BC_17-11_ Leigh (2)

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Brunswick County BC17.11 _
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 Deloria Leigh, authorizing development in the Estuarine Shore Area of Environmental Concern (AEC) at 1577
Black Gum Street SW in Supply NC 28462, as requested in the permittee's application package, dated 29-Dec-17 and
received complete 29-Dec-17. This permit, issued on 16-Jan-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: Swimming Pool with deck and Vence.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 29-Dec-17.
(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) p� EC F I V ED
DC;M WILMINGTON, NC
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, 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, C 2842
PERMITTEE
(Signature required if conditions above apply to permit)

Name: Deloria Leigh
Minor Permit # BC17-11
Date: 16-Jan-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 1292 square feet is authorized.
(6) Unless specifically allowed in 15A NCAC 07H-0209(d)(10), and shown on the permitted plan drawing, all
development/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
C IVEC
DGN1 Wit-MINGTON, NC
JAN 1 ? 2018
ATE: _/ - 1 Zl

Locality
_�Y uy)..Sw i G k'
Permit Numbe' _P t - t 1
Ocean Hazard Estuarine Shoreline V ORW Shoreline Public Trust Shoreline Other
(For official use only) I.-.}- x PW'ct( e2 3a,�J o J 3
GENERAL INFORMATION
LAND OWNER - MAILING ADDRESS
--------
Address
City __ 1 ` State Zip . Phone - _LQ
Email 1 r
AUTHORIZED AGENT
Name —
Address
City
Email
State n C Zipag G.). Phone 91 O_ �jy U LI q-d
M
LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.)
1 -7­6�
� �J2
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
SIZE OF LOT/PARCEL: IP, a� square fcet acres
PROPOSED USE: Residential (Single-family © Multi -family ❑) Commercial/industrial ❑ Other []
CONIPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer ij'you are not sure which AECapplies
to yortr 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: _k2 o"square feet (includes the area of the foundation of all buildings, driveways, covered decks,
concrete or masonry patios, etc, that are within the applicable AEC. Attach your calculations with the project drawing.)
�yTATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subjegttq-A�t tte RECEI EO
.=tormwater Management Permit issued by the NC Division of Energy, Mineral and Land Resoureesv(PEMLR)?
YES NO_j(;
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: DEC 2 9 9EQ17re feet.

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the LAMA
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:
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)
_ an owner or record title, Title is vested in name of ! ,, 10 i, Le i Gt In
see Deed Book page 13l -,-)- in the tv t9 {�-�,f; -)�_ County 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 RiPAWAN 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 fora LAMA permit.
(Nmnel i n aa.., --1
(1)
(2)
(3)
(4)
ACKNOWLEDGEMENTS:
1, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for all 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 inform
related to this permit application.
De,e
This the XTPQ
ti
day of , ZO ' 7
downer or person authorized to act as his/her agent for purpose of filing a CAMA permit application
T/ris application inclrtdes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean Hazard AEC Notice where necessary, a check far $100.00 made pavoble to the locality, and
any information as may be provided orally by the applicant. The details of the application as described abase sources arr
incorporated without reference in any permit which cony be issued. Deviation from these details will cgnsljorte a via/atrort vif
any permit. Any person developing in an AEC without permit is subject to civil, criminal and' cjRL—�V t 4, action.
� E C 2 91.017
Ulu 2 9 1017
i

