BC_18-01_ Daugherty (2)

Brunswick County BC1B-01
Local Government Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT
Coastal Management
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 environmental
concern pursuant to Section 113A-118 of the General Statutes, "Coastal Area Management"
Issued to Roy and Glenda Daugherty, authorizing development in the Estuarine Shore Area of Environmental Concern
(AEC) at 693 Sunset Drive SE in Bolivia NC 28422, as requested in the permittee's application package, dated 25-Jan-18
and received complete 26-Jan-18. This permit, issued on 07-Feb-18, 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: Single Family Residence, Screened Porch, Deck, and Stump Removal.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 26-Jan-18.
(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 [phone] for a final
inspection at completion of work.
(Additional Permit Conditions on Page 2)
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:
December31, 2021
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.
Connie Marlowe
CAMA Local Permit Official
PO Box 249
Bolivia, NC 28422
PERMITTEE t_ D
(Signature required if conditions above apply to pwW
FEB 0 7 2018

Name: Roy and Glenda Daugherty
Minor Permit # BC18.01
Date: 07-Feb-18
Page 2
(5) The amount of impervious surface shall not exceed 30% of the lot area within 75 feet of Normal High Water
(Estuarine Shoreline Area of Environmental Concern), in this case 1232 square feet is authorized.
(6) Unless specifically allowed in 15A NCAC 07H-0209(d)(10), and shown on the permitted plan drawing, all
develop ment/construction shall be located a distance of 30 feet landward of Normal High Water. No portion of the
roof overhang shall encroach into the 30 foot buffer.
(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 level 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.
SIGNATURE:
PERMITTEE
DATE:
WILMINGTON, NC
FEB 0 7 2018

LocalityS 6 { t� Permit Number
Ocean Hazard Estuarine Sho eline� ORW Shoreline Public Trust Shoreline Other
(For official use only) TY 126 r cd I M E D U
GENERAL INFORMATION
LAND OWNER
Name
1�A��yF2 i �t2 & '01'AA
Address v/E� l 3 S&
City �0/1 V)fi State Zip A 'V,2Z-Phone 1I ,273 `,1�/g7r
Email 111Sj&IA)A:_2-Xcd ,qz-4-C4►ti7
AUTHORIZED AGENT
Name
Address
PAM
City n /i,11d State } C__ Zips Phone ft -
Email (3/p14.)O6DAt1gA?,- - a� arvl/9,7 •C -1
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) b % 3 14t I S C .81 �_, .4 'V C l %L� t/ + � G T}2,4 � d �r A- gWol+v
DESCRIPTION OF PROJECT: (List all proposed construqtion and land dis rb nce.) fJ t�1Ji°Oc�yf v o
�i it r/cj- � �f �}4%e *(J C'it T �' — �/1E�- /!!"a✓ rt� �
SIZE OF LOT/PARCEL: g000 square feet acres
PROPOSED USE: Residential ®" (Single-family Multi -family ❑ ) 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: _ ' 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: 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 STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Management Permit issiled by the NC Division of Water Quality?
YES NO
If yes, list the total built upon area/impervious surface allowed for your lot or parcel:
square feet.
_c
DCN! WILMINGTON, NC
RECEIV!l
JqN a)52018
JAPE 2 r N'111

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
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 OWNERSHIP:
I, 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)
_V_an owner or record title, Title is vested in Rol � is 1?m'o'} /D'9a }/�o, , see Deed Book
page in the /�t_UjL) u)izt� _ C my Registry of Dee
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 1 have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
(1)
(2)
(3)
(4)
ACKNOWLEDGEMENTS:
►1
G
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-
lar 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 J` �/ 20
person authyzed to=act as'his/her agent for purpose of filing a CAMA permit application
This application includes: generarinformation (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necessary, a checkfor $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
incorporated without reference in any permit which may be issued. Deviation from these details stttute a violation of
any permit. Any person developing in an AEC without permit is subject to civil, criminal an QQ�{{��V��{{� a{i� 14aa�
Jll'vl IJVii- �IV�71�, IVI, i�''-' .
JAN 2 2018 JAB! 7 5 2013

