TB_19-26_ Circle

Issued by WiRO TB19.26
Topsail Beach Permit Number
CAMA
MINOR DEVELOPMENT
„i
PERMIT
NORTH CAROLINA
Environmental Quality
as authorized by the State of North Carolina, Department of Environmental Quality
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 Circle Q Equity, Inc. authorizing development in the Estuarine Shoreline (AEC) at 928 Observation Lane, in
Topsail Beach, Pender County as requested in the permittee's application, dated September 24, 2019, and received as
complete by DCM on October 14, 2019. This permit, issued on October 31, 2019, is subject to compliance with the
application and drawing dated and received by DCM on October 14, 2019 (where consistent with the permit), all
applicable regulations and special conditions and notes set forth below. Any violation of these terms may subject the
permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes: Construction of a single-family residence.
(1) All proposed development and associated construction must be done in accordance with the permitted site drawing dated
received by DCM on October 14, 2019.
(2) Any change or changes in the plans for development, construction, and/or land use activities will require re-evaluation and
modification of this permit.
(3) A copy of this permit shall be posted or available on site throughout the construction process. Contact this office at(910)
766-7221 for a final inspection at completion of work.
RECEIVED
(Additional Permit Conditions on Page 2) •
NOV 1 8 2019
This permit action may be appealed by the permittee or other qualified persons
within twenty (20) days of the issuing date. This permit must be on the project
site and accessible to the permit officer when the project is inspected for Jason Dail
compliance. Any maintenance work or project modification not covered under CAMA LOCAL PERMIT OFFICIAL
this permit,require further written permit approval.All work must cease when this
permit expires on: 127 Cardinal Drive Extension
Wilmington, NC 28405-3845
December31,2022
In issuing this permit it is agreed that this project is consistent with the local Land •U "
Use Plan and all applicable ordinances. This permit may not be transferred to J
another party without the written approval of the Division of Coastal AA on on PER TEE
mm�n4

•
Name: Circle Q Equity
Minor Permit#TB19-26
Date: October 31, 2019
Page 2 of 3
(4) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetated and stabilized (planted and
mulched)within 14 days of construction completion.
(5) Any proposed for grading within the 30' Coastal Shoreline buffer(as measured from the Normal High Water level)
must be contoured to prevent additional stormwater runoff to the adjacent marsh and/or canal. This area shall be
immediately vegetated and stabilized and must remain in a vegetated state.
(6) All development shall be located at least 30' landward of the normal/mean high water line. No impervious
coverage/built upon area, including but not limited to the house (including eaves), foundation pad, covered
decking, etc.shall extend into the 30-foot coastal shoreline buffer.
(7) This permit does not authorize the excavation or filling of any wetlands, even temporarily.
(8) All structures shall comply with the NC Building Code, including the Coastal and Flood Plain Construction Standards
of the N. C. Building Code, and the Local Flood Damage Prevention Ordinance as required by the National Flood
Insurance Program. If any provisions of the building code or a flood damage prevention ordinance are inconsistent
with any of the following AEC standards, the more restrictive provision shall control.
(9) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
RECEIVED
NOV. 1 8 ?019
DCM WILMINGTON, NC
SIGNATURE: 9( �i�✓` DATE: .(�
PERMITTEE

