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03-23BC PERMIT APP
City 6o J.va- State y gip.a.g &moil LJI�6nJ) J �{ i �V 10"A_ronI PROJECT. Address;. _streetname atld/or directions to. site. LOCATLON OF PRO" ll�f :n—Qfi oceanfront; vrilat is. the name of the adjacent ruaferbodg:): 7 I A+Gr b4f LOGK W os Fo Uy ) � DESCRIPTION U PROJECT: (List: all proposed cobstructiori Bland disturbance. +_ 1 IL. , , k 54 p' aF � l r i �� ma rF ,( k� SIZE OFLOT/PARCEL 00.. square feet _ cm Singlesfaln Ly Multi -family [];) Co mmercial/Industrial j] Other [] PROPOSED USE: Residential. [] ( Officer f COMPLETE EITHER (1) OR ` ) BELOW (ContttctyQuf Local Permat.0, era you are r:otsure whach.AEG applies to your :property); (l) 'OCEAl�i $AZARD AECss TOTAL.RLOORAR A. OF PROPOSED STRUCTiTRE; square:%.et. (includes ned Iivin s ace, parking elavated abpv� ground l Yel, nou: couoitroned space elevated above ground level but air condltio g p excluding non -load b*igg attxcapace) ()COASTAL SHORELINE AECs� SjZE ORBUIl,DING F(IUTl?RINTAND OTHER t1v1PBRVIQUS QR BUILT UPON SURFACES:: 5,,$quare feet (-incTud€a �e area oth roof/drp line of all bui]dangs,ffivewys, cavuzedecics, concrete or maseriry patios, efc,'lhat are v�tlthtn the a ITcable ARQ Attacit,your calculations with the project:d vying.) pP: STATE STOR": CATER MANAOEN%ENT �'ERl•+�'�' Is the pro�ec� loeateciln au area subject to a State Stortnwater Management rt><a�tt issued by tle.bIC Dvi$idts ©f Va#er Quality? P.e YES NO. If yes, list the total huiit.upotl :area/srnpervious surface allowed for your lot or parcel: square feet. RECEIVE© FEB 012073 OTHER PERMITS MAY BE REQUIRED: The *tivity.yo4, are planning.maT require,permits Other than the CAMA minor development permit, including, but not. limited to. 1) Water Well, SepSepticTankO :other sanitary Drinking a er treatment system),, Building, Electrical, Plumbing, .Heating . ri, Insulation and Energy Conservation, FIA and Air Conditionin g Conservation, Certification,. Saricl.Dune,.Siedirnpnt Control, Subdivision :Approv alMobile Horne Park Approval; -Highway Connection, and others. C.heak with your Local Permit Officer for more information. STATEMENT OF OWNERSIHP: 1, the undetsignq4, . applicant . for. a CAM.A. minor development permit being either the o n of property in iiA AEC or a person authorized to act as agent for purpog ofapplyingI fota CAMA minor 4ovelopmerit:p6trrift, certify-that-tbe person An As list6d as landowner on :thishas a significant i the. teal, property described therein. This interest call be application gnig nterestin described as (check. one) an owner or record title, Title is vested in. Siam s q!: r Cree�ksee Deed Book 125R page in the: 6r1jfiS%j,'C,K County Registry of l5eeds. an owner.by. virtue of inheritance. Applicant is an heir to the, estate of probate: Was mi county. OF if other interest,such: as wd contract or lease, explain below :or use a separate sheet. & attach to this application. NOTIFICATION OFADJACENT`PROPE]kTYOW.NE.R$:,.., s adjoining this property. I Wraim thatl have given .Ifurtherraore,j.bertify,thatthe .�f6t6Win,i�.p.6ts�ons are owners', of propeme ACTUAL NOTICE to each. of them concerning. m. iift�qtlo,develqp -ispr property to apply for a CAMA permit. .V this and :to (2) P) (4) ACKNOWLEDGEMENTS: 1, the undersigned, acknowledge that the land.owner is: aware that the Proposeddeveopmenfis planned for an area which may. be susceptible to: erosion and/ortooding..l.acknowl6d s explained 9p thattlip Local, Permit OfficertomQ.th0patticu- with.this lot. This ��on. was accompanied �y recommendations concerning lar hazard problems assqoW a 9stabiliza- tion and floodpro.ofing te.chn,iques. I Aath6rmbre certify thatI, arn authorized to granf, ano,doin fact grant.pdrmission to Division -of Coastal Management staff, the Local. Perinit: 0 1 fficer. and their agents to: e . r . iter 0 .. n,jheaforemdntioned laads in connection withwevaluating information related to this'permit application. This ,.the- y day ofZA*gMp 20 N-44 9.19MMEn- person act asii)ber f filing 4 L nd6wnor. or 49W Of