26-17 Black, John & Kathy

Permit Class
NEW
Permit Number
26-17
IN
STATE OF NORTH CAROLINA
Department of Environmental Quality
and
Coastal Resources Commission
Vermit
for
X Major Development in an Area of Environmental Concern
pursuant to NCGS 113A-118
Excavation and/or filling pursuant to NCGS 113-229
Issued to John & Kathy Black, 706 Jacobs Creek Lane, Wilmington, NC 28409
Authorizing development in New Hanover County adi. to the AIWW, at 706 Jacobs Creek Lane,
Wilmington , as requested in the permittee's application dated 12/13/16 (MP-1 & MPA)_
9/29/16 (MP-3), incl. attached workplan drawings (3), 1-2 of 2 dated revised 12/12/16, and 3 of 7 dated revised 9/27/16.
This permit, issued on February 28, 2017 , 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
>e subject to tines, imprisonment or civil action; or may cause the
Dockina Facility
to be null and void.
1) This permit authorizes only the expanded docks, piers, and other structures and uses located in or
over the water that are expressly and specifically set forth in the permit application. No other
structure, whether floating or stationary, shall become a permanent part of this expanded docking
facility without permit modification. No non -water dependent uses of structures shall be conducted
on, in or over Public Trust waters without permit modification.
2) No sewage, whether treated or untreated, shall be discharged at any time from any boats using the
expanded docking facility. Any sewage discharge at the expanded docking facility shall be
considered a violation of this permit for which the permittee is responsible. This prohibition shall be
applied and enforced throughout the entire existence of the permitted structure.
(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, 2020
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.
R Braxton C. Davis, Director
Division of Coastal Management
This permit and its conditions are hereby accepted.
RECEIVE' MS
MAR 0 g pn,7 Signature of Permittee
DCM- P'� -.

John & Kathy Black
Permit No. 26-17
Page 2 of 4
ADDITIONAL CONDITIONS
3) The pemuttee shall maintain the authorized work in good condition and in conformance with the terms
and conditions of this permit. The permittee is not relieved of this requirement if he abandons the
permitted activity without having it transferred to a third party.
4) The permittee shall install and maintain at his expense any signal lights or signals prescribed by the U.S.
Coast Guard, through regulation or otherwise, on the authorized facilities. At a minimum, permanent
reflectors shall be attached to the structure in order to make it more visible during hours of darkness or
inclement weather.
5) This pemrit authorizes a maximum of 5 formalized boat slips.
6) In accordance with commitments made by the permittee, and in order to satisfy concerns of the resource
agencies, physical stops shall be placed on the boat lifts at a minimum height of 18" above the bottom
substrate to prevent the boat lifts from disturbing the bottom substrate. The physical stops shall remain in
place for the life of the docking facility.
7) The pier and associated structures shall have a minimum setback distance of 15 feet between any parts
of the structure and the adjacent property owners' riparian access corridors.
8) No portion of the authorized docking facility shall extend more than one quarter of the width of the water
body. Measurements to determine the width of the water body shall be made from the waterward edge of
any coastal wetland vegetation which borders the water body.
9) Any portion of the permitted access pier and docking facilities built over Coastal Wetlands shall not
exceed six feet in width and shall be elevated a minimum of three feet over the wetland substrate as
measured from the bottom of the decking.
10) 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 and knee
walls are permitted. Lattice is specifically excluded from being used under this authorization.
11) The authorized covered platform shall be single story, and shall not be designed to allow for second story
use.
12) No attempt shall be made by the permittee to prevent the full and free use by the public of all navigable
waters at or adjacent to the authorized work.
13) The authorized project is located within a primary nursery area (PNA). Therefore, in accordance with
T15A:07H.0208 of the Rules of the Coastal Resources Commission, no new dredging or excavation
within the PNA shall be permitted. Dredging in any manner, including "kicking" with boat propellers, is
not authorized. This prohibition shall be applied and enforced throughout the entire existence of the
permitted structure.
RECf �\J V
MAR 0 6 2011

John & Kathy Black
Permit No. 26-17
Page 3 of 4
ADDITIONAL CONDITIONS
Upland Development
14) Unless specifically altered herein, this permit authorizes the grading and other land disturbing activities
associated with the development of the 3-lot subdivision, all as expressly and specifically set forth in the
attached permit application and workplan drawings. Any additional land disturbing activities and/or
construction may require a modification of this permit. Contact a Division of Coastal Management
representative at [phone] for this determination.
Erosion & Sedimentation Control
15) Appropriate sedimentation and erosion control devices, measures or structures shall be implemented to
ensure that eroded materials do not enter adjacent wetlands, watercourses and property (e.g. silt fence,
diversion swales or berms, etc.).
16) A ground cover sufficient to restrain erosion shall be provided within 30 calendar days of completion of
any phase of grading on cut or filled slopes.
NOTE: An Erosion and Sedimentation Control Plan may be required for this project. This plan must be
filed at least thirty (30) days prior to the beginning of any land disturbing activity. Submit this
plan to the Department of Environmental Quality, Land Quality Section, 127 Cardinal Drive
Extension, Wilmington, NC 28405.
General
17) The permittee and/or his or her contractor shall meet with a representative of the Division prior to
project initiation.
18) 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.
19) This permit does not authorize the interference with any existing or proposed Federal project, and the
permittee shall not be entitled to compensation for damage to the authorized structure or work, or injury
which may be caused from existing or future operations undertaken by the United States in the public
interest.
20) No excavation or filling of any open water area or vegetated wetlands is authorized by this permit.
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 high water level.
NOTE: This permit does not eliminate the need to obtain any additional state federal or local permits,
approvals or authorizations that may be required. R � C E I V E
MAR 0 6 2017
DCM- MHD CITY

Coats, Heather
From:
Cox, Heidi
Sent:
Wednesday, January 04, 2017 8:50 AM
To:
Coats, Heather
Subject:
RE: John & Kathy Black
This should be marked no objection. Thanks!
Heidi Lane Cox
Assistant Regional Engineering Supervisor
Public Water Supply Section
Department of Environmental Quality
[phone] office
[phone] mobile
Heidi.cox(dricderingov
127 Cardinal Drive Ext.
Wilmington, NC 28405
Nothing Compares. -.,.
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be, disclosed
to third parties.
From: Coats, Heather
Sent: Tuesday, January 03, 2017 5:02 PM
To: Cox, Heidi <[e-mail]>
Subject: RE: John & Kathy Black
No rush if you want to check tomorrow or later. You're far at the forefront in terms of sending me comments O
Heather Coats
Assistant Major Permits Coordinator
Division of Coastal Management
North Carolina Department of Environmental Quality
910 796 7302 office
heather.coatsi&ncdenr.gov
127 Cardinal Drive Extension
Wilmington, NC 28405

(Revised 12/13/16)
706 Jacobs Creek CAMA Major Permit Application
Project Narrative
Southern Environmental Group, Inc. (SEGi) has been retained by John and Kathy Black (herein referred to as the
"Applicant"), to apply for and secure a Coastal Area Management Act Major Permit to perform work within and
over public trust waters, as well as upland development within their property located at 706 Jacobs Creek Lane,
in Wilmington, New Hanover County, North Carolina.
The property is approximately 6.3 acres, with its southern property boundary abutting Whiskey Creek, which has
been classified as SA;HQW, by the Division of Water Resources, and Primary Nursery Area, by the Division of
Marine Fisheries. Currently the site is mostly undeveloped. However, a single family dwelling, with access
drive, is located on the property, along with a 1 �x 4' fixed dock, 10' x 10' observation deck, gangway and 47'
x 6' floater.
The Applicant intends to subdivide the 6.3 acre parcel into three (3) lots that will be approximately 2.0-acre in
size. Two (2) of the lots will contain no more than 10,000 SF of built upon area (BUA), while the third will
contain 9,423 SF BUA, which is existing. No new BUA is proposed within the 75' Estuarine Shoreline AEC.
The Applicant proposes to replace the existing 103' long by 4' wide fixed pier with a 94' long by 6' wide fixed
pier, increase the 10' by 10' gazebo by 2' on each side and extending the overhang by 18", removal of the
existing 47' x 6' floating platform, construction of a new 5' by 36' fixed platform with two (2) finger piers,
measuring 4' by 21', and three (3) boat lifts, measuring 14' by 14', and installation of a 6' by 14' floating day
dock. The Applicant also intends to increase, he height of the entire fixed structure by 2'. Dredging is not
proposed as part of this project. There isS34linear feet of shoreline associated with this property. The total
allowable shaded area is 800 SF. With the proposed plan, 408 square feet of shading will take place. No part of
the proposed structure will extend beyond the '/, width of the waterbody line. The table below summarizes the
proposed work:
Proposed
Work to Take Place at 706 Jacobs Creek Lane
Remove:
4' wide x 103' total length)
long fixed pier
6' wide x 47' long
floating
platform
Replace
10' x 10' gazebo with 12'
x 12' gazebo 13.5' x 13.5' drip line
New
6' wide by 94' long
fixed
pier to the gazebo
6' wide by 3' long
fixed pier
between the gazebo and the 5' wide fixed platform
5' wide by 36' long
fixed
platform
4' wide x 21' long
fingers
2
14' wide x 14' long
sling
boat lifts 3
6' wide x 14' long
floating
day dock platform
The adjacent riparian property owners are listed by the New Hanover County GIS page as 1) Turner, John and
Michelle and 2) Gray, Walter Erikson.
TY
On 21 October 2016, SEGi met Ms. Kathryn Thurston, with the City of Wilmington, on their ordinance Sec. 18-
812., entitled "Definitions", of the City's Code of Ordinances, to ensure the proposed dock and subdivision are
permissible under their rules. On 24 October 2016, SEGi received an email from Ms. Thurston confirming that
the proposed pier structure is permissible under the City's ordinances, as the structure does. not meet the
definition of a "Community Docking Facility", which is defined as a facility that serves a subdivision with five
(5) or more lots. RECEIVED
DCM WILMINGTON, NC
Page 1 of 1
DEC 14 2016

DIVISION OF COASTAL MANAGEMENT
APPLICATION TRANSMITTAL AND PROCESSING RECORD
1) APPLICANT: John and Kathy Black
PROJECT NAME: Black Dock Replacement
COUNTY: New Hanover
LOCATION OF PROJECT: 706 Jacobs Creek Lane, adjacent to Whiskey Creek IAIWW, In Wilmington
DATE APPLICATION RECEIVED COMPLETE BY FIELD: 12-14-16
FIELD RECOMMENDATION: Attached: Yes To Be Forwarded:
CONSISTENCY DETERMINATION: Attached: n/a To Be Forwarded: n/a
FIELD REPRESENTATIVE: Brooks Surgan DISTRICT OFFICE: WILMINGTON
DISTRICT MANAGER REVIEW:
B) DATE RECEIVED BY MAJOR PERMITS UNIT:
FEE REC'D: $400 / #5959
PUBLIC NOTICE REC D: 12-22-16 ✓ L S4e,"o 1 i/o4pr END OF NOTICE DATE: 1-12-17 "
ADJ. RIP. PROP NOTICES REC'D: CO*M St G t4O llfi q l� DEED REC1g504
APPLICATION ASSIGNED TO: ON: I
C) 75 DAY DEADLINE: ( l A50 DAY DEADLINE:
MAIL OUT DATE:12-19-16
FEDERAL DUE DATE:
STATE DUE DATE: 1-12-17
FED COMMENTS REC'D:
PERMIT FINAL ACTION: ISSUE DENY DRAFT ON
AGENCY
DATE
COMMENTS
RETURNED
OBJECTIONS:
YES NO
NOTES
Coastal Management - Regional Representative
Coastal Management - LUP Consistency
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Division of Community Assistance
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Land Quality Section (DEMLR)
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Storm Water Management (DEMLR)
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Division of Highways
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John and Kathy Black
Page 4
RECOMMENDATIONS FOR: John and Kathy Black December 16,201
The total area of floating dock and platform was calculated as follows:
Shoreline length = 523 ft. x 8 ft. = 4,184 sq. ft.
Covered Gazebo = 9 ft. x 13.5 ft. =122 sq. ft.
Fixed "L" dock = 5 ft. x 30 ft. = 150 sq. ft.
Finger Pier 1 = 4 ft. x 21 ft. = 84 sq. ft.
Finger Pier 2 = 4 ft. x 21 ft. = 84 sq. ft.
Floating day dock— 6 ft. x 14 ft. = 84 sq. ft.
Total = 524 sq. ft.
It is the staffs recommendation the expansion of the existing docking facility would provide an additional docking space
for a total of five (5) vessels at this location. It appears that the project is CONSISTENT with the use standards set forth in
NCAC 07H .0208(b)(6), including the 1/4 width rule, the eight square foot rule and the pier width rule. If the project is
determined to be consistent with NCAC 07H .0208(b) and (6), it is recommended that any permit issued should include
standard permit conditions for private docking facilities.
NOTE: Future development of the permittee's property may require a modification of this permit. Contact a representative
of the Division at 910-796-7215 prior to the commencement of any such activity for this determination.
RECEIVED
DEC 21 2016
DCM- MHD CITY

,3
MEMORANDUM
To: Heather Coats
From: Michael Christenbury, Wilmington District Planner
Subject: Consistency Determination, Major Permit Application, John and Kelly
Black, Wilmington, New Hanover County
Date: February 10, 2017
rENCY lJWkMINAI'10
This project is consistent with the Wilt over County Joint Lan
Use Plan.
The applicant proposes to replace an existing docking facility with a new docking facility
within Whiskey Creek. The project is located at 706 Jacobs Creek Lane, off Masonboro
Sound Road, adjacent to Whiskey Creek and the AIWW in Wilmington, New Hanover
County.
Areas of Environmental Concern (AFC's) impacted by the proposal are EW and PT.
Waters at the project site are classified as SA; HQW and are open to the harvesting of
shellfish. The area is a Primary Nursery Area.
I have reviewed this proposal for consistency with the 2016 New Hanover County
Comprehensive Land Use Plan and offer the following comments.
The general area of the project is classified as Conservation.
In general, New Hanover County allows development in Conservation classified AECs,
which is consistent with the State's minimum use standards. The Wilmington -New
Hanover County Land Use Plan contains some policies, which exceed the State's
minimum use standards, however none of these policies are applicable to this project.
This project appears to be consistent with the Wilmington -New Hanover County
Joint Land Use Plan.
Cc: File

al I
Coastal Management
ENVIRONMENTAL QUALITY
December 19, 2016
TO: Mark Zeigler
Division of Community Assistance
Wilmington Regional Office
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
BRAXTON DAVIS
Director
FROM: Heather Coats, Assistant Major Permits Coordinator
NCDEQ — Division of Coastal Management
127 Cardinal Drive Ext., Wilm., NC 28405 heather. coatsanncdenroov
Fax: [phone] (Courier 04-16-33)
SUBJECT: CAMA Application Review
Applicant: John and Kathy Black
Project Location: 706 Jacobs Creek Lane, adjacent to Whiskey Creek /AIWW
in Wilmington, New Hanover County
Proposed Project: to replace an existing private docking facility
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Heather Coats at the address above by January 1Z 2017. If you have any
questions regarding the proposed project, contact Brooks Surgan at [phone] when appropriate
in-depth comments with supporting data is requested.
REPLY: X_ 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.
SIGNED M M/y �+ C ��'� DATED /Z
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405
910-796-7215

