20-22_Minor Permit_20220914

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Locality r_)Y-Lkns u) I� tk� Permit NumberP)c 22- 2 40
Ocean Hazard — Estuarine Shoreline ORW Shoreline — Public Trust Shoreline— Other
(For official use only) 16* rRaru-1 'Z32?#q6)2o2
GENE INFORMATION
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Email � 11 q 1-1-­
AUTHORIZED AGENT
A
Name
Address
V
City l t State
Email
I
Zip Phone
LOCATION OF PROJECT: (Address, street naine,and/qr directions to site. If not oceanfront, what is the name of the
adjacent waterbody.) V ""�fn j
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.)
SIZE OF LOT/PARCEL: square feet acres
PROPOSED USE: Residential E] (Single-family [] Multi -family F] ) Commercial/Industrial ® Other n
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
C,
excluding non -load -bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: 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
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: 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.
1, 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)
an owner or record. title, Title is vested in see Deed Book I
page fi in the k'."i i",t`'-_,,-,, i-l"
'�­..,bounty 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.
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)
(1)
(Address)
7
(2)
(3)
(4)
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. 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.
1
This the day o ?0
Landowner or person authorized to act as his/her agent for purpose of filing a CAMA 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 check for $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
v these sources are
incorporated ncorporated 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 to civil, criminal and ad inz4,gi give action
REOIE'n
SEP 14. 2041

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: �c ;��� mo-( . IQXVC,
Mailing Address:
Phone Number:
Email Address:
,.
certify that I have authorized - � C, V_ (S-1,
Agent / Contractd
to act on my behalf, for the purpose of applying for and obtaining Iall CAMA permits
necessary for the following proposed development:
at my property located at
in `County.
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.
Property Owner Information:
Signature
Print or Type Name
Title
Date
This certification is valid through 2/1-3 / <- jf)-'-z)

a •r2
Brenda M. clemaons Register of Deeds
e6-e4-2e21 t2:33:4B.ee6 Brunswick Coun{y, NC
NC REVENUE SigMP: $Bee.ee (#759564)
IIIIIIIIIIIIIIIIIIIIIIIII II�IIIIIIII �s P1033 �: gP�
Brunswick County, NC Register of Deeds page t of 2
a Type!
k _ R Int.
$ Ck Cash $
efund Cash $ Flnaoce
Poftm of document are illegible due to co idltlon
of original.
DoCUttldM oattafec $ty VOW 1;Y Oriytnel
_-tarA;SAtt0TwARt4e N :
NORTH CAROLINA GENERAL WARRANTY DEED
STATE OF NORTH CAROLINA Tax Parcel No. 232PA1202
COUNTY OF BRUNSWICK
Excise Tax: $800.00
THIS DEED, made this the day of June , 2021, by and between
and BETTIE CARTER a/k/a BETTY CARTER, as Executrix of the Estate of William L.
Hewett, of 102 Doogle Lane, Shallotte, NC 28470, party of the first part, hereinafter referred to
as Grantor, and JOHN C. MCCLURE, JR., of 1282 Mercer Mill Road, Elizabethtown, NC
28337, party of the second part, hereinafter referred to as Grantee;
WITNESSETH:
THAT Grantor, for a valuable consideration paid by Grantee, the receipt of which is
hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto
Grantee, his heirs and assigns, in fee simple, all rights, title, and interest of Grantor in and to
certain tract or parcel of land situated in Lockwood Folly Township, Brunswick County, North
Carolina, and being more particularly described as follows:
BEING all of Lot Numbers Twenty -Five (25) and Twenty -Six (26) of a subdivision
known as Sea Aire Canal, surveyed by Jan K. Dale, R.L.S., and duly recorded in
Map Book 10, Page 73 of the Brunswick Registry.
This conveyance is made SUBJECT to those certain restrictions as recorded in
Book 249, Page 161 of the Brunswick Registry.
For back reference, see Deeds recorded in Book 347 at Page 271 and Book 453
at Page 475, and Instrument of Combination recorded in Book 1716 at Page 274
and Estate File 20E871 filed in the Office of the Brunswick County Clerk of
Superior Court. /
Prepared by: BAXLEYSMITHWICK PLLC, Attorneys at Law
WITHOUT OPINION OF TITLE

