BC_17-01_Jordaens

Brunswick Countv
Local Government
MINOR DEVELOPMENT
PERMIT
BC17.01
Permit Number
VLT
Coastal Management
ENVIRONMENTAL OUAt,TY
as authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission for development in an area of environmental
concern pursuant to Section 113A-318 of the General Statutes, "Coastal Area Management"
Issued to Craig and Kathleen Jordaens, authorizing development in the Estuarine Shore Area of Environmental Concern
(AEC) at 3330 Portside Drive SW in Supply NC 28462, as requested in the permittee's application package, dated
16-Jan-17 and received complete 19-Jan-17. This permit, issued on 31-Jan-17, 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: Single Family Residence and Stump Removal.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on 19-Jan-17.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal
regulations, applicable local ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require a re-
evaluation and modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at [phone] for a final
inspection at completion of work.
(Additional Permit Conditions on Page 2) RECEIVED
DCM WILMINGTON, NC
This permit must be on the project site and accessible to the permit officer when
the project is inspected for compliance. Any maintenance work or project
modification not covered under this permit, require further written permit
approval. All work must cease when this permit expires on:
December 31, 2020
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.
CW4',,e-- N WOAte—
Connie Marlowe
CAMA Local Permit Official
PO Box 249
B.olivianNC 28422
t
required if conditions above apply to permit)

OTHER'PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the LAMA
minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste
treatment system), Building, Electrical, Plumbing, Heating and Certification, Sand Dune, Sediment Control SuAir Conditioning, Insulation and Energy Conservation FIA
bdivision 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 i s 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 desM1Xd therein. This interest can be
described as: (check one)
3� an owner or recojA
title, Title is vested in
V U ,
Vi4AIty,pYb{APV7S
Page �1_ in the
5 t, L.
County egistry
of Deeds. see Deed Book �r�� Si
_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 OFADJACENT PROPERTY OWNERS:
I fiutbennore certify that the following persons are owners ofproperties adjoining this property I affirm that I have given
ACMAL NOTICE to each of them concemmg my intent to develop this property and to apply for a CAMA permit
(blame) .
�rl�n4.n.1 . I n. _ IL _, _ .. (Address)
(2) ! r
(3)
(4)
ACKNOWLEDGEMENTS:
I, the undersigned, acknowledge that the land owner is aware that the proposed development is plarmed for an area which
may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the pa tica-
lar hazard problems associated with this lot This explanation was accompanied by recommendations couceming stabilim
tion and floodproofing techniques
I furthermore certify that I am authorized to grant, and do in fact t ermission to Division of Coastal Management staff
the Local Permit Officer and their agents to enter on the aforemengiantionedPlands in connection with evaluating information
refitted to this permit application.
a "IMA permit application
This applie don includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean HazardAEC Notice where necessary, a checkfor $100.00 mad payable to the locality and
any information as maybe provided orally by the applicant The details of the application as described by these sources are
incorporated without reference in any permit which miry be issued Deviation from these details will constitute a violation of
any permit Arry person developing in an AEC without permit is subject to civil, criminal and admimirIx
% MLWGTON, NC
JAN 19 7017 , p 2017

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Ida i h I a e n a A 1 cra 1n 10 rdn 9 115
Mailing Address: Ctc la h a e (\ f
Caro(,na 4I,nro4 A C 74 id/-`7
Phone Number: bt)"i 20:7 (ol to -�
Email Address: uwlG(-ct tAra).Frnr4iei r1.0+_ no+
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
f1
necessary for the following proposed development: yl ew f FS( �vk+cj
at my property located at 3330
in :�? tl t V6vO Ck—County.
l furthermore certify that / 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:
/lid.—Oo.r �t � n.-cl.n-off
*nature
&+tn l e e v\ 7o rr.�n e 4j c,
Print or Type Name
Title
l /E ►--I
Date
RECEIVED
This certification is valid through C / I Lk / / DCM WILMINGTON, NC
JAN 2 0 2017