Coastal Management
ENVIRONMENTAL QUALITY
December 19, 2016
TO:
Dan Sams
District Manager-DEMLR
Wilmington Regional Office
PAT MCCRORY
Govemor
DONALD R. VAN DER VAART
Secrem✓V
§. DEC
BRAXTON DAVIS
Director
FROM: Heather Coats, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
127 Cardinal Drive Ext., Wilm., NC 28405 heather. coatsa).ncdenrpov
Fax: [phone] (Courier 04-16-33)
SUBJECT: CAMA Application Review
Applicant: John and Kathy Black
Project Location: 706 Jacobs Creek Lane, adjacent to Whiskey Creek /AIWW
in Wilmington, New Hanover County
Proposed Project: to replace an existing private docking facility
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Heather Coats at the address above by January 1Z 2017. If you have any
questions regarding the proposed project, contact Brooks Surgan at [phone] when appropriate
in-depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
_ 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.
SIGNED u DATED 1_ Z_1 --' 'z- I G,
RECEIVED
DCM WILMINGTON, NC
DEC 22 2016
State ofNoNh Carolina I LaVITOnmenlal Qt ahly'1 Coastal Management
127 Cardinal Dive Ext, Wilmington, NC28405
910-796-7215

Ni_�Cm
Coastal Management
ENVIRONMENTAL QUALITY
December 19, 2016
TO:
Robb Mairs
401 Wetlands
DWR-WiRO
PAT MCCRORY
Govemor
r DONALD R. VAN DER VAART
Secretary
RECE'VED/NCOENROWTON DAVIS
Director
DEC 19 2016
Water Quality Regional
Wilmington Regional Office
FROM: Heather Coats, Assistant Major Permits Coordinator
NCDEQ — Division of Coastal Management
127 Cardinal Drive Ext., Wilm. NC 28405 heather. coats(ftudenr.aov
Fax: [phone] (Courier t7416-33
SUBJECT: CAMA Application Review
Applicant: John and Kathy Black
Project Location: 706 Jacobs Creek Lane, adjacent to Whiskey Creek /AIWW
in Wilmington, New Hanover County
Proposed Project. to replace an existing private docking facility
Please indicate below your agency's position or viewpoint on the proposed project and
iretum this form to Heather Coatsjat the address above by January 12, 2017. If you have any
questions regarding the proposed project, contact Brooks Surgan at [phone] when appropriate
in-depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
pe� U/srt Y�� U
7This agency has no comment on the proposed project. 1�U �I�,4e `u'"e
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.
SIGNED d 11/� DATED I
State of North Carolina I Enviromremal Quality I Coastal Management
127 Cardinal Drive EXL, Wilmington, NC 28405
910.796-7215
Received
JAN TO 1017
DCM

Water Resources
Environmental Quality
John and Kathy Black
706 Jacobs Creek Lane
Wilmington, NC28409
Subject Property:
January 20, 2017
ROY COOPER
Governor
iMIICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
DW R Project # 20170029
New Hanover County
706 Jacobs Creek Lane, New Hanover County
No Written Concurrence Needed
Dear Mr. and Mrs. Black:
You have our approval, in accordance with the attached conditions and those listed below to expand an
existing docking facility within Whiskey Creek, as described in your CAMA application dated September
29, 2016 and received by the Division of Water Resources (DWR) on December 19, 2016. After
reviewing your application, we.have decided that the impacts are covered by General Water Quality
Certification Number 3883 (GC 3883). This Certification allows you to use the General Permit 198700056
when issued by the US Army Corps of Engineers and the CAMA Major Permit when issued by the
Division of Coastal Management. In addition, you should obtain or otherwise comply with any other
required federal, state or local permits before you go ahead with your project including (but not limited
to) Erosion and Sediment Control, Non -discharge, and stormwater regulations. Also, this approval to
proceed with your proposed impacts or to conduct impacts to waters as depicted in your application
shall expire upon expiration of the General Permits or CAMA Permit.
This approval is for the purpose and design that you described in your application. If you change your
project, you must notify us and you may be required to send us a new application. If the property is
sold, the new owner must be given a copy of this General Certification and approval letter and is
thereby responsible for complying with all conditions. If total fills for this project (now or in the. future)
exceed one acre of wetland or 150 linear feet of stream, compensatory mitigation maybe required as
described in 15A NCAC 2H .0506 (h). This approval requires you to follow the conditions listed in the
attached certification and any additional conditions listed on the following pages.
The Additional Conditions of the Certification are:
1. This approval is for the purpose and design described in your application. The plans and specifications for
this project are incorporated by reference as part of the Certification. If you change your project, you must
notify the Division and you maybe required to submit a new application package with the appropriate fee.
If the property is sold, the new owner must be given a copy of this approval letter and General Certification
and is responsible for complying with all conditions. Any new owner must notify the Division and request
the Certification be issued in their name 115A NCAC 02H .0501 and .0502).
+: ­::�f NothingCompares:A,
State of North Carolina I Environmental Quality
127 Cardinal Drive Extension Wilmington, North CArotlna28405
910-796-7215

Black
DWR Permit N 20170029
January 20, 2017
Page 2 of 6
2. No Waste, Spoil, Solids, or Fill of Any Kind
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond
the footprint of the impacts depicted in the application. All construction activities, including the
design, installation, operation, and maintenance of sediment and erosion control Best.Management
Practices, shall be performed so that no violations of state water quality standards, statutes, or rules
occur Approved plans and speciflcations for this project are incorporated by reference and are
enforceable parts of this permit (15A NCAC 02H .0501 and .0502].
3. Turbidity Standard
The turbidity standard of 25 NTUs (Nephelometric Turbidity Units) shall not be exceeded as
described in 15 A NCAC 213..0221. Appropriate sediment and erosion control practices must be used
to meet this standard. Turbidity curtains s hall be used as appropriate. Please notify this Office if
any turbidity issues arise at 910.796.7215
4. Any final construction plans for this project must include or reference the application and plans
approved by the DWR under the authorization letter and certification. The applicant will also be
required to evaluate all acquired permits to assure that they are consistent and all relative
Impacts are accounted for and shown on the construction plans .[i5A NCAC 0214 .0502 (b) and 15A
NCAC 02H .0506 (4)]
5. The permitee shall require its contractors and/or agents to comply with the terms of this permit in
the construction and maintenance of this project, and shall provide each of its contractors and/or
agents associated with the construction or maintenance of this project a copy of this certification. A
copy of this certification including all conditions shall be available at the project site during the
construction and maintenance of this project. [15A NCAC 02H .0507 b© and 15A NCAC 02H .0506
(b)(2) and (c)(2)]
6. All mechanized equipment will be regularly inspected and maintained to prevent contamination of
waters and wetlands from hydrocarbons or other potential toxic chemicals. In the event of a
hydrocarbon or chemical spill, the permitee/contractor shall immediately contact the Division of
Water Quality, between the hours of 8 am to 5 pm at the Wilmington Regional Office at
910.796.7215 or Steve Lewis at 919.807.6308 and after hours and on weekends call the USCG
National Response Center at 1.800.424.8802. Management of such spills shall comply with
provisions of the North Carolina Oil Pollution and Hazardous Substances Control Act. [15A NCAC 02H
.0506 (b)(3) and (c)(3);15A NCAC 02B. 0200 (3)(f), and GS 143 Article 21 A]
8. 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)]
9. This General Certification shall expire on the same day as the expiration date of the corresponding
General Permit. The conditions in effect on the date of issuance of the Certification for a specific
project shall remain in effect for the life of the project, regardless of the expiration of this
Certification.

Black
DWR Permit # 20170029
January 20, 2017
Page 3 of 6
Continuing Compliance:
10. The applicant/permitee and their authorized agents shall conduct all activities in a manner
consistent with State water quality standards (including any requirements resulting from compliance
with 303(d) of the Clean Water Act), -and any other appropriate requirements of State and Federal
law. If the Division determines that such standards or laws are not being met, including failure to
sustain a designated or achieved use, or that State or Federal law is being violated, or that further
conditions are necessary to assure compliance, than the Division may reevaluate and modify this.
General Water Quality Certification. 115A NCAC 02H .0507(d)]
11. Certificate of Completion
The applicant and/or authorized agent shall provide a completed Certificate of Completion form to
the Division within 30 (thirty) days of project completion. Mail to: NCDEQ DWR 401 and Buffers Unit
North Carolina Division of Water Resources, 1617 Mail Service Center, Raleigh, NC, 27699. The
certification of completion is available at:
http•//portal ncdenr org/web/wo/swp/ws/401/certsandpermits/apply/formsl. [15A NCAC 02H
.0506(b)(5)]
12. This certification grants permission to the director, an authorized representative of the Director, or
DEQ staff, upon the presentation of proper credentials, to enter the property during normal
business hours (15A NCAC 02H .0502 (e)).
Violations of any condition herein set forth may result in revocation of this Certification and may
result in criminal and/or civil penalties. The authorization to proceed with your proposed impacts or to
conduct impacts to waters as depicted in your application and as authorized by this Certification shall
expire upon expiration of the 404 or CAMA Permit.
If you wish to contest any conditions in the enclosed certification (associated with the approved wetland
or waters impacts) you must file a petition for an administrative hearing. You may obtain the petition
form from the office of Administrative hearings. You must file the petition with the office of
Administrative Hearings within thirty (30) days of receipt of this notice. A petition is considered filed
when it is received in the office of Administrative Hearings during normal office hours. The Office of
Administrative Hearings accepts filings
Monday through Friday between the hours of 8:00 am and 5:00 pm, except for official state holidays.
The original and one (1) copy of the petition must be filed with the Office of Administrative Hearings.
The petition may be faxed -provided the original and one copy of the document.is received by the Office
of Administrative Hearings within five (5) business days following the faxed transmission.
The mailing address for the Office of Administrative Hearings is:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
Telephone: [phone], Facsimile: (919)-733-3478
A copy of the petition must also, be served on DEQ as follows:

Black
DWR Permit # 20170029
January 20, 2017
Page 4 of 6
Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, NC 27699-1601
Unless such a petition is filed, this certification and its conditions are final and binding
This letter completes the review of the Division of Water Resources under Section 401 of the Clean
Water Act and 15A NCAC 02H .0500. If you have any questions, please telephone me in the DWR
Wilmington Regional Office at 910.796.7427 or by e-mail [e-mail].
Sincerely,
7
rRobb Mairs
Environmental Senior Specialist
Wilmington Regional Office
Division of Water Resources, NCDEQ
Enclosure: GC 3883
cc: Tyler Crumbley- USACE Wilmington Regulatory Field Office —electronic copy
DWR 401 Wetlands and Buffers Unit
Heather Coats - DCM Wilmington— electronic copy
Dana Lutheran —SEGI (agent)
WiRO

ra
Coastal Management
ENVIRONMENTAL QUALITY
December 19, 2016
TO:
Georgette Scott
Stormwater Section
DEMLR - WiRO
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
BRAXTON DAVIS
Do,,tor
ECEIVE1
DEC 19 2W
BY: -
FROM: Heather Coats, Assistant Major Permits Coordinator
j NCDEQ — Division of Coastal Management
127 Cardinal Drive Ext., Wilm., NC 28405 heather. coats(@ncdenrgov
Fax: [phone] (Courier 04-16-33)
SUBJECT: CAMA Application Review
Applicant: John and Kathy Black
Project Location: 706 Jacobs Creek Lane, adjacent to Whiskey Creek /AIWW
in Wilmington, New Hanover County
Proposed Project: to replace an existing private docking facility
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Heather Coats at the address above by January 12, 2017. If you have any
questions regarding the proposed project, contact Brooks Surgan at [phone] when appropriate
in-depth comments with supporting data is requested.
REPLY: j zThis 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.
SIGNED DATED /" zz G
RECEIVED
DCM WILMINGTON, NC
DEC 2120%
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405
910-796-7215

Energy, Mineral &
Land Resources
ENVIRONMENTAL OUALITY
April 17, 2017
Mr. John Black
706 Jacobs Creek Lane
Wilmington, NC 28409
Subject: EXEMPTION
Stormwater Project No. SW8161215
Black Private Docking Facility
New Hanover County
Dear Mr. Black:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
TRACY DAVIS
Director
On December 19, 2016, the Wilmington Regional Office of the Division of Energy, Mineral, and Land Resources
received a copy of the CAMA Major Permit Application for the subject project. Staff review of the plans and
specifications on December 20, 2016 has determined that the development activities proposed at this time will not
pose a threat to surface water quality from stormwater runoff. The Director has determined that projects that are
reviewed and approved by the Division as not posing a water quality threat from stormwater runoff should not be
subject to the stormwater management permitting requirements of 15A NCAC 2H.1000, the stormwater rules. By
copy of this letter, we are informing you that this project will not require a stormwater management permit.
If the subject project disturbs one acre or more and has a point source discharge of stormwater runoff, then it is also
subject to the National Pollutant Discharge Elimination System (NPDES) stormwater discharge requirements. You
are required to have an NPDES permit for stormwater discharge from projects meeting these criteria. All temporary
built -upon area associated with the construction of the project must be removed within 30 days of completion of the
project, or when it is no longer needed, whichever occurs first.
If you have any questions or need additional information concerning this matter please contact Georgette Scott at
[phone], or via e-mail at [e-mail].
Sincerely,
A'I, s
For Tracy E. Davis, P.E., Director
Division of Energy, Mineral, and Land Resources
GDS/gds: I11StormwaterlPermits & Projects12016 \161215 Exemption12017 04 permit 161215
cc: Dana Lutheran- SEGi
New Hanover t;ounty Building Inspections
Brooks Surgan/Shaun Simpson-DCM WIRO
DCM Morehead city RECEIVED
Wilmington Regional Office Stormwater File
APR 2 5 Z017
DCM- MHD CITY
State of North Carolina i Environmental Quality I Energy. Mineral and Land Resomnes
Wilmington Regional Office i 127 Cardinal Drive Extension I Wilnungton. NC 28405
910 7g6 7215

Coastal Management
ENVIRONMENTAL QUALITY
December 19, 2016
TO:
Tim Walton
Dept of Administration
State Property Office
PAT MCCRORY
Gnvemor
DONALD R. VAN DER VAART
Secretary
BRAXTON DAVIS
Director
RECEIVED
DEC 22 2016
DOA
STATE PROPERTY
OFFICE
FROM: Heather Coats, Assistant Major Permits Coordinator
NCDEQ — Division of Coastal Management
127 Cardinal Drive Ext., Wilm., NC 28405 heather. coatsa()..ncdenr.00v
Fax: [phone] (Courier 04-16-33)
SUBJECT: CAMA Application Review
Applicant: John and Kathy Black
Project Location: 706 Jacobs Creek Lane, adjacent to Whiskey Creek /AIWW
in Wilmington, New Hanover County
Proposed Project: to replace an existing private docking facility
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Heather Coats at the address above by January 12, 2017. If you have any
questions regarding the proposed project, contact Brooks Surgan at [phone] when appropriate
in-depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
/
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.
SIGNED �l- L_
DATED 11,017
RECEIVED
DCM WILMINGTON, NC
JAN 112017
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal (hive Ext- Wilmington, NC 28405
910-796-7215

