Gary and Annette Hart (02-23BC)

GENERAL INFORMATION
LANDOWNER
Name G
Address 1C1 7-
City 611G I ( t) qc
V 111dol< Pow -1- (bo'4 S`w
State ► C Zip at990Phone 91Q369" � r7t)Lf
Email SGI I a 91nG111 .Ccm
AUTHORIZED AGENT
Name —
Address
City _
Email
State
Zip Phone
LOCATION OF PROJECT: (Address, street name and/or directions to ite. If not oceanfront what is the name of the
adjacent waterbody.) 159 2. V 1 1 1alir" l U►nt m 6VJ / S hCt I l0 tit. 1Q,V�
I A ZZ
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) 51)PeJ 1,2 K Z L
SIZE OF LOT/PARCEL:
square feet , % `7 acres
PROPOSED USE: Residential R", (Single-family Multi -family ❑ ) Commercial/Industrial n Other []
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: q3t) 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.
RECEIVED
JAN 17 2023

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 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 infonnation.
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 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 _ C'` � `n*� k l%t r-f- , see Deed. Book tl_� 17
page 'K7 I in the - &YA NV /C`K 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.
NOTIFICATION OF ADJACENT 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)
(i) GIvrtG
(2) 12 clt t G�
(3)
(4)
ACKNOWLEDGEMENTS:
(Address)
OPW q
a83SLI —Pe-
NC o2S-®c)s
I, 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.
This the ,. v day of JNJO," , 20
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 S100.00 made payable to the locality, and
any information as may be provided orally by the applicant. The details of the application as described by these sourc
incorporated without reference in any permit which may be issued. Deviation from these details will constitutbtof
anypermit. Anyperson developing in an AEC without permit is subject to civil, criminal and administrative acts'

03 e9 2020
f11111sIIIINIIIN I1111111l11111111r of Deeds P�821e of 4PPRROP
Brenda M. Clemmons Register of Deeds
83-09-2020 13:48:12.004 Brunswick County, NC
NC REVENLE STAMP: $978.00 (#676317)
ieuef,;�� 1 1_ousej La-'TYPe & -
L l_ + _�,!_ Int.
I :k $ j�; �;C.') . Ck #-- `�a-.LCash $ -fQ-
4ML.ndJW �_ Cash $ (4 Finance_—.
h„rtions of docurnent are illegiole due to condition
o;:rrc--n, contains seals verified oy original
.,-ofr nl that cannot oe reproduced or copied.
This Instrument Is prepared by Zachary T. Clouser a North Carolina licensed attorney. Delinquent taxes if any,
will be paid by the dosing attorney to the County Tax Collector upon disbursement of dosing proceeds. The
Preparer has made NO record search or examination as to the property herein described, unless the same is shown
by his written and signed certificate.
Mail/Box to: Zachary T. Clouser, 3921 Executive Park Blvd., Suite C, Southport, NC 28UI
Brief Description: L-2 Bunn Frink PL 13/57
Revenue Stamps: $978.00
NORTH CARGUNA
BRUNSWICK COUNTY
ParcellD:230iB013
GENERAL WARRANTY DEED
THIS DEED made and entered into this ✓D day of MIRT2-C f4 2020 by and
between PONCE INLET PROPERTIES, LLC, a North Carolina Limited Liability Company whose mailing
address is: 4111 � o nor [{e +Iyc-1((9(4�
hereinafter called Grantor d, GEORGE HAInvill and wille, ANNETTE HART, hereinafter called
"Grantee," whose mailing address
Is: I��a VIl1agR po;04 (j�1 �}l, .S6,i .fie mc. Z5s't('70
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and
assigns, and shall include the 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 or parcel of land situated in Brunswick County, North Carolina, and more
particularly described as follows:
SEE EXHIBIT "A"
The property herein described was conveyed to Grantor by deed recorded in Book 4115 at Page 126, of
the Brunswick County Registry.

IIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII B�3z?8,;s°PROP
Brunswick County, NC Register of Deeds page 2 of 4
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 same in fee simple; that title is marketable and free and dear of all encumbrances,
and that Grantor will warrant and defend the title against the lawful claims of all persons whomsoever
except for the exceptions hereinafter stated, If any, other than the following exceptions:
County and/or Municipal Zoning Ordinances, Rules and Regulations.
Restrictive Covenants, Easements and Rights of way of record.
Ad valorem taxes for the year 2019 and thereafter.
If initialed, the property includes the primary residence of at least one of the Grantors.
IN WITNESS WHEREOF, the Grantor has hereunto set his hands and seals, the day and year first above
written.
GRANTOR:
B ' (SEAL)
ERIC BEGUEUN
Managing Member of Ponce Inlet Properties, LLC
By: (SEAL)
STE EGU
Managing Member of Ponce Inlet Properties, LLC
STATE OF N C•_
COUNTY OF \,45&t
1, C'QLy-,,b&Qa V. Poor\comer' a Notary Public for County, State of
N C.. do hereby certify that ERIC BEGUEUN and STEPHANIE BEGUEUN as Managing
Members of Ponce Inlet Properties, LLC, personally appeared before me this day acknowledging to me
that they signed the foregoing instrument for the purpose stated therein and in the capacity Indicated.
Witness my hand and official seal, this the Lam day of Ak Q'rt-V'1 .2020.
(SEAL) CANDIS P PARKER
Notary Public NOTARY PUBLIC
Wake County, North Carolina
My commission expires: 1(b 1 e'31Oo1L i My CommissionExpires 10/2712024

