20210983 Ver 1_CAMA Application_20210527

NORTH CAROLINA
Environmental n„nNr
May 27, 2021
MEMORANDUM:
ROY COOPER
Governor
DIONNE DELLI-GATTI
Secretary
BRAXTON DAVIS
Director, Division of Coastal Management
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Avenue, Morehead City, NC 28557
Fax: [phone] (Courier 11-12-09)
gregq.bodnar©NCDENR.gov
SUBJECT: CAMA
Applicant: Timothy Sloan
Project Location: 138 Great Oak Dr., adjacent to the AIWW in Hampstead, Pender County.
Proposed Project: Proposal to construct a new private four (4) slip docking facility.
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Gregg Bodnar at the address above by June 21, 2021. If you have any questions
regarding the proposed project, contact Jason Dail at [phone] when appropriate, in-depth comments
with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
**Additional comments may be attached**
PRINT NAME
AGENCY
SIGNATURE
DATE
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached comments.
State of North Carolina Environmental Quality Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405 919 796 7215

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Timothy Sloan
2. LOCATION OF PROJECT SITE: 138 Great Oak Drive, adjacent to the Atlantic Intracoastal
Waterway (AIWW), in Hampstead, Pender County.
Lat: 34°20'52.32"N Long: 77°41'49.89"W
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit — 4/20/21 and 5/26/21
Was Applicant Present — No
5. PROCESSING PROCEDURE: Application Received — 5/25/21 (Completed)
Office - Wilmington
6. SITE DESCRIPTION:
(A) Local Land Use Plan -- Pender County
Land Classification from LUP - Conservation
(B) AEC(s) Involved: PT, EW
(C) Water Dependent: Yes
(D) Intended Use: Private
(E) Wastewater Treatment: Existing - Septic
Planned - N/A
(F) Type of Structures: Existing — None
Planned — private, four slip docking facility
(G) Estimated Annual Rate of Erosion: N/A
Source - N/A
7. HABITAT DESCRIPTION:
f AREA]
DREDGED FILLED
OTHER
(A) Vegetated Wetlands
840 sq. ft.
(shaded)
(B) Non -Vegetated Wetlands
(Open water)
1,093 sq. ft.
(incorporated)
(C) Other
D)
(E)
Total Area Disturbed: 1,093 sq. ft. (0.02 acres)
Primary Nursery Area: No
Water Classification: SA-ORW Open: Yes
PROJECT SUMMARY: The applicant proposes to construct a four -slip private docking facility.
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North Carolina Department of Environmental Quality I Division of Coastal Management
Washington Office 1943 Washington Square Mall I Washington, North Carolina 27889 1252.946.6481
Wilmington Office 1127 Cardinal Drive Extension I Wilmington, North Carolina 28405 1910.796.7215
Morehead City Office 1400 Commerce Avenue I Morehead City, North Carolina 28557 1252.808.2808
Elizabeth City Office 1401 South Griffin Street, Suite 300 I Elizabeth City, North Carolina 27909 12522643901

Timothy Sloan
Page 2
9. PROJECT DESCRIPTION:
The project site is located at 138 Great Oak Drive, adjacent to the AIWW, in Hampstead, Pender
County. To locate the property from the WIRO office, drive north on NC Highway 17, turn right
at Headwaters Drive. Follow Headwaters Drive approximately 0.8 miles to Overlook Drive.
Turn left on Overlook Drive and follow it to Northline Drive near the end of the road. Turn right
on Northline Drive and follow it to the end. Turn right onto Great Oak Drive and the property
will be located on the left at number 138.
The property consists of a 0.87-acre parcel that is situated on land that is approximately 0-20 feet
above mean high water (MHW) and is vegetated primarily with lawn grasses and mature Oaks.
Currently, the property is undeveloped and the shoreline (approximately 132 linear feet) is
stabilized naturally. Coastal and 404-type wetlands extend waterward of the upper wetland limit
a distance approximately 150-160 linear feet. Groundsel bush (Baccharis halimifalia) and
Bulrush (Scirpus spp.) are among several species that vegetate the area immediately waterward
of the highground. Waterward of this transition zone, Smooth Cordgrass (Spartina alterniflora),
intermixed with Glasswort (Salicornia spp.) and Sea Lavender (Limonium carolinianum), span
along the tidal flat a distance of approximately 130'-140' before reaching the open water area of
the AIWW. The width of the waterbody measures approximately 655'-660' from marsh to
marsh. Based on 2020 aerial imagery, it appears Submerged Aquatic Vegetation (SAV) is
present between the marsh fringe and the proposed docking facility; however, no SAV was
observed within the footprint of the docking during DCM's site visit 5/26/2021.
The waters of the AIWW are classified SA-ORW by the Division of Water Quality. The project
area is NOT designated as a Primary Nursery Area (PNA) by the N.C. Division of Marine
Fisheries and is OPEN to the harvest of shellfish.
PROPOSED PROJECT:
According to the application package, the property owner proposes to construct a four -slip
private docking facility.
As proposed, a 6' x 350' access pier would originate from the upland and span in a south easterly
direction, along the AIWW. The pier would extend approximately 160' beyond the outer edge of
marsh grass, conforming to the '/4 width requirement. Just southwest of the pier terminus, the
applicant proposes to install a new 13' x 13' boatlift, as well as a new 8' x 24' section of floating
dock (slips no. 1 and 2). Along the northeastern side of the proposed pier, the applicant is
proposing to install another 13' x 13' boatlift, a 4' x 40' finger pier, and 12' x 12' boatlift (slips
no. 3 and 4). As designed, the proposed 4' x 40' finger pier would split the two lifts, providing
access to both. In addition, the applicant is proposing to install a covered platform/boat house
(18' x 35' or 630 sf) that would span the two northern lifts as well as a portion of the access pier
and finger pier (refer to sheet 4 of 4 for details).
North Carolina Department of Environmental Quality 1 Division of Coastal Management
Washington Office 1943 Washington Square Mall I Washington. North Carolina 27889 1252.946.6481
Wilmington Office 1127 Cardinal Drive Extension 1 Wilmington, North Carolina 28405 1910.796.7215
Morehead City Office 1400 Commerce Avenue I Morehead City, North Carolina 28557 1 252.808.2808
Elizabeth City Office 1401 South Griffin Street, Suite 300 I Elizabeth City, North Carolina 27909 252.2643901

