110-18 TX Rumcik, Daniel & Anna

Permit Class
TRANSFER
STATE OF NORTH CAROLINA
Department of Environmental Quality
and
Coastal Resources Commission
V e r m t
for
X Major Development in an Area of Environmental Concern
pursuant to NCGS I I3A-118
X Excavation and/or filling pursuant to NCGS 113-229
Permit Number
110-18
Issued to Daniel and Anna Rumcik, 103 Rosewood Avenue, Elizabeth City, NC 27909
Authorizing development in Camden County at adi. to Pasquotank River. at 154 Chantilly
Rd., in Camden , as requested in the permittee's application dated 6/4/18, including attached
workplan drawings (2), Plan View dated Revised 9/4/18 and Sheet 2 of 2 dated Revised 6/4/18.
This permit, issued on July 22, 2021 , is subject to compliance with the application (where
consistent with the permit), all applicable regulations, special conditions and notes set forth below. Any violation
)I these terms may be subject to tines, imprisonment or civil action; or may cause the permit to be null and void.
Shoreline Stabilization - Bulkhead
1) The bulkhead shall be constructed in accordance with the alignment depicted on the attached
workplan drawings.
2) The alignment of the authorized bulkhead shall be staked by the permittee and verified by a
representative of the Division of Coastal Management within a maximum of 30 days prior to the start
of construction. Failure to initiate construction within 30 days, or erosion of the shoreline by adverse
weather conditions, shall require the alignment to be re -staked by permittee and verified by DCM
within a maximum of 30 days prior to the new expected start of construction.
3) The bulkhead shall be constructed prior to any backfilling activities.
(See attached sheets for Additional Conditions)
This permit action may be appealed by the permittee or other
qualified persons within twenty (20) days of the issuing date.
This permit must be accessible on -site to Department
personnel when the project is inspected for compliance.
Any maintenance work or project modification not covered
hereunder requires further Division approval.
All work must cease when the permit expires on
December 31, 2021
In issuing this permit, the State of North Carolina agrees that
your project is consistent with the North Carolina Coastal
Management Program.
Signed by the authority of the Secretary of DEQ and the
Chairman of the Coastal Resources Commission.
Braxton C. Davis, Director
Division of Coastal Management
This permit and its conditions are hereby accepted.
Signature of Permittee

Daniel and Anna Rumcik Permit No. 110-18
Page 2 of 3
ADDITIONAL CONDITIONS
4) The bulkhead shall be structurally tight so as to prevent seepage of backfill materials through the
structure.
5) The fill material shall be clean and free of any pollutants except in trace quantities.
6) All backfill material shall be obtained from a high ground source and confined behind the permitted
bulkhead.
7) No backfill material is to be placed within 30 feet of the normal water line, except that which will be
used to backfill the area behind the permitted bulkhead.
8) All fill material to be placed below normal water level shall be confined behind the permitted bulkhead.
9) Should the lot to the east be sold prior to the initiation of construction of the bulkhead, the permittee
shall obtain a written agreement from the new owner(s) allowing the authorized bulkhead alignment
within their property boundary and submit it to the Division of Coastal Management prior to initiating
construction of the docking facility.
Sediment and Erosion Control
10) A ground cover sufficient to restrain erosion shall be provided within 30 calendar days of any phase of
grading on cut or filled slopes. At a minimum, a silt fence shall be properly installed immediately
landward of the bulkhead cap immediately following completion of backfilling activities.
Upland Development
11) Unless specifically altered herein, this permit authorizes the grading and other land disturbing activities
associated with the development of the above referenced property, including the homesite, driveway,
and other associated infrastructure, all as expressly and specifically set forth in the attached permit
application and workplan drawings.
12) No fill material associated with the upland development authorized in Condition No. 10 shall be placed
within 30 feet of the normal water level.
USACE Conditions
13) In order to compensate for impacts associated with this permit, mitigation shall be provided in
accordance with the provisions outlined in the U.S. Army Corps of Engineers, Wilmington District,
Compensatory Mitigation Responsibility Transfer Form. The requirements of this form, including any
special conditions listed on this form, are hereby incorporated as special conditions of this permit
authorization.

R
Daniel and Anna Rumcik
ADDITIONAL CONDITIONS
General
Permit No. 110-18
Page 3 of 3
14) The N.C. Division of Water Resources (DWR) authorized the proposed project by way of General
Water Quality Certification 4144 and assigned the project DWR Project No. 2018-0869. Any violation
of the permit approved by DWR shall be considered a violation of this CAMA permit.
15) This permit shall not be assigned, transferred, sold, or otherwise disposed of to a third party without the
written approval of the Division of Coastal Management.
16) The permittee and/or his or her contractor shall meet with a representative of the Division prior to
project initiation.
NOTE: This permit does not eliminate the need to obtain any additional state, federal or local permits,
approvals or authorizations that may be required.
NOTE: The U.S. Army Corps of Engineers authorized the project by way of Programmatic General
Permit 198000291 (Action ID SAW-2018-01347) issued 10/3/18.
NOTE: Future development of the permittee'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: A transfer application processing fee of $100 was received by DCM for this project.

