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HomeMy WebLinkAbout20140487 Ver 1_Riparian Buffer Authorization_20140515 = 20140487 State of North Carolina Department of Environment and Natural Resources Division of Water Resources Division of Water Resources 15A NCAC 028.0233(8)(b),.0243(8)(b),.0250(11)(b),.0259(8)(b),.0267(12)(c),.0607(e)(2)-Buffer Authorization FORM: BA 10-2013 Riparian Buffer Authorization Form A. Applicant Information 1. Project Information 1a. Name of project: ,- _ , 1b. County: 1U,Aocz 1c. Nearest municipality: /-' acw 1 d. Subdivision name: AI 1e. Is the project located in any of North Carolina's Yes ❑No twenty coastal counties. If yes, answer If below. 1f. Is the project located within a NC Division of Coastal es ❑No Management Area of Environmental Concern (AEC)? 2. Owner Information 2a. Name on Recorded Deed: 3 Aw-6,, 2b. Deed Book and Page No. B-k /g , s 7 3 2c. Map Book and Page No. (include a copy of the recorded map that indicates when the lot was created): 2d. Responsible Party (for Corporations): 2e. Street address: 3 2 5'3 tJ. a-,(,p 2f. City,state,zip: a r� ,�C- z 7 f z y G C 2g. Telephone no.: � 7.s g so y -,. z s� r 2h. Fax no.: 2i. Email address: „rq��u a t. cd a L z G. e-&P 1" 3. Applicant Information(if different from owner) 3a. Applicant is: ❑Agent ❑Other, specify: 3b. Name: 3c. Business name (if applicable): 3d. Street address: 3e. City, state,zip: 3f. Telephone no.: 3g. Fax no.: 3h. Email address: 4. Agent/Consultant Information(if applicable) 4a. Name: 4b. Business name (if applicable): 4c. Street address: 4d. City,state,zip: 4e. Telephone no.: 4f. Fax no.: 4g. Email address: FORM: BA 10-2013 Page 1 of 2 B. Project Information and Prior Project History 1. Property Identification 1a. Property identification no. tax PI or parcel ID): Sro 9 Latitude: ;S,S-p S Longitude: 714 2 117 1b. Site coordinates (in decimal degrees): 1 c. Property size: 0.5 1 acres 2. Surface Waters 2a. Name of nearest body of water to proposed project: LrT 10 P Lto 2b. Water Quality Classification of nearest receiving water: o� %�; ��'(t�. -f� ¢rva��� a s'r.` 2c. River basin: mm Lc to) 3. Project Description 3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application: R�S��r• -•r�i. MoA�iG' 146:1 C- �'lF FAA G11411 £�N• �+stlllaJ��t�' 5LN40 �ZY = 0,-%, -G0- Awn &,9 y0`(- k0E-L&V5, 3b. Attach an 8 Y x 11 excerpt from the most recent version of the USGS topographic map indicating the location of the site 3c. Attach an 8 Y� x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map depicting the project site 3d. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: ev a3r,� 4-L C &,-- 3e. Explain the purpose of the proposed project: ��� �� .� ��� c�" j d s ° "J ` �""' `I '` `` _' ' w.if„ Gad= f,...- of ..��ceo C. s -1'1 '`" -cv ... i ,a0el�i�t✓ k �:.� eL, p: �t'��j �:. Ati 4.'J w. L A 4;0 : IOIV 4 J, :.H 3f. Describe the overall prLLoject in de {((``ail, including the nr type of equipmTpnt to a used: ifi< 4cf pC 1t—.2 (,y rii Lm Wi y•'r- inn..+ ti wi llrO b't' , v L •t I`L vd. � T•VL � •� ��... t• J. a , 4. Jurisdictional Determinations 4a. Have jurisdictional wetland or stream determinations by the Corps or State been requested or obtained for this property/ project (including all prior phases) in the past? ❑ Yes o ❑ Unknown Comments: 4b. If yes, who delineated the jurisdictional areas? Name (if known): A Agency/ Consultant Company: I Other: 4c. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation. 