03-22_The Sea Glass Cottage_20220526

RECEIVED
Hyde County JUL 0 5 2022 No. 03-22
DCM Washington Permit Number
District DCM-WARO
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"
Issued to The Sea Glass Cottage on Ocracoke, LLC do Traci Goins, authorizing development in the Coastal Shoreline
(AEC) at 25 North Pond Road on Ocracoke Island in Hyde County, as requested in the permittee's application, dated
May 17, 2022. This permit, issued on May 26, 2022, 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: The construction of open wood deck and stairs within landing on existing single family residence
that will be raised within the existing footprint. The new deck will be 22' x 8.5'avg and the landing approximately 8'x4'.
There will 20sq ft of open deck within the 30' CAMA Buffer. The project will create no new impervious surface within the
75' CAMA AEC existing impervious area within 75' CAMA AEC is 24%.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on May 19, 2022.
(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.
This permit action may be appealed by the permittee or other aualified persons i
within twenty (20) days of the issuing date. From the date of an appeal, any
work conducted under this permit must cease until the appeal is resolved. This /
permit must be on the project site and accessible to the permit officer when the �'/Shane Staples
project is inspected for compliance. Any maintenance work or project DCM Field Representative
modification not covered under this permit, require further written permit
approval.All work must cease when this permit expires on: 943 Washington Square Mall
31 December 2025 Washington, NC 27889
In issuingP this permit it is agreedo thatn this project is mayent with ther local to
Use Plan and all applicable ordinances. This permit not be transferred to
another party without the written approval of the Division of Coastal PERMITTEE
Management.
(Signature required if conditions above apply to permit)

I• . L
(5) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by
effective sedimentation and erosion control measures.
(6) All other disturbed areas shall be vegetatively stabilized (planted and mulched)within 14 days of
construction completion.

ROY COOPER . i
Governor
r. ,
ELIZABETH S.BISER ` r R * _
Secretary ^+" _BRAXTON DAVIS NORTH CAROLINA
Director Environmental Quality
May 27, 2022
The Sea Glass Cottage on Ocracoke LLC
C/O Traci Goins
411 Walnut Street#8493
Green Cove Springs, FL 32043
Dear Ms. Goins:
The Division of Coastal Management hereby acknowledges receipt of an application for
State approval for development in the Coastal Shoreline (AEC) at (25 North Pond Road in
Ocracoke Island Hyde County, North Carolina. The application was dated 17 May 2022 and
appears to be adequate for processing at this time.The projected deadline for making a decision
is 11 June 2022. Shane Staples, Field Representative for the Division of Coastal Management is
responsible for processing your permit and he can be reached at 252-948-3950 or via email at
Shane.staplesPncdenr.gov if you have any questions.
N.C.G.S. 113A-119(b) requires that notice of an application be posted at the location of
the proposed development. Enclosed you will find a "Notice of Permit Filing" postcard which
must be posted at the property of your proposed development. You should post this notice at a
conspicuous point along the property where it can be observed from a public road. Some
examples would be: nailing the notice card to a telephone pole or tree along the road right-of-
way fronting the property, or at a point along the road right-of-way where a private road would
lead one into the property. Failure to post this notice could result in an incomplete application.
An onsite inspection will be made and if additional information is required, you will be
contacted by the appropriate State or Federal agency. Please contact me if you have any
questions and notify me in writing if you wish to receive a copy of my field report and/or
comments from reviewing agencies.
Sincerely,
/
Shane Staples, Field Representative
Division of Coastal Management
Washington Regional Office
ENCLOSURE
Cc:DCM WaRO
Chris Pullinger DWR
Hyde County LPO
Atlantic Environmental Consultants,LLC
D North Carolina Department of Environmental Quality I Division of Coastal Management
Q
Washington Office 1943 m Washington Square Mall i Washington,North Carolina 27889
o .v..ww Eminirorptai a it, / 252.946.6481

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CAMA PERMIT
APPLIED FOR
PROJECT: Conliy-uic-i-i on of open wood clerk and stairs ini iiiri in
lanainek on existing Sinn Thm; 14 reside/lee Thal- wit( be
raked ' math iA ex is+ina Ftwit-prin+.
COMMEN—S ACCEDTED THOUGH Cee. gelovd
APPLICANT: FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
-The Sea Wass Co+tair on Ocracoke at Shane 5-froples ritici Represeti-ivt
efo lad aOillS NV(ci DA OP a postai manct5tmen-1-
25 Nod+t Pihi ROaA qq Washumtan 51g, Mali
2
Otvacolcz Na -79 (00 0 Vklachinovitm Al e "VIII
(asa) t1LIC - 3950

