122-21 Perry, David & Ange, Jerry

Permit Class
NEW
Permit Number
122-21
S OF NORTH CAROLINA
lent of Environmental Quality
and
tal Resources Commission
Permit
for
X Major Di
pursuant
X
Issued to
Authorizing development in
This permit, issued on September 8,
consistent with the permit), all applicable
of these terms may be subiect to fines. irr
1) The bulkhead shall be constructed in
- workplan drawings.
2) No open water shall be excavated or
alignment.
elopment in an.Area of Environmental Concern
NCGS 113A-118
and/or filling pursuant to NCGS 113-229
County at ado. to Albemarle Sound. at 3904 and 3910
as requested in the permittee's application dated 3/22/21,
is subject to compliance with the application (where
special conditions and notes set forth below. Any violation
or civil action; or may cause the permit to be null and void.
with the alignment depicted on the attached
even temporarily, outside of the approved bulkhead
3) The alignment of the authorized bul ead and rip rap shall be staked by the permittee and verified by
a representative of the Division of Co stal Management within a maximum of 30 days prior to the
start of construction.
(See attached s eets for Additional Conditions)
This permit action may be appealed by the permittee o other Signed by the authority of the Secretary of DEQ and the Chair
qualified persons within twenty (20) days of the issuing ate. of the Coastal Resources Commission.
This permit must be accessible on -site to Dep ent
personnel when the project is inspected for compliance.7
Any maintenance work or project modification not
hereunder requires further Division approval.
All work must cease when the permit expires on
December 31, 2024
Braxton C. Davis, Director
Division of Coastal Management
This permit and its conditions are hereby accepted.
In issuing this permit, the State of North Carolina agree that
your project is consistent with the North Carolina C astal
Management Program. .
Signature of Permittee

David Perry and Jerry Ange
4) The bulkhead shall be solid and con
or other suitable materials approved
5) The bulkhead shall be constructed
6) The bulkhead shall be structurally
structure.
7) This permit does not authorize any
8) The fill material shall be clean and
9) Unless altered herein, all backfill
behind the permitted bulkhead.
10) No backfill material is to be placed
used to backfill the area behind the
11) All fill material to be placed below
Permit No.122-21
Page 2 of 3
CONDITIONS
of treated wood, concrete slabs, metal or vinyl sheet piles,
Division personnel.
to any backfilling activities.
so as to prevent seepage of backfill materials through the
waterward of the approved alignment.
of any pollutants except in trace quantities.
shall be obtained from a high ground source and confined
30 feet of the normal water level, except that which will be
ed bulkhead.
water level shall be confined behind the permitted bulkhead.
12) The alignmentof the toe of rip rap s all not exceed the alignment as depicted in the attached permit
application and workplan drawings.
13) The rip rap material shall consist of cle n oyster shell, granite, marl, or broken concrete with no exposed
rebar. Any existing rip rap used wate and of the authorized bulkhead shall be free of remanent asphalt.
Rip rap materials shall be of a sufficien size and design to prevent its movement from the approved
alignment by wave or current action. T e permittee shall be responsible for immediate removal of any
materials or debris that becomes dislod ed or moves outside the authorized alignment.
14) This permit authorizes only the pier, co' ered platform, kayak launch and other structures and uses
located in or over the water that are exp essly and specifically set forth in the permit application. No
other structure, whether floating or stati nary, shall become a permanent part of this observation
pier/kayak launch without permit modi cation. No non -water dependent uses of structures shall be
conducted on, in or over Public Trust w ters without permit modification.
15) The permittee shall install and maintain �t his expense any signal lights or signals prescribed by the U.S.
Coast Guard, through regulation or othe ise, on the authorized facilities. At minimum, permanent
reflectors shall be attached to the structuTin order to make it more visible during hours of darkness or
inclement weather.
16) This permit does not authorize any form4lized boat slips.
17) The authorized covered platform shall not be enclosed. Any material used on the sides shall not obstruct
view and shall be permeable to air and water. Screen or wire on the sides along with benches are
permitted. Lattice is specifically excluded from being used under this authorization.

David Perry and Jerry Ange
18) The roof of the covered platform
19) No attempt shall be made by the
waters at or adjacent to the authc
20) The authorized structure and associ
navigation and shall not exceed the
21) This permit shall not be assigned,
written approval of the Division c
22) All debris associated with the remova
within the authorized project area and
23) The permittee and/or his or her
project initiation.
NOTE: This permit does not eliminate
approvals or authorizations the
Corps of Engineers.
NOTE: The N.C. Division of Water Ri
Quality Certification 4175 and
Permit No. 122-21
Page 3 of 3
CONDITIONS
not be designed for second story use.
Ittee to prevent the full and free use by the public of all navigable
work.
activity shall not cause an unacceptable interference with
;nsions shown on the attached permit drawings.
General
Ted, sold, or otherwise disposed of to a third party without the
it Management.
construction of the permitted development shall be contained
roved to an appropriate upland location.
shall meet with a representative of the Division prior to
need to obtain any additional state, federal or local permits,
ry be required, including but not limited to the U.S. Army
authorized the proposed project by way of General Water
I the project DWR Project No. 2021-0288.
NOTE: Future development of the per littee's property may require a modification of this permit.
Contact a representative of the Division at [phone] prior to the commencement of any
such activity for this determination. The permittee is further advised that many non -water
dependent activities are not authorized within 30 feet of the normal water level.
NOTE: An application processing fee
satisfied the Section 401 appli
Resources.
0 was received by DCM for this project. This fee also
processing fee requirements of the Division of Water

DCM Coordinator: -.2111129 Q Permit #: [ZZ —Z i
MAILING DISTRIBUTION SHEET
qz(�
✓A 7o/ S�;-
DCM Field Offices Elizabeth City `57ratt C14 Washington (with revised work plan drawings)
Morehead City Wilmington (OBJECTIONS )
US ACOE Offices:
Washington: Raleigh Bland (Beaufort, Camden, Chowan, Craven, Hertford, Hyde, Perquimans,
Tyrrell)
A06sh Pelletier (BeideCurrituck, Dare, Gates, Pamlico, Pasquotank, Washington)
om Steffans (NC DOT- Beaufort, Carteret, Craven, Pamlico)
Bill Biddlecome (NC DOT -Remainder ECity/Washington District)
Wilmington: Greg Curry (Brunswick, New Hanover)
Liz Hair (Carteret, Onslow, Pender)
Brad Shaver (NCDOT-Brunswick, New Hanover, Onslow, Pender)
Cultural Resources:
Public Water Supply:
Marine Fisheries:
NC DOT:
Shellfish Sanitation:
State Property:
DEMLR/DWR:
Renee Gledhill -Earley at [e-mail]
Heidi Cox (WIRO)
Kim Harding
David Harris
Shannon Jenkins / Sharon Gupton
Tim Walton / Mike Moser
Sheri Montalvo / Shelton Sullivan
Clif Whitfield (WARD)
Jimmy Harrison
Washington: Chris Pullinger-401
Tina Martin - 401
Roger Thorpe-Stormwater
Garcy Ward- (NCDOT-Beaufort, Bertie, Camden, Carteret, Chowan, Craven, Currituck,
Dare, Gates, Hertford, Hyde, Pamlico, Pasquotank, Perquimans, Tyrrell, Washington)
Wilmington: Holley Snider —401 (Carteret, Onslow, Pender, Brunswick, New Hanover)
Christine Hall - Stormwater
Joanne Steenhuis - 401 (NCDOT-Brunswick, New Hanover, Onslow, Pender)
Wildlife Resources: Maria Dunn (WARD)
Natural Heritage Program
� Rodney Butler
/
LPO: '& �'1 t&KG 14 Ce
(NCDOT) Travis Wilson

DCM MP-1
APPLICATION for
Major Development Permit
(last revised 12127/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant Landowner Information
Business Name
Project Name (it applicable)
Applicant 1: First Name
David
MI
Last Name
Perry
APR 1 W
Applicant 2: First Name
Jerry
MI
L
Last Name
Ange
GV� VM
DCM GV
It additional applicants, please attach an additional page(s) with names listed.
Mailing Address
4267 Lawnvale Drive
PO Box
city
Gainesville
State
VA
ZIP
20155
Country
USA
Phone No.
703-743-9540 ext.
FAX No.
Street Address (d different from above)
City
State
ZIP
Email
[e-mail]
2. AgentContractor Information
Business Name
Quible & Associates P.C.
Agent/ Contractor 1: First Name
MI
Last Name
Brian
D
Rubino
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
state
870
Kitty Hawk
NC
ZIP
Phone NO. t
Phone No. 2
27949
252 - 491 -
8147 ext.
ext.
FAX No.
Contractor 8
Street Address (if different from above)
City
State
ZIP
8466 Caratoke HWY Bldg 400
Powells Point
NC
27966 -
Emall
[e-mail]
RECE
<Form continues on back>
9E
MAY 17 2021
CITY
252.808-2808 :: 1-888.4RCOAST :: www.nccoastaimanagemc-nt.net

Form DCM MP-1 (Page 2 of 4)
RECEIVED
APR 1 4 P021
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address `" ° 1
State Rd. #
Dare
3904 & 3910 Ivy Lane
Subdivision Name
City
State
Zip
Kitty Hawk Landing
Kitty Hawk
NC
27949 -
Phone No.
Lot No.(a) (if many, attach additional page with list)
ext.
31, 1, 1 ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Pasquotank
Albemarle Sound
c. Is the water body identified in (b) above, natural or manmade?
it. Name the closest major water body to the proposed project site.
®Natural ❑Manmade []Unknown
Albemarle Sound
e. Is proposed work within city limits or planning jurisdiction?
I. If applicable, list the planning jurisdiction or city limit the proposed
Was ❑No
work falls within.
Town of Kitty Hawk
4. Site Description
a. Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.tt)
215.5 ft
27,677.3 sf
c. Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
14,926.6, 12,750.7,
NWL (normal water level)
(If many lot sizes, please attach addWonal page with a list)
3.5 ft ❑NHW or ®NWL
e. Vegetation on tract
Dominately maintained bermuda grasses. Small areas of Phragmites and max myrtle growing through the exisitng riprapped
shoreline .
f. Man-made features and uses now on tract
Both sites are currenity undeveloped with the exception of riprap along the shoreline. Riprap consists of clean concrete
pieces that extend into the Sound.
g. Identify and describe the existing land uses adjacent to the proposed project site.
Single family residences.
h. How does local government zone the tract?
I. Is the proposed project consistent with the applicable zoning?
VA-1 - Village Residential
(Attach zoning compliance certificate, it applicable)
Was ❑No ❑NA
1. Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes ®No
k. Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. []Yes ®No ❑NA
If yes, by whom?
1. Is the proposed project located in a National Registered Historic District or does h involve a []Yes ®No ❑NA
National Register listed or eligible property?
<Form continues on next page>
;QECEI ED
MAY 17 2021
252-808-2808 .. i-888.4RCOAST .. www.nccoastalmanagement.ne fl CITY

Form DCM MP-1 (Page 3 of 4) RECEIVED APPLICATION for
Major Development Permit
m. (I) Are there wetlands on the site?
(if) Are there coastal wetlands on the site?
(iii) If yes to either (i) or (fi) above, has a delineation been conducted?
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
None
o. Describe existing drinking water supply source.
Dare County Water Distribution System
p. Describe exfsting storm water management or treatment systems.
None
APR 14 2021
/'�
❑Yes ®No
DCM-EC ❑Yes ®No
❑Yes ®No
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? ❑Commercial ❑Public/Govemment
®Private/Corxnunity
b. Give a brief description of purpose, use, and daily operations of the project when complete.
The purpose of the proposed project is to better stablize these two parcels with a bulkhead (with a tie back system and
backfili) and riprap revetment. The Perry lot will be a homesite in the future. At this time, only a pier system is proposed to
be permitted. Any future home will be permitted with a CAMA Minor Permit if improvements extend into the 75 It AEC.
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.
Barge, dumptruck, skidsteer, vibratory hammer will all be utilized for the construction of a new bulkhead, pier and roofed
platform.
d. List all development activities you propose.
Proposed work includes a new shared bulkhead with assciated backfili and riprap protection in front, and, construction of a
pier/dock with a roofed platform and kayak launch for the Perry lot. See attached project narrative for a detailed desciption of
proposed work.
e. Are the proposed activities maintenance of an existing project, new work, or both? New
f. Whet is the approximate total disturbed land area resulting from the proposed project? 20,052.3 OSq.Ft or ❑Acres
g. Will the proposed project encroach on any public easement, public accessway or other area []Yes ®No ❑NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
No new proposed discharges.
i. Will wastewater or stormwater be discharged into a wetland? []Yes ®No []NA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ONO ❑NA
j. Is there any mitigation proposed? ❑Yes ®No ❑NA
If yes, attach a mitigation proposal.
<Form continues on back>
RECEIVED
MAY 17 2021
252-808-2808 :: 1-888.4RCOAST :: www.neeoastalmanagement.neDCM-MHD CITY

Form DCM MP-1 (Page 4 of 4)
K E C E[ V E D APPLICATION for
APR 14 2021 Major Development Permit
6. Additional Information n/'��/��C^
In addition to this completed application form, (MP-1) the following items below, if appliJMA�I.Atell H SCed in order for the application
package to bs complete. Items (a) - (0 are always applicable to any major development appAmlion. Please consult the application
instruction booklet on how to property prepare the required items below.
a. A project narrative.
b. 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) or 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 as 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 Mary Susan Walters Phone No.
Address 3914 Ivy Lane, Kitty Hawk, NC 27949
Name Peter F. Goyer Plane No.
Address 3250 Wild Dunes Path, Stevensville, MI 49127
Name Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittes, and issuing dates.
unknown by current owners
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 property 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 pudic 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.
I 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.
I further certify that the information provided in this application is truthful to the best of my knowledge.
Date 612 A-40'L 1 Print Name 9t: AJ1 C--IA6 l + 6t�.�1� Z. Asscc.d � , P• C
Signature
Please indicate application attachments pertaining to your proposed project.
NDCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and Culverts
❑DCM MP-3 Upland Development
NDCM MP-4 Structures Information
RECEIVED
MAY 17 2021
252.808.2808 :: 1.888.4RCOAST :: www.nccoastaimanagement.nDCM-MHD CITY

RECEIVED
Form DCM MP-2
EXCAVATION and FILL
(Except for bridges and culverts)
APR 14 2021
DCM-EC
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.
Describe below the purpose of proposed excavation and/or fill activities. All values should be given in feet.
Access
Other
Channel
(NLW or
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
(excluding
NWL
Breakwater
shoreline
stabilization
Length
Width
vg. Existing
pth
NA
NA
mal Project
pth
NA
NA
L 1. EXCAVATION ® This section not applicable
a. Amount of material to be excavated from below NHW or NWL in
cubic yards.
C. (i) Does the area to be excavated include coastal wellands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? if any loxes are checked, provide the
number of square feet affected.
❑CW _ ❑SAV ❑SB
❑WL _ []None
(ii) Describe the purpose of the excavation in these areas:
2. DISPOSAL OF EXCAVATED MATERIAL
a. Location of disposal area.
C. (1) Do you claim ti le to disposal area?
[]Yes []No ❑NA
(it) If no, attach a letter granting permission from the owner
e. (i) Does the disposal area include any coastal wetlands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV [:]SB
❑WL []None
(ii) Describe the purpose of disposal in these areas:
b. Type of material to be excavated.
d. High -ground excavation in cubic yards.
®This section not applicable
b. Dimensions of disposal area.
d. (i) Wdl a disposal area be available for future maintenance?
❑Yes []No ❑NA
(ti) If yes, where?
f. (i) Does the disposal include any area in the water?
❑Yes []No ❑NA
III) If yes, how much water area is affected?
RECEIVED
MAY 17 2021
DCM-MHD CITY
252-808.2808 :: 1.888-4RCOAST :: www.nccoastal_management.net revised: 12/26106

