87510D-JONES

❑CAMA ❑ DREDGE & FILLTR—)
p N9 87510 T A� B C .Q
3 G E N E RAL PERM IT
Previous permit
Date previous permit issued
New ElModification ElComplete Reissu❑ Partial Reissue*1��.�.�
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ❑ Rules attached. General Permit Rules available at the following link: www.dgq.nc.Yov/CAMArules
Applicant Name
Address /
City State !V L ZIP
Phone # (_) ' 2
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (�k)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body "J
ORW: yes/no PNA: yes/no
Type of Project/ Activity /; :! ; (!�
Shoreline leneth
Access Length
Pier (dock) length _
Fixed Platform(s) _
Floating Platform(s)
Finger pier(s) _
Total Platform area
Groin length/#_
Bulkhead/ Riprap IE
Avg distance offsho
Breakwater/Sill
Max distance/ lengi
Basin, channel
Cubic yards
Boat ramp
Boathouse/ BoatIA
Beach Bulldozing _
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Att
A building permit/z
Permit Conditions e x' D r r--. rl ( r,
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TI
C-C d`j'`�JjC
Agent or Applicant PRINTED Name
(scaler j S )
U TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
STATEMENT. (Please Initial)
1V
Permit Officer's PRINTED Name
V
Signature **.Please read compliance statement on back of permit" Signature I
;. ,Ct . '121 c)
i f I , . I I, , ,
Application Fee(s) Check #/Money Order Issuing ) Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
F-1 Tar - Pamlico River Basin Buffer Rules
1-1 Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and Fender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021

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N:C. DIVISION OF COASTAL MANAGEMENT .
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
,CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property.Owner:
Address ofProperty:
Mailing Address of Owner:. 3 l�% e99=' _ r� �' 4 A/L " ­7
Owner's -email: ] ki �x(3,5T? �/r,,(j /' Owner's Phone#: T , gz( 1-��o
��
Agent's Name: Agent Phone#
Agent's. Email:
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 hasdescribed. to me, as shown on the attached drawing,. the development they are proposing.
A description or drawina. with dimensions_ must be. nrovidw i with this latter
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 127 Cardinal Drive EXT, Wilmington, NC 28405.. O.CM representatives can also be contacted at
[phone]. 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.uniess 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 waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner (ARPO)
-0R-
1 do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed'name of ARPO;
Mailing Address of ARPO: �1 I V i VU0,i;e �� %(j i7�'� �s41 AOaCb AIC pi Yy l
ARPO's email: _611 % C169 tat {� �Yia ARPO's Phone#: ?yi s
Date: © *waiver is valid for up to one year from.ARPO's.Signature*
Revised May 2021

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:
V
Address of Property: G � Ti✓� " i1A'
Mailing Address of Owner:/lf;rtl ��ffa,� �%/1 /i L1,i��C' 27 / 7
Owners email: J 5k,(i��µw Owner's Phone#:
Agent's Name:
Agent's Email:
Agent Phon
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.
✓ 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 127 Cardinal Drive EXT, Wilmington, NC 28405. DCM representatives can also be contacted at
[phone]. No response is considered the same as no objection if you have been notified by
Certifled Mall.
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 waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner (ARPO)
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) -J .
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO: r I2. I < U 51i-a arc ?_P34J5�
ARPO's email: Orlin �. IeLn,ni' ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUEST ED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: f��,l�t=?�'t/ Ax U��S
Address of Property: r!
Mailing Address of Owner: . !; /S"2v
4 z*-fat- /`iPiC :� L Z 7Y/ 7
Owner's email: ! k, s�RS�?T�,� Z,1' Owner's Phone#: "/�t •
Agent's Name:
Agent's Email. ___---- ___
Agent Phone#.
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
+-/1 DO NOT have objections to this proposal. I DO have objections to this proposal.
If ygu hays gbjgOgns tv what is being pr9p9M, you must notify the NS, Diyi5IQn cf 154tai
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive E)M Wilmington, NC 28405. DCM representatives can also be contacted at
[phone]. 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 waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner (ARPO)
Bela
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: M 412 A/ 5
Mailing Address of ARPO: L il,-TDN 5 i
ARPO's email: mmf't��►+f (ei�i�if��} Will ARPO's Phone#: yl9 -G S"� •-//I f4
Date: 119 ,U .ids'waiver is valid for up to one year from ARPO's Signature'
Revised May 2021

