86116A_Park, Albert Thomas_20211020

,�.4OWN&❑CAMA ❑ DREDGE & FILL N9 86116 A, B C D
Previous permit
GENERAL PERMIT Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
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:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
P
Affected ❑ cW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier(dock)length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yesno
A building permit/zoning permit may be required by:
Permit Conditions
(Scale: 4 o )
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Feels)
Signature
Check #/Money Order Issuing Date
Expiration Date

AGENT AMORIZATIONT FOR CANA PERM T APPLICATION
Name of Property Owner Requesting Permit; To ,v-, P14-k
Mailing Address: `19 ,)-Si✓1Gr /' br`ve-
�l�z, Dr7-9-
Phone Number.
Emati Address:
I certify that I have authored �-�Y� E/1/ l'Yj 19�i _ to' c
Agent l
to act on my beiraifi, for ft purpose of applying for and obtainifV all CAW permits
at my property Wcated at= L;
in County
I furthermore cer* that f am aufhor&ed to grant and do in fact grant permission to
Division of Coaxal A+tanege» tent stW the Local Permit Officer and their agents to enter
on the aforementioned lands in emetic bm with evaluahng information related to this
permit appri ation.
Property Owner Iron:
............
--
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20 �� &9,,o A -ems
This certification is valid t dmVh _ i 1C21 �p—

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: —Foryx Pev /
Address of Property: !�� S/ �/ 1 ��``� r[%11 J / I G
Mailing Address of Owner 5131k7 6.i f�
Owner's email: M Owner's Phone#: St/f/ " _?C/_
Agent's Name: - Agent Phone#:,5�7
Agent's Email �li �%? / i"/�r%�1 E' x/0 �/w,4 �L�i 6b /✓%
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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.
_ I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, 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
I understand that any proposed 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
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback ( c
Signature of Adjacent Riparian Propertyner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

c
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property: J �.[ ��+/1 / !`,' v� '� Z 0, 42
Mailing Address of Owner S.q/►1 IS, C /�
Owner's email: IL-1.4 Owner's Phone#:
Agent's Name: P� .�n G Agent Phone#:
Agent's Email C1-co-n 9 ar- 1te-4% fall/ 171- , CC%ljrn
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
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_
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, 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 any proposed 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
(this does not apply to bulkheads or riprap revetments)_ (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'set ck
t'
Sig
--ORS nature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date: 'waiver is valid for up to one year from ARPO's Signature'
74�01
Revised May 2021

yA,
v �171 '1 �25b�04

10OK 1418 PAGE 592 (16) This document presented and filed:
465950 08/03/2021 02:53:34 PM
CLEMENTINE WHITE, Pasquotank c
Ou►tty, NC
DEED OF TRUST
Return To: / Homthal, Riley, Ellis & Maland, LLP (File No. 33089-O.WBM)
CORNERSTONE HOME LENDING, INC.
c/o DocProbe, LLC
1125 Ocean Avenue
Lakewood, NJ 08701
Attn.:
V.A. Case Number: ? 3-18-&1383942
Loan No.: 4060001246
Prepared By: / W. Brock Mitchell, Attorney
CORNERSTONE HOME LENDING, INC.
1177 WEST LOOP SOUTH SUITE 700
HOUSTON, TEXAS 77027
MIN: 1001770-4060001246-3
MERS TELEPHONE: [phone]
NOTICE: THIS LOAN IS NOT ASSUMABLE
WITHOUT THE APPROVAL OF THE DEPARTMENT
OF VETERANS AFFAIRS OR ITS AUTHORIZED
AGENT.
DEFINITIONS
Words used in multiple sections of this document are defined below and other words are defined in Sections 3,
10, 12, 17, 19 and 20. Certain rules regarding the usage of words used in this document are also provided in
Section 15.
(A) "Security Instrument" means this document, which is dated August 3, 2021, together with all Riders
to this document.
(B) "Borrower" is ALBERT THOMAS PARK AND LAURIE ANN PARK HUSBAND AND WIFE.
Borrower is the trustor under this Security Instrument.
(C) "Lender" is CORNERSTONE HOME LENDING, INC.. Lender is a corporation organized and
existing under the laws of THE STATE OF TEXAS. Lender's address is 1177 WEST LOOP SOUTH
SUITE 700, HOUSTON, TEXAS 77027.
NORTH CAROLINA-Single Family-Faunle 111ae/Freddie Mac UNIFORM INSTRtrAtENT WITH MERS - Deed of Trust
Form 30341/01
Page I of 13
9450

