23-22 BR_Minor Permit_20220927

Locality r,) r
Permit Number
Ocean Hazard - Estuarine Shoreline
GENERAL INFORMATION
LAND OWNER - MAILING ADDRESS
Name David C & Yonnie Holland
Address 3109 Waterview Dr SW
ORW Shoreline - Public Trust Shoreline- Other
(F©f official use only) , I C, V P(A V CI_ KCOR-3
City Supply State NC ZiP28462 Phone _q?b;53_-�3q?
Email 'j io k 0 1 la
AUTHORIZED AGENT
Name Donald Clemmons
Address 2513 Holden Beach Rd SW
City SUP
Email [e-mail]
State NC ZiV28462 Phone [phone]
LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.)
1831 Russell Hewett Rd SW/Shallotte River (5hA(104'_ &�
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance including pools, fill/grade,
concrete driveway, gravel driveway, elevator/lift. Artificial Turf NOT allowed in 30 ft buffer.)
Single Family Residence/
1
SIZE OF LOT/PARCEL: 10649.square feet acres
PROPOSED USE: Residential (Single-family Multi-familyE] Commercial/IndustrialFlOther
F-1 r 1
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Perinit Officer if you are not sure Which AEC
applies to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: N/A 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 SURFACES3,3 square feet (includes the area of the foundation of all buildings, driveways, covered decks,
concrete or masonry patios, etc. that are within the appli e AEC. Attach your calculations with the project drawing.)
#%JA-<- k-y%%+ 41 69 P4. = Ot4(,l A 9/2,T 177Z,
STATE STORMWATER MANAGEMENT PEkWT: Is the project located in an area subject to a State
Stormwater Management Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)9
YES NOXX RECEIVED
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feSEP I B B22

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 _,g 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)
XX an owner or record title, Title is vested in name of David C & Yonnie Holland
see Deed Book 4739 page 1224 in the Brunswick
3!wft�` an owner by virtue of inheritance. Applicant is an heir to the estate of
Supply NC 28462 probate was in
County Registry of Deeds.
County.
if Other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
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
ACTUAL NOTICE to each of them concerning, my intent to develop this property and to apply for a CAMA permit.
(Name) (Address)
(1) Timothy W & Sharon Perryman 7004 Key Pointe Dr Wilmington NC 28405
,(2) Ryan W Heim 4418 Hucld-e-berry Rd Wilmington NC 28405
(3)
(4)
ACKNOWLEDGEME'NTS:
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
,elated to this permit application.
This the f day o
�andovvner or person authorized to act as his/her agent for purpose of filing a CAMA permit application
rhis application indudes.- general information ('this form), a site dravt4ng, as described on the back- of this application, the
mwership statement the Ocean Ilazard AEC Notice where necessan" a check for $100.00made payable to the locah,, and
,?�v information as may be provided orally by the applicant. The details of the application as described by these sources are
�icorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
Yv permit. Anv person developing in arm AEC without permit is subject to civil, criminal and administrative action. RECEIVED

Name of Property Owner Requesting Peffnit: David C Holland
Mailing Address: 3109 Waterview Dr SW
Supply NC 28462
PhoneNumber:q
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tC3Y'Yn
authorized ^i
•. «.
necessary for the following proposed developmert Single Family
Residence
at my property located at.1 831 Russell Heweft Rd SW
ills
t
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t-77.3-MWM-T.�7-
on ft atmawnfionedlands# .'#+l# 1ev&Wfingiftnnaflon:♦'' to this
pennft ap#icaflon.
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David C Holland
Owner
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Hate

Relum 'type
T�stai Rev_ _Int
Ck t' Cash y
's'iune;_.__._ Gash i Finance
pj P144 ii_es_41, _
i6:08: ai .80i For.;cucs oI dami nt nt are illegible due to Condition
rends " lessi n f 2
Brunswick Coup Y. Regis r of Deeds page
Brands H. Clamsons Register of Daeds-atsverifiei=:.yasiyin ?
11-45-2021 16:08:41.001 Brunswick Canty, MC
NC REVO E STAMP: $369.09 (ii790M)
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $ 360.00
Parcel Identifier No. 23ONC O233 Verified by County on the _____ day of 20_
MaivBox to: Richard E Cneea Attar>ev at Laru 2998 Homan Beach Road. Sid Holden Beach. NC 2
This insmuntent was prepared by. Rkha F. Ca=Agxy_8k LaW IM.E NO.21-22496
Brief description for the Index: LOT 6, G. RUSSELL HEWE'IT
THIS DEED made this Silt day of November 20-n, by and between
GRANTOR
BOBBY D.. BROWN atdwife,
CAUN C. BROWN
5028 WALTON STREET
SHALLOTIE, NC 29470
Cft7:�.iiYc1�
DAVID C. HOLLAND and wife,
YONNIE HOLLAND
3109 WATERVEW DRIVE SW
SUPPLY, NC 2W
Enter inappropriate 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 tic City of LOCKWOOD FOLLY Township, Bnamwick County,
North Carolina and more particularly described as follows:
BEING ALL ofLotNo. 6 oftbe G. Russell Hewes Subdivision, as shown on a map of same by H. R Hewett, Surveyor, dated June 10y 1957, and
necaded in Boot 5 ofMaps at Page 57, in the Office ofthe Register ofDeeds for Brunswick Couta), North Carolina, said lot having the metes,
bcxxxb and location as slwwn on said map.
More commonly knumas :1831 Russell Hewett Rd SW Supply, NC 28462
Page I of 2
NC Box Axweiation Pam No. 3 01976, Nevised 0 1977,2002, 2013 IV& dandud fmmhu been approved by:
Primed by Apeenrat with the NC Bar Association -1981 North Carotins Bar Association- NC Bar Form No. 3