Locality Permit Number 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
Ocean Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA
(For official use only) Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
others.Check with your Local Permit Officer for more information.
GENERAL INFORMATION
STATEMENT OF OWNERSHIP:
LAND OWNER- ( S
MAILING ADDRESS
t-t,7, )h6,
EESS I,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
Name CI�r Le �/ person authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the person
"1 _ _ listed as landowner on this application has a significant interest in the real property described therein.This interest can be
Address 1 I � Seel °QkYe �j,t. '/ described as:(check one) _ i` f
City SA{(4- C�-7 State _14 Zip!fie I.(p} et t o c ch- � an owner or re^--' . is vested in name of ei vC T¢ tic
1 `�i. t
��— VVV r ' J see Deed Book_9-65 jo page in the County R gistry of Deeds.
Email
AUTHORIZED AGENT an owner by virtue of inheritance.Applicant is an heir to the estate of
;probate was in County.
Name l
�C`//r if other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
Address
City State Zip Phone NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
1 I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
Email ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
LOCATION OF PROJECT:(Address,street name and/or directions to site;name of the adjacent waterbody.) (I)re 1 row 1 loll , r _ ess)/ „• R.44., LI /C ,17 09
�$ I% 4,11100 (2), /�[Aa/C.ULI A'`iY nC�i y/�, ,2 kv i.Jq /'I M Q31
pSti I 1 -�o�G• , J l 6��-�Cl
DESCRIPTION OF PROJECT:(List all proposed construction and land disturb ce.) ACKNOWLEDGEMENTS:
�Q y/j fir �VI V ' ' K C' ,Or. I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
I\17WJ /� may be susceptible to erosion and/or flooding.I acknowledge that the Local Permit Officer has explained to me the particu-
SIZE1 I OF LOT/PARCEL: !�1 4 square feet I O lar hazard problems associated with this lot.This explanation was accompanied by recommendations concerning stabiliza-
tion tion and floodproofing techniques.
PROPOSED USE:Residential (Single-family 0 Multi-family❑) Commercial/Industrial❑ Other ❑ 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
COMPLETE EITHER(1)OR(2)BELOW(Contact your Local Permit Officer((you are not sure which AEC applies related to this permit application.
to your property): �J �
This the (�if day obt f ,20 4_j 1
(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 J Aix-
.
• excluding non-load-bearing attic space) Landowner or pers uthori to t as hi agent f r p ose of filing a CAMA permit application
(2) COASTAL S AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACEI'•, s feet(includes the area of the foundation of all buildings,driveways,covered decks, This application includes:general information(this form),a site drawing as described on the back of this application,the
concrete or masonry patios,et that are within the applicable AEC.Attach your calculations with the project drawing.) 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
STATE STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State incorporated without reference in any permit which may be issued.Deviation from these details will constitute a violation of
Stormwater Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)? any permit.Any person developing in an AEC without permit is subject to civil,criminal and administrative action.
YES y NO RECEIVED
If yes,list the total built upon area/impervious surface allowed for your lot or parcel:I 3(-1'4- square feet.
OCT 14 2019
DCM WILMINGTON, NC

ROY COOPER
Governor
•
MICHAEL S. REOAN
Secretary
NORTH CAROLiNA BRAXTON DAVIS
Environmental Cualin
Director
November 4, 2019
Circle Q Equity, Inc.
116 Sea Oaks Drive
Surf City, NC 28445
Dear Applicant,
Attached is CAMA Minor Development Permit TB 19-26 for work to be done at 928 Observation Lane in
Topsail Beach, Pender County. An electronic copy has been sent to the Topsail Beach Inspections
Department.
To validate this permit, please sign both copies as indicated for our records. Retain the orange copy for
your files, and of receipt in the enclosed,self-addressed
envelope
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Since ly,
L)2—
nya . Pie ila
Per it port Technician
.C. Division of Coastal Management
Enclosures
Cc: WiRO files
TB Inspection Dept.
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext.,Wilmington,NC 28405