- wu
Coastal Management
ENVIRONMENTAL QUALITY
December 19, 2016
PAT MCCRORY
Gowmnr
D R. VAN DER VAART
Sarewy
BRAXTON DAVIS
Laffoor
TO- Renee Gledhill -Early
Dept. of Cultural Resources (�
Archives & History
FROM Heather Coats, Assistant Major Permits Coordinator
NCDEQ — Division of Coastal Management
127 Cardinal Drive Ext., Wilm., NC 28405 heathercoats lIi; tanrgo
Fax: [phone] (Courier 04-16-33)
SUBJECT' CAMA Application Review A- ti�u , jl
Applicant: John and Kathy Black
Project Location: 706 Jacobs Creek Lane, adjacent to Whiskey Creek I AIWW
in Wilmington, New Hanover County II
Proposed Project: to replace an existing private docking facility
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Heather Coats at the address above by January 12T 2017. If you have any
questions regarding the proposed project, contact Brooks Surgan at [phone] when appropriate
in-depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
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.
SIGNED DATED_ ` i I' 1J-
1-4ECEIVED
DCM WILMINGTON, NC
JAN 1 1 2017
pure of North Carolina I Patum—al Quality I C NE al Mynah i"l
127 Car Taal Dnw FxT, Wdminrm, NC 2T14o5
9104%67'119 JAN 0 3 101)

Coastal Management
ENVIRONMENTAL OVALITY
December 19, 2016
TO:
Shannon Jenkins
NC DMF
Shellfish Sanitation Section
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
BRAXTON DAVIS
I)treaor
FROM: Heather Coats, Assistant Major Permits Coordinator
NCDEQ — Division of Coastal Management
127 Cardinal Drive Ext., Wilm., NC 28405 heather. coats(c).ncdenrgov
Fax: [phone] (Courier 04-16-33)
SUBJECT: CAMA Application Review
Applicant: John and Kathy Black
Project Location: 706 Jacobs Creek Lane, adjacent to Whiskey Creek /AIWW
in Wilmington, New Hanover County
Proposed Project: to replace an existing private docking facility
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Heather Coats at the address above by January 12, 2017. If you have any
questions regarding the proposed project, contact Brooks Surgan at [phone] when appropriate
in-depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
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.
SIGN
�VIQ I/1,N liter �Q,.(/('/l/\✓�C
DATED I y tF
Received
JAN 0 9 2017
State of North Carolina I Environmental Quality I Coastal Management pC M
127 Cardinal Drive ExL, Wilmington, NC 28405
910-796-7215

IO
Coastal Management
ENVIRONMENTAL QUALITY
December 19, 2016
TO:
Ben Hughes
NC Dept. of Transportation
NH Co. & BR Co.
PAT MCCRORY
(lovemor
DONALD R. VAN DER VAART
.Secrelary
BRAXTON DAVIS
lArecror
DISTRICT 3
DEC 2 2 2016
RECEIVED
FROM: Heather Coats, Assistant Major Permits Coordinator
NCDEQ — Division of Coastal Management
127 Cardinal Drive Ext., Wilm., NC 28405 heather. coatscDncdenrgov
Fax: [phone] (Courier 04-16-33)
SUBJECT: CAMA Application Review
Applicant: John and Kathy Black
Project Location: 706 Jacobs Creek Lane, adjacent to Whiskey Creek /AIWW
in Wilmington, New Hanover County
Proposed Project: to replace an existing private docking facility
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Heather Coats at the address above by January 12, 2017. If you have any
questions regarding the proposed project, contact Brooks Surgan at [phone] when appropriate
in-depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
**Additi al comments may be attached"
agencyhis 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.
SIGNED /Z I� DATED
RECEIVED
DCM WILt•AINGTON, NC
JAN 0 9 Z017
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Eat., Wilmington, NC 28405
910-796-7215

eq-
Coastal Management
ENVIRONMENTAL QUALITY
December 19, 2016
ri•3
C .1 L, 12. 2-2- 01
Maria Dunn
NC Wildlife Resources Commission
For WiRO
PAT MCCRORY
caveroar
DONALD R. VAN DER VAART
Secmlary
BRAXTON DAVIS
Director
J b
DEC 2016
RECEIVED
CaIIM�
FROM: Heather Coats, Assistant Major Permits Coordinator ' 6 81
NCDEQ — Division of Coastal Management
127 Cardinal Drive Ext., Wilm., NC 28405 heather. coats(a)ncdenrgov
Fax: [phone] (Courier 04-16-33)
SUBJECT: CAMA Application Review
Applicant: John and Kathy Black
Project Location: 706 Jacobs Creek Lane, adjacent to Whiskey Creek /AIWW
in Wilmington, New Hanover County
Proposed Project: to replace an existing private docking facility
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Heather Coats at the address above by January 1Z 2017. If you have any
questions regarding the proposed project, contact Brooks Surgan at [phone] when appropriate
in-depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached*"
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.
SIGNED_-
DATED
RECEIVED
DCM WILMINGTON, NC
State of North Carolina I Environmental Quality I Coastal Management ,j AN 12 2W
127 Cardinal Drive Et, Wilmington, NC 28405
910-796-7215

® North Carolina Wildlife Resources Commission
Gordon Myers, Executive Director
MEMORANDUM
TO: Heather Coats
Division of Coastal Management
North Carolina Department of Environmental Quality
FROM: Maria T. Dunn, Coastal Coordinator
Habitat Conservation Division
DATE: January 9, 2017
SUBJECT: CAMA Dredge/Fill Permit Application for John and Kathy Black, New Hanover
County, North Carolina
Biologists with the North Carolina Wildlife Resources Commission (NCWRC) reviewed the
permit application with regard to impacts on fish and wildlife resources. The project site is
located at 706 Jacobs Creek Lane, adjacent to Whiskey Creek / AIWW in Wilmington, NC. Our
comments are provided in accordance with provisions of the Coastal Area Management Act
(G.S. 113A-100 through 113A-128), as amended, Sections 401 and 404 of the Clean Water Act,
as amended, and the Fish and Wildlife Coordination Act (48 Stat. 401, as amended; 16 U.S.C.
661 et seq.).
The applicant proposes to replace and expand an existing docking facility to create mooring for
five vessels. Stated water depths for the slip area range between -1.29' and -2.67' NLW. To
minimize impacts to the shallow water habitats, sling boadifts will be installed for three of the
five slips with stops positioned at 18" to prevent vessels from sitting on the bottom Whiskey
Creek at this location is classified SA HQW by the Environmental Management Commission
and is designated a primary nursery area (PNA) by the NC Division of Marine Fisheries.
The NCWRC has reviewed the permit application and has concern with the proposed project and
reoccurring impacts slip use will have in the area. The application states water depths within the
slip area are as low as -1.29' NLW and that stops will be placed at 1.5' (1811) to prevent vessels
from sitting on the bottom This scenario raises concern with using only three lifts for th4t(r-IVED
slips as well as the functionality of all proposed slips, especially slip number 3. Wd)IddAUhWNGTON, NC
Mailing Address: Habitat Conservation • 1721 Mail Service Center • Raleigh, NC 27 17
Telephone: [phone] • Fax: [phone]

CMDF_JoM Black
Page 2
January 9, 2017
the applicant to discuss any concerns raised by representatives for marine resources to minimize
impacts and modify the proposal accordingly.
We appreciate the opportunity to review and comment on this permit application. If you need
further assistance or additional information, please contact me at [phone] or at
mania dunnna,ncwildl ife. o re
RECEIVER
DCM WILMINGTQN, N
!3AN 12 2017

CoastaiManagement
E RONMIWAL QUA Y
December 19, 2016
PAT MCCRORY
Gowamor
DONALD R. VAN DER VAART
&ochry
BRAXTON DAVIS
DbgG
TO: Ben Andrea
Local Permit Officer Supervisor
County of New Hanover
FROM: Heather Coats, Assistant Major Permits Coordinator
NCDEQ — Division of Coastal Management
127 Cardinal Drive Ext., WiIm_, NC 28405 heather. coats((Dncdenr.aov
Fax: [phone] (Courier 04-t8-99)
SUBJECT: CAMA Application Review
Applicant: John and Kathy Black
Project Location: 706 Jacobs Creek Lane, adjacent to Whiskey Creek 1 AIWW
in Wilmington, New Hanover County
Proposed Project: to replace an existing private docking facility
_Please indicate below your agency's position or viewpoint on the proposed project and
Ireturn this +form, o'Heather•Coats at the address above by January 12, 2017. If you have any
questions regarding the proposed project, contact Brooks Surgan at [phone] when appropriate
in-depth comments with supporting data is requested.
REPLY: V_ 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.
SIGNED
DATED I- (HI
Received
FEB 1.4 2017
ffiffie oENm th Cm h a 1 Fnw =merdd Qwhty I Co W MaoeBemmt DCM
127 Cardinal Drive Px[., WOmmgron, NC 28405
910-796-7215

W(U-
c6astall4anagement
ENVIRONMENTAL OUALITY -
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
&nermy
BRAXTON DAVIS
• Director
December 19, 2016
TO: Gregg Bodnar
Fisheries Resource Specialist
DCM, Morehead City
FROM: Heather.Coats, Assistant Major Permits Coordinator
NCDEQ>' Division of Coastal Management'
127 Cardinal Drive Ext., Wilm.,,NC 28405 heather.coa6s ncdencgov
Fax:-395 3964 fcouner0411i-33
SUBJECT: CAMA Application Review RECEIVED
DEC 21 2016
Applicant: John and Kathy Black
Project Location: 706 Jacobs Creek Lane, adjacent to Whiskey Creek/' M HD CITY
in Wilmington, New Hanover County
Proposed Project: to replace an existing private docking facility
Please indicate bellow our agency's position or viewpoint on the proposed project and
re6m4his fonn.to He-ather'Ceats at the address above by January 12, 2017: If you'have any
questions regarding the proposed project, contact Brooks Surgan at [phone] when appropriate
in-depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached'*
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.
SIGNED DATED tl6 i
State of North Carolina i Environmental Quality I Coastal Nbwcment
127 Cardinal Drive Ext., Wilmington, NC 29405
. 910-796-7215

Js
Coasta[Mdnag6hent
ENVIRONMENTAL QUALITY
MEMORANDUM:
TO: Heather Coats, DCM Assistant Major Permit Coordinator.
FROM: Gregg Bodnar, DCM Fisheries Resource Specialist
SUBJECT: John and Kathy Black
DATE: 1/6/17
ROY COOPER
Governor
WILLIAM G. ROSS'JR.
se-1.1y
BRAXTON DAVIS
Dimcror
A North Carolina Division of Coastal Management (DCM) Fisheries Resource Specialist has reviewed the
subject permit application for proposed actions that impact fish and fish habitats.' The applicant proposes to
replace an existing facility for a single lot with a new multi -slip facility after the lot is subdivided.. The
surrounding waters are classified as Primary Nursery Area (PNA), SA, HQW, and is closed to shellfish harvest.
Depths range from approximately -1.29ft to -2.67ft at Normal Low Water (NLW).
The applicant. proposes a facility consisting of.three boatlifts and a floating dock, totaling five slips. The
facility is situated at the % width with the channel edge less than a boat length from the terminal end of the..
facility. Oyster resource is present in the vicinity, though' discussions with DCM staff indicates no resource
within the proposed footprint.. it is recommended that the_ three boatlifts be conditioned with stops to,
reduce the potential for direct vessel impact with the PNA bottom through prop dredging.'The floating dock'
is within the existing floating dock's faotprint.and, is intended for loading purposes and Inot permanent
dockage. Water depths at the floating dock's landward slip is identified as -1:7ft at NLW.. Docking facilities
have the potential to shoal after construction.leading to decreased depths. -Since this area is PNA, future
requeststo dredge will be opposed by the DCM. Fisheries Resource Specialist.
Finally, due to the. intent of the facility to accommodate three proposed lots, it is recommended that a'
development restriction be placed on the subdivided properties. This restriction will remove the potential for
additional facilities with additional potential impact after the fact:
Contact Gregg Bodnar at (252) 808=2808 ext.'213 orQre¢e:bodnarCO)ncdenreovwith further questions or"
concerns.
. . Sane ofNath Carolina I Enimnmentel Qu9ty l Coastal Ma pment - -
400 Commerce Aveue l Morehead City, NC 28557-
252-808.2808.1252-247-3330(fn)

0
DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
69 DARLINGTON AVENUE
WILMINGTON, NORTH CAROLINA 28403-1343
29 December, 2016
Regulatory Division
Action ID No. SAW-2014-00383, General Permit No. 197800056
Southern Environmental Group, Inc.
Attn: Ms. Dana. Lutheran
5315 South College Road, Suite E
Wilmington, North Carolina 28412
Dear Ms. Lutheran:
Through coordination with the North Carolina Division of Coastal Management, and on
behalf of John and Kathy Black, we have learned of your request to replace an existing private
docking facility at 706 Jacobs Creek Lane, adjacent to Whiskey Creek/AIW W, in Wilmington,
New Hanover County, North Carolina. Coordinates are: 34.16129-N,-77.85932-W.
On January 1, 2011, we renewed general permit No. 197800056, (copy enclosed), that
authorizes the maintenance, repair, construction and installation of piers, docks, boathouses and
boat shelters, mooring piles, dolphins, jetties and breakwater structures in navigable waters of the
United States in the State of North Carolina pursuant to Section 10 of the Rivers and Harbors Act*
of 1899.
Your work is authorized provided it is'accomplished in strict accordance with your
submitted plans, the enclosed general and special conditions.
Please read the enclosed permit to prevent an unintentional violation of Federal law. As
this Department of the Army regional general permit does not relieve you of the responsibility to
obtain any other required approvals, you should contact appropriate State and local agencies
before beginning work.
RECEIVED
DCM WILMINGTON, NC
DEC 292016

-2-
Thank you for your time and cooperation. If you have questions, please contact Mr. Tyler
Crumbley, of the Wilmington Regulatory Field Office, telephone: [phone].
Sincerel
Tyler Crfunbley, Project Manager
Wilmington Regulatory Field Office
Enclosure:
GP 56 conditions
Copies Furnished (without enclosure):
Ms. Heather Coats
Division of Coastal Management
North Carolina Department of
Environmental Quality
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
Mr. Doug Huggett
North Carolina Department of
Environmental Quality
Division of Coastal Management
400 Commerce Avenue
Morehead City, North Carolina 28557-3421
Ms. Karen Higgins
Division of Water Resources
North Carolina Department of
Environmental Quality
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
Mr. Robb Mairs
Division of Water Resources
North Carolina Oep' ent of
Environmental Qualify''
127 Cardinal Drive. Extension
Wilmington; North Carolina 28405

aL
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Sec etary
BRAXTON DAVIS
Coastal Management Director
ENVIRONMENTAL QUALITY
December 19, 2016
�uu LLL Dee ®jZ&
01
TO: Heidi Cox N1% ofpk ?Ole
Assistant
gional
ater
Public Water Supply-WiRO ring Supervisor •Pebll fll. f iftter,qo os
pv
FROM: Heather Coats, Assistant Major Permits Coordinator
NCDEQ — Division of Coastal Management
127 Cardinal Drive Ext., Wilm., NC 28405 heather. coatsanncdenroov
Fax: [phone] (Courier 04-16-33)
SUBJECT: CAMA Application Review
Applicant: John and Kathy Black
Project Location: 706 Jacobs Creek Lane, adjacent to Whiskey Creek /AIWW
in Wilmington, New Hanover County
Proposed Project: to replace an existing private docking facility
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Heather Coats at the address above by January 12r 2017. If you have any
questions regarding the proposed project, contact Brooks Surgan at [phone] when appropriate
in-depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached'"
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.
SIGNED ` Lk-2t,C. C7t (1,0 Cii�C
DATED I 2—I lc) // k
DCM WECEM
ILMINGT N NC
DEC 22 2016
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405
910-796-7215