rurowlekw� it ICY. I �lillNCpls! *PfFP
The property heremabove described was acquired by Grantor by instrument horded in Book 2559 page 1205
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 S page s.
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 sane 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, other than the following exceptions:
All easements, rights ofway, remotions, and reservatiow ofreccad
"This instrument preparedby Richard F. Green, a Licersed North Carolina attorney. Debgtiett taxes, if arty, to be paid by the closing attotney to the
county tax collector upon diofelosing proceeds."
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
(SEAL)
(Entity Name) ttl ype Name YrD. WN —
By:
Print/Type Name & Title: yp ante: CATHY C. BROWN
B. (SEAL)
)
Print/Type Name & Title: Ptim/Type Nam:
By: (SEAL)
Print/Type Name & Title: Print/Type Name:
State of North Carolina County or City of B k _
L the undersigned Notary Public of the Cotu K —k and State aforesaid, certify that
BOBBY D. BROWN and CATHY C. BROWN ,�`� pQ '%Derso y ed before me this day and acknowledged the
due execution of the foregoing instrument for the pe es ��pre Witness in and Notarial stamp or seal this 5th day of
November , 20 21 = a z
My Commission Expires: �5 %3Gy PUBLIC ti to Notary Public
(Affix Seal) Notary's Printed or Typed Name
State of - County or City of tt°
I, the undersigned. Notary Public of the County or City of and State aforesaid, certify that
personally appeared before me this. day and acknowledged the
due execution of the foregoing instrument forthe purposes therein expressed. Witness my hand and Notarial swmV or seal this _ dayof
,20_.
My Commission Expires: Notary Public
(Affix Seal) Notary's Printed or Typed Nate
State of - County or City of
I, the undersigned Notary Public of the County or City of and State aforesaid, comfy that
personally came before me this day and acknowledged that
he is the of a North Carolina or
corporationAmated liability company/general parmership/limited partnership (strike through the
inapplicable), and that by authority duly given and as the act of such entity, —he sighed the foregoing instrument in its name on its
behalf as its ant 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
Page 2 of 2
NC Bar Aswdstiou Form No. 3 C 1976, Revised ® 1977, 2002, 2013 This standard formbas been approved try.
Printed by Agreement with the NC Bar Association —1981 North Carotin Bar Association — NC Bar Form No. 3