1, MARC F. GLENN, CERTIFY THAT THIS PROPERTY WAS SURVEYED AND MAP DRAWN UNDER MY SUPERVISION: �\ N
DESCRIPTION AS SHOWN ON THE FACE OF THIS PLAT;RATIO OF PRECISION AS CALCULATED BY COMPUTER F" Gas
15 1:20,000+; THAT THE BOUNDARIES NOT SURVEYED ARE SHOWN BY BROKEN LINES PLOTTED FROM JJJJ/t� ,Jf • e
INFORMATION REFERENCED; THAT THIS PLAT WAS PREPARED IN ACCORDANCE WITH THE STANDARDS OF Pa / IS FF W E
/ SlTEI
PRACTICE FOR LAND SURVEYING IN NORTH CAROLINA"; WITNESS MY ORIGINAL SIGNATURE,LICENSURE
NUMBER AND SEAL THIS 22ND DAY OF NOVEMBER A.D. 2015. ,A oy
9L
/72
MARC F. GLENN 9� in
����
N.C.PLS No. L-4306 BOAT BASIN F
P
\`'oCARo/ NORMAL HIGH WATER IS
\\ //i� AT BULKHEAD VICINITY MAP
..LESS/p,, '?yam NOT TO SCALE
• SEAL =
BULKHEAD 8 O' 5'INGRE55, EGKtSS, KLGKL55, BULKHEAD
L-4308 DRAINAGE, it UTILITY EASMENT
T •
l�ii/Illnti‘\�� 30.0'
COMMON AREA
MB 62 PG 53 30'CAMA ySETBACK
LINE
• 5 43°I733"E 34.00' � \CpNTROL CORNER \'
/ / / / / / /// / /// - 0.0' es,�-
O.0' � �- PROPOSED Cn A
-4 / 3 STORY / 41. G"
(I) / DWELLING / a-) 1/4),
p / #922 / 4
N / 34'X 35'FOOTPRINT / N
N / LOT I4R / NIrn / MB 62 PG 53 / PAD 13
PAD 15 W
MB 62 PG 53 m / 1,141 sq.ft. PAD AREA / m MB 62 PG 53
N /
4 / 1,344 sq.ft. IMPR. SRF. / O
/ (ALLOWABLE AREA) /
L ___I
®/ /� / / / / / / P.
i1.00 6N 43°1 7'33"W
1 a °al 34.00'
—L— __L_— __L_ ' 13 ___A___
R/W R4V
PROPOSED IMPERVIOUS SURFACE — 10.6 •6.1' RECEIVED
PROPOSED HOUSE FOOTPRINT 1,190 SQ. FT. OBSERVATION LANE
PROPOSED CONCRETE DRIVE 135 SQ. FT. PRIVATE RIGHT OF WAY 0 C T 1 4 2019
TOTAL 1,320 SQ. FT. VARIES IN WIDTH
RECORDED AVAILABLE TOTAL 1,344 sq. ft. DCM WILMINGTON, NC
AVAILABLE IMPV. REMANING 22 SQ. FT. NOVEMBER 22, 20/8
SURVEY REFERENCE
DEED BOOK 4636 PAGE 1252 SITE PLAN FOR
MAP BOOK 62 PAGE 53 Circle Q EGAuiLy, Inc.
MAP BOOK 55 PAGE 25 BUILDING PAD #14R #928 QUEENS GRANT
MAP BOOK 57 PAGE 4
Quinn Queens Grant 5,te Plans_Lot 1 7R 934 Observation Lane.dwg TOWN OF TOPSAIL BEACH TOPSAIL TWSP. FENDER CO. NC
N LEGEND 20 — I0 20
N',4-1 NE POLARIS0=EXISTING REBAR
410. wil E SU/RYEYINIJ Pile 0=5/5"REBARS SET 1 INCH = 20 FEET
1��1�f •G.4' =SPOT ELEVATION
�,_ 202 EAST REWORD ROAD NOTE: THIS LOT IS LOCATED
WILMINGTON,NC 28411 q =CENTERLINE IN ZONE AE 12
�.r PRL9101-616,4210 R/W =RIGHT OF WAY PRELIMINARY FIRM COMMUNITY PANEL
raw m.n.n.n,nnr ..no tin..aft.,. #372042I3 K

•
Receipts for
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ity,State,Zip Code
Dear Adjacent Property:
This letter is to inform you that I, L 1 rr cc-lAi/fve applied for a CAMA Minor
Property Ownerqpi( l (3A IVcyeVtPermit on my property at T2S 7 b,< y V�� vv LA in COUNTY
G
Property Address Q
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s)as notification of my proposed project.No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project,please
contact me at 611'd 170 ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program,you may submit
them to:
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY, STATE,ZIP CODE
Sincerely,
r07a e4 t ((` - �a & vy Ak7 )P YPro ert Owner
SQL ( 1,1!
Mailing Address
g•Lik(—c C11 NG 22,-ofc
City,State,Zip Code
RECEIVED
OCT 1 4 2019

U.S. Postal ServiceTM
CERTIFIED MAIL° RECEIPT
Domestic Mail Only
For delivery information,visit our'tuebsite at www.usps.com'.
M0 S ' ,
3 Certified Mail Fee $3.50 0482
h
Extra Services&Fees(check box,add fee rp�gdgte) n?
❑Return Receipt(hardcopy) $ P V L'l�
❑Return Receipt(electronic) $ SO.rI1,0ry Postmark
3
7 ❑Certified Mail Restricted Delivery $ $11,�f1�' Here
3 ❑Adult Signature Required $ $f,.00
0 Adult Signature Restricted Delivery$
Postage $0.55
Total Postage and Fees f19�27/2Q1 Q
$ $6.85
Sent Tn
a STRATEGIC DEV.ADVISORS, LLC
§fe AMY EDGE
City, 216 WESTON ESTATES WAY
nenmoiC\/II I P Kir 97560