Form DCM MP-2 (Excavation and Fill, Page 2 of 3)
RECEIVE
3. SHORELINE STABILIZATION ❑This section not rc ble �(If—development is a wood groin, use MP-4 — Structures)app
a. Type of shoreline stabilization:
®Bulkhead ❑Riprap ❑Breakwater/Sill ❑Other:
C. Average distance waterward of NHW or NWL: 6 it
e. Type of stabilization material:
Wood and vinyl
g. Number of square feet of fill to be placed below water level.
Bulkhead backfill 8.900 sett Riprap
Breakwater/Sill_ Other_
I. Source of fill material.
Clean sand fill brought to site
4. OTHER FILL ACTIVITIES
(Excluding Shoreline Stabilization)
a. (i) Will fill material be brought to the site? ®Yes ❑No ❑NA
If yes,
(it) Amount of material to be placed in the water We
(iii) Dimensions of fill area 11.152 sf
(iv) Purpose of fill
Future house pad for Perry lot only. This will involve up to
2 fit of fill on the subject lot to prepare the lot for future home
construction.
5. GENERAL
a. How will excavated or fill material be kept on site and erosion
controlled?
FIII material will be contained by silt fencing as well as seeded
once in place to prevent erosion.
c. (I) WIII navigational aids be required as a result of the project?
❑Yes ®No ❑NA
(It) If yes, explain what type and how they will be implemented.
b. Length: 217
Width: 1
d. Maximum distance waterward of NHW or NWL: 16 ft; please note
that there is existing scattered dprap on the sound bottom out to
the prposed bulkhead location; wind tides cause low water
conditions that expose the bottom out to or further waterward of
the proposed bulkhead alignment on a frequent basis.
f. (1) Has there been shoreline erosion during preceding 12
months?
❑Yes ®No ❑NA
(ii) If yes, state amount of erosion and source of erosion amount
information.
h. Type of fill material.
Clean sand
❑This section not applicable
(1) Will fill material be placed in coastal wetlands/marsh (CW),
submerged aquatic vegetation (SAV), shell bottom (SB), or
other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV _ ❑SB
❑WL ®None
(it) Describe the purpose of the fill in these areas:
The fill area of sound bottom includes areas that have existing
rip rap and derbris.
b. What type of construction equipment will be used (e.g., dragline,
backhoe, or hydraulic dredge)?
Dumptrucks, skidsteer, shallow draft barge for pier, vibratory
hammer
d. (i) Will wetlands be crossed in transporting equipment to project
site? ❑Yes ®No ❑NA
(it) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
't`22 7-07-t 1"104 � 3410 1v Lone
Date Project Name MAY 17 2021
1 CiVI 61A14 A pTY
252.808-2808 :: 1-8884RCOAST :: w .nccoastalmanaaement.npt revised: 12126106

Form DCM MP-2 (Excavation and Fill, Page 3 of 3)
RECEIVED
Awiicant signature
APR 14 1021
DCM-EC
)RECEIVED
MAY 17 2021
)CM-MHD CITY
252-808.2808 :: 1.8884RCOAST :: www.neeoastalmanaaement_net revised: 12/26/06

RECEIVED
Form DCM MP-4
STRUCTURES
(Construction within Public Trust Areas)
APR 14 2021
DCM-EC
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 ❑This section not applicable
a. (I) Is the docking facility/madna: b. (i) Will the facility be open to the general public?
❑Commercial ❑Publie/Government ®Private/Community []Yes ONO
c. (i) Dock(s) and/or pier(s)
d. (I) Are Finger Piers included? []Yes ONO
(ii) Number 1
If yes:
(III) Length 74
(ii) Number _
(iv) Width 6
(ii!) Length
(v) Floating []Yes ONO
(iv) Width
(v) Floating ❑Yes ❑No
e. (1) Are Platforms included? ®Yes ONO
f. (1) Are Boatlifts included? ❑Yes ENO
If yes:
If yes:
(ti) Number 2
(if) Number
(III) Length (1) 20 ft (roolline). (1) 12 It
_
(III) Length
(iv) Width (1) 22 It (roofline) (1) 6 ft
(iv) Width
(v) Floating []Yes ONO
_
Note: Roofed areas are calculated from ddpline dimensions.
g. (1) Number of slips proposed
h. Check all the types of services to be provided.
0
❑ Full service, including travel lift and/or rail, repair or
(11) Number of slips existing
maintenance service
0
❑ Dockage, fuel, and marine supplies
❑ Dockage ("wet slips") only, number of slips:
❑ Dry storage; number of boats: _
❑ Boat ramp(s); number of boat ramps:
❑ Other, please describe:
I. Check the proposed type of siting:
❑ Land cut and access channel
❑Open water; dredging for basin and/or channel
®Open water; no dredging required
[]Other, please describe:
k. Typical boat length: 12' (kayak)
M. (I) Will the facility have tie pilings?
❑Yes ONO
(ii) If yes number of tie pilings?
j. Describe the typical boats to be served (e.g., open runabout,
charter boats, sail boats, mixed types).
Paddle craft
I. (i) Will the facility be open to the general public?
❑Yes ONO RECEIVED
MAY 17 2021
'-►CM-MHD CITY
252-808-2808 :: 1.888-4RCOAST :: www.nccoastat_management.net revised: 12127%06

Form DCM MP-4 (Structures, Page 2 of 4)
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.
❑ Offlet Toilets RECEIVED
❑ Toilets for patrons; Number: ;Location:
❑ showers APR 14 2021
❑ Boatholding tank pumpout; Give type and location:
b. Describe treatment type and disposal location for all sanitary wastewater. NI__EC
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.
(if) Give the location and number of 'pumpout Available" signs proposed.
I. 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.
j. What will be the marina policy on overnight and jive -aboard dockage?
k. Describe design measures that promote boat basin gushing?
I. If this project is an expansion of an existing marina, what types of services are currently provided?
M. Is the marina/docking facility proposed within a primary or secondary nursery area?
❑yes ❑No
MAY 17 2021
r)CM RALJr ITy
252-808-2808 :: 1-888-4RCOAST :: v: mi.nc�os sta7manage meat•^et revised: 12127,06

Form DCM MP-4 (structures, Page 3 of 4)
n. Is the manna/docking facility proposed within or adjacent to any shellfish harvesting area?
❑Yes []No
o. Is the merina/docking facility proposed within or adjacent to coastal wellands/marsh (CW), submerged aquatic vegetation (SAV), shell bottom
(SB), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected. RECEIVE[
��❑CW ❑SAV ❑SB Kt
OWL ❑None
APR 14 2021
P. Is the proposed marina/docidng facility located within or within close proximity to any shellfish leases? ❑Yes [:]No
If yes, give the name and address of the leaseholder(s), and give the proximity to the lease.
®CM -EC
3. BOATHOUSE (including covered lift) ®This sacbon not applicable
a. (I) Is the boathouse structure(s):
❑Commercial ❑Public/Govemment ❑Private/Community,
(ii) Number
(III) Length
(iv) Width _
Note: Roofed areas are calculated from ddptine dimensions.
4. GROIN (e.g., wood, sheetpile, etc. If a rock groin, use MP-2, Excavation and Fill.) ®This section not applicable
a. (1) Number
(ii) Length
(III) Width
L5. BREAKWATER (e.g., wood, sheetpile, etc.) ®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
a. Is me structure(s):
❑Commercial ❑PublidGovemment ❑Private/Community
C. Distance to be placed beyond shoreline
Note: This should be measured from marsh edge, if present.
e. Arc of the swing
7. GENERAL
b. Number
d. Description of buoy (color, inscription, size, anchor, etc.)
RECEIVED
MAY 17 2021
DCM-MHD CITY
252.808-2808 : 1-888.4RCOAST :: www.nccoas.taimanagement.net revised: 12127106

Form DCM MP-4 (Structures, Page 4 of 4)
a. Proximity of stmcture(s) to adjacent riparian property lines b. Proximity of structure(s) to adjacent docking facilities.
45 ft to the north, 155 ft to the south 90 ft to the north, 207 fl to the south
Note: For buoy Ormoonng piling, use arc of swing including length
of vessel.
C. Width of water body
+/- 3 miles (to Point Harbor Currituck Co.)
e. (i) Will navigational aids be required as a result of the project?
❑Yes ONO [INA
(ii) If yes, explain what type and how they will be implemented.
d. Water depth a ( t waterward end of strurtute aLN1y O _E D
+/- 3.25 it NWL) EL•�7LL•_• (`/` V
APR 14 2021
®CM -EC
l 8. OTHER
®This section not applicable
a. Give complete description:
31z�12o21
Date
`1Uy a 30t10 lv-% i,w.c
Project Name - 3C'0^ (G„1Ar10
t).PerM g Q . Anyc tQ• Ua IA.uc-.NP.C.
Apo,,Nary? d
( !`b6 NI—
Applicant Signature
RECEIVED
MAY 17 2021
0CA-lVil-ID CITY
252-808-2808 : 1-888-4RCOAST :: veww.occoastal nnnayen�eni.�• revised: 12:27/06

DIVISION OF COASTAL MANAGEMENT
APPLICATION TRANSMITTAL AND PROCESSING RECORD
APPLICANT: David Perry & Jerry Ange COUNTY: Dare
PROJECT NAME: Shoreline stabilization and docking facility
LOCATION OF PROJECT: 3910 & 3904 Ivy Lane, Town of Kitty Hawk
DATE APPLICATION RECEIVED COMPLETE BY FIELD: 4-14-21
FIELD RECOMMENDATION: Attached: No
To Be Forwarded: Yes
RECEIVED
MAY 17 2021
DCM-MHD CITY
FIELD REPRESENTATIVE: Sarah Loefik — DISTRICT OFFICE: Elizabeth City
DISTRICT MANAGER REVIEW:
B) DATE RECEIVED BY MAJOR PERMITS UNIT: FEE RECD: $400 (60140) # I
APPLICATION ASSIGNED TO: Bodnar
PUBLIC NOTICE REC'D: 5-19-21
ADJ. RIP. PROP NOTICES REC'D:
C) 75 DAY DEADLINE: 6-28-21
HOLDS:
EMAIL OUT DATE: 5-17-21
PERMIT FINAL ACTION: ISSUE DENY
END OF NOTICE DATE: 6-9-21
DEED REC'D: Yes
150 DAY DEADLINE:
STATE DUE DATE: 6-7-21
AGENCY
DATE
NOTES
COMMENTS
OBJECTIONS:
RETURNED
YES NO
DCM - Field Rep
(m i (
a~ '4c'% I-�
11,17d4 (711
_
DCM - LUP Consistency Determination
oh
Local Permit Officer
Corps of Engineers - Regulatory Branch
DWR-401 Section
(/(�
2a21 -off
DWR- Public Water Supply
S t7)
d
DEMLR - Stormwater
71/
l I (
re
DEMLR - Sed and Erosion
5DOA
- State Property Office
-Tl w Z
Wildlife Resources Commission
Ll 17, 1
K
DMF - Shellfish Section
Y/
X
DMF- Habitat&Enhancement
01111,1
7AV t#11
DNCR - Archives & History
61,171
DNCR - Natural Heritage Program
NCDOT
NC Dept of Commerce
`' ((1(7 (
X

ROY COOPER
cmmrnor
JOHN NICHOLSON
Interim Secretary
BRAXTON DAVIS
Director
TO: Gregg Bodnar, Assistant
Division of Coastal Man;
THROUGH: Ron Renaldi, Northeastern
Division of Coastal Manage
FROM: Sarah Loeffler, Field
Division of Coastal b
DATE: June 29, 2021
SUBJECT: David Perry & Jerry Ange;
Major Permit Recommend
Permits Coordinator
it, Morehead City
ct Manager �0
Elizabeth City
ive 00WIL
Elizabeth City
& 3904 Ivy Lane, Kitty Hawk
RECEIVED
J U N 3 0 2021
RAP SECTION MHD
stabilization. The proposed alignment will tie into an existing bulkhead on an adjacent property to
the north (owned by Mary Susan Walters) �nd will extend ± 217' in a southeasterly direction to
connect with an existing bulkhead on an adjacent property to the south (owned by co -applicant
Jerry Ange). Once the bulkhead is constructed, it is proposed that some of the existing rip rap from
the site will be placed waterward of the bullhead for a length of 212' with an 8' wide base.
In addition to the proposed bulkhead, Applicant David Perry is proposing the construction of a
74'x6' pier terminating in a 20'x20' roofed platform (roofline dimensions of 20'x22') and a 12'x6'
lower platform located south of the pier to b6 placed on his property at 3910 Ivy Lane. That same
applicant proposes the placement of clean fil� in upland areas of his property for the future site of
a single-family residence.
The site of the proposed development is primarily located at 3910 Ivy Lane (Perry property), Lot
31 within Section 2 of the Kitty Hawk. Landing subdivision; however, a portion of the proposed
development extends onto 3904 Ivy Lane (�nge property), Lot 1 within Section 4 of the same
subdivision. Both properties are located within the Town of Kitty Hawk, Dare County, adjacent to
the Albemarle Sound.
The development proposal involves the
Estuarine Shoreline (ES) Areas of Enviroi
I have reviewed the Rules of the Coastal
project and my findings are as follows:
D Q�
Trust Area (PTA), Estuarine Waters (EW), and
Concern (AEC's).
Commission (CRC) as they pertain to this
I Divislan of Coastal Management
01tabeth City Office P 401 South Griffin street, Sulte300 I Elbabeth City, North Carolina 27909
2SZ2643901

Ijavici*erry u)erryrynge--mma)or eermit Kecommenoat:ons
June­29; 202-1 ----
Page 2 of 8
.15A NCAC 07H.0208 Use Standards
Paragraph (a) addresses General Use Standards, and sub -paragraph (1) precludes uses that are
not water dependent within the EW and PTA and lists uses that may be considered water
dependent.
Consistent: The applicants propose the construction of a bulkhead, rip rap revetment, pier,
platforms, and pier access walkway. This sub -paragraph considers these structures as
water dependent.
Paragraph (a)(2)(A) states that the location, design, and need for development, as well as the
construction activities involved shall be consistent with the management objective of the
Estuarine and Ocean System AEC and shall be sited and designed to avoid significant adverse
impacts upon the productivity and biologic integrity of coastal wetlands, shellfish beds of
submerged aquatic vegetation as defined by the Marine Fisheries Commission, and spawning and
nursery areas.
Consistent: The development is designed to not interfere with shellfish beds, submerged
aquatic vegetation (SAV), and/or spawning and nursery areas. The location is not classified
as a Primary or Secondary Nursery Area; a submerged aquatic vegetation (SAV) survey was
conducted and no rooted SAV was reported at that time. The property is adjacent to an area
esignate y NC Division of Marine Fisheries as SAV habitat. -The area is closed to shellfish
taking.
Paragraph (a)(2)(B) states that development shall comply with state and federal water and air
quality standards.
Consistent: The proposed development will not violate water and air quality.
Paragraph (a)(2)(C) states that development shall not cause irreversible damage to documented
archaeological or historic resources as identified by the N.C. Department of Cultural Resources.
Consistent: There are no known archaeological or historical resources on the property.
Paragraph (a)(2)(D) states that development shall not increase siltation.
Consistent: It does not appear that development will measurably increase siltation.
Paragraph (a) (2) (E) states that development shall not create stagnant water bodies.
Consistent: It does not appear that the development will create stagnant water bodies.
Paragraph (a)(2)(F) states that development shall be timed to avoid significant adverse impacts
on life cycles of estuarine and ocean resources.
Consistent: The development will have minimum advee�e()e1st�xn life cycles of
estuarine resources. Pt'�`iat.
JUN 3 0 2021

