128-18 TX Warren, Glenn

a ermarClass
'TRANSFER
Permit Number
128-18
STATE OF NORTH CAROLINA
Department of Environmental Quality
and AdOJ
Coastal Resources Commission
Vermit
for
X Major Development in an Area of Environmental Concern
pursuant to NCGS I I3A-118
Excavation and/or filling pursuant to NCGS 113-229
Issued to Glenn Warren, 200 Annie Drive, Carolina Beach, NC 28428
Authorizing development in New Hanover County at adi. to AIWW, at 1614 Island Marina Drive,
Carolina Beach , as requested in the permittee's application dated 07/03/18 (MP-1 & MP-4)
and 11/19/18 (MP-3), including attached workplan drawings (4) 1-4 of 4 dated revised 11/19/18.
This permit, issued on January 6, 2020 , is subject to compliance with the application (where consistent
with the permit), all applicable regulations, special conditions and notes set forth below. Any violation of these terms may
be subject to fines, imprisonment or civil action; or may cause the permit to be null and void.
Dockine Facility
1) This permit authorizes only the docks, piers, and other structures and uses located in or over the
water that are expressly and specifically set forth in the permit application. No other structure,
whether floating or stationary, shall become a permanent part of this docking facility without permit
modification. No non -water dependent uses of structures shall be conducted on, in or over Public
Trust waters without permit modification.
2) No sewage, whether treated or untreated, shall be discharged at any time from any boats using the
docking facility. Any sewage discharge at the docking facility shall be considered a violation of this
permit for which the permittee is responsible. This prohibition shall be applied and enforced
throughout the entire existence of the permitted structure.
(See attached sheets for Additional Conditions)
This permit action may be appealed by the permittee or other Signed by the authority of the Secretary of DEQ and the
qualified persons within twenty (20) days of the issuing date. Chairman of the Coastal Resources Commission.
This permit must be accessible on -site to Department
personnel when the project is inspected for compliance.
Any maintenance work or project modification not covered
hereunder requires further Division approval.
All work must cease when the permit expires on
December 31, 2021
In issuing this permit, the State of North Carolina agrees that
your project is consistent with the North Carolina Coastal
Management Program.
l fo, Braxton C. Davis, Director
Division of Coastal Management
This permit and its conditions are hereby accepted.
Signature of Permittee

�letrd Warren
ADDITIONAL CONDITIONS
Permit No. 128-18
Page 2 of 3
3) The permittee shall maintain the authorized work in good condition and in conformance with the, terms
and conditions of this permit. The permittee is not relieved of this requirement if he abandons the.
permitted activity without having it transferred to a third party. ,
4) The permittee shall install and maintain at his expense any signal lights or signals prescribed by the U.S.
Coast Guard, through regulation or otherwise, on the authorized facilities. At a minimum, permanent
reflectors shall be attached to the structure in order to make it more visible during hours of darkness or
inclement weather.
5) The pier and associated structures shall have a minimum setback distance of 15 feet between any parts
of the structure and the adjacent property owner's riparian access corridor, which is determined by
drawing a line parallel to the channel, then drawing a line perpendicular to the channel line that
intersects with the shore at the point where the upland property line meets the water's edge.
6) The authorized covered gazebos shall not be enclosed. Any material used on the sides shall not obstruct
view and shall be permeable to air and water. Screen or wire on the sides along with benches and knee
walls are permitted. Lattice is specifically excluded from being used under this authorization.
7) The roofs of the covered gazebos shall not be designed for second story use,
8) This permit authorizes a maximum of ten (10) formalized boat slips.
9) The authorized structures and associated activity shall not cause an unacceptable interference with
navigation, and shall not exceed the footprint as depicted in the attached workplan drawings.
10) Any portion of the permitted access pier and docking facilities built over coastal wetlands shall not
exceed six feet in width and shall be elevated a minimum of three feet over the wetland substrate as
measured from the bottom of the decking.
11) The 10' long bridge, as depicted on attached workplan drawings 2-4 of 4, shall be elevated a minimum
of six (6) feet.above normal high water as measured from the bottom of the decking.
12) In order to further protect the endangered West Indian Manatee, Trichechus manatus, the applicant must
implement the U.S. Fish & Wildlife Service's Guidelines, and strictly adhere to all requirements therein.
The guidelines can be found at littu://www.fws.gov/nc-es/mammal/manatee guidelines.pdf.
Easement
13) An Easement from the Department of Administration's State Property Office may be required under
N.C.G.S. 146-12(e). The permittee shall contact the State Property Office prior to the initiation of
construction of any structures over state-owned submerged lands to determine if such an easement will
be required. Any required easements shall be obtained, and a copy provided to the Division of Coastal
Management, prior to the construction of any new boat slips or other docking facilities authorized under
this permit.