EAGLE CREST DR SW. g
I- N
/offOYSTER HARBOUR
SACK PARKWAY
ENTRANCE
JV
,SOY PANT R0.
R/W SR 1135
chi
6
a
�i VICINITY MAP NTS
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s
9 �lQ✓1W' 4-Wm LOT 5
ERB OMH
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ZONE LE+- MA 00 20.5 �,1(8.8
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yq 0" �1.1190. _
30 3,12 0 1�G
\�o� N 57 33' O) N+ p Z
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C O m
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LOT 6 PROPOSED 15.�a PROPOSED �' HOMEZ
1 10,649.1 SQ. FT. s NO. 1831 DRrvEWAv
9•'� x ,50 Do' vane Cn
0 yae 9 2i.a O
.A ���G. �,2 c
0,y
^� w F 19.5 TEL
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s��P 87 g27D -, X
LID
�. °o, o� 123 18.6
SHALLOTTE to 9.0 g 155 00 LOT 7
RIVER MARSH X\ 5'�30 p0„ W 20.Pp o
TIMOTHY W. PERRYMAN
\ 7004 KEY POINTE DR
\ WILMINGTON, N.C. 28405
X ZONE
AE 11.0 DB 3�r G
1i� �l5 30LOT AREA 10,
' pGCESS
i IMPERVIOUS AREA 1 SQ. FT.
HOUSE/PORCHES = 2,415.6 SO. FT.+ -
NOTES: DRIVEWAY = 1,085.2 SQ. FT.
DRIVEWAY AREA IN R/W = 459.8 SQ. FT.
SURVEYED BY USING MAP BOOK 5, PAGE 57 IMPERVIOUS AREA IN 75' SECT. = 337.1 SO. FT.tgga
AND EXISTING PHYSICAL CONDITIONS TOTAL IMPERVIOUS = 3,500.8 SQ. FT,
SEE RESTRICTIONS FOR SETBACKS
WEST EDGE OF PROPERTY IS IN A FLOOD HAZARD AREA 1411AcW'>✓ 'A %5' AEG
COMMUNITY NUMBER 370295
PANEL NUMBER 3720109600K (AUGUST 28, 2018) 1831 RUSSELL HEWETT ROAD SW
ELEVATIONS ARE NAVD 1988
PLOT PLAN FOR SCALE 1" = 30'
DAVID C. HOLLAND
OF TOWNSHIP LOCK- FOLLY
RECEIVED LOT 8 COUNTY BRUNSWICK
G. RUSSELL HEWETT SUBD, STATE N.C.
SEP 2. b Cut[ MAP BOOK 5. PAGE 57
_ TAX PARCEL 23ONCO23 TO
WN
DATE 9/6/2022
JAN K. DALE FIELD BOOK LL/16
GGc/lc N.C. REG. NO. L-1250
P JAN K. DALE 891 COPAS RD. - SHALLOTTE, N.C. DRAWN BY JKD
N.C. REG. NO. L-1250 910-754-4477 1 DWG. NO. 2000/HB110

9/15/2022
Date
Ryan W Helm
Adjacent Property Owner
4418 Huckleberry Rd
Mailing Address
Wilmington, NC 28405
City, State, Zip Code
Dear Adjacent Property Owner:
Postal
CERTIFIED o RECEIPT
ray Domestic Mail •
nly
ru
=0 '
I� g, '
Certified Mall Fee
r-i $ =
ED Extra Services & Foes (cAa.^.k 4ox, add fee '
[j Retum Receipt (hardcopY) $ � —V _—�
C3 ❑ Return Receipt (electronic) $ ' Ca � , I_° Postmark
® ❑ ceaffled Mall Restrict©d Delivery $ —
Adult Signature Required $ i•,ii Here
L]Adult Signature Restricted Dell— S
Ln
� Postago
tT Total Poetago and Feat _
1-3
r-1 Sent To
ru Vi^
p Slroet air;fApt� REa.r PCi $px�� d - ----- -----i----------------------------------
rl-
�i1y Slate Zl a ..
.- -
This letter is to inform you that we, David & Yonnie Holland have applied for a CAMA
Property Owner
Minor Permit on my property at 1831 Russell Hewett Rd SW in Brunswick County.
Property Address
As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my 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 my
proposed project, please contact me at _980 253 2347 or by mail at the address
Applicants Telephone
listed below. If you wish to file written comments or objections with the LOCAL GOVERNMENT CAMA
Minor Permit Program, you may submit them to:
Connie Marlowe
Brunswick County Planning
PO Box 249
Bolivia, NC 28422
Sincerely,
David & Yonnie Holland
Property Owner
3109 Waterview Dr SW
Mailing Address
Supplv, NC 28462
City, State, Zip Code

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9/15/2022
Date
Timothy W & Sharon Perryman
Adjacent Property Owner
7004 Key Pointe Dr
Mailing Address
Wilmington, NC 284-G5' l'l
City, State, Zip Code
Dear Adjacent Property Owner:
ro
MW
0
Ln
rr-
a
ra
ru
r�
This letter is to inform you that we, David & Yonnie Holland have applied for a CAMA
Property Owner
Minor Permit on my property at 1831 Russell Hewett Rd SW in Brunswick County.
Property Address
As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s) as notification of my 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 my
proposed project, please contact me at 9802532347_ or by mail at the address
Applicants Telephone
listed below. If you wish to file written comments or objections with the LOCAL GOVERNMENT CAMA
Minor Permit Program, you may submit them to:
Connie Marlowe
Brunswick County Planning
PO Box 249
Bolivia, NC 28422
Sincerely,
David & Yonnie Holland
Property Owner
3109 Waterview Dr SW
Mailing Address
Supply, NC 28462
City, State, Zip Code

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Your item was delivered to an individual at the address at 3:19 pm on September 26, 2022 in -n
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September 26, 2022, 3:19 pm
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Project Number
Payment Date
Payment Method
Payment Amount
Check Number
Permit Number
Brunswick County Central Permitting
75 Courthouse Drive, Bolivia, NC 28422
[phone]
Receipt for Permits Planning
547852
9/28/2022
CHECK
S100.00
21517
1111Tr4V#=# ,
1000 CAMA Fee - Budget Line Item Number: 383912
Total
Permit Amount
95irs =## I