Timothy Sloan
Page 3
According to the site plan drawings, and supported by a 5/26/2021 DCM site visit, water depths
around the proposed docking facility range from -2.8' to -3.5' at normal low water, and the area
surrounding the proposed docking facility was also found to be void of SAV.
Based on the current layout, the proposed structures do not appear to extend beyond the existing
pier -head line. Additionally, all structures would be located within the applicant's riparian
corridor (outside of the 15' setback) and within 'A of the width of the waterbody. The applicant
did not require a waiver from neither neighbor for the proposed development.
10. ANTICIPATED IMPACTS
The proposed docking facility would result in the incorporation of approximately 1,093 square
feet of Estuarine Waters and Pubic Trust Area, and the shading of approximately 840 square feet
of Coastal Wetlands. Although no SAV was observed within the docking facility area, there are
patchy beds of SAV inland of the facility.
The proposed development would be located outside of the adjacent 15' riparian corridor
setbacks on both sides and would be constructed outside of the federal channel setback, within 1/4
of the width of the waterbody. Turbidity associated with the piling installation would be kept to a
minimum.
Submitted by: Jason Dail Date: 5/27/21 Office: Wilmington
North Carolina Department of Environmental Quality 1 Division of Coastal Management
Washington Office 1 943 Washington Square Mall I Washington, North Carolina 27889 1252.946.6481
Wilmington Office 1127 Cardinal Drive Extension I Wilmington, North Carolina 28405 1910.796.7215
Morehead City Office 1400 Commerce Avenue 1 Morehead City, North Carolina 28557 1252.808.2808
Elizabeth City Office 1401 South Griffin Street, Suite 300 I Elizabeth City, North Carolina 27909 1252.2643901

RPC
MARINE
Jason Dail
Permit Officer
127 Cardinal Dr. Ext
Wilmington, NC NC 28405-3845
RE: Sloan Major Permit Application Narrative
Dear Mr. Jason Dail,
Richard Penny Construction, LLC
133 Sound View Drive N
Hampstead, NC 28443
[phone]
www.rpcmarine.com
16 May 2021
Mr. Timothy Sloan is requesting that a Major Permit be issued for the installation of a pier,
floating dock, boat house, and three boat lifts at 138 Great Oak Drive, Hampstead, NC 28443.
This structure would be for the recreational use of the homeowner.
There are currently no structures on the property (water access or other structures).
The pilings would be set using a barge, water jet, and vibratory hammer to reach the rated
capacity (approximately 8-10' deep). Construction materials would be stored on dry land of
approximately 1200 sqft.
The project proponent hereby certifies that all information contained herein is true, accurate, and
complete to the best of my knowledge and belief.
The project proponent hereby requests that the certifying authority review and take action on this
CWA 401 certification request within the applicable reasonable period of time.
Please contact me at your convenience should you have any questions.
Respectfully yours,
Richard L. Penny,
NC General Contractor License No. 79403
RECEIVED
MAY 24Z02i
DCM WILMINGTON, NC

UMW
APPLICATION for
Ma1or Development Perm
(last revised 12127108)
North Carolina DIVISION OF COASTAL MANAGEMENT
9. Primary Applicant/ Landowner Information
Business Name
N/A
Project Name (If applicable)
J405
Applicant 1: First Name
Timothy
Mt
Last Name
Sloan
Applicant 2: First Name
MI
Last Name
if additional applicants, please attach an additional page(s) with names listed.
Meliing Address
4505 Ten_ella Road
PO Box
City
New Bern
State
NC
ZIP
28562
Country
USA
! Phone No.
252-617 -9167 ext,
FAX No,
- _
Street Address (if different from above)
138 Great Oak Drive
City
Hampstead
State
NC
ZIP
22443
Email
tsloan02pyahoo.cor
2. Agent/Contractor Information
Business Name
Richard Penny Construction, LI,C (Dba RPC Marine)
Agent/ Contractor 1: First Name
Richard
MI
L
Last Name
Penny
Agent/ Contractor 2: First Name
N/A
MI
Last Name
Malting Address
133 Sound View Drive NC
Pa Box
City HampsteadState
ZIP 28443
Phone No. 1
910 - 3 5 2 -1317 ezt.
Phone No. 2
- _ ext.
FAX No.
Contractor #
NC 79403
Street Address (if different from above)
N/A
City
State
ZIP
Email
[e-mail]
<Form continues on back>
RECEIVED
MAY 2 4 2021
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Form DCM MP-1 (Page 2 of 4)
APPLICATIQM for
Major Development Permit
3. Project Location
County (ran be multiple)
Pender
Street Address
138 Great Oak Drive
State Rd.
Subdivision Name
Deerfield
City
Hampstead
State
NC
Zip
28443
Phone No.
N/A - ext.
Lot No.(s) (if many, attach additional page with list)
119A .
a. In which NC river basin is the project located?
White River
b. Name of body of water nearest to proposed project
Intracoastal Waterway
c. Is the water body identified in (b) above, natural or manmade?
®Natural EManmade []Unknown
d. Name the closest major water body to the proposed project site.
Intracoastal Waterway
e. Is proposed work within city limits or planning jurisdiction?
IYes No
f. If applicable, list the planning jurisdiction or city limit the proposed
work falls within.
Pender County Zoning
4, Site Description
a. Total length of shore/Ina on the tract (ft.)
132'
b. Size of entire tract (sq.ft,)
38,278
c, Size of Individual lot(s)
(ff many lot sizes, please attach additional page with a Ilst)
d. Approximate elevation of tract above NHW (normal high water) or
NWL (normal water level)
0 - 2 0 ' ❑NHW or ❑ 1ri.
e. Vegetation on tract
Grass, Native trees, shrubs, and marsh grass/wetlands on the
adjoining Intracoastal frontage.
f. Man-made features and uses now on tract
single family dwelling.
g. Identify and describe the existing land uses diacent to the proposed
1
project site.
single family usage.
Adjacent properties are zoned for
h. How does local government zone the tract?
R
I. Is the proposed project consistent with the applicable zoning?
(Attach zoning compliance certificate, if applicable)
[Wes ❑No DNA
j. Is the proposed activity part of an urban waterfront redevelopment proposal? ©Yes ®No
k. Has a professional archaeological assessrnent been done for the tract?
If yes, by whom?
if yes, attach a copy. DYes tit No QNA
I. Is the proposed project located in a National Registered Historic District or does it involve a DYes EINo ONA
National Register listed or eligible property?
<Form continues on next page>
RECEIVED
MAY 2 4 2021
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Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (1) Are there wetlands on the site? ®Yes ONo
(i1) Are there coastal wetlands on the site? jYes ❑No
(iil) if yes to either (1) or (ii) above, has a delineation been conducted? 1=1Yes No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
No existing wastewater treatment
o. Describe existing drinking water supply source.
Fender County Water
p. Describe existing storm water management or treatment systems.
N/A
5. Activities and Impacts
a Will the project be for commercial, public, or private use? ❑Commercial ❑Public/Govemment
,,I Private/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
The property owner desires to install a new pier, covered platform/
boat -house, floating dock, two boat lifts, and a "double" PWC lift.
C. Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored.
Pilings will be pump -washed and driven with a vibratory hammer,
both of which will be on a small work barge.
d. List all development activities you propose.
The 6' x 350' pier would be installed, a boat -house
one floating dock, with a total of one wet slip and 4 dry slips.
e. Are the proposed activities maintenance of an existing project, new work, or moth?
New
f. What is the approximate total disturbed land area resulting from the proposed project? 1= Sq.Ft or Acres
Temporary disturbance of approx. 1200 sgft over dry land.
g. Will the proposed project encroach an any public easement, public accessway or other area :Nos No ❑NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state,
N/A
I. WHI wastewater or stormwater be discharged into a wetland? ❑Yes *No DNA
If yes, MI this discharged water be of the same salinity as the receiving water? []Yes ❑No ®NA
j. le there any mitigation proposed? DYes ;SIN() DNA
If yes, attach a mitigation proposal.
<Form continues on back>
MAY 2 4 Z021
25.2-aaa-2a; s :: 1-2$8-41. COA.S7 :: ww .alcoa$ >stvarlaCMWU2M-1WGTONl. NC