/ DCM Coordinator: IJv.'_III
A32
Permit #: �%b —�
MAILING DISTRIBUTION SHEET
/fC
Z7909
Agents:
DCM Field Offices r
Elizabeth City 20-1� i iq Washington (with revised work plan drawings)
Morehead City Wilmington (OBJECTIONS )
US ACOE Offices:
Washington: Raleigh Bland (Beaufort, Camden, Chowan, Craven, Hertford, Hyde, Perquimans,
Tyrrell)
Josh Pelletier (Bertie, Currituck, Dare, Gates, Pamlico, Pasquotank, Washington)
Tom 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 Su ivan
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:
Natural Heritage Program
LPO:
Maria Dunn (WARO)
Rodney Butler
(NCDOT) Travis Wilson

IN Mr-1
APPLICATION for
Major Development Permit
(last revised 12/27/06)
Received
DCM-EC
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant Landowner Information
Business Name
Project Name (if applicable)
Cameron Property
Applicant 1: First Name
MI
Last Name
Casey
Cameron
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
PC Box
City
State
1322 Lambs Grove Road
Elizabeth City
INC
ZIP
Country
Phone No.
FAX No.
27909
USA
757 - 328 - 8650 ext.
Street Address (d different from above)
City
State
ZIP
154 Chantilly Road
Camden
NC
279-
Email
recruiting r@kajeinc.00m
2. AgentContractor Information
Business Name
Atlantic Environmental Consultants, Llc
Agent/ Contractor 1: First Name
MI
Last Name
Doug
A
Dorman
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
city
State
P.O. Box 3266
Kitty Hawk
NC
ZIP
Phone No. 1
Phone No. 2
27949
252-261-7707 ext.
252-599-2603 ext.
FAX No.
Contractor #
252 261 7707
Street Address (if different from above)
city
State
ZIP
Email
[e-mail]
<Form continues on back> RECEIVED
AN 1 C 2018
252-808-2808 :: i-888-3i2COAST :: www.nccoastaJmanagement.net
DCM-MHD CITY

Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Received Major Development Permit
3 Feojecf Location
County (can be multiple)
Street Address
State Rd. #
Camden
154 Chantilly Road
Subdivision Name
City
State
Zip
None
Camden
NC
27921 -
Phone No.
Lot No.(s) (if many, attach additional page with list)
757 - 328 - 8650 ext.
I I I ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
P�SQlJ�
Pasquotank River
c. Is the water body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
®Natural ❑Manmade []Unknown
Pasquotank River
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
®Yes []No
work falls within.
Camden County
4.
Site Description
a.
Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
518 linear feet
109,725 sf
c.
Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
NIA
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
3' ❑NHW or ®NWL
e.
Vegetation on tract
Loblolly Pine, Red Maple, Beach, Bald Cypress, Gum, Wax Myrtle.
f.
Man-made features and uses now on tract
Existing wooden bulkhead.
g.
Identify and describe the existing land uses adiacent to the proposed project site.
Residential properties adjacent to property.
h.
How does local government zone the tract?
i. Is the proposed project consistent with the applicable zoning?
Residential
(Attach zoning compliance certificate, if applicable)
®Yes []No ❑NA
j.
Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes ®No
k.
Has a professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes ®No ❑NA
If yes, by whom?
I.
Is the proposed project located in a National Registered Historic District or does it involve a Dyes ❑No ®NA
National Register listed or eligible property?
<Form continues on next page>
252-808.2808 :: 1-888-4RC®AST :: www. nceoastalm anageoment. net

I FormDCMMP-1(Page3of4) Received APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site? t►A ®Yes ❑No
(ii) Are there coastal wetlands on the site? DCM'EC ❑Yes SNo
(iii) If yes to either (i) or (ii) above, has a delineation been conducted? SYes []No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
None.
o. Describe existing drinking water supply source.
Public water supply
p. Describe existing storm water management or treatment systems.
N/A
5. Activities and Impacts
a.
Will the project be for commercial, public, or private use? ❑Commercial ❑PubliclGovemment
®PrivatelCommunity
b.
Give a brief description of purpose, use, and daily operations of the project when complete.
The proposed project includes the construction of a single family residence. In order for the existing lot to be buildable 0.10
acres of Section 404 wetlands need to be filled for the proposed house and access driveway. The existing bulkhead is failing
in several locations and will be replaced.
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.
The proposed fill for the house and driveway will be brought in by dump truck and graded using small tractor. Prior to any fill
being placed in wetlands silt fence is to be installed at the fill limits to prevent further wetland impacts. The proposed
bulkhead replacement
d.
List all development activities you propose.
Construction of a single family residence, driveway, wastewater system and replacement of existing bulkhead.
e.
Are the proposed activities maintenance of an existing project, new work, or both? Both
f.
What is the approximate total disturbed land area resulting from the proposed project? 22,440 SSq.Ft or []Acres
g.
Will the proposed project encroach on any public easement, public accessway or other area []Yes SNo ❑NA
that the public has established use of?
h.
Describe location and type of existing and proposed discharges to waters of the state.
Surface runoff.
I.
Will wastewater or stonnwater be discharged into a wetland? ❑Yes SNo ❑NA
If yes, will this discharged water be of the same salinity as the receiving water.?❑Yes ❑No ❑NA
j.
Is there any mitigation proposed? SYes []No ❑NA
If yes, attach a mitigation proposal.
<Form continues on back>
RECEIVED
JUN 18 2018
252-308-2808 .. 1-888-4RCOAST .. www.necoastalmanagemeana.AaCM-MHD CITY