BK 1418 PG 593 DOC#465950
(D) "Trustee" is SCOTT R. VALBY.
(E) "MERS" is Mortgage Electronic Registration Systems, Inc. MERS is a separate corporation that is
acting solely as a nominee for Lender and Lender's successors and assigns. MERS is the beneficiary under
this Security Instrument. MERS is organized and existing under the laws of Delaware, and has an address and
telephone number of P.O. Box 2026, Flint, MI 48501-2026, tel. (888) 679-MERS.
(F) "Note" means the promissory note signed by Borrower and dated August 3, 2021. The Note states that
Borrower owes Lender Eight Hundred Forty Five Thousand And 00/100 Dollars (U.S. $845,000.00 ) plus
interest. Borrower has promised to pay this debt in regular Periodic Payments and to pay the debt in full not
later than September 1, 2051.
(G) "Property" means the property that is described below under the heading "Transfer of Rights in the
Property."
(H) "Loan" means the debt evidenced by the Note, plus interest, any prepayment charges and late charges
due under the Note, and all sums due under this Security Instrument, plus interest.
(1) "Riders" means all Riders to this Security Instrument that are executed by Borrower. The following
Riders are to be executed by Borrower [check box as applicable]:
[ ] Adjustable Rate Rider [ ] Condominium Rider [ ] Second Home Rider
(J Balloon Rider [XI Planned Unit Development Rider [ J 14 Family Rider
[ ] Biweekly Payment Rider [XI Other(s) [specify]
EXHIBIT "A"
- (,')-_• "AppUca't".c Law" mean3--o11 contru:ling applicable fed:ra;, state a;2,d l „al statutes, regulations,
ordinances and administrative rules and orders (that have the effect of law) as well as all applicable final, non -
appealable judicial opinions.
(Iq "Community Association Dues, Fees, and Assessments" means all dues, fees, assessments and other
charges that are imposed on Borrower or the Property by a condominium association, homeowners association
or similar organization.
(L) "Electronic Funds Transfer" means any transfer of funds, other than a transaction originated by
check, draft, or similar paper instrument, which is initiated through an electronic terminal, telephonic instrument,
computer, or magnetic tape so as to order, instruct, or authorize a financial institution to debit or credit an
account. Such term includes, but is not limited to, point -of -sale transfers, automated teller machine transactions,
transfers initiated by telephone, wire transfers, and automated clearinghouse transfers.
(M) "Escrow Items" means those items that are described in Section 3.
(N) "Miscellaneous Proceeds" means any compensation, settlement, award of damages, or proceeds paid
by any third party (other than insurance proceeds paid under the coverages described in Section 5) for: (i)
damage to, or destruction of, the Property; (ii) condemnation or other taking of all or any part of the Property;
(iii) conveyance in lieu of condemnation; or (iv) misrepresentations of, or omissions as to, the value and/or
condition of the Property.
(0) "Mortgage Insurance" means insurance protecting Lender against the nonpayment of, or default on,
the Loan.
(P) "Periodic Payment" means the regularly scheduled amount due for (i) principal and interest under the
Note, plus (ii) any amounts under Section 3 of this Security Instrument.
(Q) "RESPA" means the Real Estate Settlement Procedures Act (12 U.S.C. Section 2601 et seq.) and its
implementing regulation, Regulation X (12 C.F.R. Part 1024), as they might be amended from time to time, or
any additional or successor legislation or regulation that governs the same subject matter. As used in this
Security Instrument, "RESPA" refers to all requirements and restrictions that are imposed in regard to a
"federally related mortgage loan" even if the Loan does not qualify as a 'federally related mortgage loan" under
RESPA.
(R) "Successor in Interest of Borrower" means any party that has taken title to the Property, whether or
not that party has assumed Borrower's obligations under the Note and/or this Security Instrument.
NORTH CAROLINA-Single Family -Fannie Nine/Freddie Mac UNIFORM INSTRUMENT WITH MERS - Deed of Trust
Form 3034 1101
Page 2 of 13

BK 1418 PG 594 DOC#465950
TRANSFER OF RIGHTS IN THE PROPERTY
The beneficiary of this Security Instrument is MERS (solely as nominee for Lender and Lender's successors and
assigns) and the successors and assigns of MERS. This Security Instrument secures to Lender: (i) the repayment
of the Loan, and all renewals, extensions and modifications of the Note; and (ii) the performance of Borrower's
covenants and agreements under this Security Instrument and the Note. For this purpose, Borrower irrevocably
grants and conveys to Trustee and Trustee's successors and assigns, in trust, with power of sale, the following
described property located in the
County of PASQUOTANK
[Type of Recording Jurisdiction] [Name of Recording Jurisdiction]
SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF FOR ALL PURPOSES
Parcel ID Number:
which currently has the address of 932 SMALL DRIVE [Street]
ELIZABETH CITY, [City], North Carolina [State] 27909 [Zip Code]
("Property Address");
TO HAVE AND TO HOLD this property unto Trustee and Trustee's successors and assigns, forever,
together with all the improvements now or hereafter erected on the property, and all easements, appurtenances,
and fixtures now or hereafter a pan of the property. All replacements and additions shall also be covered by this
Security Instrument. All of the foregoing is referred to in this Security Instrument as the "Property." Borrower
understands and agrees that MERS holds only legal title to the interests granted by Borrower in this Security
Instrument, but, if necessary to comply with law or custom, MERS (as nominee for Lender and Lender's
successors and assigns) has the right: to exercise any or all of those interests, including, but not limited to, the
right to foreclose and sell the Property; and to take any action required of Lender including, but not limited to,
releasing and canceling this Security Instrument.
BORROWER COVENANTS that Borrower is lawfully seised of the estate hereby conveyed and has
the right to grant and convey the Property and that the Property is unencumbered, except for encumbrances of
record. Borrower warrants and will defend generally the title to the Property against all claims and demands,
subject to any encumbrances of record.
THIS SECURITY INSTRUMENT combines uniform covenants for national use and non -uniform
covenants with limited variations by jurisdiction to constitute a uniform security instrument covering real
property.
UNIFORM COVENANTS. Borrower and Lender covenant and agree as follows:
1. Payment of Principal, Interest, Escrow Items, Prepayment Charges, and Late Charges.
Borrower shall pay when due the principal of, and interest on, the debt evidenced by the Note and any
prepayment charges and late charges due under the Note. Borrower shall also pay funds for Escrow Items
pursuant to Section 3. Payments due under the Note and this Security Instrument shall be made in U.S.
currency. However, if any check or other instrument received by Lender as payment under the Note or this
Security Instrument is returned to Lender unpaid, Lender may require that any or all subsequent payments due
NORTH CAROLINA-Single Family-Fanole Mae/Freddie Mae UNIFORM INSTRUMENT WITH HERS - Deed of Trust
Form 3034 1/01
Page 3 of 13

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