DCM Coordinator: 7 coyl)� Permit #: zb0 )]
MAILING DISTRIBUTION SHEET
Permitee: OHS Klv BLA�t•t��,
Agents: SLG"I — owvq
DCM Field Offices
Elizabeth City (with revised work plan drawings)
Morehead City
Washington
Wilmington
US ACOE Offices:
Washington: Raleigh Bland
Josh Pelletier
William Westcott (NC DOT)
Bill Biddlecome (NC DOT)
Wilmington: er Crumb
Liz Hair
Cultural Resources: enee ledhiil-E or([e-mail])
Public Water Supply: HeidLCox_(VV ROj'
Joey White (WARD)
Marine Fisheries:
Shane les
�6
NC DOT:
Shellfish Sanitation:
Shannon Je 1 n
State Property:
one
Water Quality:
Karen Higgins (Raleigh)
John Hennessy (NC DOT)
Washington:
Anthony Scarbraugh — 401
Wilmington:
aim
Chad Coburn - 401
DEMLR:
Washington:
Scott Vinson - Stormwater
Wilmington:
Barge e— �- Stormwa
Wildlife Resources:
aria Dunn
LPO:
N l- (3_ 1 1J (�Nl,1P 7k
C rty 6F WILM _ Vib—ltrtyri i�iP1.
Fax Distribution:
Permitee #:
Agent #:

Revised 12/13/16
DCM MP-1
APPLICATION for
Major Development Permit
(last rwvlasd 12/27/06) North Carolina DIVISION OF COASTAL MANAGEMENT
L Primary Applicant/LandownerInformation
Business Name
Project Name (if applicable)
NA
706 Jacobs Lane
Applicant l: First Name
MI
last Name
John
Black
Applicatn2: First Name
MI
Last Name
Kathy
Black
If adOututal applicants, please amch an additional page(s) with names listed.
Mailing Address
PO Box
City
State
706 Jacobs Crcek Lane
Wilmington
NC
ZIP
Country
Phone No.
FAX No.
28409
910 -
231 9367
ext.
NA - -
Street Address (ifdii ferenifrom above)
Ciry
State
ZIP
Same as aboce
-
Email
[e-mail]
2. AgenflCon&actorinformadon
Business Name
Southem Environmental Group, Inc. (SEGi)
Agent/ Contractor h First Name
MI
last Name
Dana
A.
Lutheran
Agent/Contractor2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
5315 South College Road, Suite E
Wilmington
NC
ZIP
Phone No. I
Phone No, 2
28412
910 -
228 - 1941
ext.
910 - 452 - 1841 ext.
FAX No.
Contractor #
NA
NA
Street Address (if diemmfmm above)
City
State
ZIP
Same as above
-
Email
[e-mail]
RECEIVED
RECEIVED
DEC 21 Z016 OCM WILMINGTON, INC
DCM- MHD CITY DEC 14 2016

Cif
Revised 12/13/16
3. Project Location
County (can be multiple)
Street Address
State Rd. N
New Hanover
706 Jacobs Creek Lane
Subdivision Name
City
State
Zip
NA
Wilmington
NA
27409 -
Phone No.
Lot No.(s) (f many attach additional page with list)
Same as above - - ext.
NA , , ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Lower Cape Fear / White Oak
Whiskey Creek
c. Is the water body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
atu Manmade Unknown
AICWW
e. Is proposed work within city limits or plamingjurisdiction?
f if applicable, list the planningjurisdiction or city limit the proposed work
Yes No
falls within.
City of Wilmington
4. Site Descrodon
a. Total length of shoreline on the tract(ft.)
b. Size of entire tract(sq.ft.)
534 +/- LF
6.27 AC / 272,971 SF
c. Sim of individual lot(s)
d. Approximate elevation of tract above NHW(normal high water) or NWL
lot 1 = 2.08 AC, lot 2 = 2.10 AC, lot 3 = 2.09 AC
(normal water 1e 1)
(/f many lot sizes, please allach addinorml page with a list)
14' <:2R)r NWL
e. Vegetation on tract
Coastal wetland and USACE Section 404 wetlands exist along the waterward fringe of the tract. The remainder of the tract contains large pines
and oaks.
f Man-made features and uses now on tract
Currently a single family dwelling, shed and fixed dock with gazebo and 2 slip, floating platform exists.
g. Identify and describe the existing land uses adiacent to the proposed project site.
Residential is the land use of the adjacent properties.
h. How does local government zone the tract?
i. Is the proposed project consistent with the applicable zoning?
R-15
(Attach zoning compliance certificate, if applicable)
Yes No NA
j. Is the proposed activity part of an urban waterfront redevelopment proposal? Y No
k. Has a professional archaeological assessment been done for the tract? if yes, attach a copy. Ye<No A
If yes, by whom?
I. Is the proposed project located in a National Registered Historic District or does it involve a National Register Y No A
listed or eligible property?
m. (i) Are there wetlands on the site? Yes No RECEIVEU
(ii)An there coastal wetlands on the site? Ye No
DEC 21 2016
(iii) If yes to either (i) or (it) above, has a delineation been conducted? <ZS:No
(Attach documentation, lfavadable)
SEa Welland Biologist, David Scibetta, delineated both the USACE 404 wetlands and DCM DC M- M H D C IT
coastal wetlands. Robb Mairs verified the coastal wetland line on 4/9/16. The USACE issued a
Jurisdictional Determination 10/13/14. RECEIVED N NC
Wit
n. Describe existing wastewater treatment facilities. E)CM
Sewer service is provided through CFPUA DEC 14 2016
o. Describe existing drinking water supply source.
Water is supplied through CFPUA

Revised 12/13/16
VW
p. Describe existing storm water management or treatment systems.
Currently, all BUA drains to Whiskey Creek.
S. Activities and Impacts
a. Will the project be for commercial, public, or private use? Commercial Public/Govemment
PrivatdCommu
b. Give a brief description of purpose, use, and daily operations of the project when complete.
The purpose of the proposed work is to provide slips for `_:boats. The slips will be used by the property owners and their guests only.
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.
Typical marine construction practices and materials will be utilized to build the proposed structures. Material will be stored in uplands within
the property boundaries.
d. List all development activities you propose.
The Applicant proposes remove the 4' wide existing fixed pier and replace it with a 6' x 94' fixed pier. Next the Applicant intends to increase
the overall area of the existing gazebo platform, which measures 10' x 10% by 2' all around, and extending the drip line out 18", rendering the
drip line to be 13.5' x 13.5' (182.25 SF). From there, the remainder of the 4' wide pier and 6' x 48' floating platform will be replaced with a
6' x 3' pier, which will have axed to it and to the east, a 5' x 30' fixed platform with two (2) finger piers, measuring 4' x 21' each that will
service three (3) "sling" boat lifts measuring 14' x 14'. Hard stops will be installed at I8' above the substrate on the lifts, to ensure the lifts to
no rest on the bottom. The Applicant intends to increase the height of the entire fixed structure by 2'. Lastly, a 6' x 14' Floating day dock
extending west off the first finger pier, is proposed. Please see Attachments A and C for details of the proposed work.
e. Are the proposed activities maintenance of an existing project, new work, or both?
New work
f What is the approximate total disturbed land area resulting from the proposed project? 0 Sq.Ft or Acres
g Will the proposed project encroach on any public easement, public acc sisway or other area that the Yes o A ��'
public has established use of?
vl-
h. Describe location and type of existing and proposed discharges to waters of the state.
NA DEC %I Z�16
i. Will wastewater or stormwater be discharged into a wetland? Y No A If yes, will this discharged water be of the same salinity as the receiving water? Yes N NA IDCjM M •" -H
D Ct
j. Is there any mitigation proposed? YesQLo>A
If yes, attach a mitigation proposal
6 Additional Information
In addition to this completed application form, (MP-1) the following items below, ifapplicable, mast be submitted in orderfor the application package to be
complete. Items (a) — 09 are always applicable to any major development application. Please consull the applrmtion instruction booklet on haw to properly
prepare the required new below.
a. A project narative.,/See Attachment
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 alJeady complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish between work completed and
proposed. V See Attachment 2
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site../Sm Attachment 3
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties../Sce Attachment 4
e. The appropriate application fee. Check or money order made payable to DEQ. ,!See Attachment 5
f. A list of the names and complete addresses ofthe adjacent waterfront (riparian) landowners and signed return receipts as proofthat 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../ See Attachment 6
Name GRADY NAN BELLAMY (724 JACOBS CREEK LN) Phone No. Unknown
Address 5638 HARVEST GROVE LN, WILMINGTON, NC 28409 RECEIVED NC
pCtia WILMING'FON,
Name GRAY WALTER ERIKSEN KATHERINE BAILEY Phone No. Unknown
Address 9115 MASONBORO SOUND RD, WILMINGTON, NC 29409 DEC 14 Z016
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
NA
CY

Revised 12/13/16
h. Signed consultant or agent authorization form, if applicable. ,/ See Attachment 7
i. Wetland delineation, if necessary.,/ See Attachment8
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by prope, 0, owner) NA
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. NA
7. Certification and Permission to Enter on Land
1 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.
1 further certify that the information provided in this application is truthful, to the best of my knowledge.
Date 29 Seotember 2016 (Rev. 12/13/16) Print Name Dana A. Lutheran for John and Kathy Black
Signature
Please indicate application attachments pertaining to your proposed project.
DCM MP-2 Excavation and Fill Information
DCM MP-3 Upland Development
DCM MP4 Structures Information
DCM MP-5 Bridges and Culverts
RECEIVED
DEC 21 2016
DCM- MHD CITY
RECEIVED
DCM WILMINGiON, NC
DEC 14 2016

Form DCM MP-3
UPLAND DEVELOPMENT
(Construction and/or land disturbing activities)
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.
c. Density (give the number of residential units and the units per
acre).
Number of Units = 3
Units per Acre = .48
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 No NA
(ii) 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.
BUA is not proposed within the 75 AEC
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.
11%
j. Describe proposed method of sewage disposal.
CFPUA
b. Number of lots or parcels.
d. Size of area to be graded, filled, or disturbed including roads,
ditches, etc.
In total, upland development will consist of 29,423 SF of built upon
area. Lot 1 = 10,000 SR Lot 2 = 10,000 SF and Lot 3 = 9,423 SF.
f. List the materials (such as marl, paver stone, asphalt, or concrete)
to be used for impervious surfaces.
Asphalt and concrete will be used for driveways. Typical
construction materials will be used for the dwellings.
h. Projects that require a CAMA Major Development Permit may also
require a Stomwvater 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 Item (i) received state or local
approval?
Yes No NA
If yes, attach appropriate documentation.
I. Describe location and type of proposed discharges to waters of the m. Does the proposed project include an innovative stonnwater
state (e.g., surface runoff, sanitarywastewater, industrial/ design?
commercial efguent,'Wash down" and residential discharges). Yes(ND NA
Stonnwater will sheetftow off the BUA across vegetated areas prior If yes, attach appropriate documentation.
to discharging off the site.
m. Describe proposed drinking water supply source (e.g., well,
community, public system, etc.)
CFPUA
o. When was the lot(s) platted and recorded?
30 November 2001
29 September 2016
Date
706 Jacobs Creek
Project Name
n. (1) Will water be impounded? Y No NA
(ii) If yes, how many acres?
p. If proposed development is a subdivision, will additional utilities be
installed for this upland development?
Ye No NA
RECEIVED
John and Kathy Black DEC 21 Z016
Applcanl Name ci :IVED
DanaA. Lutheran , DCM- MHD CIT1 MWE,,,I"GTGN'NP
Applicant Signawm oci 0 5 2016
252-808-28082 :: 1-888-4RCOAST :: vvww.nccoastalmianaaernent.net revised: 12/26/06

Revised 12/13/16 Page I of
Form DCM MP-4
STRUCTURES
(Construction within Public Trust Areas)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-l. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
1. DOCKING FACILITY/MARINA CHARACTERISTICS
a. (i) Is the docking facility/marina:
Commercial Public/Governme rivatelCommuni
c. (i) Dock(s) and/or pier(s)
III Number 1 (2 seoments)
(III) Length
(iv) Width both at 6'
(v) Floating Yes No
e. (i) Are Platforms includedED No
If yes:
(III Number 1
(III) Length 10 12' (Fixed Gazebo) 10 36' (Fixed) 10 14'
(Floating)
(iv) Width 1 A 12' (Gazebo). 5' (Fixed) andn 6' (Floating)
(v) Floating Yes No
Note: Roofed areas are calculated from dnpline dimensions.
g. (1) Number of slips proposed
_5
(ii) Number of slips existing
2.
i. Check the proposed type of siting:
Land cut and access channel
Open water; dyed in for basin antllor channel
n water; no dyed in ui
Other; please describe:
k. Typical boat length: 15' _ 25'
m. (i) Will the facility have tie pilings?
Yes No
(ii) If yes number of tie pilings?
This section not applicable
b. (i) Will the facility be open to the general public?
Yes No
d. (!)Are Finger Piers included. Yes No
If yes:
(ii) Number 2
(iii) Length 21'
(iv) Width 4'
(v) Floating Yes No
f. (i) Are Boatlifts included? Yes .No
If yes:
(ii) Number _L
(III) Length 14'
(iv) Width 14'
h. Check all the types of services to be provided.
Full service, including travel lift and/or rail, repair or maintenance
service
Dockage, fuel, and marine supplies
ka a "wM slips°) only, number of 3 .
Dry storage; number of boats:
Boat ramp(s); number of boat ramps:
Other, please describe:
j. Describe the typical boats to be served (e.g., open runabout,
charter boats, sail boats, mixed types).
Open runabouts
I. (i) Will the Ta�be open to the general public?
Yes No
12. DOCKING FACILITY/MARINA OPERATIONS MC^r.1%JP Fiction not applicable
a. Check each of the following sanitary facilities that will be included in the proposed
Office Toilets
Toilets for patrons; Number: _; Location:
Showers
Boatholding tank pumpout Give type and location:
b. Describe treatment type and disposal location for all sanitary wastewater.
DEC 21 2016
RECEIVED
DCM_ MHD .0CM WILMINGTON, NC
DEC 14 2016
252.808.2808 :: 1-888.4RCOAST :: www.necoastalmanaaement.net revised: 12127'/06