P14pose of CAMA. permit. application This ;Ppfic;fion4nc1s*;. -general informalion, ftlrjsfibrm a site. drawing as described on the back of this application, the ownership statement, the Ocean-H 44160AOIO necessary; a checAfor $10QX0 madepqyable to tha,locality, and any information, as mqy, baprovided orally by the :Opplrcant The details Of''the application as described by these sources are incorporated without reference in e issued D nfrom these details wall constitute a violation of any... Pe11, A,lm4fi any permit: Any person developing in 0'AECWjjho4a, permit t to civil, criminal andadwnristrad netian perm is subject 1 1ARTIVED FFRI ID 1 ?013 This citfili185 bratu iciv afe rtu valarem taxes, fees, assessments or other II III'I� B4GC2 P07 ��s 2e liens which the Brunswick County Tax Collector is charged with colieetin , that are of Brunswick (I�'■ County, H Brenda M. C► ve NC Reqister of Us pace t of 3 lien on: Parcel Number Z 3 as notated by the Brunswick County Assessor's Office. This is not a certification that the parcel number matches the deed description. Fd 2 Z k, Date (Asst) Tax Col. ! Del. Tax Spec. Ietum �1 Type Total Rev __ Int. Ck $ Ck N Cash $ RefundCash Finance 0 Portions of document are illegible due to condition of original. O Document contains seals verified by original instrument that cannot be reproduced or coped. WARRANTY DEED STATE OF NORTH CAROLINA COUNTY OF BRUNSWICK Parcel 233EE05401 THIS DEED, made this 11 day of February, 2021, by and between Elbert Dwight Knox and wife, Montine Knox, whose address is PO Box 104, Bolivia, NC 28422, and Aleta Knox Murray (unmarried), whose address is PO Box 155, Bolivia, NC 28422 hereinafter, whether one or more, referred to as "GRANTOR," and James R. Creech and wife, Tracy L. Creech, whose address is 901 Green Lewis Rd. SE, Bolivia, NC 28422, hereinafter, whether one or more, referred to as "GRANTEE": 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 of that certain lot or parcel of land situated in Brunswick County, North Carolina, and more particularly described as follows: BEING all of Lot 1 as shown on the Record Map of Survey of an Existing Parcel of Land for Jeanett Knox recorded in Map Cabinet 126 at Page 59 of the Brunswick County Registry, said lot having the metes, bounds and location shown thereon. For back reference see Book 4468 at Page 825 of the Brunswick County Registry, Elbert Dwight Knox and Aleta Knox Murray are the sole heirs at law of Jeannette Knox This property does not include the primary residence of the Grantor. 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. This deed prepared by Michael R. Isenberg, a licensed North Carolina attorney of PO Box 11028, Southport, NC 28461, WITHOUT TITLE OPINION. IIIIIIIIIIIII{�111111111111111111111 Fend P0� Clemons42?PW Srunsutok County, NC Register of Deeds page 2 of 3 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 clear of all encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all persons whomsoever; SUBJECT, HOWEVER, to the following: Title to the property hereinabove described is subject to the following exceptions: Easements, rights -of - way and restrictions of record; all matters shown on the above -referenced map; and ad valorem taxes for the current year and subsequent years. IN WITNESS WHEREOF, the Grantor has hereunto set their hands and seals, the day and year first above written. �.0 G (SEAL) Elbert Dwight Knox (SEAL) Montinne; Knox Aleta Knox Murray STATE OF NORTH CAROLINA COUNTY OF BRUNSWICK W_&0(�8 Notary Public in and for the State and County aforesaid, do hereby certify that Elbert Dwight Knox andKvife, Montine Knox, personally appeared before me this day and acknowledged the due and voluntary execution of the foregoing instrument for the purposes therein set forth. Witness my hand and notarial seal, this the l9 dayofFebruary, 2021. �OtiC �A1. cJ .............. Notary Putilic' r y p V JK C� M commission expire (���INNI1111y. ��INegis� 84552 P0�;9 f 2 n� STATE OF NORTH CAROLINA COUNTY OF BRUNSWICK I, jl<CLJiWi�r� a Notary Public in and for the State and County aforesaid, do hereby certify that Aleta Knox Murray personally appeared before me this day and acknowledged the due and voluntary execution of the foregoing instrument for the purposes therein set forth. Witness my hand and notarial seal, this the-4 day of February, 2021. Nli�'— `) My commission expires: uh a $i.