Form DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
6. Additional Information
In addition to this completed application fort, (MP-1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) — (f) are always applicable to any major development application. Please consult the application
instruction booklet on how to properly prepare We required items below.
a A project narrative.
II An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that Is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
d. A copy of the deed (with state application only} ar other Instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
f. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts es proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name Rogelio Drenning Phone No.
Address 140 Great Oak Drive, Hampstead, NC 28443 [phone]
Name Guido Cozzolino Phone No.
Address 5823 Bowen Daniel Dr, Unit 1404, Tampa, FL 33616 [phone]
Name Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. include permit numbers, permittee, and issuing dates.
N/A
h. Signed consultant or agent authorization form, If applicable.
I. Wetland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by properly owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
7. Certification and Permission to Enter on Land
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to the conditions and restrictions contained in the permit.
certify that i am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
further certify that the Information provided in this application is truthful to the best of my knowledge.
Date 11 April 2Q21 Print Name Richard L. Penny
Signature
Richard L. Digitally signed by
Richard L. Penny
Y Date:2021.04.11
end 17;00:23 -04'00'
Please Indicate application attachments pertaining to your proposed project.
❑DCM MP-2 Excavation and Fill information ©DCM MP-5 Bridges and Culverts
ODCM MP-3 Upland Development
®DCM MP-4 Structures Information
RECEIVED
MAY 2 4 2021
252-30E-280B ?-888-4 COAST .. ;+uwrara_racccostatrr,a,s IDCAMILMLNGTON,

Form DCM MP-4
STRUCTURES
(Construction within Public Trust Areas)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental Information.
1. DOCKING FACILITY/MARINA CHARACTERISTICS
a. (I) Is the docking facility/marina:
Commercial DPubliclGovemment
i4
Private/Community
c. (i) Dock(s) and/or pier(s)
(if) Number 2
(Hi)Length 350' pier/24' float:
(iv)Width 6' pier/8 ' floater
(v) Floating 50Yes ❑No
e. (I) Are Platforms included? Dyes No
If yes:
(11) Number
(iii) Length
(iv) Width
(v) Floating ❑Yes ONo
Note: Roofed areas are Calculated from dnpllne dimensions.
9.
(i) Number of slips proposed
5
(ii) Number of slips existing
0
i. Check the proposed type of siting:
❑ Land cut and access channel
❑Open water; dredging for basin and/or channel
j tOpen water; no dredging required
©Other; please describe:
k. Typical boat length: 12 ` -3 0
m. (i) Will the facility have tie pilings?
:Yes No
(ii) if yes number of tie pilings?
©This section not applicable
b. (i) Will the facility be open to the general public?
❑Yes >!No
O. (i) Are Finger Piers included? ®Yes ❑No
If yes:
(ii) Number 1
(iii) Length 2 6
(iv) Width 4'
(v) Floating ❑Yes tjNo
f. (i) Are Boatlifts included? NYes ❑No
If yes:
(ii) Number 3
(iii) Length 12,5 '
(iv) Width 13
h. Check all the types of services to be provided.
❑ Full service, including travel lift and/or rail, repair or
maintenance service
❑ Dockage, fuel, and marine supplies
❑ Dockage Net slips") only, number of slips:
❑ Dry storage; number of boats:
❑ Boat ramp(s); number of boat ramps:
❑ Other, please describe:
NA
j. Describe the typical boats to be served (e.g., open runabout,
charter boats, sail boats, mixed types).
Dpen runabout/PWC
(I) Will the facility be open to the generai public?
❑Yes [2No RECEIVED
MAY 2 4 2.0Z1
DCM WILMINGTON, NC
aa ...rce'GAs T www.racoastailmanagement.net
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Forrrli DCM E lie-4 (Structures, Page 2 of
2. DOCKING FACILITY/MARINA OPERATIONS
®This section not applicable
a. Check each of the following sanitary facilities that will be included In the proposed project.
❑ Office Toilets
© Toilets for patrons; Number. ; Location:
❑ Showers
© Soatholding tank pumpout; Give type and location
b. Describe treatment type end disposal location for all sanitary wastewater.
c. Describe the disposal of solid waste, fish offal and trash.
d. How will overboard discharge of sewage from boats be controlled?
e, (i} Give the location and number of "No Sewage Discharge" signs proposed.
(ii} Give the location and number of "Pumpout Available" signs proposed.
f. Describe the special design, if applicable, for containing Industrial type pollutants, such as paint, sandblasting waste and petroleum products.
g. Where will residue from vessel maintenance be disposed of?
h• Give the number of channel markers and "No Wake" signs proposed.
i_ Give the location of fuel -handling facilities, and describe the safety measures planned to protect area water quality.
What will be the marina policy on overnight and live -aboard dockage?
k. Describe design measures that promote boat basin flushing?
i. If this project is an expansion of an existing marina, what types of services are currently provided?
RECEIVED
MAY 2 4 2021
DCM WILMINGTON, NC
2-egg-zatta :: 1-36a-4RWAs'9' .. wnr"reccoastrsaananaaercteni:,r,w revis a 12f2716S