ATLANTIC ENVIRONMENTAL CONSULTANTS, LLC
PO Box 3266. Kitty Hawk, NC 27949
May 17,2022 RECEIVED
MAY 1 9 2022
Shane Staples
Division of Coastal Management D C M_WAR O
943 Washington Square Mall
Washington,NC 27889
RE: Goins—CAMA Minor Permit Application
Dear Mr. Staples,
Enclosed is a request for a CAMA Minor Development Permit for improvements to an existing single
family residence located at 25 North Pond Road,Ocracoke,Hyde County,North Carolina.
The proposed improvements include raising the existing house in the same location,constructing a 210
square foot open wood deck with 20 square feet in the 30' Buffer setback. In addition,70 square feet of
stairs and landings will be constructed to access the proposed deck.
The following information has been submitted as part of the permit application:
1. A copy of the site plan.
2. CAMA Minor Development Permit Application.
3. Adjacent property owner notification forms and certified mail green cards.
4. Deed for the subject property.
5. Agent authorization
6. A check for$100 made payable to NCDEQ.
If you have questions or need additional information please contact me at 252-599-2603.
Sincerely,
�Dou rman
g
Atlantic Environmental Consultants, LLC
Cell: [phone] Office: [phone] Email: [e-mail]

AUTHORIZATION TO ACT AS REPRESENTATIVE FORM
Property Legal Description:
DEED BOOK: 288 PAGE NO: 642
PARCEL ID: 9501-22-0038
STREET ADRESS: 25 Northern Pond Road, Ocracoke,NC 27960
Please Print:
Property Owner: The Sea Glass Cottage on Ocracoke, LLC
Property Owner:
The undersigned property owners of the above noted property, so hereby authorize
Doug Dorman ,of Atlantic Environmental Consultants, LLC to,
(Contractor/Agent) (Name of consulting firm)
1. Act on my behalf and take all actions necessary for the processing, issuance and
acceptance of permits and/or certifications and any all standard and special
conditions attached.
2. Enter the property to obtain site information including inspections with regulatory
agencies (Dare County,North Carolina Department of Environmental Quality,
U.S. Army Corps of Engineers,etc.) for the purpose of obtaining permits and/or
certifications.
Property Owners Address(if different than property above):
411 Walnut Street#8493, Green Cove Springs, FL 32043
Property Owners Telephone Number: 407-335-8168
We hereby certify that the above information submitted in this application is true and
accurate to the best of our knowledge.
Autho i ture and Title Authorized Signature and Title
Date: Date:
RECEIVED
MAY 1 9 2022
DC M-WAR®