6. Project History 5a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past? ❑ Yes Dwo ❑ Unknown 5b. If yes, explain and detail according to "help file" instructions. 6. Future Project Plans 6a. Is this a phased project? ❑ Yes o 6b. If yes, explain. wj 1 /tl ' A. k. c . t/1 ,, C U ► - lam Y. is ii'.. r ,r y.G AA, 4�r y G�/''� Y v. .w r �y� n itSa.P A jtG cQvi .tJa 4-6k / �I: t� "�• ! c a K+i it..�. e �• r� yCw�l "J ti f �t C•ldI-% I � �e�� /� ��'IG� -1< 1�-�I ��'�' �`-<!l� avo�.e�� 9t"i..�Z'�r.✓ o� %�; ��'(t�. -f� ¢rva��� a s'r.` fit,. ,����1�,- ���.� �, -�kA; �,�•ll �e u�t ✓� s�� -� nl�« < ^,.-J ei v je( ✓ !j 3.tc� a " v7 et f ' N f C. FORM: BA 10 -2013 Page 2 of 2 ropos�Impacts ven tory Impact Justification and Mitigation 1. uffer Impacts Fa. 1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project. PA.V�� u(�i � �)tt,•.(sn `� n^/MN� ter w (C,a+tp ?a,`� � n -�T M2w�14Z paf ^ 1 b. roject is in which protected basin? ❑ Neuse i 0 Tar- Pamlico ❑ Catawba Buffer Mitigation ❑ Randleman ❑ Jordan ❑ Goose Creek 1 b. Individually list all buffer impacts below. If any impacts require mitigation, then you MIUST fill out Section D of this form. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation and calculate the amount of mitigation required in the table below. Zone Buffer impact Reason for Type of impact Stream name Buffer Zone 1 Zone 2 number— impact (exempt, allowable, mitigation impact impact Permanent (P) 1.5 allowable w/ mitigation) required? (sq ft) (sq ft) or Tem ra T 2c. If buffer mitigation is required, is payment to a mitigation bank or NC EEP proposed? ❑ Yes ❑ No 2d. If yes, attach the acceptance letter from the mitigation bank or NC EEP. 2e. B1 qP ❑ T G . yv A, P.40 c ❑ Yes o S� B2 P ❑ T „ p6 A wn c is �� r' ❑ Yes No `o B3 ❑ P ❑ T ❑ Yes ❑ No B4 ❑ P ❑ T ❑ Yes ❑ No B5 ❑ P ❑ T ❑ Yes ❑ No B6 ❑ P ❑ T ❑ Yes ❑ No Total buffer impacts 1c. Comments: D. Impact Justification and Mitigation 1. Avoidance and Minimization 1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project. PA.V�� u(�i � �)tt,•.(sn `� n^/MN� ter w (C,a+tp ?a,`� � n -�T M2w�14Z paf ^ 1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques. i 1tiz. u� c1f �zLt6� ��` q r n„r ANO car 2. Buffer Mitigation 2a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? ❑ Yes ❑<0 2b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation and calculate the amount of mitigation required in the table below. Zone Reason for impact Total impact (square feet Multiplier Required mitigation square feet Zone 1 3 (2 for Catawba) Zone 2 1.5 Total buffer mitigation required: 2c. If buffer mitigation is required, is payment to a mitigation bank or NC EEP proposed? ❑ Yes ❑ No 2d. If yes, attach the acceptance letter from the mitigation bank or NC EEP. 2e. If no, then discuss what type of mitigation is proposed. 2f. Comments: FORM: BA 10 -2013 Page 3 of 3 :; . wr r,2G A,,q i Oi �Z_ ^A47 ,L FDiffuse Flow Plan All buffer impacts and high ground impacts require diffuse flow or other form of Diffuse flow stormwater treatment. Include a plan that fully documents how diffuse flow will be Supplementary Information maintained. If a Level Spreader is proposed, attach a Level Spreader Supplement Form. ❑Other BMP If due to site constraints, a BMP other than a level spreader is proposed, please provide a Gui'Jri Kpoc- /)-'o plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP �� nLpr,,� !ianua! and attach a BMP Supplement Form. via the US Postal Service public (federal /state) land? Jrc c,(-' pplicant/Agent's Printed Name Applicant/Agent's Signature (Ai6a'o signature is valid only if an authorization letter from the applicant is provided.) Send 