MHD CITY

1649239
State of Maznd <2A,26,—, N
Countyof 7hr¢wAa
y'
(SEAL)
illip Par h
/fL
L_. ,,, 0., � PC�SU ZfiEAL)
Anna Parrish
I, the undersigned Notary Public of the County and State aforesaid, certify that Phillip Parrish and Anna Parrish personally
appeared before me this day and acknowledged the due execution of the foregoing instrument for the purposes therein
expressed. Witness my hand and Notarial stamp or seal this -MC3714 day of August, 2019.
My11C in lion Expires: tag -Public
g1a�ac>a3
(Affix Seal) atttlt 11 ttttg�
NC Bar Association Form No. J ® 1976, Revised ® 1/1/2010
Printed by Agreement with the NC Bar Association
RECEIVED
SEP 19 2019
DCM-MHD CITY

1649239
State of1h Ci GM-'L`
County of 0 C✓
Qra
el
(SEAL)
�Wiinfred P rish
�' ZZS/ •wi+ci 7'R�hGG.d✓ (SEAL)
Ritil JoanPdWish
1, the undersigned Notary Public of the County and State aforesaid, certify that Winfred Parrish and Rita Joan
Parrish personally appeared before me this day and acknowledged the due execution of the foregoing instrument for the
purposes therein expressed. Witness my hand and Notarial stamp or seal this,>O day of August, 2019.
CLI �x�-eA" n "'"' 4
My Commission Ex Tres: Notary Public
s,,s
(Affix Seal)
l LAUfiI A SMlitl
Notary Public - Seal <<�
State of Indiana if
Howard County k'
my Commission Expires Sep 15, 2022 {
NC her Association poem No. 3 ® 1976, Revised 0 Monti)
Printed by Agreement with the NC Uer Association
DECEIVED
SEP 19 2019
DCM-MHD CITY

1649239
ll� ���.o
_.(sue)ollie Blake F7her attorney in
fact Landis Kitntey Tilley Also known as
Cando Tilley Vaughn
COUNTY OF _
I, a Notary Public for said County and State, do hereby certify that Cmdis Tilley Vaughn, Attorney in Fact for Dollie
Blake, personally appeared before me this day, and being by me duly sworn, says that she executed the foregoing and
annexed instrument for and in behalf of the said Dollie Blake, and that her authority to mecute and acknowledge said
instrument is contained in an instrument duly executed, acknowledged and recorded in Book 1648, Page 366, in the Office
of the Register of Deeds, Carteret County, North Carolina, on the loth day of September, 2019 and that this instrument
was executed under and by virtue of the authority given by said instrument granting power of attorney.
I do father citley Vaughn acknowledged the due execution of the foregoing and annexed
instrument for the pu$%ej iheilp fii for and in behalf of the said Dollie Blake.
WITNESS my hand!r� gB@�ial sell/�a[my of .2019.
My Commission Expires: L
NC Bu Associnim Form W. 3 O 1976, Roistd O 1/1/2010
PrintrA by Aga mt with Me NC Br Ammation
RECEIVED
SEP 19 2019
DCM-MHD CITY

1649239
Exhibit "A"
Lying and being in Carteret County, Harkers Island Township, and being all of Tract
One as shown on that map entitled "Survey for Roger Ray Brown, II", dated August 23, 2019
and recorded in Book 33, Page 852, Carteret County Registry.
Being the same property as conveyed in Deed Book 521, Page 61, Carteret County
Registry.
RECEIVED
SEP 19 2019
OCA4441-11) CITY

FOR REGISTRATION REGISTER Or OEEOS
Gar eraf C--Tt I. lNO
September 171 2019 04,43 59 pN
TERESA DEED 6 p
FEE $28 00
NC REVENUE STWP $636.00
FILE N 1649240
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $
Parcel Identifier No.733513031289000 Verified by Carteret County on the _ day of -2019.
By,
Mail/Box to: Wheat y. Whestly, Weeks. Lunton & Massie PA. P O Box 360, Beaufort, NC 28516
This instrument was prepared by: C. R. Wheatly, III
Brief description for the Indeeex730 Island Road
THIS DEED made this 3�day of t 2019, by and between
GRANTOR GRANTEE
Winfred Parrish and wife, Rita Joan Parrish
601 West Walnut Street
Kokomo, IN 46901
Phillip Parrish and wife, Anna Parrish
1717 Camden Ave.
Durham, NC 27704
Dollie Blake, widow
By and through her attorney in fact
Candis Kinney Tilley
Also known as
Candis Tilley Vaughn
1151 South Main Street
Apt, 239
Wake Forest, NC 27587
As Tenants in Common
Roger Ray Brown, I1 and wife,
Judith Lynnette Brown
210 NW Craven Middle School Road
New Been, NC 28562
Enter in appropriate block for each Grantor and Grantee: name, mailing address, and, if appropriate, character of entity,
e.g. corporation or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall
include singular, plural, masculine, feminine or neuter as required by context.
NC BarAssociation Form No. 3 CI 1976, Revised® III 2010
Printed by Agreement with the NC Bar Association
DECEIVED
SEP 19 2019
j)CM-MHD CITY

