07H.1200_Fick, Tim_20210611

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".�CGAMA / DREDGE & FILL M 79` 471 B C D
ENERAL PERMIT Previous permit#
);New Modification .Complete Reissue Partial Reissue 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 NCACM . ) to`✓
�! ales attached.(�
Applicant NameY _ ` ! Project location: County _ L,i�!m
Address_ 1 g-+ — h 7I 1aVKac> _Po; ✓tr'r'_ _P-oaa Street Address/ State Road/ Lot #(s) �1
city, _ 6VA t a vs, Nip, zlP 2�q_74- '�V1 Cva5 _P0 I �..
State _
Phone # 00J ) (;p02," I M 0 E-Mail _ —' Subdivision 43l'4" _-rV.VK .t 5. ,Poi Vvtr
Authorized Agent�Q,5DV1 _Wait .. btu J^� f.�.✓1_r , City ._.._ T +�+ l_C? ZIP G ��T...
Affected CW )(EW ' (PTA -,ES PTS Phone # ( - ) _ _ River Basin _VG> CPh_vrYK--
OEA HHF c. _lH UBA NIA
AEG(s}: Adj. Wtr. Body_ .Q v 1QU4101an, Lunkn)
PINS: , 1
ORno noW: yes / PNA ryes 1 Closest Mal. Wtr. Body .. Fe_i5q n L t VSV
Type of Project/ Activity Gi hrJA ek a, 9to, Y. to, i )ew W 1 h/L Cat.. 14p, X .22
Lie. deck) length R (et" X (01
Fixed Platforn ) i (rp� x 2.7-
Floating Pladorm(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse! Boatfift
Beach Bulldozing
Other
Shoreline Length I t f
SAV: not sure yes no
Moratorium: n/a yes no
no
,.
Photos: vC esJ no
Waiver Attached: yes no
e.-, `
+
10
T DIN
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(Scale:
2X
ILL
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A building permit may be required by: Cam L'1.yk C ll_ �tw��-t-i See note on back regarding River Basin rules.
( Note Local Planning jurisdiction) t�
Notes Special Conditions — C_ `
i Yt C U `Ma q
7
Lv4 C
Applicant Printed Name „ _ t f\ PermitOfjc t ;�e
F// 1.1A/ e /
Signature -`: ase read compliance statement on back of permit " Signature
Application Fee(s) Check # Issuing ace Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Tenn I�LuK
Mailing Address:
,S4T-LI)Vl NC a�-
Phone Number: (23o D�, ca t 2- j a
Email Address: -
.1 certify that I have authorized
-1va's, w6mAINNEWW",
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: -
at my property located at
in County.
/ furthermore certify that ! 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.
Property Owner Information:
Signature
h C,
Print or Type Name
Title
Date
This certification is valid through I i_ I
Revised Mar, 2016

10
Excise Tax: $
riuliiMurivillirii
om No' 211010
Recorded: 01/2112021 02:51:19 PM
Fee Amt: $26.00 Page 1 of 4
Excise Tax: S650.00
Camden County North Carolina
Tammie Krauss, Register of Deeds
BK 403 PG 118 -121 (4)
NORTH CAROLINA
GENERAL WARRANTY DEED
Recording Time, Book and Page
Tax Map No. Parcel Identifier No. 03-8971-00-12-1365-0000
;a$ -;LA 4;P3 t, �L1-aoa I .
Brief Description for Index: 187A Thomas Point Rd, Shiloh -7w at&mf. -Mtti- ►bcp - I - a t ' -o l
Mail after recording to: Brumsey & Brumsey, PLLC mnm file no. 20 B 56769
This instrument was prepared by: Innes & Inns, PLLC (Prepared without title examination.)
This instrument was prepared by Innes & Innes, PLLC, licensed North Carolina attorneys. Delinquent taxes, if any, to be
paid by closing attorney to the county tax collector upon disbursement of closing proceeds.
THIS DEED made this le day of January, 2021, by and between
GRANTOR
John E. Cochran & wife, Brenda W. Cochran
555 Snowden Rd, Moyock NC 27958
GRANTEE
Timothy J. Fick
187A Thomas Point Rd, Shiloh NC 27974
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 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 located in Shiloh Township, Camden County, North Carolina, and more particularly
described as follows:
1211-1-1� cz:j