•Cr anICU man SCrvniO pfuvruCC!UM IuuIVWnra LRCMICIIW:
A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
A unique identifier for your mailpiece. •associate for assistance.To receive a duplicate
Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. USPS®-postmarked Certified Mail receipt to thi
A record of delivery(including the reciptbnt's retail associate.
signature)that is retained by the Postal Service -Restricted delivery service,which provides
for a specified period. oelivery to the addressee specified by name,or
to the addressee's authorized agent
rnportant Reminders: -Adult signature service,which requires the
I You may purchase Certified Mail service with signee to be at least 21 years of age(not
First-Class Mail®,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,whic
I Certified Mail service is notavailable for requires the signee to be at least 21 years of at
international mail. and provides delivery to the addressee specifies
I Insurance coverage Is notavailable for purchase by name,or to the addressee's authorized agen
with Certified Mall service.However,the purchase (not available at retail).
of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is
insurance coverage automatically included with accepted as legal proof of mailing,it should bear
certain Priority Mail items. USPS postmark.If you would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office'for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipients signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records.
�c c.,....9AM w..a,m.c io,..........,oca

Receipts for' '
Certified Mail
DI• �'f. I q (Staple Here)
bate C, 6/1414.70
k rli .. nt.Pm trr
pp- Y..
Ma.... d ess
City,State,Zip Coae
Dear Adjacent Property: 47/
This letter is to inform you that I, �' v �� have alied for a CAMA Minor
Property Owner 1 `�`cy . S4 i 18 Q v"4Gk 6 SLIK
Permit on my property at 'ZO O 9SQvVc I 7h V ft A 'h ' ,in COUNTY
Property Address �...e r
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s)as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project,please
contact me at l(0 5 I ! ,-2 Cs ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the LOCAL GOVERNMENT CAMA Minor Permit Program,you may submit
them to:
LPO NAME
Local Permit Officer for LOCAL GOVERNMENT
LOCAL GOVERNMENT ADDRESS
CITY,STATE,ZIP CODE
Sincerely,
^
6 VC le Q ,- --.1 v i-1.71 10 t C a;,' I 67 Pie
/4--
Property Owner 1 /
1 ) k .5.e,AOA DV.
Mailing Address
,<0 4- (‘‘'4,' NC 2-F t 16--
City,State,Zip Code
RECEIVED
OCT 1 4 2019

. •os a ervice •
CERTIFIED MAIL® RECEIPT
1- Domestic Mail Only
9 For delivery information,visit our website at www.usps.com
AP ) F7ZP( F/ USE
a Certified Mail Fee
$3.50 0482
r $
3 Extra Services&Fees(check box,add fee atiAte) 02
0 Return Receipt(herdcopy) $ s
3 0 Return Receipt(electronic) $ $0.00 Postmark
3 Certified Mail Restricted Delivery $ $0.00 Here
3
El Adult Signature Required
$
Adult Signature Restricted Delivery$
3 Postage
$0.55
$
3 Total Postage and Fees 09/27/2019
$6.85
3 Sent TO
MATTHEW C. BROWN
4351 7r,..-m;/,' At"
oec p/Ci A799;1-