Form DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
4
`.6. -Additional tiformadon
In addition. to this completed application form, (MR-1) the following rterhs below if applicable, must be submitted in, order for the applidation.
"package'to be complete.. Items (a)={fJ are afways appkcable!to any'majordevefopment application. Please dohsult the application
instruction booklet omhow, to property preparethe 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 Ruth Ann Burgess clo Gordon Warden Phone No.
Address 114 Jane Lane,EIlzabeth City, NC 27909' - -
Name Pecan Farms, LLC Phone No.
Address 203 Dogwood Trail, Elizabeth City, NC 27909
Name - - Phone No. - -
Address -
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, pennittee, and issuing dates.
None
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 public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
Permission to
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 6/4/1 S Print Name _Doug Dorman,
Signature r%ir ��—
Please indicate application attachments pertaining to your proposed project.
®DCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and Culverts
®DCM MP-3 Upland Development
❑DCM MP-4 Structures Information
Received
DCM-EC
252.808-2808 :: 1-888-4RCOA°ST :: www.nccoasta lmranagarnent. not

Received
Form DCM MP-2
EXCAVATION and FILL
(Except for bridges and culverts)
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
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
(excluding
(NLW or
Breakwater
shoreline
NWL
stabilization
Length
Width
Avg. Existing
NA
NA
Depth
Final Project
NA
NA
Depth
1. EXCAVATION 0 This section not applicable
a. Amount of material to be excavated from below NHW or NWL in b. Type of material to be excavated.
cubic yards.
c. (i) Does the area to be excavated include coastal weflandslmarsh
(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
OWL []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 title to disposal area?
[--]Yes []No ❑NA
(ii) 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
OWL []None
(ii) Describe the purpose of disposal in these areas:
d. High -ground excavation in cubic yards.
®This section not applicable
b. Dimensions of disposal area.
d. (i) Will a disposal area be available for future maintenance?
[]Yes []No ❑NA
III) If yes, where?
f. (i) Does the disposal include any area in the water?
❑Yes ❑No ❑NA
(ii) If yes, how much water area is affected?
RECEIVED
JUN 18 2018
252-808-2808 :: 1-888-4RCOAST :: www.necoastalmanaaement.net DG.(9vrsad'2j "6_

Xi
Form ®CM MP-2 (Excavation and Pill, Page 2 of 3)
3: •�SfIORELINE STABILIZATION' ®This section not applicable
(If development is a wood.groin; use MP-4 - Sfruotun )
a. Type of shoreline stabilization:
®Bulkhead ❑Riprap ❑Breakwater/Sill ❑Other:
c. Average distance waterward of NHW or NWL: 7'
e. Type of stabilization material:
Wood bulkhead
g. Number of square feet of fill to be placed below water level.
Bulkhead backfill 2 796 sf Riprap
Breakwater/Sill_ Other_
i. Source of fill material.
Trucked in from local mine site.
b. Length: 518 feet
Width: _
d. Maximum distance waterward of NHW or NWL: 14' max
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.
Less than V as reviewed on Google Earth
h. Type of fill material.
Clean sand
Received
4. OTHER FILL"ACTIVITIES❑This section not applicable
(Excluding Shoreline'Stabiliza6on).
a. (i) Will fill material be brought to the site? ®Yes ❑No ❑NA b. (i) Will fill material be placed in coastal wetlands/marsh (CW),
If yes, submerged aquatic vegetation (SAV), shell bottom (SB), or
(ii) Amount of material to be placed in the water other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
(III) Dimensions of fill area 4307 sfsf r,4'jK7{'-�zy G8 GIZr{I)1�1� ❑CW 4�cf_ EISAV _ ❑SB
(iv) Purpose of fill ZWL Ys{ []None
For proposed house and access driveway (ii) Describe the purpose of the fill in these areas:
Fill is for proposed house and access driveway.
a. How will excavated or fill material be kept on site and erosion
controlled?
Sand will be brought in as needed to backfill bulkhead. Upon
completion of bulkhead land disturbance will be seeded to
prevent erosion of new material. Silt fence will be installed at
the wetland fill limits to prevent material from impacting
wetlands.
c. (i) Will navigational aids be required as a result of the project?
[]Yes ®No ❑NA
(ii) If yes, explain what type and how they will be implemented.
6/4/18
Date
b. What type of construction equipment will be used (e.g.
backhoe, or hydraulic dredge)?
Backhoe, excavator, small tractor, pump, compressor.
d. (i) Will wetlands be crossed in transporting equipment to project
site? ❑Yes ®No ❑NA
III) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
Cameron Residence
Project Name
252-808-2808 :: 1-88e-4RCOAST :: nr.nccoastaimananernent.net revised: 12126106

Form DCM MP-2 (Excavation and Fill, Page 3 of 3)
Received
Authorized agent - Doug Dorman
Applicant Name
DCM-EC
Appli�gnature
RECEIVED
JUN 18 2018
DCM-MHD CITY
252-808-2808 :: 1-888.4RCOA3T :: www.nccoastaimanagement.net revised: 12/26/06

