86252A_Pollock, Jeffrey_20220217

KCAMA R DREDGE &FILL N9 86252 1(& B C D
GENERAL PERMIT Previous permit
Date previous permit issued
WIN New ❑ Modification [1 COMPIL-te Reissue El 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 r714- IROO ❑Wes attached. F1 General Permit; Rules available at the folbwn hr&.
ApplicantNatme_ 7efV'j&q___9� Authorized Agent Pw6u-f- R,
Address
PrViect Location (C-unty): G a
City f-'Vtt9-%*e* C�St"— %4t ZIP - ;?'I Street Addr.&ata Rod/Lot
Phone # (90t) IM — 124 ^1 IQ4
Email Subdivision V.0601:1
C-y
Affected 0CW ❑F-IpTS Adj. VYtr. Body jl-t. +41,e give
—((Rman/unk)
AEC(s): FJOEA E] INA E] UW f-I SPIMA ❑ PWS 0. M.J-
01tw, yes/& PK&-
Type of Project/ Activity rv iyi,,a,�- )< aJA L
Shoreline Length og
Access Length
Pier (dock) length 9z' icst 1� T
PLO
FixedPlatform(s) IG'Xho wf i
J
Floating Pllatform(s) -.1-175— 4 r
Finger pler(s)
r+ -
ArIlL
7 4-
...........
Total Platform area
length/#
Bulkhead/ Riprap length -4
Avg distance offshore
Breakwater/Ul
Max distance/ length. y
L
Basin, channel
Cubic yards
_J
Boat ramp
Ir
t
Or
Beach Bullclozfnkr -�
Other
4- 4
4
T
L-r
SAV observed: Yes —
yes L J
Moratorium, no
T-
Site Photos: no
Riparian Waiver Attached.
J
A building permit/zoning permit may be required by:
Conditions ❑TAwFAm/musFiaurFER, (circleone)
F]See note on back regareing River Basin rules
0 See additional notes/conditto ba
T
CRC RULES AND CONDITIONS THAT AP
I AM AWARE 0 0 APPLY TO THIS PROTECT AND REVIEWED CDMPUANCE STATEMENT. (Please Initial)
Agent or App ant PRI D me K�fr'e�-
Permit Officer's PJHNTED Nam
Signature **Please a mpliance statgKen—ton back of permit— Signature 4r
$9w, 71? Sid Z//WZZ(q/1
Application Pw14 Check #/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: '-3 � �F iZ el r _ `-
NU,vc(,t
Mailing Address: D" Al I % 1(f c N E
L 13 , �-e-K (t4N , /Al C
Phone Number: ! 0<S79 33
Email Address: d�u;-A-s
I certify that I have authorized �O 'E� MIDI,* T--r
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: to u 0 tq E (L U, k
2 S- K I L f_ t, we t_ i) EG (c,s 2� L I Ft5
at my property located at _ C>'-► l t_c 12 h Lila
in k Q Ay - 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 Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
Permit application.
Property Owner Information:
j CEIVED
Signature
7 l v- q,t, l�I _ Po L Q c DEC 1 5 2821
Print or Type Name ��oo//��
DCM-EC
Title?
Z 6 ZI
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This certification is valid through 41( 1 "Z 2

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 3tF r PD 1 1 C> L v
((Name of Pro 's
Property located at bk j �'l ! 1 E fZ L/ � PertY Owner)
t (Address, Lot, Bloch, Road, etc.)
TL1� on I'T,in�L-IZA.PCi W c11-rV
(YVaierbody) , N.C.
(CitytTown and/or county)
The applicant has described to me, as shown below, the development proposed at the above
location.
x I have no objection to this proposal_
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual
PrWasing`dbvekWment must 8l/ in description below or attach- a site d hawing)
k Co "-0 1 N 1(0X ( (0 -0F.C:�le, Z -5x11"�; (-owes
A AJO S 600 L i t t t=
X ( S
Zdp�SED EkrEv 5►0>`1 PI�rL
R } F
DEC 1 5 2021
DCM-E
WAIVER SECTION z
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.
x I do not wish to waive the 15' setback requirement.
(P Information) (Adj cent Pro-wty.Owner Information)
Signatur Signature
Print or peName Nathan A PnttPr SR
Ptm
Ma ft Address
City/stateo,
3° 8- 33 4 %2, `4 Z
Telephone Number/email address
Date
"'Valid for one calendar year after si�ture* a
t or Type Name
102 Miller Lane
Madmg► Address
ELIZABETH CITY NC 27909
252 F07 3516
Telephone Number/email address
12/10/72
Date*
(Revised Aug. 2014)

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16x16 Deck
w
W-.mt
6x184 Pier
Jet ski
Lift
4x6 Lower Deck
With Ladder
Akl�

ADJACENT RIPARIAN PROPERTY OWNER sTaTEMENT
I hereby certify that I own property adjacent to TF` F -P0 l 1 GL k •s
(Name of Property Owner)
property located at 1 by M I I E ✓l QN
(Address, Lot, Block, Road, etc.)
on i.l'rruc- 171 j ems-- , in IZa RCT1-I c.+ I f , N.C.
(Waterbody) (City/Town 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.
1 have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must tilt in description below or attach a site drawing)
b x (_o L4 w t-r to 1(nX I to AU< Ic 2 -5 x 1 le Lowe
�CPi F0/L"tS 1pPC* LY AN0'&00o L.S L(FT—
Z &QATLIp j 5
�xIS�
*;i2nDe4,E D EXTEAJ 510AJ PI k11.-
WAIVER SECTION
D E C 1 5 2021 t. ,
is
[)- CM- C
iR
dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
mum distance of 15'from my area of riparian access unless waived by
the setback, you must initial the appropriate blank below.)
waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pro r Information) (Ad"t Property Owner Information)
.Signulur �FFr-v p ti c Q �G .Si�;nalure
t►wt1 f► (�' U (P✓ Q
Print or Name Print or Type Name
Mairing Address Mailing Ad*m
City)S1at&2*, 0 F- -? 3 &1 32. L4 Z
Telephone Number/email address
2— 3-IZ/
Dote
Q1Y1
Telephone Number/email address
Date*
*Valid for one calendar year after signature' (Revised Aug. 2014)
e