,ermiea mail service provtaes me Tonowtng oenenis:
A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail
A unique identifier for your mailpiece. associate for assistance.To receive a duplicate
Electronic verification of delivery or attempted return receipt for no additional fee,present this
delivery. LISPS®-postmarked Certified Mail receipt to the
A record of delivery(including the recipient's retail associate.
signature)that is retained by the Postal Service' -Restricted delivery service,which provides
for a specified period. delivery to the addressee specified by name,or
to the addressee's authorized agent.
reorient Reminders: -Adult signature service,which requires the
You may purchase Certified Mall service with signee to be at least 21 years of age(not
First-Class Mail®,First-Class Package Service®, available at retail).
or Priority Mail®service. -Adult signature restricted delivery service,whict
Certified Mail service is not available for requires the signee to be at least 21 years of ag
international mail. and provides delivery to the addressee specified
Insurance coverage is not available for purchase by name,or to the addressee's authorized agent
with Certified Mail service.However,the purchase (not available at retail).
of Certified Mail service does not change the •To ensure that your Certified Mail receipt is
Insurance coverage automatically included with accepted as legal proof of mailing,it should bear e
certain Priority Mail items. LISPS postmark.if you would like a postmark on
For an additional fee,and with a proper this Certified Mail receipt,please present your
endorsement on the mailpiece,you may request Certified Mail item at a Post Office'"for
the following services: postmarking.If you don't need a postmark on this
-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion
of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply
You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece.
electronic version.For a hardcopy return receipt,
complete PS Form 3811,Domestic Return
Receipt attach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records.

9/24/2019 Pender County GIS
PARCELS
PIN 4213-92-0767-0000
CALCACRES
NAME CIRCLE Q EQUITY INC
ADDR 116 SEA OAKS DR
CITY SURF CITY
STATE NC
ZIP 28445
PROPERTY ADDRESS OBSERVATION LN
PROPERTY DESCRIPTON BLDNG PAD 14R PB 62/53 QUEENS GRANT
DATE 1/24/2017
SALE_PRICE $0
Deed Reference 4636/1252
Plat 00620053
ACCOUNT 974057
TOWNSHIP TOPSAIL
ACRES 0
LAND_VALUE $167,320
BUILDING_VALUE $0
TOTAL_VALUE $167,320
DEFERRED_VALUE $0
SUBDIVISION QUEENS GRANT
ZONE
TAX_CODES GO1 C54 R40
EXEMPT
USE
ALT_PIN
MAPN
HEAT_SQ_FT
NBRHD R2105
EXEM_AMT $0
PCL_CLASS R
RECEIVED
OCT 1 4 2019
DCM WILMINGTON, NC

III IIIIIIIIIIIIIIIIIRIIIIIII IM
Doc No• 20044304
Recorded: 01/03/2019 02:03:04 PM
Fee Amt: $26.00 Page 1 of 3
Pender County North Carolina
Sharon Lear Willoughby,Register of Deeds
BK 4677 PG 546-648(3)
III II6IIIIIIu111111111I11 • /GARY ANGE
Doc No: 10021387
Recorded: 01/03/2019 12:09:44 PM
Fee Amt: $26.00 Page 1 of 3
Duplin County North Carolina
June H.Hargrove,Register of Deeds
BK 1886 PG 633-635(3)
PREPARED BY: THOMPSON&THOMPSON, P.C., ATTORNEYS AT LAW, POST OFFICE BOX 901,
WARSAW,NORTH CAROLINA 28398
STATE OF NORTH CAROLINA a�
DURABLE POWER OF ATTORNEY
COUNTY OF DUPLIN
KNOW ALL MEN BY THESE PRESENTS, THAT I, KIM S. QUINN, as President of CIRCLE Q
EQUITY,INC., and R& Q,INCORPORATED, the undersigned, a resident of Duplin County,North
Carolina,hereby make, constitute and appoint and by these presents do make, constitute and appoint GARY
ANGE,of Duplin County, State of North Carolina, as my agent, for me and in my name,place and stead for the
purposes hereinafter set out.
If my agent is unable or unwilling to act for me,I name as my successor
agent:
If my successor agent is unable or unwilling to act for me,I name as my second successor
agent:
( )I give to my acting agent the full power to appoint another to act as my agent, and full power
to revoke such appointment, if no agent named by me above is willing or able to act.
I. Grant of Powers. I hereby give and grant unto my agent and any successor agent full authority to act
for me with respect to the following subjects as defined in the North Carolina Uniform Power of Attorney Act,
Chapter 32 C of the eneral Statutes which includes each of the following subjects:
( )Real Property RECEIVED
( ) Tangible Personal Property V!"' • -oe,
( ) Stocks and Bonds 0 C T 1 4 2019 ^.
( ) Commodities and Options C 7,4\
( nks and Other Financial Institutions DCM WILMINGTON, ,oath
( ) Operation of Entity or Business pairnkllremm
( ) Insurance and Annuities ` ,•,, A1 '
( ) Estates, Trusts, and Other Beneficial Interests Nam•. 1750 I— /
( ) Claims and Litigation •
( ) Personal and Family Maintenance
( ) Benefits from Governmental Programs or Civil or Military Service