%David Perry & Jerry Ange - Major Permit
June 29, 2021
Page 3 of 8
Paragraph (a)(2)(G) states that developer'ent shall not jeopardize the use of the waters for
navigation or for other public trust rights in public trust areas including estuarine waters.
Consistent: The development proposes
Paragraph (b) addresses Specific Use S
Facilities and (7) Bulkheads pertain to
applicable to this project.
Paragraph (b)(6)(A) states that piers shall
Consistent: The proposed pier is 6 feet in
effects on navigation.
Of these, subparagraphs (6) Piers and Docking
ct, and those subparagraphs not listed are not
exceed six feet in width.
Paragraph (b)(6)(B) states that the total square footage of shaded impact for docks and mooring
facilities (excluding the pier) allowed shall be eight square feet per linear foot of shoreline with a
maximum of 2,000 square feet.
Consistent: The shoreline of the
shading impact. The proposed platforms
total area of applicable shading impacts
is t 107 feet in length allowing for 856 ftz of
d covered area will shade 512112. Therefore, the
1 be less than 856112.
Paragraph (b)(6)(C) states piers and docki g facilities over coastal wetlands shall be no wider
than six feet and shall be elevated at least three feet above any coastal wetland substrate as
measured from the bottom of the decking.
Consistent: The development will not impact any wetlands.
Paragraph (b)(6)(D) states a boathouse shal not exceed 400 square feet except to accommodate
a documented need for a larger boathouse an shall have sides extending no farther than one-half
the height of the walls and covering only the t p half of the walls. Measurements of square footage
shall be taken of the greatest exterior dimensions. Boathouses shall not be allowed on lots with
less than 7S linear feet of shoreline.
Consistent: No boathouse is proposed
Paragraph (b)(6)(E) states the total area
square feet except to accommodate a doc
Consistent: No boat lifts are proposed
Paragraph (b)(6)(F) states piers and dockin,
but shall not be designed to allow for second
Consistent: The proposed roofed area is
this development.
by an individual boat lift shall not exceed 400
need for a larger boat lift.
this development.
facilities shall be single story. They may be roofed
tory use.
with no walls or second story use.
Paragraph (b)(6)(G) states piers and docking acility length shall be limited bi�®
(i) not extending beyond the established pier or docking facility length alon t hore me
for similar use.
J U N 3 0 2021
mmr% tanun

David Perry & Jerry Ange - Major Permit Recommendations
June 29, 2021
Page 4 of 8
Consistent: The proposed docking facility length is consistent with other established piers
along the same shoreline.
(ii) not extending into the channel portion of the water body.
Consistent: The proposed docking facility will not be extended into the channel portion of
the water body.
(iii) not extending more than one-fourth the width of a natural water body, or human -made canal
or basin.
Consistent: The estimated width of the adjacent waterbody at the project location is
estimated to be - 5.5 miles across to the opposite shoreline. The proposed docking facility,
at 94 feet, in length is considerably below one-fourth the width of the natural water body.
Paragraph (b)(6)(H) states piers or docking facilities longer than 400 feet shall be permitted only
if the proposed length gives access to deeper water at a rate of 1 foot each 100 foot increments of
length longer than 400 feet.
Consistent: The proposed docking facility is 94 feet in length and less than 400 feet.
Paragraph (b)(6)(I) states piers and docking facilities shall not interfere with the access to any
riparian property and shall have a minimum setback of 15 feet between any part of the pier or
docking facility and the adjacent property owner's area of riparian access.
Consistent: The proposed docking facility is located 45 feet south of the northern property
line and will not encroach within the 15' setback.
Paragraph (b)(6)(J) states applicants for authorization to construct a pier or docking facility shall
provide notice of the permit application to the owner of any part of a shellfish franchise or lease
over which the proposed dock or pier would extend. The applicant shall allow the lease holder the
opportunity to mark a navigation route from the pier to the edge of the lease.
Consistent: The location of the proposed development is adjacent to the Albemarle Sound
which is closed to shellfish taking.
Paragraph (b)(7)(A) states bulkhead alignments for the purpose of shoreline stabilization, shall
approximate the location of normal high water or normal water level.
Inconsistent: The location of the proposed bulkhead is waterward of normal water level
(NWL) an average of t 6 feet with a maximum of 16 feet. (Please refer to Paragraph (b)(7)
(D) for consistency)
Paragraph (b)(7)(B) states bulkheads shall be constructed landward of coastal RM9t�
to avoid significant impacts to the resources.
Consistent: The location was found to contain no coastal wetlands. J U N 3 0 2021
MP SECTION MHD

tllavid Perry & Jerry Ange -Major Permit
June 29, 2021
Page 5 of 8
Paragraph (b)(7)(C) states bulkhead
approved by the Division of Coastal N,
Consistent: The fill will consist of clean
Paragraph (b)(7)(D) states bulkheads sha
water level only when the following standai
(i) the property to be bulkheaded has an
applicant unreasonable hardship under the
Consistent: The applicants do indicate
material shall be obtained from an upland source
be permitted below normal high water or normal
are met:
entifiable erosion problem, which will cause the
per provisions of this Rule.
an erosion problem exists.
(ii) the bulkhead alignment extends no further below high water or normal water level than
necessary to allow recovery of the area eroded in the year prior to the date of application, to align
with adjacent bulkheads, or to mitigate the unreasonable hardship resulting from the unusual
geographic or geological features.
Consistent: The proposed bulkhead and rip rap revetment alignments extends beyond NWL
for the purpose of aligning with existing adjacent bulkheads and rip rap revetments.
(iii) the bulkhead alignment will not adve�sely impact public trust rights or the property of
adjacent riparian owners
Consistent: No objections were raised by ither adjacent property owner in regards to the
proposed project including the proposed bulkhead alignment. The public trust rights, while
impacted, are not adversely so as much f the area to be filled contains existing debris,
including asphalt, which would be replace with compliant materials cleaning up the water
bottom.
(iv) the need for a bulkhead below normal
Division of Coastal Management
Consistent: The Division of Coastal
below normal water level.
(i) the property to be bulkheaded is in a
Consistent: The property is adjacent to the
Paragraph (b)(7)(E) states where possible,
rather than bulkheads.
Consistent: The proposed development
revetment for shoreline stabilization.
water or normal water level is documented by the
has documented a need for a bulkhead
area.
Sound and is in a non -oceanfront area.
rip -rap, gabions, or vegetation shall be used
include the installation of a sloping rip rap
RECEIVED
JUN 3 0 2021

David Perry & Jerry Ange - Major Permit Recommendations
June 29, 2021
Page 6 of 8
_. .
Paragraph (d) addresses General Use Standards. Acceptable uses shall be those consistent with
the management objectives in Paragraph (c) of this Rule. These uses shall be limited to those types
of development activities that will not be detrimental to the public trust rights and the biological
and physical functions of the estuarine and ocean system. Every effort shall be made by the permit
applicant to avoid, mitigate or reduce adverse impacts of development to estuarine and coastal
systems through the planning and design of the development project. In every instance, the
particular location, use, and design characteristics shall comply with the general use and specific
use standards for coastal shorelines, and where applicable, the general use and specific use
standards for coastal wetlands, estuarine waters, and public trust areas described in Rule .0208 of
this Section. Development shall be compatible with the following standards:
Paragraph (d)(1) states all development projects, proposals, and designs shall preserve and not
weaken or eliminate natural barriers to erosion including peat marshland, resistant clay
shorelines, and cypress -gum protective fringe areas adjacent to vulnerable shorelines.
Consistent: The proposed development is consistent with the intent of this rule as the
shoreline is already hardened & does not contain any of the conditions listed.
Paragraph (d)(2) states all development projects, proposals, and designs shall limit the
construction of impervious surfaces and areas not allowing natural drainage to only so much as is
necessary to adequately service the major purpose or use for which the lot is to be
developed. Impervious surfaces shall not exceed 30 percent of the AEC area of the lot, unless the
applicant can effectively demonstrate, through innovative design, that the protection provided by
the design would be equal to or exceed the protection by the 30 percent limitation. Redevelopment
of areas exceeding the 30 percent impervious surface limitation may be permitted if impervious
areas are not increased and the applicant designs the project to comply with the intent of the rule
to the maximum extent feasible.
Consistent: The proposed landward development will be constructed using wooden
decking and clean sand as fill material. The development is therefore considered pervious.
Paragraph (d)(3) states all development projects, proposals, and designs shall comply with the
following mandatory standards of the North Carolina Sedimentation Pollution Control Act of 1973:
(A) All development projects, proposals, and designs shall provide for a buffer zone along the
margin of the estuarine water which is sufficient to confine visible siltation within 25 percent of
the buffer zone nearest the land disturbing development.
Consistent: The proposed development is consistent with the intent of this rule.
(B) No development project proposal or design shall permit an angle for graded slopes or fill whic
is greater than an angle which can be retained by vegetative cover or other erosion-coRF—W-
ED
or structures.'
Consistent: The grading and fill proposed is consistent with the intent of this rulers UN 3 0 2021
P SECTION MHD

%David Perry & Jerry Ange —Major Permit
June 29, 2021
Page 7 of 8
(C) All development projects, proposals, and esigns which involve uncovering more than one acre
of land shall plant a ground cover sufficie t to restrain erosion within 30 working days of
completion of the grading; provided that thi shall not apply to clearing land for the purpose of
forming a reservoir later to be inundated.
Consistent: The land disturbance prop(
which is below one acre of disturbance.
Paragraph (d)(4) states development shall n
ocean resources. Significant adverse imp
indirectly impair water quality standards, i
Submerged Aquatic Vegetation (SAV), depw
high water, or cause degradation of shellfish
Consistent: The proposed development
by the development is t 22,704 ftz or 0.5 acres
have a significant adverse impact on estuarine and
is include development that would directly or
rease shoreline erosion, alter coastal wetlands or
spoils waterward of normal water level or normal
with the intent of this rule.
Paragraph (d)(5) states development shall not interfere with existing public rights of access to, or
use of, navigable waters or public resources.
Consistent: The development proposed Will not interfere with public rights of access and
will enhance accessibility for the property) owners and other users of the property.
Paragraph (d)(6) states no public facility shall be permitted if such a facility is likely to require
public expenditures for maintenance and co tinued use, unless it can be shown that the public
purpose served by the facility outweighs ti(e required public expenditures for construction,
maintenance, and continued use.
Consistent: The proposed development is intended for private use.
Paragraph (d)(7) states development shall not cause irreversible damage to valuable, historic
architectural or archaeological resources as ocumented by the local historic commission or the
North Carolina Department of Cultural Re: Ices.
Consistent: There are no known
or historical resources on the property.
Paragraph (d) (8) states established common-1 w and statutory public rights of access to the public
trust lands and waters in estuarine areas shall not be eliminated or restricted. Development shall
not encroach upon public accessways nor shall it limit the intended use of the accessways.
Consistent: The proposed development is
Paragraph (d)(9) states within the AECs for
the EMC, no CAMA permit shall be approved
adopted by the CRC, EMC, or MFC for estuari
development activities not covered by spec
activity would, based on site specific inform
values.
with the intent of this rule.
oreline contiguous to waters classified as ORW by
r any project that would be inconsistent with rules
waters, public trust areas, or I FtgJ r
c use standards, no permit �Sailfhe s W • e
an, degrade water quality or outstanding resource
JUN 3 0 2021
ESP SECTION MHD

David Perry & Jerry Ange - Major Permit Recommendations
June 29, 2021
Page 8 of 8
♦_.
Consistent: The proposed development is not within waters classified as ORW by the EMC,
and is covered by specific use standards.
Paragraph (d)(10) states within the Coastal Shorelines category (estuarine and public trust
shoreline AECs), new development shall be located a distance of 30 feet landward of the normal
water level or normal high-water level, with the exception of the following. Of these exceptions,
(A) and (D)pertain to this project, and those exemptions notlisted are notapplicable to this project.
Exemption (d)(10)(A) states water -dependent uses as described in Rule 0711.208 (a)(1) of this
Section
Consistent: Please see previous explanation to Rule 07H.208 (a)(1) above.
Exemption (d)(10)(D) states elevated, slatted, wooden boardwalks exclusively for pedestrian use
and six feet in width or less.
Consistent: The proposed pedestrian walkway for pier access is 6' in width and constructed
of elevated, slatted, wooden decking.
Based on my review of the applicable subsections of the North Carolina Administrative Code, the
permit application and plans, I do recommend a permit be issued to David Perry & Jerry Ange for
the bulkhead and rip rap alignment as proposed with the condition that all asphalt must be
removed from any existing riprap material that is being relocated waterward of the bulkhead. I
do recommend that a permit be issued for the proposed docking facility and associated landward
fill.
RECEIVED
JUN 3 0 2021
PAP SECTION MH D

I
ROY CQOPER
tiaVe!llOf
DIONNE DELLFGATTt
secretary
BRAXTON DAVIS
Director
May 17, 2021
MEMORANDUM:
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of CDes ta1.Management -
400 Commerce Ave., (Morehead City; NC 28557
Fax: [phone] (Courier 04-1643)
Me �
SUBJECT: CAMA/Dredge Ff Fill pplication Review
Applicant: David Perry & Jerry hge
Project Location: 3916 & 3904 ivy Lane, Town of Kitty Hawk
Proposed Project: Shoreline stabilization, docking facility and place fill for future single-family
residence
Please indicate below your agency's positi n or viewpoint:on the proposed project and'
return this form'to Greaa Bodnar at.the ad Tess above by June 7, 2021. if you have any questions .
regarding the proposed pfoject contact Sarah Loeffler(252-264-3901, ext. 232) when appropriate, In-
depth comments with supporting data is requ sted:
REPLY: This agency has no objection tathe project as proposed.
7/ —Additional comments may be attached"
.V This agency has no comment on the proposed project
This agency approves of the project only if the recommended changes
are incorporated. See.agached.
_ This agency objects to the project for reasons described In the attached
comments.. '
PRINT NAME Pt,
1' h1�FdfE�9� ��A�ae1�®
AGENCY ftfbidL WAltop,�1iQn/V secsje h RECEIVED
SIGNATURE —q MAY 1 3 2021
DATE 5- �7-aOaJ
M -SECTION NIHO,.
North Carolina Department of Environmental Quallty l Division Of Coastal Management
Elizabeth ity Ofiiee 1401 South OdfnnStreet, Suite 3001 Elizabeth City, North Carolina 27909
w.wezotw� r 252.26f.3�IIy01 - r
I

e
ROY COOPER
Qowin"
DIONNE DELU-GATTI
sectemry
BRWON DAMS
Utrerror
May 17, 2021
MEMORANDUM.
FROM:
SUBJECT:
Applicant:
Project Location:
Gregg Bodnar,
NCDEQ - Divisi
400 Commerce
Fax: [phone];
NCR7H CAROLINA
Enwronmewar Qu011y
!istant Major Permits Coordinator
f Coastal Management
Morehead City, NC 28557
(Courier04-16-33)
CAMA/Dredge & iif Application Reviow
David Perry & Je Ty Ango
3916 & 3904 Ivy Lane, Town of Kitty Hawk
Proposed Project: Shoreline stabilisation, docking facility and place fill for future single-family
residence
Please indicate below your agency's po ition or viewpoint on the proposed project and `
return this form to Grego Bodnar at the ddress above by June 7, 2021. If you have any questions
regarding the proposed project contact S rah Loeffler (252-264-3901. ext. 232) when appropriate, in-
depth comments with supporting data is re uested'.
REPLY: This agency hasp objection to the project as proposed.
"Additional corn nts may be attached"
x This agency has o 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.
Lee Padrick
PRINT NAME
AGENCY NC Commerce
SIGNATURE _
hk111l4
-9�S Nattr
RECEIVE® .
MAY 1 7 2021
MP SECTION MHD
, Detarrirent a Envt,"rnental Qua7ty I Dvisior, of Coastal Monagement
Office. Aulsamhc&fir.3ricc%sutc J00 C!itnh+H•. Ctty N4nccvaf.c774n9
r

