79247A_Fick, Tim_20210611

,CAMA / DREDGE & FILL � ?C� 7 -' g C D
!ENERAL PERMIT Previous permit #
ew :.Modification Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality ` S !1
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC'ht •Ll.l
�yy ul�es'a�a`ached.
Applicant Name --1 yo, 'r! C/P"_ Project Location-, County
Address 16 --:F - / 7Y1 Qwla$ Po t +/Vi- r-0 Street Address/ State Road/ Lot #(s)
State_[�r`, ZIPq_hCiMyt �G;I... City_ _ I..t t ►�..� _
Phone # (�Ol ) (pb2-_'.. Lc E-Mail _ _ Subdivision 4 -r►M S,. POt ✓U�
Authorized Agent�q tlpV1 _ Wes. ff��U- City . _ _ 15 _1A'-kZIP
Affected CW XEW ' XPTA ES PTS Phone # ( ) _ "'_ - River Basin V `j __dh e-
OEA HHF IH UBA N/A
AEC(s}: Adj. Wtr. Body, Q. t? j'?��GV1�{G- _ at an. [unkn}
PWs: I t� c
ORW: yes 10 PNA ,yes 1 no Closest Maj. Wtr. Body k5gk . Xlew
Type of Project/ Activity C016 hYL.+ 4' A, R 1D f K (Of Pi)eV VV ti YVI- Gl. � 49
=d�c>ck) Yp Scale: t(Ot� oft r �[
Floating Platform(s) ../`.
i
Finger pier(s)
Groin length
number
Bulkhead/ Rtprap length
avg distance offshore
max distance offshore���
Basin, channel kit
cubic yards ��� LL� ♦ e
P S
Boat ramp
Boathouse) Boazlift
Beach Bulldozing 2Z .�.
Other f p
Shoreline Length .•� /i i l n ,% �l �(3`s
p t �J• . s
SAV: not sure yes
Moratorium: 0yes no `X E npG,
Photos: no ILL
Waiver Attached: yes no A building permit may be required by: CG VLA 6UVL See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) (�
Notes Special Conditions tD�
Applicant Printed Name�J t UZI Permit Officer's Pr1' t l ;4#bJZ1
k f _V{_ Si ature
Signature ase read compliance statement on bac o permit gn
Application Fee(s) Check # Issuing ace Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Tom i" myK
Mailing Address: ie I A -14pynA 5 TOM
ISWL-LA4 W- M1�9
Phone Number: (-3ot t (0 0a n9 b
Email Address:
.l certify that I have authorized
IVs ►
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 —AS
in CCounty.
I furthermore certify that l 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
M / r C" �C
Print or Type Name
TEtle
3-1-2 3_i_2 -
Date
This certification is valid through . i . I_
Revised Mar. 2016
1)
)�L

r
Excise Tax: S
11111111111151111111
Doc No 211010
Recorded: 01/21/2021 02:51:19 PM
Fee Amt: $26.00 Page 1 of 4
Exdse Tax: $650.00
Camden County North Carolina
Tammie Krauss, Register of Deeds
BK 403 PG 118 -121 (4)
NORTH CAROLINA
GENERAL WARRANTY DEED
Recording Time, Book and Page
Tax Map No. Parcel Identifier No. 03-8971-00-12-1365-0000
A$-aa
Brief Description for Index: 187A Thomas Point Rd, Shiloh -m Amy, +"+'S ►?5cp - t
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 Inns & 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 T_ho_mas 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:

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.
2 �� --
(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 otary Public
NOTARY PUBLIC
Cunituck county
North Carolina
My Commission Expires IN1r2025
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 790 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 120 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".
J� �

