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Home My WebLink About77950A_Cisewski, Jeff & Laura_20210203M Vuwd p 0* pok+028".t .. MAN RENOWN AM awn an ISO ��t��rrir��rraa� 1(90 �'B .AM � D ,i MA 1FFid t N►1#O suK an Y1r II Aug No [3 Peamw cpf I WL1 K 1 a� .wa�oo�wiuwww p ww +ut w.a> sewy 1� wi t t OWL 6N lira a loclawo-* /7 1*6 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: i-�t� 9� ra- 0 (Se&%S6 Mailing Address: a �'Yl'� (P S YYIb ara-31 - � Phone Number: 7 J�� " 6-7 + (000(0 Email Address: I certify that I have authorized ffi"r) Off. Ag t / Contractor to act on my behalf, for the purpose of applying for and obtaining all C,AMA permits necessary for the following proposed development: _1tD/1' aLL . VLF I at my property located at in �3 t Lj . County. I furthermore certify that 1 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. Property Owner Information: Signature %tea (ts0.'o'S Print or Type Name D "Yp'-aw Title 20 Date This certification is valid through (0 1 1 0 / 0-� I I hereby certify that I own property adjacent to + 4�1�11"W _ $ Name of Property Owner) Property located at 1 (Address, Lot, Block pads etc etc 0) , N.C. on _.in r CityrTow and/or County) (Waterbody) The applicant has described to me, as shown below, the development proposed at the above locatio . I have no objection to this proposal. 1 have objections to this proposal. DESCRIPTION .YAND/OR ft+tnDRAWING �1o��w.;�.� DEVELOPMENT .narmove 3oo LP Q� W a4'1 1'F t V\9ur 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information (Adjacent Property Owner Information) _-- 6 --1 Signature'. y i ature La �.i5 c WS k 1,. • �1C u.-' , Print or Type Name Print or Type erne [QZ Ky�I to 5 �j� Malting ddress V� l 68 Me ing Address City/st te/Zi ' t I � (0 City/statelzip ` ZZ 2— 1�t �- Telephone Number/email address Telephone umbe /e ai/ass j i — 10 — Lv bl I , S �2D'L I — Date Date' (Revised Aug. 2014) 'Valid for one calendar year after signature' ADJACENT RIPARIAN PROP-tE--RTY OWNER STATEMENT I hereby certify that I own property adjacent to V '�' s `' 1 (N me of Property Owner) V Property located at I A�w ca=A� (Address, Lot, Block, Road, .) on a bLM8 A � A- — nth in N.C. (Waterbody) (City/T wn and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT OndIvIdualproposing detrefop ent must tilt in d"CffPt(0n Wow or attach a: sue, JIsLMOVt 300 L-P i u - 4- J'u? W CU) UF r4tS 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.) I do wish to waive the 15' setback requirement. ✓ I do not wish to waive the 15' setback requirement. (Property Ow r Information) (Adjaapnt Property Owner Information) R C41 Ti,tu /nl i$�ure*C =/�ovlF ftlur�cy/�L r,l A I�IStitJ.�S 1 / F Print or Type Name Print or Type Nam Mailing A Vress 3 `� Mailing Address /V( S� city/ ity state/Z' -o Cit VSta Telephone Number/email address Telepho e N mber/email address t!- t0 - do 1(�t�doao Date Date' (Revised Aug. 2014) *Valid for one calendar year after signature* P0778 1,0:00 IIIIIIIIIIIIII IIIIIIIIIIIIII IIIIIIIII Annie F. Wilson 28 34?PROP Bertie County, NC Register of Deeds page 1 of 4 W-D Annie F. Wilson Register of Deeds 10-13-2020 10:28:34.000 Bertie County; NC NC REVENUE STAMP: $1150.00 (#46935) DEED This certifies that there are no delinquent ad valorem real estate taxes, which the Bertie County Tax Collector is charged with collecting that are a lien on PIN: 6882-48-6006, Bertie County Office of Land Records. This is not a Certification that the PIN # matches the deed description. fi 4.1, / 0-13 Tax Collector Date PREPARED BY ]ONATHAN E. HUDDLESTON, PRITCHETT & BURCH, PLLC, POST OFFICE DRAWER 100, WINDSOR, NORTH CAROLINA 27983 MAIL AFTER RECORDING TO: The Cisewski Family Trust 102 Miles Mahone Lana Williamsburg, VA 23188 Excise Tax: $1,150.00 STATE OF NORTH CAROLINA COUNTY OF CHOWAN THIS DEED, made this G14-1 day of October, 2020, by and between Brad Ward and wife, Jessica L. Ward, parties of the first part, to Laura K. Cisewski, Trustee for The Cisewski Family Trust dated June 22, 2015, whose mailing address is 102 Miles Mahone Lane, Williamsburg, VA 23188, party of the second part: IIIIIIIIIIII1IIIliIII 1IIIII IIIIIIIII -e 2020A zROnieF. WilsonP Bertie County, NC Register of Deeds page 2 of 4 WITNESSETH: That for and in consideration of the sum of Ten Dollars and other considerations in hand paid by the party of the second part to the parties of the first part, receipt of which is hereby acknowledged, the said parties of the first part have bargained, sold