6934-9 Beach Dr. SW
Ocean Isle Beach, NC 28469
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C ONSTRUCTI ON
CUSTOM BEACH, MAINLAND, AND GOLF COURSE HOMES
Ernesto & Eden Suguitan
4361 Ferncreek Dr.
Fayetteville, NC 28314
Subject: CAMA Application Notification
3330 Portside Dr.
Supply, NC 28462
Dear Sir:
910-575-7100
Fax [phone]
Monday, January 16, 2017
This letter is to inform you that I have applied for a Minor CAMA Permit on behalf
of Craig & Kathleen Jordaens for the property located at 3330 Portside Dr. in Supply, NC.
CAMA regulations require me to notify you of my intentions. I have enclosed a copy of
my permit application and a copy of the drawing of my proposed project
If you have any comments on my proposed project, please contact the Brunswick
County Local CAMA officer at 910-253-2025 or you may contact me.
91
t;tH I IFILU MAIL RECEIPT
Domeslic rlad Only
tM—L- (lelm ry ufn.."M"" msil our webarte at v/vnvusps.com
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Sincerely,
Scott W. Quaintance
RECEIVED
DCM WILMINGTON, NC
JAN 2 0 2017

i934-9 Beach Dr. SW
)cean Isle Beach, NC 2,8469
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CONSTRUCTION
CUSfOMBEACH, MAfNI,hND, ANO GOLF COURSE HOMES
Robert & Laurie -Hughes
4406 Upland Dr.
Alexandria, VA 22310
Subject. CAMA Application Notification
3330 Portside Dr.
Supply] NC 28462
Dear Sir.
910-575=7100
Fax 910-575=1214
Monday, Jimuwy 1-6, 207
This letter into. infonn you that I have applied for &Minor CAMA Permit on behalf
of Craig & Kathleen Jordaens for the property located at 1330: Portside, Dr. in Supply, NC.
CAMA regulations require me to notify you of my intentions. r have enclosed a copy of
my -permit application and a copy of the drawing of my proposed project.
If you haveany comments on my proposed project, please contact the Brunswick
County Local LAMA officer at 910.253-2025 or you may contact me.
RECEIVED
DCM WILMINGTON, NC
JAN 2 0 919.17

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Brenda N. elommons Register of Dosch
10-21-2014 15:59:12. W7 Bruremick Cormty, W
NC REVENtE STRIP: ¢00.00 (a412827)
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Rev Int�
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Refund: Cash S Finance
arm ❑Ndt]Ylall: Na RegCN 4ta to mnaaon
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NORTH CAROLINA GENERAL WARRANTY DEED
EN
Parxl Identifier No. 230EB022 Verified by County on the _ day of . 20_
By.
MBBBOx to: Richard F. Gram, Afte my at Lew, 2998 Holden Berl Rod, SW, Holden Beach, NC 29462
This irutrument was prepared by: Richard F. Green. Attorney a I", FIE NO. 14-19667
Brief description for the Index: LOT 22, PH 1, OYSTER HARBOUR
THIS DEED made this 21st day of October 20- 4 by and between
FRANK S. WODZIAK AND W
DIANNA M. WODZIAK
3504 WALLOW BLUFF DRIVE
RALEIGH, NC 27604
CRAIG F. JORDAENS AND WIFE,
KATHIEEN IORDAENS
2597 WYNCOOP CREEK ROAD
ERIN, NY 14838
This property _is is not a
Grantees primary residence
Enter in appropriate block for each Grantor and Grantee: name, mmliug address, and. if nppropriets, 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, ad shall include
singular, plural, masculine, feminine or neuter m required by context
WITNESSECH, that the Grantor, for a valuable consideration paid by dse Grantee, the receipt of which is hereby acknowledged, has and
bytbese presents does grant, bargain, sen and convey onto the Craa[ec in fee si¢gle, all that certain lot or parcel of land situated in the
Cityof LOCKWOOD FOLLY Township, Brunswick County, North Carolina
and mare particularly described m follows
BEING all of Lot 22, Phase 1 of Oyster Harbour a act forth in those plan of survey by Brim N. Hobbs, P.LS., dated August
1, 2000 and recorded in Map Cabinet 23 at Pages 154-158 in the office of the Register of Deeds of Brunswick County, North
Carolina
The property hereinabove described was acquired by Grantor by inspLmrnt retarded in Book page
All m a portion of the Property herein conveyed _ urtlodts m _ does not include the primary relidenea: of a Grantor.
A map showing the above described property is recorded in Plat Boole 23 page 154-158
NC Ber Ass mi. farm Tea]O IV(, Permed O 11=10
Hmad Pry AQmmN rag dr NC Ba Aa,miYim
RECEIVED
DCM WILMINGTON, NC
JAN 2 0 2017