IIII NII IIII II III IIIINIiII IIII III 1��?? �
Brunswick County, NC Register of Deeds page 3 of 4
Exhibit to the Deed
AFFIDAVIT OF LIMITED LIABILITY COMPANY EYJSTENCE AND AUTHORITY
Eric Beguelin and Stephanie Beguelin, Managing Members of Ponce Inlet Properties, LLC, a North
Carolina Limited Liability Company, hereby certifies and affirms the following:
As of the date of recording of this instrument, Ponce Inlet Properties, LLC, a North Carolina Limited
Liability Company, continues In existence.
2. The LLCs Organizational documents grants to Eric 8eguelin and Stephanie Beguelin as Managing
Members of the LLC, the full power and authority to sell, exchange, hypothecate, or otherwise
dispose of any real or personal property held by the I.I.C.
3. As of the date of recording of this instrument, Eric Beguelin and Stephanie Begueiln are the
Managing Members of Ponce Inlet Properties, LLC, a North Carolina Limited Liability Company.
Dated this S r. day of /1�G / er\ 2020.
BY= (SEAL)
ERIEBEGUELIN- - /—
Managing Member of Ponce Inlet Properties, LLC
A
BY- , T _(SEAL)
IE K-GUWA
Managing Member of Ponce Inlet Properties, LLC
STATE OF IJ L
COUNTY OF HIV b,NLa-
1, Crnv-.l t5 4 c5Mi Gt Y^ a Notary Public for V,1CAG�GQ County, State of
b3_ do hereby certify that ERIC BEGUELIN and STEPHANIE BEGUELIN as Managing
Members of Ponce Inlet Properties, LLC, personally appeared before me this day acknowledging to me
that they signed the foregoing instrument for the purpose stated therein and in the capacity indicated.
Witness my hand and official seal, this the LOday of %k a ct\r". 2020.
1�� Q Qcx�.isr (SEAL) CANDIS P PARKER...�
Notary Public NOTARY PUBLIC
My commission expires: k 0l,aoT pa,f. Wake County, North Carolina
My Commission Expires 10127/2024

2020
(����I�I���I�Nlll� Brands M. Cle zf Deeds page 4 of 4 OP
EXHIBITA
BEGINNING at an iron pipe located In the division one between C.W. Pearson and wife, S.B.
Frank and wife. Said beginning point being located in S.B. Frink and wife's Northwest comer as
appears in a deed from Harold J. Kinman and wife, Dixie P. Kinman, to S.B. Frank and wife,
Marguerite W. Frink, dated October 24,1972 and duly recorded in Book 282 at Page 286, Office
of the Register of Deeds of Brunswick County according to a map made by Jan K. Dale, RLS,
October 23, 1972, and duly recorded In Book of Maps 13, at Page 57, runs thence South 83
degrees East,142.58 feet to an iron pipe; thence South 70 degrees and 58 minutes East,167A7
feet to an iron pipe, thence South 83 degrees East 34 feet to the High Water Mark of ShaBotte
River Thence South 83 degrees East 65 feet to the Low Water Mark of ShallOtte River, thence
South 8 degrees and 44 minutes and 0.8 seconds West to the Low Water mare of Shaliotde River,
76 feet to an iron stake; thence North 83 degrees West, 79 feet to the High Water Mark of
Shalkrtte River, thence North 83 degrees West, about 50 feet to an Iron pipe; thence North 75
degrees and 55 minutes West, 293.20 feet to an iron pipe; thence North 11 degrees and 05
minutes East, 7S feet to the place and point of BEGINNING, and being Lot No. 2 of the S.B. Frink
and write, Marguerite W. Frink property according to a survey made by Jan K. Dale, R.L.S.,
October 23,1973. A map of which Is attached hereto and made a part of this description as fully
as If the some were set out herein.
Better known as:1592 Village Point Rd. SW, Shallotte, NC 28470
Parcel # 23018013