Form DC 'i _ (51mettires, Page 3 of
m. is the marina/docking facility proposed within a primary or secondary nursery area?
DYes ❑No
n. Is the marina/docking facility propos d within or adjacent to any shellfish harvesting area?
['Yes ENO
o. Is the marina/docking facility proposed within or adjacent to coastal wetlands/marsh (CW), submerged aquatic vegetation (SAV), shell bottom
($B), or other wetlands (WL)? if any boxes are checked, provide the number of square feet affected.
❑CW ❑SAV DSS
OWL DNone
p. Is the proposed marina/docking facility located within or within close pmximity to any shellfish leases? ❑Yes ❑No
if yes, give the name and address of the ieaseholder(s), and give the proximity to the lease.
3. BOATHOUSE (including covered lifts)
❑ This section not applicable 1
a. (i) Is the boathouse structure(s):
DCommerciai [Public/Government ®PrivatefCornmunity
(ii) Number 1
(ill) Length 3 5 '
(iv) Width 18 '
Note: Roofed areas are calculated from dripline dimensions.
4. GROIN (e.g.. wood, sheetpile, etc. if a rock groin, use MP-2, Excavation and Fill.) This section not applicable
a. (i) Number
(II) Length
(Ili) Width
5. BREAKWATER (e.g., wood, sheetpile. etc.)
urxabout / rw L
This section not applicable
a. Length
c. Maximum distance beyond NHW. NWL or wetlands
b. Average distance from NHW, NWL, or wetlands
6. MOORING PILINGS and BUOYS
®This section not applicable
1
a. Is the structure(s): b. Number
['Commercial [Public/Government ❑Private/Community
C. Distance to be placed beyond shoreline
Note: This should be measured from marsh edge, if present.
e. Arc of the swing
d. Description of buoy (color, inscription, size, anchor, etc.)
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RECEIVED
MAY 2 4 2021
f:!.:
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ROY COOPER
Governor
DIONNE DELLI-GATT)
Secretary
BRAXTON DAVIS NORTH CAROLINA
Director Environmental Quality
May 27, 2021
Richard Penny Construction, LLC
C/o Richard Penny
133 Sound View Drive N
Hampstead, NC 28443
Dear Mr. Penny:
The Division of Coastal Management hereby acknowledges that on May 25, 2021, we received a
completed application from you, on behalf of the property owner Timothy Sloan requesting State approval
for the development of property located at 138 Great Oak Drive, in Hampstead, Pender County. The
projected deadline for making a decision on your permit application is August 8, 2021. An additional 75-
day review period is provided by law when such time is necessary to complete the review. If you have not
been notified of a final action by the initial deadline stated above, you should consider the review period
extended. Under those circumstances, this letter will serve as your notice of an extended review. However,
an additional letter will be provided on or about the 75th day.
If this agency does not render a permit decision within 70 days from May 25, 2021, you may request
a meeting with the Director of the Division of Coastal Management and permit staff to discuss the status of
your project. Such a meeting will be held within five working days from the receipt of your written request
and shall include the property owner, developer, and project designer/consultant.
NCGS 113A-119(b) requires that Notice of an application be posted at the location of the proposed
development. Enclosed you will find a "Notice of Permit Filing" postcard which must be posted at the
property of your proposed development. You should post this notice at a conspicuous point along your
property where it can be observed from a public road. Some examples would be: Nailing the notice card
to a telephone pole or tree along the road right-of-way fronting your property; or at a point along the road
right-of-way where a private road would lead one into your property. Failure to post this notice could result
in an incomplete application.
An onsite inspection will be made, and if additional information is required, you will be contacted
by the appropriate State or Federal agency. Please contact me if you have any questions and notify me in
writing if you wish to receive a copy of my field report and/or comments from reviewing agencies.
Sincerely,
ason Dail
Field Representative
cc: MHC file
WiRO file
Timothy Sloan (applicant) — 4505 Tenella Road, New Bern, NC 28562
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North Carolina Department of Environmental Quality 1 Division of Coastal Management
Washington office 1943 Washington Square Mall I Washington, North Carolina 27889 1 257 946.6481
Wilmington Office 1127 Cardinal Drive Extension 1 Wilmington, North Carol na 28405 1910.796.7215
Morehead City Office 1400 Commerce Avenue I Morehead City, North Carolina 28557 1252,808.2808
Elizabeth City Office 1401 South Griffin Street, Suite 300 I Elizabeth City, North Carolina 27909 1252.264.3901

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Richard Penn
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NORTH CAROLINA
En ironrtrentul Chiurr; i
May 27, 2021
[e-mail]
2 Pages
Star News
Legal Advertisement Section
ROY COOPER
Governor
DIONNE DELLI-GATTI
Secretor,
BRAXTON DAVIS
Director, Division of Coastal Management
Re: Major Public Notice:
• Timothy Sloan
Hello: Please publish the attached Notice in the Monday, May 31, 2021 issue.
The State Office of Budget & Management requires an original Affidavit of Publication prior to payment for
newspaper advertising.
Please send the original affidavit and invoice for payment to Tanya Pietila at the NC Division of Coastal Management,
127 Cardinal Drive Extension, Wilmington, NC 28405, 910-796-7226 (Customer No. 489895).
Please email a copy of the credit card receipt to me.
Thank you for your assistance in this matter. If you should have any questions, please contact me at our Wilmington
office.
cc: Gregg Bodnar - MHC
WIRO file
USACE
cerely,
LQ
anya ' ' ietila
Permitting Support & Customer Assistance
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext„ Wilmington, NC 28405 9I9 796 7215