ROY COOPER
Gummo
DIONNE DELLI-CATTI
stvremry
BRAXTON DAVIS
D r Cror
May 17, 2021
MEMORANDUM:
FROM:
SUBJECT:
Gregg Bodnar, Assititant Major
NCDEQ - Division of Poastal Me
400 Commerce Ave.,J Morehead
Fax: [phone] ( our1er04-
CAMA/Dredge & Fill
Permits Coordinator
NC 28557
Review
Applicant: David Perry & Jerry Ange
Project Location: 3916 & 39D41vy Lan , Town of Kitty Hawk
Proposed Project: Shoreline stabiiizatipn, docking facility and place fill for future single-family
residence
Please indicate below your agency's positil in or viewpoint on the proposed project and
return this form to Grean Bodnar at the ad ress above by June 7, 2021. If you have any questions
regarding the proposed ptoject, contact Sarat Loeffler (252-264-3901, ext. 232) when appropriate, In-
depth comments with supporting data is requi sled:
REPLY: V f his agency nas no
"Additional comme
A
This agency has no
This agency approv
are incorporated. Se
This agency objects
comments.
PRINT NAME ­3AMI fZ %JUMF
AGENCY
SIGNATURE
DATE
tjection to the project as proposed.
t may be attached"
lmment on the proposed project
of the project only if the recommended changes
attached.
the project for reasons described in the attached
R'ECEI'd9 EM
MAY 2 5 2021
MP SECTION M411D
\^o•rtnh:Ccaar.o'naOtpartmentofEmronmentalQuality I Div1sionorCoaitalY:anaaemenr
i!io�::a <S::e JG C\s

fl
ROY COOPER
Governor.
DIONNE DELU-GATTI
Secretary
a
BRAXTON DAVIS
Director
e
May 17, 2021
MEMORANDUM:
FROM: Gregg Bodnar, Assi;
NCDEQ - Division of
400 Commerce Ave.,
Fax: [phone] (t
SUBJECT:
Applicant:
Project Location:
Proposed Project:
CAMA/Dredge & Fill,
David Perry & Jerry
3916 & 3904 Ivy Lan
Shoreline stabilizati
residence
Permits Coordinator
inagement
City, NC 28557
Review
Town of Kitty Hawk
i, docking facility and place fill for future single-family
Please indicate below your agency's position or viewpoint on the proposed project and'
return this form to Greaa Bodnar at the addjess above by June 7, 2021, If you have any questions
regarding the proposed project, contact SarahLoeffler (252-264-3901, ext. 232) when appropriate, in-
depth comments with supporting data is requested'
REPLY: This agency has no objection to the project as proposed.
"Additional commen may be attached"
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.
PRINT NAME
AGENCY
SIGNATURE
DATE
5/20/2021
REECEitVD
M AY 2 5 2021
PAP SECTION I@6 HD
t Department of Environmental Quality i Division of Coastal Management
office 1 401 South Griffin Street. Suite 300 1 Elizabeth Clcy. North Carolina 27909
r
I
N

ROY COOPER
Governor ,
DIONNE DELLI-GATTf
Secretary
8PAXTON DAVIS
Dtrecror
May 17, 2021
MEMORANDUM:
CAROLINA
FROM: Gregg Bodnar, Ass stant Major Permits Coordinator
NCDEQ - Division o Coastal Management
400 Commerce Ave , Morehead City, NC 26567
Fax: [phone]ii ourler04-16-33J
SUBJECT: CAMA/Dredge & Fill �joplicadon Review
Applicant: David Perry & Jerry Ange
Project Location: 3916 & 3904 Ivy Lar e, Town of Kitty Hawk
Proposed Project: Shoreline stabilfzatjon, docking facility and place fill for future single-family
residence
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Gregg Bodnar at the ad ress above by June 7, 2021. If you have any questions
regarding the proposed ptject, contact Sarah Loeffler (262-264-3901, ext. 232) when appropriate, in-
depth comments with supporting data is requ(sted!
REPLY: This agency has no
"Additional comme
This agency has no
This agency approv
are incorporated. Se
This agency objects
comments,
PRINT NAME IAJ ao%.Ole_ LLI e , e.
AGENCY
SIGNATURE
DATE
ejection to the project as proposed.
I may be attached"
mment on the proposed project.
of the project only if the recommended changes
attached.
the project for reasons described in the attached
RECEIVE®
MAY 2 6 2021
eSSECTh ION M HD
-t-s„ North Carolin Department or Environmrntal Quality I Division of Coastal Management
`!y)1 ciixaneth Ciq" lace . ;01 South Cr:Eir15;reet. Suite 300 U:ahrh C!l1. Nc r.:Caroling T,o04

Bodnar, Gregg
From: Moore, Bill
Sent: Friday, July 2, 2021 3:07 PM
To: Bodnar, Gregg
Subject: RE: Phillip Harrington CAMA minor mod
Hey Gregg,
David Perry Project-sw exempt
Phillip Harrington Project-sw exempt
Beacon Street Dev Project -qualifies for Redev Exclusion
From: Bodnar, Gregg <[e-mail]>
Sent: Wednesday, June 30, 2021 10:29 AM
To: Moore, Bill <[e-mail]>
Subject: Phillip Harrington CAMA minor mod
Morning Bill,
I wanted to check in on this minor mod increasing the BUA of the tracts.
Thanks,
Gregg
Gregg Bodnar
Assistant Major Permits Coordinator
Division of Coastal Management
Department of Environmental Quality
252 808 2808 ext 215 (Office)
Gregg.BQdnir�bneQgnr.ggv
Email correspondence to and from this address is subject to the
North Carolina Public Records taw and may be disclosed to third parties.

Bodnar, Gregg
From: Moore, Bill
Sent: Wednesday, May 26, 2021 12:46 PM
To: Bodnar, Gregg
Subject: CAMA Projects
Hey Greg,
TJs Land Dev — Beaufort County — Exempt
Ronnie Cahoon — Beaufort County— Exempt
David Perry/Jerry Ange — Kitty Hawk — sw comments pending response from Quible re. upland development ?
Bill Moore, Environmental Engineer
Division of Energy, Mineral and Land Resources
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Phone: [phone]
oaw 5 W EoniomeplYl auW
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties

Received:5/26/2021
Historic Preservation Office
ROY COOPER
Governor
DIONNE DELLFGATTI
Secretary
• BRAXTON DAMS
Director
May 17, 2021
MEMORANDUM:
FROM:
J
SUBJECT:
Applicant:
Project Location:
Proposed Project:
9
Due: 6/4/2021
ER 21-1324
NC -NCH
5/28/2021
Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax: [phone] (Courier04-16-33)
CAMAJDredge & Fill Application Review
David Perry & Jerry Ange
3916 & 3904 Ivy La e, Town of Kitty Hawk
Shoreline stabilaatjon, docking facility and place fill for future single-family
residence
Please indicate below your agency's position or viewpoint on the proposed project and'
return this form to Greatly Bodnar at the adyress above by June 7, 2021. If you have any questions
regarding the proposed project, contact Sarah Loeffler (252-264-3901, exL 232) when appropriate, in-
depth comments with supporting data is requ sted'.
PRINT NAMI
AGENCY
SIGNATURE
DATE
This agency has no Objection, to the project as proposed.
"Additional comme is may be attached"
X This agency has no omment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. Se attached.
This agency objects o the project for reasons described in the attached
comments.
Renee Gledhill -Earley
Historic Preservation l Office
6/1/2021
n • a
JUN 1 2021
MP SECTION WD
North Carolina Department ofEmrironmental Quality I Division of Coastal Management
Elizabeth City Office 1401SouthGriffin Street, SUlte3001Elizabeth 6y.North Carolina 27909
m.�.esescaa�sa� /`� 252264.3901
V' r

ROY COOPER
Gommor
DIONNE DELLI-GATTI
secmmry
13RAXTON DAMS
DPeMr
May 17, 2021
FROM: Gregg Bodnar, Assi
NCDEQ - Division of
400 Commerce Ave.,
Fax: [phone] P
SUBJECT: CAMA/Dredge & Fill
Jor Permits Coordinator
Management
!ad City, NC 28557
04-1&33)
Review
Applicant: David Perry & Jerry Ange
Project Location: 3910 & 39041vy LanI, Town of Fatty Hawk
Proposed Project: Shoreline stabilization, docking facility and place fill for future single-family
residence
Please indicate below your agency's positio I or viewpoint on the proposed project and'
return this form to Grego Sodnar at the address above by June 7, 2021. If you have any questions
regarding the proposed project, contact Sarah Loeffler (252-264-3901, ext. 232) 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"
_ 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
qtr f nts.
PRINT NAMEaJ was
AGENCY P%=R-
DATE
" s `
North
Elizab
2522E
n
M AY 2 6 2021
NIP SECTION MHD i
a Departmmtof Envim mentaigpality I Division of Coastal Management
Office 1 401 South Griffin Street Suite 300 1 atzabeth C@y. North Carolhu 27909
tl

ROY COOPER
Governor
DIONNE DELLFGATTI
Secretary
BRAXTON DAVIS
Director
MEMORANDUM
r uA
—
a
y ^ta e
�amv®
NORTH CAROLINA
En ronmental Quality
R10EIVED
TO: Gregg Bodnar, Major Permits Processing Coordinator
Division of Coastal Management
FROM: Charlan Owen f ICP, NE District Planner
Division of CoaUUUUtal Management
SUBJECT: Major Permit Request by E
bulkhead with riprap, and a
20 foot terminus platform w
lower platform on the Alber
and construct a 6 foot wide
Lane and 3904 Ivy Lane, in
DATE: May 26, 2021
M AY 2 6 2021
PAP SECTION MHD
ivid Perry and Jerry Ange to install 217 linear feet of
nstruct a 6 foot wide by 74 foot long pier, a 20 foot by
h a 20 foot by 22 foot roofline, and a 6 foot by 12 foot
arle Sound, and; place and grade 11,152 sq. ft. of fill
by 10 foot long walkway on highground; at 3910 Ivy
he Town of Kitty Hawk.
Consistency Determination: The request is consistent with/not in conflict with the Town of
Kitty Hawk 2004 Core Land Use Plan (LUP) certified by the CRC
on June 17, 2005.
Overview: The project area consists of
Albemarle Sound; a .34 acre property witl
Ivy Lane and a .29 acre property with 10!
Lane. Water depths in the sound rang
approximately 75 feet from the shore. Th1
elevations average 3.5 feet above Norr
properties are primarily located in the AE
shoreline.
There are no existing site improvemen
revetment that extends an average of 20
waterward of NWL.
Installation of 217 linear feet of bulkhead v
long pier, a 20 foot by 20 foot terminus pla
12 foot lower platform on the Albemarle S
fill and construction of a 6 foot wide by 10
bulkhead and riprap will be provided for bo
provided at 3910 Ivy Lane. The bulkhi
properties to the north and south. The bu
wo (2) adjoining vacant properties located on the
107 linear feet of shoreline along the sound at 3910
linear feet of shoreline along the sound at 3904 Ivy
from 0 to -3.5 feet below NWL at a distance of
sites are primarily vegetated with lawn grasses. Site
al Water Level (NWL) in highground areas. The
Floodzone, with AE (5) Floodzone located along the
Existing shoreline improvements consist of riprap
landward of Normal Water Level (NWL) and 12 feet
i riprap, and construction of a 6 foot wide by 74 foot
rm with a 20 foot by 20 foot roofline, and a 6 foot by
nd, and; placement and grading of 11,152 sq. ft. of
of long walkway on highground are proposed. The
properties while the remaining improvements will be
d will connect to existing bulkheads on adjacent
iead will be located an average of 6 feet waterward
North Carolina Departmentbf Environmental Quality I Division of Coastal Management
DEQl� Washington Of�ce1943Washington Square Mall IWashington. North Carolina 278891252.946.6481
Wilmington Office 1127 Cardinal Drive Extension I Wilmington. North Carolina 28405 1910.796.7215
Morehead Clry Office 1400 Commerce Avenue I Morehead City, North Carolina 28557 1252.8082808
Elizabeth City Office 1 40l $outh Griffin Street. Suite 30O 1 Elizabeth City. North Carolina 27909 1252.2643901

r - -
North Carolina Department of Environmental Quality
Division of Coastal Management
MEMORANDUM
Page 2 of 4
of NWL and a maximum distance of 16 feet waterward of NWL. Existing riprap will be placed
waterward of the bulkhead with an 8 foot wide base and a length of 212 feet. Highg round fill will
be provided for construction of a future single-family house. The walkway will provide access
from the highground to the pier. No boat slips are proposed.
The waters of the Albemarle Sound are classified as Joint Waters and SB swimming and are
closed to shellfish taking. The subject properties are adjacent to an area designated as SAV
habitat by the Division of Marine Fisheries. A submerged aquatic vegetation survey was
conducted and no rooted SAV was reported to be growing in the project area at that time. Neither
property has been determined to hold any archaeological significance.
Anticipated Impacts resulting from this project are expected to include: the filling of 2,548 sq. ft.
of Public Trust Area/Estuarine Waters Areas of Environmental Concern (AEC), .25 acre of
Estuarine Shoreline AEC, and .16 acre of High Ground Areas outside of an AEC, and; the shading
of 956 sq. ft. of High Ground outside of an AEC.
Basis for Determination:
The project area is designated as "Lower Density Residential Areas" on the Town of Kitty Hawk
Future Land Use Map (FLUM). The waters of the Albemarle Sound 100 yards from shore from
the subject properties are indicated as "Shellbank Point" and "ETJ Recreational Beach" on the
Future Land Use Map.
The following LUP policies may be applicable to this request:
Issue Area #5 Community Appearance
Policy #5b, page IX-10.
"Kitty Hawk supports local identification, recognition, and protection of
cultural and historical resources..."
Issue Area #6 Currituck Sound Shoreline Kitty Hawk Bay, and Albemarle Sound:
Policy #6a, page IX-10.
"Kitty Hawk will continue to adopt, enforce, and amend as necessary
ordinances and procedures to regulate land use, development, and
redevelopment along and adjacent to the Currituck Sound; Kitty Hawk
Bay, and Albemarle Sound. The Town supports applicable State and
RECEIVED
MAY 2 6 2021
LIP SECTION RAH®

