BC_19-23_ Hines (2)

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Brunswick County A*O
Local Government
CAMA
MINOR DEVELOPMENT
PERMIT
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'
BC19.23
Permit Number
0
NORTH CAROLINA
Environmental Qualin,
Issued to Sheila and Tanas Hines authorizing development in the Estuarine Shore Area of Environmental Concern (AEC)
at 3249 Mullet Creek Place SE in Bolivia NC 28422 as requested in the permittee's application package, dated 13-Nov-
19, and received complete 13-Nov-19. This permit, issued on 25-Nov-19, 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: Retaining Wall (62.1' x 76.8').
(1) All proposed development and associated construction must be done in accordance with the permitted work plat drawings(s)
dated received on 13-Nov-19.
(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.
RECEIVED
(Additional Permit Conditions on Page 2) DEC 12 2019
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, 2022
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.
DCM WILMINGTON, NC
Connie Marlowe
CAMA LOCAL PERMIT OFFICIAL
PO Box 249
Bolivia, NC
1l\A.0--
PERMITTEE
(Signature required if conditions above apply to permit)

0
I
Name: Sheila and Tanas Hines
=Minor Permit # BC1943
Date: 13-Nov-19
Page 2
(5) The amount of impervious service shall- not exceed 30% of the lot area within ,75 feet of Normal High Water
(Estuarine Shoreline Area of Environmental Concem), in this case 263 square feet is authorized.
(6) Unless specifically allowed in 15A NCAC 07H-0209(d)(10), and shown on the permitted plan drawing, all
developmenticonstruction 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: DATE:
PERMITTEE

Locality1✓raylSwrcR CkA Permit Numbt'kffyq
Ocean Hazard Estuarine Shoreline v ORW Shoreline Public Trust Shoreline Other
(For official use only) Tyr �GXGC 21 rl PAoS7
GENERAL INFORMATION
LAND OWNER
Name Sheila and Tanas Hines
Address 131 Loam Drive
City McDonough State GA Zip 30252 Phone [phone]
Email [e-mail]
AUTHORIZED AGENT
Name Ron Drake
Address 26 Canal Drive
City Southport State NC Zip28461 Phone [phone]
Email [e-mail]
LOCATION OF PROICT: (Address street name a d/or directions ite. { jnot oceanfront, what is the name of the
adjacent waterbody.) 3249 RAullet Creek Place �� ry Ver)
J 11;
DESCRIPTION OF PROTECT. (List all proposed construction and land disturbance.) Install retaining wall
SIZE OF LOT/PARCEL: 12329 square feet •28 acres
PROPOSED USE: Residential (Single-family Multi -family[]) Commercial/Industrial ❑ Other
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer ijyou 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 FOOTPRINTAND OTHER IMPERVIOUS OR BUILT
UPON SURFACES'A W `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 issued by the NC Division of Water Quality?
YES NO X
If yes, list the total built upon area/impervious surface allowed for your lot or pare:
SCS`v
4'00
A.
NO
�MMQt��'ti►�
D�
square feet.

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)
x an owner or record title, Title is vested in Sheila Hines see Deed Book 04145
page 1380 in the BfUnSWICk 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 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) (Address)
(1) BRENNAN MICHAEL 3251 MULLET CREEK PL SE Bolivia, NC 28422
(2) KRUCZKO SERGE 305 BRADWYCK DR GARY, NC 27513
(3)
(4)
ACKNOWLEDGEMENTS:
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.
Landowner or person authorized to act as hSftTlaagent for purpose
the 13th day of Nov 20 19
permit application
This application includes: 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 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 will constitute a violation of
any permit. Any person developing in an AEC without permit is subject io civil, criminal and administrative action.