BK 403 PG 119 DOC# 211010
See Exhibit "A" attached hereto and incorporated herein by reference.
Any discrepancies between the attached legal description and that contained in
the Deed at Book 251, Page 760, Camden Registry, shall be resolved in favor of that in
said deed.
The subject property is the primary residence the grantor(s).
A map showing the above described property is recorded in Book 201, Page 474, Camden County Registry,
North Carolina.
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 clear 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.
Title to the property hereinabove described is subject to the following exceptions: Reservations, restrictions
and easements of record.
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal the day and year first above
written.
(seal) (seal)
h E. Cochran Brenda W. Cochran
State of NORTH CAROLINA COUNTY OF CURRITUCK
I, the undersigned, a Notary Public of the aforesaid State & County, certify that the
following person(s) personally appeared before me this day, each acknowledging to me they
voluntarily signed the foregoing document for the purpose stated therein and in the capacity
indicated: John E. Cochran & wife, Brenda W. Cochran, Grantor(s).
Witness my hand and official seal this the 15th day of January, 2021.
My commission expires: 10/01/2025
James B Innes///Notary Public
NOTARY PUBLIC
Currituck County
North Carolina
My Commission Expires 10/p12025
Seal: Printed Name: James B. Innes

BK 403 PG 120 DOC# 211010
Exhibit "A"
(Cochran to Fick - 187A Thomas Point Rd, Shiloh, NC 27974)
Legal Description:
Beginning at a point marked by an iron pipe located in the Western margin of
Burgess Lane, said point marking the Southeastern corner of the property now or
formerly owned by Gary Wayne Overton as described in a deed recorded in Deed Book
369, Page 236; running thence with the Western margin of Burgess Lane S 13' 00' 00" E
150.00 feet to a point marked by an iron rod located at the point of intersection of the
North line of a 15 foot right of way with the Western margin of the Burgess Lane;
running thence with the North line of the 15 foot right of way, S 77° 00' 00" W 200.43
feet to a point; running thence S 79' 01' 21" W 3.86 feet to a point located in a bulkhead
located at the eastern edge of the Pasquotank River; running thence along the bulkhead
the following courses and distances: N 16° 43' 42" W 15.40 feet; N 14° 30' 04" W 46.80
feet; N 14° 23' 32" W 53.84 feet; N 12' 03' 27" W 29.97 feet, thence turning and running
thence N 75° 22' 02" E 19.46 feet, thence turning and running thence N 13° 00' 00" W
3.37 feet to a point; thence turning and running thence N 77° 00' 00" E 187.90 feet
along the south line of the Overton property to a point located in the Western margin of
Burgess Lane, said point being the point of beginning.
The above described property is shown on a plat entitled "Physical Survey of
Timothy Fick" dated January 13, 2021, a copy of which is attached to this deed marked
Exhibit "B".
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1, ARSON A, MLMU, CERTIFY THAT THIS PLAT VWk4 DRAVW UNDER MY BUPERV19gN
FROM AN ACTUAL SURVEY MADE UNDER MY SUPEPMSION; DEED DESCANnION
RECORDED IN DEED BOO( I16. PAGE 984, THAT THE 300414RES NOT SURVEYED ARE
CLEARLY INDICATED AS DRAWN FROM INFORMATION FOUND IN THE REFERENCES B} W
0,000.: THAT THIS PIAT
HEREON; THAT THE RATIO OFNMS pWRH
e,'(7R04
PREPARED IN ACCOIONNCCEE
G.8 47-M AS AAENDED1
20.'�FESSIO,.�'r
(P)(11)C • TWIT THE SURVEY 18 OFAN EXISTING PARCEL OF LAND
W,T7ESS MY ORIGINAL SIGNATURE, REGISTRATION NUMBER
L
AND SEAL TINS i M OAY OF JANUARY, 2W
7
BURS
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NOTES:
I. ALL DISTANCES SHOWN ARE HORIZONTAL GROUND DISTANCES.
2. THIS PROPERTY M LOCATED N FLOOD ZONE-AE441' A3 SHOWN ON FEMA MAP PANEL
3720M000K DATED DECEMBER 21, 2018 AND SUBJECT TO CHANGE SY FEML
J.) THERE ARE NO N.G.S. MONUMENTS WITHIN 2,OW OF THis SITE.
4.) LINES A - B ARE ALONG AND WITH BULKHEAD CENTERLINE
PAaQil MAKRIVER
VK;JMIYAMP - AMP NOT 10"
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ABODE OF CAMDEN Mir —
METAL CARPORT D.B. 104 PQ 337
PHYSICAL SURVEY FOR
SCALE 1 *mW TIMOTHY FICK
0 49 av' BEING PROPERTY DESCRIBED IN D.B. 115, PG. 954
Shiloh Township Camden County
TILT D111111=1 RIQANm AT TW I Date: Jan. 13 2021 Scale: 1 " s 40'
W.ENWWLM WW ap „e aft oly. Ilc er �0M "L'� n 01�' Sheet 1 of I J.N.: 47395
TEL 2SI A" "M ww.lY\Imnmmn C-140
Drawn by: J. Sawyer Chedced by: J. Mizelle
11F`)UP -