and conveyed and by these presents do bargain, sell and convey unto the said party of the second part and her heirs and assigns the following described land, to -wit: That certain parcel or tract of land located in Merry Hill Township, Bertie County, North Carolina, containing 2.68 acres, more or less, and is identified as "Lot Number 30", on that certain survey entitled "Final Plat -Phase 1 Innsbrook Development", dated March, 2006, revised May 3, 2006, prepared by 3. Gary Culp, Professional Land Surveyor, L-2950, and recorded in Plat Cabinet B, Page 776, of the Bertie County Public Registry. This is a portion of that tract of land that was conveyed to Rial Corporation by deed dated May 23, 2005, as recorded in Book 840, 531, Bertie County Public Registry. TOGETHER with the perpetual use of the easements and rights of way located throughout the Innsbrooks Development and more specifically the use of the easements and rights of way from SR 1511 to Lot Number 30 as shown on that certain map entitled, "Final Plat- Phase 1 Innsbrook Development", dated March, 2006, prepared by 3. Gary Culp, Professional Land Surveyor, L-2950, and recorded in Plat Cabinet B, Page 771- 776, of the Bertie County Public Registry Subject to all Restrictive Covenants of record, including those recorded in Book 840, page 542; Book 847, page 249; Book 855, page 585, Book 890, page 22; Book 890, page 918; Book 903, page 79; Book 906, page 45 and in Book 905, page 890 in the Bertie County Public Registry. Subject to a Deed of Easement between Avoca Technical of Delaware, Inc.; Innsbrook South, LLC; Rial Corporation; Innsbrooks Golf & Marina, LLC and Innsbrook Homeowners' Association. dated November 8, 2005 and recorded in Book 847, page 267 in the Bertie County Public Registry. Subject to a Communication System Easement from Rial Corporation to Carolina Telephone and Telegrap (Embarq), dated December 13, 2007 and recorded in Book 877, page 877 in the Bertie County Public Registry. 13-13-2020 11111INT 111111kjjjq�jfljjjj f BP 2 R0Z8� 10 28 34 P000 ROP Bertie County, NC Register o Deeds Page This is the same property conveyed to Brad Ward and wife, Jessica L. Ward by deed from Rial Corporation, dated August 8, 2011, and recorded in Deed Book 914, Page 296 of the Bertie County Public Registry. Notice pursuant to NCGS § 105-317.2: The above mentioned property is not the primary residence of the party of the first part. TO HAVE AND TO HOLD the aforesaid lands with all rights and privileges thereunto belonging or in anywise appertaining unto the said party of the second part and hN heirs and assigns, in fee simple forever. And the said parties of the first part for themselves, their heirs and personal representatives covenant to and with the said party of the second part and her heirs and assigns, that they are seized of said lands in fee simple and have a good right to convey the same in fee simple; that the said lands are free and clear of all encumbrances, SAVE AND EXCEPTING rights of ways for highways and public utilities and ad valorem taxes for the year 2020 and subsequent years, and that they will forever warrant and defend the title to the same against the lawful claims of all persons whomsoever. IN WITNESS WHEREOF, the said parties of the first part have hereunto set their hands and seals, this the day and year first above written. —(SEAL) Brad Wa d _(SEAL) Jeseica �rd__ 10-13-2020 I�'�I�II�II'�III�IIII��I'I�'��III��IIf 80992 P01�f24:34.P UilROP Bertse County, NC Register o STATE OF NORTH CAROLINA COUNTY OF 'h�� Notary Public, for &rV. County, North Carolina, do hereby certify that Brad Ward and Jessica L. Ward, this day personally appeared before me and acknowledged the due execution of the foregoing instrument for the purposes therein expressed. Witness my hand and official set, this thet day of October, 2020. Notary ubiic Printed Name. My Com. Expires: s- has' Daphne B. Ferebee Notary Public Suite of North Carolina Bertie County )EH( 20 Deeds( Osewski Family -trust from Brad and ]essica Ward 20-T-103 ConnectGIS Feature Report https://bertiecounty.connectgis.com/DownloadFile.ashx?i=_ags... ARCONNECTGIS WiD �IC'ti(i`iG E � i P � �N ` E S g r4-a d -3m i cc, ard :1 : 106 Feet Printed January 25, 2021 ED .f misc Parcel Lines COUNTY DJOR'V HOOK LEADER_UNES LOT_UNEs NEW WATER RAIL CENTER SUBDIV BLOCK SUBDIV BNDRY TOWN BNDRY _ =ree-s r,els - = rep _ r _= k�� =,r,z-r COLnt,y 2.ounldary 1 of 1 1/25/2021, 10:56 AM �C► WASR��a� 1 r 500 rt