II I II II I I I II I I II I I I I I I IIII II II I II I III SRI F0013 14 5 4°PROP
Bn
runswick County, NC Register of Deeds page 1 of 3
Brenda M. Clemmons Register of Deeds
05-07-2021 14:20:41.000 Brunswick County, NC
NC REVENUE STAMP: $IS30.00 (#753553)
1
J'•
Return
3 Total qav Int. -1j lF--
Ck $ Ck k Caeh $
Refund CaOh $ Finance
G Portions of document are Illegible due to condition
of original.
O Document contains seals verified by original
instrument that cannot be reproduced or copied.
This instrument prepared by: David L. Wortman, a licensed North Carolina attorney. Delinquent taxes, if any, to be paid by the
closing attorney to the Brunswick County Tax Collector upon disbursement of closing proceeds. No title opinion or closing
services rendered by preparer.
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $1,930.00
Parcel Identifier No. 244PAO 15, 244PA016, 244PA017 Verified by County on the _ day of
20
PREPARED WITHOUT EXAMINATION OF TITLE
Mail/Box to: Liles & Godbev, PC, 6406 Beach Drive SW, Ocean Isle Beach, NC 28469
This instrument was prepared by: The Wortman Law Firm, PLLC, 624 Village Rd., Suite 1, Shallotte, NC 28470
Brief description for the Index: L-1/2 OF 22 B-17 S-B&C OIB PLAT 6/1; L-23 B-17 S-B&C OIB PLAT 6/1; L-24B-17S-B&C
THIS DEED made this 6±day of 2Npj I , 20 .� 1 , by and between
��
GRANTOR
GEORGE A. AZAR and wife,
MANDY E. AZAR
410 Country Club Dr.
Lexington, NC 27292
GRANTEE
BRYAN DANIEL HIGH and wife,
CHRISTINA LARSON HIGH
5500 Hardison Rd.
Charlotte, NC 28226
JACOB COLTER JONES and wife,
ELISABETH KISER JONES
3510 Westover Rd.
Durham, NC 27707
Enter in appropriate block for each party: name, 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 ofwhich is hereby acknowledged, has and
by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated in the
Shallotte Township, Brunswick County, North Carolina and more particularly described as follows:
3Gt. AtrAC%1YYm-t`W'

Check
Date Recohed
Date Dec—ked
Check From Name)
Name of Pe if Holder
Vendor
Check number
amount
Pennh NumbeNCommencs
Recelaf w Refund(Reallcceted
Column!
10/20/2022
Col-2
Cdumn7
David Grice Money Order
Cdumn4
Bryan Daniel High etals
Co1umn5
United States Postal Service
Column6
2.64E+10
Co1umn7
$ 200.00
Colmmn6
GP #87510D
Col-9
BB rct. 18677
10/20/2022
Lighthouse Marine Construction Inc
matthews
Coastal Bank and Trust
4433
$ 400.00
GP #87781 D
JD rct. 17699
10/20/2022
Delta Dock & Boat Lift
Thushyanithan
First Citizens Bank
9435
$ 200.00
GP #87483D
JD rct. 17698
10/20/2022
Southeastern Coastal Construction C
MT Vacation Properties, LLC
out State Bank
12684
$ 400.00
GP #87457D
KB rct. 10374
10/20/2022
Carolina Bluewater Construction, Inc.
Kinton
BB&T
25568
$ 200.00
GP #87509D
BB rct. 18676
10/20/2022
Land to Sea Construction, LLC
Frost
First Citizens Bank
636
$ 200.00
GP #87675D
JD rct. 17771
10/20/2022
Richard Penny Construction, LLC
Jefferies
NAVY FCU
5220
$ 400.00
GP #87448D
KB rct. 10372
10/20/2022
Bruce Marek PE
Bald Head Island Club
Wells Faro
2306
$ 100.00
Major Renewal Fee #108-17 BrCo
JD rct. 17852