Able Marine Contractors, LLC
101 Airstrip Road, #390, Kill Devil Hills, NC 27948
obxdreamworks(a�yahoo.com
Telephone [phone]
April 9, 2021
SENT CERTIFIED MAI L - RETURN RECEIPT REQUESTED TO:
Mrs. Gary Wayne Overton
187 Thomas Point Road
Shiloh, North Carolina 27974
Dear Mrs. Overton -
Re: • Re -Construction of Existing Pier and Platform for Timothy J. Fick — New Owner of
187A Thomas Point Road, Shiloh, North Carolina 27973
Dear Mrs. Overton,
Your new neighbor, Timothy J. Fick, is applying for a Certificate of Exemption from CAMA to re-
construct and repair the existing 6' x 96 ' pier and 16' x 22' platform. We will use the existing pilings —
jetting them back7down, straightening them so they are level and plumb. We will remove up to six (6)
pilings that are broker or too short to support the waterway structure and install six (6) new 6" x 6" x
16' long 2.5# marine grade pilings to support. Work will take place adjacent to property you own
located at 187 Thomas Point Road„ Shiloh, NC 27974.
Please review the attached (2) photographs that show where the existing pier and platform are located.
Also enclosed is the Adjacent Riparian Property Owner Statement form that CAMA requires us to have
you sign and complete. We are not changing the location, the size or foot print of the existing pier.
Please make sure you place a check mark beside the appropriate line to verify if you have or if you do
not have an objection to this project. NEXT under the Waiver Section, please INITIAL the
appropriate line to verify if you wish to waive or do not wish to waive the 15' Setback requirement to
this project. After you have completed the form, please return it to be in the pre -addressed, stamped
return envelope as soon as possible.
Should you have any objections to this project, please send your written comments to North Carolina
DEQ, Division Coastal Management, Elizabeth City District Office, 401 S. Griffin St., Suite 300,
Elizabeth City NC 27909 within 30 days of your receipt of this notice. Such comments will be
considered by the Department in reaching a final decision on the application. No comment with 30 days
of your receipt of this notice will be considered as no objection.
If you have any questions on this project, please call me at [phone], or email me at
obxdreamworksra?yahoo.com. I look forward to hearing from you. Thank you in advance to your
prompt attention in this matter!
Sincerely,
Jason Wall, Manager
Enclosure: Adjacent Riparian Property Owner Statement Form, two photographs, & Return Envelope

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to —am Vol CK 's
, .t- _ . _ e-i" (Namgof Property Owner)
property located at
(Address,
on C (.IIJT� , 'L�lE.R,in
(Waterbody)
The applicant has described to me, as shown below, the development proposed at the above
location./
I have no objection to this proposal. L.1413le
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)
Off- "-S.577!-N Qn'
WAIVER SECTION
I understand that a 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. (If youu wish to waive the setback, you must initial the appropriate -blank below.)
V I do wish to waive the 15' setback requirement. `?Itp nC Ttq
-'
4� TaA L YaaK
I do not wish to waive the 15' setback requirement.�CiSON
(Prop rty Owner ormation)
Si na ure
1 1 M f-� v
Pff��� om
ilin Address
ity/S ^te p
tephgne lVumberlemail address
Date
`Valid for one calendar year after signature'
(Adjacent Property Owner Information)
iv urng Acores
Cih,/State/Zi
1t z5z-- 4- 5- 7,t e o
Telephone Number/email address
- [z—
Data*
(Revised Aug. 2014)
agar