Revised 12/13/16 Page 2 of 3
c. Describe the disposal of solid waste, fish offal and trash.
d. How will overboard discharge of sewage from boats be controlled?
e. (i) Give the location and number of "No Sewage Discharge" signs proposed.
(ii) Give the location and number of "Pumpout Available" signs proposed.
f. Describe the special design, if applicable, for containing industrial type pollutants, such as paint, sandblasting waste and petroleum products.
g. Where will residue from vessel maintenance be disposed of?
h. Give the number of channel markers and "No Wake" signs proposed.
I. Give the location of fuel -handling facilities, and Describe the safety measures planned to protect area water quality.
j. What will be the manna policy on overnight and live -aboard dockage?
k. Describe design measures that promote boat basin flushing?
I. If this project is an expansion of an existing marina, what types of services are currently provided?
m. Is the marina/docking facility proposed within a primary or secondary nursery area?
Yes No
n. Is the marinaldocking facility proposed within or adjacent to any shellfish harvesting area?
Yes No
o. Is the marina/docking facility proposed within or adjacent to 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 X SAV SB X WL X None_
p. Is the proposed marina/docking 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.
3. BOATHOUSE (including covered lifts) This section not applicable
a. (1) Is the boathouse structure(s):
Commercial Public/Government Private/Community
(ii) Number
(III) Length
(iv) Width
Note: Roofed areas are calculated from dripfine dimensions
4. GROIN (e.g., wood, sheetpile, etc. If a rock groin, use MP-2, Excavation and Fill.) This section not applicable
a. (I) Number
(ii) Length
(III) Width
5. BREAKWATER (e.g., wood, sheetpile, etc.) This section not applicable
a. Length b. Average distance from NHW, NWL, or wetlands
c. Maximum distance beyond NHW, NWL orwetlands
6. MOORING PILINGS and BUOYS This section not applicable
a. Is the structure(s): b. Number
Commercial Public/Government Private/Community
c. Distance to be placed beyond shoreline
Note: This should be measured from marsh edge, it present
e. Are of the swing
7. GENERAL
a. Proximity of structure(s) to adjacent riparian property lines
1DO LF from western adiacent Procer(v corridor
138 LF from eastern adiacent Property corridor
d. Descriptiony(giigy jF l inscri_onDs'¢e, anchor, etc.)
DEC 21 2016
b. ProxirrQaEafYitbreMV'WQ Q%Wkyg facilities.
136 LF from western adiacent dockinaiacii. N.'ECEIVED
iLMINGTON, NC
14 2016

Revised 12/13/16 Page 3 of 3
r-1
Note: For buoy or mooring piling, use arc of swing including length
of vessel.
c. Width of water body
Varies. See Site Plan.
e. (i) Will 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.
8. OTHER
a. Give complete description:
d. Water depth at waterward end of structure at NLW or NWL
Varies. See Site Plan
29 September 2016 (revised 10 and 28 November and 9 and 13 December 20161
Date
706 Jacobs Creek
Project Name
John and Kathy Black
Applicant Name
Dana A. Lutheran
Applicant Signature
RECeNeD
DEC 21 Z016
®�M_ MHp CITY
RECEIVED
DCM WILMINGTON, NC
p -1. 14 2016

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RECEIVED
DEC 21 2016
DCM- MHD CITY
n \ u tnirIGTCN, NC
OCl 0 5 2016

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
APPLICANT'S NAME: John and Kathy Black
2. LOCATION OF PROJECT SITE: Site is located at 706 Jacobs Creek Lane off of Masonboro Sound Rd,
adjacent to Whiskey Creek/AIW W, in Wilmington, New Hanover County.
Photo Index —2006: 21-7385 0, 9
Location: Lat: 34°09'36.78"N Long: 77051'36.38"W
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit—12/09/16
Was Applicant Present —No
5. PROCESSING PROCEDURE: Application Incomplete and Returned to Applicant—10/10/2016
Application Resubmitted—11/21/16
Application Incomplete/Notice Sent—11/22/16
Application Complete—12/14/16
Office — Wilmington
6. SITE DESCRIPTION:
(A) Local Land Use Plan— Wilmington/New Hanover County
Land Classification From LUP — Conservation
(B) AEC(s) Involved: PT, EW
(C) Water Dependent: Yes RECEIVED
(D) Intended Use: Community
(E) Wastewater Treatment: Existing -Municipal Sewer DEC 21 2016
Planned- N/A
(F) Type of Structures: Planned- Replace existing docking facility with new doDOWN H D CITY
(G) Estimated Annual Rate of Erosion: N/A
HABITAT DESCRIPTION:
[AREA)
DREDGED FILLED
OTHER
A Ve d Wetlands
(A) Vegetated
(B) Non -Vegetated Wetlands (Open Water)
180
sq.
(shaded)
978 sq..
(incorporated)
ated)
(C) Other - Highground disturbance
N/A
(D) Total Area Disturbed: 1,158 sq. ft. (0.026 acres)
(E) Primary Nursery Area: Yes
(I) Water Classification: SA; HQW Open: No
8. PROJECT SUMMARY: The applicant proposes to replace an existing docking facility with a new docking
facility within Whiskey Creek.

John and Kathy Black
Page 2
PROJECT DESCRIPTION
The project site is located at 706 Jacobs Creek Lane, off of Masonboro Sound Rd., adjacent to Whiskey Creek, in the City
of Wilmington, New Hanover County. To locate the property from the Wilmington District Office, turn left on to Cardinal
Drive and travel south for 0.53 miles until you reach Eastwood Rd. Turn Left on to Eastwood Road and travel East for 1.8
miles until you arrive at Military Cutoff Rd. Turn Right on to Military Cutoff Rd and proceed 1.3 miles to Greenville Loop
Rd. Take a left on to Greenville Loop Rd and continue 2.8 miles to Pine Grove Dr. Turn left on to Pine Grove Dr and
travel 1.2 miles to Masonboro Loop Rd and continue on for another 1.4 miles until you reach Masonboro Sound Rd. Turn
left on to Masonboro Sound Rd and proceed for 0.3 miles and then turn right on to Cabbage Inlet Ln. Travel 427 ft. and
turn right on to Jacobs Creek Lane. Continue on Jacobs Lane for 0.2 Miles and you will arrive at 706 Jacobs Creek Lane
at the end of the road.
The property is approximately 6.27 acres (273121.2 sq. ft.) and is improved with a single family residence, a driveway, and
a private two (2) slip docking facility. The applicant intends to subdivide the parcel in to 3 lots; Lot 1 at 2.08 acres, Lot 2
at 2.10 acres, and Lot 3 at 2.09 acres (See "Site Plan for Jacobs Ridge Conservation Tract"). The property has an average
elevation of 14 ft. above normal high water (NHW). Upland vegetation primarily consists of hardwood species and lawn
grass. The property borders Whiskey Creek to the South, which is also shared by adjacent riparian property owners and the
residents of Donnelly Lane to the West, and residential property owners on Cabbage Inlet Lane to the East.
The property has approximately 534 linear feet of shoreline which is stabilized by coastal wetland species. The coastal
wetlands consist primarily of Smooth Cordgrass (Spartina alternii fora), which measures approximately 400 ft. in length
and approximately 30 ft. in width from the West property line to the East property line. The applicant also maintains an
existing private two (2) slip docking facility into Whiskey Creek. The existing docking facility consists of an existing 103
ft. in length and 6 ft. in width elevated pier, and terminates in a 10 ft. in length, 10 ft. in width elevated observation deck.
An access ramp then leads waterw rd from the existing observation deck to an existing 47 ft. in length and 6 ft. in width
floating dock platform, which runs parallel to the shoreline and channel. The existing docking facility is located within 200
ft. of an adjacent existing docking facility to the West, but no other adjacent docking facility exist within 200 ft. to the East.
The applicants existing docking facility accommodates up to two (2) vessels. The existing docking facility was built prior
to 1993 based on aerial photography, no CAMA permit was located.
The Wilmington -New Hanover County 2006 Land Use Plan classifies adjacent waters and high ground portion of the
property as Conservation. The waters of Whiskey Creek are classified SA; HQW by the Div i ' s, and
they are CLOSED to shellfishing. Whiskey Creek is designated as a Primary Nursery Area�b tl eTPC. Liivision
of Marine Fisheries. 2016
DEC 21
PROPOSED PROJECT r TT��//
The applicant proposes to replace the existing private docking facility within Whiskey Creel{3W&W iQ Cenirhuhity
docking facility for the three proposed lots. The new community docking facility will be in the same alignment as the
existing structure and elevated 2 ft. higher than its current elevation. The docking facility will include a 94 ft. in length by
6 ft. in width elevated pier, a 12 ft. in length by 12 ft. in width gazebo with a 1.5 ft. overhang, a 3 ft. in length by 6 ft. in
width elevated pier, and a 36 ft. in length by 5 ft. in width "L" platform with a 21 ft. in length by 4 ft. in width fixed finger
pier on the West end and a 21 ft. in length by 4 ft. in width fixed forger pier on the East end. The applicant proposes to
install three 14 ft. by 14 ft. sling boatlifts, one on the East side of the easternmost forger pier, and two side -by -side between
the two finger piers. All three sling boatlifts (labeled 1 through 3 on Sheet 1 of 2) will have 4" by 6" timber stops at 18"
from the substrate to avoid impacts to the Primary Nursery Area (See Attachment 5). On the West side of the westernmost
finger pier the applicant proposes an access ramp with a 14 ft. in length by 6 ft. in width floating "day dock" aligned parallel
to shore that will provide for two (2) temporary vessel tie-up (labeled 4 & 5 on Sheet 1 of 2). The application states that
the proposed expansion would provide three (3) additional docking spaces at this existing facility for a total of five (5)
vessels within existing water depths ranging from approximately -1.29 ft. to -2.67 at NLW (See Sheets 1 through 3 of 3
and Project Narrative).

John and Kathy Black
Page 3
Please note, that the applicant's proposal for a five (5) slip community docking facility has been found to be "consistent
with the City (of Wilmington] and CAMA's intent to reduce the overall number of piers and the impact thereof on the
waterways". The new lots would require deed restrictions to limit the number of boat slips and prohibit commercial use.
(See enclosed email correspondence)
10. ANTICIPATED IMPACTS
The proposed expansion of the existing docking facility would incorporate an additional 364 sq. ft. for a total of
approximately 1,158 sq. ft. of Estuarine Waters and Pubic Trust Area. Including the proposed structures, the docking facility
would extend approximately 102 feet into a waterbody, which measures approximately 426 feet across. This distance would
conform to the 1/4 width rule or 106.5 feet, which is consistent with the rules at the time of the issuance of the permit for
the existing docking facility. The proposed expansion of the existing docking would provide three (3) additional docking
spaces for a total of five (5) vessels within existing water depths between-1.29ft. and-2.67ft. at NLW. The proposed
structures would not encroach into the channel or the adjacent 15' Riparian Corridor Setback Area requirement. To avoid
potential impacts to Primary Nursery Area the applicant agrees to installing timber stops on all three proposed sling boatlifts
at 18" above the substrate (See Attachment 5). Minor increases in turbidity should be expected during construction.
Submitted by: Brooks Surgan Date: December 16, 2016 Office: Wilmington
RECEIVED
DEC 21 2016
DCM- MHD CITY

IKI'
Attachment 5 to Response to DCM RFAI (11/17/16)
Proposed Sling Boat Lift with Timber Stop
Bottom of the
Slings not extend
below 18" above
the substrate
4" x 6" Timber
RECEIVED
DEC 21 2016
DCM- MHD CITY
RECEIVED
DCM WILMINGTON, NC
NOV 21 2m

Attachment 1 to Response to DCM RFAI (11/17/16)
in2
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Mr. & Mrs. John Black
Mailing Address: 706 Jacobs Creek Lane
Wilmington, NC 28409
Phone Number: 910.297.7915
Email Address: [e-mail]
I certify that I have authorized Dana A. Lutheran (Southern Environmental Group, Inc.).
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary
for the following proposed development:
Removal of existing 4' wide pier and floating platform and new construction of 6' wide
pier and fixed platform, with 2 finger piers, 3 boat lifts, and floating day dock.
at my property located at 706 Jacobs Creek Lane. in Wilmington. New Hanover County.
l furthermore certify that l am authorized to grant, and do in fact grant permission to Division of
Coastal Management staff, the Local Permit Officer and their agents to enter on the
aforementioned lands in connection with evaluating information related to this permit application.
Property Owner Information:,
V �yi� °�
Si nature
Jv,4 1 tt
Print or Type Name
title
lrJ�y,ff
Date
This certification is valid through
RECENED
DEC 21 Z�16
IDCM_ MHD CITY
RECEIVED
D,M WILMINGTON, NO
Nov 21 Z016

Attachment 3 to Response to DCM RFAI (11/17/16) Pg 1 of 3
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAIVAIVER FORM
Name of Property Owner:
John and Kathy Black
AddressofProperty: 706 Jacobs Creek Lane, Wilmington, New Hanover Co.
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Dana Lutheran Mailing Address: 5315 S . College Rd.
Agent'sphone#: 910.228.1841 Wilmington, NC 28412
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they71have
posing. A description or drawing. with dimensions, must be provided with this letter.
no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at htto://www.nccoastalmanaoament.net/weblcrWstaff-listing orbycalling 1-888-4RCOAST.
WAIVER SECTION
I understand that a p ck, mooring pilings, boat ramp, breakwater,ouse, or lift must
be set back a minimum distan 5' from my area of ripar cess unless waived by me. (if
you wish to waive the setback, you mus ' ' I th opriate blank below.)
Idowish towaiuetftl i5'setback requireme This section is NA
not wish to waive the 15' setback requirement.
RECEIVED
urt 21 2016
(Props Ow er foF i (Riparian Property rmation)
;t:
L) v DCM- MHD CITY
Sigr lure 'p I Signature
John Black i 1AT4T/ I�Acic-
Print or Type Nam
706 Jacobs Creek Lane
Mailing Address
Wilmington, NC 28409
City/State/Z!p
910.231.9367
Telephone Number/Email Address
Dare
G'21k- GKA'y
Print or Type Name
Ir ( 1, S' /^mil t>; 50 4kJ 5,n l2�
Mailing Address t5 (- ,Af- j %e Q
t/ t t— rii) N (r -t—v A"
City/Slate)Zip C51
�( p '51 3 3 %-7 4 RECEIVED
f1CM WILMINGTON, NC
Telephone Number/Email Address
I(-- IY -A,
Dale
NOV 21 2016
(Revised Aug. 2014)

Attachment 3 to Response to DCM RFAI (11/17/16) Pg 2 of 3
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: John and Kathy Black
AddressofProperty: 706 Jacobs Creek Lane, Wilmington, New Hanover Co.
(Lot or Street #, Street or Road, City 8 County)
Agent's Name #: Dana Lutheran
Mailing Address: 5315 S. College Rd.
Agent'sphone#: 910.228.1841 Wilmington, NC 28412
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing. with dimensions, must be provided y,4n q iglep4.'VED
4—I have no objections to this proposal. I have objections to this proposal,, ` )(iMF
If you have objections to what is being proposed, you must noW the Division of Coastal Management
(DCIM in writing within 10 days of receipt of this notice. Contact information for DCM oEfces Is `
available at httpAvww.nccoastaimanaaement.net/web/cm/staif-listing or by calling 1-88& 4RCOAST.
I understand that a`pter
be set back a minimum
WAIVER SECTION
mooring pilings, boat ramp,
.*W15' from my area of rip
you wish to waive the setback, you
I do wish to waivat %5�15' setback
;wale ouse, or lift must
cess unless waived by me. (if
blank below.)
not wish to waive the 15' setback requirement.
(Pr 274?"n1, /l
Si azure Jt yam'--
John Black / 9 TSTY 6CACK
Print or Type Name
706 Jacobs Creek Lane
Mailing Address
Wilmington, NC 28409
City/State0p
910.231.9367
Telephone Nut ber/Email Address
o
(a
Date
This section is NA
(Riparian Property Owner Information)
Mailing Address
w, ln,iti„ 64- /k_, a 0Po
Ct4statem
RECEIVED
DCM W LMIING ON, NC
Telephone Number/Email Address
N 21 2016
Date
(Revised Aug. 2014)