North Carolina Department of Environmental Quality
Division of Coastal Management
Federal laws and regula
development in areas of
regarding building, land use, and
onmental concern."
#6b, page IX-10.
"Kitty Hawk supports continued management of Currituck Sound, Kitty
Hawk Bay, and Albemarle Sound shorelines to protect and preserve the
natural resources of the water and shoreline, relying primarily on the
CAMA permit program and the Areas of Environmental Concern (AEC)
designated under the CAMA program."
Poll cy #6d, page IX-10.
"Kitty Hawk supports the
bulkheads. It is the polic
bulkheading. Alternative
other more environments
welcomed and preferred
such use."
Issue Area #12 Natural Hazard Areas:
"...The Town supports a
regarding land uses and
"Kitty Hawk supports
"Kitty Hawk supports
and intensity of deve
concern:"
"Kitty Hawk will allow
flood hazard areas si
National Flood Insurs
zoning ordinance."
MEMORANDUM
Page 3 of 4
onstruction of properly permitted estuarine
of Kitty Hawk to support State rules regarding
ises such as sills and marsh plantings and
y friendly erosion control measures will be
bulkheading when conditions are favorable to
#12a, page IX-15.
State and Federal laws and regulations
vent in areas of environmental concern."
#12b, page IX-15.
regulations as applicable..:'
#12e, page IX-15.
and Federal policies that regulate the location
it in State designated areas of environmental
#12g, page IX-15.
elopment and redevelopment within special
A to the provisions and requirements of the
Program, CAMA regulations, and the Town's
RECEIVED
M AY 2 6 2021

North Carolina Department of Environmental Quality MEMORANDUM
Division of Coastal Management Page 4 of 4
Issue Area #21 Stormwater Management
Policy #21a, page IX-22.
"Kitty Hawk is committed to minimizing and mitigating the effects of storm
water drainage and to implementing a comprehensive approach to storm
water management... Kitty Hawk supports the concept that all storm water
should be contained on the property where it was generated, except in
circumstances where rainfall exceeds that of a five-year storm."
Issue Area #25 Water Quality:
Policy #25a, page IX-25.
"Kitty Hawk will use its zoning ordinance, flood damage prevention
ordinance, environmental control ordinance, and soil erosion and
sedimentation control ordinance to protect water quality."
Policy #25b, page IX-25.
"...The Town supports applicable State and Federal laws and regulations
regarding building, land uses, and development in areas of environmental
concern."
RECEIVED
MAY 26 202,
�ti7� SEC-TION WD

ROY COOPER
Governor
JOHN NICHOLSON
interim Secrewy
S. DANIEL SMITH
Director
David Perry and Jerry Ange
4267 Lawnvale Drive
Gainsville, VA 20155
NORTH CAROLINA
Fnvlrorunental Quality
June 28, 2021
JUL 2 2021
MP SECTION MID
DWR # 2021-0288
Dare County
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH ADDITIONAL CONDITIONS
3910 and 3904 Ivy Lane
Dear Mr Perry:
You have our approval for the impacts listed below for the purpose described in your application received by the Division
of Water Resources (Division) on March 4, 2021. These impacts are covered by the attached Water Quality General
Certification Number 4175 and the conditions listed below. This certification is associated with the use of Regional General
Permit Number 291 once it is issued to you by the U.S. Army Corps of Engineers. Please note that you should get any other
federal, state or local permits before proceeding with your project, including those required by (but not limited to) CAMA
Major, Sediment and Erosion Control, Non -Discharge, and Water Supply Watershed regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or general permit and the
following additional conditions:
1. The following impacts are hereby approved, provided that all the other specific and general conditions of the
Certification are met. No other impacts are approved, including incidental impacts. [15A NCAC 02B .0506(b)(c)]]
Type of Impact
Amount Approved
(units)
Permanent
Amount Approved
(units)
Temporary
Plan location/
Reference Attached
Open Waters -Shading
0-1
0.02 (acres)
0 (areas)
Plan Sheets
Open Waters - Filled
0-2
0.08 (acres)
0 (areas)
Plan Sheets
The proposed project must comply with all the conditions of the General Water Quality Certification(s) 4175.
[15A NCAC 02B .0507(c)]
3. During construction of the proposed project, fueling, lubrication and general equipment maintenance should
not take place within 50 feet of a waterbody orwedands to prevent contamination by fuel and oils. [15A NCAC
02H .0506 (b)(3) and (c)(3) and 15A NCAC 02B .0200 (3)(0]
4. The permittee shall report to the Washington Regional Office any noncompliance with this certification, any
violation of stream or wetland standards [15A NCAC 02B .02001 including but not limited to sediment
impacts, and any violation of state regulated riparian buffer rules [15A NCAC 0211.02001. Information shall be
provided orally within 24 hours (or the next business day if a weekend or holiday) from the time the applicant
became aware of the circumstances. A written submission shall also be provided within 5 business days of
the time the applicant becomes aware of the circumstances. The written submission shall contain a
description of the noncompliance, and Its causes; the period of noncompliance, including exact dates and
times, if the noncompliance has not been corrected, the anticipated time compliance is expected to continue;
D _E Q�� North Carolina Department of Environmental Quality I DMslonofWater Resources
Washington Regional Office 1943 Washington Square Mall I Washington, North Carolina 27889
�r+a o.w� 252.946.6481

and steps taken or planned to reduce, eliminate, and prevent reoccurrence of the noncompliance. The
Division may waive the written submission requirement on a case -by -case basis.
S. This approval and their conditions are final and binding unless contested. [G.S.143-215.5)
These Certifications can be contested as provided in Articles 3 and 4 of General Statute 150B by filing a written petition for
an administrative hearing to the Office of Administrative Hearings (hereby known as OAH). A petition form may be
obtained from the OAH atlittp;//www.ncoah.com/ or by calling the OAH Clerk's Office at [phone] for information.
,Within sixty (60) calendar days of receipt of this notice, a petition must be filed with the OAH. A petition is considered
filed when the original and one (1) copy along with any applicable OAH filing fee is received in the OAH during normal office
hours (Monday through Friday between 8:00am and 5:00pm, excluding official state holidays).
.The petition may be faxed to the OAH at [phone], provided the original and one copy of the petition along with any
applicable OAH filing fee is received by the OAH within five (5) business days following the faxed transmission.
Mailing address for the OAH:
If sending via US Postal Service:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
One (1) copy of the petition must also be served to DENR:
William F. Lane, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, NC 27699-1601
Ifsending via delivery service (UPS, FedEx, etc.):
Office of Administrative Hearings
1711 New Hope Church Road
Raleigh, NC 27609-6285
This letter completes the review of the Division under section 401 of the Clean Water Act Please contact Tina Martin at
252-948-3844 or tina.martinOncderingov if you have any questions or concerns.
Enclosures: GC 4175
Certification of Completion
cc:
David Perry (via email: [e-mail])
Gregg Bodner, CAMA (via email)
Sarah Loeffler, CAMA (via email)
Laserfiche/DWR file copy
Sincerely,
David Mays, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
RECEIVE®
JUL 2 2021
P,Pkp SECTION MHD
Rft �r&A%Z North Carolina Department of Environmental Quality I Dlvislon of Water Resources
Washington Regional Office 1943 Washington Square Mall l Washington, North Carolina 27889
252.946.6481

PERRY.
NE
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ILL MILL
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ON 02/03/2021 BY
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6� �Z� 8r /.� 0.
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PRELIMINARY
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7N CWNTY pS_DATA.

ROY COOPER
coverna
DIONNE DELLI-GATTI
Secretary
BRAXTON DAVIS
Daemr
May 17, 2021
MEMORANDUM:
NORTH CAROLINA
Envrronmenrar Quattry
FROM Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax: [phone] (Courfer 04-16-33)
grgggbodnarC2ncdenr goy
SUBJECT: CAMA/Dredge & Fill Application Review
Applicant: David Perry & Jerry Ange
Project Location: 3910 & 3904 Ivy Lane, Town of Kitty Hawk
Proposed Project: Shoreline stabilization, docking facility and place fill for future single-family
residence
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 7, 2021. If you have any questions
regarding the proposed project, contact Sarah Loeffler (252-264-3901, ext. 232) when appropriate, in-
depth comments with supporting data is requested'.
REPLY: X This agency has no objection to the project as proposed. DCM # 20210288
"Additional comments may be attached`" Requires 401 Water Quality
This agency has no comment on the proposed project. Cert.
_ 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.
PRINT NAME Tina Martin
AGENCY Division of Water Resources RECEIVED
SIGNATURE IN "
DATE June 3, 2021 JUN 3 2021
AIP SECTION MMD
North Carolina Department of Environmental Quality I Division of Coastal Management
ElizabrM City Office i 401 South Griffin Street. Sune 300 1 Elizabeth fifty, North Carolina 27909
2522643901 ,

ROY COOPER
Governor
DIONNE DELLI-GATTI
Secretary
p
• BRAXTON DAVIS
Director
May 17, 2021
FROM: Gregg Bodnar, Assv
NCDEQ - Division of
400 Commerce Ave.,
Fax: [phone] (1
CAROLINA
jor Permits Coordinator
.Management
:ad City, NC 28557
04-16-33)
SUBJECT: CAMA/Dredge & Fill Abplication Review
Applicant, David Perry & Jerry Ange
Project Location": 3916 & 39041vy Lane Town of Kitty Hawk
Proposed Project: Shoreline stabiltratio ,docking facility and place fill for future single-family
residence
Please indicate below your agency's position or viewpoint on the proposed project and"
return this form fo Grego Bodnar at the address above by June 7, 2021. If you have any questions
regarding the proposed project, contact Sarah oeffler (252-264-3901, ext. 232) 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"
a
This agency has no cc mment on the proposed project.
�_ This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects tc the project for reasons described in the attached
comments.
PRINTWAMF James Harrison fC CCEIVED
AGENCY
SIGNATURE
DATE
N
r I,.
1
Y, td•?
y
_
JUN 7 2021
MP SECTION MHD -,
0
a Department of Environmental Quality I Division of Coastal Management
Office 1 401 South Griffin Street. Suite 300 1 Elizabeth City. North Carolina 27909
r

TO: Gregg Bodnar, NCDCM
FROM: James Harrison, NCDMF
SUBJECT: Perry & Ange, Kitty
DATE: 7 June 2021
A North Carolina Division of Marine Fis
reviewed the CAMA Permit application
habitats. The proposed work is located
Landing subdivision, Kitty Hawk, Dare (
construct a wooden and vinyl bulkhead
properties. The proposed alignment wi
(NWL) with a maximum distance of 16'
backfilled using clean sand from an uph
include areas that contain existing riprz
prior to bulkhead construction, and son
proposed bulkhead (212' long with an E
proposing the construction of a 74' by 6
and a 12' by 6' lower platform. No boat
depths within the footprint range from
aquatic vegetation (SAV) was complete)
that time.
SAV is a critical habitat type, providing
of commercially, recreationally, and en,
was observed during the survey, there:
type has the ability to expand/contract,
have been observed due to the timing o
growth period for this area Qune throu,
should be completed prior to comment
during this survey, measures should be
could include ensuring pilings are not it
minimize the increases in turbidity ass(
proposed platform at the terminus of tf
State of No
3441Arendell Street I
ROY COOPER
Governor
JOHN NICHOLSON
Interim Secretary
KATHY B. RAWLS
Director
DUM:
Major Permits Coordinator
Resource Specialist
Dare County
eries (DMF) Fisheries Resource Specialist has
)r proposed actions that may impact fish and fish
it 3910 and 3904 Ivy Lane, within the Kitty Hawk
aunty. The co -applicants are proposing to
vhich will tie into the bulkheads on the adjacent
I average 6' waterward of the normal water line
vaterward. The area behind the bulkhead will be
id source. Portions of the proposed fill area
1. Some of the existing material will be removed
will be reused and placed waterward of the
wide base). Additionally, one of the applicants is
pier terminating in a 20' by 20' roofed platform
;lips are associated with the proposed pier. Water
?' to -3.5' below NWL. A survey for submerged
and no rooted SAV was reported as growing at
ursery, forage, and spawning habitat for a variety
ronmentally important species. Although no SAV
the potential for SAV to be present. This habitat
nigrate at different temporal scales, and may not
the site visit (February) being outside of the active
1 August). Therefore, a follow-up survey for SAV
ment of construction activities. If SAV is present
aken to avoid/minimize impacts to SAV. This
stalled directly into SAV patches and measures to
:iated with structure installation. Additionally, the
proposed pier structure could incorporate a
ina I Division of Marine Fisheries J U N 7 2021
7691 Morehead City,North Carolina28557
252-726-7021
NIP SECTION MHO

pergola -style roof as opposed to complete coverage. Including this type of roofing would
aid in maximizing the light that reaches the water, as light penetration is one of the most
important factors influencing SAV growth. Additionally, should SAV be observed within the
footprint of the bulkhead and/or riprap, measures should be taken to avoid/minimize the
amount of fill, and riprap should not be placed directly over SAV. Also, care should be
taken during riprap removal and placement in order to minimize increases in turbidity
(even if SAV is not present).
Thank you for consideration of our. comments. Please contact Jimmy Harrison at (252)
948-3835 (office) or [phone] (mobile — preferred), or at
0ames.harrison(&ncdenr.g_ov with any further questions or concerns.
RECEIVED
JUN 7 2021
State of North Carolina I Division of Marine Fisheries 10 P SECTION "A M ID
3441 Arendell Street I P.O. Box 7691 Morehead City, North Carolina 26557
252-726-7021

M
ROY CQOPER
17.1 r
DIONNE DELLI-CATTI
Secretory
BRAXTON DAVIS
Dlr r
May 17, 2021
C.2j•DS,I�.D l
FROM: Gregg Bodnar, Assis
nt Major Permits Coordinator
NCDEQ - Division of C
oastal Management
400 Commerce Ave., I
Aorehead City, NC 28557
Fax: [phone] (
urler04-16.33)
=gLindnar@ ncde
SUBJECT: CAMA/Dredge & Fill A
Dplication Review
Applicant: David Perry & Jerry lunge
Project location: 3910 & 3904 Ivy Lan , Town of Kitty Hawk
Proposed Project: Shoreline stabilization, docking facility and place fill for future single-family
residence
Please indicate below your agency's positiorl or viewpoint on the proposed project and
return this form to Grego Bodnar at the add ss above by June 7, 2021. If you have any questions
regarding the proposed pfoject, contact Sarah Loeffler (252-264-3901, ext. 232) when appropriate, in-
depth comments with supporting data is reque ted!
This agency has no objection to the project as proposed.
"Additional commentt may be attached"
VThis agency has no cc mment on the proposed project.
_ This agency approves of the project only if the recommended changes
are incorporated. See 3ttached.
This agency objects to the project for reasons described in the attached
comments.
PRINT NAME i _ i .,l
VV E®
AGENCY :AJ
SIGNATURE
JUN 2 1 2021
DATE - li
NoritiCaro?4aDeparmwntofEnvlro=cntalOLlatty I Dlvlslon of Coastal Management
EazaberSCrtOfrt.e i 40i Sa;rth Cr:Fn'�5^eat, Suite 3UJ : ElraEe:fi Ctey.ti�:-h Cr: nl'na 2?W4
2522oA99P1

