77607D - Lilly

1 CAMA/ ❑DREDGE & FILL No 77607 A B
3EN ERAL PERMIT Previous permit#
tNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environmental Quality ( I (�^,C/-�
:oastal Resources Commission in an area of environmental concern pursuant to ISA NCAC r[
❑Rules attached.
t Name JJ ) \ `1 XY" Li I ` y
Project Location: County P)r or,Slv1 C k
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ng permit may be required by: 14OIOECY ge,CII:C- See note on back regarding River Basin ri
Local Planning lurisdiction) _ , . , / -

CAMA r DREDGE & FILL *y(l {tt A 8 C D„r.a
` GENERAL PERMIT Ptrvr permit x_. _ —
`�;tvr.. Modification Complete Reissue Partial Reissue Date previous permit rssued r
As authorised by tha State of North Carolina,Departr*+ent of Env ronnlental Quality -/N (�
and the Coastal Resources Cerc+miss:on,n ar are,01 env.ronmental concern pursuant to ISA NCAC ( (-x - --
Appi+cant f~anrc L1_' \ 11 r?,i` 1, Li 1\ lj Project location County 't t,tt `.t,,,i CI'',
Address Jt'-4 t Cits)
Address. Sure Road'Lot
Crry i `itate f"C-- ZIP e 24-:c 1 Lk {r'.y(.-J 4
-111 ._.. .2
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Note*frxA Ptannsniurndrtt.nf ` r { r -
Note; Spctiaf Conditions l} 1i 1 t,tt s C 1 _I.xf�C,,Lr jC„.t lr t. iC t 'it j1, #rz rf ftiiee / — ;
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: /(eats a ¢h C. Sun, sf--
Address of Property: /14 La if Sid el:/k V. Ao/din &•(.4 , /VG
(Lot or Street#, Street or Road, City& County)
Agent's Name#: Mailing Address:
Agent's phone#:
I hereby rtify that I own property adjacent to the above referenced property. The individual
apply o this permit has described to me as shown on the attached drawing the development
th ar posing.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.nccoastalmanauement.netlweb/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 ba.j a minimum distance of 15' from my area of riparian access unless waived by me. (If
you , waive' the setback, you must initial the appropriate blank below.)
�.. I do wish to waive the 15' setback requirement.
i
VI
I do not wish to waive the 15' setback requirement.
(Property Owner Infor tion) ( .p- 'Owner nfor . ion)
• Va" a i
ignature gnature
4 // 13 t%'i * - koi t all C. 4Mot t -
Print or Type Name / Print or Type Name
3 yyy 6,14 P/e.-4.- Po Be k za
Mailing Address Mailing Address
L�+�r�> -- /✓c_ ZeZo5 olterciler "VC Z73

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to (/✓%ihY,.... l4re,A.J, j ;/I 's
(Name of Property Owner)
property located at JJ% .tii� ..r.'1�G �i �c%,. gti, i N C.
(Address, Lot, Block, Road, etc.) .14
S
on Cate/ , in MMyth.... It.edi , c./ D/rugsarl.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loca ' n.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
4J4j7114 / /bf
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
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.)
wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property wner Informatio ) (Adjacent// -- Prope Owner Information)
� L2/
Signature Si tur
Print or Type Name Print or Tyoe Name ,�
3,19 Cody Y,' t, tv$ {.. .re ,I.u,rfi�!i
Mailing Addres M 'li Add ass

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
G✓!Name of Property Owner: //?c_ SGA 4 c.,'dt
Address of Property: lit At.r�1s-v.'1/� S,'e M .. /St&•I,
(Lot or Street#, Street or Road, City&County)
Agent's Name#: Mailing Address:
Agent's phone#:
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.
' " 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-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 th setback, you must initial the appropriate blank below.)
o wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Info ation) (Riparian Pro w Infor tion)
Signature �� Signature
Print or Type Name / Print or Type Name
37S9 re,5-4 p/.c.- D( esSu.)0/
Mailing Address Mailing Address Cdo-/dM Nc ZneS- Ckl4- iik '7,57