3 complete sets of this form and accompanying documents to the following: For government transportation projects sent For government transportation projects sent I (JrTC..... F. Supplementary Information OR NC DWR, Transportation Permitting Unit 1. Environmental Documentation Raleigh, NC 27699 - 1650 12. Does the project involve an expenditure of public (federal /state /local) funds or the use of ❑ Yes ❑ No via the US Postal Service public (federal /state) land? Karen Higgins 1 b. If you answered "yes" to the above, does the project require preparation of an ❑ Yes ❑ No 1650 Mail Service Center environmental document pursuant to the requirements of the National or State (North Raleigh, NC 27699 - 1650 Raleigh, NC 27604 Carolina) Environmental Policy Act (NEPA/SEPA)? 1 c. If you answered "yes" to the above, has the document been finalized by the State ❑ Yes ❑ No Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter.) Comments: 2. Violations 2a. Is the site in violation of DWR Wetland Rules (15A NCAC 02H .0500), Isolated Wetland ❑ Yes ❑ No Rules (15A NCAC 02H .1300), DWR Surface Water or Wetland Standards, or Riparian Buffer Rules (15A NCAC 02B .0200)? 2b. Is this an after - the -fact permit application? ❑ Yes ❑ No 2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s): pplicant/Agent's Printed Name Applicant/Agent's Signature (Ai6a'o signature is valid only if an authorization letter from the applicant is provided.) Send 3 complete sets of this form and accompanying documents to the following: For government transportation projects sent For government transportation projects sent by First Class Mail via the US Postal Service: by delivery service (UPS, FedEx, etc.): NC DWR, Transportation Permitting Unit OR NC DWR, Transportation Permitting Unit 1650 Mail Service Center 512 N. Salisbury Street Raleigh, NC 27699 - 1650 Raleigh, NC 27604 For all outer projects sent by First Class Mail For all odder projects sent by delivery service via the US Postal Service (UPS, FedEx, etc.): Karen Higgins OR Karen Higgins NCDWR — 401 & Buffer Permitting Unit NCDWR — 401 & Buffer Permitting Unit 1650 Mail Service Center 512 N. Salisbury Street Raleigh, NC 27699 - 1650 Raleigh, NC 27604 FORM: BA 10 -2013 Page 4 of 4 , i 1 s ' r 9 s , s . " ! =t' , iii I -•- r � ��>�D - - - F - - -- -; _ � - - - - -- - - - lam/ - -- -,- -, _ - .� -- - -: �_ _ -, -; -- ,: ' ' , • , ' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to J % �, , s 4r -1,4 -f w =I—r. s (Name of Property Owner) property located at /0 4 A -6 ^/ (Address, Lot, Block, Road, etc.) on Pam l • ct in C t' c-c C;,; 4,1 N C (Waierbody) (City/Town andf& County) The applicant has described to me, as 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) " � i.: � .` � '� � � /' ! I ( � �%✓ � J � �!� lr C'�i..i L' �' C �' � /✓ t� �" l' (,i /.� CC .`s_ -� G�PCF r V -- WAIVER SECTION' I understand that a pier, dock, mooring pilings, breakwater, boathouse, 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,'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 (Property Owner Information) (Adjacent Property' Owner Information), -&�nat/Iure / Sijg'n/ature/ j V�Dkf' C• 1 hJc�'YrG y� C_!1`aY /FS Z' A U yS eL7PP�� Print or Type Name Print or Type Name .Y Z 3 i,/. 5—d /y 9 '�/1-1 - k A 1 -r1'/ L I.IV Mailing Address Mailing Address r City /State/Zip City /Statelzi z 5-7-- 7s 3� 3 5- 6Y3 7 T J Telephone Number Tele phone�Number / Date Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to .