KID
Coastal Management
ENVIRONMENTAL QUALITY
December 16, 2016
John and Kathy Black
C/o Dana Lutheran
Southern Environmental Group, Inc.
5315 South College Road, Suite E.
Wilmington, NC 28412
Dear Ms. Lutheran:
PAT MCCRORY.
GOWMW'
DONALD R. VAN DER VAART
senemr9
BRAXTON DAWS
Diretmr
The Division of Coastal Management hereby acknowledges receipt of your application, acting as agent for John and Kathy
Black, for State approval for development of the property located at 706 Jacobs Creek Lane off of Masonbom Sound Rd.,
adjacent to Whiskey Creek and the AIWW, New Hanover County. It was received complete on December 14, 2016, and
appears to be adequate for processing at this time. The projected deadline for making a decision is February 27, 2017. 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 December 14, 2016, you may request a meeting with
the Director of the Division of Coastal Management and permit staff to discuss the status of your project. Such a meeting
will be held within five working days from the receipt of your written request and shall include the property owner,
developer, and project designer/consultant.
NCGS 113A-119(b) requires that Notice of an application be posted at the location of the proposed development. Enclosed
you will find a 'Notice of Permit Filing' postcard which must be posted at the property of your proposed development. You
should post this notice at a conspicuous point along your property where it can be observed from a public road. Some
examples would be: Nailing the notice card to a telephone pole or tree along the road right-of-way fronting your property,
or at a point along the road right-of-way where a private road would lead one into your property. Failure to post this notice
could result in an incomplete application.
An onsite inspection will be made, and if additional information is required, you will be contacted by the appropriate State
or Federal agency. Please contact me if you have any questions and notify me in writing if you wish to receive a copy of
my field report and/or comments from reviewing agencies.
rel
Since
Brooks Surgan
Field Representative
Enclosures
cc: Doug Huggett, DCM
Heather Coats, DCM
Debra Wilson, DCM
Tyler Crumbley, ACOE
Robb Mairs, DWR
Ben Andrea, New Hanover County
Stet of NoRh Camlioe I EnvInmIn=l Quality I Coastal Mawemmt
127 Catdiaal Dri" ExL, Wilmmgmn, NC 29405
919 796 7215
RECEIVED
DEC 21 2016
DCM- MHD CITY

a
LAMA PERMIT
APPLI
PROJECT:TO replace a ,
at
EFOR
private docking facili
.,
Ujac
. ■ _ i. ■ .
If
Hanover County
COMMENTS ACCEPTED THROUGHJanuary 12, 2017
APPLICANT: FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
John & Kathy Black �t NC Div. of Coastal Management
706 Jacobs Creek Lane 127 Cardinal Dr. Extension
Wilmington, NC 28409 Wilmington, NC 28405
Brooks Surgan, Field Representati—ve
910-796-7271
Agent: Dana Lutheran [phone]

joutitetn environmental Group, Inc.
3511 5mth Cdlase R«d 5uke E • Wilmington, NC 28+12
rhon+-910.+32.2711.F.x9i0112.2e99•Emt:e((ice®seg s
26 September 2016
Certified Mail
Mr. & Mrs. Walter Grey
8115 Masonboro Sound Road
Wilmington, NC 28409
Re: 706 Jacobs Creek Lane CAMA Major Permit Application
Adjacent Riparian Property Owner (ARPO) Notification
To whom it may concern,
Southern Environmental Group, Ina (SEGi) has been retained by Mr. and Mrs. John Black (herein referred to
as the "Applicants"), to apply for and secure a Coastal Area Management Act Major Permit to perform work
within public trust waters, at their property located at 706 Jacobs Creek, in Wilmington, New Hanover County,
North Carolina. As part of the permit process, the Applicant is required to notify the adjacent riparian property
owners. According to the New Hanover County GIS Tax Page, you are listed as the southern ARPO.
The proposed work will consist of a modification to their existing docking structure. To assist you in the
decision making process, attached you will find the Permit Applications and Site Plan. The Applicant and
SEGi sincerely request that you sign the enclosed form letter and return it to our office via email at
dlutheran(7ae seei.us. This will help to expedite the CAMA permit process. If you should choose not to respond
to this letter, the Division of Coastal Management will assume there is no objection to the proposed activity.
For questions regarding the permitting of the proposed activity, please call the North Carolina Division of
Coastal Management (Ms. Debbie Wilson) at 910.796.7215 or visit their office at 127 Cardinal Drive
Extension. Please feel free to call our office at 910.452.2711, for information regarding Areas of
Environmental Concern (AEC) or other environmental issues.
Thank you for your time and assistance with this project.
Sincerely,
Dana
Enclosures (3)
RECEIVED
DEC 21 2016
DCM- MHD CITY
RECEIVED
DCM WIU,4INGTCN, NC
OCT 0 5 2016

Coastal Management
ENVIRONMENTAL QUALITY
PAT MCCRORY
Co mor
DONALD R. VAN DER VAART
Secretary
BRAXTON DAVIS
D C(or
December 19, 2016
[e-mail]
2 Pages
Star News
Legal Advertisement Section
Post Office Box 840
Wilmington, North Carolina 28402
Re: Major Public Notice / Wilmington, New Hanover County
• Greg Zwack
John and Kathy Black
Kyle & Heather: Please publish the attached Notice in the Thursday, December 22, 2916 issue.
The State Office of Budget & Management requires an original Affidavit of Publication prior to
payment for newspaper advertising.
Please send the original affidavit and invoice for payment to Shaun Simpson at the NC Division of
Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405, 910-796-7226. Paying by
credit card to the attention of Tanya Wright, (Ref acct # 796-7215).
Please email a copy of the credit card receipt to me.
Thank you for your assistance in this matter. If you should have any questions, please contact me
at our Wilmington office.
cc:
Sincerely,
�`9 c
Shaun K. Simpso!'�-4�
Permitting Support & Customer Assistance
Heather Coats - WiRO
Doug Huggett - MHC
Tyler Cmmbley - USACE
Sarah Young- DCM
RECEIVED
DEC 21 2016
DCM- MHD CITY
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 28405
910-7967215

LM
NOTICE OF FILING OF
APPLICATION FOR CAMA MAJOR
DEVELOPMENT PERMIT
The Department of Environmental Quality hereby gives public notice as required by
NCGS 113A-119(b) that the following applications were submitted for development permits in
Areas of Environmental Concern for projects in Wilmington, New Hanover County as
designated under the CAMA: On December 12, 2016, Greg Zwack proposed to expand an
existing private docking facility at 918 Santa Maria Ave., adjacent to Pages Creek, and on
December 14, 2016, John and Kathy Black proposed to replace a private docking facility
with a 5-slip community docking facility at 706 Jacobs Creek Ln., adjacent to Whiskey Creek /
AIWW. Copies of the applications can be examined or copied at the offices of Brooks Surgan
(Black) or Tara MacPherson (Zwack), N.C. Dept. of Environmental Quality, Division of Coastal
Management, 127 Cardinal Drive Ext., Wilmington, NC 28405, (910-796-7215) during normal
business hours.
Comments mailed to Braxton C. Davis, Director, Division of Coastal Management, 400
Commerce Avenue, Morehead City, NC 28557-3421, prior to January 12, 2017 will be
considered in making the permit decision. Later comments will be accepted and considered up
to the time of permit decision. Project modification may occur based on review and comment by
the public and state and federal agencies. Notice of the permit decision in these matters will be
provided upon written request.
RECEIVED
DEC 21 2016
DCM- MHD CITY
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 29405
910-796-7215

jouthetn Environmental Group, Inc.
s31s5—thCJ*rKmd5uheE• Wtmingren,NC28t12
Plane 910.4-52-2711 • Fexi 910432ae99• Emd, eitce®.eg4m
26 September 2016
Certified Mail
Nan Bellamy Grady
724 Jacobs Creek Lane
Wilmington, NC 28409
Re: 706 Jacobs Creek Lane CAMA Major Permit Application
Adjacent Riparian Property Owner (ARPO) Notification
To whom it may concern,
Southern Environmental Group, Inc. (SEGi) has been retained by Mr. and Mrs. John Black (herein referred to
as the "Applicants'), to apply for and secure a Coastal Area Management Act Major Permit to perform work
within public trust waters, at their property located at 706 Jacobs Creek, in Wilmington, New Hanover County,
North Carolina. As part of the permit process, the Applicant is required to notify the adjacent riparian property
owners. According to the New Hanover County GIS Tax Page, you are listed as the southern ARPO.
The proposed work will consist of a modification to their existing docking structure. To assist you in the
decision making process, attached you will find the Permit Applications and Site Plan. The Applicant and
SEGi sincerely request that you sign the enclosed form letter and return it to our office via email at
dlutherank.segi.us. This will help to expedite the CAMA permit process. If you should choose not to respond
to this letter, the Division of Coastal Management will assume there is no objection to the proposed activity.
For questions regarding the permitting of the proposed activity, please call the North Carolina Division of
Coastal Management (Ms. Debbie Wilson) at 910.796.7215 or visit their office at 127 Cardinal Drive
Extension. Please feel free to call our office at 910.452.2711, for information regarding Areas of
Environmental Concern (AEC) or other environmental issues.
Thank you for your time and assistance with this project.
Sincerely, �C i
"d�-
Dana A. Lutheran
SEGi Project Manager
Enclosures (3)
RECEIVED
DEC 21 2016
DCM- MHD CITY
DCM RECEIVED
ON, NG
OCT 05 2016

PARID: R07700-005-001-000
BLACK JOHN A KATHRYN F
706 JACOBS CREEK LN
Parcel
Alt ID
314518.41.9545.000
Address
706 JACOBS CREEK LN
Unit
City
WILMINGTON
Zip Code
Neighborhood
D8K45
Class
RES-Residential
Land Use Code
10-1 Fam Res
Living Units
1
Acres
6.07
Zoning
R-15-RESIDENTIAL DISTRICT
Legal
Legal Description
D D GEORGE HOMEPLACE
Tax District
WM
RECEIVED
Owners
Owner
BLACK JOHN A KATHRYN F
DEC 21 2016
City
WILMINGTON
state
"C
DCM- MHD CITY
Country
Zip
28405
THE DATA IS FROM 2014
Sales
Sale Date Sale Price
Grantee Grantor
Book Page Sale Key
25-AUG-06
BLACK JOHN A KATHRYN F BLACK LYNNE C
5070 782 409368
14-OCT-03 $0
BLACK JOHN A KATHRYN F BLACK JOHN A
4053 0523 302008
08-MAR-99 $0
BLACK JOHN A BLACK LYNNE C
2535 0053 302007
24-JAN-97 $2,500
BLACK JOHN A LYNNE C MAUS WILLIAM C III SHANNON C 2131 0622 302006
05-JUL-94 $0
BLACK JOHN A LYNNE C DIV MARINE FISHERIES
1788 0756 302005
08-JAN-93 $500,000
BLACK JOHN A LYNNE C ROESCH JAMES E LYNDA S
1639 0820 302004
01-JAN-01 $0
ROESCH JAMES E LYNDA S ` NOT IN SYSTEM '
0819 0739 302003
Sale Details
1 of 7
Sale Date
25-AUG-06
Sale Key
409368
Sale Price
Grantee
BLACK JOHN A KATHRYN F
Grantor
BLACK LYNNE C
Sale Source
-
RECEIVED
Book
5070
DCM WILMINGTON, NC
Page
782
Sale Validity
U-Unqualified
OCT Q 5 2016
Sale Type
IMPROVED
Sale Flag
STEB
C

Attachment 3 to Response to DCM RFAI (11/17/16) Pg 3 of 3
PARID: R07210-005-024-000
TURNER JOHN F MICHELLE J
Sales
Sale Date Sale Price Grantee
14JUL-16 $475,000 TURNER JOHN F
MICHELLE J
29JUL-04 $320,000 GRADY NAN BELLAMY
05-JUN-98 $250,000 MURCHINSON J REID III
LINDA S
08-MAY-96 $226,500 MAUS WILLIAM C III
SHANNON C
15JUL-94 $150,000 BLACK CARLOS
12JUL-93 $0 CAROLINA POWER &
LIGHT CO
21-FEB-89 $595,000 HUNTER CHARLES E JR
Sale Details
724 JACOBS CREEK LN
Grantor
GRADY NAN BELLAMY
MURCHINSON J REID III
LINDA S
MAUS WILLIAM C III
SHANNON C
BLACK CARLOS LYNELLA
GAI L
HUNTER CHARLES E JR
MELYNDA
HUNTER CHARLES E JR
FAW HILARY A JR
Sale Date
14JUL-16
Sale Key
538033
Sale Price
$475,000.00
Grantee
TURNER JOHN F MICHELLE J
Grantor
GRADY NAN BELLAMY
Sale Source
Y-Deed Stamps (Sale Price Verified)
Book
5985
Page
2521
Sale Type
VACANT
Sale Validity
Q-Qualified
Sale Flag
STEB
Instrument #
Instrument Type
Warranty Deed
Adj. Reason
Adj. Price
475000
Adj. Amount
Link
Click Here to view the deed for this parcel
Book Page Key
5985 2521 538033
4430 0432 304211
2379 0669 304210
2027 0896 304209
1792 0097 304208
1682 0305 304207
1447 0129 304206
1 of 7
RECEIVED
DEC 21 2016
DCM- MHD CITY
RECEIVED
QCiM WILMINGTON, NC
NOV 21 2016

Return To:
NATIONAL CITY MORTGAGE CO
P.O. BOX 8800
Dayton, OR 45401-8800
Prepared By.
JENNIFER LEONARD
NATIONAL CITY MORTGAGE CO
P.O. Box 8800
Dayton, OR 45401-8800
(Space Above This Une For Reeordlog Data]
DEED OF TRUST
DEFINITIONS
FOR REGISTRATION REGISTER OF DEEDS
REBECCA T. CHtISTIAN
NEW H MOVER COUNTY, NC
2001 NOV 30 03:21 23 Prl
BK 3124 PG139-156 FEE:i44.00
INSTRUMENT a SAWS
0000030257
Words used in multiple sections of this document are defiled below and other words are defined in Sections
3, 11, 13, 18, 20 and 21. Certain mks regarding the usage of words used in this document are also provided
in Section 16.
(A) "Security Instrument" means this document, which is dated November 26, 2002
together with all Riders to this document
(B) 'Borrower" is
JOEN BLACK (an unmarried person)
aikia John A. Black RECEIVED
DEC 21 2016
DCM- MHD CITY
Borrower is the tmstor under this Security Instrument.
(C) "Lender" is National City Mortgage Cc dba
Commonwealth United mortgage company
Lender is a corporation
organized and existing under the laws of The State of Ohio
NORTH CAROLINA-Single Famlly-Fannie Moo/Freddie Moo UNIFORM INSTRUMENT Form 3034 1/01
-0(NC) (00081
Pepe t of 15 Ineld,r 1111111111
IY1II1I14113TON, NCVYP YORTOAOE FOflY3-(600)521- 01 VED
FJTURN M CAL)LR a CALDER,ATIORNEY% MWK W CAUM& CAI AT101MYS