I, JASOMA. MIZELLF, CERTIFY THAT TINS PLAT VAS ORAL N UNDER MY SUPERVISION
FROM AN ACTUAL SURVEY MADE UNDER MY SUPERVISION; DEED DESCRIPTION
RECORDED N DEED BOOK 116• PAGE W, THAT THE BOUNDARIES NOT SURVEYED ARE
CLEARLY INDICATED AS DRAWN FROM INFORAMTKIN FOUND N THE REFERENCES WC MI
CAR0
HEREON: THAT THE RATIO OF PRtECISM AS CALCULATED IS 1'10,000.; THAT TMPLAT
'(N
V" PREPARED IN ACCORDANCE WTH G.S. Qd0 AS MAE.NDED.
•off E S S /0� /�'.�
(FXI1)O • THAT THE SURVEY 18 OF AN EXISTING PARCEL OF LAND
�Oe,
Q r
C
WR}E86 MY ORIGINSIGNATURE,
AL SIATURE, REGISTRATION lRNNER
AND SEAL THIS 1 JTH DAY OF JANUARY, 2021
ir
• yO y'0
?BOA/
MOTES:
A ►A\Z���
1. ALL DISTANCES SHOVM ARE HORIZONTAL GROUND DISTANCES.
2. THIS PROPERTY IS LOCATED N FLOOD ZONE -AE(4'r AS SHOVMV ON FEAA MAP PANEL
37201IWOOOK, DATED DECEMBER 21, 201E AND SUBJECT TO CHANGE BY FEMk
S.) THERE ARE NO N.G.S. MONUMENTS VMTH112,000' OF THIS SITE.
4) LNVES A - B ARE ALONG AND VWM BULKHEAD CENTERLINE.
Nlr43WW
ta400
AT7V ?f4W
A
SAD
ER - POW
ON LAW �
PASOWTANK AnM
l!'00
I
Mc2)Y►M "4P - AMP NOT TO SC1
KE MAE
filuxa IqWFROWr
SE7SACA8
2rBIVE
18' R6AR
E76A
ao� s
v,� 774
-------------------
PORCH
I L_ - _1
aw
I \ D NVAC
I artAv$ `VIM
24�
_ 2-M
araro7aaf� 81Jb0DOE rsom 11.58'
1 I BURGESS LANE
dBA19.L
DRAAW Wa I (lr MW QEFDW ACCESS
AE
1 I DJL 251, Pa 7W
1SAW
AH3VOWw
_3j?
SIR -Paver
-'- aNLm
LEGEAAO
EV1J711AJ NT7NPm om
EX87MM9"Rwffv
O
&TMiGVPKVg 1J
•
� a41C1MAJ®PLMTl
PRgN6PiYADLKIYPY
FROPOMM
JIMLOGIFFAMN
Wo"ATMR ----------
SHE
SW
-17JRtr
- nsz
NOWORFORAMMY
S„ED GARYVMYWOV19UM
�smaw D-B. JIMPa2W
-11.1r
rat+'
SMW NV0V 9M4M3
7Ar
NOW OR F0111110W Y
ABOVE OF CAMDEN MIIG
AErAL CARPORT D.A. IM Pa 317
ANCvOIACFES
PHYSICAL SURVEY FOR
SCALE'-4& TIMOTHY FUCK
0 40' e0' BEING PROPERTY DESCRIBED IN D.B. 115, PG. 954
Shiloh Township Camden County
TM DIUNSIG IbMm AT TM Date: Jan. 13 1021 Scale: 1' - 40'
LMos W" nT�i s.►�ay. IK 2»a '�°" AO� ° O1 °"" Sheet 1 of I J.N.: 47395
TEL 252A2L O ww.Snmmaan C-169
Drawn by: J. Sawyer Checked by: J. M/zelle
1�'j �_ T -IS 006 P, f) U P Goes
T1

Able Marine Contractors, LLC
101 Airstrip Road, #390, Kill Devil Hills, NC 27948
obxdreamworks(kyahoo.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 back down, straightening them so they are level and plumb. We will remove up to six (6)
pilings that are broken 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
obxdreamworksW_yahoo.eom. 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
1
i hereby certify that I own property adjacent to m V I (--, K 's
(Nam
%,of Property Owner)
property located at
on uuoTtkl�i K�1T-"4 din.
(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
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)
1.1SCs'11-N�.���c�'
anatlq
. �...R 4=o I�' 06' X dal ) cx15-7:� C-3- P_.�__.
u�-tze N--tau . ���[ �`C� 'C���,1-E\i E�. P��-D
l T� �5�4"X P�t�Z.t�S CAS
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 you
wish to waive the setback, you must initial the appropriatehJ.a_nk below.)
tr' I do wish to waive the 15' setback requirement. '�1�`��
I do not wish to waive the 15' setback requirement.
(Prop rty Owner ormation)
Siute •—
Ti
P1` Aom as o� ���/� \ }
1i 1 i
1,01I/'
ilin Address C"'
City/S to p
oa—
IephQne Numberlemail address
Date
*Valid for one calendar year after signature*
(Adjacent Property Owner Information)
Si na re
Prin 'Tye Name
ding Addres
� /Statezz
.z 5 �- `t35 7't e o
Telephone Number/email address
' 5 — IZ— Z o 2.1
Date*
(Revised Aug. 2014)