PAGE
BOOK 1 1p�46�p51 (4)
assae Ilmi�mA�lll
This document presented and filed:
0612912C21 01:14:57 PM
CLEMENTINE WHITE, Pasquotank County, NC
Excise Tax: $920.00
PASQUOTANK COUNTY
Deed number Aol
Transfer tax s . 0
DLS"quntank
'lt tax $
u Assessor's Office
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax:
Parcel Identifier No. 8837 469202 Verified by
By:
County on the _____ day of 20
Mail/Box to: Trimpi & Nash, LLP, 200 N. Water St. #2A, Elizabeth City, NC 27909
This instrument was prepared by: Thomas P. Nash, IV, Trimpi & Nash, LLP, 200 N. Water St. #2A, Elizabeth City, NC 27909
Brief description for the Index: Lot 3 and Addition Lot 3, Rebellion Point
THIS DEED made this 23rd day of June, 2021, by and between
GRANTOR
Albert J. Exner, Widower
PO Box 2952
Elizabeth City, NC 27906
GRANTEE
Jeffrey M. Pollock and wife,
Sijia Zhu
104 Miller Lane
Elizabeth City, NC 27909
Enter in appropriate block for each Grantor and Grantee: name, mailing address, and, if appropriate, character of entity, e.g.
corporation or partnership.
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
Salem Township, Pasquotank County, North Carolina and more particularly described as follows:
See Exhibit A attached hereto and made a part hereof.
THIS INSTRUMENT PREPARED BY THOMAS P. NASH, IV, A LICENSED NORTH CAROLINA ATTORNEY.
DELINQUENT TAXES, IF ANY, TO BE PAID BY THE CLOSING ATTORNEY TO THE COUNTY TAX COLLECTOR
UPON DISBURSEMENT OF CLOSING PROCEEDS.
The property herein conveyed was acquired by Grantor in Book 984, Page 770, Pasquotank County Registry.
All or a portion of the property herein conveyed X includes or _ does not include the primary residence of a Grantor.
A map showing the above described property is recorded in Map Book 6, Page 43, Pasquotank County Registry.
NC Bar Association Form No. 3 m 1976, Revised ® 1/1/2010
Printed by Agreement with the NC Bar Association

BK 1414 PG 653 DOC#465228
EXHIBIT A
Being all of that lot or parcel of land situate in Salem Township,
Pasquotank County, North Carolina and being more particularly
described as follows:
BEGINNING at a point marked by an electrical transformer situate
on the southeast margin of Miller Lane (60 foot right of way), said
beginning point also marking the northeastern corner of the now or
formerly Nathan A. Potter, Sr. property as described in Deed Book
1207, Page 348, Pasquotank County Registry; from said point of
beginning running thence South 30° 44' 00" East 303.43 feet to a pk
nail situate on a bulkhead with rip -rap bordering on the Albemarle
Sound, cornering; running thence along said bulkhead with rip -rap and
the Albemarle Sound the following courses and distances: South 630
55' 02" West 41.42 feet to a pk nail, South 340 42' 30" West 28.85
feet to a pk nail, South 13° 00' 37" West 29.84 feet to a pk nail,
South 030 13' 05" East 15.97 feet to a pk nail, South 26° 341 17" East
15.59 feet to a pk nail, South 03' 52' 42" West 38.52 feet to a pk
nail, South 71° 50' 00" West 46.88 feet to a pk nail, South 78° 22'
03" West 3.60 feet to a pk nail and South 780 22' 03" West .91 feet to
a pk nail, cornering running thence away from the Albemarle Sound
North 260 58' 00" West 348.64 feet to a three-quarter inch pipe
located on the southeastern margin of Miller Lane; continuing thence
North 260 58' 00" West 70.81 feet to a point in a bulkhead located at
the southern edge of a canal, cornering; running thence along said
bulkhead and canal the following courses and distances: North 45° 31'
23" East 91.76 feet to a point, South 550 06' 18" East 1.63 feet to a
point, North 530 31' 42" East 7.11 feet to a point, North 45° 14' 40"
East 30.20 feet to a point, and North 43° 38' 38" East 15.41 feet to a
point, cornering; running thence away from the canal South 300 44' 00"
East a distance of 67.69 feet to a point marked by an electrical
transformer, BEING THE POINT AND PLACE OF BEGINNING.
The property herein conveyed being more particularly described by a
survey prepared by Steven L. Cardwell, PLS, dated 06/16/2021 entitled
in part, "Residential Lot survey Jeffrey Pollock, Siija Zhu", which
survey is attached hereto and made a part hereof.
The property herein conveyed is Lot No. 3 of Rebellion Point as shown
on plat recorded in Plat Book 6, Page 4, Pasquotank County Register of
Deeds Office together with an additional parcel known as "Addition Lot
3, Rebellion Point" described in deed from Steven J. Buffo and wife,
Mandy Buffo to Albert J. Exner and wife, Pamela A. Exner recorded in
Book 984, page 770, Pasquotank County Registry.
r\pollock from exner description 6-24-21

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