HB_17-048_ Simmons

ur-
Town of Holden Beach
Local Government
1,',i' IA
14'1100"ERI T
as authorized by the State of North Carolina, Department of Environment 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"
2017-047
Permit Number
Coastaf,Nanagemer. r
F,t.V1ZCHHFK7I.L CUAMTY
Issued to Jennifer Simmons , authorizing development in the Estuarine Shoreline (AEC) at 134 Marlin Drive, in Holden
Beach, and NC, as requested in the permittee's application, dated received December 6, 2017, This permit, issued on
December 12, 2017 is subject to compliance with the application and site drawing (where consistent with the permit), all
applicable regulations and special conditions and notes set forth below. Any violation of these terms may subject
permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes: CONSTRUCT A 16' x 6' GROUND LEVEL DECK.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat drawings(s)
dated 9-14-2017 and signed by Everett Graham.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at 910-842-6080 for a final inspection at
completion of work.
(Additional Permit Conditions on Page 2)
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
compliance. Any maintenance work or project modification not covered under
this permit, require further written permit approval. All work must cease when this
permit expires on:
DECEMBER 31, 2020
In Issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal
Management.
' Rhonda Wooten
CAMA LOCAL PERMIT OFFICIAL
110 Rothschild Street
\ Holden Beach Q 28462`
50
above apply to permit)
RECEIVED
DCM WILMINGTON, NC
DEC 18 2017

�p V(SE d
Name: Jennifer Simmons
Minor Permit # 2017.047
Date: December 12, 2017
Page 2
(5) The amount of impervious surface shall not exceed 30% of the lot area within 75 feet of
(Estuarine Shoreline Area of Environmental Concern),
(6) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
development/construction including the overhangs shall be located a distance of 30 feet landward of normal high
water.
This permit is being issued based on 15A NCAC 07H. 0209(d) (10)(F).
(7) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by
effective sedimentation and erosion control measures. Prior to any land -disturbing activities, a barrier line of
filter cloth must be installed between the land disturbing activity and the adjacent marsh or water areas
until such time as the area has been properly stabilized with a vegetative cover.
(8) Any proposed for grading within the 30' buffer from the normal high water must be contoured to prevent additional
stormwater runoff to the adjacent marsh. This area shall be immediately vegetatively stabilized and must remain
in a vegetated state.
(9) All other disturbed areas shall be vegetatively stabilized (planted and mulched) within 14 days of
construction completion,
(10) Town ordinance states in part that the primary intent of these regulations is to satisfactorily control stormwater on
an individual parcels of land and to control runoff onto adjacent property, or water induces soil erosion in any
form.
01) The 16' x 6' foot deck is being permit on the ground. A final inspection is required to verify that the construction
was done according to the permit condtions. The deck shall be slatted, wooden unroofed that shall not exceed
the approved 96 square feet.
SIGNA
ATE:
AtCEIVrED
DW WILMINGTON, NC
DEC 18 2017

Locality
_ W
Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline
GENERAL INFORMSMS K I®N
LAND OWNER
Name (► Y
� 0 3 ► C
�<-_ r 5A '�5 (:--a
►4` o
(For official use only)
Public Trust Shoreline - Other
City State Zip, Phone
Email yell p'1c✓15��
AUTHORIZED AGENT
Name
'lie
�YJ
Address i 9 0" / IGi L
City '5_U _. � State �� Zip'2 IQPhone
Email -I OG�5,25 (� q /Yl QI 1 O n'-)
CI 3 q'�'9S'
LOCATION OF PROJECT: (Address, street na e and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.)./3 ` I M Ck/i I el
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)G
SIZE OF LOT/PARCEL: -5OUb square feet acres - -
PROPOSED USE: Residential 5� (Single-family E] Multi -family E] ) Commercial/Industrial ❑ Other []
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer if you are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: t1 square feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non -load -bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: (1(.0 square feet (includes the area of the roof/drip line of all buildings, driveways, covered decks,
concrete or masonry patios, +etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
STATE STORMWATE ANAGEMENT PERMIT: Is the project
Management Permit i ed by the NC Division of �1Iater Quality?
YES NO
If yes, list the total built upon area/impervious surface allowed for your lot
1: D EC 4 2017
ECEIVEU
TOWN OF HOLDEN BEACH I %4INGTON, NC