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WRIU N*SWICK COUNTY HEALTH DEPARTMENT
DATE REC: 9-14-88 kP,I.N.: FILE NO.: 138 2014 -
MCgORKLE GEORISTE 20,00 230JE3013
REC. FROM AMT. PD TAX PARCEL
150 BOX.222 LUMBERTON , NC 2183139 1917739-5756
ADDRESS
MCCORKILE GEORGIE
CURRENT PROPERTY OWNER
SHALLOTTE
CITY ST
SUBDIVISION
ZIP PHONE
2/
LOT &K SEC
SHALLOTTE PT AREA
PROPERTY LOCATED. TOWN/CITY/AREA/ x DIRECTIONS TO PROPERTY:
I.,
SITE EVALUATION REPORT
Dilgrarn
FACTORS
I I Slope/landscape position
2) A, Soil Texture
B. Soil Structure
3) Soil Drainage (Wetness)
4) Soil Depth
6) Restrictive Horizon
M Available Space
Al
S /'Pt) U
III
its _,PS U
"S' Ps -tip
9..)PS.
/ U
PS U
PS U
Soil [6wription
Area Al Area A2 Area A3
A Horlzon
■ii■■■i■l■■
■■■■l■dui
■i■�l
Bh Hodzonll)-
Over all site classification: Suitable Provisionally suitable A' 4'? r Onsuitable
See diagram above .folr.location of sW borings and area location. ER
11,
Evaluated W. Title: Date:
"P U
Re-evaluatedby - �'� , - Date: Reclassification:
eo
NOT
Date Mailed:
Reclassification Code Drainage Fill Aftemative System Other SEE REVERSE SIDE OR ATTACHED
A_ Improvement PenuftJ Coofiat of ComPletforimperlition Permit Existing System Repair — Permit/Fite No. A Pi 5s ()I dt
G.S. CHAPTER 130A ARTICLE 11, G.S. 130 A-333 et. Sec.
Permilladtar: M —BUS Trench bottom "two deeper than: (kpl
No. Units No. Bedrooms SizoolTank
44-
No. Lines �Length ea. Trench %WM
Water Supply. Private -4—
Public
NOTE: ANY CHANGES IN THE NATURE AND VOLUME OF SEWAGE OR CHANGE IN
LOCATION OF STRUCTURE WILL VOID PERMIT.
IMPROVEMENT PERMIT VOID 36 MONTHS fROM DATE OF ISSUANCE.
IMPROVEMENT PfiRMITJCIATE:* - ?,12- -) /6,P
.� , f ", e - I w
Permit Not Valid Unless Signed by Authorized Agent/Sankarian
C.
This permit not to be altered except by surthority, of Health Departm
Installed by: Certificate of Gomptsoon/Operation Permit Approvod_b
NOTE- See important information on reverse side. (Permit Not Valid Unless Signed by Authorized AgentManitarlan) Datel.

I
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Ajt7nt Property Owner
L4 1-16ne•j Cr-e-f K. Lance
C3
C3
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C3
City, State, Zip Code
ni
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dear Adjacent Property:
This letter is to inform you that 1, Ge o%e H—art _have applied for a CAMA Minor
Property Owner
Permit on my property at I 5q2— V I 11 OQ 4& P) JrYF in
COUNYY Property Address
Brunswick County. 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 meat cilo'Ooq ' '�?1704 —, or by mail at the address listed below. Ifyou Wish to
Applicant's Telephone
file written comments orobjections with the Brunswick County CAMA MinorPermit Program, you may submit
them to:
Connie Marlowe
Brunswick County Planning Department
PO Box 249
Bolivia NC 28422
Sincerely,
Property OWner
15c72 V I'llacic PoinT R4 5w
Mailing Address
Sho I I o Hr W (D 8 4,70
City, State, Zip Code

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Your item was delivered to an individual at the address at 3:55 pm on January 12, 2023 in MATTHEWS,
NC 28105.
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1- - 02'3
Date
Adjacent Property Owner
Mailing AddressIS I ® M �, —
/
G2i.Li
City, State, Zip Code
Dear Adjacent Property:
This letter is to inform you that t, G�'', 9(C d -' have applied for a LAMA Minor
property owner
Permit on my property at / 69 Z V 1116a S"�J , in
COUNTY PropertyAddress
Brunswick County. As required by LAMA regulations, I have enclosed a copy of my permit application and
projectdrawing(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 ate 3 25 _ 02QQ f . or by mail at the address listed below. Ifyou wish to
Applicant's Telephone
file written comments or objections with the Brunswick County CAMA Minor Permit Program, you may submit
them to:
Connie Marlowe.
Brunswick County Planning Department
PO Box 249
Bolivia NC 28422
Property Owner
15G z 011 1A * 9<1 5LAL)
Mailing Address
110 h" t-, NC, 89 &7 70
City, State, Zip Code

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Your item was delivered to an individual at the address at 12:39 pm on January 12, 2023 in SAINT -n
PAULS, NC 28384. a
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Brunswick County Central Permitting
75 Courthouse Drive, Bolivia, NC 28422
[phone]
Receipt for Permits Planning
Project Number
556087
Payment Date
1/17/2023
Payment Method
CHECK
Payment Amount
S100.00
Check Number
180
Permit Number Description Permit Amount
1000 LAMA Fee - Budget Line Item Number: 383912 $100.00
Total $100.00