73833A_Tetley, Philip_20190823

FAAMA / '__71 DREDGE & FILL
GENERAL
PERMIT
w 'Modification ❑Complete Reissue CPartial Reissue
V4'__ v
No. 73833 ® B C D
Previous permit #
Date previous permit issued
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.
� )In
Applicant Name j k f /s
Address ) S Q
City '- l�cr StateAC- ZIP;L9-91�
Phone # ") I{I]_�,� —alq(4 E-Mail
Authorized Agent
❑ Cw
4W
C PTA ❑ ES ❑ PTS
Affected
❑ OEA
HHF
ElIH [IUBA ElN/A
AEC(s):
❑ PWS:
ORW: yes /� no
PNA
yes / no)
Project Location: County
f
Street Address/ State Road/ Lot #(s) j ')(;I,')(;I, c
Subdivision ---
City h- ( 44c rrlZIP cly�
Phone# (ateINq River Basin 4,,
Adj. Wtr. Bod- �nat /man /unkn)
Closest Maj. Wtr. Bodyt r
Type of Project/ Activity (--or,54
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M.
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■■■■■■■■■■���ia■r!���■■■■■■■■■■■■■
■®®■
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■■■■■■
■■■■:���■■■■No
■■■
OMEN No
■MM■�!I■■■■■■■■■■W_iit��rt■®�!■■■■■■■■■■■■■■
POWER .14apmmmmmppm
Agent or nplicant Printed Name
�' Ig a ure 4/ Please read co ftliance statement on back of permit"
ao
63
Application Fee(s) Check #
2rJhet+ Coi beif
Permit Officer's PrintelMame
Signature '
Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific 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 I) 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 or certified mail return receipt has been obtained from the adjacent riparian
landowner(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:
Tar - Pamlico River Basin Buffer Rules Other:
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. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax: [phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17

NC Division of Coastal Mgt. Mabitat impact "-cm - Sheet
Applicant: I I lei Permit #:3 3 3
Date: �3 ,a3 -QO ri
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
ternimpacts)—
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
ternimpacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
(—Xi
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :, 1-838-4RZ0AST revised- 02103r 3C

8/8/2019
Perquimans County, North Carolina - Property Values
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PARKVILLE
Disclaimer
Every Reasonable Effort has been made to assure the Accuracy of these reaps and associated data. Perquimans County, North Carolina and Pearson Appraisal Assume no liability arising from use
of these Values or Data contained on this website. The values and property data is provided without warranty of any kind either expressed or implied, including, but not limited to, the implied
warrantees of merchantability and fitness for a particular purpose.
www.co.perquimans.nc. us/taxcards/index.php?mode=printcard&id=12836

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Ph; I;D
Address of Property: / 5'D lV L %cD n S t . (,v ! 4 •C'a l 1 j: req_u i /' i 0- ,i 5 -_-___
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Mailing Address:
Agent's phone # _
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.
�S e.,e. d ra wi oA � with p r u p c s e d <,v o r- k eJ1 C_ /W _d
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 1367 US
17 South. Elizabeth City, NC, 27909. 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
understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distanc ram my area of riparian access unless waived by me. (If you
wish to waive the setback, you Mu_sT1nWgI the aporwriate-#3�eZw.i
I do )yaive the 15' setback
i do not wish to waive the 15' setback requirement.
(Property Owner Information)
>__�-- _
SiKn iturt
., + 1 --
Print or Type Name
I s 0 _NJ _*0 rn St
Mailing Address
14or-t4rd IQ Z79 4/zf
Cityl;StateiZip
CZZ-Z'1 A v404 - d liFy
Telephone Number
aw y, C?
Date
(Adjacen roperty Ow er Infor ion)
Signatu
4olrinror Type N me
Marlg in Address
City/State2ip
I h �l�
T �OVCv 7
e ep one Number
Date I-
Revised 611812012