jG.leitP Warren
ADDITIONAL CONDITIONS
Upland Development
Permit No. 128-18
Page 3 of 3
14). Unless specifically altered herein, this permit authorizes the grading and other land disturbing activities
associated with the development of the above referenced property, including the driveway and parking,
all as expressly and specifically set forth in the attached permit application and workplan drawings.
General
15) The permittee and/or his or her contractor shall meet with a representative of the Division prior to
project initiation.
16) This permit shall not be assigned, transferred, sold, or otherwise disposed of to a third party without the
written approval of the Division of Coastal Management.
17) This permit does not authorize the interference with any existing or proposed Federal project, and the
permittee shall not be entitled to compensation for damage to the authorized structure or work, or injury
which may be caused from existing or future operations undertaken by the United States in the public
interest.
18) No excavation or filling of any open water area or vegetated wetlands is authorized by this permit.
NOTE: The permittee is encouraged to implement measures to ensure that users of the authorized
docking facility do not utilize the adjacent boat ramp facility for parking or similar access.
NOTE: Future development of the permittee's property may require a modification of this permit.
Contact a representative of the Division at [phone] prior to the commencement of any
such activity for this determination. The permittee is further advised that many non -water
dependent activities are not authorized within 30 feet of the normal high water level.
NOTE: This permit does not eliminate the need to obtain any additional state, federal or local permits,
approvals or authorizations that may be required.
NOTE: The U.S. Army Corps of Engineers authorized the proposed project by way of Regional General
Permit 198000291 (Action ID No. SAW-2018-01673), which was issued on 10/10/18.
NOTE: The N.C. Division of Water Resources assigned the proposed project DWR Project No. 2018-
1164.
NOTE: An application processing fee of $400 was received by DCM for this project. This fee also
satisfied the Section 401 application processing fee requirements of the Division of Water
Resources.

t�i�s�MFMF .� 1
1 1
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DCM Coordinator: � I Permit #: K
MAILING DISTRIBUTION SHEET
DCM Field Offices
Elizabeth City
Washington (with revised work plan drawings)
Morehead City
Wilmington j4dy§ (OBJECTIONS )
/1
7
US ACOE Offices:
Washington:
Raleigh Bland (Beaufort, Camden, Chowan, Craven, Hertford, Hyde, Perquimans,
Tyrrell)
Josh Pelletier (Bertie, Currituck, Dare, Gates, Pamlico, Pasquotank, Washington)
Tom Steffans (NC DOT- Beaufort, Carteret, Craven, Pamlico)
Bill Biddlecome (NC DOT -Remainder ECity/Washington District)
Wilmington: Jordan Jessup (TBD)
Greg Curry (TBD)
hvkz Hair (Carteret, Onslow, Pender)
Brad Shaver (NCDOT-Brunswick, New Hanover, Onslow, Pender)
Cultural Resources: Renee Gledhill -Earley at [e-mail]
Public Water Supply: Heidi Cox (WIRO) Clif Whitfield (WARD)
Marine Fisheries: Curt Weychert
NC DOT: David Harris
Shellfish Sanitation: Shannon Jenkins / Sharon Gupton
State Property: Tim Walton / Mike Moser
DEMLR/DWR: Sheri Montalvo / Shelton Sullivan
Washington: Anthony Scarbraugh-401
Roger Thorpe-Stormwater
Garcy Ward- (NCDOT-Beaufort, Bettie, Camden, Carteret, Chowan, Craven, Currituck,
Dare, Gates, Hertford, Hyde, Pamlico, Pasquotank, Perquimans, Tyrrell, Washington)
Wilmington: JjKjj�-401 (Carteret, Onslow, Pender),
Chad Coburn — 401 (Brunswick, New Hanover)
Christine Hall - Stormwater
Joanne Steenhuis - 401 (NCDOT-Brunswick, New Hanover, Onslow, Pender)
Wildlife Resources:
Natural Heritage Program
LPO:
Maria Dunn (WARD)
Rodney Butler
(NCDOT) Travis Wilson

