17-22_Minor Permit_20220727

Locality u V- e h S W. C
Permit Number l3Q o , /
Ocean Hazard Estuarine Shoreline V ORW Shoreline Public Trust Shoreline Other
(Tor official use only)
GENERAL INFORMATION
LAND OWNER
Name :- , H )fs._r N G a.,4 for j c a_+
Address �) q �a1k �� , LA cl . 51ti
City
State
-nC- Zip 26 Phone 0 .- 401- 6672
Email
0r\
M
AUTHORIZED AGENT
Name_ CL'F-41S L, 'n S
Address 3 ;I; j 11 ty`;_CL �c -
City State `I-) Zip '2 eA) Phone O - r-) SI- )U 2_�7
Email G tx•� _SK mckk Q e,c_
LOCATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) L5 S 14v' Q I n� /, re_ SW - C W U)
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
'T 2 y jr a i u(V'rn urn den i dl� rx
SIZE OF LOT/PARCEL: square feet acres b a cic I/
PROPOSED USE: Residential ® (Single-family 0 Multi -family E] ) Commercial/Industrial ❑ Other E] A C,
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer if you are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non -load -bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES. _9 , 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 Pen -nit issued by the NC Division of Water Quality?
YES ✓ NO
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: �u�0 P square feet.
JUL 2 7 2,222

O T HER T ERMTS MAY BE REQRIIIED: The activity you are planning may requite 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, PIA
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and
others. Check with your Local Permit Officer for more information.
S 1ATEP EP'T T OE",G—IV'a BRS P:
L the undersigned, an applicant for a CAMIA 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 interestcan be
described as: (check one)
an owner or record title, Title is vested in _� """ '� �' `°,c� co"I-I see Deed Book 04147
page U�'fi`:�
in the %�-Vrs i,; e c t�- 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..
NIO TIFICA7k YAGN 011 AD JACEN h NROT'ER.y Y 0-WI ERS:
l fur tthen-nore certify that the following persons are owners or properties adjoining this property. I affirm that 1 have given
ACTUAL NOTICE to each of them conceming my intent to develop this property and to apply for a CAMA permit.
(1)
(2)
(3 )
(^)
(i�lame}
C-h y l L• Cic7 k G�
(Address)
6 53 A
S i -Un�r, )' - ?_P
1, 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. T 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 conceming stabiliza-
tion and floodproofing techniques.
I Furthermore certify that l 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 pemiit application.
l y This t)te 17 day. of 7' �d,� 20
Landowner or person authorized to act as his/her agent for purpose of filing a CAMA permit application
F" s application inc/roles; general information ('this form), a site draiving as described on the back of this application, the
otl'nership statement, the Ocean Hazzard AEC 1Votice where necessary; a checkfor• S100.00 made payable to dze locality, and
any illfbi madon as may be provided orally by the applicant- The details of /lie application as described by these sotoces are
incorporated without reference itz any permit -which may be issued. Deviation from these details ivill constitute a violation of
any perndr. Any Person developing in an 4EC withourpei-mir is subjecr to civil, c: •inninal and adrninistr•ative action-
JUL 2 7 ZOZZ

T jjWff1ON FO�RCA�0�011 A�PPUC�ATI �N
A291TEAMUMHOW . �
Name of PfcPertY 01-vner Requesting Pwrnit:
4-
Mailing Address:
Phone Number.,
Email AddreSS:
12 A;
I certify that I have authorized AL
Age-nt I COniTactOr
to act on nny beh21f, for the pub os-e of applying for and obtaining all CAMA perrmts
i
necessary for the following proposed development: 1"0/yw
at my property located at -'�' �' 'L
41-
�4�
'* Oje,
in �-- County.
j, Fuji.17ermore- r,--f* that I am authorized to grard, and do in fact grant pemissiOn tO
Division of Coastal Management staff, the Local p&jrmjt officer and their agents to enter
or& the afmmentioned lands in connection with evaluating information related to this
,oel-nf ii, applicetion.
property Owner InformadOn'
Signature
P-e s ei
print or Type Name
T;lk-
Date
"-his cerfification is valid through --� _q