Received
Form DCM MP-3
UPLAND DEVELOPMENT
(Construction and/or land disturbing activities) 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.
GENERAL UPLAND DEVELOPMENT
a. Type and number of buildings, facilities, units or structures
proposed.
One single family residence.
c. Density (give the number of residential units and the units per
acre).
1 residential unit on 2.52 acres
e. If the proposed project will disturb more than one acre of land, the
Division of Land Resources must receive an erosion and
sedimentation control plan at least 30 days before land -disturbing
activity begins.
(i) If applicable, has a sedimentation and erosion control plan been
submitted to the Division of Land Resources?
[]Yes jSINo ❑NA
III) If yes, list the date submitted:
g. Give the percentage of the tract within the coastal shoreline AEC to
be covered by impervious and/or built -upon surfaces, such as
pavement, building, rooftops, or to be used for vehicular driveways
or parking.
7.26%.
i. Give the percentage of the entire tract to be covered by impervious
and/or built -upon surfaces, such as pavement, building, rooftops,
or to be used for vehicular driveways or parking.
4.3%
j. Describe proposed method of sewage disposal.
Conventional septic system.
I. Describe location and type of proposed discharges to waters of the
state (e.g., surface runoff, sanitary wastewater, industnall
commercial effluent, "wash down" and residential discharges).
Surface runoff
b. Number of lots or parcels.
d. Size of area to be graded, filled, or disturbed including roads,
ditches, etc.
22,440 sf
f. List the materials (such as mad, paver stone, asphalt, or concrete)
to be used for impervious surfaces.
Concrete and gravel.
h. Projects that require a CAMA Major Development Permit may also
require a Stonnwater Certification.
(i) Has a site development plan been submitted to the Division of
Water Quality for review?
❑Yes ®No ❑NA
(ii) If yes, list the date submitted:
k. Have the facilities described in hem (i) received state or local
approval?
®Yes ❑No ❑NA
If yes, attach appropriate documentation.
m. Does the proposed project include an innovative stonnwater
design?
❑Yes ❑No ®NA
If yes, attach appropriate documentation.
RECEIVED
JUN 18 2018
DCM-MHD CITY
252-808-28082 :: 1-888-4RCOAST :: www.nccoastalmanaoement.net revised: 12/26/06

Fortes ®CM MP-3 (Upland Development, Page 2 of 2)
m. Describe proposed drinking water supply source (e.g., well, n. (i) Will water be impounded? []Yes ®No []NA
community, public system, etc.) (ii) If yes, how many acres?
Public System
o. When was the lot(s) platted and recorded?
unknown
p. If proposed development is a subdivision, will additional utilities be
installed for this upland development?
[]Yes ❑No ®NA
0
252-808.2808 :: 1-888.48COAST :: ww Pimccoastalmanagement.net revised: 12126/06

Bodnar, Gregg
From: Renaldi, Ronald
Sent: Tuesday, July 20, 2021 4:12 PM
To: Bodnar, Gregg
Subject: RE: Transfer Request for MP #110-18
Hey Gregg,
I previously provided them the permit and permit drawing and explained the expiration date
to them, so they are aware. Right now they want to continue with the bulkhead asap.
Regarding the home, that is still up in the air and they haven't even started to put together
anything for it. They may want to go smaller then what the permit authorized and I told them
we would have to review the plans to see if it warranted a refinement or a minor modification.
Ron Renaldi
District Manager, Northeastern District
NC Division of Coastal Management
NC Department of Environmental Quality
Ronald. Renald iOncdenr.gov
[phone]
401 S. Griffin St., Ste 300
Elizabeth City, NC 27909
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Bodnar, Gregg <[e-mail]>
Sent: Tuesday, July 20, 20214:04 PM
To: Renaldi, Ronald <[e-mail]>
Subject: FW: Transfer Request for MP #110-18
Hey Ron,
The TX applicant know that the permit expires at the end of the year? The request was only for a TX and not a renewal
also. And they mention a revised SFR, which may have mod issues?
Gregg
From: Godfrey, Ella M <[e-mail]>
Sent: Tuesday, July 20, 20213:36 PM
To: Bodnar, Gregg <[e-mail]>; SVC_DCM.MHC.Admins <[e-mail]>
Subject: Transfer Request for MP #110-18
Attached is a transfer request for MP#110-18 - from Casey Cameron to Daniel & Anna Rumcik.

Ella M. Godfrey
Office Assistant IV
Division of Coastal Management
NC Department of Environmental Quality
252-264-3901, ext. 231
252-331-2951 (fax)
ella. godfrey(ZDncdenr. gov
401 S. Griffin St., Ste 300
Elizabeth City, NC 27909
--'>^Nothlng Compares,-ti....
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
https:Hdeg.nc.gov/about/divisions/coastal-management/

NC Division of Coastal Management
CAMA Major Permit Transfer Request
District: Elizabeth City Major Permit Staff. Gregg Bodnar
.Applicant In1Ul'InAimi
Applicant
Name: Rumcik Daniel A & Anna H. Request Date: 07/20/21
Lost First
Received in Office: Wnn,121
Project
Address: 154 Chantilly Road Camden 27921
Sneer Address city LP Cade
CAMA Permit
No.:
Agent's Name:
110-18 Permit Expiration Date: 12/31/21 Payment S 100
YES NO
District Mana a field Rep Approve? (Initial Appropriate Box) Aeg ❑
DWR Project USACE Action
No: 101,9 - on 6g ID No.: SAW-2018-01347
Has substantial Y NO If Yes,
development occurred? ❑ Explain: ti3a� t). ;k,,,,.,,kA bulyk"c4 hp.. ham^ CpnolckJ.
I h+ Lai h4s bwn 4�11ra &,4 Jwr8LJ..cl to PrtPe'-ft ti" bouhi c i ci
VCR NO
Recommend to Transfer? V ❑
If Not Approved, provide
Justification:
� Woes ck A�>pl«oA- j9^ cW
Date: 4 % A e /a
RECEIVE®
JUL 2 u 2021
rAP SECTION M"D