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LEGEND:
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IRON PIPE OR ROD SET
E.I.P. OR E.I.R. •
EXISTING IRON PIPE OR ROD
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CONCRETE MONUMENT
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CENTER LINE
R/W
RIGHT OF WAY
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THIS LOT IS IN A FLOOD HAZARD AREA ACCORDING
TO COMMUNITY --PANEL NO. 370295 2046J
ZONE: AE-12 DATE:05/02/06
ATLANTIC INTR �R#AN 2 a 2u10
ACOgSTgL WA
Y
N73'12700"W 165� '_
TO SWAIN ST
SUNSET DRIVE
(60' PUBLIC RIGHT OF WAY)
SURVEY
EXCLUSIVELY FOR
THIS PLAT REPRESENTS AN ACTUAL SURVEY THAT MEETS OR EXCEEDS THE REQUIREMENTS R 0 Y LEE D A U G H E R T Y
OF THE STANDARDS OF PRACTICE FOR LAND SURVEYING IN NORTH CAROLINA (21NCAC 56.1600).
COPYRIGHT°ALV7E E LEWIS,PLS ALL RIGHTS RESERVED. REPRODUCTIONS OR USE OF G L E N D A D A U G H E R T Y
THE CONTENTS OF THIS DOCUMENT, OR ADDITIONS OR DELETIONS TO THIS DOCUMENT,
IN WHOLE OR PART. WITHOUT THE WRITTEN CONSENT OF THE LAND SURVEYOR IS PROHIBITED. FJ9'J SUNSET DRIVE, SE
THIS SURVEY DOES NOT CERTIFY LEGAL TITLE TO THE LANE) IISELF;-NOR TO THE•BGUNDARIES
SHOWN. USERS OF THIS PLAT SHOULD GET AN ACCURATE LEGAL TITLE OPINION,ZS'•TO LOT 8 BLOCK E HOWELLS POINT
OWNERSHIP OF THE BOUNDARIES SHOWN ON THIS PLAT, '}., .U , '�
LOCKWOOD FOLLY TOWNSHIP
WITNESS MY ORIGINAL SIGNATURE, LICENSE NUMBER ANq SEA4: Ff�a., JET BRUNSWICK COUNTY, NORTH CAROLINA
r �:= JANUARY 12, 2018
w ? MAP BOOK 9 PAGE 70
ALVIE E LEWIS, PROFESSIONAL LAND SURVEYOR No, L=T383;i co DEED BOOK 3849 PAGE 498 I
ALVIE E LEWIS, PLS �'0Y GRAPHIC SCALE
TD o 10 20 ao
2280 SMITHTO!►Ni ROAD, SE
(910) 253-32BZ FAX: [phone].
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ED
LMINGTON, NC
4 925 2018

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Adjacent fr 5y Owner r
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Mailing Aodress
City, State, Zip Code
Deal -Adjacent Property:
This letter is to inform you that
have applied for a CAMA Minor
Permit on my property at �E S, .� /)(1 S'F / ,,/,,,,� 2 in Brunswick
(PropertyAddress)
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. or by mail at the address listed below. If you wish to
�- Applicant's Telephone
file written comments or objections with the Brunswick County CAMA Minor Permit Program, you may submit
them to:
Connie Marlowe
Local Permit Officer
Brunswick County Planning Department
PO Box 249
Bolivia NC 28422
Sincerely,
Property ner
L/' C)
Mailing Address
d �vt A/C�—
City, State, Zip Code
DUVI WILMINGTON, NC
JAN 2 5 2018

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Dat -r
Adjacent Prope Owner-
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Maili g Address rp
City, State, Zip Code
Dear Adjacent Property:
Domestic Vail Only
toy delivery information, visit our %vebsite at mvii:uspsxon?
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r] �treat and Apt. Ao., or PO Box iJo:
This letter is to inform you that I, AU ,7.4�icy- , -m- have applied for a CAMA Minor
Property Ownv(
Permit on my property at 3 S a ,se ,, pitl)virt NC- ��� 2- , in Brunswick
(ProperfyAddress)
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 fq/L;i ,73 . -,) /� 9 , or by mail at the address listed below. If you wish to
Applicant's Telephone
fife written comments or objections with the Brunswick County CAMA Minor Permit Program, you may submit
them to:
Connie Marlowe
Local Permit Officer
Brunswick County Planning Department
PO Box 249
Bolivia NC 28422
Sincerely,
r
Property ner
16
Mailing Addressf
(1.E C-
City, State, Zip Code
DGM1 WILMINGTON, NC
JAN 252018

iris cailliies inat there are no delinquent ad
valorem taxes, fees, assessments or other
liens which the Brunswick County Tax
Collector is charged with collecting, that are a
lien an: Parcel Number 2 aLt5-_n zg
as notated by the Brunswick County
Assessor's Office. This is not a certification
that the parcel number matches the deed
description.
Date (Asst) Tax Col. / Del. Tax Spe-
1
2 ,2 2016
83849 P0498 14-54-13.0DD
Brunswick County, NC Register of Deeds. pagemons 1 of 2PROP
Brenda M. Clemmons Register of Deeds
12-12-2016 14:54:13.000 Brunswick County, NC
NC REVENUE STAMP: $300.00 (t#511190)
Presenter
Total Int,w—
Ck ��� C{;1, Cash $
Refund: Cash a Finance
❑ Portions of document are iM,9il;'3 due to conditon
of original.
9 Document cont^fns seats :,erirmd by original
iesin iment that cannot be reproduced or copied.
Recording Time, Book and Page
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Stamps: $ Tax Parcel ID Number: 234IDO38
THIS DEED is made as of the date set forth in the notary acknowledgement on the second page hereof,
)y and between
GRANTOR
RWJ INVESTMENTS, INC.
225 Elm Street
Raleigh, NC 27601
GRANTEES
ROY LEE DAUGHERTY, JR. and wife
GLENDA DAUGHERTY, as tenants by the
entirety
2503 Dunn Road
Eastover, NC 28312
The designation Grantor and Grantees 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 Grantor, for a valuable consideration paid by Grantees, the receipt of which is
hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto Grantees in fee
simple, all that certain lot or parcel of land situated in Lockwood Folly Township, Brunswick County, North
Carolina and more particularly described as follows:
BEING all of Lot Number 8, Revision of Block E of Howells Point Development, Addition 1,
according to a plat of same, to be found of record in Plat Book 9 at Page 70 in the office of the
Register of Deeds of Brunswick County, North Carolina.
Said property having been previously conveyed to Grantor by instrument(s) recorded in Book 3599,
Page 1265.
TO HAVE AND TO HOLD unto Grantees, together with all privileges and appurtenances thereunto belonging,
in fee simple, subject to the Exceptions and Reservations hereinafter and hereinabove provided, if any.
DGM WILMINGTON, NC
JAN 2 5 2018