M. Cl...".
l9e 13 21 20 PROP
T1T� P�a49 13 27'06.001
Brunswick County, Register of Deeds page 1 of 4
Brenda M. Cl*""
01-22-2019 13:27:06.001 BrunswicterkoCountys ptC
INC REVE" STAMP: $700.00
(#615664)
i /Tot"Ck
n
rT
TotInCkCash $
Refund-- Cash $ Finance
0 Portions of document are illegible due to condition
of original.
T3 Document contain:: seals verified by original
instrument that cannc* or if-mduced or ronied.
Revenue Stamps: $700.00
Parcel No. 2331A035
This Instrument prepared by: The Webster Law Firm, PC, Without a Title Search or
Opinion on Title. Delinquent taxes, if any, to be paid by the closing attorney to the county
tax collector upon disbursement of closing proceeds.
Brief Description: Lot 340, Section A, Phase Two (Lot "Ps-A-340"), Marina Village of
SeaScape at Holden Plantation, Map Cabinet 24, Pages 37-39.
NORTH CAROLINA GENERAL WARRANTY DEED
THIS DEED, made this 14th day of January, 2019, by and between
GRANTOR GRANTEE
JENNIFER BRADY, widow DEAN ALAN GANT and wife,
and GEORGIA CARTER GANT
ROBERT W. BRADY, II and wife,
DEBBY BRADY
801 Hawthorne Lane 14258 Nolen Lane
Charlotte, NC 28204 Charlotte, NC 28277
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:
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 reservations and restrictions hereinafter stated, all that
certain lot or parcel of land situated in Lockwood Folly Township, Brunswick County, North
Carolina, and more particularly described as follows:

IN 11111�11111111111111111t1lj1a �14? 19
8runsytck Comet Clem cis
Y, NC eytsier of Deeds page 2 of 4PROP
Being all of Lot 340, Section A, Phase Two (Lot "P2-A-340"), Marina Village of
SeaScape at Holden Plantation, as shown on a plat thereof dated January 15, 2001, and as
revised February 23, 2001, prepared by Thomas W. Morgan, RLS, a copy of the plat
which is recorded in Map Cabinet 24, at Pages 37, 38, and 39 in the Office of the
Register of Deeds for Brunswick County, North Carolina, to which plat reference is
hereby made and which is incorporated herein for greater certainty of description of said
property.
This conveyance is made SUBJECT TO certain restrictions stated in (i) the Master
Declaration of Covenants, Conditions and Restrictions for SeaScape at Holden
Plantation, recorded in Book 1347, Page 274, amended in Book 1438, Page 1329, and as
may be further amended from time to time (the "Declaration'), and (ii) the Declaration of
Protective Covenants and Easements for SeaScape at Holden Plantation, Marina Village
Homesites, recorded in Book 1438 at Page 1332, and as amended from time to time (the
"Restrictions"), which restrictions regulate, among other items, land use, resubdivision,
architectural control, signs, animals, motor vehicles, and lot maintenance.
The lot is also subject to the provisions of that Declaration of Shared Walkway and Pier
Easements for SeaScape at Holden Plantation, Marina Village Waterway Homesites,
recorded in Book 1440, Page 486, Brunswick County Registry.
For back reference see Book 1622, Page 257 of the Brunswick County Registry and
Estate File No. 15-E-1145 in the Clerk of Courts Office (for Timothy Leo Brady).
The above described lot or parcel of land is also known and identified as Brunswick
County Tax Parcel No. 233IA035.
Pursuant to N.C.G.S. Section 105-317.2, the mailing address of the Grantor and Grantee
are stated above. The property conveyed hereby does not include the primary residence of
the Grantor.
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, subject to the reservations and
restrictions set out herein.
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 herein stated. Title to the property
hereinabove described is subject to the applicable restrictions, easements and rights -of -way of
record, applicable zoning and land use laws, ordinances and regulations and ad valorem taxes for
the current and subsequent years.

IIIIII�IIIIII�IIIIIIIIIIIIIIIIIIIiI �147 � 3-�'��
Brunswick County, NC Register of Deeds page 3 of 4
IN WITNESS WHEREOF, the Grantor has hereunto set his or her hand and seal on the
day and year first above written. )t; &4xz (SEAL)
F RtfkDY
STATE OF NO AROI}INA
COUNTY OF !a_.."�,,Z�., •
1, a Notary Public of the State aforesaid, do hereby certify that JENNIFER BRADY, the
principal, personally appeared before me this day, and (i) I have personal knowledge of the identity of the
principal, or (ii) I have seen satisfactory evidence of each principal's identity, by current State or Federal
identification with her photograph thereon in the form of a IJc b,i'—rs uc-y, , and that the principal
acknowledged to me that she voluntarily signed the foregoing document for the purpose therein and in the
capacity indicated.
Witness my hand and official stamp or seal, this the 141"day of 7�­-4, y 2019.
Notary Public
Notary Printed or typed name
(Seal) ''©fiR_�q '
_
My Commission Expires: I ? 43
Ab'H t.14 .f 2?
nal signatures and Notary Acknowledgment on the following page]

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657 Augustine Ave. SW.
Supply, NC 28462
Dear Adjacent Property Owner,
This letter is to inform you that we have applied for a CAMA Minor Permit on property
owned by Alan & Georgia Gant at 655 Augustine Ave. in Supply, North Carolina. As
required by CAMA regulations, we have enclosed a copy of the permit application and
project drawings as notification of the 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 the proposed project, please contact our office at 910-457-1027 or by
mail at the address listed below. If you wish to file written comments or objections with
the Brunswick County CAMA MINOR Permit Program, you may submit them to;
Local CAMA Permit Officer
Connie Marlow
PO 249
Bolivia,, NC 28422
910-253-2034
Sincere ,
9
Lisa Skipper
Curtis Skipper Construction
3848 Springtide Drive
Southport, NC 28461