Pietila, Tanya K
From: Amico, Patrick J
Sent: Thursday, October 10, 2019 2:55 PM
To: Pietila, Tanya K
Subject: 1614 Island Marina Transfer//RE your
Tanya:
I've got this written request below for the transfer. I think he gave you a copy of the deed already right?
This is the one you emailed me about on Tuesday (Glenn Warren)
Patrick
Patrick Amico
Environmental Specialist
NC Division of Coastal Management
Department of Environmental Quality
910 796-7423 office
910 395-3964 fax
[e-mail]
127 Cardinal Drive Ext
Wilmington, NC 28405
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Glenn Warren <[e-mail]>
Sent: Tuesday, August 27, 2019 2:09 PM
To: Amico, PatrickJ <[e-mail]>
Subject: [External] Re: 1614 island Marina Aerial Photography
Hey Patrick, after speaking with you, I would like to move forward with the pier permit. I think I need to have
you put this in my name. Can you either send me a form, call, or do I have to come in the office?
Permit for 1614 Island Marina Dr. Carolina Beach, NC
New owner: Glenn Warren
200 Arnie Dr
Carolina Beach, NC 28428
910 547 5612
Thanks, Glenn
Sent from my iPad

On Aug 12, 2019, at 1:17 PM, Amico, Patrick J <[e-mail]> wrote:
Patrick Amico
Environmental Specialist
NC Division of Coastal Management
Department of Environmental Quality
910 796-7423 office
910 395-3964 fax
o atri c k. a m i co ft n cd e n r. o o v
127 Cardinal Drive Ext
Wilmington, NC 28405
<Outl ook-izllcdzf.png>
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
<Capture16I4.JPG>

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Director
NORTH CAROLINA
EnWronmw9dQualay
TO: Gregg Bodnar
Assistant Major Permits Coordinator
FROM: Tanya Pietil
DCM Permit rt, W' mington
THRU: Tara MacPherson
DCM, District Manag r, ilmington
DATE: December 5, 2019
SUBJECT: Transfer Request State Permit No. 128-18 (USACE Action ID SAW-2018-01673)
Carol & John Rider to Glenn & Linda Warren
Glenn and Linda Warren are requesting the transfer of State Permit No. 128-18. State Permit No. 128-
18 was issued to Carol & John Rider on November 21, 2018 for the construction of a new 10-slip
private docking facility that included a fixed pier, 2 covered gazebos, with associated finger piers
located at 1614 Island Marina Drive, adjacent to A1W W, in Carolina Beach, New Hanover County. This
permit is due to expire on December 31, 2021.
This Office has no objection to the transfer of State Permit No. 128-18, Mr. Warren has included a
check (no. 1250) in the total amount of $100.00 for the transfer fee. Please send the permit and any
correspondence to:
Glenn Warren
200 Annie Drive
Carolina Beach, NC 28428
Enclosures
cc: WiRO file
MHC file
USACE
Chad Coburn, DWR
Jeremy Hardison, LPO
North Caroline Department of rmironmemal quality I DlvAslon of CoastalManagetxM
Wilmington Office 1 127 Cardinal Drive Eatenelon 1 Wilmaington. North Carolina 29405
910.796.7215