Bk 4677
( ) Retirement Plans _ _ Pg 547
( ) Taxes Book 1886
( ) All Preceding Subjects page 534
GRANT OF SPECIFIC AUTHORITY
(OPTIONAL)
My agent MAY NOT do any of the following specific acts for me UNLESS I have INITIALED the
specific authority listed below:
I understand that by granting any of the following I do give my agent the authority to take actions that
could significantly reduce my property or change how my property is distributed at my death. I have
INITIALED ONLY the specific authority I WANT to give my agent.
( )Make a gift, subject to the limitations provided in G.S. 32C-2-217
( )Create or change rights of survivorship
( ) Create or change a beneficiary designation
( )Authorize another person to exercise the authority
( ) Waive my right to be a beneficiary of a joint and survivor annuity, including a survivor benefit
under a retirement plan
( )Exercise fiduciary powers that I have authority to delegate
( )Disclaim or refuse an interest in property, including a power of appointment
( )Access the content of electronic communications.
EXERCISE OF SPECIFIC AUTHORITY IN FAVOR OF AGENT
(OPTIONAL)
( )UNLESS INITIALED, an agent MAY NOT exercise any of the grants of specific authority
initialed above in favor of the agent or an individual to whom the agent owes a legal obligation of support.
ADDITIONAL PROVISIONS AND EXCLUSIONS
(OPTIONAL)
( )
EFFECTIVE DATE
This Power of Attorney is effective immediately and shall expire on December 31, 2019.
NOMINATION OF GUARDIAN
(OPTIONAL)
I will initial below ONLY if I want my acting agent to be my Guardian.
( ) If it becomes necessary for a court to appoint a guardian of my estate or a general guardian, I
nominate my agent acting under this power of attorney to be the guardian and to serve wi 41.E ttt iV l gbother
security.
OCT 1 4 2019

Bk 4677
Pg 548
RELIANCE ON THIS POWER OF ATTORNEY , gook 1886
Page 535
Any person, including my agent, may rely upon the validity of this power of attorney or a copy of it
unless that person knows it has terminated or is invalid.
IN WITNESS WHEREOF, I have hereunto set my hand and seal on and executed the foregoing Power of
Attorney this the / day of December, 20+9.0'
CIRCLE Q EQUITY,INC.
(SEAL)
M S. QUINN,P esident
R& Q,INCORPOn TED
,�'
C// - (SEAL)
IM S. QUINN, President
NORTH CAROLINA
DUPLIN COUNTY
I, 4n Wn Q, eva 5 , a Notary Public in and for said State and County, do hereby
certify that Kim S. C�iinn,personally appeared before me this day and acknowledged that he is the President of
Circle Q Equity, Inc., and President of R& Q, Incorporated, the corporations named herein,and that he as
President, being authorized to do so, executed the foregoing on behalf of the corporations.
S
Witness my hand and notarial seal, this (1044` day of December, I.
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My Commission Expires: 4//7/ZpZ/ OJNotary Public v2
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11. My Comm. Exp.
' 09-17-2021 er?
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RECEIVED
OCT 14 2019
DCM WILMINGTON, NC

g / _,..,1 NC Division of Coastal Management 9052 A B CCp
Cashier's Official Receipt
/ 7Date: Y20
".. T Received From: �� $ 106
Permit No.: RI Check No.: 2:0......„
�5 7
Applicant's Name: �� jt'i /-� , County: yv
iProject Address: j 05-fAv � / L/ '
Please retain receipt for your records as proof of payment for permit issued.
e
Signature of Agent or Applican . Date:
i
Signature of Field Representative: Dat

Date Date Check From Name of Vendor Check Check Permit Rd
Received Deposited Permit Holder Number amount Number/Comments
Circle Q Equity, $ minor fee, 928 Observation Lane, JD rc1
10/14/2019 Inc. same BB&T 25437 100.00 TB PnCo 9052[