1649240
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that
certain lot or parcel of land situated in the Hackers Island Township, Carteret County, North Carolina and more
particularly described as follows:
See Attached Exhibit "A"
All or a portion of the property herein conveyed does not include the primary residence of a Grantor.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 521, Page 61.
A map showing the above described property is recorded in Plat Book 33, Page 852, Carteret County Registry.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to
the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey
the same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and
defend the title against the lawful claims of all persons whomsoever, other than the following exceptions:
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year Just above written.
Signature Page to Follow
NC Bar Association Fosm No. J ® 1976, Revised ® I/1/r010
Printed by Agrrement with the NC Bar Association
RECEIVED
SEP 19 2019
DCM-MHD CITY

1649240
State of ,-1h
County ofRAJQ,
Winfred P. rish
li& (SEAL)
Rita Joan Pa
I, the undersigned Notary Public of the County and State aforesaid, certify that Winfred Parrish and Rita Joan
Parrish personally appeared before me this day and acknowledged the due execution of the foregoing instrument for the
purposes therein expressed. Witness my hand and Notarial stamp or �seal
this 30 day of August, 2019.
yy,,G tit �sl Am, A(
M'7 1 l S I Z� Z L pires: Notary Public
(Affix Seal)
A SMITH y.
Notary
Public -Seal
State of Indiana F
Howard County
My Commission Expires Seps{ 2022 . r,
NC BarAssociation Form No. 3 C 1976, Revised © I /I/r010
Printed by Agrcement win the NC Bar Association
RECEIVED
SEP 19 2019
DCA -MHD CITY

1649240
State of I
County of
�'5' Q� (SEAL)
Phillip Pamsl ��`` (� t �
1A1`IVYIQ l_ 1 gMA..Q \ (SEAL)
Anna Parrish
1, the undersigned Notary Public of the County and State aforesaid, certify that Phillip Parrish and Anna Parrish personally
appeared before me this day and acknowledged the due execution of the foregoing instrument for the purposes therein
expressed. Witness my hand and Notarial stamp or seal this ._7" day of August, 2019.
My Commission Expires: NY Pub c
A
(Affl1(7
Se;l) b13
NC Bar Association Form No. 3 ®1976. Revised® 1112010
Printed by Agreement with the NC Bar Association
RECEIVED
SEP 19 2019
DCM-MWD CITY

1649240
STATE OF NOKT�Q
COUNTY OP _ />J
POR (SEAL)
Dollie Blake By and through her attorney in
fact Candia Khmrcy Tilley Alan known as
Candis Tilley Vaughn
I, a Notary Public for amid County and State, do hereby certify that Cando Tilley Vaughn, Attorney in Fact for Dollie
Blake, personally appeared before me this day, and being by me duly sworn, says that she executed the foregoing and
snne cd instrument for and in behalf of the said Dole Blake, and that her authority to ez to and wledge said
q�'
instrument is contained in an instrument duly executed, acknowledged and reeo m Book age�r he Office �V
of the Register of Deeds, Carteret County, North Caroline, on the *-day o 2019 and that this
instrument war ctccuted under and by virtue of the authority given by said instrument ting power of attorney.
I do further cecu�pst a� II.. Candle Tilley Vaughn acknowledged the due caxcution of the foregoing and amused
instrument f, ressed for and in behalf of the said Done Blake.
aloof h'0 ° ' � ih
WITNESS mT 184d8u+�ffidal ae>,Stamp, this L day of _, 2019.
Gtiry...G• otary c
My Commission Expire8,�—
NC Bee ArrooWi a Form No. 301976, Revised m 1/M010
Fsintaf by Agrrt with the NC Bm AssoNsdon
RECEIVED
SEP 19 zu19
DCM-MHD CITY

1649240
Exhibit "A"
Lying and being in Carteret County, Harkers Island Township, and being all of Tract
Two as shown on that map entitled "Survey for Roger Ray Brown, W', dated August 23, 2029
and recorded in Book 33, Page 852, Carteret County Registry.
Being the same property as conveyed in Deed Book 521, Page 61, Carteret County
Registry.
RECEIVED
SEP 19 mg
a)CM-MHD CITY