July 20, 2021
To Whom it May Concern,
I, Daniel A. Rumcik, and wife, Anna H. Ru mcik, request that the CAMA permit for 154
Chantilly Rd, Camden, NC 27921, that Is currently in Casey Cameron's name, be
transferred into our name. We will be following the same site plan that Mr. Cameron
planned to use, with the exception of building a smaller residential structure than what
he had originally applied for. Thank you for your time!
Sincerely,
Daniel A. Rumcik
And wife,
Anna H. Rumcik
RECEIVED
JUL 2 0 20ZI
DCM EC
RECEIVED
J U L 2 0 2021
AIP SECTION MH®

NC Division of Coastal Management
Cashier's Official Receipt
A,
Received FroAP 721,
m:
.�
Pe4ltNo.: I�l• ��� /` 1p; /,�yii: S �,
Applicant's Name: ' ��
Project Address:
10672 A B C D
Date:
Check Noo ,
County:`"'�
Please retain receipt for your records as proof of payment for permit Issued.
Signature of Agent or Applicant: - Date:
Signature of Field Representative: `''1 Date:
i
JUL 2 0 2021
NP9 P SECT10il M� HD

Permit Class
NEW
Received
ou 3 - 2018
Permit Number
110-18
STATE OF NORTH CAROLINA
Department of Environmental Quality
and
Coastal Resources Commission
Or
for
®CM -EC X Major Development in an Area of Environmental Concern
pursuant to NCGS 113A-118
—X— Excavation and/or filling pursuant to NCGS 113-229
Issued to Casey Cameron,1322 Lambs Grove Rd., Elizabeth City, NC 27909
Authorizing development in Camden County at adj. to Pasquotank River. at 154 Chantilly
Rd., in Camden , as requested in the permittee's application dated 6/4/18, including attached
worknlan drawings (2), Plan View dated Revised 9/4/18 and Sheet 2 of 2 dated Revised 6/4/18.
This permit, issued on October 3, 2018 , is subject to compliance with the application (where
consistent with the permit), all applicable regulations, special conditions and notes set forth below. Any violation
of these terms may be subject to fines, imprisonment or civil action; or may cause the permit to be null and void.
Shoreline Stabilization - Bulkhead
The bulkhead shall be constructed in accordance with the alignment depicted on the attached 1)d
workplan drawings.
2) The alignment of the authorized bulkhead shall be staked by the permittee and verified by a
representative of the Division of Coastal Management within a maximum of 30 days prior to the start
of construction. Failure to initiate construction within 30 days, or erosion of the shoreline by adverse
weather conditions, shall require the alignment to be re -staked by permittee and verified by DCM
within a maximum of 30 days prior to the new expected start of construction. r/.,71iq ✓
3) The bulkhead shall be constructed prior to any backfilling activities.
(See attached sheets for Additional Conditions)
This permit action may be appealed by the permittee or other
qualified persons within twenty (20) days of the issuing date.
This permit must be accessible on -site to Department
personnel when the project is inspected for compliance.
Any malrumaace work or project modification not covered
hereunder requires titrther Division approval,
All work must cease when the permit expires on
December 31, 2021
In issuing this permit, the State of North Carolina agrees that
your project is consistent with the North Carolina Coastal
Management Program.
Signed by the authority of the Secretary of DEQ and the
Chairman of the Coastal Resources Commission.
BraxtoKC. Davis, Director
Division of Coastal Management
This permit and its conditions are h b ace p d.
EC7
JUL 2 0 2021
Signature ofPermittee
�r�a

Casey Cameron Permit No.110-18
Page 2 of 3
ADDITIONAL CONDITIONS
4) The bulkhead shall be structurally tight so as to prevent seepage of backfill materials'throitgh the
structure. I
5) The fill material shall be clean and fine of any pollutants except in trace quantities.
6) All backfill material shall be obtained from a high ground source and confined behind the permitted
bulkhead.
7) No backfill material is to be placed within 30 feet of the normal water line, except that which will be
used to backfill the area behind the permitted bulkhead.
8) All till material to be placed below normal water level shall be confined behind the permitted bulkhead.
9) Should the lot to the east be sold prior to the initiation of construction of the bulkhead, the permittee
shall obtain a written agreement from the new owner(s) allowing the authorized bulkhead alignment
within their property boundary and submit it to the Division of Coastal Management prior to initiating
construction of the docking facility.
Sediment and Erosion Control
10) A ground cover sufficient to restrain erosion shall be provided within 30 calendar days of any phase of
grading on cut or filled slopes. At a minimum, a silt fence shall be properly installed immediately
landward of the bulkhead cap immediately following completion of backfilling activities.
Upland Development
11) Unless specifically altered herein, this permit authorizes the grading and other land disturbing activities
associated with the development of the above referenced property, including the homesite, driveway,
and other associated infrastructure, all as expressly and specifically set forth in the attached permit
application and workpian drawings.
12) No fill material associated with the upland development authorized in Condition No. 10 shall be placed
within 30 feet of the normal water level.
USACE Conditions
13) In order to compensate for impacts associated with this permit, mitigation shall be provided in
accordance with the provisions outlined in the U.S. Army Corps of Engineers, Wilmington District,
Compensatory Mitigation Responsibility Transfer Form. The requirements of this form, including any
special conditions listed on this form, are hereby incorporated as special conditions of this permit
authorization. RECEIVED
JUL 2 0 2021