Lender's address is 3232 Newmark Drive, Miamisburg, OR 45342
Lender is the beneficiary, under this Security Instrument.
(D) "Trustee" is Robert: Calder, Sr.
(E) "Note" means the promissory note signed by Borrower and dated November 26, 2001
The Now states that Borrower owes Lender
SIX HDNDRED FORTY NINE THOUSAND a 00/100 Dollars
(U.S. $ 649, 000, 00) plus interest. Borrower has promised to pay this debt in regular Periodic
Payments and to pay the debt in full not later than December 1, 201
(F) "Property" means the property that is described below under the heading "Transfer of Rights in the
Property"
(G) "Loan" means the debt evidenced by the Note, Plus interest, any prepayment charges and late charges
due under the Note, and all sums due under this Security Instrument, plus interest.
(K) "Riders" means all Riders to this Security Instrument that are executed by Borrower. The f EIV D
Riders are to be executed by Borrower (check box as applicable): E
❑ Adjustable Rate Rider Condominium Rider Second Home Rider DEC 21 2016
Balloon Rider Planned Unit Development Rider 14 Family Rids
VA Rider Biweekly Payment Rider u Other(s) [specify] L)C
M' ►AHD CITY
(1) "Applicable Law" means all controlling applicable federal, state and local statutes, regulations,
ordimances and administrative ruics and orders (that have the effect of law) as well as all applicable food,
non -appealable judicial opinions.
U) "Community Associatiou Dues, Fees, and Assessments" means all dues, fees, assessments and other
charges that are imposed on Borrower or the Property by a condominium association, homeowners
association or similar organization.
(K) "Electronic Funds Transfer" means any transfer of funds, other than a transaction originated by check,
draft, or similar paper instrument, which is initiated through an electronic tetmbial, telephonic instrument,
computer, or magnetic tape so as to order, instruct, or authorize a fmancial institution to debit or credit an
account Such term includes, but is not limited to, point -of -sale transfers, automated teller machine
transactions, transfers initiated by telephone, wire transfers, and automated clearinghouse transfers.
(L) "Escrow Items" means those items that are described in Section 3.
(M) "Miscellaneous Proceeds" means any compensation, settlement, award of damages, or proceeds paid by
any third party (other than insurance proceeds paid under the coverages described in Section 5) for. (i)
damage to, or destruction of, the Property; (ii) condemnation or otter taking of all or any part of the Property;
(W) conveyance in lieu of condemnation; of (iv) misrepresentations of, or omissions as to, the value and/or
condition of the Property.
(N) "Mortgage Insurance" means insurance protecting Lender against the nonpayment of, or default on, the
Loan.
(0) "Periodic Payment" means the regularly scheduled amount due for (i) principal and interest under the
Note, plus (ii) any amounts under Section 3 of this Security Instrument.
(P) "RESPA" means the Rea) Estate Settlement Procedures Act (12 U.S.C. Section 2601 et seq.) and its
implementing regulation, Regulation X (24 CFR. Part 3500), as they might be amended from time to time,
or any additional or successor legislation or regulation that governs the same subject matter. As used in this
Security Instrument, "RESPA" refers to all requirements and restrictions that are imposed in regard
mai.1,:
®'® 0(Nc) poc$t Page 20f is Form 3034 1/01
RECEIVED
DCM WIUAINGTON, NC
OCT 0 5 2016

to a "federally related mortgage loan" even if the Loan does not qualify as a "federally related mortgage loan"
under RESPA.
(Q) "Successor in Interest or Borrower" means any party that has taken tide to the Property, whether or not
that party has assumed Borrower's obligations under the Note and/or this Security Instrument.
TRANSFER OF RIGHTS IN THE PROPERTY
This Security Instrument secures to Lender: (i) the repayment of the Loan, and all renewals, extensions and
modifications of the Note; and (ii) the performance of Borrower's covenants and agreements under this
Security Instrument and the Note. For this purpose, Borrower irrevocably grants and conveys to Trustee and
Trustee's successors and assigns, in trust, with power of sale, the following described property located
in the County of New Hanover
[Type of Recording Jurisdiction] [.Nome of Recording lurirdicriont
SEE ATTACHED SHEET MARRED EXHIBIT "A", WHICH IS TO BE MADE A PART OF THIS
DEED OF TRUST AS THOUGH FULLY SET OUT HEREIN.
Parcel ID Number: 7200-005-001-000
706 JACOBS CREEK,
NIT.VINOTON
("Property Address")!
RECEIVED
DEC 21 2016
DCM- MHD CITY
which currently has the address of
[Speetl
lefty], North Carolina 28409 [zip Code]
TO HAVE AND TO HOLD this property unto Trustee and Trustee's successors and assigns, forever,
together with all the improvements now or hereafter erected on the property, and all easements,
appurtenances, and futures now or hereafter a part of the property. All replacements and additions shall also
be covered by this Security Instrument. All of the foregoing is referred to in this Security Instrument as the
„property
BORROWER COVENANTS that Borrower is lawfully seised of the estate hereby conveyed and has
the right to grant and convey the Property and Uun the Property is unencumbered, except for encumbrances of
record. Borrower warrants and will defend generally the tide to the Property against all claims and demands,
subject to any encumbrances of record.
THIS SECURITY INSTRUMENT combines uniform covenants for national use and non -uniform
covenants with limited variations by jurisdiction to constitute a uniform security instrument covering real
property.
UNIFORM COVENANTS. Borrower and Lender covenant and agree as follows:
1. Payment of Principal, Interest, Escrow Items, Prepayment Charges, and Late Charges.
Borrower shall pay when due the principal of, and interest on, the debt evidenced bv the Note and any
�/J1l!�- Innlnla:
4= 6(NC) (0005) Page 3 of th Form 3034 1101
RECEIVED
DCM WILMINGTON, NC
OCT 0 5 2016

Coastal Management
ENVIRONMENTAL QUALITY
October 10, 2016
John & Kathy Black
706 Jacobs Creek Lane
Wilmington, NC 28409
RE: INCOMPLETE CAMA Major Development Permit Application
PROJECT ADDRESS — 706 Jacobs Creek Lane, Wilmington, NC
Dear Mr. & Mrs. Black
PAT MCCRORY
Gmereor
DONALD R. VAN DER VAART
krrclaq.
BRAXTON DAVIS
Dirvoor
The Division of Coastal Management's Wilmington Regional office received a CAMA Major Permit
application from Southern Environmental Group, Inc. on October 5, 2016, requesting approval for
development activities adjacent to your property located at 706 Jacobs Creek Lane in Wilmington, New
Hanover County, NC. In reviewing your application, we had discovered that additional information is
needed to complete the review process. Per the standard guidelines for a DCM Major Application (see
attached), I am requesting that you submit the following information to this office:
1) Signed and dated Agent Authorization Form showing Dana Lutheran (SEGi) as your agent.
2) On the MP-4 Form, must be signed and dated.
3) Must include return receipts.
4) Please provide the original, or copies of the "signed certified mail receipts (Green cards)
verifying that notice was provided to the two adjacent riparian property owners. Rules require
that you provide the signed certified mail receipts along with your application.
5) Site plans and cross sections must be submitted to scale.
6) On the site plan, please locate and show the following:
- Include names of adjacent property owners.
- Width of waterbody appears to be 410'±.
- Width of waterbody is inconsistent, site plan shows waterbody width of 426', whereas cross
section shows 410'.
- Finger piers are 105' and appear to be inconsistent with the `/4 Width Rule for this waterbody
of 102.5'.
- Water depths around the docking facility relative to NLW must be a minimum of 18" in a
Primary Nursing Area AEC. Landward facing side of the proposed float appears to show less
than 18" and docking slip 5 shows water depth of 1.29 or 16".
Due to the amount of deficiencies in your application, it is being returned in its entirety. Once you have
addressed all of the items mentioned above, you may re -submit the package for review. The fee check
(#5959) for $400 has deposited for this application, if the applicant would like to resubmit an application
the check can remain on file at this office. If the applicant would prefer a refund please notify the office.
You may send the requested information to me direct at the below address. I would be happy to meet
about the configuration of the proposed structures before your next submittal.
RECEIVED
DEC 21 2016
State of North Carolina I Eavironmental Quality I Coastal Management 127 Cardinal Drive Ext., Wilmington, NC 28405 pC M- M H DCITY
919 796 7215

John & Kathy Black
Page Two
October 10, 2016
In accordance with the Department of Environment and Natural Resources regulations, we note that the
partial application, as received by DCM on October 5, 2016, is incomplete for processing. Upon
resubmission of a complete application, a local decision will be made in 150 days, provided this period is
not extended as provided by law. Please contact me at 910-796-7270 if you have any questions.
Sincerely,
Brooks Surgan
Field Representative, NCDCM
Cc: Dana Lutheran (SEGi)

5r-G1
Sout♦tem (=nvironmental imup, Inc
5515 5out♦, College Road, Suite E
Wilmington, Norti, Carolina 28112
910.452.2] 1 1 (office) - 910.452.2899 (lax)
Date: 14 December 2016
To: Mr. Brooks Surgan
Of: Division of Coastal Management
Attached you will find:*
Proposal Sketch(es)
JD Package Report(s)
Other
Transmittal
Permit Application Signed Wetland Map
Plans nested Informati
Copies
Description
25
Jacobs Creek Plan View Drawings Revised 12/12/16 E
25
Jacobs Creek Profile Drawings Revised 12/12/16 DEC
1
Jacobs Creek Project Narrative Revised 12/13/16 oe
1
Jacobs Creek DCM-MP-1 Revised 12/13/16 vl-HD C
1
Jacobs Creek DCM-MP-4 Revised 12/13/16
*11 noted items are NOT attached, please contact our office.
These are being delivered:
or your Review/Processin For your Records Returned for Correction(s)
Corrected and Returned For your Signature As Requested
Other: These plans and documents are being submitted to complete the CAMA Major Application
By: and Dehve Fed -Ex UPS Regular Mail Other
Notes: Brooks, please feel free to call if you have any questions. 910,@#D
I1C114 Wlf hAlNGTQN NC
Signature and (Typed)utheran
Date: 14 December 2016
RECEIVE,-,
OM 14 20

Dana,
A few small things...
1) MP-1 4(a) Shoreline length (534') does not match length given in Project Narrative paragraph 4
(523').
2) MP-1 5(b) Owner is proposing "5" boat slips, not "6"
3) MPA 1(c) Pier length is 94' not 92'
4) Project Narrative — Paragraph 4 says "replace existing 109' x 4' pier", the following table says,
remove "4' x 103' existing pier. Please make sure lengths are similar.
That's all I've got, I will still need to go through the rest of the application once I receive the new
drawings.
Brooks R Surgan
Field Representative
Division of Coastal Management
North Carolina Department of Environmental Quality
910 796 7270 office
[e-mail]
127 Cardinal Drive Ext.
Wilmington, NC 28405
RECEIVED
DEC 21 Z016
DCM- MHD CITY
RECEIVED
DCM WILMINGTON. NC
DEC 14 2016

SEG.1
O
Southern Environmental Group, Inc.
5315 South College Road, Suite E
Wilmington, North Carolina 28412
910.452.2711 (office)• 910.452.2899(fax)
• Transmittal Letter
Date: 11160/14
To: 13rt�1C�, �I lrQCLn
Of: DCAY) J
Attached you will find:*
RECEIVED
NOV s 0 2a
❑ Proposal ❑ Sketch(es) ❑ Pe it ❑ Wetland Map ElPhoto(s)
El ID Package ElReport(s) Tans ❑ Information Request ❑ Other
Copies
S) �Ec
Description
aSµ40-U
M FW 1111-7/14 Jbf7z. tiw n Ia
a S
g„ a „
I, y
CG�i-mai I Grw.n Lk ��%ti 1�
These are being delivered:
❑ For your Review/Comment
[]"C—orrected and Returned
❑ Other:
*If noted items are NOT attached, please contact our office.
❑ For your Records
❑ For your Signature
❑ Returned for Correction(s)
As Requested
By: ® Hand Delivery ❑ Fed -Ex ❑ UPS ❑ Regular Mail ❑ Other
X
V LclLde l'C�Z(j c /fit cd-l�n� trr`
Signature and (Typed) Nam /�T/IYi1"Q%li
ECEIVED
Date:
1 S 7iv 61-�� // /RECEIVED DEC $ i 201S
DCMWILMINGTO
VM. 1"'i-)r` ly
NOV 3 0 2016

�r-61
5outke,o Lnvironmcntal Gro.p, Inc.
53 15 South College Koad, juite F
Wilmington, North Carolina 28+12
910.+52.2711(office) 910.452.2899(fax)
Date:
21 November 2016
To:
Brooks Surgan
Of:
Division of Coastal Management
Attached you will find:*
Transmittal I p q
NOY 21 2016
Proposal Sketch(es) ermit Ap licatfo
JD Package Report(s) Plans
Other
RECEIVED
DEC 21 2016
DCM- MHD CITY
Signed Wetland Map
Information Request
Copies
Description
1
Response to the DCM's Request for Additional Information - 706 Jacobs Creek
15
To scale copies of the plan and profile drawings of the proposed work.
These are being delivered:
or our Review/Commen
Corrected and Returned
Other:
*If noted items are NOT attached, please contact our office.
For your Records Returned for Correction(s)
For your Signature As Requested
By: and Delive Fed -Ex UPS Regular Mail Other
Notes: Brooks, please feel free to call if you have any questions. 910.228.1841
S kald (Typed) Name: Dana
A. Lutheran
DCM WILMINdTON, NO
NOV 21 2016 Date: 21 November 2016
f..&— ..r

5outbem Environmental Group) Inc-
3 5 13 rJouth Col6gc Road, 5uita E. • WAmingoon, NC 28+12
P6om:9 t a+32.27 i i • Few 9 i o.+32.2e99 • Emait ofiRccOxgWs
17 November 2016
Hand Delivery [SEGi Project ff: 11-015.011
NC Division of Coastal Management RECEIVED
Mr. Brooks Surgan
127 Cardinal Drive Extension
Wilmington, NC 28412 DEC 21 2016
Re: 706 Jacobs Creek Lane, Wilmington, NC n ^A _ nAn��y
Response to the DCM's Notice of Incomplete CAMA Major De nt Pt' PA Ili..
ion
Dear Brooks,
With this correspondence, Southern Environmental Group, Inc. (SEGi) is submitting a response to the
Division of Coastal Management's notification of incomplete application for the above referenced project,
which requested the following information be submitted:
1. Signed and dated Agent Authorization Form showing Dana Lutheran (SEGi) as your agent. See
Attachment 1.
2. On the MP-4 Form, must be signed and dated. As a result of changes to the proposed dock layout
this form has been revised. Please see Attachment 2.
3. Must include return receipts. The Applicant obtained signed notification forms from both
adjacent riparian property owners (see Attachment 3).
4. Please provide the original, or copies of the "signed certified mail receipts (Green cards) verifying
that notice was provided to the two adjacent riparian property owners. Rules require that you provide
the signed certified mail receipts along with your application. The proposed structure does not
encroach into either of the adjacent riparian corridors. The adjacent riparian property owners
have signed the notification forms (see Attachment 3).
5. Site plans and cross sections must be submitted to scale. See Attachment 4.
6. On the site plan, please locate and show the following:
a. Include names of adjacent property owners. The information has been added to the plan
view drawing (see Attachment 4).
b. Width of waterbody appears to be 410'f. The actual distance is 4261.
c. Width of waterbody is inconsistent. Site plan shows waterbody width of 426', whereas cross
section shows 410'. This has been corrected on the profile drawing (see Attachment 4).
d. Finger piers are 105' and appear to be inconsistent with the Y4 Width Rule for this
waterbody of 102.5'. The layout has been revised so that no part of the proposed
structure extends past the width of the water body line (see Attachment 4).
e. Water depths around the docking facility relative to NLW must be a minimum of 18" in a
Primary Nursing Area AEC. Landward facing side of the proposed float appears to show
less than 18" and docking slip 5 shows water depth of 1.29 or 16 . Th E!6EUM has been
DCM WILMINGTON, NC
NOV 21 2016