Permit Class
NEW
Permit Number
128-18
STATE OF NORTH CAROLINA
Department of Environmental Quality
and
Coastal Resources Commission
Permit
for
X Major Development in an Area of Environmental Concern
pursuant to NCGS 113A-118
Excavation and/or filling pursuant to NCGS 113-229
Issued to Carol & John Rider, 69 Stonewood Avenue, Rochester, NY 14612
Authorizing development in New Hanover County at add. to AIW W. at 1614 Island Marina Drive,
Carolina Beach , as requested in the permittee's application dated 07/03/18 (MP-1 & MP-4)
and 11/19/18 (MP-3). including attached workplan drawings (4) 1-4 of 4 dated revised 11/19/18.
This permit, issued on November 21, 2018 , is subject to compliance with the application (where consistent
with the permit), all applicable regulations, special conditions and notes set forth below. Any violation of these terms may
be subject to fines, imprisonment or civil action; or may cause the permit to be null and void.
Dockine Facility
1) This permit authorizes only the docks, piers, and other structures and uses located in or over the
water that are expressly and specifically set forth in the permit. application. No other structure,
whether floating or stationary, shall become a permanent part of this docking facility without permit
modification. No non -water dependent uses of structures shall be conducted on, in or over Public
Trust waters without permit modification.
2) No sewage, whether treated or untreated, shall be discharged at any time from any boats using the
docking facility. Any sewage discharge at the docking facility shall be considered a violation of this
permit for which the permittee is responsible. This prohibition shall be applied and enforced
throughout the entire existence of the permitted structure.
(See attached sheets for Additional Conditions)
Ibis permit action may be appealed by the permittee or other Signed by the authority of the Secretary of I
qualified persons within twenty (20) days of the issuing date. Chairman of the Coastal Resources Commission.
This permit must be accessible on -site to Department
personnel when the project is inspected for compliance.
Any maintenance work or project modification not covered
hereunder requires further Division approval.
All work must cease when the permit expires on
December 31, 2021
In issuing this permit, the State of North Carolina agrees that
your project is consistent with the North Carolina Coastal
Management Program.
Braxton C. Davis, Director
Division of Coastal Management
This permit and its conditions are hereby accepted.
Signature of Permittee

Carol & John Rider
ADDITIONAL CONDITIONS
Permit No.128-18
Page 2 of 3
3) The permittee shall maintain the authorized work in good condition and in conformance with the terms
and conditions of this permit. The permittee is not relieved of this requirement if he abandons the
permitted activity without having it transferred to a third party.
4) The permittee shall install and maintain at his expense any signal lights or signals prescribed by the U.S.
Coast Guard, through regulation or otherwise, on the authorized facilities. At a minimum, permanent
reflectors shall be attached to the structure in order to make it more visible during hours of darkness or
inclement weather.
5) The pier and associated structures shall have a minimum setback distance of 15 feet between any parts
of the structure and the adjacent property owner's riparian access corridor, which is determined by
drawing a line parallel to the channel, then drawing a line perpendicular to the channel line that
intersects with the shore at the point where the upland property he meets the water's edge.
6) The authorized covered gazebos shall not be enclosed. Any material used on the sides shall not obstruct
view and shall be permeable to air and water, Screen or wire on the sides along with benches and knee
walls are permitted. Lattice is specifically excluded from being used under this authorization.
7) The roofs of the covered gazebos shall not be designed for second story use.
8) This permit authorizes a maximum of ten (10) formalized boat slips.
9) The authorized structures and associated activity shall not cause an unacceptable interference with
navigation, and shall not exceed the footprint as depicted in the attached workplan drawings.
10) Any portion of the permitted access pier and docking facilities built over coastal wetlands shall not
exceed six feet in width and shall be elevated a minimum of three feet over the wetland substrate as
measured from the bottom of the decking.
11) The 10' long bridge, as depicted on attached workplan drawings 2-4 of 4, shall be elevated a minimum
of six (6) feet above normal high water as measured from the bottom of the decking.
12) In order to further protect the endangered West Indian Manatee, Trichechus manatus, the applicant must
implement the U.S. Fish & Wildlife Service's Guidelines, and strictly adhere to all requirements therein.
The guidelines can be found at htto://www.fws.gov/nc-eshnammaVmanatee auidelines.pdf.
Easement
13) An Easement from the Department of Administration's State Property Office may be required under
N.C.G.S. 146-12(e). The permittee shall contact the State Property Office prior to the initiation of
construction of any structures over state-owned submerged lands to determine if such an easement will
be required. Any required easements shall be obtained, and a copy provided to the Division of Coastal
Management, prior to the construction of any new boat slips or other docking facilities authorized under
this permit.