NOTICE OF FILING OF
APPLICATION FOR CAMA MAJOR
DEVELOPMENT PERNIIT
The Department of Environmental Quality hereby gives public notice as required by NCGS 113A-
119(b) that the following application was submitted for a development permit in an Area of Environmental
Concern as designated under the CAMA: On May 27, 2021, Timothy Sloan proposed to construct a new four
(4) slip private docking facility at 138 Great Oak Dr., adj. to the AIWW in Hampstead, Pender County. A
copy of the application can be examined or copied at the office of Jason Dail, N.C. Dept. of Environmental
Quality, Division of Coastal Management, 127 Cardinal Drive Ext., Wilmington, NC 28405, (910-796-7221)
during normal business hours.
Comments mailed to Braxton C. Davis, Director, Division of Coastal Management, 400 Commerce
Avenue, Morehead City, NC 28557-3421, prior to June 21, 2021 will be considered in making the permit
decision. Later comments will be accepted and considered up to the time of permit decision. Project
modification may occur based on review and comment by the public and state and federal agencies. Notice of
the permit decision in these matters will be provided upon written request.

Name of Property Owner Requesting Permit: Timothy Sloan
Mailing Address: 4T 3-0 72,0 i 1 CA Jr
Phone Number:
(2:52) - (07
Email Address: [e-mail]
I certify that I have authorized Richard_Penny, RPG Marine. LLC
Agent i Contractor
to act on my behalf, for the purpose of applying for and obtaining ail CAMA permits necessary for the
following proposed development New Pier
at my property located at: 138 Great Oak Dr Hampstead. NC Lot L.t 199 A PB I l 1 Cozzol uo in
Pender 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.
PrOpeftj+ f fo `On:
Signature
stt1
Print or Type Name
Owner
Title
63 s 10 1 2-b2•/
Date
This certification is valid through 03131/202t
RECEIVED
MAY 2 4 2021
DCM WILMINGTON, NC

NI Camptete items 1, 2, and 3.
■ Print your name and address an the reverse
so that we can return the card to you.
s Attach this card to the back of the mailpiece,
or on the. front if space permits,
1. Article Addressed for
A. Signature
C2 Agent
"i3 Addressee
6, 9ecehted by {Prfrttesd Now')
C. Dwell Delivery
S-u/Do "JO
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1 hI1111EI1 11 !111111 1111I l
859E 8402 6468 0346 8797 35
D. is delivery oddness cliffeient tarn item 1? © Yes
it YES, enter delivery address below: 0 No
3 Service Type
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0 Alm asnature ResuMed Oa'ivery
Ci certified MOS
0 Certified Ma RrEtriered Delivery
0 CPAectan Wary
2-.Article .Number (Weer fromservice. b if GetlestontieSveryrtest>ictedColivery
70E0 E450 0001 G701 1655 I rinsuredMarl
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(over MO)
PS Fotm 3811, July 2020 PSN 7530-02-000-9053
0 Priority Mal Expre
0 Registered Mr.r'
0 Registered MEET Restricts.
very
0 Signature Odefirmetluarru
0 Sigesture Confirmative
Ro7dictod revery
SENDER, COMPLETE THIS SECTION
' ,! Complete hams 1, 2, Sind S,
.NI Print your name and address on the reverse
i r so -hat we can return the card to you.
'Attach this card to the beck of the mailpiece,
r on the front if space permits.
- 1.'t5rticie Addressed to;
bkFNnt..i e ---
8 De) SrJ461Y VIE
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9590 9402 5468 0346 8797 11
_ 2. Article Number transfer from serviso fabeD
7020 2450 0001 fl ?01 11148
PS Parr 3811, July 2020 PSN 7530-12-0o+
Domestic Return ieipt r
C0r5PLETE THIS SECTION OnJ DEL: iffAY
A. &Olean
X
a. Received by (Printed
Agent
CCU) Adctresaee
C. Date of 9sivety
t
D. is delivery address (referent from item 17 0 Yes
rf YES, enter delivery address !defame p No
Service Type 0 Priority Marl xmresse
0 Adult Signature
0Adult SinatureRestrctedDelivery 0 Petal Mai -le -led
0 PertiSfld MaliDoi .ery
0 Certified Marl Restricted Delivery t7 Sigreiture GaufIMlaLon'"'
0 Oc ect an ReiiYery 0 *nature Confirmation
0 Cousat ail Delivery Restccled DeGvay Res:riated i ivory
-minsurednis
mewed ma R tr Ccd Oall,.vsr=
'over MO)
Damestie Return Receipt
RECEIVED
MAY 2 4 2021
DCM WILMINGTON, NC

R F• C
MARINE
Date: 16 May 2021
Richard Penny Construction, LLC
133 Sound View Drive N
Hampstead, NC 28443
[phone]
www.rpcmarine.com
RE: 138 Great Oak Drive, Submerged Aquatic Vegetation Survey
Attachments: J405 Sloan Great Oak.SAV.R2
Summary: The survey indicated a band of Submerged Aquatic Vegetation (SAV) approximately
40' across running the length of the riparian property rights. Within this band, the SAV was
moderate (about 30%). Outside of this band the SAV was sparse (less than 5%).
Owner:
Date of Survey:
Time:
Tide:
Sediment Type:
Water Depth:
Location:
Timothy Sloan
19 March 2021
10:00 — 10:30
Low, Rising
Sand mixed with silt
3" — 18"
138 Great Oak Drive
Deerfield Lot 119A
Hampstead, NC 28443
Method: The survey was taken from a boat and visual observations were noted. Visual
observations were compared to GIS images, and a drawing was generated.
Observations: Submerged Aquatic Vegetation was sighted from approximately 10' off the marsh
grass to approximately 70' off the marsh grass. SAV was most prevalent within a 40' band,
starting approximately 25' off the marsh grass. This band had moderate amounts of SAV
(approximately 30%) coverage.
The total area where SAV patches were observed equaled 10,162 SQFT. The observed patches
of SAV equaled approximately 733 SQFT.
Respectfully yours,
Richard L.
Penny
Richard L. Penny,
NC General Contractor License No. 79403
Digitally signed by Richard L.
Penny
Date: 2021.05.20 08:25:07
-04'00'
RECEIVED
MAY 2 4 2O21
DCM WILMI:NGTON, NC