Kesponse to DCM Notice of Incomplete Application 5E-Gi
revised to reflect a fixed platform in the area where water depths are less than 18" at
MLW (see Attachment 4). The Applicant has agreed to utilize "Sling" boat lifts with
stops 4" x 6" timber stop to be situated at 18" above the substrate (see Attachment 5).
As a result of the changes to the layout of the proposed docking structure, it was necessary to revise the
Project Narrative (see Attachment 6).
It SEGi's hope that the information found within and attached to this letter will be sufficient for the DCM to
consider the application complete and the permit will be processed without delay. However, should you have
questions or need further information, please call me at 910.228.1841. Thank you in advance for your time
and assistance with this project. We look forward to hearing from you.
Sincerely,
Dana A. Lutheran
SEGi Project Manager
Enclosures (6)
Also electronically submitted to Brooks.surean(a)ncdenr.¢ov
RECEIVED
DEC 21 2016
DCM- MHD CITY
RECEIVED
IDCM WILMINGTON. NC
NOV 21 2016

Coastal Management
ENVIRONMENTAL QUALITY
October 10, 2016
John & Kathy Black
706 Jacobs Creek Lane
Wilmington, NC 28409
RE: INCOMPLETE CAMA Major Development Permit Application
PROJECT ADDRESS — 706 Jacobs Creek Lane, Wilmington, NC
Dear Mr. & Mrs. Black
PAT MCCRORY
6m•enun
DONALD R. VAN DER VAART
?iervnap.
BRAXTON DAVIS
blret wr
The Division of Coastal Management's Wilmington Regional office received a CAMA Major Permit
application from Southern Environmental Group, hic. on October 5, 2016, requesting approval for
development activities adjacent to your property located at 706 Jacobs Creek Lane in Wilmington, New
Hanover County, NC. In reviewing your application, we had discovered that additional information is
needed to complete the review process. Per the standard guidelines for a DCM Major Application (see
attached), I am requesting that you submit the following information to this office:
1) Signed and dated Agent Authorization Form showing Dana Lutheran (SEGi) as your agent.
2) On the MP-4 Form, must be signed and dated.
3) Must include return receipts.
4) Please provide the original, or copies of the "signed certified mail receipts (Green cards)
verifying that notice was provided to the two adjacent riparian property owners. Rules require
that you provide the signed certified mail receipts along with your application.
5) Site plans and cross sections must be submitted to scale.
6) On the site plan, please locate and show the following:
- Include names of adjacent property owners.
- Width of waterbody appears to be 410'±.
- Width of waterbody is inconsistent, site plan shows waterbody width of 426', whereas cross
section shows 410'.
- Finger piers are 105' and appear to be inconsistent with the ''/s Width Rule for this waterbody
of 102.5'.
- Water depths around the docking facility relative to NLW must be a minimum of 18" in a
Primary Nursing Area AEC. Landward facing side of the proposed float appears to show less
than 18" and docking slip 5 shows water depth of 1.29 or 16".
Due to the amount of deficiencies in your application, it is being returned in its entirety. Once you have
addressed all of the items mentioned above, you may re -submit the package for review. The fee check
(#5959) for $400 has deposited for this application, if the applicant would like to resubmit an application
the check can remain on file at this office. If the applicant would prefer a refund please notify the office.
You may send the requested information to me direct at the below address. I would be happy to meet
about the configuration of the proposed structures before your next submittal.
State of North Carolina I Environmental Quality I Coastal Management
127 Cardinal Drive Ext., Wilmington, NC 29405
919 796 7215
RECEIVED
DEC 21 ZD16
®CM- MHp CITY

John & Kathy Black
Page Two
October 10, 2016
In accordance with the Department of Environment and Natural Resources regulations, we note that the
partial application, as received by DCM on October 5, 2016, is incomplete for processing. Upon
resubmission of a complete application, a local decision will be made in 150 days, provided this period is
not extended as provided by law. Please contact me at 910-796-7270 if you have any questions.
Sin ,
&L—z
Brooks Surgan
Field Representative, NCDCM
Cc: Dana Lutheran (SEGi)
RECEIVED
DEC 21 2016
DCM- MHD CITY

Southern L.vwonmental Gro.r, I.e.
5 515 South College Road, Suit. F
Wilmington,North Carolina 28412
910.452.271 I (office) 910.452.2899 (fax)
Transmittal
Date: 3 October 2016
To: Tara MacPherson / Sean Farrell
Of: Division of Coastal Management
Attached you will find:"
Proposal Sketch(es) <iermitApplicatto
JD Package Report(s) Plans
Other
Signed Wetland Map
Information Request
copies I Description RECEIV
1 CAMA Major Permit Application — 706 Jacobs Creek
These are being delivered:
or our Review/Comme
Corrected and Returned
Other:
"If noted items are NOT attached, please contact our office.
For your Records Returned for Correction(s)
For your Signature As Requested
By: and Delive Fed -Ex UPS Regular Mail Other
Notes: Tara/Sean, please feel free to call if you have any questions. 910.228.1841
RE C Yf1fyd (Typed) Name: Dana A. Lutheran
OCT 0 5 2016 '/
Date: 3 October 2016
DCM WECVED
ILMINGTON, NO
i - f 0 5 %ni(

T

STATE OF NORTH CAROLINA
Department Environmental Quality
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
[phone]
FILE ACCESS RECORD
DIVISION OF COASTAL MANAGEMENT
DATE / TIME 12/07/2016, 1:30 pm- 2:30 pm
NAME Dana Lutheran
REPRESENTING SEGI
PHONE [phone]
Guidelines for Access: The staff of Wilmington Regional Office is dedicated to making public records in
our custody readily available to the public for review and copying. We also have the responsibility to the
public to safeguard these records and to carry out our day-to-day program obligations. Please read
carefully the following guidelines signing the form:
1. CAMA Major Permits are issued out of the Morehead City District Office The COMPLETE
file is in the Morehead Office and may contain additional information and/or comments which
may not be in the WIRO file.
2. Due to the large public demand for file access, we request that you call at least a day in
advance to schedule an appointment to review the files. Appointments will be scheduled
between 9:00am and 3:00pm. Viewing time ends at 4:45pm. Anyone arriving without an
appointment may view the files to the extent that time and staff supervision is available
3. You must specify files you want to review by facility name. The number of files that you
may review at one time will be limited to five.
4. You may make copies of a file when the copier is not in use by the staff and if time permits.
Cost per copy is $.05 cents. Payment may be made by check, money order, or cash at the
reception desk. Copies totaling $5.00 or more can be invoiced for Your convenience
5. FILES MUST BE KEPT INORDER YOU FOUND THEM. Files may not betaken
from the office. To remove, alter, deface, mutilate, or destroy material in one of these files is
a misdemeanor for which you can be fined up to $500.00. No briefcases, large totes, etc. are
permitted in the file review area
6. In accordance with General Statue 25-3-512, a $25.00 processing fee will be charged and
collected for checks on which payment has been refused.
FACILITY NAME
1. Jacobs Creek (John & Catherine Black _4
2.
Signature
COPIES MADE PAID
Date
INVOICE
/. `0
Time In
COUNTY
New Paro_x ED
DEC41 2016
CM- M.HD CITY
%OD
Time Out
t;:CAMA/Shaun/fomts

NC Division of Coastal Management
Major Permit Application Computer Sheet
AEC: Whiskey Creek / AIW W
Fee: $400 /#5959
CDAITS MHC cc _
Applicant: John and Kathy Black
Agent/Contractor: Southern Environmental Group, Inc. do Dana Lutheran
Project Site County: New Hanover
Staff:
District: Wilmington
Project Name: Black Docking Facility Replacement
Rover File: n/a
River Basin: Cape Fear
Initial date of application submittal: 10-5.16 kSubewt
ii -
(b
Date application "received as complete" in the Field office: 12 I y f 16
SITE DESCRIPTION/PERMIT INFORMATION
ORW: Yes No I PNA: AYes ❑No
Photos Taken: Yes ❑ No
Setback Required (riparian): []Yes JXNo
Critical Habitat: ❑Yes KNo LJNot Sure
15 foot waiver obtained: ❑Yes ONO
Hazard Notificabo Retumed:
[]Yes LINO
SAV: ❑Yes ANo ❑Not Sure
Shell Bottom: []Yes No ❑ Not
Temporary Impacts: ❑Yes ANO
Sure
Sandbags: ❑Yes o ❑ Not Sure
Did the land use c sification come
from LUP: []No❑Yes
Mitigatio equired (optional):
ANo
county WYes
Moratorium Conditions:
Environ ntal Assessment Done:
Length of Shoreline:
❑Yes gNo ❑NA
Dyesro ❑NA
53 q FT
Shellfish Are ignafion:
Project Description: (code)
Development Area: (code)
Open - r- Closed
O ' Z
EU I TIT
SECONDARY WATER CLASSIFICATION — OPTIONAL (choose MAX of 4)
❑ Future Water Supply (FWS) ❑ Nutrient Sensitive Waters (NSW) ❑ Swamp Waters (SW)
El High Quality Waters (HQW) El outstanding Resource Waters (ORW)
WETLANDSIMPACTED
❑ (404) Corp. of Engineers (Jurisdictional
❑ (LS) Sea lavender (Limonium sp.)
El (SS) Glasswort (Salicomia sp.)
wetlands)
(CJ) Saw grass (Cladium jamaicense)
(SA) Salt marsh cordgrass (Spartina
❑ (SY) Salt reed grass (Spartina
altemiflora)
cynosuroides)
El (DS) Salt or spike grass (Distichlis
Sci)
0 (SC) Bullrush or three square (rpus
❑ (T1' Caftal(jypj� `P*? D
spicata)
Sp.)
REGC ��/ G
(JR) Black needlerush (Juncus
❑ (SP) SalUmeadow, grass (Spartina
roemerianus)
patens)
DEC 21 2016
APPLICATION FEE
.... neun rITY
❑ No fee required - $0.00
❑ III(A) Private w/ D&F up to 1 acre; 3490
❑ I p c or Comm w/ D&F to 1
can be applied - $250
acre; 3490 can't be applied - $400
Cl Minor Modification to a CAMA Major
❑ 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
❑ III(B) Public or commercial w/ D&F to 1
❑ Express Permit - $2000
acre; 3490 can be applied - $400
❑ Major development extension request -
II. Public or commercial/no dredge
$100
and/or fill - $400
❑ I. Private no dredge and/or fill - $250
❑ III(C) Priv. public or Comm w /D&F to 1
acre; 3490 can be applied; DCM needs
DWQ agreement - $400

John & Kathy Black
Date: 10-5-16
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
TYPE
REPLACE
Activity Name
Number
Choose
Choose
Dimension 1
Dimension 2
Dimension 3
Dimension 4
One
One
P
New Work
Replace
-lyx
IWO
R�
R
Maint ❑
❑ Y K N
y^
I
New Work
Maint ❑
Replace
ElY C�N
(
if `O ,
©
1
New Work
Replace
yy
�J,S k(
2cbo
Maint El
❑Y I�rN
•5
I
�1
New Work
Maint❑
Replace
❑Y gN
i
New Work
Maint ❑
Replace
Ely N N
1� + +
-1 X Z
PS
New Work
Replace
Maint ❑
❑ Y X N
New Work
Replace
+ r
I y A N
Maint ❑
❑ Y j'N
t
New Work
Replace
L
Maint ❑
❑ Y X N
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 temp
restoration or
temp impact
tempQ impacts) ads
impact aact amount
tempimpacts)
amount
L tv\
Dredge ❑ Fill ❑ Both ❑ Other
ou 4%
`QCJi
ODredge
❑ Fill ❑ Both ❑ Other ❑
1 �0
I �G
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
.0
Dredge ❑ Fill ❑ Both ❑
U
Dredge ❑ Fill ❑ Both ❑ Pmr Q\r
IWAI ti
Dredge ❑ Fill ❑ Both 144er
Dredge ❑ Fill ❑ Both L` Ater E
r
U
Q
919-733-2293::1-888.4RC0AST:: www.nceo staimanaaement.net revised: 10/12/06

�/j
MAJOR PERMIT FEE SCHEDULE
706 Jacobs Creek Lane/$400, CK #5959 /New Hanover Co
=DevelopmentT
DCM %
DWQ
%
a
Fee
14300160143510009316256253
2430016024351000952341
I. Private, non-commercial development that does
not involve the filling or excavation of any
wetlands or open water areas:
$250
100%
$250
0%
$0
II. Public or commercial development that does
not involve the filling or excavation of any
wetlands or open water areas:
r $400
100%
$400
0%
$0
III. For development that involves the filling
and/or excavation of up to 1 acre of wetlands
and/or open water areas, determine if A,B, C.
or D below applies:
III(A). Private, non-commercial development, if
General Water Quality Certification No. 3900
See attached can be applied:
$250
100%
$250
0%
$0
III(B). Public or commercial development, if
General Water Quality Certification No. 3900
See attached can be applied:
$400
100%
$400
0%
$0
III(C). If General Water Quality Certification No.
3900 (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 aquatic life:
$400
60%
$240
40%
$160
III(D). If General Water Quality Certification No.
3900 see attached cannot be applied.
$400
60%
$240
40%
$160
IV. Development that involves the filling and/or
excavation of more than one acre of wetlands
and/or open water areas:
$475
60%
$285
40%($190)
RECEIVED
DEC 2I 2016
DCM- MHD CITY

DENRCAMADaiI Check Lo for WIRO
Date Received Date De osffld Check From Name
Name of Permit Holder
Vendor
Check Number
Check amount Permit Number/Commenta
Receipt or RefunC/Reallocated
1 g5rz016 A IacS 8 K P Black
c"n 8 da:C 9iacR SunTns:
5959
$4— COI ma' fee IW 'awbs GreeK LareWI.T^H
i M rct 2855D
W
U
> N
0
LU N
U
U LLI
C
1
�
U

vc'
LOCATION MAP
IqI
STORMWATER MANAGEMENT PLAN
APPROVED
CITY OF WILMINGTON
ENGINEERING DEPARTMENT
DATE PERMIT#
SIGNED
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STREET CROSS SECTION
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9
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