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GENEiALJ NOTES \ N/F •.
•SUBJECT PROPERTY: Lot.y8-R \ \ G O I N i• z •
Ocracoke,Hyde County. North Carolina '
•STREET ADDRESS: 25 Northern Pond Road \ -03I . C .
Ocracoke,NC 27980
•PARCEL ID NUMBER: 9501-22-0038 \ I I.•J I— •
•RECORDED REFERENCE:D.B. 288 P9.642 I O
•PARCEL AREA Lot 78-R.8.285 Sq. FL \l'-..--- -5-63
•
•BUBJECT PROPERTY ZONWG R-1 (SN0.E FAYEY IE90ENRAL OISIWCT) \•BNIDNG SETBACKSN T-B'8' J .REAR-CAMA•PROPOSED DEWOPIIENT: 0 . . •ELEVATE EIQSIPIO HCUSE W SAtE LOCARON. riADD OPEN WOOD DECK WITH NEW STAIRS MD LANOWOS•EMS1WD IMPERN0U3 AREA IN THE 75'AEC '-Told 75 AEC Arno•3,783 Sa FL-Nam H30 SF Fl. \ .R Impervious Area N 75' AEC 890/3.763- 24% 8' A\ \ '•NO ADOITpNAI.BIPEItN0U5 ARU PROPOSED IN THE 75'AECBC
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SITE DRAWING/APPLICATION CHECKLIST yy
Please make sure your site drawing includes the following information required for a CAMA minor development permit. Fv
The Local Permit Officer will help you,if requested. r
PHYSICAL DIMENSIONS APPLICATION FOR n
X Label roads CAMA MINOR °
X Label highways right-of-ways z
X Label local setback lines
x Label any and all structures and driveways currently existing on property DEVELOPMENT
X Label adjacent waterbody Coastal Management n
ENVIRONMENTAL QUALITY p
PHYSICAL CHARACTERISTICS PERM I T
X Draw and label normal high water line(contact LPO for assistance) r
Cisl
X Draw location of on-site wastewater system In 1974,the North Carolina General Assembly passed the Coastal Area Management Act
(CAMA)and set the stage for guiding development in fragile and productive areas that IT,.If you will be working in the ocean hazard area: border the state's sounds and oceanfront.Along with requiring special care by those who
_Draw and label dune ridges(include spot elevations) build and develop,the General Assembly directed the Coastal Resources Commission
Draw and label toe of dimes (CRC)to implement clear regulations that minimize the burden on the applicant.
Identify and locate first line of stable vegetation(contact LPO for assistance)
Draw and label erosion setback line(contact LPO for assistance) This application for a minor development permit under CAMA is part of the
Draw and label topographical features(optional) Commission's effort to meet the spirit and Intent of the General Assembly.It has been
designed to be straightforward and require no more time or effort than necessary from
If you will be working in a coastal shoreline area: the applicant.Please go over this folder with the Local Permit Officer(LPO)for the l'
x Show the roof overhang as a dotted line around the structure locality in which you plan to build to be certain that you understand what information he r
x Draw and label landward limit of AEC or she needs before you apply. "
X Draw and label all wetland lines(contact LPO for assistance)
X Draw and label the 30-foot buffer line Under CAMA regulations,the minor permit is to be issued within 25 days once a 1
DEVELOPMENT PLANS complete application Is In hand.Often less time Is needed If the project is simple.The
process generally takes about 18 days.You can speed the approval process by making
X Draw and label all proposed structures certain that your application is complete and signed,that your drawing meets the
X Draw and label areas that will be disturbed and/or landscaped specifications given inside and that your application fee is attached.
x Note size of piling and depth to be placed in ground
X Draw and label all areas to be paved or graveled
X Show all areas to be disturbed Other permits are sometimes required for development In the coastal area.While these
Show all area to are not CAMA-related,we urge you to check with the Local Permit Officer to determine
which of these you may need.A list is included on page two of this folder.
NOTE TO APPLICANT
We appreciate your cooperation with the North Carolina Coastal Management Program
Have you: and your willingness to build In a way that protects the resources of our beautiful and
• completed all blanks and/or indicated if not applicable? productive coast.
• notified and listed adjacent property owners?
• included your site drawing?
ommission
• signed and dated the application? Coastal of Coastal
Management
• enclosed the$100.00 fee? ton
Division Coastal Management
• completed an AEC Hazard Notice,if necessary?(Must be signed by the properly owner) - m
ff
FOR STAFF USE m r6
f'Site Notice Posted _ Final Inspection Fee Received E C E I V E D rn y Site Inspections REl k P
z ttri
MAY 1 9 2022 °
❑o�
Date of Action:Issued Exempted _ Denied Appeal Deadline 120 days from permit action) -4
DCM Form EB 1952-20I5/Reviud fY/
p�C I C e—l'L•d"S! !