IIIIIIIIIINIIIIIIIIIIIIINIIIIIIIIII83578!:4 °� a
Brw�lck ty, NK Ren"t.r of D C..m p.0. 2 e1 3
TO HAVE AND TO HOIA the aforesaid lot or parcel of land and all privileges and appartenaoca thereto belonging to the Gmmee in
fee simple.
And the Grants covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same infer
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 allpersons who®ocrer, other than the following exeepions: All easements, rightsof way, restrictions,
and reservations of record.
"This instrument prepared by. Richard F. Green, a licensed North Carolina adornry. Delinquent taxes, if any, to be paid by
the closing allomey to the county une collector upon disbursement of closing proceeds."
IN WITNESS W EREOF, the Grantor has duly executed the foregoing as of the day and ens fart above carman.
(Entity Name) Prua Name: F _ W 6
By
(SEAL)
PdnVl'ype Name & Tide: Pun✓TYPe Name: DLUINAM. WODZIAK
By.
Pr. ype INaam & Tale: pnwlype
Prmt/[ype Name & Title: Print/lype
Sure of North Carolina - Consmy or City of Brunswick
1, the undersigned Noury Public of the County or City of Brunswlek and State darcand, certify that FRANK
aC WODZIAg and 0\1111 r Ili[/fv.,�,,� persordly appeared before me this day and
wimowldgd the due execution of the foregoing ink ort -"" em Witness my hand andNaanal stamp or
sealWis 21st day of October
�j ����7vs� = PV E
My Commission Expires:_2j io (� P U gL G i- terry public
(Affix Scal) iBp C�: Notary's Printed or Typed Name
State of -County or Gty'eft
1, the undersigned Notary Public of the County or City of and State aforesaid, certify that
personally car before me this day and acknowledged that ye d the
of , a North Camlma or
oorpomfoNlimi ed liability company/general permmhipAimitd partnership (strike through the inapplicable), and that by authority
duly given and as dhe act of mch entity, _he signed the foregoing instrument in its name on its behalf as its act and deed. W icons
my had ad Notarial sump or sea], this day of 20_
My Com meson Expires:
(Affix Seal) Notary's Printed or Typed Name
Sett of -County or City of
I, the undersigned Notary Public of the County in City of aodsfffieafamaid,certifydm
Witness my bad and Notarial stamp or seal. this _dry of 20—
My Commission Expires:
(Affix Seal) Notary's Primed arTypd Name
NC Bw A.—s funs Nor. I O 19'Bi. Revu O 1/11 40
Pdamd by Ap® ran d. NC BU Arto[b6n
RECEIVED
DCM WILMINGTON, NC
JAN 2 0 2017