O"> HER PER -Nil T S 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 :unitary waste
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSEIIP:
1, the undersigned, an applicant for a CAMA :minor development permit, being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
listed as landowner on this application has a significant interest in the real property described therein. This interest can be
described as: (check one) --� n
�an owner or recoff��d� title, Title is vested iuetinrs 5, 51 m ►VIU/1S , see Deed Book 3l i
page 3 in the 4J�41151,ytCounty Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in
County.
if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(Name)
(l) ((\f '� i Z je
(2) le
(3)
(4)
ACKNOWLEDGEMENTS:
Wall Ike-JorchL,
Address)
►'t QC.I e Ih(rte��� /
I, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which
may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu-
iar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
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
related to this permit application.
This the day of OUe,'A 4V,420 a
Landowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application
This application includes.- general information (this form), a site drenving as described on the back of this application, the
ownership statement, the Ocean Hazard AEC]Volice. where necessary; a checkfor $100.00 madepayable to the locality, and
any information as may be provided orally by the applicant. The details of the application as described by these sozrrces ar•e
incorporated without reference in any permit which may be issued Deviation from these details will constitute a violation of
any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative act
t
N MINGYON, NO

..JILL,
NC

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Applying for Permit:
Mailing address: 3\0,\
Nc,L- r\ Q— a—1 S 31)
Phone Number: 9\° - �13X- %x L 9 \C� - C4 3a,- \S I ^t
I certifythat authorized \. aN�
tht 1 hthid Ac1c13 Pt -lc t- CdnS�u 11
Agent / Contractor
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of the oc"Wc -0e c\c
at my property located at _ 13y �1 r- •r` i .o-a \'5���h ,
in County.
This certification is valid through
Date
(Property Owner Information)
(,
Signature
�cv.r(\cr S %y ,mon<
Print or Type Name
owner
Title
///08�/7
Date
217-63A -Z8/7'
Phone Number
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RECEIVED � �Mrne.,� �, S a. e s�cct'cs . � orn ^CM WILMiNGTON
Email Address , NO
DEC 15 201Ti

-------------
DEC 2011
TOWN OF HOLDEN BEACH
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tzECEIVED
0- CWAJILMINGTON, NO
urL 15 2a1?,

Date
Adjacent Property Owner
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Mailing Address
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City, State, Zip Code
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LrI Sent To
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AD
O Street and A t. o., or PO _No.
Dear Adjacent Property: City State, ZIP a
Oo, e- N L ag4-02
This letter is to inform you that I, : toy!n ysS have applied for a CAMA Minor
Property Owner
Permit on my property at \-NI-1 r�ac\"� O(Z, Ao%-oc1;4 13e-c rrA. in Brunswick
County
Property Address
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 CD 3'a.- >rbl (o or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Town of Holden Beach CAMA Minor Permit Program, you may submit
them to:
Rhonda Wooten
Local Permit Officer for Town of Holden Beach
110 Rothschild Street
Holden Beach, NC 28462
Sincerely, �'
�.ned `)� w.N.ntlj
Property Owner
1 �q Q txrxTc-k Q r l— �I rll_
Mailing Address
tNt�vs,-, Nc_ a�7s3g
City, State, Zip Code
RECEIVED
DCM WILMINGTON, NC
DEC 15 20171

Date
FREnC` at�.N vL
Adjacent Property Owner
\b511 \' tJf ,'
Mailing Address
7p'a i'C V•l 000s N C 3-
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I,
Property Owner
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Extra Services & Fees (check bon, add lee a
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❑ Return Receipt (electronic) $
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o Sent To
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--- -----1 �Z------- ��---�
City, State, ZIP 2
ave applied for a CAMA Minor
Permit on my property at 13`A MAt\; t�, Nbti.pcae-A in BfUnS'r^tick
County
Properly Address
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 °1 \�- foaa.— 1 oJ6 or by mail at the address listed below. If you wish to
Applicant's Telephone
fife written comments or objections with the Town of Holden Beach CAMA Minor Permit Program, you may submit
Them to:
Rhonda Wooten
Local Permit Officer for Town of Holden Beach
110 Rothschild Street
Holden Beach, NC 28462
Sincerely,
J ev�r�c� J;r��.erjs
Property Owner
31I1-\ 4�F1cT �tara� _
Mailing Address
N?%-,,L-
City, State, Zip Code
RECEIVED
DCM WILMINGTON, NC
DEC 15 2017