1111111111111111 IN I I111111111111111 um rmy 14:64 :13. 000
Brenda M. Clemmons PROP
Brunswick County, NC Register of Deeds page 2 of 2
And Grantor hereby warrants that Grantor is seized of* the property in fee simple and has the right to
convey the same in fee simple; title is marketable and free and clear of all encumbrances except as set forth
herein; and that Grantor will warrant and defend the title against the lawful claims of all persons whomsoever.
IN WITNESS WHEREOF, Grantor has hereunto set his hand on the ��- day of December, 2016.
RW NTS, INC.
(SEAL)
By: oseph R ery, President
STATE OF NORTH CAROLINA
COUNTY OF
I, /L L_/+.j-Y- otary Public for County, North Carolina, do hereby certify that
Joseph R. Nunnery, personally appeared before me this � day of December, 2016 and acknowledged
that he is the President of RWJ Investments, Inc., and acknowledged, on behalf of RWJ Investments, Inc.,
the due execution of this North Carolina General Warranty Deed.
Notary Public
My commission expires: wcKt toni�C
Notary pqb
Cumberland �wyY
North;CarQrpd --
RECI`; VED
DCm WILMINGTON, NC
JAN 252018

BRUNSWICK COUNTY HEALTH DEPARTMENT
DATE REC: 11/13/2017 FILE NO.:
2000055677A1
ZONING:
DAUGHERTY GLENDA & ROY $0.00
2341DO38
REC. FROM AMT, PAID
TAX PARCEL
630 BAYSHORE DRIVE Bolivia
NC 28422
9105745014
ADDRESS CITY
STATE
ZIP CODE PHONE
DAUGHERTY ROY LEE JR ETUX DAUGHERTY 8
E ADD 1
GLENDA
CURRENT PROPERTY OWNER LOT
BLOCK SECTION
PROPERTY LOCATED TOWN/CITY/AREA: CO
SUBDIVISION:
HOWELLS POINT
DIRECTIONS: 693 SUNSET DR SE 28422
HWY 17 S TO HWY 211 TO SUNSET HARBOR RD
AUTHORIZATION FOR WASTEWATER CONSTRUCTION PF IT
NEW: REVISION: RELOCATION: �!// REPAIR:
Design Flow: ZT 4 9Pd Septic Tank Size: E
No. Bedrooms: 2" No. occupants/employees
Trench/Bed Bottom Depth: L `� Inches:
No. Lines: Length Each:
Fill Check:
Approved:
gal Type_
1
Max
Bed Dimensions: / -1/ X Za /
NOTES
1. Septic Tank shall have an approved
effluent filter and access devices as
applicable.
2. Maintain all setbacks distances for
septic tank systems and wells.
3. All components of the septic systems
shall be located 100 feetfrom well.
4. An "Accepted" system may be used in
the place of a "conventional' system.
Date Authonzed Agent
❑ See the attached Site Plan for the wastewater system location
//- 9 -ExpirationQ I f
PERMIT ISSUE DATE: Permit Date: t' - Z / - Zo•
Authorized Agent: Registration:
NOTE: PE S SUBJECT REV A ON IF SITE PLANS OR THE INTENDED USE CHANGES.
W__ y V � was W
kA
C.
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Waste Water System Installer: vc N /�+a (,(j Date: 11— 2cf- 710 (7
Comments: (ta fo/ barrier approved) s is r x 7
Rock: Poiystyr gregate Chamber Other.
OPERATION PERMIT- Date: ZQ-Ld 6 ? $ FL
Authorized Agent Signature
Actions of local health department representitives or the State engaged in the evaluation and determination of measures required to effect compliance with r N C
applicable laws and rules shall in no way be taken as a warranty that sewage treatment and disposal systems approved and permitted will function in a satisfactt
manner for any given period of time. This issurance of its permit does not preclude the Permittee from comploying with any and all statues, rules and regulatior�1s
ordinances which may be imposed by other government agencies ( local state, and federal) which have jurisdiction. J h N L b M q{�� V