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Major Permit Fee Schedule
Project Name:
County: i 120----
Check No & Amount: 1S7 0
Development Tye
•
Fee
DCM 9/0
(14300160143510009316256253)
DWQ %
(2430016024351000952341)
1_ Private, non-commercial development
that does not involve the filling or
excavation of any wetlands or
open water areas:
$250
•
100%
($250)
0%
($0)
II- Public or commercial development that
does not involve the filling or excavation
of any wetlands or open water areas:
$400
100%
- -
($400)
0%
($0)
III. For development that involves the
filling and/or excavation of up to 1 acre
of wetlands and/or open water areas,
determine if A,B, C, or D below applies:
►.
-
III(A). Private, non-commercial
development, if General Water Quality
Certification No. 4175 can be applied:
y J'
100%
($250)
0%
($0)
HHI(B)- Public or commercial development,
if General Water Quality Certification
No. 4175 can be applied:
$400
100%
($400)
0%
($0)
1I1(C). If General Water Quality
Certification No. 4175 could be applied,
but DCI1rt staff determined that additional
review and written DWQ concurrence is
needed because of concerns related to
water quality or aquatic life:
$400
60%
($240)
40%
($160)
Ir
Ilt(D). If General Water Quality
Certification No. 4175 cannot be applied:
$400
60%
I
($240)
40%
($160)
IV. Development that involves the filling
and/or excavation of more than one acre
of wetlands and/or open water areas.
$475
60%
($285)
40%
($190)

BK 4741 PG 726 - 731 (6) DOC# 20078099
This Document eRecorded; 02/10/2021 03:14:16 PM
Fee: $26.00 DocType: DEED Tax: $1,750.00
Fender County, North Carolina
Sharon Lear Willoughby, Register of Deeds
RECEIVED
Nr.AY 2 4 2021
NORTH CAROLINA GENERAL WARRANTY DEED ACM 1NILMINGTON, NC
Excise Tax: CA, I tat
Parcel Identifier No.'3252-30-221I-0030 Verified by County on the day of
By: 20
41111•M, AMNION*,
Mail/Box to: i3l cl: rat & Orl ug PLLC. 712 Country Club Drive. I-1amp ad NC 2g443
This instrument was prepared by: Blackburn & Ordir 'LLC varPiQC.1 T 111.1..F. EXAM
Brief description for the Index: LOT 119A,
THIS DEED rrtade this . ' . day of ' L(j f
(( . 20 2i, by and between
GRANTOR
Guido Cozzolino; unmarried, Anthony 1. Cozzolino and Spouse Valdy
Dolrila, Roland G. Cozzolino and tv fe Christine Cozzolino and Guido
Cozzdirto, Anthony J. Cozzolino and Roland G. Cozzolino, Trustees of
The G mhiti Cozzolino Testameruaryirust created tinder the Will of
Gunbrtt Comb:no (see Fender County Estate File No. 03 E 74)
GRANTEE
Timothy Sloan aryl wife. Aleta Sloan
4505 TerrellTerrelia Road
New Bern, NC 28562
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,
pIral, masculine, feminine or neuter as required by context.
WITNESSE TI-I, 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, parcel of land or condominium unit
situated in the City of Hampstead Topsail - Township, Pender County,
North Carolina and more particularly described as follows:
Being all of New Lot 119A as Amnon that survey entitled "Exempt Plat for Guido Cozzolino, Antony J. Cozzolino & Roland G. Ccr/7obno"
prepared by Charles F. Riggs &.Associates: Inc, and recorded in Map Book 63 at Page 11, Pender County Registry, said map being irrcotponsted
herein for a Mara complete description For back reference, see Deed Book 3744, Page 313.
Subject to easements. restrictions and right-of-ways ofrecord.
The property hereinabove described was acquired by Grantor by instrument recorded in Book 3744 page 313
AEI or a portion of the property herein conveyed _ includes or X does not include the primary residence of a Grantor.
A map showing the above described property is recorded in Plat Book 63 page 11
Page 1 of 2
NC Bar Association Po.-m N. 3 C 1978, Revised 0 1977, 2°02, 2013
Printed by Agreement with the NC Bar Association -- 1981 This standard form has been approved by:
Forth Cmolina Bar Association —NC Par Fes -AI .. 3
suomitted electronically by "Bailey & Busby, PLLC"
in compliance with North Carolina statutes gsverning recordable documents
and the terms of the submitter agreement with the gender County Register of Deeds.