Carol & John Rider
ADDITIONAL CONDITIONS
Upland Development
Permit No.128-18
Page 3 of 3
14) Unless specifically altered herein, this permit authorizes the grading and other land disturbing activities
associated with the development of the above referenced property, including the driveway and parking,
all as expressly and specifically set forth in the attached permit application and workplan drawings.
General
15) The permittee and/or his or her contractor shall meet with a representative of the Division prior to
project initiation.
16) This permit shall not be assigned, transferred, sold, or otherwise disposed of to a third party without the
written approval of the Division of Coastal Management.
17) This permit does not authorize the interference with any existing or proposed Federal project, and the
permittee shall not be entitled to compensation for damage to the authorized structure or work, or injury
which may be caused from existing or future operations undertaken by the United States in the public
interest.
18) No excavation or filling of any open water area or vegetated wetlands is authorized by this permit.
NOTE: The permittee is encouraged to implement measures to ensure that users of the authorized
docking facility do not utilize the adjacent boat ramp facility for parking or similar access.
NOTE: Future development of the permittee's property may require a modification of this permit.
Contact a representative of the Division at [phone] prior to the commencement of any
such activity for this determination. The permittee is further advised that many non -water
dependent activities are not authorized within 30 feet of the normal high water level,
NOTE: This permit does not eliminate the need to obtain any additional state, federal or local permits,
approvals or authorizations that may be required.
NOTE: The U.S. Army Corps of Engineers authorized the proposed project by way of Regional General
Permit 198000291 (Action ID No. SAW-2018-01673), which was issued on 10110/18.
NOTE: The N.C. Division of Water Resources assigned the proposed project DWR Project No. 2018-
1164,
NOTE: An application processing fee of $400 was received by DCM for this project. This fee also
satisfied the Section 401 application processing fee requirements of the Division of Water
Resources.