NORTH CAROLINA
N!iwcK COUNTY
I, GARY L. GURGj% ZVI 7 415 PLAT WAS DRAWN UNDER MY
� a
SUPERVISION FIB UAL UNDER MY SUPERVISION,
t`
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DESCRIPTION 11�' PTV PACE 2QB�. THAT THE
ERROR OF Cjtl CALCULA BA GgiMPUTER IS 1/ 10.000+__,
� � O
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THAT THE 9WUND.4TIE5 N44T�� �11URVEYE4 ARE�„SHOWN AS BROKEN LINES,
NJUT
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PLOTTED FROM IId'ORS `REFERENCED, QUT THIS PUT WAS
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PREPARED Nl ACM' 6E3V ffi G.S.;47-30 AS AMENDED. VATNESS
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MY ARIGINAL.S�M, ER AND SE%,.AFIIS
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GARY L. G RCWJUS, Adtjl 10%
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RECISTRATI NUMBER L-3 4
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a :- BLACK GUM STREET
p o 40' RIGHT-OF-WAY
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S 87.49'56" E S87'43'46'•E 99.95' TO AN EIP
JOE LANE
I
CONCRETE ir1
DRIVE ui
I
DEED BOOK 1358, PAGE 1 i
MAP
CABINET 22, PAGE 26
/
W LOT 94 LOT 95
Atiry
75' AEC LINE 4,
ISTING 3
`S
"° N SEA BREEZE
a SUBDIVISION
N
S 0 DECK
_ NMAP CABINET P, PAGE 208
d
PROPOSED POOL
GLE
WITH CONCRETE DECK
I/1
(600 SQ. FT. +/—)
30' CAMA BUFFER
FROM MEAN HIGH WATER
LOT 93
9,156
ER
ERB
S0. FT. �
I
N 82 06 53 W
� 103.95'
,Jr � -ale
-- =1P
MARSH 'k' 4- -� .•-+ 1 V Ei
�'^'
NOTES:
MEAN HIGH WATER 4'•*
*LOT 93 IS IN FLOOD HAZARD ZONE 'VE" BASE ELEVATION
"� BO-05 VA7ON '',ki ILMINGTOI
16 FEET BASED ON FIRM 3720201600 J. MAP INDEX 10-16-08.
y
*THE HOUSE ON LOT 93 APPEARED TO BE ONE LIVING LEVEL
ON
PILINGS WITH A GROUND LEVEL ENCLOSURE.
*THE
DEC 2 9 2017
HOUSE APPEARED TO BE 100% COMPLETE.
*THIS SURVEY IS SUBJECT TO ANY INFORMATION FOUND
WITH THE BENEFIT OF A TITLE SEARCH.
*EXISTING IMPERVIOUS IN A.E.C.: 675 SQ. R.
*PROPOSED IMPERVIOUS IN A.E.C.: 617 SO. FT.
C 2017, GARY GURGANUS LAND SURVT17NG
GARY GURGANUS
3D
D 30 eo
LAND SURVEYING
SCALE '• — 30' FEET
GARY L. GURGANUS, P.L.S
3105 HOLDEN BEACH RD., SW
Supply, North Carolino 28462 [phone]
NgNlTY MAP NOT ro SCALE
LEGEND:
f
EIP O EXISTING IRON PIPE (FOUND)
NRB O NEW RE -BAR (SET)
ERB O EXISTING RE -BAR (FOUND)
SURVEY FOR
CM G CONCRETE MONUMENT
PK O PH NAIL
SAM & DELORIA LEIGH
CO O CLEAN OUT
FH 0 FIRE HYDRAET
MADE FROM LOT 93, 1577 BLACK GUM STREET),
O WATER
SEA BREEZE SUBDIVISION. (MAP CABINET P,
PAGE 208. BRUNSWICK COUNTY, NORTH
WII ❑ WATER METER
LS LANDSCAPING
CAROLINA AND EXISTING PHYSICAL EVIDENCE
LOCCWOOD FOLLY TOWNSHIP
BRUNSWICK COUNTY
NC 7/13/17
_
GLE GROUND LEVEL ENCLOSURE
FIELD BOOK:.
I FILE NO. 17111 1
JOB NO 17111
m
NC

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: A 4--. �'
Mailing Address: % �'% uA-ok A_wo
Phone Number:
Email Address:
I certify that I have authorized
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to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ` w-k Mini {�c� Qcx:�—
0-b ACx- e;t c
at my property located at 15 T7 bi a_c_� Sk , ,
in 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
�Rl�rja U? . LC,
Print or Type Name
ujJv i
Title
C r l��
Date to PEC -IVED
DC(VI WILMINGTON, NC
DEC 2 92017
This certification is valid through

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djacent Proper,N Owner
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ilin Ad ress
City, State, Zip Code
Dear Adiacent Property
This letter is to inform you that I, SQ Yn YhQ Lt L':9 r /C 7)ave applied for a CAMA Minor
�1 Property Owner
!� l
Permit on my property at ? OoLk 6c,t in L\(-_
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 meat " Qq 9&;b1 Z`JZ � 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:
Sincerely,
wRS,ct�c_kt� Plc�n n', n�
a '60 K_ od d
tk\,,c,_,
LA CL 7)
property Owner
is DL PkL r
Mailing Address
m NC,
City, State, Zip Code
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SREC;-IVEG
DCN1 WILMINGTON, NC
DEC 2 9 2017

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Adjacent Pryerty Owner
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M i`gAU esr, `JC— ")9110 _
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that I, U LQ-AG have applied for a CAMA klinor
Property Owner
Permit on my property at %�J i �lQG� +� �-y�4 • in �j,.n� L
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
I
he enclosed noiobjection form. If you have( iany questions or comments about my proposed project, please
contact me at / bq q �� ��� '! ,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:
a�
Sincerely,
Property Owner
�5o�
Mailing Address
City, State, Zip Code
nEm ;IVEILD
DUNI WILMINGTON, NG
DEC 2 91.017