Postal
`nCERTIFIED MAILs RECEIPT
Domestic
c,
u7 Certified Mail Fee
,gyp $(J�LD
F_x'ha Stxvices 8 Fees (chock be; tlyYra� afej �Q
u
r [�ReturnRmeipt(edectronic)
Certified Rla:.l Restricted Deivery .... '
C3 El Here
C3 ❑ Signature Required
SignatuRequited ♦♦ "�.
[]Adult
Slgnature Restricted Delay i.__ �'Gr J`
Er $
� Totem Poafage and Fsss - - -"
70 —0 S
ra Sent To . r it 1Y tV /'1�
r --
-
C'ry`+i l C) W ( 11-a f 1 �--------- —� - ----
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
i 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:�
_,q, CRC y `
Illtllll1111111111111111111
_ 111111111111111111
2. Article Number 7016
(Transfer from service label)
A SXroature j -❑ Agent
X W �� /./ 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 Mailz' ❑ Priority Mail Express-
❑ Registered 14 Return Receipt for Merchandise
❑ Insured Mail ❑ Collect on Delivery
4. Restricted Delivery? (Extra Fee) ❑ Yes
]910 0000 6154 8945 �_ (►�
PS Form 3811, July 2013 Domestic Return Receipt

USPS Tracking®
Track Another Package +
FAQs >
Tracking Number: 70160910000061548945 L 63 V" + o 11%\ Remove X
Your item was picked up at the post office at 2:43 pm on April 21, 2021 in SHILOH, NC 27974.
OV Delivered, Individual Picked Up at Post Office
April 21, 2021 at 2:43 pm
SHILOH, NC 27974
Get Updates u
Text & Email Updates
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
n
cu
m
a
Q
v
n
X,

April 15, 2021, 5:05 am
Departed USPS Regional Facility
ROCKY MOUNT NC DISTRIBUTION CENTER
April 14, 2021, 12:43 pm
Arrived at USPS Regional Facility
ROCKY MOUNT NC DISTRIBUTION CENTER
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
RALEIGH NC DISTRIBUTION CENTER
April 12, 2021, 3:16 pm
Departed Post Office
POINT HARBOR, NC 27964
April 12, 2021, 1:45 pm
USPS in possession of item
POINT HARBOR, NC 27964
Product Information
See Less ^
Can't find what you're looking for?
Go to our FAQs section to find answers to your tracking questions.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to i-LM )F 1 (—VK Is
(Nam of Property Owner)
property located at 1$ �-i
(Address, Lot, Block, R
.04 etc.) v
on ,in q VL t-0H , RtA MI �-Q l , N.C. aqc%
(Waterbody) (Cityn and/or 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 B ow or attach a site drawing)
Vz
VE
Rt m rf) b , Q
JD
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 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 formation)
isgnatture r
Pnntgr,Type Name
M�qtlinaa
iv res
Telephone Nwmberl email address
Date
"Valid for one calendar year after signature'
(Adjacent Property Owner Information)
Signature
An R'R,%AfA LL � u e S s
Print or Type Name
Ivh�
Mailing Address 1 35
City/State/Zip
/ N1413L�2G£=s5��
Telephone Number/email address
Dar' *
(Revised Aug. 2014)

czat

June 1, 2021
Streets
Streets
� Main Roads
f
Addresses
Parcels
QCounty
Boundary
187 - A Thomas Point Road, Shiloh - T. Fick
1:826
0 0.005 0.01 0.02 mi
1 .' - , , I11 , , I-j r_,
0 0.01 0.02 0.04 km
Source: Esri, Maxar, GeoEye, Earthstar Geognaphcs, CNES/Aiibus DS, USDA,
USGS, AeroGRID, IGN, and the GIS User Community
Esrt HERE. Garmin, (c) Open StreetMap contributors, and the GIS user
community
2021

!`3YY/r
l♦
S�
�f
hit
v
{
4
�r
W
�y
s.
i