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Your item was delivered to an individual at the address at 1:23 pm on July 24, 2019 in ELIZABETH
CITY, NC 27909.
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ELIZABETH CITY, NC 27909 m
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July 23, 2019, 7:58 pm
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� to
LIMITED LIABILITY COMPANY ANNUAL REPORT
I0/2017
NAME OF LIMITED LIABILITY COMPANY: NC Nixon Properties, LLC
SECRETARY OF STATE ID NUMBER: 1735164 STATE OF FORMATION: NC
REPORT FOR THE CALENDAR YEAR: 9()1 q
SECTION A: REGISTERED AGENT'S INFORMATION
1. NAME OF REGISTERED AGENT: Mastro, Cynthia Nixon
2. SIGNATURE OF THE NEW REGISTERED AGENT:
Filing Office Use Only
E - Filed Annual Report
1735164
CA201916300574
6/12/2019 11:45
Changes
SIGNATURE CONSTITUTES CONSENT TO THE APPOINTMENT
3. REGISTERED AGENT OFFICE STREET ADDRESS & COUNTY 4. REGISTERED AGENT OFFICE MAILING ADDRESS
101 Hunters Trail West
101 Hunters Trail West
Elizabeth City, NC 27909 Pasquotank County Elizabeth City, NC 27909
SECTION B: PRINCIPAL OFFICE INFORMATION
1. DESCRIPTION OF NATURE OF BUSINESS: Real estate; rental and sale
2. PRINCIPAL OFFICE PHONE NUMBER: [phone] 3. PRINCIPAL OFFICE EMAIL: Privacy Redaction
4. PRINCIPAL OFFICE STREET ADDRESS 5. PRINCIPAL OFFICE MAILING ADDRESS
101 Hunters Trail West
ELIZABETH CITY, NC 27909
101 Hunters Trail West
ELIZABETH CITY, NC 27909
6. Select one of the following if applicable. (Optional see instructions)
❑ The company is a veteran -owned small business
❑ The company is a service -disabled veteran -owned small business
SECTION C: COMPANY OFFICIALS (Enter additional company officials in Section E.)
NAME: Cynthia Nixon Mastro
TITLE: Manager
ADDRESS:
NAME: William Nixon, IV
TITLE: Manager
ADDRESS:
NAME:
TITLE:
ADDRESS:
101 Hunters Trail West 7450 Melody Lane
Elizabeth City, NC 27909 Bloomfield, MI 48301
SECTION D: CERTIFICATION OF ANNUAL REPORT. Section D must be completed in its entirety by a person/business entity.
Cynthia Nixon Mastro
SIGNATURE
Form must be signed by a Company Official listed under Section C of This form.
6/12/2019
DATE
Cynthia Nixon Mastro Manager
Print or Type Name of Company Official Print or Type Title of Company Official
This Annual Report has been filed electronically.
MAIL TO: Secretary of State, Business Registration Division, Post Office Box 29525, Raleigh, NC 27626-0525

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PAR(-E?,l_ ID
5-D040-0273-W
PIN
7950-11-0368
REC DATE
10/27/71
DESC:
ACC 1
0539607
NA'tlE
NC NIXON PROPERTIES. LLC
ADDRESS-]
%CYNTHIA N MASTRO. MGR
ADDRI-SS 2
101 HUNTERS'CRAIL WEST
ADDRESS-3
ELIZABETH CITY. NC 27909
DFSCR
NIXON 1.2. & 3
EoWNSIIIP
P.ARItVILLE
Viev+ PR '
More info
PARC11.1..: 11)
5-D040-0278-W
PIN
7950-10-2959
RE;C; DA'lTE
11/17/81
DESC
AC:CT
0538162
ti.�\11
COPELAND, ANTHONY M f
ADDRESS 1
1412 HUNTING RIDGE ROAD
ADDRESS-`
RALEIGH. NC 27615
ADDRESS "7
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