I q-ts 1��
AGENT AUTHORIZATION FORCAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Sheila and Tanas Hines
Mailing Address: 131 Loam Drive
McDonough, GA 30252
Phone Number: 678 438-7729
Email Address: sunnvdelight(a)bellsouth.net
I certify that I have authorized Ron Drake of Drake Construction
A gent/ Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Install new Retaining Wall
at my property located at 3249 Mullet Creek Place Bolivia, NC 28422
in Brunswick County.
/ 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'
Si na e
5>1e,1�,, t_ rne5 1px,as B. l-� i ne$
Print or Type Name
Title
11 /12/2019
Date
This certification is valid through 11 / 12 12020
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Nov 15 Zo�9
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Dear Adjacent Property:
_
Sheila Hines applied for a CAMA Minot .
This, letter. is to inform you that, I, have a pp'l
:. Property Owner
3249 MULLET CREEK:PL SE
Permiton my property at in .
COUNTY Property Address
Brunswick County: As required by CAMA regulations, (have enclosed a copy -of my permit application and
Project drawings) 'as nolification of my proposed .project. No action is required from you oryou,maysign and
return the enclosed no objection form. If you have any questions or comments about my proposed project,
please contact me at .678/438/7729 or by mail at the address listed below. Ifyou wish to
Applicant's Telephone
file written comments orobjections with the Brunswick County CAMA Minor Permit Program,you maysubmit
them to:- '
Connie Marlowe
Brunswick County. Planning Department
PO Box 249
Bolivia NC. 28422
Sincerely,

tt'
m. BOLIVI, Abrt N y °4 1 0
CertlnedoAaIPee. ��
W7,,p� ,❑Retun.Reeelpt(hat C*M..DateBRENNAN "MICHAEL o ❑Refit Re�,teeleUa,r�i{��,C3ftdMallRosUletedDeliverylaV 0 ❑AdultStenaturoRequhdl
Adja IORA �'" CREEK PL'SE. ❑AduttB�gnelurDReWdedDehva
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Matlr�l9, NC 28422-7739 0' Total Pa• sand .SOS
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Dear Adjacent Property. • a, r , - -
SHEILA:HINES
This letter is to inform you that I; have applied for a CAMA Minor.
Property Owner
3249 MULLET:CREEK PL SE'
Permit on my property at . in
COUNTY PropertyAddress
$runswick Counly. As required by CAMA regulations, .I have e.ndosed a copy of,my permit application and ,
project drawings). as notification of my proposed project. No action is-re.g6ired.from you oryou maysign and
return the enclosed no objection. form. If you have any questions or comments .about my proposed project,
678/438/7729
please contact me at. or by mail, at the address listed below: Ifyou'wish to" . .
"Applicant's Telephone
file written comments or objections with the Brunswick County CAMA Minor Permit Program, you maysubmit
them -to:
Connie Marlowe
Brunswick County Planning Department
PO Box:249
Bolivia NC 28422

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BRENNAN, MICHAEL D. A' A
DEED BOOK 4159
PAGE G22
LOT 5G - STATION I
RIVER RUN
PLANTATION
PLAT Kt256
PARCEL 0217MA056•�""'
217G.GG SO.n.
MOUM O'UT51Dt 75' AEG
263.32 50.17.
MOUSE IN51DE 75• AEC
2439.98 SO.n.
MOUSE TOTAL
1147.92 SO.n.
DRIVEWAY
3367.90 SO.".
TOT& lunKvco.*
NIP
KECK5IEK, FREDRIC P.
DEED BOOK 4114
PAGE 1099
LOT 55 - STATION I
RIVER RUN
PLANTATION
PLAT r4256
PARCEL OP. 17MAO55
lawn ramunn nxlrw.lacxwT•
N/P
KRUCZKO. SERGE
DEED COCK 3969
PAGE 43
LOT 58 - STATION I
RIVER RUN
PLANTATION
PLAT r4256
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O@D BOOK 3766
PAGE 105
LOTS: 59 4 GO - STATION I
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PLANTATION
PLAT r425G
PARCEL #217MA060
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Southport• North Ca..hnl 264C 1
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DEED BOOK 4145
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PAGE 13804 1384
PARCEL ID 1217MA057
12329.38 SQ.FT.
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0.28 ACRE5
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F,; :;
TJIlrwysd alld Myped lor:
ROM DRAKE
nee 5uroet Harbour
5rn, M,k Towny .p
Brurowlck County
5tate of North Carofir'a