'Casey Cameron
ADDITIONAL CONDITIONS
General
Permit No.110-18
Page 3 of 3
14) The N.C. Division of Water Resources (DWR) authorized the proposed project by way of General
Water Quality Certification 4144 and assigned the project DWR Project No. XX-XXXX. Any violation
of the permit approved by DWR shall be considered a violation of this CAMA permit.
15) This permit shall not be assigned, transferred, sold, or otherwise disposed of to a third party without the
written approval of the Division of Coastal Management.
'16) The permittee and/or his or her contractor shall meet with a representative of the Division prior to ✓
project initiation. 5F3z utr1E
Oh?
NOTE: This permit does not eliminate the need to obtain any additional state, federal or local permits,
approvals or authorizations that may be required.
NOTE: The U.S. Army Corps of Engineers authorized the project by way of Programmatic General
Permit 198000291(Action ID SAW-2018-01347) issued 10/3/19.
NOTE: Future development of the permittee'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 of $400 was received by DCM for this project. This fee also
satisfied the Section 401 application processing fee requirements of the Division of Water
Resources.
OCT 3- 2D18
DMEC
RE EiV
JUL 2 0 2021
MAAP SECTiON MME)

uoe NO er[er[
Recorded: 07/0212021 0133:41 PM
Fee Amt S26.00 Page 1 of 3
Excise Tax: 5394.00
Camden County North Carolina
Tammie Krauss. Register of Deeds
BK 411 PG 803 - 805 (3)
NORTH CAROLINA GENERAL WARRANTY DEED
RECEIVED
JUL 202021
DCM-EC
)ti
*115 _Ki'7 r 20
coo oai� RQc=�
0
MaiUBox to: WILLIA.M H. MORGAN JR 410 East Main Street Elizabeth City NC 27909
This instrument was prepared by: WI r to M H. MORGAN rR 410 East Main Street Elizabeth City NC 27909
Brief description for the Index: VACANT LOT 154 CHANTILLY ROAD CAMDIN NC
THIS DEED made this 3rd day of June 2021, by and between
GRANTOR
iSEY M. CAMERON, widower
4b Newland Road
Elzabeth City, NC 27909
GRAN"I'EE
DANIEL A. RUMCIK and wife,
ANNA H. RUMCIK
103 RosewoodAvetae
Elizabeth City, NC 27909
Enter in appropriate block for each Grantor and Grantee: name, [nailing address, and, if appropriate, character of entity, e.g
zerporation or partnership.
r �.nd Grantee as _sed herein shall include s,:d parses. their heirs. successors. and assigns. and shall include singular.
kM_ cQC .x netfta"requued by u`66exa
W-M. *ESSETH. that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has and by
these presents does grant bargain, sell and convey unto the Grantee in fee simple, all that certain lot, parcel of land or condominium unit
situated in the City of Courthouse Township, Camden County,
North Carolina and more particularly described as follows
SEE ATTACHED "EX HIBITA"
The property hereinabove described was acquired by Grantor by instrument recorded in Book 358 page 27
All or a portion of the property herein conveyed _ includes or X does not include the primary residence of a Grantor. _
A map showing the above described property is recorded in Plat Book 2 page 27B cr.,
r.
Page I of 2
\C Bar Association Form No. 3 ® 19,76, Revised ® 1977. 2002 2013
P.wted by Agreement with the NC Bar Association — 1981
This standard form has been approved by:
North Carchaa Bar Association —`IC Bar Form .No. 3
P SECTION' "O'

LECr_-+Z D-sc IPM
All that certain tract or parcel of land sho%vn and delineated as 2.53 acres on map entitled in part
"DONALD M. & LILLIAN R. WARDEN", dated December 31, 1991, by S. Elmo Williams,
Registered Land Surveyor, which map is recorded in Plat Cabinet2, Slide 27B, Camden County
Public Registry, and is by reference incorporated herein and made a part of this instrument for a
more complete description of the lands hereby conveyed.
And tieing the same tract of land conveyed to Casey M. Cameron by Deed dated July 17, 2017.
_, _d;d ; `i�. ?01 . in Deed Book = = 8. at Paoe'7, of the Camden Counn' Regism'.
RECEIVED
JUL 202021
DCM—EC
RECEIVED
JUL 2 0 2021