BK 4741 PG 727 DOC# 20078099
TO HAVE AND TO HOLD) the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in fee
sirltple.
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:
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as oa the day and year firs
above written.
(Entity Name) Print/Type Nam
Print/Type Name & Title:
Print/Type Name: fin -
By:
Print/Type Name & Title: PriritlType Name:
BY:
Print/Type Name & Title:
`n �aylinrq AqT'rostr-e
(SEAL)
(SEAL)
(SEAL)
(SEAL)
Print/Type Name:
State of Ft ti P,.. - County or City of 14) (r C, a, c a c;,{: i f? 1.
1, the undersigned Notary Public of the County or City of i re't 0 A- and State aforesaid, certify that
Guido Cozzolino, Individuallv ' ' •_ _ personally appeared before me this day and acknowledged the due
execution of the for,egoi instrutnentfor the purposes therein expressed. Witness nay hand and Notarial stamp or seal this Cr? }~-day of
,*'x-9 ' WILLIAM JARE0 SALANSKY
:. • ,.t..4: No1ary Public - State of Ptcnda J
Commission ; GG 304507 My Cottutxigsiota Expires: ic L.{ Z . o hi Notary Public
(Affix Seal) ._ '- { lay Comm. Expires Feb 21, 201 >� t,,s Printed or Typed Same
_ .1 • _. — NE. alai►
State of - County or City of
I, the undersigned Notary Public of the County or City of and State aforesaid, certify that
personally appeared before me this day and acknowledged the due
execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this day of
2{i
My Commission Expires:
(Affix Seal)Notary Public
Notary's Printed or Typed Name
State of i.t- - County or City of
I, the undersigned Notary Public of the County or City of - l vy\ pF'.-- and State aforesaid, certify that
Guido Cozzolino personally came before me this day and acknowledged that
he is the Trustee of Gunbritt Cozzoiino Test. TrmoXorth Carolina or
corporation/limited liability company/general partnership/limited partnership (strike through the
inapplicable), and that by authority duly given and as the act of Such entity. be sigoed the fo g{stng instrument in its Hume on its
behalf as its act and deed. Witness my hand and Notarial stamp or seal. this I day of i^,' , 201-
t ,
-11 � 2 0/3
(Affix Seal) otary's Printed or Typed N
WILi.IAM JARED SALANSKY
'-�� : Notary Public - State of Florida
t tY
;�,� sr ,��• Cammi�slnn d GO 304507
My Comm. Expires Feb 21, 2023
My Commission Expires:
`'°tom , ,Notary Public
RECEIVED
NC 131ir Association Form No. 3 Q 1970, lievisetl IP 1977, 7.007,, 2023 This stanclax4A9#
Primed by Airetspocat with the NC Bar Association— 1981 North Carolina Bar Association -N
• t
ar
ved by:
,. No. 3
DCM WILMINGTON, NC

BK 4741 PG 728
DOC# 20078099
TO HAVE AND TO HOLD the aforesaid lot or parcel ofiend 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 al/ persons whomsoever, other than the following exceptions:
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year firs a . ve written.
Bv-
(Entity Name) Print%l'ype Name.: Antony 1. 3j .ro zolillo_ It3Etttr�;ia try
Print/Type Name & Title-
(SE.ALI
(SEAL)
PrintPrype Nazne: Antivmy 1 C'{v7nlint; 3.5,Tn3stee
By:
Print/Type Naine & Title: I'rinifI}ape Nainc:
(SEAL)
PrintiType Name & Title: • (S )
Print/Type Name:
By:
State of rL-L)f'L 1) - County or City of
I, the undersigned Notary Public of the Counry or City of _ �\ -- and State aforesaid, certify that
Anti�Y3.Cozzolino.Irh ib..: personally appearedbeforemethis day andacknowledged tbedue
execution of the foregoing i mtment for the purposes therein expressed. Witness my hand and Notarial stamp or seal this Virday of
2flki.
WIJ.LIAM JARED SAL4NSKY }•
#emu i . • * JiOwi LI is State Of FJariGa /
My Commission Expires I C,briimissian GG 3oe547 (,J
(Affix Seal) # say Comm. Expires Feb 21, 2023iMLriary's Painted or Typed Nam
Notary Public
State of - County or City of
I, the undersigned Notary Public of the County or City of and State aforesaid, certify that
execution of the foregoing personally appeared. before me this day and acktnowledged the due
g g instrument for the purposes therein expressed. Witness my band and Notarial stamp or seal this day of
, 20�
My Commission Expires:
(Affix Seal) Notary's Printed or Typed Name
State of - County or City of
I. the Undersigned Notary Public of the County or City of and State aforesaid, certify that
Anthony J -Coz zo1ina personally came before me this day and acknowledged that
_he is the Trustee ofGunhritt i'.nvarstino Tent. Tr;t;¢Korth Carolina or
corporation/limited liability company/general partnership/limited partnership (strike through the
inapplicable), and that by authority duly given and as the act of such entity, _he signed the fore cling instrument in its name on its
behalf as its act and deed. Witness my hand .md Notarial stamp or seal, this6' l day of , 20 ZJ-1
Notary Public
My Commission Expires: tt.;l ?- l 2- o Z :
(Affix Seal)
•
". rye`• WtLIIAM JARED SALANiKY
Notary Public - State of Florida
C cominisSipn X Crz 304507
°' " Aty Comm. Expires Feb Zr, Z023
NC Bar Association Form Na 3 01976, Revised 0 1977, 2002, 2013
Printed by Agreement uitb the NC Bag Association — 1961
}Lt (s,• P ke, Notary Public
Notary's Printed or Typed Nan
This standard f.
North Carolina Bar Assflciati
MAY 2 4 2021
DCM WILMINGTON, NC

DK 4741 PG 729 DOC# 20078099
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:
IN WITNESS WHEREOF, the Grantor has duty executed the foregoing as of the day
(Entity Name)
By:
PrintlType Name & Title:
By:
Prinul'ype Narne & Title:
By:
Print/Type Name & Title:
si
Prin
ear first ab
Pe rune: Valdy Debrila
Print/Type Name:
Print/Type Name:
(SEAL)
(SEAL)
(SEAL)
(SEAL)
Print/Type Name:
State of e, 1Zc t - County or City of y Ljj 60 Pc,,,c, ti -
I, the undersigned Notary Public of the County or City of _ ^ -- EA- and State aforesaid, certify that:
Vald1� Dobrila - personally appeared before me this day and aclato}wed
execution of the foregoing nstninlem for the purposes therein expressed- Witness my hand and Notarial_ stamp or seal this 6
fEa. o) i 20 .'(
My Commission Expires:
(Affix Seal)
asrwi —err — r
i►FY n WtLLiAht JARED SAtANSKY
a:"•' Notary Pubic - State of rsorida l '
Z { r q'g Commission A GG 304507 •�� t
d• my Comm. Expires Feb 21, 20,34 = ti l• a gt tf �fl;es. y%
ry's Printed or Typed Name
,ed the due
day of
Notary Public
State of - County or City of
I, the undersigned Notary Public of the County or City of
and State aforesaid, certify that
personally appeared before me this day and acknowledged the due
execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this day of
za
My Commission Expires: Notary Public
(Affix Seal)
Notary's Printed or Typed Name
State of - County or City of
I, the undersigned Notary Public of the County or City of and State aforesaid, certify that
personally came before me this day and acknowledged that
of . a North Carolina or
corporation/limited liability company/general partnership/limited partnership (strike through the
authority duly given and as the act of such entity, _he signed the foregoing instrument in its name on its
Witness my hand and Notarial stamp or seal, this day of , 24_„_
_he is the
inapplicable), and that by
behalf as its act and deed.
My Commission Expires:
(Affix Seas)
NC Bar Association Form No. 3 27 2976, Revised 0 1977, 2902, 2013
Printed by Agreement with the NC Bar Association -- 198
Page 2of2
Notary Public
Notary's Printed or Typed Name
RECEIVED
This standard f w qby:
Ncrth Ca dine Bar Associt�C.41 b. 3
DCM WILMINGTON, NC