�� .2 ''• .....•;;;r;: 3 YSHORE DR BUILDING SETBACKS: D anr.vroDCra SEVE FRON FRONT YARD = 25' SIDE YARD = 5' REAR YARD = 9' AY,D, rl c I zj SURVEY REFERENCE IDS 4552 PG 907 SITE MB 126 PG 59 LOT DATA: LOT 1 - o 0.42 Acres t — 1B,342Sq. Feett �= PRIVATE ROAD WAY PROPOSED IMPERVIOUS = PER MB 13 PG 52 vrwlTvnllP NGsr. ie 1,512SOFT MAXIMUM BUA=25% zj J � 1 1-0 NOW / FORMERLY j ? KNOX WARREN LEE ETALS a � mo j APPROXIMATE g 81*22-07" W 192.05' oll1so I SEPTIC AR=r. -- — — —_— °' p L1 _ IIN'c - ITS RELjj EXISTING ((� EXISTING �I PROPOSED W T FRAME , i m F m t STORY PILINGS Un o WEII p j COVERED K CO I ' I CI _m❑ ELEVATED ON 00 eft U' p! i If, ,.'}il 9 04 STAIR > PLATFORM J -� AI 1—/eAMAeU�R SEE 118 13b-PG SB Y 0 EXISTING O FLOATING J DOCK / LINE BEARING DISTANCE I " L1 S 81°22'07" W 8.86' 1-2 S 04°35'13" W 35.61' L / �P L3 S 09"04'31" E 33.60' L4 S 05°57'52" E 38.98' L5 S 14'46'26" E 19.34' _( L6 SOB °10'28" E 33.36' L7 S 73°18'57" E 9.48' L8 N 33°00'49" E 26.43' L9 N 08°52'52" E 29.44' L10 N 38'15'48" E 31.73' L11 N 66'44'29" E 31.49' to SCALE1"=40' 40 80 120 JAMES CREECH LOT 1 C.W. KNOX ET UX & HEIRS LOCKWOOD FOLLYTOWNSHIP BRUNSWICK COUNTY NORTH CAROLINA Leg=_ntl: R/W RIGHT OF WAY ---- NORMAL HIGH WATER LINE — — — CAMA SETBACK LINE — PROPERTY LINE Address 529 Bay Point Lane Bolivia, NC 28422 INTRACOASTAL LAND SURVEYING, PLLC 108 N. Kerr Ave. Suite F4 Wilmington,NC 28405 Info@fntracoasiallandsurveying.com NC Firm # P-2342 910-769-0009 NOTES: 1. NORMAL HIGH WATER LINE SHOWN AS FLAGGED BY BRUNSWICK COUNTY. 2. FIELD LOCATED 1-19-23. 3. SEPTIC AREA DIMENSIONS PROVIDED BY OWNER. CARo���// 2:a SEAL = L-5411 y.•(9 p. OPHER L• RECEIVED I111100 FEB 0 1 70, THIS PLAN IS NOT TO BE USED FOR REAL ESTATE SALES OR CONVEYANCE, WITNESS MY HAND AND SEAL THIS 31 ST DAY JANUARY 2023 awry - RECEIVED FEB 01 2023 Brunswick County Environmental Health Services BCHS File Number: 2022077893 (V Onsite Wastewater Tax parcel: 233EE05401 Owner's Name: CREECH JAMES R Property Address: 529 BAY POINT LN SE 28422 Subdivision: OYSTER BAY POINT — Lot: Block:— Section: Water Supply: C] Public Water or Fol Private Water Project Type: Do Residential or 0 Commercial Existing System Retise Authorization • Maintain 10 feet minimum to any water line. • Do not drive. park, pave, or build any structure over the initial septic system area or repair septic system area. • Maintain 5 feet to any structure. • Maintain gravity flow to the septic system. • Maintain the following setback to any well: a50 feet or El 100 feet • Type of Repair Wastewater System: r The existing septic system appears to be functioning and continued use is approved per this authorization. Maintenance and/or repair may be necessary at any given time, • The owner and a Public Management Entity/Subsurface System Certified Operator shall execute a contract which addresses all of the requirements for maintenance, monitoring, schedule and operation, and reporting in Section .1961. Provisions of said contract shall be in effect for as long as the system is in use. Management of the wastewater system should be provided at all times. • Maintain a minimum of 25 feet between a well(s) and any structure. 13 Other: D Other: • Actions of local health services representatives, or the State, engaged in the evaluation and determination of measures required to effect compliance with the applicable laws and rules, shall in no way be taken as a warranty that sewage treatment and disposal systems approved and permitted will function in .9 satisfactory manner for any given period of time. Existing System Reuse Issuance Date:/ REHS Signature: REHS Registration Number: *See Existing System Reuse Site Plan for Septic System Location and Further Detail* (V Site Plan For (Check One) 233EE05408 EIP 40 70' 233EE05401 0 0) Brunswick County Environmental, Health Services BCHS File Nuniber:2022-077893 On8ite Wastewater Information Tax Parcel: 9'13FF0r)401 0 Improvement Permit 0 Fill Plan 0 Aw I thorization to Construct Permit 0 Well Permit El Proposal 2"Existing System Reuse 0 Other: *SITE PLANT ONLY. THIS IS NOT A PERMIT* OAKTREES 0 AQ A 2'2'9 233EE05402 MIN. SETBk CV , TO ViOUSE 0 ► 0. 