f.
Locality r Permit Number ? 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
Ocean Hazard Estuarine Shoreline Led<RW Shoreline Public Trust Shorelinether treatment system),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,PIA
(For official use only) Certification,Sand Dune,Sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and
others.Check with your Local Permit Officer for more information.
GENERAL INFORMATION
STATEMENT OF OWNERSHIP:
LAND OWNER-MAILING ADDRESS I,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a
Name The Sea Glass Cottage on Ocracoke,LLC do Traci Gothsperson 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
Address 411 Walnut Street#8493 described as:(check one)
City Green Cove Springs Stare FL Zip 32043 Phone [phone] X an owner or record title,Title is vested in name of The Sea Glass Cottage on Ocracoke,LLC
Email [e-mail] see Deed Book 288 page 642 in the Hyde County Registry of Deeds.
AUTHORIZED AGENT an owner by virtue of inheritance.Applicant is an heir to the estate of
Name Doug Doan-AtlanticEnvironmental Consultants,LLC ;probate was in County.
Dorman
Address
PO BOX 3266 if other interest,such as written contract or lease,explain below or use a separate sheet&attach to this application.
City KittY Hawk State NC Zip 27949 Phone [phone] NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have given
Email [e-mail] ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
LOCATION OF PROJECT:(Address,street name and/or directions to site;name of the adjacent waterbody.) (Name) (Address)
(1) Carol Dolan, 1724 Pinetree Drive,Gloucester,VA 23062
25 North Pond Road,Ocracoke,NC 27960 (2) Charles Martin,Catherine Mitchell,PO Box 596,Ocracoke,NC 27960
Adjacent to the Pamlico Sound (4)
(4)
DESCRIPTION OF PROJECT:(List all proposed construction and land disturbance.) House lifting and Construction ACKNOWLEDGEMENTS:
I,the undersigned,acknowledge that the land owner is aware that the proposed development is planned for an area which
of 210 sq.ft.open wood deck with 20 sq.ft.in the 30'DCM Buffer. New stairs and landings-70 sq.ft. 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-
SIZE OF LOT/PARCEL: 6,285 square feet 0.14 acres tion and floodproofing techniques.
PROPOSED USE:Residential 0 (Single-family® Multi-family❑) CommerciaUlndustrial❑ Other ❑ 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
COMPLETE EITHER(I)OR(2)BELOW(Contact your Local Permit Officer ifyou are not sure which AEC applies related to this permit application.
to your property):
(1) OCEAN HAZARD AECs:TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet(includes This the 17m day of May ,20 22
air conditioned living space,parking elevated above ground level,non-conditioned space elevated above ground level but J
excluding non-load-bearing attic space)
downer or on a act as his/her agent for purpose of filing a CAMA permit application
(2) COASTAL SHORELINE AECs:SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
This application includes:general information(this form),a site drawing as described on the back of this application,the
UPON SURFACES: 890 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.) ownership statement,the Ocean Hazard AEC Notice where necessary,a check for E100.00 made payable to the locality,and
any information as may be provided orally by the applicant.The details of the ap lication as described by these sources are
STATE STORMWATER MANAGEMENT PERMIT:Is the project located in an area subject to a State incorporated without reference in any permit which VOW ese details will constitute a violation of
Stormwater Management Permit issued by the NC Division of Energy,Mineral and Land Resources(DEMLR)7 any permit.Any person developing in an AEC without o ivi.criminal and administrative action.
YES NO x- If yes,list the total built upon area/impervious surface allowed for your lot or parcel: square feet. MAY 1 9 202 Z
®CM-WPM

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Traci Goins, Sea Glass Cottageon Ocracoke, LLC
Address of Property: 25 North Pond, Ocracoke, NC 27960
Mailing Address of Owner 411 Walnut Street#8493, Green Cove Springs, FL 32043
[e-mail] 407-335-8168
Owner's email: Owner's Phone#:
Agent's Name: Doug Dorman Agent Phone#: [phone]
Agent's Email: dougdaec©gmail.com
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing, with dimensions, must be provided with this letter.
471, I DO NOT have objections to this proposal. I DO have objections to this proposal
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at(252) 264-3901. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock. mooring pilings, boat ramp, breakwater, boathouse, lift. or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
Si ature of Adjacen iparian roperty Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) C
Signature of Adjacent Riparian Property Owner: �� L%2�?r'%/
Typed/Printed name of ARPO: Charles Martin Catherine Mitchell ��,G J ,„A„ „le Cec.,sad )
Mailing Address of ARPO: PO Box 596, Ocracoke, NC 27960
ARPO's email: ARPO's Phone#:
Date: 05/02/22 *waiver is valid for up to one year from ARPO's Signature*
REitver4J.u162021
MAY 1 9 2022
DCM-WARO

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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Traci Goins, The Sea Glass Cottage on Ocracoke, LLLC
Address of Pro a 25 North Pond, Ocracoke, NC 27960
Pity:
Mailing Address of Owner: 411 Walnut Street#8493, Green Cove Springs, FL 32043
[e-mail] 407-335-8168
Owner's email: Owner's Phone#:
Agent's Name: Doug Dorman Agent Phone#: [phone]
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property.The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing, with dimensions, must be provided with this letter.
DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management(DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at(252) 264-3901. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15'from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waivEttell of the 15' setback'
C1-2 �(2
Signature of Adjagent Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner: , ,L
Typed/Printed name of ARPO: Carol Dolan
Mailing Address of ARPO: 1724 Pinetree Drive, Gloucester, VA 23062
ARPO's email: 00,-)dn/ W_gr i,1,04 R@'sPhone#:
Date: 05/02/22 *waiver is valid for up to one year from ARPO's Signature*
RECEIVED Revised July 2021
MAY 1 9 2022
DCM-WARO