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
APPLICANT'S NAME: David Perry & Jerry L. Ange
2. LOCATION OF PROJECT SITE: 3910 & 3904 Ivy Lane, Lot 31 in Section 2 and Lot 1
in Section 4 within Kitty Hawk Landing subdivision, Kitty Hawk, Dare County, adjacent
to the Albemarle Sound.
Latitude: 36.055423ON
Longitude:-75.739781 °W
INVESTIGATION TYPE: CAMA/Dredge & Fill
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit — 2/17/2021
Was Applicant Present — No (Agent Present)
5. PROCESSING PROCEDURE: Application Received Complete — 4/14/2021
Office — Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan — Town of Kitty Hawk
Land Classification From LUP — Residential
(B) AEC(s) Involved: Public Trust Area (PTA), Estuarine Waters (EW), & Estuarine
Shoreline (ES)
(C) Water Dependent: Yes
(D) Intended Use: Private Residential
(E) Wastewater Treatment: Existing — None
Planned — N/A
(F) Type of Structures: Existing — Concrete rip rap revetment above and
below normal water level.
Planned — Bulkhead, rip rap revetment, pier,
platforms (2), and pier access walkway.
(G) Estimated Annual Rate of Erosion: None
Source - Applicant
7. HABITAT DESCRIPTION:
Shaded
Filled
Other
A Shallow Bottom PTA & EW AEC's
512 ft2 (platforms)
1,852 ft2 (bulkhead)
444 ft2 pier
1,696 ft2 rip rap)
B Estuarine Shoreline ES AEC's
( )
7,048 ft2 (bulkhead)
4,015 ft2 lotfiii
C) High Ground Areas & Non -AEC
7,137 ft2 (lot fill)
(D) Total Area Disturbed:
(E) Primary Nursery Area
(F) Water Classification:
t 22,704 ft2 or t 0.5 acres
No
SB Open to Shellfish Taking: No RECEIVED
MAY 17 2021
DCM-MHD CITY

Field Investigation Report
Page 2
8. PROJECT SUMMARY: The co -applicants propose the construction of a bulkhead along a
hardened shoreline that will tie into existing bulkheads on adjacent properties. A rip rap
revetment is also proposed waterward of the bulkhead. One of the applicants (David Perry)
proposes the construction of a pier, roofed platform, lower platform, and a pier access
walkway on his property. That same applicant proposes the placement of clean fill in
upland areas of his property for the future site of a single-family residence.
Project Setting
The majority of the proposed development is located at 3910 Ivy Lane (Perry property),
Lot 31 within Section 2 of the Kitty Hawk Landing subdivision; however, a portion of the
proposed development extends onto 3904 Ivy Lane (Ange property), Lot 1 within Section 4 of the
same subdivision. Both properties are located within the Town of Kitty Hawk, Dare County,
adjacent to the Albemarle Sound.
The property owned by David Perry is platted at ± 14,927 ft2 (± 0.34 acres) and contains
± 107' of shoreline. The adjacent property, owned by the co -applicant Jerry Ange, is platted at
± 12,751 ft2 (± 0.29 acres) and contains ± 108' of shoreline. Elevation averages ± 3.5' above
Normal Water Level (NWL) in the high ground areas. At this time, both lots are vacant and
undeveloped containing no man-made features. The properties are primarily vegetated with
domestic lawn grasses. The shoreline of the properties is hardened and contains an existing rip
rap revetment that extends an average of 20' landward of NWL and 12' waterward of NWL.
Neither property has been determined to hold any archeological significance.
The applicant (David Perry) purchased the property at 3910 Ivy Lane in December 2020
and the co -applicant (Jerry Ange) has been the property owner of 3904 Ivy Lane since June
2015 and resides on the adjacent property. No permit history was known or submitted by either
applicant, and a search of CAMA records also found no permits issued to either of these
locations.
The waters of the Albemarle Sound are joint waters, classified as SB, and are closed to
shellfish taking. The property is located on the western side of a peninsula and it is ± 5.5 miles
across the water body to the opposite shoreline (Point Harbor, NC). The bottom substrate is hard
bottom sand and the substrate in a portion of the project area contains significant amounts of rip
rap material including concrete, cinder blocks, asphalt chunks, and other debris. Water depths
within the project site range from ± 0' to ± 3.5' below NWL. No wetlands were found to exist
along either shoreline and the location is not classified as a Primary or Secondary Nursery Area
by the NC Division of Marine Fisheries. A submerged aquatic vegetation (SAV) survey was
conducted and no rooted SAV was reported to be growing in the project area at that time. The
property is adjacent to an area designated by NC Division of Marine Fisheries as SAV habitat.
The shorelines of the adjacent properties are hardened with bulkheads and rip rap. Adjacent
properties are also developed with man-made structures including piers and platforms of various
sizes.
RECEIVED
MAY 17 2021
DCM_MHD CITY

Field Investigation Report
Pase
Development Proposal/Project Description
The applicants are proposing the construction of a wooden and vinyl bulkhead for the
purpose of shoreline stabilization. The proposed alignment will tie into an existing bulkhead on
an adjacent property to the north (owned by Mary Susan Walters) and will extend ± 217' in a
southeasterly direction to connect with an existing bulkhead on an adjacent property to the south
(owned by co -applicant Jerry Ange). The proposed alignment will average 6' waterward of NWL
with a maximum distance of ± 16' waterward. The proposed alignment terminates in the southern
end at NWL. Back fill material will consist of clean sand brought to the site from an upland
source. Portions of the proposed fill area include areas of sound bottom that contain existing rip
rap debris. Some of the existing rip rap debris located below NWL will be excavated prior to
bulkhead construction. Once the bulkhead is constructed, it is proposed that some of the existing
rip rap from the site will be placed waterward of the bulkhead for a length of 212' with an 8' wide
base.
In addition to the proposed bulkhead, Applicant David Perry is proposing the construction
of a 74'x6' pier terminating in a 20'x20' roofed platform (roofline dimensions of 20'x22') and a
12'x6' lower platform located south of the pier to be placed on his property at 3910 Ivy Lane. No
boat slips are proposed with the pier and water depths within the proposed development location
ranges from ± 2' to ± 3.5' below NWL. The proposed pier and platforms are similar to others in
the area, meet the'/<width rule, and do not encroach within the 15' riparian access setback. The
proposed pier and platforms are located ± 90' and ± 207' away from adjacent docking structures.
Associated highground development proposed is the placement and grading of ± 11,152
ft2 of fill on the Perry Lot in preparation for a future single-family residence. Lastly, the applicant
is proposing the construction of a 10'x6' walkway over land for pier access.
Anticipated Impacts
The construction of the bulkhead and associated rip rap revetment along the proposed
alignment will result in the filling of ± 3,548 ft2 of Estuarine Waters and Public Trust Area
AEC's.
• Bulkhead installation, back fill, upland fill, and associated grading will result in ± 11,063 ft2
(0.25 acres) of land disturbance within the Estuarine Shoreline AEC and existing property
lines.
• The proposed upland fill will result in an increase of upland elevation up to 2' in height.
• The proposed pier & platforms will shade 956 ft2 of Estuarine Waters and Public Trust
Area AEC's.
Submitted by: Sarah Loeffler
Date: May 11, 2021
4ECEIVED
MAY 17 2021
0CM-MHD CITY

CAMA Major Narrative
3904 & 3910 Ivy Lane, Kitty Hawk, NC
The Project Site consists of two adjacent lots (3904 & 3910 Ivy Lane), located in Kitty Hawk
Landing Subdivision, Kitty Hawk, Dare County, NC. The properties are on open waters of the
Albemarle Sound. Both of these lots are undeveloped and the only man-made improvements
include a riprapped shoreline primarily consisting of clean concrete pieces. The existing riprap
footprint extends an average of 20 ft landward of the NWL and 12 ft waterward of NWL (see
photos). The applicants are David & Elizabeth Perry for 3910 and Jerry & Jennifer Ange for
3904. These lots contain landscaped grasses at this time and are relatively flat. There are no
existing wetlands on the project Site.
The applicants would like to tie a new bulkhead into the adjacent bulkhead to the south (also
owned by Jerry & Jennifer Ange and run a straight line to the north (217 ft), where it would tie
into the adjacent owner's bulkhead (Mary Susan Walters). Most of the waters that would be
filled in association with this bulkhead contain riprap on the sound bottom. This consists of
concrete, cinder block, brick and other debris, and is completely exposed on a regular basis
when wind tides are low (north-east winds). We have included photos of normal tides and low
tides where this material is exposed. Prior to bulkhead installation, much of this riprap in water
will have to be pulled back, using an excavator in order to be able to drive piles and vinyl
sheeting. After bulkhead construction, some of the existing riprap from the Site will be placed in
front (waterward side) of the new bulkhead for added protection. Similar to adjacent and nearby
properties, the waters immediately adjacent to the shoreline (proposed bulkhead and rip rap
areas) do not support submerged aquatic vegetation (SAV) due to the very shallow water
depths that results in a dry sound bottom when there are north-northeast winds that continually
blow for at least one day. This area is susceptible to high wave energy and most of the nearby
bulkheads in Kitty Hawk Landing on the open sound also have added riprap protection.
In addition to the proposed bulkhead and shoreline stabilization, there is a proposed 74 If by 6-
foot pier extending from the center of Lot 3910 (Perry Lot) into the Albemarle Sound, with a 20-
foot by 20-foot roofed platform on the end. Also proposed is a lower 6 ft x 12 It platform for
kayaks and other paddle craft. Piers up to 100 It long are allowed in The Town of Kitty Hawk.
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.
RECEIVED
APR 14 2121
DCM-EC
RECEIVED
MAY 17 2021
DCM-MHD CITY

i I VCU
APR 14 2021
RE: 3904 and 3910 Ivy Lane, Kitty Hawk Landing ®CM -EC
Kitty Hawk, Dare County, NC
As owners of the above referenced parcels, I authorize Quible & Associates, P.C. (Quible), NC
Division of Coastal Management (NCDCM), and US Army Corps of Engineers (USACE) to
access the subject lots for the purpose of obtaining any necessary Jurisdictional Determinations
(JDs) as well as CAMA Permits for a shoreline stabilization bulkhead, including the associated
fill and water dependent improvements. Furthermore, I authorize Quible to act as agent for any
other environmental permitting that may be required, including 401 Water Quality Certifications.
Authorized Signature
Name: E)G !/rd R. sv
Authorized Signature
Date: RP )fib o� %
aName r Date: -�ZJ
RECEIVED
MAY 17 2021
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to David Perry & Jerry Anges
s
property located at (Name of Property Owner)
3904 & 3910 Iw I anp
on Albemarle Sound
(Waterbody)
The applicant has described
loc io .
(Address, Lot, Block, Road, etc.)
in Kitty Hawk, Dare County N.C.
(City/Town and/or County)
to me, as shown below, the development proposed at the above
I have no objection to this proposal.
I have objections to this proposal.
I complete Items 1, 2, and 3.
r Print your name and address on the reverse
so UW we can return the card to you.
Attach this card to the heck of the mailplece,
or on the front If sDace Dermits.
/spry -",aiv
a-795��/
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
9590 9402 6189 0220 6980 21
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ff YES, enter delivery address below.
RECEIVED
DEVELOPMENT
�w or attach a site drawing)
O CeMNed Mall f 11,611 s/Delr6y -- C519nahn CM* Ner-
o Collect on Whwy ❑ signature ConemMilon
:. Article Number (rransfar hum service label) ❑ Collect on DelKwy Rwhlctad Dehery Raaelcted Delivery
7 Inaued Mall
320 0090 0001 7619 6800 1 Inwred Mail Restricted Ddvary
Icver$= ate
's Form 3811, Jury 2020 PSN 753a02-000-OM D°n'esne aeaen Recelpt ian
me.
RECEIVED
APR 14 2021
DCM-EC
r, boathouse, lift, or groin
access unless waived by
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Troy Murphy (Quible & Associates - Agent)
Print or Type Name
Mailing Address
Kitty Hawk, NC 27949
City/State/Zip
252-491-8147 / [e-mail]
Telephone Nu ber/emad address
D'+ A �Lt
Date '
`Valid for one calendar year after signature'
(Adjacent Property Owner Information)
Stgnatu "
Mary Susan Walters
Print or Type Name
3914 Ivy Lane
Mailing Address
Kitty Hawk, NC 27949
City/Statealp
1Ta3-&o8-7coo—
Telephone Number/email address
Date*
(Revised Aug. dV ll#) 17 2021
�)GIVI-MI-IQ CITY

Quible
0
Co
Quible & Associates, P.C. '
ENGINEERING • ENMRONMENTALSCIENCES
SINCE 1959
0 ❑RealmR aiPi lmecvmly $
O W` ,lilietl Mciil Reshicl9'� 0¢INpy �rx�
0 ❑MWSgnnWw RryW"'
CERTIFIED MAIL: Rr'F'
0
E3
February 24, 2021 0
ru
0
Mary Susan Walters r
3914 Ivy Lane
Kitty Hawk, NC 27949
RE: CAMA Major Permit
3904 & 3910 Ivy Lane
Ms. Wafters:
P.O. Drawer 870
Krtry FIo k INC 27949
Phone: [phone]
Fox: 252491-8146
web: cribe.com
liar.
RECEIVED
MAR 0 12021
DCM-EC
As adjacent riparian property owner to the above referenced project, it is required by NCDEQ, Division of
Coastal Management (NCDCM) that you be notified of the proposed work that requires a CAMA Major
Permit. Part of this project is a joint application between Mr. Ange (3904) and Mr. Perry (3910). As
depicted on the accompanying site plan, the proposed work requiring a CAMA Major Permit includes the
joint construction of a bulkhead wall along both properties that ties into both existing adjacent bulkheads,
a riprap revetment in front of the newly proposed bulkhead and backfill of the proposed bulkhead. In
addition to the join application Mr. Perry proposes the construction of a pier and platform at 3910 Ivy Lane
and fill to adjacent grades for a future residence at 3910. Please see included CAMA Plan for all
proposed work.
Should you have no objections to this proposal, please check "I have no objection to this proposal" line,
sign and date, on the included Adjacent Riparian Owner. Please return this statement to Brian Rubino,
Quible & Associates, P.C., P.O. Drawer 870, Kitty Hawk, NC 27949 as soon as you can. You can mail
the original back tome or you can scan and email back to brubinogauible.com . I can also be reached at
252-491-8147.
Should you have comments to this proposal, please send your written comments to the CAMA Field
Representative, Ms. Sarah Loeffler, 401 S. Griffin St. Suite 300, Elizabeth City, NC 27909. Written
comments must be received within 30 days of receipt of this notice. Failure to respond in either method
within 30 days will be interpreted as no objection.
Sincerely,
Quible and Associates, P.C.
Troy Murphy
RECEIVED
MAY 17 2021
DCM-MHD CITY