BK 4741 PG 730 DOC# 20078099
f SEAlr1
Printtrype Name & Title: Print/Type Name: --.
By:
TO HAVE AND TO HOLD the aforesaid lot orpareml 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 tide against the lawful
claims of all persons whomsoever, other than the following exceptions:
IN WITNESS WHEREOF the Grantor has duly executed the foregoing as of ilia day and year first above written.
(Entity Name) Print/'(j. C''o-riu1ini. tnc riduaQ]y
By:
4/t " JSEAI.f
Print/Type Name & Titre: Prin;.slype Narue:j olaW Coeenline as Trustee
By; ,
(Affix Seal)
Notary's Printed or Tye Isiah
State of Me,' Li _ - County or City of A✓t$LL.,.4k4ti
I, the undersigned Notary Public of the County or City of kt4 t S A.A.' and State aforesaid, certify that
_ Roland G. Cozzolino personally came before me this day and acknowledged that
.,lteisthe Trustee otGunbritt Cozzolino Test. TTttssNorthCarolina or
corporation/litnited liability company/genera) partnership/limited partnership (strike throagh the
inapplicable), and that by authority duly given and as the not of such entity. _he sigaed the foregoi ng instrument in its name ou irs
behalf as its act and decd. Witness my hand and Notarial stamp or seats, this S ` ' day of � _ , ._. 20 A /
3 as wE.
My Commission i xpires: Jam_ _ 1.1 WE Rot. NOLAN t_ a A Si das...,—k Notary Public
(Affix Seal) ' Albica� Yat NdtaryaS anted or Typed Name
'Quaffed In Nassau Coup
My Commission Exp 8. -2.(143
(SEAL)
)
Print/Type Name & Titre_ Print/Type Name:
State of I/ W J W - - County or City of — 6t dS 4lee—
I, the undersigned Notary Public of the County or City of _11.4—S'4.1{,crtr _ and State aforesaid, certify that
Rotunda Cozzolino. Individually personally appeared before me this day and acknowledged thedue
ex 'vn of the foregoing instrument for the purposes therein expressed_ Witness my lmnd and Notarial snnnp or seal this m day of
• 20
LYNNE M. NOIAN
NOW PIMA Stets ofNew York
My Commission Expires: 3/
B 1.4 A. 11N013020081
(Affix Seal)
corm l sio l U
= Marth County
tr t-iYtif t • 011,Lee Notary Public
Netaty s Printed or Typeci Name
State of - County or City of
I, the undersigned Notary Public of the County or City of and State aforesaid, certify that
personally appeared before me this day and acknowledged the due
execution of the foregoing instruinent for the purposes therein expressed. Witness my hand and Notarial stamp or seal this day of
20
My Commission Expits: Notary Ptibiic
NC Bar Association Form No. 3 C I976, Revised C i 977, 21)32,1513
Muted by Agreement with the NC 17141- Asxnpstiee — 1981
False 2 vT2
RECEIVE 'T
This slandhutd foam has bee* approved for.
North Carolina Bar Association —NC Bear Form Na. 3
MAY 242u
DCM WILMINGTON: N5

BK 4741 PG 731 DCC# 20078099
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 Iawful
claims of all persons whomsoever, other than the following exceptions:
IN WITNESS WHEREOF, the Grantor has duly executed the foregoin sf they, day and y +first silo • written.
(SEAL)
(Entity Name) `'Prrint/Type Nartte: Chri,ttr �nyolrnn
By:
PriterT ype Name & Title: Print/Type Name:
By:
Print/ ype Name & Title: Print/Type Name
By:
(SEAL)
.( AL)
(SEAL),
Print/Type Name & Title: Print/Type Nome:
State of County or City of _ t
1, the undersigned Notary Public of the County or City of ____fe .r c.tS G and State aforesaid, certify that
Christine Cozzolino personally appeared before me this day and acknowledged the due
execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this .411ir day of
--4):-A.1,4 , 20 a l LYNNEM.NOLAN
Notary Pao, Stele of Newltdc
No, 022t1O60 0981
Qualified in Nassau CounW
My Commission Expires: , ig- my Commission t March 8, 4 `'t ;$7_JA.4 t lilt tr2,4-1 Notary Public
Notary's Printed or Typed Name
(Affix Seal)
State of • County or City of
I, the undersigned Notary Public of the County or City of and State aforesaid, certify that
personally appeared before me this day and acknowledged the due
execution of the foregoing instrument for the purposes therein expressed. Witness my hand and Notarial stamp or seal this day of
20_.
My Commission Expires: Notary Public
(Affix Seal)
Notary's Printed or Typed Name
State of • County or City of
I. the undersigned Notary Public .of the County or City of _..--- and State aforesaid. certify that
personally acme before me this day and acknowledged that
of , a North Carolina or
corporation/limited liability company/general partnership/limited partnership (strike through the
authority duly given and as the act of such entity, _he signed the foregoing instrument in its name on its
Witness my hand and Nonirial stamp or seal, this day of , 20_.
_he is the
iaapplicabto), and that by
behalf as its act and dead.
My Commission Expires:
(Affix Seal)
NC Bar Association Pnrm Nn. 3 `. 1976. Revised 0 1977, 2tx 2. 2013
Printed by Agreement with the NC Bar Association -19E11
Page 2of2
Notary Public
Notary's Printed or Typed Name
RECEIVED
This
cia B�F l Form .b3
North Ceroliaa B i a Form No. 3
DCM WILMINGTON, NC