Postal
CERTIFIED MAILs RECEIPT
Ln Domestic
tr
ca
ul Certified Mail Fee — ---- �;
FXh8 Seryioes & Fees (chock box. aWf 9 l , ,1•
0 ❑RWUMPa aip m=cepy) i
0 ❑ Retum Rocelpt Wactnm;c) i _�___4 f
0 ❑ Cwtf-d Mal Restricted Deivery i --- ti
C3 []Adult Ugn&! Required i N' 1
ClAduk e Pita^ature Restricted Ge7very i -
Q C ���
� 'V
O Total Postage and Foes
sent To—
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■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
fn 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: � �•�
-4t?5' k 1, V
twit
I�I��I lI
2. Article Number 7 016
(Transfer from service label)
A. Si nature
i 7 ` ❑ Agent
/,,/ X � 4•/ 7 Addressee
B. Receive by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. S rvice Type
Certified Mail' ❑ Priority Mail Express-
0 Registered A Return Receipt for Merchandise
❑ Insured Mail 0 Collect on Delivery
4. Restricted Delivery? (Extra Fee) ❑ Yes
0910 0000 6154 8945 � r fQ �",
PS Form 3811, July 2013 Domestic Return Receipt

USPS Tracking®
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Tracking Number: 70160910000061548945 L (1 fitw f o VI)-
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Your item was picked up at the post office at 2:43 pm on April 21, 2021 in SHILOH, NC 27974.
GV Delivered, Individual Picked Up at Post Office
April 21, 2021 at 2:43 pm
SHILOH, NC 27974
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Tracking History
April 21, 2021, 2:43 pm
Delivered, Individual Picked Up at Post Office
SHILOH, NC 27974
Your item was picked up at the post office at 2:43 pm on April 21, 2021 in SHILOH, NC 27974.
April 15, 2021, 9:19 am
Notice Left (No Authorized Recipient Available)
SHILOH, NC 27974
April 15, 2021, 9:02 am
Arrived at Post Office
CAMDEN, NC 27921
U
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x

April 15, 2021, 5:05 am
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ROCKY MOUNT NC DISTRIBUTION CENTER
April 14, 2021, 12:43 pm
Arrived at USPS Regional Facility
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April 13, 2021, 8:44 pm
Departed USPS Regional Facility
RALEIGH NC DISTRIBUTION CENTER
April 13, 2021, 4:43 pm
Arrived at USPS Regional Facility
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April 12, 2021, 3:16 pm
Departed Post Office
POINT HARBOR, NC 27964
April 12, 2021, 1:45 pm
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POINT HARBOR, NC 27964
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0
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to -um V 1 tK I
(Namg„of Property Owner)
property located at
(Address, Lot, Block, Roat etc.)
on �� U1JTAt�K� t �f�.F�in R QU N.C. aqq
(Waterbody) T (City own and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
1-4 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 be),ory or attach a site drawing)
be
RIM
WAIVER SECTION
y I understand that a 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. (if you wish to waive the setback, you must initial the appropriate blank below.)
5 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner formation)
t aa_ture �^
t r .�,� f r 'C-1 L(
Print,Qr�Type Name
a�rt1 I-O s `�� L 1
Telephone Number/email address
.Date
*Valid for one calendar year after signature"
(Adjacent Property Owner Information)
Signature's
&AR,liA LL C-t,5- s
Print or Type Name
Mailing Address rr
Ll0/ ,ff ClfLSv� 1�Li�_ `V� ,� 5
City/Statelzip f yttL m
-,,:24.172-42DC Nlyt3 L s'S�l L-
Telephone Number/email address
17at
(Revised Aug. 2014)

Na(lizffarT c;:W?s -Ta bc!:O�- 5,
TZER�
8'7 A

June 1,2021
Streets
Streets
® Main Roads
/
Addresses
Parcels
aCounty
Boundary
187 - A Thomas Point Road, Shiloh - T. Fick
1:826
0 0.005 0.01 0.02 mi
0 0.01 0.02 0.04 km
Source: Esri, Mmar, GeoEye, Earthstar Geographics, CNES/Airbus DS, USDA,
US GS, AeroGRID, IGN, and the GIS User Gorrmu nity
Esrt HERE, Garmin, (c) Open StreetMap contributors, and the GIS user
community
2021

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