7/27/22, 12:06 PM
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Tracking Number: 70111150000145871974
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Your item was delivered to an individual at the address at 12:18 pm on June 23, 2022 in SUPPLY,
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;a Skipper
-'s Skipper Construction
?011 1150
0001 418?
19?4
ry Springtide Drive
,morr. NC 28461
Be
7011 1150 0001 4587
1974
James & Deborah Yorio 7011 1150 0001 4587
1974
657 Augustine Ave. SW. Co: R
Supply, NC 28462
CL
Z'
is Complete Items 1, 2, and 3.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mallpiece,
or on the front if space permits.
1. Article Addressed to:
uc C)
uf t C 71,6 L� UL
1111111111 IN 1111111111111111111111111111111111111
9590 9402 7132 1251 3806 63
2. Article Number (transfer from service label)
PS Form 3811, July 2020 PSN 7530-02-000-9053
A. Signature
0 Agent
x 0 Addressee
B. Reberved by (Printed Name) C. Date of Delivery
D. Is delivery address different from Item 1? 13 Yes
If YES, enter delivery address below: 13 No
3. Service Type
0 Priority Mail Express®
• Adult Signature
0 Registered Mail-
• Adult Signature Restricted Delivery
0 R.=W Mad Restricted
• Certiffed MaHO
D I
• Certified Mail Restricted DWKwy
0 Signature confirmation-
• Collect on Delivery
0 Signature Confirmation
• collect on Delivery Restricted Delivery
Restricted Delivery
• Insured Mail
• Insured Mail Restricted Delivery
1—turInrA
Domestic Return Receipt

r
a
Er
177
3848 SPRINGTIDE DR.. SOUTEL Ln
910-457-1027 PHONE - 9104
June 15, 2022
Cheryl L. Clark Legacy Trust
653 Augustine Ave. SW.
Supply, NC 28462
Dear Adjacent Property Owner,
nolum Receipt
® �f iJ
iiL-i §c2ed l.s',.018't; rse
(%goc,ajnsc t Requk',A) 9 p.
tt!
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-.-
_. -
ri SaitTa %✓j, O.' orS1�
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1 P41 W p « A -` pC 7" t7 ✓
law
This letter is to inform you that we have applied for a CAMA Minor Permit on property
owned by Alan & Georgia Gant at 655 Augustine Ave. in Supply, North Carolina. As
required by CAMA regulations, we have enclosed a copy of the permit application and
project drawings as notification of the 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 the proposed project, please contact our office at 910-457-1027 or by
mail at the address listed below. If you wish to file written comments or objections with
the Brunswick County CAMA MINOR Permit Program, you may submit them to:
Local CAMA Permit Officer
Connie Marlow
e ,, `6
Bolivia, NC 28422
910-253-2034
Sincerely,
Lisa Skipper
Curtis Skipper Construction
3848 Springtide Drive
Southport, NC 28461

7/27/22, 12:05 PM
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Tracking Number: 70111150000145871981
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SUPPLY, NC 28462
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Lisa skipper
-'s Skipper Construction
Sarin, -,tide Drive
-r--hporr. NC 28461
Cheryl L. Clark Legacy Trust
657 Augustine Ave. SW.
Supply, NC 28462
• Complete items 1, 2, and 3.
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailplece
or on the front If space permits.
1. Article Addressed to:
2. Article Number (transfer from service kibeo
0001 4587 1981
7011 1180 0001 4567-1981
FF
rj;
x E3 Agent
13 Addressee
B. Received by (Printed Name) G. Date of Delivery
D. is delivery address different from item 1? 13 yes
If YES, enter delivery address below: 0 No
3. Service Type
0 Priority Mail Express®
0 Adult Signature
0 Registered Mail-
0 Adult Signature Restricted Defivety
11 Certified MAIM
11 Mtstared Mail Restricted
Delivery
Delivery
00 =onMDae
0 Signature Confinriation-
1=ictad
13 Signature Confirmation
0 Collect on Delivery Restricted Delivery
Restricted Delivery
0 Insured Md
0 insured Mall Restricted Del"
I IUVW WUUJ
Ps Form 3811, July 2020 PSN 7530-02-000-9053
Domestic Return Receipt
a j

Project Number
Payment Date
Payment Method
Payment Amount
Check Number
Permit Number
UMN
Total
Brunswick County Central Permitting
75 Courthouse Drive, Bolivia, NC 28422
[phone]
Receipt for Permits I Planning
541746
7/27/2022
CHECK
100.00
16101
Description
CAMA Fee - Budget Line Item Number: 383912
Permit Amount