ATTACHMENT
BEING all of Lot 22. Phase I of Oyster Harbour as set forth in those plats of survey by Brian N. Hobbs, P.L.S.,
dated August 1, 2000 and recorded In Map Cabinet 23 at Pages 154-158 in the of0oe of the Register of Deeds of
Brunsvrick County, North Carolina.
IIIIIIIIIIIIIIIIIIIIInIIiNlllllllll M18 �.�,.,
aruJck Cggtr, NC Reyl�ier of G.as PROP
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W988I
33M POKTSIDE DRIVE SW. SUPPLY, NC 28462
RECE'VE
DCM WjLM1NGT0N, NC
3AN20201

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0runaw4ck Courtly Health Department
Envtronmental Health Section
WaateWaler Collection, Treatment
and Subsurface Disposal System
Application OW-55 00
Tax Parcel9 230EE3022
Type tMb
VAPROVEMeNT PERum
FOR WASTEWATERCOLLECTIOM, TREATMENT. AND DISPOSAL SYSTEM
In aoconyanoe with the provisions of Artltle 11 of Chapter C
130A, General Statutes dt North arotins, 15A NCAC 18A . 11)pD at
seq., end other apprrabta Laws and Rules
Installation of a
Residential-X. SedMOm a
CdRKrlanta/iJae 8lnao FarNiv QnoMu
pursuant to 15A NCAC I0A.I UW am amer
approved by the DEHNRIDrthe Brunswick
Faditty to be served:
PERMISSION IS HEREBY GRANTED TO,.
FOR THE
and disposal ayatam to serve:
Employees,D_ Max Oaaiperq_g_
...-•, -•^ w•v +...n arw Dula, supporting date subsequently tiled and
Department and considered a pan at this permit
Subdivision Phi
me owner snap be 8ubje� to d e Toilow ng ddndplons, l mltallone, 8��76natNCtldn requkementa nor the Ineteseftan 61d opdradon of
this system:;y�� ••
1. This penTit u ellsdpve only sdth nWect to the speUfic design flav Al antl the Permit Application, and other auppoNng data. Changes h1 the naGue and vokime °f coasts described In the
Permit void. ProPos,� p1'✓e�'. nature or vo}ane tit weer render thle
2. AN documents, indudirlq but not ItmKatl iD site evaluation, dealgrt review "d
Easements, and other Iega1 egreemems cool become a part et the r1- 9rmp. Tn�cptcetlona. Tdpary. Agreements,
and other peNneM dorymenta ,stating to aystam operation end maintenanceTT.ss°rodon end meinlenance procedures
All twat da -, .n.w.� .,......._ -. .. -- -
3. The deslgnaW repel, arae is to have no parking, drivewe or other Impervious{
4. The Issuance Of Nis permit does not neGude the . m°teri Iq,�` 'd,pn IL
wtme I maybe Imposed m t (J sr of present permRtee h n Complying with any end oav s, regulations, or ord1noncae
S. The Permit sha11 become Invalid if the Ihloniteil�dn submM�hn the application iion. a any fGdOther hW *d, it i by a degas ease.
inaccurate or hioornptete Information, or If Ina designated site Is altered.
was 41tst6ed or cnar#{ed, p the permit was based on
S. Before Authorization to Construct a Wastewater Treabnenl and Disposal System is ��ued, aA Site Modifications., plane,
apecMlcedons, draft Iegal paperwork must ibe Completed and approved.
7. makes requiring complex dew aigns for a°taweiler systems, may regJrs approval ofpians end apacificatbna before Itme
Provsments Permit is issued.
PERMIT ISSUED THIS _11,_ DAY OF August 200D.
DATE OF PERMIT EXPIRATION VAUD WITHOUT EXPiRATiON
B�R�UNSWICK COUNTY HEALTH DEPARTMENT ENVIRONMEWAL HEALTH OMStON
- R S.
f ERMff.STA
11naa97
DCM WILMINGTON, NC
JAN 2 0 2017