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S RECEIVED
1 ' CPP 1 R21191

IIIi1IIIIIIIIl1IIIIIIIIIIIIIIIIIIIII 6434 P1123 -: 6
Brunswick County, NC Register of Deeds page 1 of 3
Brenda M. Clemons Register of Deeds
09-04-2028 16:1B:08.006 Brunswick County, NC
NC REVENUE STAMP: $754.08 (N705511)
,'''I n 1.4)1V-44 114,-...
1 _ Flo:
CI::— Ck•i
unr' Gash 6, i inanco
*tit nuns of document are illegible due to condition
.. -".-,,il`s ais verified by original
This instrument prepared by:David L.Wortman,a licensed North Carolina attorney. Delinquent taxes,if any,to be paid by the
closing attorney to the Brunswick County Tax Collector upon disbursement of closing proceeds. No title opinion or closing
services rendered by preparer.
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax:$754.00
Parcel Identifier No.232PF009 Verified by County on the day of ,20
By: _ I
' PREPARED WITHOUT EXAMINATION OF TITLE I1
Mail/Box to:The Wortman Law Firm,PLLC,624 Village Rd.,Suite 1,Shallotte,NC 28470
•
• This instrument was prepared by: The Wortman Law Finn,PLLC,624 Village Rd.,Suite 1,Shallotte,NC 28470
Brief description for the Index: L-289 CANAL B PLAT 7/22
THIS DEED made this day of ,20_,by and between
GRANTOR GRANTEE
JESSE DONALD HEFFINGER,divorced KENNETH CHRISTOPHER SUMNER&wife,
4439 Old Julian Road JANET KINGSBURY SUMNER
Julian,NC 27283 PO Box 216
Stokesdale,NC 27357
Enter in appropriate block for each party.name,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.
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
City of Holden Beach,Shallotte Township,Brunswick County,North Carolina and more particularly described as follows:
"SEE ATTACHED"
The property hereinabove described was acquired by Grantor by instrument recorded in Book 411,Page 800.
All or a portion of the property herein conveyed_includes or does not include the primary residence of Grantor.

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A map showing the above described property is recorded in Plat Book 7,Page 22.
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:
Subject to Restrictions,Easements and Right of Ways as may appear of record.
IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written.
AL)
kDonald Heffmger
State of North Carolina-County of /(OAS Jerk.
1, the undersigned Notary Public, certify that Jesse Donald Heffinger personally appeared before me this day and
acknowledged the due ex ution of the foregoing instrument for the purposes therein Wine and Notarial stamp or
seal this 5 day of / ,
`
My Commission Expires: 1� 11 01 Z'
1 otary Public
The foregoing Certificates)of is/are
certified to be correct This instrument and this certificate are duly registered at the date and time and in the Book and Page shown on the
first page hereof.
Register of Deeds for County
By: Deputy/Assistant-Register of Deeds
IW OR f'/i�,�
'Z1,92'%
7-
CZ,
NotorY Public
N6w Hanover�°arty

ATTACHMENT
BEING All of Lot No.289 on Canal"B",and fronting on Fayetteville Street according to a survey of the Canal Development of
Holden Beach Corporation as surveyed and mapped by Greer and McHenry,Surveyors,a map of which survey is recorded in
Map Book 7 at Pgae 22,records of Brunswick County,North Carolina. For back reference,see Book 386,Page 82 of the
Brunswick Registry.
This conveyance is made SUBJECT to those certain restrictions as recorded in Book 220,Page 657 of the Brunswick Registry.
More commonly known as:116 Fayetteville Street Holden Beach,NC 28462(PIN:232PF009)
N ` I lI �� u ms-e4 2e28
'll�l'll'III�III� 11I11� Illlellr e� u 3 of 3 pROP
�
Brunswick
SUMNER 7-6-20
116 Fayetteville Sheet,Holden Beach,NC 28462

Cheek
Date Received Dale Deposited Check From(Name) Name of Permit Nobler Wider Check Number amount Perm*Number/Comments
Column Coiumn2 Column3 Column/ CoOwnn6 Coluinne Column? Column.
9/29/2020 John Schweikart same FCB 1009 $200.00 GP#77606D
9/29/2020 William Lilly same Uwharrie Bank 1478 $200.00 GP#77607D
9/29/2020 H5 Construction LLC Gary Moss BB&T 2442 $400.00 GP#77609D
9/29/2020 Jay Patterson same FCB 5868 $100.00 Minor fee,1280 Mallard Bay,Hampstead F