nMw Nn. 2502-0265 CP
A
5.
FHA 2. FmHA 3. CIX4V. UNINS. 4. VA CONV. INS.
U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT
.
8: F LE N
7. 8
SETTLEMENT STATEMENT
8. MORTGAGE
C. NOTE: jams marIs
POC were paid QUIWO the Wising.' they" dro n here �rr 0krrme hnaOrd
pu bip sas 970 � am not ed agent " H t✓re •totals
kkeld
D. NAME AND ADDRESS OF BUYER:
E. NAMEAND ADDRESS OF SELLER:
F. NAMEAND ADDRESS OF LENDER:
Glenn Warren and vda,
Cash Transaction
Linda Warren
Carol OMstead Rider
200 Annie DrK%
69 Stonewood Avenue
Carolina. Beach, NC 28428
Rochester, NY 14612
G. PROPERTY LOCATION:
H. SETTLEMENT AGENT.
I, SETTLEMENT DATE:
204Annla Dr..208'Annie Dr.,1611 Rtan Lane
Ned M. Sames
July 19, 2019
Carogno Beach, NC 26428
New Henowt County, North Carolina
PLACE OF SETTLEMENT
Lots 23'.6 24 AA Spencer-
A-3 Pleasure Island Plaza
Ferlow DN., Sea 2 BTrad
Caroline Beach, NO 28428
d t Gf SO n
A
835000.00
101. DoatrattSales Price
35 000.
401. CO01ract Sales Prlre
102..Pe sonat a r
402. Pereonai Pro ed
1 D3. lament ar es to er Une 1400
3104.80
40�d.
10
405.
105,
I OB. Row TiMs to
406. C /Town Taxer to
10
107. Court Taxes to
407, CoUlIty, T wee
to
108. Assessments to
406. A5ee3emects
40.
10B
0
4 .
110.
411.
111.
412.
112.
12 RO SAMO TDUE FROM BUYER
38,104.8tl
420. GROSS AMOUNT DUE TO SELLER 635,000.00
E E
,
OPAID OR 1 UYE
0. ED CTI SI OUT
y
5 000.00
501. Excess Deposit See lnMrudbro
200, Oe d or oameet mono
502. Settlement Cha to Seller Line 1400 171 00
503. Exlstln ken a taken sub la
202, Pr elAmaunt.ot New Loans
203. Exist ban a taken sub to
504, Pa tf of 6rsl Mod ace
204•
606. Pa o seco orl e e
206.
606.
206.
607, loapoolt dieb. es roceede
207.
508.
208.
509,
200, _.
AdibalmadjarlY OnIs Wit
r
210, C Own axes lO
1469.73
510. C /Town Texar to
611. CouTans7ae 01PoU19 to 0720/79
1459. 3
211. CountyTaxes 01/01/ 9 10 07/20/10
51. Asaeeemenla to
212. Assessments 10
613,
213.
51
214.
sib8.,
216.
Sig.
2%
517,
2W.
518.
218.
519.
219, 6,459.73
52On. TOTALR DUCTIONAMOU T U SELLER
3,169.73
220. OTAL PAIO S BUY
800. CASHT
300 S OB 38104.8
120
601• C0UAmount Due To Seger Una 420
836000.00
301. assAmount Due From Bu r Line
8489.73)
802. lees Redudbra Oua Seder Una 520)
3,169.73)
302. Less oun Pek1 B /For r Lhe 220
831645.07
603. CASH X 10 FROM SELLER
3i 830.27
831830
303. CASH X FROM TO BUYER
�wr ., a ,n,.,nwad mop of oases 1&2
Of this statement a ere7➢t1@drmente rafer�ed to �raln�/p
n
rho underegneo noreoy A„yo _
Buyer
rn rren
n a arran
Solerao 4l �(n��A/v
�aroOmdea "RECEIVED
SEP 3 0 2019
Huo. r tsast sewn Hacaez
DCM WILMINGTON, NC

ETT EMENT CHARGES
e
F100 FROM
eWms
FnNOSA
SMLDAW
a9O FROM
eateRS
FutwA
aErnEAFNr
DMalonOf
n et700 asFOADWs
7 to
�,, , O
7 Ommulon'you a' el men
704.
0
ItF
T, a n U.UU
F to
802, Lftn-0%count
% t0
sWIFes
to
8 . bd Re art
to
priciars.inspection Yee
to
SO13. morin Olha. P. Fee
to
a m nFee
o
8 9.
BID.
1 .
got In ereat From l0
$ Ida
de %)
02, one. 10t Oen Or
months to
O. Hwrd Insur nce PramiuM for
1.0 years to
904.
005..Flood Insurance Premlum
LENDER
1001 Hazard Insurenoa
months S
er month
100 „ it e e I wsursn '.
1
mon s
er month
1 9. axes
months
r month
1 . O un Texe
Man IQ
per month
1005. Assessments
months 8
per month
Mon
par Mont
1007.
months ® S
er month
1005.4teed n
flaly 9
months
ar month
1 1 e1 enAS991 em pee
1102. Abstract or 'TAIs Search
1103. _>s 5 1' el
1164, Asea e foe
105:. Dowmant prarmllonto
1108. Courle r sot Sale
11o7. Altoine sFees
to Ned M, Barnes
to
to
to .
H. Ke oath SteDharl., 11
to Ned M. Barnes
to
F�
700.00
'
40.00
a ebow. am rturd rs:
etew e T la l
1
hohrdea ebow momAu hers
6e. n aia oveia eZk
110. er'eCovae a _
71 .
1 .
113.
1201,,RecordN Fees; Deep $ 2e.00; Mortgage 3
INI"! . - o n ern a eve Mortgage
1203, 1e 7 S m e• Revenue Stam a 1 07 .00; Mort
1204. .
205.
Releawe E
2800
1,070.00
i3ol. Surwev
1392, Peak fn eclion
303.
13 4, '
1305,
1400, TOTAL SET LEMENT CHARGES
to L Scott flaggla
to
Snter on Lfnea 103 Sec lon.J and ao2 Sec an K
��nlnl nr n MmeIG)Ad v at race 2 M this &a code statemem.
'OU
3,104.80
�171�000
Bystjnleg page 1 of tills statement, me agnamnnn n:,nnen«.ems
CerlM6d to be 9'true COPY.
A ED
Ned ae
Benfement Agenl
SEP 3 0 2019
(WrnnW.rJV%\RA Na113)
DCM WILMINGTON, NC