cz`zir�.. e..f jI pt': SL`.1<;�?;v':.c4cb':i. .:i.Ft'r $lu7 :t?t tCLt+.'.'k.nz excepzvaas
Easem r�< m -k--di-r` and H- n cf�%u% e: ce:o3
[N WIT\ ESS WHEREOF, the Grantor has duty executed the foregoing as of the 7y and year five written.
SEAL
(Entity Name) P e Name: CASFY M CAMRRON_ widower
By: f
Prindl'ype Name &
By:
I ro::T)pe Name &
Prinrfrype Name & Title:
Print/Type
Print/Type
(SEAL)
Print/Type Name:
State of Nodh Camlim - Countyer City of T4; o ay1 K
I, the undersigned Notary Public of the County or -,City of h C _ and State aforesaid, certify that
CASEY M. CAMERON, widower personally appeared before me this day and acknowledged lhedue
executio o f the foregoing instrun}ent for the purposes therein expressed. Witness my hand and Notarial stamp or seal this .midday of
I 2ozl.
My Commission Expires: I O ! b,MORtGq
(Affix Seal)
2.
c�.
State of - County oreity d
I, the undersigned Notary Public of the County - .ty of -
execution of the foregoing instrument for the purposes tht p04xpressed:
2�—• %MOENC
`''rrmtut
My Commission Expires:
(Affix Seal)
State of - County or City of
I, the undersigned Notary Public of the County or City of
he is the
of
Public
or Typed
and State aforesaid, certify that
7 appeared before me this day and acknowledged thedue
my hand and Notarial stamp or seal this _ day of
Notary's Printed or Typed Name
and State aforesaid, certify that
personally came before me this day and acknowledged that
.a North Carolina or
corporation/limited liability company/general partnership/limited partnership (strike through the
inapplicable), and that by authority duly given and as the act of such entity, —Jre signed the foregoing instrument in its name on its
behalf as its act and deed. Witness my hand and Notarial stamp or seal, this _ day of 20_.
My Commission Expires:
(Affix Seal)
NC Bar Association Form No. 3 D 1976. Revised D 1977. 3003. 3013
Printed by Agreement with the NC Bar Association — 1981
Public
Notary's Printed or Typed Name
RECEIVED
Nee 2 o; ,
- JUL Z 0 2021 This standard form has been approved by:
%onh Carob= Bar Associatoq ; LNC�ayFor q. 3
DCi V 0—EC
MP SECTION ION M D

NORTH CAROLINA
ROY COOPER Ev7rorurrcntal Quality
Co9aeu
MICHAEL S. REGAN
senTrary
LMDA CULPEPPER
lnteek 0irvaor
September 28, 2018
Casey Cameron
1322 Lambs Grove Road
Elizabeth City, North Carolina 27909
RECEIVED
JUL 202021
®CM -EC
DWR Project q 2018-0869
Camden County
Subject: Approval of 401 Water quality Certification with Additional Conditions
iS4 Chantilly Road —Construction of a bulkhead 2' waterward of the remnant bulkhead,
fill in 404 wetlands for construction of a single-family residence with a driveway and
septic system
Dear Mr. Cameron:
You have our approval for the impacts listed below for the purpose described in your application
dated June 04, 2018 and received by the Division of Water Resources (Division) on June 18, 2018,
with additional information requested on July 10, 2018 and received on September 5, 2018.
These impacts are covered by the attached Water Quality General Certification Number 4144
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) 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)]].
RECEIVED
JUL 2 0 2021
North Cm lhiai D.yifftmmt OfFnwo®eartal Qualitypiman of WaterResouces - Weskagton Regional office
943 Washington Square Mall. Washingroq North Carolan 27gg9
252-9466491

Type of Impact
Amount
Amount
Plan
Approved
Approved
location/
(units)
(units)
Reference
Permanent
Temporary
Attached
Wetlands
W3 -
0.11 (acres)
0 (acres)
Sheet 1 of 1
2. Water Quality Certification
The proposed project must comply with all the conditions of the General Water Quality
Certification(s) 4144. [15A NCAC 02B .0507(c)]
Continuing Compliance
3. During construction of the proposed project, fueling, lubrication and general equipment
maintenance should not take place within 50 feet of a waterbody or wetlands to
prevent contamination by fuel and oils. [15A NCAC 02H .0506 (b)(3) and (c)(3) and 15A
NCAC 02B .0200 (3)(f)]
4. 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 150E 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 at
htto://www.ncoah.com/ or by calling the OAH Clerk's Office at [phone] for information.
Within silty (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 S:OOpm, 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.
RECEIVED
®� - JUL Z a zot]
North CarolfoaDcparoow orEov craal Qadity pi ion of WatcrRewu - Wuhinglon fti. f'l � +Jd C Q0 c
943 WwhhWm Squ=Mall, Wnsh &N North Carolina 27M
252-94"481
JUL 2 0 2021
1AP SECTION MHD

Mailing address for the OAH:
If sending via US Postal Service:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
If sending via delivery service (UPS, FedEx,
etc.):
Office of Administrative Hearings
1711 New Hope Church Road
Raleigh, NC 27609-6285
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
This letter completes the review of the Division under section 401 of the Clean Water Rules. Please
contact Chris Pullinger at 252-948-3922 or [e-mail] if you have any questions or
concerns.
Sincerely,
Ro" TM.ks4al
Robert Tankard, Assistant Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
Enclosures: GC 4144
Certification of Completion
cc: Josh Pelletier, USACE Washington Regulatory Field Office (via e-mail)
Lynn Mathis, DCM Elizabeth City (via e-mail)
Gregg Bodnar, DCM Morehead City (via e-mail)
Doug Dorman, Atlantic Environmental Consultants, Inc. (via e-mail: [e-mail])
DWR WaRO 401 files
Laserfiche
RECEIVED
JUL 2 0 2021
SU1- 2 0 2021 � �DCM-EC
Cerolim eat ofr,,vuo=natal Quality pivision of WalaResouras - Wasbiogton Regional OFnue
gvo S 943 Washington Square Mall, Washington, North CaroliM27829
252-946b481