% % �e s %/� Y = r. s (Name of Property Owner) property located at -/ -e_ (Address, Lot, Block, Road, etc.) on Pa," 1, y in CXt,C.o� 4 ,NC (Waterbody), (City/Town and,6r County) The applicant has described to me, as shown below, the development proposed at the above locatio I 'have no objection to this proposal ,I have objections to this,prop,osal DESCRIPTION AND /OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) i '1- l' Y t� G J '� a I r �• S T 7 �c r� r ..' r� r-� /�i I<, . �- 7L WAIVER_SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by rrie (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 (Property O ner Information') (Adjacent Property Owner Information) ty - nat//ure Signature -77- �r7 ht Cc 1 1ffi��'r L- r lJ�trfuc v �YOI✓a��t�cz Print or Type Name Print or Type, Name Mailing Address Mailing Address City/StatelZtp CitylState/Zip z s z-_ 7S3 35 9/9 -2 s"'7 -3 -13 Telephone Number Telephone Number 3 /Z -z6 /f" Date Date (Revised 611'812012) *# re (C) • •+\ �R • �I; tir ■ s • •� 4 tiy. t* f. \ i Y 6 • • r. • • • ■ • • 104 Blackbird Lane ;ngifl (C ..� o Light Whiehard% .. • each „ei ag etic Dechnati. n 10 IW • • • Copyright (C) 1998, Maptech, Inc. 0 100 200 *� -('• 0 4 SCALE 1:8000 300 400 600 YARDS 1000 FEET 0 100 200 300 400 500 METERS — — — -- _ - -- _ — - - - - - - -= U.M.ti. NO. J Uti / -UU /7 NATIONAL, FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION' CERTIFICATE Irri ortant: Read the instructions-Ion pages 1 - 7. 0 102 SECTION A - PROPERTY,O_ WNER INFORMATION - :For- Insurance,Company Use: BUILDING OWNER'S NAME - - D o►n no r+ ' Ro b e c+ Policy Number BUILDING STREETADDRESS,(Including Apt.;:Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. --Company_ NAIC= Number, ,1 _- ' - - loy SIaGKb;rd Lane CITY STATE ZIP CODE G h6Go w in ►tm Nbc --t'h ccotaiili�n,o. 2.781 - PROPERTY'DESCRIPTION (Lot an&Block Numbers, Tax'Parcel Number, Legal Description, etc.) Pa CG e: I 10 *# 56$4 - 75 = 1911 BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use Comments section'd necessary.) Residen-lIC%I LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: LI,GPS (Type): or ft"o# #�1 LJNAD 1927 LI NAD 1983 LJ USGS QuadMap I_I Other SECTION B - FLOOD,INSURANCE RATE MAP (FIRM) INFORMATION B1.,NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2. COUNT,Y NAME B3. STATE vtlir�co; oca ed 7004.5 Beou•far=t A/ C_ B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVEIREVISED DATE ZONE(S) (Zone AO, use depth of flooding) 3.7oo/, oi'95 8 12-4-8 -7 2- 4.-'8-7 B10. Indicate,the sourcelof the Base Flood Elevation (BFE) data or base flood depth entered in B9. I FIS Profile I-XJ FIRM , LJ Community Determined LJ Other (Describe)- B11. Indicate the elevation datum used for the BFE in B9: IJ NGVD 1929 1J NAVD 1988 U Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? IJ °Yes L cg,No, "Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED), C1. Building elevations are based on: [JConstruction Drawings' LlBuilding Under Construction* IXJFinished Construction 'A new Elevation Certificate will be,required when construction of the budding is,complete. C2 -.,Building Diagram Number —, (Select th�e;building diagram most similarto the building for which this certificate �is_being completed -see pages 6 -and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations —Zones Al -A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/AO Complete Items C3a -i below according to the building,diagram specified in Item C2. State the datum used. If the datum is different from, 'the datum used for the BFE in Section B, convert the datum to that usedfor the,BFE. Show field, measurements,and datum conversion calculation. Use the space provided or thetomments area of Section D or Section G. as appropriate, to document the datum conversion. Datum IJGVD 29 Conversion/Comments Elevation reference mark used_NC65"BEflGH 196S' Does the elevation reference"mark used appear on the FIRM? IJ Yes 1X1 No 24 a) Top of enclosure)GcouM'(1 -A G)- LI 3 ft.60) ���► �r,,� b) Top of'nekt higher floor 7 f3 2 ft:(1n) �' .