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certify that no delinquent Ad Valorem taxes or other taxes
With which this office is charged are a lien on the property
BOOK 293 PAGE 354 (2) Described in this deed.
410050 111111111111111
/2r/
Tax Official T�yA ,/Z o Z
Date
This document presented and filed:
12/01/2021 04:19:38 PM
E MERITA LEWIS-SPENCER, HYDE COUNTY, NC
Excise Tax.$300 00
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax:$300.00
Parcel Identifier No. 1037 Verified by County on the day of ,20_
By:
Mail/Box to: Casey&Robbins,PC.110 West Gray Eagle Street,STE 101,Nags Head,NC 27959
This instrument was prepared by: Casey&Robbins.PC.110 West Gray Eagle Street,STE 101,Nags Head.NC 27959
Brief description for the Index: LOT 7B-R, Pamlico Shores
THIS DEED made this 24th day of November ,2021 .by and between
GRANTOR GRANTEE
Robert Brown Goins and wife,Peggy Chrisco Goins and Franklin The Sea Glass Cottage On Ocracoke,LLC a North Carolina limited
Winslow Goins,unmarried liability company
1604 Sabra Drive 411 Walnut Street#8493
Kinston,NC 28504 Green Cove Springs,FL 32043
{
Enter in appropriate block for each Grantor and Grantee: name.mailing address,and,if appropriate,character of entity.e.g.
corporation or partnership.
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,all that certain lot,parcel of land or condominium unit
situated in the City of Ocracoke Ocracoke Township. Hyde County,
North Carolina and more particularly described as follows:
Being Lot 7B-R as shown and depicted on that certain map or plat entitled"Lots 7A-R&7B-R—Brugh&Price Subdivision—Formerly
Lots 7A&7B—Owner. Estate of Doris Williams—Ocracoke,Ocracoke Township,Hyde County,North Carolina"prepared by Seaboard
Surveying&Planning Inc.and duly filed for record in Plat Cabinet C,Slide 148E of the Hyde County Public Registry.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 288 page 642
All or a portion of the property herein conveyed includes or X does not include the primary residence of a Grantor.
A map showing the above described property is recorded in Plat Book C page I48E
PagJCECEIVED
NC Bar Association Farm No. 3 C 1976,Revised C 1977.2002,2013 This standard form has been approved by:
Printed by Agreement with the NC Bar Association—1981 MAY 1 9 2022 North Carolina Bar Association—NC Bar Farm No.3
DCM—WARO

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' 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
c claims of all persons whomsoever,other than the following exceptions:
The Ad Vabren taxes for the year 2021 and subsequent years.Easements and restrictions,if any,appearing of record.
j
IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as . r say d year first above written.
1 ` Sr.." 26e...1 (SEAL)
i (Entity Name) ' ',t/Type Name:Robe n G Ins
By:
; -2,E'/ of)4LOC' 0 ape 7S (SEAL)
Print/Type Name&Title: Print/T d 4:Peggy Chfisco Goins
By: (SEAL)
Print/Type Name&Title: Print/Type Name: Franklin Winslo Goins
By: (SEAL)
Print/Type Name&Title: Print/Type Name:
I State of A,k_ -County or City of - (_mac t r--
a I.the undersigned Notary Public of the County or City of - Lek/ID I✓s and State aforesaid,certify that 1 r t i t i
Robert Brown Goins and wife,Peggy Chrisco Goins personally appeared before me this day and ac % �0 .
ez ution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seki 'S" �dz 0i
/l�M.�cu�e�- .204( `p7AR '
j 'r 4-11, • `v�.�y,
My Commission Expires: �'(f- 6 2/1 t%r = A,iot Pub
(Affix Seal) Notary's Printed or Typed Name- ' 1-18 L ' V
State of�v 'M`'a_i n d -County or City of_ OLQ �''L0,R COUNA%s
I,the undersigned Notary Public of the County or City of i/yd[ and State aforesaid,certify that
Franklin Winslow Goins, unmarried �� !! personally appeared before me this day and acknow�ltl��due
e do of t#te foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal thi y of
lV �y(�l 201.
LAURA DUNLOW BELCHC (�l
Not ��1 : UBQ• ntVmesi, 2�y • Notary Public
ts8 b INk s i o n Expires Notary's Printed or Typed Name
toper 13,2023
o -County or City of 'ir'
I,the undersigned Notary Public of the County or City of and State aforesaid,certify that
personally came before me this day and acknowledged that
he is the of ,a North Carolina or
corporation/limited liability company/general partnership/limited partnership(strike through the
inapplicable),and that by authority duly given and as the act of such entity._he signed the foregoing instrument in its name on its
behalf as its act and deed. Witness my hand and Notarial stamp or seal,this day of ,20_
My Commission Expires: Notary Public
(Affix Seal) Notary's Printed or Typed Name
REEIVED
NC Bar Association Form No. 3 0 1976.Revised®1977.2002,2013 This standard form has been approved by:
Printed by Agreement with the NC Bar Association—1981 MAY 1 9 2022 North Carolina Bar Association—NC Bar Form No.3
DCM-WARO
^ R©

ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. A. Signature
• Print your name and address on the reverse X CI A.= t
so that we can return the card to you. -,, - - = . '—esse(
:2Receivedby 'i =• ame) C D. e of D-liver
• Attach this card to the back of the mailpiece, ►/ /v 0),/1,^
or on the front if space permits. ^ ,'� i
1. Article Addressed to: D. Is delivery a,dress different from item 1? 0 Ye
C-. r, / Oa f9�J If YES,enter delivery address below:
Glvu si�.�-,- l/4-
.3„3c)6,2 3. ServiceType ❑Priority Mail ExpressoIIIIIIIIIIIIIIIIIIIII IIIIIII ❑Adult Signatufe ❑Registered MaiITM
❑Adult Signature Restricted Delivery 0 Registered Mail Restricts
edified Mail® Delivery
9590 9402 6361 0296 8678 42 0 Certified Mail Restricted Delivery 0 Signature Confirmation''
❑Collect on Delivery 0 Signature Confirmation
?. Article'Ni imhpr(Transfer from services lahell 0 Collect on Delivery Restricted Delivery Restricted Delivery
ured Mail
7020 3160 0001 2 519 1350 cured Mail Restricted Delivery
— — , .-,er$500)
3S Form 3811.July 2020 PSN 7530-02-000-9053 Domestic Return Receipt

USPS TRACKING#
First-Class Mail
Postage&Fees Paid
USPS
3 Permit No.G-10
9590 9402 6361 0296 8678 42
United States •Sender:Please print your name,address,and ZIP+4 in this box•
Postal Service
ATLANTIC ENVIRONMENTAL
CONSULTANTS LLC
PO BOX 3266
k(ITTY HAWK NC 27949-5266
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.ENDLR: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
In Complete•deins 1;2,and 3. • - .n re
■ Print your name an'abdrws on the reverse �. �en On ent
so that we can return the•card to you. / /' ❑Addresses
• Attach this card to the back of the mailpiece, = elved •1,(printed Name) C. Date of Deliver
or on the front if space permits. 'Y b I fanGt L 5.2z
1. Article Addresseddr to: D. Is delivery address different from item 1? 0 Yes
�(;6 lc,.S f��/ZT/w.) • If YES,enter delivery address below: 0 No
61-ri/z` e_ X/i7z/t'//
- Mc 2.275o
3. Service Type 0 Priority Mail Express®
111111111111111111 II 111111 III II I I II III 0 Adult nature D Registered MailTm
O�Crtified Maul®Restricted Delivery Mail Restrict
Delivery
9590 9402 6361 0296 8678 59 D Certified Mail Restricted Delivery 0 Signature Confirmation."
_0 Collect on Delivery 0 Signature Confirmation
2. Article Number(Transfer from service Labe° ❑Collect on Delivery Restricted Delivery Restricted Delivery
hsured Mail
7020 3160 0001 2519 1343 ;urredM0)l Restricted Delivery
PS Form 3811.July 2020 PSN 753n-n2_nnn_sn5a t>nmactlrrf ; i incant

LISPS TRACKING#
First-Class Mail
111111 Postage&Fees Paid
111::1111
LISPS
Permit No.G-10
J L
9590 9402 6361, 0296 8678 59
United States •Sender: Please print your name,address,and ZIP+4r in this box•
Postal Service
ATLANTIC ENVIRONMENTAL
CONSULTANTS LLC
PG BOX 3266
KITTY HAWK NC 27949-5266
=i -=: E:cr:c 11'lil1lilllll11'iil'll'1'lllllil"ll'111111i'I"iIli'fiiiiliiili