DATE�� '��.-t
RECEIVED FROM tY `� vw�
Q FOR
O FOR
ACCOUNT
PAYMENT
lob
BAL. DUE
No. 19
DOLLARS
oC SH af 1736
XCHECK
OMONEY FROM TO
OCARDR
CREDIT
f 12C.', IVEID
WILMINGTON, NC
DEC 2 9 2011

Page 1 of 1
, nis owt&s that there are no delirxluent ad
valorem taxes, fees, assessments or other
Hens which the Srunswiok County Tax
C ft-W is charged with ootlectlnp, that �ar ya
Gen on: Parcel Numbw _, ? Itr�
as noteted by the Brunswick Camty
Assessor's Off", This is not a certification
that the paroet number makes the deed
pate ( t} Tax C61. / Del Tax Spec.
os-oe-so,2
�H�lick ��tY, NC�� ��g tet Of Deeds P*ge I of 83265 P131�"Mms 000
P Z
Preseit � � �aR:
Ck5 Ci:Kj,-CttshS
Rofund: Cash, S - Finance
❑ Pon OrA of x GA*,'Art art Cat,b>'t CV is chiffon
of ari�al.
>crwrtCp t sews wrrree tlor gina
;��.:rar>l t�8t wrxc+ oe retkardv�a nr ocFied.
NORTH CAROLINA
GENERAL WARRANTY DEED
Excise Tax: S 0.00 Recording Time, Book and Page
Tax Map No. Parcel Identifier No.
Mail after recording to: Dee Leigh, 1506 Phifer Road. Kings Mountain, NC 28086
This instrument was prepared by: David Marl; Ilullender. Attorney at Law, Kings Mountain, NC 28086
THIS DEED made this /. 7" - day of April, 2012 by and between
Sammy Lee Leigh and wire, Delaria Willis Leigh
1506 Phifer Road, Kings Mountain, NC 28086
GRANTOR
GRANTEE
Deloria Willis Leigh, reserving a life estate to Sammy Lee Leigh
11506 Phifer Road, Kings Mountain, NC 28086
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,
subject to the life estate reserved to Sammy Lee Leigh, all that certain lot or parcel of land located in the County of
Brunswick and State of North Carolina, more particularly described as follows:
BEING all of Lot 93 of SEABREEZE SUBDMSiON as shown on that map of survey by Jan K. Dale, R.LS� Z IV E D
and recorded in Map Cabinet P at Page 206, 207 and 208 of the Brunswick County Registry. DGM WILMINGTON, NC
DEC 292017
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Page 1 of 1
IIII�N�IiII�IIIII I��I IBI�II F P1313 a'coo
PW
ns Bruwick County, N egg• er of Deeds pag* 2 of 2
This conveyance is made subject to those restrictions, covenants and conditions of record In Book 607 at
Page 814 of the Brunswick County Registry.
Alt or a portion of the property hereinabove described was acquired by Grantor by instrument recorded in Book
. Page Brunswick County Registry.
This property does not contain the principal place of residence of the Grantor.
A map showing the above described property is recorded in Map Cabinet P- Pages 206, 207 and 208, and is
referenced within this instrument
TO HAVEAND TO HOLD the aforesaid lotor 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 except for the exceptions
hereinafter stated.
Title to the property hereinabove described is subject to the following exceptions
IN WITNESS WHEREOF, the Grantor has hereunto set their hand and seal, or if corporate, has caused
this instrument to be signed in its corporate name by its duty authorized officer(s), the day and year first
above written.
�Y (SEAL)
Sapp y Lee Leigh
& o m ,`7A i4 66b 1 (sue)
Debtia Willis Leigh
NORTH CAROLINA
CLEVELAND COUNTY
I, certify that the following person(s) personally appeared before me this day, each acknow►edging to me that he or
she voluntarily signed the foregoing document for the purpose stated therein and in the capacity Ind eed:
Sammy Lee Leigh and Deloria Wilis Leigh, Grantor. Witness my hand and official stamp or seal, this theL�
day of April, 2012.
My Commission Expires: 14-1 , ZD i -7
mklilllf
=" ROTARYZZ
gym=
Notary Public
!`'EG�:�lVED
DGM WILMINGTOly, NC
DEC 2 9 2017
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G.S. Chapter 130a, Article 11,, G.S. 130a-3`33o
4 $RUNSWICK ' COUNTY. HEAV H DEPARTMENT PERMIT NO. 3
',IMPROVEMENTS PERMIT AND ERTIFICATE Of COMPLETION
0425
OWNER OR CONTRACTOR 1-6 LQCATiON
✓ `1_
a
_ � LOT, sic. aLK.
HOUSE O MOBILE HOME ❑-- BUSINESS ❑
NO. BEDROOMS r— LOT, AREA
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