�`��(H CARD �''• O c) Bottom of lowest horizontal structural member (v'zones only) _ N'ra . _ ft.(m) o o �`���� �FSSS %`�y9''; ❑ d) Attached garage (top of slab) N'IA _ft.(m) E , , �L'; _ ' IN e) Lowest elevation of machinery�and /or equipment w s _ "SEA. servicing the building See GoVAmehk$ %(m) E � � Z r - L -3831 f) Lowest adjacent grade (LAG) 4 3 -ft.(m) 'z' g) Highest adjacent grade (HAG) ►'� 'I ft.(t�y1 9,Q •.&URN -o k, 4a h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade, • ° . _ "3 � ,q MP � i) Total.area,offiall permanent openings (flood vents) in,C3h, 3151 sq.,in . (sg4m) '���� „,,,;►► ►``� SECTION D - SURVEYOR; ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized; by law to certify elevation information. 1 certifythat thejinformation in Sections A, B, and C on -this certificate represents my best efforts to interpret the data available: I understand that any false statement may be punishable -by fine, or imprisonment under 18 U.S. Code, Section 1001. ~ L- V vo FEMA Form,81 -31, AUG 0 - SEE REVERSE SIDE FOR CONTINUATION REPLACES ALLPREVIOUS EDITIONS IMPORTANT: In thesespaces, copy the,corresponding information from Section A. 'For Insurance Company Use:- - , BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or, Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number, _ I o 1 o� c b ► f 1 s d Cl 4 ar►e N STATE 9P CODE Company NAIC Number_; O G f - SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner, No Access to c t-aw1 .5ema__ Gas Po,cK 5 +and at- Ele,\)rL -;on 7.7' HyIRC DUG+ at tleVoLtion {-1,'7` E lec -ve;a Me"tejr o t Elevo kAo n '7JJ' ' - 1_1 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO and ZONE A,(WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E3..Ifthe,Elevadon Certificate, is intended,foruse,as supporting information fora L-OMA,or LOMR -F, Section C must,be=mpleted. ' F - ' E1. Building Diagram Number (Select'the�building diagram,.most similar to,theTbuilding for which this certificate is being completed — see pages 6 and 7. If no diagram accurately represents the building, provide a-sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is I i I ft.(m) I I lin.(cm) Li above or U below (check one) the highest adjacent grade. E3. For Zone AO only: If no flood,depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 1_1 Yes 1_I No 1_1 Unknown. The local official must certify this information in,Section G. SECTION F - PROPERTY OWNER (ORAWNER% REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A;'B, and E for Zone A (without a FEMA- issued or community- issued, BFE) or Zone AO must'sign here. PROPERTY OWNER'S,OR,OWNER' &AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS 1 -1 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) TheJoca[official whois authorized by law or,ordinanceto administer, the community's floodplain management ordinance,can complete Sections,A,�B, C (or E),,,and G of this Elevation Certificate. Complete'the applicableiterri(s) and.sigmbelow. G1. 1-1 The information in 'Section. C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. I I A community official completed Section E for a building located in Zone A (without a FEMA - issued or community- issued BFE) or Zone AO. G3. 