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Danard J.. Yeasey
Saallh Dhxafbr
14 2000
lolm vmlams
Pb. Box 2522
Witmmgteu, W.C. 23402
Re: BOM Me 0 0045,
Lot.
22 Oyster Hai
new h . Williams.
design p the -
lens for this lot fu&g fGUQwing design.
Pkease aubrok Puiop to: Pressure A�.,bd
Desigv flaw 490 galldffi perdi y
Loadaigzatebf•g -
.. d4' x 37.5' bedsyetem a �o
ig" ninth bommg mmd®ma A�
The septiq q*IM and iepair area wM la located is
by youwith the penmii application. I31me also attach ,�
Su IfurWastdwatcrSystemstbat.Htatboodiar•iatt
Tbm pleas mast be z6&"— dand gymveilbefom he C
issued.
If you have'any gasstigns pleaso contact meat 253-2277
booze ofg:30 aro to 430 pm=
Sincetely,
adve c dl.u;.SO4OS
Melissa dos Santos
Br+m &k County Health Depattmwi
wn on the plotplen subtaimd
Vick COUEITPolicY,0n7106
Dn rh adon Peonit is
NL
@b�Y-4R3&Y betw=the

3er
WAN
Oyster Harbor Subfivwfolrt,
Lot-22 Site Plan
V Or SW
SCALE.
PMelde Drive
I I- ; 7 Prop ogadwaWr Khe
1tY1 (Y from any oaft of
septic sisfem),
trNWIAM4
'LOT922 Wastkuviltzr:oe&fin
ftl=
o4lftdraarn,Home; "0 ftVdeyffoW rate
IPT
194! —10000alse ptlatwk
.soda pumptanfc.
IST
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ZV X3W badtmvq
wmpale
%e AN
sysmm ffeld SMWed qn OWO
-E RIVER (SA)
LAND MANAGEMENT GROUP, INC.

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� �' �-�` �d>«d 763-t3J2 Sam6¢ai 914i'-SPiTt
' DcnaldJ. Yorcrey '
.. seem Director
For plebs aadspeb fications su]* ted.to the BC16 for local-mvie+-
L The -proposed wastewater system must be designed to handle less than 3,000 galloaq
per day,. ds detemined byNC Rules .1949(a) or (b).
2 Th
Le Zqktecabaot utilize pretteafineat other thaa.a eanventional septic tmk, betote
3• A ' ' copies of the plans and specifications most 5e submined.
4. Plans gad des sbAll comply with all applicable NC Laws, Rules &
Regulations an e " ed conditions.
A Plus and .
specrfi comply with alLapplicaFife local Sroaswick County
Health Department p procedures.
Pleas and specifications mnstbe: cem�g-"C.lude the following infotmatiom
1'. Design cal culadoas.
2. Detailed, scaled site phd (1"=20+ } shoaringther housEhuilding
footprmt (tleckq, porches, steps, related ) acee cry budditt�is, deiveways,
parift Was (wiWA f00'), waterlines,
limitations. etc. CAMA, Corp -of ligg veer% mnuig
3. 5apposang doctnneptanon, inn. canons; etc diagtamv: pump
spectficatioas, control panel, Spec lal equipment -
4. Rewmmetided/speciaLuil operation and atEinten8ace to be -addressed.
$. Muln unit facilities (residenecs nt busteesses} shaII pro as
, icdependenc
FUV electric unlfang offiita locations of system components easements, taetedservice for the wastewater
�.
agreements, n t-of- . o enctoachmem
gh ways, eta,.are to be provided $ard d cumeat�on to be reedrded with the
$runswick County Register of Deeds Offctwith a registered copy provided to the $ran_ sauce
Cauaty NUIth Departmcnr before ttte Improvement Permit is issued:
Far wastewater installedOus seivieg muldfamily facilities (duplexes, coudominiums,
multiple home developmeats, eta), draft hiparty, agreements, Articles oflncorpotation, Bylaws
Of TID=OwnW Association. cri,, must be Register o£I7eeds Office Document Oust be pcd and tcorded with
B��County