Quible
Only
k__, c -
P.O. Dro e70
Quible & Associates, P.C. a
ENGINEERING - ENMUNMENTAL SCIENCES • PM �
Cw W f lab Fee
$#
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MY Hawk NC 27949
Phone: 252d 1-8147
SINCE 1959 1`1
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sewer
Fox: 252-491-814E
web: Qube.c
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RECEIVED
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February 24, 2021 0
MAR 0 1 2011
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Stevensville, MI 49127
sv
RE: CAMA Major Permit
3904 & 3910 Ivy Lane
Ms. Walters:
As adjacent riparian property owner to the above referenced project, it is required by NCDEQ, Division of
Coastal Management (NCDCM) that you be notified of the proposed work that requires a CAMA Major
Permit. Part of this project is a joint application between Mr. Ange (3904) and Mr. Perry (3910). As
depicted on the accompanying site plan, the proposed work requiring a CAMA Major Permit includes the
joint construction of a bulkhead wall along both properties that ties into both existing adjacent bulkheads,
a riprap revetment in front of the newly proposed bulkhead and backfill of the proposed bulkhead. In
addition to the join application Mr. Perry proposes the construction of a pier and platform at 3910 Ivy Lane
and fill to adjacent grades for a future residence at 3910. Please see included CAMA Plan for all
proposed work.
Should you have no objections to this proposal, please check "I have no objection to this proposal" line, r3ECEIVEC
sign and date, on the included Adjacent Riparian Owner. Please return this statement to Brian Rubino,
Quible & Associates, P.C., P.O. Drawer 870, Kitty Hawk, NC 27949 as soon as you can. You can mail MAY 17 202
the original back tome or you can scan and email back to [e-mail]. I can also be reached at
252-491-8147. DCM-MHD Cl'
Should you have comments to this proposal, please send your written comments to the CAMA Field
Representative, Ms. Sarah Loefflor eni c n.ir<,.. C. c..:e.. non r-1:_-L n•.
comments must be received wit
within 30 days will be
Sincerely,
Quible and Associates, P.C.
Troy Murphy
■ Complete Items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
cie
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If YES, enter delivery address below: ❑ No
RECEIVED
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❑ At1ue algrrettue
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7020 0090 0001 7619 6794 dMolPd&tedoene,,,

Contact Name" Brian Rubino RECEIVED
Contact Email Address* [e-mail] MAR 0 1 2021
Project Owner* David Perry
DCM-EC
Project Name * 3910 and 3904 Ivy Lane
Project County* Dare
Owner Address:* Street Address
4267 Lawnvale Dr.
Address Line 2
CRY Stale / Ro✓cse / Rgim
Gainesvile VA
Postal / zip Code ox "
20155 LISA
Is this a transportation project?* (^ Yes F No
Type(s) of approval sought from the DWR:
A 401 Water Quality Certification- r 401 Water Quality Certification -
Regular E)press
r Individual Permit r- Modification
W Shoreline Stabilization
Does this project have an existing project ID#?
Yes r No
Do you know the name of the staff member you would like to request a meeting with?
Chris Pullinger
Please give a brief project description below.*
This will be a CAMA Major Permit for shoreline stabilization
bulkheading. The applicant proposes to construct a new bulkhead
that ties into the existing bulkhead corners on the adjacent properties
on both sides. There will also be a proposed pier and platform
system. I am working through the DCWCAMA field rep, Sarah Loeffler
on this project as well. I have attached a preliminary exhibit that we
will refine prior to submitting the complete application package.
Thanks,
Brian Rubino
RECEIVED
Please give a couple of dates you are available for a meeting.
MAY 17 2021
0CM-MHD CITY

2/22/2021
2/23/2021
RECEIVED
Please attach the documentation you would like to have the meeting about. MAR U 1 2W
P20110-CAMAPLAAF020521.pdf 1MB
pdf crty DCM-EC
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
• This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
• I understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.
• I also understand that DWR is not required to respond or grant the meeting request.
Your project's thirty -day clock started upon receipt of this application. You will receive notification regarding meeting location
and time if a meeting is necessary. You will receive notification when the thirty -day clock has expired, and you can submit an
application.
Signature *
Submittal Date 2/9/2021
RECEIVED
MAY 17 2021
DCM-MHD CITY

3904 & 3910 Ivy Lane
Site Photos
2/3/2021 Photos
3/21/2021 Photos
RECEIVED
APR 14 2021
DCM-EC
RFCEIVED
MAY 17 2021
[)CM-MHD CITY

3904 & 3910 Ivy Lane
Site Photos
RECEIVED
MAR 0 12021
DCM-EC
RECEIVED
MAY 17 2021
DCM-MHD CITY

RECEIVE[
6h MAR 0 1 2011
�p BK 2444 PG 263 - 264 (2) DOC# 700088863
v'�` This Document eRecorded: 12/08/2020 02:47:59 PM DCM-EC
` "'Fee, $26.00 Excise Tax: $534.00
�(Pare County, North Carolina Transfer Tax: $2,670.00
heryl L. House, REGISTER OF DEEDS
Dare County Land 5ansfer No.: 4911-20 Land Transfer Tax: 2670.00 1985 Sessions Law Chapter 670 (1-113 215)
O
LAND TRANSFIQ 4911-20
LT $2670.001 EXGF S534.00
Instrument prepared Q Return to:
W. Jay Wheless Laura Meads
Wheless & Wheless, PLLt�N Evans & Meads, PLLC
P. O. Box 500 106A Ascension Drive
Manteo, NC 27954 Kitty Hawk, NC 27949
W&W File: 20-861
Parcel Number: 026159000
If checked, the property incl�the primary residence of at least one of the Grantors (NC GS § 105-3172).
This instrument prepared by i3: Jcry Whvvvvvrtjre N a licensed North Carolina attorney. Delinquent Taxes, if any, are to be paid by the
closing attorney to the County Tar Colleckr I disbursement ofclosing proceeds.
NORTH CAROL*IA GENERAL WARRANTY DEED
THIS DEED made this 711 day of Dece?)�a?,, 2020, by and between
GRANTOR
PHILLIP STALLINGS and wife,
NINA STALLINGS
4105 Ivy Lane
GRANTEE
DAVID PERRY and wife,
ELIZABETH PERRY
Lawnvale Drive
:sville. VA 20155
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 cont t.
WITNESSETH, that the Grantor, for valuable consideration'Aid by the Grantee, the receipt of which is
hereby acknowledged, has and by these presents does grant, b sell and convey unto the Grantee in
fee simple, all that certain lot or parcel of land situated in the T wpof Kitty Hawk, Atlantic Township,
North Carolina and more particularly described as follows:
Being Lot No. 31, Kitty Hawk Landing, Section II, as shown in Book Four at Pages 88 and 89
in the Office of the Register of Deeds of Dare County, North Carolill�yl
RECEIVED
Submitted electronically by "Evans & Meads, PLLC 6(� MAY 17 2021
in compliance with North Carolina statutes governing recordable dot
bmgnts
and the terms of the submitter agreement with the Dare county aegist((rllof Deeds. iiCIIA-I1Ai'aD CITY?I

-� vVVTr / VVVVVVVJ
RECEIVED
MAR 0 1 1021
The property hereinabove described was acquired by Grantor by instrument recorded in Book 1797, Page
�LpO in the Public Registry of Dare County, North Carolina. DCM-EC
TAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances
the � belonging to the Grantee in fee simple.
And thVrantor covenants with the Grantee that Grantor is seized of the premises in fee simple, has the
right to 6p6ey the same in fee simple, that the title is marketable and free and clear of all encumbrances,
and that Graytor will warrant and defend the title against the lawful claims of all persons whomsoever
except for ticeptions hereinafter stated.
Title to the Qr�Perty hereinabove described is subject to easements, covenants, declarations and
restrictions of m;_.
IN WITNESS WA�- OF the Grantors have hereunto set their hands and seals the day and year first
above written.
�O
`fi
Y'
n
Y"
STATE OF NORTH CAROLINA
COUNTY OF DARE d
I, MINDY BOUGHN, a Notary Public of t�erState and County aforesaid, do certify that PIIILLIP
STALLINGS and wife, NINA STALLINGS p� onally appeared before me this day and acknowledged
the execution of the foregoing instrument.
Witness my hand and official stamp or seal, this
MY COMMISSION EXPIRES: n
J Q.11. 31, a0a5 NOT.
(Notary Seal) Mindy Boughn
No Public
Dare ounty
North arolina
M Commi..ion Ex ire.
of December, 2020.
d
O
Ot.
RECEIVED
MAY 17 2021
OCM-fMHD CITY

IV
0
"�"D]ARE } REAL ESTATE
TRANSFER TAX
`s�.� 5 tit feo �'
Recorded. 06/16/2015 04:09.-00 pM
BY: VanzoNa McMurranSmisr
Vanzota McMuman-Smith, Register, of Deeds
Dare County, NC
Fee Amt S26 00 NC Ex— T. $536.00
BOOK 2027 PAGE 543 (2)
1on012590
RECEIVED
Excise Tax: S6. 11111INI1l1111�III� p
LT#1677-15/$2 00
Parcel#0295230DO
Prepared by & ROM 10: y & Robbins, PLL.0 ANGBRA1-415
Delinquent taxes, N any, Af ba paid by the closing attorney to the COYrtty tax oallsaW upon dlWuraemwtt
of closing proceeds.
Brief Description for the index: (pt In Section IV, My Hawk La shag
NORTH CAOLINA GENERAL WARRANTY DEED
THIS DEED made this`@b day of June, 2015 by and between
GRANTOR GRANTEE
EVELYN C. BRASSIE, a single wotrta JERRY L, ANGE, JR. and wife,
JENNM L. ANGE
25 Chestnut Oak Run 6400 Ivy Lane
Athens, GA 30607 Hawk, NC 27949
The designation Grantor and Grantee as used herein shall diclude said parties, their heirs, successors, and
assigns, and shall include singular, plural, masculine, feminine or neuter as required by context.
WITNESSEFH, that the Grantor, for a valuable wnsideration paid by a Grantee, the receipt of which is hereby
acknowledged, has and by these presents does atant, bargain, Bell and con nto the Grantee in fee simple, all that certain
lot or parcel of lard situated in Atlantic Township, I}we County, North Carol and mure particularly described m follows:
Being Lot No. 1 of the subdivision known as "Section IV, Kitty Hawk Landin�s shown on map or plat thereof duly
recorded in Plat Cabinet A, Slides 379-380, Public Registry of Date County, NofdFCarolina.
MAR 0 1 2021
DCM-EC
RECEIVED
MAY 17 2021
iDCM-MHD CITY

All or a portion of the property herein cony RECEIVE[
�, ty __does X _ does not include the primary residence of a Grantor.
� Property hereinabove described was acquired by Grantor by instrument recorded in Book 1215, Page 47. MAR Q 1 2021
'O VE fce simple. AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the
G in
The OEaitor coventna with the Grouce that Grantor is seined of the premises in fee simple, has the right to convey the same D C M — E C
in fee srlc, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title
against sr
Mwful claims of all persons whomsoever except for the following exceptions:
Y\-`1
I . Ad Valorem taxes for 2015 and all subsequent years.
2. Sub)e Oaoy casements and restrictive covenants as may appear of record in the Public Registry of Dare County,
IN W"INtWHEREOF, the Grantor has hereunto set his hand and seal.
�c L)
EVBLYN�Cslr
STATE OF GEORGIA, Irs� COUNTY
1 I
. a Public of the County and State aforesaid, certify that Evelyn C. Brassie
personally
sla appeased before me this day the execution of the foregoing instrument. Witness my hand and
official stamp or scat, this day of 4 2015.
MY Commission Expires: '� Lf.� �j 0 10
r
e rinmywhce
SeaVStamp �\V�
d
0
0
RECEIVED
MAY 17 2021
OCM-MHD CITY

ROY COOPER
Governor
DIONNE DELLI-GATTI
Secretory
BRAXTON DAVIS
Dfrector
EMAIL MEMORANDUM
NORTH CAROLINA
Environmental Quality
TO: Theresa Schneider
The Coastland Times
Manteo, NC 27954
I egalsOthecoastlandtimes.com
FROM: Ella Godfrey
DATE: May 14, 2021
SUBJECT: Public Notice: David Perry & Jerry Ange
Please publish the attached Notice in the Wednesday, May 19, 2021 issue of The
Coastland Times.
The State Office of Budget and Management requires an original Affidavit of Publication
prior to payment for newspaper advertising. The State Office of Budget and Management
requires an original Affidavit of Publication prior to payment for newspaper advertising.
Please send me the affidavit, an original copy of the published notice, and an
original invoice.
Thank you for your assistance in this matter. If you should have any questions, please
contact me at our Elizabeth City office [phone].
Attachment
cc: Jonathan Howell, Major Permits Coordinator, DCM, Morehead City
Christy Simmons, PIO, DCM, Morehead City
Ellie Davis, Accounts Payable, DCM, Morehead City
File
RECEIVED
MAY 17 2021
DCM-MHD CITY
D_E
North Carolina Department of Environmental Quality I Division of Coastal Management
Elizabeth City Office 1 401 South Griffin Street, Suite 300 1 Elizabeth City. North Carolina 27909
252.264.3901

NOTICE OF FILING OF
APPLICATION FOR CAMA MAJOR
DEVELOPMENT PERMIT
The NC Department of Environmental Quality hereby gives public notice as
required by NCGS 113A-119(b) that application for a development permit in an AEC as
designated under the CAMA was received on 04/14/21. Mr. David Perry and Mr. Jerry
Ange proposes to stabilize adjacent property shorelines by constructing a bulkhead and
riprap revetment. Mr. Perry will also construct a pier, roofed platform, lower platform, a
pier access walkway across his property and place clean fill for the future site of a single-
family residence, located at 3904 & 3910 Ivy Lane, in the Town of Kitty Hawk in Dare
County.
A copy of the entire application may be reviewed at the office of the Division of
Coastal Management, located at 401 S Griffin St, Ste 300, Elizabeth City, NC, 252-264-
3901 during normal business hours. Comments mailed to Braxton Davis, Director, DCM,
400 Commerce Avenue, Morehead City, NC 28557, prior to 06/08/21, will be considered
making the permit decision. Later comments will be considered up to the time of permit
decision. Project modification may occur based on review & comment by the public, state
& federal agencies. Notice of the permit decision in this matter will be provided upon
written request.
PLEASE PUBLISH ON: Wednesday, May 19, 2021
RECEIVED
MAY 17 2021
DCM-MHD CITY

ROY COOPER
Governor
DIONNE DELLI-GATTI
Secretary
BRAXTON DAVIS
Director
David Pent'
Jerry Ange
4267 Lawnvale Drive
Gainesville, VA 20155
Dear Mr. Perry and Mr. Ange:
NORTH CAROLINA
Environmental Quality
May 14, 2021
The NC Division of Coastal Management hereby acknowledges receipt of your application
submitted for State approval for development to stabilize adjacent property shorelines by
constructing a bulkhead and riprap revetment. Mr. Perry will also construct a pier, roofed platform,
lower platform, a pier access walkway across his property and place clean fill for the future site of
a single family residence, located at 3904 &c 3910 Ivy Lane, in the Town of Kitty Hawk in Dare
County.
It was received complete April 14, 2021 and appears to be adequate for processing at this time.
The projected deadline for making a decision is June 28, 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 April 14, 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 t
EIVED
MAY 17 2021
0CM-1141-11) CITY
North Carolina Department of Environmental Quality I Division of Coastal Management
jgmfD_E Elizabeth City Office 1 401 South Griffin Street, Suite 300 1 Elizabeth City. North Carolina 27909
rrw� /'1� 252.2643901