1_1'The following information (Items G4-G9) is provided for community floodplain management purposes. G7. This permit has -been issuedJor: I I New Construction 1_1 Substantial Improvement G8. Elevation ofeas -built lowestfloor (including basement) of the building,is: _ ft.(m) Datum: G9.,BFE or (in Zone AO) depth of flooding at,the building-site is: _ ft.(m) Datum: LOCAL OFFICIALS NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS 1_1 Check here if attachments FEMA Form, 81 -31, AUG 99 REPLACES ALL PREVIOUS EDITIONS Q' 11331:277 gpv4 'PA 14AX gym � IVA SITE ����� u lb f R . -xi6w�� � ♦� �V' C Y1pM7TEIaW y/ A •� O p6Tmpg1 W PIPE ,(/ 0 E7uftetOfAttE f72Ste1f,1RC115m a JS i oaTrie uip+ we,nT oasT 1c'Atu Iwawt.e) `?. fl• a 0 to *NCW'Utat PPE a NO PW %a' '7J Jjj 4 i9 MAMR VrRP A`4�r ati _X- FAKE / •�2�J ��� ♦ 5,VEtl1RE 06N U0. b` ; �, 6 '!6 n VJLA Rey" ) )O �JO�a• 'Ai i sro°r aivA -t ai s a. a4vAT!66SAErEn�SeEC ro kD N J 9r �• RM 'BEAL7+JIP6s• v� pJ• j RLVAI" 3.27"' / � � } uqa tt ±w.IThnuM QI.i� N'sj. G� J•0 Ca tV,cl :ct�Platl rn-t. _ ' _ 'r .V�J Nom, aj ej ^y. 4e• I "fa1.Q, K9.6 Fir,_ ' ,1 h. R ,a' J 'ems tTa,t:, lau tr ro Ca ta'e •I tp,trnn• `,1 « Iona eQj a+�, / O n.1y/t41 la �ut� OX! .«laol/a Il,a9 1 'r.11u J[��aa � L 3 ,ut: i.an••!aC•ul count «tw, 4Rw Ortk« , C� aw ,� yc1.41 as N bet b O 6 •�i F4 • v J WILTDRi COUIM, LARD R( ,ACCEPTED b� s• `SURV;ci yki •jJ wo e>•+m ...I ,� n'.r:� uw,: °t�yNOH vw ,'V'0i.�o�..t[eto+ 1tw[tMCW rl.w AM'KNa fiJtd (A ?e tItSCM'110ai,RCO.ptp w pL} I[t{ y nMl �! [YO)R [L011.a(N CNCVA20 h a1.0 OT1.AT1A[t K.. amt M tovorRS R �•0 wlASUW ` q�lA/ a�D A00. K� WC7fR�•IIOiI!w Kp1- 40 0 40 ..CR � rf `wow* toMt'.rR : W-101 -AA" a.0 ° Wa Iw e.. v .u.o. ee •�)w . �-/ s 27•a1'se•Ir, na^ 1• °x�etex•ts•v 72.5)• ° _ GRAPHIC SCATS - -MEI _ __ - - 11 +e1'29,14, 11.1)7 a ti� i..�'l w -PAN" a O' . OSSr1A awct ta. a;M. am,w p[J,It A Y>• 7T..C.17M 11Y.00 .Iai,ILfyupaTC IR)MAD Ml(M .uR r {ttAgaOaq du7TY 1 b a- r r N bet b O 6 •�i F4 • v J WILTDRi COUIM, LARD R( ,ACCEPTED REVISIONS _ - SURVEY FOR- IMUVS nVY 0'5" . V.w ~* 'd -tKC• 4o - 26 G14 2 -1 =2251' 2utc• r � •r Donnon Robert .Jeffeisoin AAYO "D :FATE, ,c " ASSOCIATES. P;A, Wj(IT,ICW7){ *, ,t22e) 146 -2112 V{{N+e1tf...,ML IV►, OQbVWlTY_ _ _ 1 CM) L32 RV w. , KC 10l 21acA►tr� a{.v OvcaaM J, IC us" •)2 =27% 7Y fltl 1d e,eHJf.iwi2 I �P ' b� s• `SURV;ci yki cP RLL EN, 1` "'`` R �•0 BCAitItlC OIfTAAKC� 40 0 40 80, 120 -- - C A, s 27•a1'se•Ir, na^ 1• °x�etex•ts•v 72.5)• ° _ GRAPHIC SCATS - -MEI _ __ - - 11 +e1'29,14, 11.1)7 REVISIONS _ - SURVEY FOR- IMUVS nVY 0'5" . V.w ~* 'd -tKC• 4o - 26 G14 2 -1 =2251' 2utc• r � •r Donnon Robert .Jeffeisoin AAYO "D :FATE, ,c " ASSOCIATES. P;A, Wj(IT,ICW7){ *, ,t22e) 146 -2112 V{{N+e1tf...,ML IV►, OQbVWlTY_ _ _ 1 CM) L32 RV w. , KC 10l 21acA►tr� a{.v OvcaaM J, IC us" •)2 =27% 7Y fltl 1d e,eHJf.iwi2 I �P ' NORTH CAROLINA Prepared by James A. Nelson, Jr BEAUFORT COUNTY Revenue Stamps: $200.00 Tax Parcel No.: Mail: Grantee, 3283 N. Waverly St. Farmville NC 27828 The Preparer is informed that no portion of the property herein conveyed includes the principal residence of the Grantor. This DEED, made this -2,y day of April, 2014, by and between Donnon Robert Jefferson, unmarried, hereinafter called "GRANTOR "; and John D. Andrews, Jr. and wife, Maria Marta Andrews, hereinafter called "GRANTEES "'; W I T N E S S E T H: THAT GRANTOR, in consideration of'Ten Dollars and other good and valuable consideration to GRANTOR in hand paid, the receipt of which is hereby