r • ---1 C-,n y,.gist I� Brenda M. Clemmons PROP
84634 Pi034 ���-���
Brunswick County, NC Register of Deeds page 2 of 2
In accordance with NCGS Section 105-317.2, the mailing address of Grantor and
Grantee are as stated above. The property herein conveyed does not include the primary
residence of Grantor.
TO HAVE AND TO HOLD the aforesaid tracts or parcels of land and all privileges and
appurtenances thereunto belonging to Grantee in fee simple.
AND Grantor does hereby covenant with Grantee that Grantor is seized of the premises
in fee simple, that she 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, subject to the following exceptions: utility
easements of record, restrictive covenants of record, applicable zoning or other ordinances,
street rights -of -way, and 2021 and subsequent years' ad valorem property taxes.
IN WITNESS WHEREOF, Grantor has caused this instrument to be duly executed, the
day and year first above written.
W �� 6,4&y e
BETTIE CARTER a/k/a BETTY CARTER, as
Executrix of the Estate of William L. Hewett
STATE OF NORTH CAROLINA
COUNTY OF BRUNSWICK
I certify that the following person appeared before me this day, acknowledging to me that
she voluntarily signed the foregoing document for the purposes therein stated and in the
capacity therein indicated: BETTIE CARTER a/k/a BETTY CARTER, as Executrix of the
Estate of William L. Hewett.
Date: _, )U AP _ 12021
LA),)&2
Notary Public signature
Notary's Printed Name: `�j y _
My Commission Expires: Lao tea''
z

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RYIOUSI 0.
PERVIOUS AREA REMAPNING � 8,501 , ft/ 0.20
IWERVIOUS AREA WITHIN 79 BUFEER - 1,704 , ft/ 0." ac

ADJACENT RIPARIAN PROPERTY OWN{E�rR� STATEMENT
I hereby certify that I own property adjacent toRt 1 ` t `� l .1 �� j 's
� erne of Pro rty Ow r)
property located at �t.� <_� 0 a \ (' -� � <V ( o)
(Address, Lot, JRIock, Road, etc.
on (` ri �( L , in )
r �� N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, at shown below, the development proposed at the above location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
f Yi
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, bo thouse, lift, or groin must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive
the setback, ti st initial-theappropriate blank below.)
, Z. I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement. n ai V n iZY-\ t�+LV�
Owner Information)
Pti or T pe Name
M I'�1, M 1 lU yc�
city tate/Zip
Telephone N m r
Dare
or Type Name
Mailing Address
n0_1 Cit--Stats/Zip
'\'A %
Telepp'OR8 Umn
Date
(Revised 6/1&2012)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
N
I hereby certify that I own property adjacent to
property located at
'1r
on \ `
(Waterbody)
(City/Town and/or County)
01
The appH Chas described to me, at shown below, the development proposed at the above location.
i have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must tilt In description below or attach a site drawing)
l fC�
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum distance of 16 from my area of riparian access unless waived by me. (If you wish to waive
the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15` setback requirement. �(�'�' 1� �^i''�i�
party Owner Information)
.Si na re
- �`��-��
Prfn r_T re�Name
M iU g Address
city/S��te2i
Telephone !Number
Date
Owner Information)
61
Print or Type Name 1
Mailing Addre fs
city/statemip
Telephone Number
Dale
(Revised 6/18/2012)

Project Number
Payment Date
Payment Method
Payment Amount
Check Number
Permit Number
@MR
Total
Brunswick County Central Permitting
75 Courthouse Drive, Bolivia, NC 28422
[phone]
Receipt for Permits Planning
546644
9114/2022
CHECK
$100.00
2051
Description
CAMA Fee - Budget Line Item Number: 383912
Permit Amount
$100.00