David Perry/Jerry Ange
May 14, 2021
Page 2 of 2
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 or if
you wish to receive a copy of the field report.
Sincerely,
Ron Renaldi
District Manager, Northeastern District
NC Division of Coastal Management
77 _
Enclosure
cc: Jonathan Howell, Major Permits Coordinator, DCM, Morehead City, NC
Brian Rubino, Quible & Associates P.C., Kitty Hawk, NC
RECEIVED
MAY 17 2021
DCM-MWD CITY

NOTI(01117i
AMA PERMIT
APPLIED FOR
PROJECT: Stabilize adjacent property shorelines by constructing
a bulkhead and riprap revetment. Mr. Perry will also construct a pier, roofed
platform, lower platform, a pier access walkway across his property and place
clean fill for the future site of a single-family residence.
COMMENTS ACCEPTED THROUGI ___✓une 8, 2021
APPLICANT FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
David Perry & Jerry Ange Sarah Loeffler
c/o Brian Rubino, Quible & Associates 401 S. Griffin Street, Suite 300
P.O. Box 870 Elizabeth City, NC 27909
Kitty Hawk, NC 27949 252-264-3901, ext. 232
252-491-8147

ROY COOPER
Governor
DIONNE DELLFGATTI
Secretary
BRAXTON DAVIS
Director
May 17, 2021
MEMORANDUM:
NORTH CAROLINA
Environmental Quality
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax: [phone] (Courier04-16-33)
2 re e2.bod na r0 n cdenr.gov
SUBJECT: CAMA/Dredge & Fill Application Review
Applicant: David Perry & Jerry Ange
Project Location: 3910 & 3904 Ivy Lane, Town of Kitty Hawk
Proposed Project: Shoreline stabilization, docking facility and place fill for future single-family
residence
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Grego Bodnar at the address above by June 7, 2021. If you have any questions
regarding the proposed project, contact Sarah Loeffler (252-264-3901, ext. 232) 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"
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.
PRINT NAME
AGENCY
SIGNATURE
DATE
RECEIVED
MAY 17 2021
ACM-MHD CITY
North Carolina Department of Environmental Quality I Division of Coastal Management
Elizabeth City Office 1 401 South Griffin Street. Suite 300 1 Elizabeth City, North Carolina 27909
2522643901

'This is a word processing forth to be completed in Microsoft Word"'
NC Division of Coastal Management
Major Permit Application Computer Sheet
(111012012)
Applicant David Perry & Jeny L. Ange
Date: 5112021
Project Site County Dare
Staff., Sarah Loeffler
District Elizabeth City ElWashington
❑Morehead City ❑Wilmington
Project Name:
Rover File: WA
Date of inmer applcation submittal (IX: 1Air2007): 3112021
Date application 'received as complete' in the Fiekl ofice (EX 1/&r2W7): 4/1412021
Pemdt Authorization: LAMA Dredge & Fill gBoth
SITE DESCRIPTION/PERMIT INFORMATION
PNA: ❑Yes No
Photos Taken: YesS Noo
Setback Required (riparian): Yes ®No
Critical Habitat ❑Yes MNo ❑Not Sure
15 foot waiver obtained: Yes ONo
Hazard Notification: Yes ZNo
SAV. Yes SNo Not Sure
Shell Bottom: oYes MNo Not
Sure
Temporary Impacts: ZYes No
Sandbags: Yes NNo EJNotSura
Did the land use classification come from
countyLUP. ®Yes ❑No
Mitigation Required (optional):
El Yes ®No
Moratonum Conditions:
[]Yes ❑No ®NA
Environmental Assessment Done:
❑Yes ®No ❑NA
SECONDARY WATER CLASSIFICATION —OPTIONAL (choose MAX of 4)
Future Water Supply (FWS)
El Nutrient Sensitive Waters (NS!=
Swamp Waters (SW)
❑ High Quality Waters (HQW)
❑ Outstanding Resource Waters (ORW)
WETLANDS IMPACTED
11 (404) Corp. of Engineers (Judsdk6onal
(LS) Sea lavender (Limonium sp.)
❑ (SS) Glesswort (Salicomia sp.)
wetlands)
EJ (CJ) Saw grass (Cladium jamaicense)
(SA) Salt marsh cordgrass (Spartina
EJ (SY) Salt reed grass (Spartina
aftemilbra)
cynosumides)
El (DS) Salt or spike grass (Distichlis
(SC) Bu/lnrsh or three square (Scrpus
(TY) Cattail (Typha sp.)
spicata)
sp.)
❑ (JR) Black needlerush (Juncus
❑ (SP) SaMneadow grass (Sparfina
roemerianus)
patens)
APPLICATION FEE
Ll No fee required - $0.00
Ill(A) Private W D&F up to 1 acre;
ID III(D) Priv. public or comm w/ D&F to 1
3490 can be applied - $250
acre; 3490 can't be applied - $400
El Minor Modification to a CAMA Major
0 Major Modification to a CAMA Major
IV Any development involving D&F of
permit - $100
permit - $250
more than 1 acre - $475
Permit Transfer- $100
0 111(B) Public or commercial w/ D&F to 1
Express Permit - $2000
acre; 3490 can be applied - $400
Major development extension request -
It. Public orcommerciaUno dredge
$100
androrrill - $400
❑ 1. Private no dredge and/or fill - $250
lll(C) Pdv. public or comm w /D&F to 1
REGEIVED
acre; 3490 can be applied; DCM needs
DWQ agreement - $400
252.808-2008 :: 1-8884RCOAST :: www.nccoastalmanaaern nt.net �C�r�l/ij;*Q: T�/•10

NC Division of Coastal Mgt. Application Computer Sheet, Page 2 of 3)
Applicant: David Perry & Jerry L. Ange
Date: 411112021
Describe below the ACTIVITIES that have been applied for. All values should match the dimension Order, and units of
measurement found in your Activities code sheet.
Activity Name
TYPE
REPLACE
Dimension
Dimension
Dimension
Dimension
Number
Choose One
Choose One
1
2
3
4
Bulkhead
New Work
Replace
217'
11
5'
Maintenance ❑
❑ Y ® N
Riprap
New Work®
Replace
212'
8'
Revetment
Maintenance ❑
®Y ❑ N
Pier
New Work ®
Replace
74'
6'
Maintenance ❑
❑ Y ® N
Platform
New Work M
Replace
20'
22'
Maintenance ❑
❑ Y ® N
Platform
New Work 0
Replace
12'
6'
Maintenance ❑
❑ Y ® N
Boardwalk
New Work®
Replace
10,
6'
Access Walkway
Maintenance ❑
❑ Y ® N
High Ground
New Wont
Replace
100'
112'
2'
U land fdl)
Maintenance ❑
❑ Y ® N
New Work 0
Replace
Maintenance ❑
❑ Y ❑ N
New Work
Replace
Maintenance ❑
❑ Y ❑ N
New Work ❑
Replace
Maintenance ❑
❑ Y ❑ N
New Work ❑
Replace
Maintenance ❑
❑ Y ❑ N
New Work ❑
Replace
Maintenance ❑
❑ Y ❑ N
New Work
Replace
Maintenance ❑
❑ Y ❑ N
New Work ❑
Replace
Maintenance ❑
❑ Y ❑ N
New Work
Replace
Maintenance ❑
❑ Y ❑ N
New Work C3
Replace
Maintenance ❑
❑ Y [IN
New Work
Replace
Maintenance ❑
❑ Y ❑ N
New work
Replace
Maintenance ❑
❑ Y ❑ N
New Work 0
Replace
Maintenance ❑
❑ Y ❑ N
New Work
Replace
Maintenance ❑
❑ Y ❑ N
New Work
Replace
Maintenance ❑
❑ Y ❑ N
New Work L1
Replace
Maintenance ❑
❑ Y ❑ N
New Work U
Replace
Maintenance ❑
❑ Y❑ N
MAY 17 2
21
DCM-MHD CITY
.-11 trn15/10

NC Division of Coastal Mgt. Application Computer Sheet, Page 3 of 3)
Applicant:
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or tamp
restoration or
temp impact
tamp impacts)
amount)
tamp impacts)
amount
High Ground
Dredge [IFr71® Both El Other ❑
7,137 frz
7,137 f'
Open Water
Dredge ❑ Fill ❑ Both ❑ Other ®
956 flz
956 /R
Shoreline
Dredge ❑ Fill ® Both ❑ Other ❑
11,063 flz
11,063 ftz
217It
217It
Shallow Bottom
Dredge ❑ Fill ® Both ❑ Other ❑
3,548IF
3548 /tz
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
MAY 17 2021
0CM-MHD CITY
252.808-2808 :: 1.888-4RCOAST :: M8!m nceoastalmanaaement.net revised: 02/15/10

DCM Coordinator: Greg Bodnar Distributed YesM No ❑
Applicant: David Perry & Jerry Anee Distribution Date: 5/17/2021
AGENCY
ECRO
Community Develo ment/LPO
Ben Alexander
DCM Planner
Charlan Owens Eliz City
US COE:
Josh Pelletier
Community Assistance
Lee Padrick (Beaufort; Carteret, Craven, Eliz City,
Pamlico, Washington
Cultural Resources
Renee Gledhill -Earley
Div. of Water Infrastructure
(No longer public Water Supply)
CIHWhitfield
James Harrison
David Harris
Shannon Jenkins
Sharon Lupton
Marine Fisheries
NC DOT
Shellfish Sanitation
State Property
Tim Walton
Mike Moser
Wanda Hillard
DEMLR/DWR:
Sheri Montalvo
DEMLR
Sediment & Erosion-
Storm water-
DWR 401-
Samir Dumpor
Roger Thorpe
Chris Pullinger
WRC
National Heritage Program
Maria Dunn (WARO)
Rodney Butler
RECEIVED
MAY 17 2021
DCM-MHD CITY
Revised:6/29/201g

MAJOR PERMIT FEE MATRIX
DC1N
Applicant: iA P,°✓Y�j WvV�1 V?
Selection
Development Type
Fee
DCM %
DWQ %
(143001601 4351000931625 6253)
(243001602 435100095 2341)
I. Private, non-commercial
development that does not
$250
100% ($250)
0% ($0)
involve the filling or
excavation of any wetlands
or o n water areas:
II. Public or commercial
development that does not
$400
100%($400)
0% ($0)
involve the filling or
excavation of any wetlands
or open water areas:
Major Modification to a
$250
100% ($250)
0% ($0)
CAMA Major permit
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
$250
100% ($250)
0% ($0)
General Water Quality
Certification No. 4097 (See
attached can be applied:
III(B). Public or commercial
❑
development, if General
$400
100% ($400)
0% ($0)
Water Quality Certification
No. 4097 (See attached)
can be applied:
III(C). If General Water
Quality Certification No.
$400
60% ($240)
40% ($160)
4097 (see attached) could
be applied, but DCM staff
determined that additional
review and written DWQ
concurrence is needed
because of concerns
related to water quality or
life:
General Water
Certification No.
$400
60%($240)
40%($160)
ee attached) cannotied:
Tauatic
development thats the filling and/or
$475
60%($285)
40%($190)'��
tion of more than
one acre of wetlands and/or
MAY
open water areas:
IVED
7 2021
DCM-MHD CITY

rv%, uiviswn or t.oastal Management
Cashier's Official Receipt
13294 ®B C D
Received From: All `f•" 1� JY�y+A,. PeVVLA-
Permit No.: Lt.f (3lr YgF+,vwl.4 � ml ob al U a 14
Applicant's Name: h Cum; ✓!1 +- Te f 1r11 Ar &t
d
Project Address: 19 U 4 -3 110 1 V a Inn K 4'
Kw Date: 20191
$%o.ofJ
Check No.:
County: Day e,
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: Ma Clti i�t�yvt; r
Signature of Feld Representative: 14 k�,
Date:3
Date:
RECEIVED
MAY 17 2021
OCiM-IMHD CITY

1. OWNER/APPUCANT: DAVID & ELIZABETH PERRY.
4267 LAWNVALE DRIVE
GAINESVILLE, VA 20155
CO -APPLICANT: PERRY L & JENNIFER L. ANGE
3900 IVY LANE
KITTY HAWK, NC 27949
2. PROPOSED WORK:
A. 217 LF VINYL BULKHEAD (JOINT APPLICATION)
- 8,900 SF OF BULKHEAD BACK FILL
- 1,852 SF OF THE THE 8,900 SF OF BACKFILL WILL
BELOW NWL.
B. PROPOSED 11.152 SF OF FILL AND GRADING ON THE
PERRY LOT FOR FUTURE DEVELOPMENT
C. 212 LF BY 8 FT WIDE BASE RIPRAP REVETMENT
IN FRONT OF THE PROPOSED BULKHEAD.
D. 74 LF BY 6 FT WIDE PIER
- 20 FT BY 20 FT COVERED PLATFORM
- 12 FT BY 6 FT KAYAK LAUNCH PLATFORM
3. THIS IS NOT A BOUNDARY SURVEY. BOUNDARY INFORMATION BASED
ON DARE COUNTY GIS TAX DATA. AERIAL OVERLAY IS GEOREFERENCED
2020 IMAGERY. EXISTING FEATURES SURVEYED ON 02/03/2021 BY
OUIBLE & ASSOCIATES, P.C., USING GPS, RTK NETWORK. WATER
DEPTHS COLLECTED ON 02/10/21 USING GPS RTK NETWORK.
NWL (0.5• NAVD88). THIS INFORMATION SHALL NOT BE CONSIDERED A
CERTIFIED SURVEY. THIS SHALL BE CONSIDERED PRELIMINARY AND
�aroau I PER
c suBSTRAIE Iml=1 II'"IIPI=1f�?If a d=1,1=11
:II�II-11=II=11b11 II 11 _ _ .. 11 60
11=11-Ilel-11-11-
E 5 OW AL MUM BY MEW
NTS
v
PROPOSED BACKFILL PROPOSED DULKHEAD
3 �s Pe
a 11 f1.�1� ANO RfPRAp
IL1�llbl�l1111 if
----=------ 'PI�7PtlSED"'
r4 LP BY 6FT
� r PIER
PROPOSED 10
12 LF BY 6FT
STEP DOWN .,
AYAK LAUNCH
212 IF BY 8 F(
IPRAP RETIE
IN FRONT
PROPOSED EL
esrvmA�eaeQnae_
/LF
MARY S05OX41 7BZS
PIN, 986514-4W29
a
I
RECEI�ED
MAR 0 1 1 21
� DCM-ciC
\
ko PERRY PROFERTY +3 .
PN,9B85I4344470 e`
r,y PROPOSED 11,152 SF
MINOR FILL AND Tk.
GRADING FOR FUTURE '
LOT DEVELOPMENT +46
FXI5nAK I
RIPWLPAAA
+
366
�\ PROPOSED
1 8900 SF
BULKHEAD �AA5EN 1 TY BACKFILL
�, I PIN:9Q65l434'�3 a -.
t EX15TJN6
� "Yp
W .ERRY L. \
-:ENN(PVR L.
PIN: 106514346
/ � 1
/ i� •fig /
cl+Rrsnne rr.
1.11
3 PRELIMINARY
FOR CAMA
PERMITTING
o
Y N
2
<~ W
W.:w ,_,
P!M 9665143166
'PARCEL & AERIAI DATA SHOWN,
BASED ON COUNTY GIS DATA. a n ? c