86488A_Godfrey, Jr, Roy_20220124

t6t°"rkiNECAMA ❑ DREDGE & FILL, Na 86488 A. B C D
G E N E RAL PERMIT Previous permit 1Z
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
I SA 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
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: yes no
A building permit/zoning permit may be required by:
Permit Conditions
(Scale: )
❑ 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" Signature
Application Feels) Check #/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERM(T APPUCATION
Name of Property Owner Requesting Permit; 6
Mailing Address: O
Phone Number:
Email Address: R &4 GQ
1 certify that I have authorized G�1'v,I L
Agent IConhudd
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 '--I
in R�u_County_
I furthermore certify that I am authorized to grant and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Ofter and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
_Property Oyr w Information ...
c
I Print or Type Name-7-
Title
Date
This certification is valid through Feb 1 a8 I ���

BOOK 1q25�IyyPAGE
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This document presented and filed:
(09/27/202111:32::59�A`M
CLEMENTINE WHITE, Pasquotank County, NC
Excise Tax: $120 00
Space Above 11is Line For Recording Data
FASQUQTANK CQUNTV
Deed number '
Transfer tax ,
D)- ,in7!L t to $
0
15 t o Ear, ;i11"';o+-s Office
NORTH CAROLINA GENERAL WARRANTY DEED
Prepared by: William P. Norrell, Attorney
Return to: Hornthal, Riley, Ellis & Maland, LLP
Excise Tax: $120.00 PIN: 881904642647
Transfer Tax: $600.00 MAP: P14-51
State of North Carolina, County of Pasquotank County
THIS GENERAL WARRANTY DEED made this 20t° day of September, 2021, by and between
Gary L. Driscoll and wife, Francine M. Driscoll (hereinafter referred to as "Grantor"),
and Roy B. Godfrey, Jr., and wife, Patricia S. Godfrey (99 percent interest);
Jill G. Mullins (1 percent interest); joint tenants with express right of survivorship, whose mailing
address is 206 Mariners Way, Moyock, NC 27958 (hereinafter referred to as "Grantee').
WITNESSETH:
That the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has given, granted, bargained, sold, and conveyed, and by these presents does hereby give,
grant, bargain, sell, and convey unto said Grantee, Grantee's heirs, successors, administrators and assigns, all
of that certain piece, parcel, or tract of land situate, lying and being in Pasquotank County, State of North
Carolina, and being more particularly described as follows:
See attached Exhibit A.
Being the same property conveyed to Grantor by deed recorded at Deed Book 728, Page
142, Pasquotank County Registry.
Per N.C.G.S. §105-317.2, the property does include the primary residence of Grantor.
This document was prepared by William A Norrell, a licensed North Carolina attorney,
without tax advice. Delinquent taxes if any, to be paid by the closing attorney to the
County Tax Collector upon disbursement of closing proceeds.

BK 1425 PG 267 DOC#467127
TO HAVE AND TO HOLD the above described lands and premises, together with all appurtenances
thereunto belonging, or in any way appertaining, unto the Grantee, Grantee's heirs, successors, administrators,
and assigns forever.
AND THE SAID GRANTOR COVENANTS to and with said Grantee, Grantee's heirs, successors,
administrators, and assigns, that Grantor is lawfully seized in fee simple of said lands and premises, and have
full right and power to convey the same to the Grantee in fee simple, and that said lands and premises are free
from any and all encumbrances, except as set forth herein, and that the Grantor will warrant and defend the
title against the lawful claims of all persons whomsoever, with the exception of the following:
Ad valorem taxes for the current year (prorated through the date of Settlement); and
easements of record; and covenants, conditions or restrictions of record.
IN WITNESS WHEREOF, the Grantor has duly executed and sealed this document, this the day and
year first above written.
[REMAINDER OF PAGE INTENTIONALLY BLANK —
SIGNATURE(S) ON FOLLOWING PAGE(S)]
`A

BK 1425 PG 268 DOC#467127
(sFAt.)
Gary riscoll
tSEAL)
ancine M. Driscoll
State of +V H , County of Ida' Il h a M
I, a Notary Public of (\?)i n h a M County, State of Iy �� , certify
that on this date before me personally appeared Gary L. Driscoll and wife, Francine M. Driscoll,
personally known to me or who produced satisfactory evidence of identification and voluntarily signed
the foregoing or attached instrument for the purposes therein stated and in the capacity indicated.
WITNESS my hand and official stamp or seal this the 2 day of 2VkMf✓2021.
its ` Allison t+e Detby9
' C o Notary Public
-4 W2 e of New Hatnpehire
6Q0W#ion Expires October 2, 2024
Notary seal or stamp must appear within this box.
4
Notary Public
Type or Print Name: Al
1I�l'1 rO—
My Commission Expires: * gv O(Qa 1

BK 1425 PG 269 DOC#467127
EXHIBIT A
Being all of that Lot #24 on Pointe Vista Drive in the Waters at Sunset Pointe Subdivision, on or near
Symonds Creek and the Little River, off of SR #1100 Nixonton Road near Elizabeth City, as shown on
that Map of Survey by Brant L. Wise, PLS, of McKim & Creed, Elizabeth City, North Carolina, entitled
"The Waters at Sunset Point, a 90 Lot Subdivision", recorded 02/19/2002 in Map Book 30, Pages 1-12 of
the Pasquotank County Registry. This Map of Survey is incorporated herein for a more complete,
accurate and detailed description of the subdivision and the realty being conveyed herein.
4

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: 1100 001ok��
Address of Property:
Mailing Address of Owner:
ILf L G 1 Owner's Phone#: —3 `
Owner's email: 1
Agent's Name: rL e Ir- Agent Phone#:
Agent's Email: Loid A re
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.
1/' 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. 30% 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%:_._---
_...
Signature of Riparian Property Owner
-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 July 2021

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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 V O C4 60CI -rL_'
Address of Property: 1_6
Mailing Address of Owner:
Owner's email: (,, I w 3t0Cr�i. l Owner's Phone#: o), 3d �3Co
Agent's Name: dit-,, /7;4 j.,e, Z,74- Agent Phone#: � ,� "` C.y31-}'
Agent's Email: Lcx nr)_a r- tie (2 &iz- a l
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.
r/ 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
Signature of �ntpa�rianPro�pertyOwner
-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 July 2021

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