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IIII,Itck-' 10!V II ,II'll js ar B ')ands �.Yav 1 918
. .. �NNvGCC RRR
rondo A.' feesons FR .
Banda fl: C1e6rans ltaplstar.af Deeds
01-76=2019 1d:IS:36.000 ,prunsulrk County, NC
NC REVENI['STAnpt =560.0e' '. .t`0'S103)
Rev i}-
Ck 3 ' Ck
4%f
nonnd.. Ca h S ce .'.
oionsofdocainentareillegible doe to condition original. "
®Documentcontains seals verified byoriginel '
fnshumentthatcannot bersurodgcedorcopied.
This.lnstrument is prepared by Zethary T. Clouser:a North Carolina licensed attorney. Delinquent tam, H any,
will be paid by the -dosing attorney to the County Tax Collector upon disbursement of closing proceeds 7ha.
Preparerhasmade 'Norecordsearchorexamination astothe Property lieielndeicri6ed,urilessthesameisshown .
... byhis written and signed certiheate.
Mail/Box to: Wortman Law firm
Brief Descripti6n:1-57 STA•i,RIVER FUN PL K/256
Revenue.Stamps: $160.00 Parcel ID:217MA057
NORTHCAROUNA .
GENERAL WARRANTY DEED
BRUNSWICK COUNTY -
THIS DEED made and entered into this ' i1 day of aiANURft,l .'2019 by. and
between JOSEPH HOLOWIENKO and wife, KATHY HOLOWIENKO, whose mailing address is: •154 A
Herltage Vilaige,. Southbury, Cr 06481 hereinafter called "Grantor,". and; WAS BALL NINES and wife,
SHEILA L•HINE$, hereinafter called 'Grantee,: whose mailing address is: 131 Loam Drive, McDonough,
GA 3D252.
The designation Grantor and Grantee as used herein shall Include said parties, their heirs, successors, and
assigns; and. shall include the singular, plural, masculine, feminine, or neuter as required by context.
WITNESSETH:
That the .Grantor, for a valuable consideration paid by the drantee, 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 Brunswick County, North Carolina, and more
particularly described as follows:
SEE EXHIBIT "Ad
The property herein described was conveyed to Grantor by deed recorded in Book 4061 at Page 36 and
Map Book K at Page 256, of the; Brunswick County Registry.
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.

IIIII Brenda 84145
�I IDII� IIUIIIIIIIIIiIIG►lIDnnn36.Ca
. B�unsulo CountYi NC Register of Deeds page'4 of.5c 0F .. .
EXH1131TA
BEING ALL of Lot 57; Section 'li River.Run Plantation (formerly Pier 65 Sulidivisio(k);.the
subdivision plat forlot 1-175, Section 1, appears of recoM in Map.Cahinet K, Page 256,
A.runswick•County Registry: .
There=is EXCEPTED from this conveyance the mineral rights which have been retained
by Weyerhaeuser Real Estate. Conwany "as appears WBoolc 424, page 78, i3n,rtswkk
County Registry. .
This conveyance. is made. SUBJECT .to the , consolldn:.ed JlAaster D�Iaraftoii. and
Development Plan as appears in Deed Book 687, Page W. Brunswick County Registry
and all subsequent amendments thereto•lnduding Restriction appearinE In Deed Book
7A Page 702, said cogenants and restrictions as identified; are Includedherein to the
same effect -and :with the same, legal force .as if. they ,were repeated .fully In this
Instwinent andaald covenants and festActions shall be deemed appurtenantto.tfie lot '
and shall run with the lot in all future conueKanSes.
i