IIIII IiIIIIIII II IIiIIIII I IIIIIIIII III B3911 Po031
Brunswick County, NC Register of Deeds page 1 of 3 PROP
BSSu • TYP —
Tot Rev Int.
Refund Cash $ Finance
13 Portions of document are illegible due to conciiflon
of original.
C Document contains seals verified by original
instrument that cannot be reproduced or copied.
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: S
Parcel Identifier No. 246ACO 13 Verified by County on the _ day of , 20
By.
PREPARED WITHOUT EXAMINATION OF TITLE
N4ail/Box to: The Wortman Law Firm, PLLC, 624 Village Rd.. Suite 1. Shallotte, NC 28470
This instrument was prepared by: The Wortman Law Firm, PLLC. 624 Village Rd., Suite 1 Shallotte NC 2$470
Brief description for the Index: L-179 HARBOR ACRES PLAT 8/13
THIS DEED made this _ day of , 20_ by and between
GRANTOR GRANTEE
G.P. HENDERSON, JR. FAMILY LIMITED PARTNERSHIP, JENNIFER SUSAN SIMMONS, married
a North Carolina Limited Partnership 3109 Wbitehart Lane
115 Highland Road Apex, NC 27539
Southern Pines, NC 28387
Enter in appropriate block for each party: name, address, and, if appropriate, character of entity, e.g. corporation or parmgrship.
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, fora 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, Lockwood Folly Township, Brunswick County, North Carolina and more particularly described as follows:
"SEE ATTACHED"
The property hereinabove described was acquired by Grantor by instr=ent recorded in Book 1197, Page 0558.
RECEIVED
DCM WILMINGTON, NC
154 C� i, , 2017

All or a portion of the property herein conveyed_ includes or does not include the primary residence of Grantor
A map showing the above described property is recorded in Plat Book 8, Page 13,
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 ofthe day and year fast above written.
G.P. Henderson, Jr. Familv Limited Partnership (SEAL)
(Entity Name) 0
By: George Patrick Henderson, Jr II I II 11111111 III IIIIIiII I IIIIIII II III B3971 P0032 mrmons_p PROP
Title: General Partner Brunswick Count NC Register gister of Deeds page 2 of 3
By: (SEAL)
By:
Title:
State of North Carolina - County of
I, the undersigned Notary Public of the County and State aforesaid, certify that George Patrick Henderson, Jr personally
came before me this day and acknowledged that he is the General Partner of G.P. Henderson, Jr. Family Limited Partnership, a
North Carolina limited partnership, and that by authority duly given and as the act ofsuch entity he signed the foregoing instrument in
its name on its behalf as its act and deed. Witness my hand and Notarial stamo or seal, this X day of L{TJI (L
20L{ HEIDI MARIE MOSCHGAT
Notary Public
My Commission Expires: Moore Co., North Carolina
My Commission Expires Feb. 11, 2020 Notary Public
The foregoing Cer ificate(s) 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.
By:
Resister of Deeds for County
Deputy/Assistant - Register of Deeds
RECEIVED
DCM WILMINGTON, NC
DEC 15 2017

ATTACHMENT
BEING all of Lot Number One Hundred Seventy -Nine (179) of HarborAcres layout for Coastal Development Corporation at Holden
Beach, Brunswick County, North Carolina, as per plat thereof by C. B. Berry, Registered Land Surveyor, dated July 30, 1965,
recorded in Map Book 8 at Page 13, in the Office of the Register of Deeds of Brunswick County, North Carolina, to which plat
reference is hereby made for greatercertainty of description.
Sfv1MONS 7-13-2017
134 Marlin Drive, Holden Beach, NC 28462
IIII IIIIIIIIII I I IIIIIIII 1111111111111 B3971 P0033 m5 3
n2ro�po
Brunswick County, NC Register of Deeds page d of 3
RECEIVED
DCM WILMINGTON, NC
0rC R 5 701?

CAIVIA! ❑DREDGE & FILL N? 68591 A B C V
',IA GE
PERMIT Previous permit#
New ❑Modification []Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC_ © Zoe)
❑ Rules attached.
Applicant Name n; �V� yl-1 j�,(1 Project Location: County__Y����,�
Address 31 6� ( ). " �04
City -n-- State ABC ZIPJ _?-631
Phone # ( ) l E-Mail
L Authorized Agent ay--c •Jej,nn�
Affected ❑ CW ktW )<PTA XES XPTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes no PNA yes no
Type of Project/ Activity
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Note/ Special -Conditions
Agent or AeR4ant Printed Name
S
'ECEIVED
WILMINGTON, NC
Signature Please read compliance stat4rmnt on back of permit
signature IIJ