79374A_Willey, Mark & Carol_20210907

,j CAPI/IA / DREDGE & FILL A B � D L/
GENERAL 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
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ! �••%�_.�' 4 -
ltules aaac .
Applicant Name �� J " - !'(, }� �ir��_ _ �+ Project Location: County I �,,-JI-;�?,�r'L
Address ILN
;,' ' CO G ViG� Street Address) State Road( Lot #(s)�~
City _c. - State__ ZIP �7 A
( i�) � E-Mail LWU d jUL16J G . Phone # — Subdivision
Authorized Agent "- _ Q ! •CiC , ct __ 4' l
Affected '�CW XEW >PTA NS XPTS Phone # (__:' } "— .. •- River Basin
OEA HHF _ IH UBA N/A 4' Mf�d/ at man_1unkn
AEC(s): Adj. Wtr. Body _ �c : rr 2l�- _ � )
PWs:
ORW: yes 1 no PNA yes no Closest Maj. Wtr. Body --
Type of Project/Activity C0VgeJ4-Vt k(* '€
Pier (dock) length
Fixed Platform(s) _..-
Floating Platform(s)
Finger pier(s)
61eleriel"i
avg distance z
max distance
Basin, channel
cubic yards
Hshore+
0short?#Jf�, ((j�
Boat ramp
Boathouse/ Boadrk
Beach Bulldozing
Other
Shoreline Length_.
SAV: notsure yes no
k
1
Moratorium: n/a`, yes no
Photos: yes no
1ti7r^
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ta
Waiver Attached: LLG t now
A building permit may b �req ired by.
Cf i,;t/Vi_(
A
E. VICA,
See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
ote ecial Co itions /
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Ag
ent
Si
compliance
statement o back of permit
0 C. . Fy. C
Application Fees) Check #
Permit Officer's Printed Name,,
.... ...
Signature r�o IL
Issuing bate _
Expiration Date

Doc No 211246
Recorded: 0211912021 03 33:28 PM
Fee Amt $26,00 Page 1 of 3
Excise Tax 51 083 00
Camden County North Carolina
Tammie Krauss, Register of Deeds
BK 404 PG 702 - 704 (3)
NORTH CAROLI NA GENERAL WARRANTY DEED
Excise Tax:
Parcel Identifier No. 038943047418760000 Verified by
the Kday of �ZAaLA, 2011 By:
L9 a� Pd
Mail/Box to, THE TWIFORD LAW FIRM, P.C. 'bP%Q-
This instrument was prepared by: THOMPSON & PUREZA, P.A., ioi West Main Street, Elizabeth City,
NC 27909 (2021-004)
Brief description for the Index: Lots 4 and 5, Collinswood, Section 1
THIS DEED made this 27th day of January, 2021, by and between
GRANTOR
JOSEPH L. ROBERTSON, JR., and wife,
PHYLLIS A. ROBERTSON
105 Ashley Drive
Elizabeth City, NC 27909
County on
r) . cx-r /-2 ?
GRANTEE
CAROL A. WILLEY and husband,
MARK J. WILLEY
1o67 Colt Circle
Castle Rock, CO 8olog
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 situated in Shiloh Township, Camden County, North Carolina, and
more particularly described as follows:
SEE EXHIBIT A ATTACHED HERETO AND INCORPORATED HEREIN
Per N.C.G.S. §105-317.2, the property herein described does not include the primary residence of Grantor.
This document was prepared by David R. Pureza, a licensed North Carolina attorney, without title
examination, closing or tax advice. Delinquent taxes, if any, to be paid by the closing attorney to the County
Tax Collector upon disbursement of closing proceeds.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 82, Page 804.

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, other than the
following exceptions:
Ad valorem taxes for the current and subsequent years
Easements, restriction and rights -of -way of record
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above
written.
(SEAL)
OS H L. ROBERTSON, JR.
SEAL)
PHYLLIS A. ROBERTSON
MW NAWN
.00 State of North Carolina - County of Pasquotank
1, the undersigned Notary Public of the County and State aforesaid, certify that JOSEPH L.
ROBERTSON, JR., and wife, PHYLLIS A. ROBERTSON, personally appeared before me this day and
acknowledged the due execution of the foregoing instrument for the purposes therein expressed.
pekt,py hand and Notarial stamp or seal this 27th day of January, 2021.
<Z;"� 0 T A
3hffix Seal) C.> F
Notary Public
M
y C661ftflgAion Expires: 12/15/2022

R E C E IV D
AUG 0 2 2021
NER MPNIC _ CAMIONIWAI EER FORM
N C DIVISION OF COASTAL MANrI IO D
ADJACENT RIPARIAN PROPERTY O ®�p A�
MAIL RETURN RECEIPT REQUESTED
or HAND M
EC
CERTIFIED completed by
owner or their agent
(Top portion to be comp J
-71Z
A ..� �� oIL
Name of property.., - l� V r
Owner. C
Sv�SP�� � U 0 1
Address of Property. t O b ��; � t
e0
Mailing Address of Owner Owner's Phone#'.
Owner's email. �.�`�1 Agent Phone*
Agent's Name.
Agent's Email.
CERTIFICATION
ADJACENT RIPARIANomROtedRbYthOe Ad scent Pro a for this
(Bottom onion
ro property The individual applying
ro ert adjacent to the above referenced he develop
ment they are proposing. A
I hereby certify that I own p P Y
permit has described to me, as shown on the attached drawing,
P with dimensions, must be provided with this letter. ro osal.
descri tion or drawin I DO have objections to this proposal.
Division of Coastal
I DO NOT have objections to this proposal. ou must notify the NX on—isil should be
to what is being proposed, y
If you have objectionswithin 10 days of receipt of this notice. Cpresentatives can also be
�n writing NC, 27909. DCM representatives
if you have been
Management (DCM) Ste. 300, Elizabeth City,
Griffin St., onse is considered the same as no objection
mailed to 401 S. 264-3901. No resp
contacted at (252)
notified by Certified Mail.
WAIVER SECTION breakwater, boathouse, lift, or
Pier, dock, mooring pilings, boat ramp,
osed p area of riparian access unless waived
must si n
I understand that any prop
ads or riprap revetments). (If you wish to waive the setback, you
must
must be set back bulkheads
distance of 15' from my
(this does not apply
the appropriate blank below)
I DO wish to waive some/all of the 15' setback t� rian Property Owner
Signature of Adjacent i
-OR-
1 do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
104.1
Mailing Address of ARPO: ( , CO*-
ARPO's email:
fin%,\\ �c��� �" - ARPO's Phone#: 7i5
Date:
I ^ ! *waiver is valid for up to one yearfrptpARPO'8 Sigfl&r#>

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119 Sunset Ave - M. Willey
August 17, 2021
Streets f Addresses
Streets a Parcels
Main Roads a County Boundary
1:783
0 0.005 0.01 0.02 mi
0 0.01 0.02 0.04 km
Source: Esri, Maxar, GeoE ye, Earthstar Geogra phics, CNES/Airb us DS, USDA,
US GS, AeroGRID, IGN, and the GIS User Community
Esr4 HERE, Garmn, (c) Open StreetMap corAnbutors, and the GIS user
comma rity
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