BRUNSWICK COUNTY HEALTH SERVICES
DATd. REC:: 0610612014. FILE NO.:
7992029469A1 ZONING:.. 2014001805Z
MCCARTHY MARY ANN _ $0.00
:. 217MA'9157 :.
REC. FROM' AMT. PAIL
TAX PARCEL,
4911 LONG. BEACH ROAD, . SOUTHPORT
•NC 26461 9105403190 '
'
AODRESt!" .. . Cliy. . ..
STATE, . ZIP CEDE .. PNONE
BRYAN'DAVID C TRUSTEE 57
STA-1
CURRENT PROPERTY OWNER -' - LOT
BLOCK SECTION. - -
j ..PROPERTY LOCATED TOWNICITY/AREA: CO
SUBDIVISION: -..RIVER RUN PLANTATION
iDIRECTIONS: 3249. MULLET -CREEK PLSE 28422 +HWY 11S TO HWY 211 TO RT.ON SUNSET HAREOR RDTO LEFT ON FOLLEY
TO RT,ON MULLETT CREEK:PROPERTY ON RT.
A in ON FOR WASTEWATER -CONSTRUCTION PERMIT•. rypTEs
NEW: . REVISION: RELOCATION: REPAIR:
9pd Septic Tank' Size: 1, Septic Tank shall have an approved I
;' Deslg^Plow, Q� P �OO gal Type: e�luentfiller,endaccess ,devices as.
applicable. '
No. Bedrooms: ' No: unanA employees. Max 2. Maintain altsetbecks dlelances for
septic lank
stems and.wells.'
TrenWBed Bottom De A: � r. Inches: .. All components s of the seplic s toms
P . \ F� 3 chaff be located 100 reel from well
No. tines: • Length Epch So' 'f Sad Dimensions: �� -
4. An'Aceeple system. may be used In
the place of, a "convey llonal" system
Fill Check Approved:
Datu Authodied Agent .. ...
PERMIT ISSUE DATE:'/+ ` , Q
W 1 PermU splrotbn Oats: 3 )�
Authorized Agent: Registralion _
PERMIT'IS SUBJEC U R CATION
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- -
ITE
-
PLANS R
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-
INTENDED
-
USE
CHANGES.
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71 _
rt^
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2ste Water System Ihste)lerf Data:
Comments:'(fank infel barrier approved)
Rock: Polystyrene Aggregate Chamber Other.
OPERATION PERMIT Dale:
.. .. Authorised Agont Signeluro .
.Actions of[=athealth department represenUilves or the Slate engaged In, the evaluation and determination of reeasuras7equlred,lo eBeeteompllanea with the
appficable laws and rules shall In no way be taken as a warranty that aewage Irealment'and disposal systems approved and permilled will 1000A In a satisfactory
ritannar for any given period of time. This Issurance of Us permit dollar nol preclude Inc Permldee frorg eompiaying with any and 81181[811185, rules and regulations or
ordinances which may be Imposed by other government agencies ( local slate, and federal) which have Jurisdiction.
O>� a—e:\a: r� X o�'vlrji•-e.� 'cti h4 -�i+'� °L�t�+�� . .
��Q,� Gc�,� �:c Go'+b� �d C.�� C�'�c►'+•��j r � t� �f��.sllq
=� �Y�S�;:�C. ��,o-e'C' �r�c�1'�. ,�� i � e�;o_:.-,�'�'o-+e�e�. ' .fin '\ �S�ro• t\. ae� L
s �- �cI�-SI� 9

runswick CoU. .Health Services
N
35 Courthouse Drive.E.:. Ptnr Oti:ce Box 9 .
Bolivia. North Carolina 284:2-0009
• 8 44_9 NO
910-,�3_,.2SO' 1= 88-428- PsiblicH
Day id ir. Srtvrler 4r, Erec nice Director Oil- Hanelso►r, Ditrcrw
Nea1rlran Hmfail senues.40crtcti' DeyartnretttofHealrliSerum
10-13-20.17
Public Notice
Re! GENERAL ASSEMBLY OF. NORTH CAROLINA
SESSI.ON:2017, SESSION LAW 2017-21 L SENATE BILL 16 •stev�•
The -General Assembly of North Carolinaenacts: the ".wastewater System.
Permits Extension: Section 19
Session Law 2017-211 NC General Assembly -has amended the NC Laws
and Rules for Sewage Treatment and Disposal Systems to extend the validity
of Wastewater System Improvements• and Construction Authorizations issued
between January 1, 20000 thru January I, 2015.that have not been acted on to
now expire on January 1, 2020
This change in the expiration dates for the Improvements and Construction
Authorization Permits in this date range is effective immediately.
Article l l of Chapter 130A of the General Statues of North Carolina
Wastewater Systems
Wastewater System Permits, Extension
Section 19. G.S.. 130A-336 is amended by adding a newsubsection that reads:
(bl) An improvement permit or authorization -for wastewater system construction .issued by a
local health department from January 1, 2000, to.January 1,1015, whichhas not been acted. on
and would have otherwise expired, shall remain valid until January 1, 2020; without penalty,
unless there are changes in the hydraulic flows or wastewater characteristics from the original
local .health department evaluation. Permits are transferrable with ownership of the property.
Permits shall retain the site, soil evaluations, and construction conditions of the original permit. .
To contact the Brunswick County Health Services, Environmental Health Division for .
information on specific environmental health permits;please call 910-253-2150.- For
information concerning multiple properties, permit or for a written reply, please fax a
request with the permit number, lot parcel #, owner and other property identifying details
with your questions or concerns to fax [phone]