NCC232684_FRO Submitted_20230907

2A Realty, LLC
746 Granby Street/Norfolk VA 23510-0003
757.627.8311/Fax [phone] •
[e-mail]
July 31,2023
Land Quality Section
N.C.Department of Environmental Quality
This letter serves to grant permission for the land on my property(Tract 14 Moyock Commons
Drive,Moyock North Carolina)to be disturbed in the process of preparing and building a new
building. I am currently working with Construction Solutions,Inc.to handle this for me.
If there is any additional information required of me,please do not hesitate to reach out to me
using any of the methods above.
ncer
Stephen A.Dowdy
2A Realty,LLC.

•
Chock if this protect is ARPA-funded
FINANCIAL RESPONSIBILITY/OWNERSHIP FORM
SEDIMENTATION POLLUTION CONTROL ACT
No person may initiate any land-disturbing activity on one or more acres as covered by the Act,including any
activity under a common plan of development of this size as covered by the NCGO1 permit, before this form
and an acceptable erosion and sedimentation control plan have been completed and approved by the Land
Quality Section. N.C. Department of Environmental Quality. Submit the completed form to the appropriate
Regional Office. (Please type or print and, if the question is not applicable or the e-mail address or phone
number is unavailable,place N/A in the blank.)
Part A.
1. Project Name Bob's Gun Shop
'If this project involves American Rescue Plan Act (ARPA) funds, list the Project Name below
under which you applied for funding through the Division of Wafer Infrastructure(DWI).
2. Location of land-disturbing activity: County Currituck City or Township Moyock
Highway/Street Moyock Commons Dr. Latitude;d��i degrees)36.5157 Longitude)ce,.i d.13.4.,)76.1711
3. Approximate date land-disturbing activity will commence:
4. Purpose of development(residential,commercial,industrial,institutional,etc.):Commercial
5. Total acreage disturbed or uncovered(including off-site borrow and waste areas):1.421
6. Amount of fee enclosed:$200 . The application fee of$100.00 per acre(rounded
up to the next acre)is assessed without a ceiling amount (Example:8.10-acre application fee is$900).
Checks should be addressed to NCDEQ.
7. Has an erosion and sediment control plan been filed? Yes❑ Enclosed ❑ No❑
8. Person to contact should erosion and sediment control issues arise during land-disturbing activity:
Name Steve Dowdy E-mail [e-mail]
Phone: Office#757-627-8311 Mobile#[phone]
9. Landowner(s)of Record(attach accompanied page to list additional owners):
2A Realty, LLC [phone] •
Name Phone: Office# Mobile#
746 Granby Street 746 Granby Street
Current Mailing Address Current Street Address
Norfolk, VA 23510 Norfolk, VA 23510
City State Zip City State Zip
Page No.264
10. Deed Book No.1634 Provide a copy of the most current deed.

Part B.
1. Company(ies)who are financially responsible for the land-disturbing activity(Provide a comprehensive list
of all responsible parties on accompanied page.)If the company is a sole proprietorship or if the landowner(s)is
an individual(s),the name(s)of the owner(s)may be listed as the financially responsible party(ies).
2A Realty [e-mail]
Company Name E-mail Address
3120 N Coatan Hwy Suite 101
Current Mailing Address Current Street Address
Kill Devil Hills NC 27948
City State Zip City State Zip
Phone: office#252-441-4338 Mobile#
Note: If the Financially Responsible Party is not the owner of the land to be disturbed,include with this form
the landowner's signed and dated written consent for the applicant to submit a draft erosion and sedimentation
control plan and to conduct the anticipated land disturbing activity.
2. (a)If the Financially Responsible Party is a domestic company registered on the NC Secretary of State
business registry,give name and street address of the Registered Agent:
E Crouse Gray Jr
Name of Registered Agent _ E-mail Address
3120 N Croatan Hwy Suite 101
Current Mailing Address Current Street Address
Kill Devil Hills NC 27948
City State Zip City State Zip
Phone: Office#252-441-4338 Mobile#
E Crouse Gray Jr
Name of Individual to Contact(if Registered Agent is a company)
(b)If the Financially Responsible Party is not a resident of North Carolina,give name and street address
of the designated North Carolina agent who is registered on the NC Secretary of State business registry:
E Crouse Gray Jr
Name of Registered Agent E-mail Address
3120 N Croatan Hwy Suite 101
Current Mailing Address Current Street Address
Kill Devil Hills NC 27948
City State Zip City State Zip
Phone: Office#252-441-4338 Mobile#
E Crouse Gray Jr
Name of Individual to Contact(if Registered Agent is a company)

(c)If the Financially Responsible Party is engaging in business under an assumed name,give name under
which the company is Doing Business As. If the Financially Responsible Party is an individual,General
Partnership,or other company not registered and doing business under an assumed name,attach a copy
of the Certificate of Assumed Name.
Company DBA Name
The above information is true and correct to the best of my knowledge and belief and was provided
by me under oath.(This form must be signed by the Financially Responsible Person if an individual(s)
or his attorney-in-fact, or if not an individual, by an officer,director, partner,or registered agent with
the authority to execute instruments for the Financially Responsible Party). I agree to provide ,
corrected information should there be any change in the information provided herein.
.91EPNE,.1 A. tcn.i Di' PV.r5tr[=r.il/vw tii s=it
Type or rint name Title or Authority
Signature Date
C
I, 'Y�Q t" ._ __- ;j� }ZjtGl�.c�a Notary Public of the Cec fty of e,hQ a.. .: --
State of•A 0.4.4 hereby certify that J�eph ,rl A tY cL appeared personally
before me this day and being duly sworn acknowledged that the above form w s executed by him/her.
Witness my hand and notarial seal,this 3 j day of j L. 11 ,20 c;)3
�+(4j .•�oTAFt Y•' .,'S,9 Notary �� /�
t1Q• GoAFAIR ° My commission expir�Jtrt-i 1 ; )\ ,c O0)1
441EXp Za—_
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Continued from Items 9& 10 in Part A of the Financial Responsibility/Ownership Form for multiple
owners. Attach copies of this page as needed to list all landowners.
Landowner 2 of Record.
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.
Landowner 3 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. _Provide a copy of the most current deed.
Landowner 4 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.
Landowner 5 of Record:
Name Phone: Office# Mobile#
Current Mailing Address Current Street Address
City State Zip City State Zip
Deed Book No. Page No. Provide a copy of the most current deed.

Continued from Item 1 in Part B of the Financial Responsibility/Ownership Form for multiple parties.
Attach copies of this page as needed to list all financially responsible parties.
Company 2 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Company 3 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Company 4 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#
Company 5 Name E-mail Address
Current Mailing Address Current Street Address
City State Zip City State Zip
Phone: Office# Mobile#