n h
pp �
\ 1�
�� pp PASOUMT WYFR
n Nd
0_ �Ai.
Cr
PASOUOTANN FJVM
t
d
`�
VICINITY MAP
WETLANDS - 82,315 SF (1.89 AC)
2�
8i
UPLANDS - 27.410 SF (0.63 AC)
a
i
Q
CC
AREA WITHIN CAMA AEC - 37,960 SF
PROPOSED AEC COVERAGE - 2,750 SF
i
N
(7.24%)
J
N
LEGEND
`
m �
Z
- PROPOSED WETLAND IMPACTS 4,747 SF (0.11 AC)
A,
r
'n0'
Q
_
i
PROPOSED BULKHEAD BACKFlLL 2,796 SF
y
I)-
- - - - - 30' DCM BUFFER LINE
404 WETLANDS `
- 75' AEC LINE `
`
- • - • - • - - 404 WETLAND LINE
i
EXISTING WATER DEPTHS
a
y
\ N
PECAN FARMS LLC
(UNKNOWN REFERENCE)
N \ROBERT LUTHER
D.B. 86, PG. 843
PROPOSED BULK+
RETURN (5')
.ELECTRIC
X a / TRANSFORMER
AL SILT FENCE TO BE INSTALLED AROUND
PERIMETER OF WETLAND FILL
PROPOSED WETLAND
ti
r
DECK
50' SEPTIC
PROPOSED BACKFlLL30' CAMA BUFFER
(221 SF)
� _'I�.__I l--1
EXISTING WOOD BULKHEAD OSED
PROPBACKFlLL
TO BE REPLACED (1,480 )
BULKHEAD
PASQUOTANK RIVER
PROPO D BULKHEAD \
RETURN (5') d
1.0' i i 00
� PROPOSED ACKFlLL
(59 SF) `
N/F
RUTH ANN BURGESS, ETAL
D.B. 317, PG. 477
PROPOSED BULKHEAD
RECEIVED
CAMA MAJOR SITE PLAN SEP 5 2018
CASEY CAMERON PAP SECTION MHD
CAMDEN — CAMDEN COUNTY — NORTH CAROLINA
3°' °' 60' 120' 180, ,4TL,4NT/C EN11NOW, NTAL CONSULTANTS, LLC
GRAPHIC SCALE 1"=60' P.O. BOX 3266, K/TTY H,4WK, N,C. 27949
5/18/18, 6/4/18 [phone], e-mail doagdoec®gma//.com
DATE: 3/23/18 REVISED: g q 18 FILE: CAMERON DRAWN BY: DAD

)POSED SILT INSTALLED
EDGE OF WETLAND FILL
1
PROPOSED SILT INSTALLED
AT EDGE OF WETLAND FILL
VIA I
6'
1
PROPOSED HOUSE
HOUSE & FILL CROSS SECTION B-B
N.T.S.
4'
16,
8'
4
I:._JII III ITS. :.
,TT—TR 7� ITS—I',in,l Irl —I�—
DRIVEWAY CROSS SECTION C—C
N.T.S.
3 4"X18' TIE RODS
1 ON CENTER W
TURN BUCKL S
GALVANIZED
FILTER
WASHER
TYPICAL
SHEATHING
OR TONGUE AND
THIS CROSS SECTION IS TO BE USED FOR
PLANNING PURPOSES ONLY.
BULKHEAD CROSS SECTION
N.T.S.
Received
CAMA MAJOR
12' —
PROPOSED DECK
T
to
PROPOSED SILT INSTALLED
AT EDGE OF WETLAND FILL
PROPOSED BULKHEAD
PAX 2' WATERWARD
OF NEW BULKHEAD
?IL-11-11
11=11�7�
11=11i=11F
�11=11=11.�11=
11=11� 1
11-II-cur
_
I
._
-11=11=II�II-1L
III
=IIL•�Il=tll-
��II
I
u
11. �:11=
=11=11=H
Il�ll.�ll=11=
11=u1-
=?II=11�11
11 11 II
11=1
II'�
;,�11,;411=11�11
-111=11L�11
1==J1=.l
......
=11=
11=11=II�.II. I
.11.=II:.IL
"1�1=jJ11�
THIS CROSS SECTION IS TO BE USED FOR
PLANNING PURPOSES ONLY.
BULKHEAD CROSS SECTION A -A
N.T.S.
SITE PLAN
CASEY CAMERON p,ZnF2
DMEC CAMDEN - CAMDEN COUNTY - NORTH CAROLINA
30' 0' 6I 120' 1 I ATLANT/C ENS/RONMENTAL CONSULTANTS, LLC
GRAPHIC SCALE 1"= 60' P.O. 904v 3266, K/TTY H,4{YK, N.C. 27949
[phone], a -moil dougdagoOgmoil. oom
DATE: 3/23/18 REVISED: 6/4/18 FILE: CAMERON DRAWN BY: DAD

RECEIVED
JUN 18 2018
DCM-MHD CITY