75 ---- 50 92'23 15' 133' 5MIN CA rn 4 0 5' 7- me s rn 233EE031 1 inch = 30 feet 30 15 0 30 Feet Onsite Waster% ater System Design Criteria Type of Initial Wastewater System: 2A Number of Bedrooms (Max.): 2 BEDROOM Design Flow (GlID): 240 Number of Lines: 1 Trench Bottom Depth Frorn'Crap of Final Cover (Max, Inches): 30" Min. Size of Septic Tank (Gal.): EXISTING Min. Size of Crump Tank ((ial,);_ Min. Size of Grease Trap (Gal.): Number of OccupantslEmployees (Max): 4 LTAR (gpdT2): 1.1 Length of Lines (Feet): 70' Widih of Lines (Feet): Drainfield Square Feet: 210 [led Dimensions (Feet x Feet): Other Information: Other Inl'ormation: 12 VH.4; qi1anativre • Complete lierns 1, 2, and 3. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: �j ell XA V Li I 9590 9402 1862 6104 9934 12 2, Article Number (transfer from service label) -6 0600 0001 2098 4420 PS Form 3811, July 2015 PSN 7530-02-000-9053 A. Signature ❑ Agent Addressee B. Received by (Printed Name) C. Date of Delive7 /- /V 6. * Is jeiivery address different from item 1? El yes If YES, enter delivery address below: 0 No 3. Service Type u Prionty mati express - El Adult Signature 0 Registered Maillm • Adult Signature Restricted Delivery ❑ Registered Mail Restricted • Certified WHO • Certified Mail Restricted Delivery Delivery 0 Return Receipt for • Collect on Delivery Merchandise n lonTM Collect Delivery Restricted Delivery 0 Sig nature Confirmat • on Signature Confirmation 0 Sig 0 Insured Mail 0 Insured Mail Restricted Delivery Restricted Delivery (over $500) Domestic Return Receipt ROW* fOr Here) City, state, .ZIR Code Dear Adjacent Property' This letter IsItq inform l you that. I'mws A. r ggd=- have applied for a.CAMA Minor -Flropqriy'Owmr Permit: I on.Mypropedy-al"..- ag in COVKVPropedy.AddRe-" kostla to. u As required equi(el cAm . Aje 1600. of My- permit application. and by go qs, have enclosed a cOPY projed-,dra I v no(s) . as nptification of prop osed po,�od proj0d., -No.Actl0O-'I$- requiod from you or You mAY Aln afid- � haysqoesiVon r m ots about MY, to project, s 0 4010 ut 'P poseO return the enclosed no objection form OjOu pleasecontactme at CUD - &M- 991A--, Orbymad atf the address listed.tOlow. 41YOU wish to Applicant's Telephone Plow b*4 U, C OmkMinor Perwitiprogram, you moy-submit 'file vftn comments or. objections A the 13014010K. UPIty- them . to: Rruntv -PIJanlling 'Department ApkOduAtY, Ek* "0 28422r Sincete Pr�y�rt3► Owner q'01 O-reeo:i>� 5 a �. City, State' .210" 6d, • Complete items 1, 2, and 3. • Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailplece, -- -- +t,- f—t if Qnvinp nermits. D. is aetivery aauit�b ---- - .... .. ---- - - If YES, enter delivery address below: ,1 * 3 - Service Type tOAdult o prioy mail Express 0 Registered Mail" III HE 11 IN 111111111 I Signature 0 Adult Signature Restricted Delivery C3 0 Registered mail Restricted 9590 9402 7846 2234 1570 01 0 Certified Mail® (:I C rtil. M 0 certified Mail Restricted Delivery Delivery 0 Signature CO nfirmation TM 0 Signature Confirmation 0 Collect on Delivery Delivery ❑ collect on Delivery Restricted Delivery Restricted Delivery 2. Article Number (transfer from service label) fired Mail 7016 0600 000 2098 4413 iMail Restricted Delivery red �r $5 Domestic Return Receipt PS Form 3811, July 2020 PSN 7530-02-000-9053 Brunswick County Central Permitting 75 Courthouse Drive, Bolivia, NC 28422 (910) 253-2021 Receipt for Permits I Planning Project Number 557790 Payment Date 2/1/2023 Payment Method CHECK Payment Amount $100.00 Check Number 5284 Permit Number Description Permit Amount 1000 CAMA Fee - Budget Line Item Number: 383912 $100.00 Total $100.00