ACKNOWLEDGMENT OF RECEIPT OF SETTLEMENT STATEMENT
Buyer: Glenn Warren and wife, Linda Warren
Seller.
Carol Olmstead Rider
Lender.
Cash Transaction
Settlement Agent:
Ned M. Barnes
[phone]
Place of Settlement:
A-3 Plehaure Island Plaza
Carolina Beach, NO 28428
Settlement Date:
July 18, 2010
Property Location:
204Annle Dr.,208 Annie Dr,1611 Rizzo Lane
Carolina Beach, NO 28428
New Hanover County, North Carolina
Lots 23 &24 AA Spencer-
Farlow. Div., Sec. 2 & Tract
adJ'to Myrtle Grove Sound
I.htsva carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it Is a true and
accurate statement of all receipts and disbursements made on my account or by me in this transaction, I further
eetHfy��t at
have-received a copy of the HU041 Settlement Ste t.
Ma` n�en IOlmstsa er
To the beat of my knowledge,. the HUDA Settlement Statement Is a true and accura account of the funds which
were received and have been or will be disbursed by the underslgned�s part of the ettlement of this transaction.
Ned M.
RECEIVED
SEP 3 0 M9
DCM WILMINGTON- NC
WAttNINl3: It is a adore to knowingly make faiaeatalemente to tho Unitad States on this or any similar form, Penalties upon conviction can
Include a One and Imprisonment. For details see: Title 18 U.S, Coda Section 1001 and Section 1010.
(WARREN.7.PFDNVARREN.7/13)

Joe Benson
Mavor
Steve Shuttleworth
Council Member
LeAnn Pierce
Council Member
Town of Carolina Beach
1121 N. Lake Park Blvd.
Carolina Beach, NC 28428
Tel: [phone]
Fax: [phone]
TO: Carolina Beach Public Utilities
Carolina Beach Police Department
Carolina Beach Fire Department
NHC Planning Department
NBC 911 (Attn: Brenda Hewlett)
NHC Land Records
NHC GIS
NHC Inspections
Postmaster
Property Owner of Record
FROM: Gigi Baggarley
GIS Administrator
DATE: July 19, 2019
Tom Bridges
Mavor Pro Tem
JoDan Garza
Council Member
Ed Parvin
Interim Town Manager
Let your records show that the street address in the Town of Carolina Beach listed below is incorrect:
CURRENT LISTED ADDRESS: 1611 RISSO LN
PROPERTY PIN# 3131-53-5495.000
PROPERTY PID# R08806-004-006-000
PROPERTY OWNER: CAPPA DANIEL P ETAL
This serves. as official verification that the address of your property has been corrected and changer! to:
1614 ISLAND MARINA DRIVE
as designated on the Town's official address map.
Property Owner, you are instructed to post the correct address immediately and remove any neous
numbering from existing buildings. RE-- n.
FAX [phone]
SEP 3 0 2019
DCM NIILMINGTON, NC

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