acknowledged,, has bargained and sold and by these presents does hereby bargain, sell, grant, and convey, to GRANTEES, their heirs and assigns, in fee simple, all that lot or parcel of land lying and being in Beaufort County, North Carolina, and,more particularly described as follows: Being that parcel or tract of land containing 0.510 acre together with right of egress and ingress with SR 1182 (Bayside Shores Road) along an existing 30 foot right of way as platted on survey map dated March 1, 2001 entitled " Donnan Robert Jefferson" by Mayo and Associates, P.A., to which map is of record in that Deed of record in Deed Book 1193„ Page 276, Beaufort County Registry, further reference is herein made and incorporated for a more complete and detailed message. TO HAVE AND TO HOLD the aforesaid tracts or parcels and all privileges and appurtenances thereto belonging to GRANTEES, their heirs ,and a"s'si.gns, to their only use and behoof, in fee simple forever. And the GRANTOR, for himself, his heirs, executors and administrators„ covenant with the GRANTEES, that the 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 does hereby warrant and will defend the title to the same against the claims of all persons whomsoever except for the exceptions hereinafter stated. 1. 2014 ad valorem taxes and assessments. 2. General utility easements, restr- active covenants, and rights of way of record. The plural number as used herein shall equally include the singular and vice versa. The masculine or feminine gender as used herein shall equally include the`neuter. IN TESTIMONY WHEREOF, GRANTOR has adopted the word "SEAL" as their seals and has hereunto set their hand and seal, this the day and year first above written. I Donnon Robert, e0 on NORTH CAROLINA COUNTY OF ell I, ��Y' ^� �� -����0 V a Notary Public in and for the aforesaid County and State, do hereby certify that Donnon Robert Jefferson personally appeared before me this day and acknowledged the due execution of the foregoing instrument,. Witness my hand and Notarial Seal, this the day of 2014. Notary /Public My Commission Expires: 7—Z�- 2c.cy' NOTARY SEAL IR2� . r7E150N. R. Ix �M To S 1 ®SR I�6� 2Cl_AS, halt 8 e To Whic'hardS Beach ° 1 . 1 ° ° 1 e 1 , I� 1 1 � 1 ' 1 1 1 388.00 A 14'6. <68� 1 ® N69-34W - N KS'-34W - 1 ° Existing 30 YW e ° 1 1 ° • 1 Whichard Property Iry ° 1 a01 !°n Oy - i1 N° 1 , �• e x•-30 -�-3Q- PROPERTY^ C)F R" U N AL U J, AND WIFE, mA V READ::�7 OR& " I 1 ° North CarolinA November 1976 1 e 1 60 Q 30 60 MEMO MEMONJ 120 180 I, William R° Harding, certify that this �00oaro 1 made by ,me from an actual survey C- A ®� made by me and that it is- accurate and 'N i o Canal 53'7 3E = SEAL � 1 1 1 22 5.•92. - - O •.� °osuv`A° �',���' ° ° 1 1 Registered Lend Surve r L 1655 ' "��o� ��e®0"��,• "W 3-. Whichard Prop. W ;ol it .,A 0 0 060.°58 Sq. I't •O I a 66 IT Z Z 1 1 I r1 Q1 O n 1 � 1 ' 1 1 1 388.00 A 14'6. <68� 1 ® N69-34W - N KS'-34W - 1 ° Existing 30 YW e ° 1 1 ° • 1 Whichard Property Iry ° 1 a01 !°n Oy - i1 N° 1 , �• e x•-30 -�-3Q- PROPERTY^ C)F R" U N AL U J, AND WIFE, mA V READ::�7 OR& " ° rd C it U A Chodowinity Township Beaufort County North CarolinA November 1976 Scale 1 60 Q 30 60 MEMO MEMONJ 120 180 I, William R° Harding, certify that this �00oaro map was made by ,me from an actual survey C- A ®� made by me and that it is- accurate and ��,•�`�,`�� °�sTER ®�,a correct to the best of my knowledge and belief. = SEAL WITNESS my hand and Seal this_,ff day of L -1655 e s .S •.� °osuv`A° �',���' ° ° Registered Lend Surve r L 1655 ' "��o� ��e®0"��,• ° rd C it U A