41-22 Chowan Baptist Church

Permit Class Permit Number
NEW 41-22
STATE OF NORTH CAROLINA
Department of Environmental Quality
and
Coastal Resources Commission
for
X Major Development in an Area of Environmental Concern
pursuant to NCGS 113A-118

X Excavation and/or filling pursuant to NCGS 113-229

Issued to Chowan Baptist Association, 377 Camp Cale Rd., Hertford, NC 27944
Authorizing development in Perquimans County at adj. to Perquimans River, at 377 Camp Cale
Rd., in Hertford , as requested in the permittee’s application dated 2/18/22,
including attached workplan drawings (2), Sheets 1-2 of 2 all dated “Rec DCM EC 2/21/22”.
This permit, issued on April 14, 2022 , is subject to compliance with the application (where
consistent with the permit), all applicable regulations, special conditions and notes set forth below. Any violation
of these terms may be subject to fines, imprisonment or civil action; or may cause the permit to be null and void.

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, 2025

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 Chair
of the Coastal Resources Commission.

Braxton C. Davis, Director
Division of Coastal Management

This permit and its conditions are hereby accepted.

Signature of Permittee

Shoreline Stabilization - Bulkhead

1) The bulkhead shall extend a maximum of two (2) foot waterward from the waterward edge of the
existing bulkhead at any point along its alignment at the time of construction.

2) No open water shall be excavated or filled, even temporarily, outside of the approved bulkhead
alignment.

3) The alignment of the authorized bulkhead shall be staked by the permittee and verified by a
representative of the Division of Coastal Management within a maximum of 30 days prior to the start
of construction.

(See attached sheets for Additional Conditions)

Chowan Baptist Association Permit No. 41-22
Page 2 of 3

ADDITIONAL CONDITIONS

4) The bulkhead shall be solid and constructed of treated wood, concrete slabs, metal or vinyl sheet piles,
or other suitable materials approved by Division personnel.

5) The bulkhead shall be constructed prior to any backfilling activities.

6) The bulkhead shall be structurally tight so as to prevent seepage of backfill materials through the
structure.

7) This permit does not authorize any excavation waterward of the approved alignment.

8) The fill material shall be clean and free of any pollutants except in trace quantities.

9) Unless altered herein, all backfill material shall be obtained from a high ground source and confined
behind the permitted bulkhead.

10) No backfill material is to be placed within 30 feet of the normal water level, except that which will be
used to backfill the area behind the permitted bulkhead.

11) All fill material to be placed below normal water level shall be confined behind the permitted bulkhead.

Sedimentation and Erosion Control

12) In order to protect water quality, runoff from construction shall not visibly increase the amount of
suspended sediments in adjacent waters.

13) Appropriate sedimentation and erosion control devices, measures or structures shall be implemented to
ensure that eroded materials do not enter adjacent wetlands, watercourses or properties.

14) A ground cover sufficient to restrain erosion shall be provided within 30 calendar days of any phase of
grading on cut or filled slopes. At a minimum, a silt fence shall be properly installed immediately
landward of the bulkhead cap immediately following completion of backfilling activities.

General

15) This permit shall not be assigned, transferred, sold, or otherwise disposed of to a third party without the
written approval of the Division of Coastal Management.

16) All construction debris associated with the removal or construction of the permitted development shall
be contained within the authorized project area and disposed of in an approved upland location.

17) The permittee and/or his or her contractor shall meet with a representative of the Division prior to
project initiation.

NOTE: This permit does not eliminate the need to obtain any additional state, federal or local permits,
approvals or authorizations that may be required.

Chowan Baptist Association Permit No. 41-22
Page 3 of 3

ADDITIONAL CONDITIONS

NOTE: The U.S. Army Corps of Engineers authorized the project by way of Programmatic General
Permit 198000291 (Action ID SAW-2022-00515).

NOTE: The N.C. Division of Water Resources authorized the proposed project by way of General Water
Quality Certification 4501 and assigned the project DWR Project No. 2022-0334.
NOTE: Future development of the permittee’s property may require a modification of this permit.
Contact a representative of the Division at [phone] prior to the commencement of any
such activity for this determination. The permittee is further advised that many non-water
dependent activities are not authorized within 30 feet of the normal water level.

NOTE: An application processing fee of $400 was received by DCM for this project.

DIVISION OF COASTAL MANAGEMENT
APPLICATION TRANSMITTAL AND PROCESSING RECORD
APPLICANT: Chowan Baptist Association COUNTY: Perquimans
PROJECTNAME: Bulkhead
LOCATION OF PROJECT: 377 Camp Cale Road
DATE APPLICATION RECEIVED COMPLETE BY FIELD: 2-21-22
FIELD RECOMMENDATION: Attached: No To Be Forwarded: Yes
FIELD REPRESENTATIVE: Cynthia Rou DISTRICT OFFICE: Elizabeth City
DISTRICT MANAGER REVIEW: Date 3l' Jx
B) DATE RECEIVED BY MAJOR PERMITS UNIT: FEE REC'D: S400 (no split) # III(B)
APPLICATION ASSIGNED TO: Bodnar
PUBLIC NOTICE REC'D: 3-10-22
ADJ. RIP. PROP NOTICES REC'D:
C) 75 DAY DEADLINE: 5-7-22
EMAIL OUT DATE: 3-2-22
PERMIT FINAL ACTION: ISSUE DENY
END OF NOTICE DATE: 3-30-22
DEED REC'D: Yes
150 DAY DEADLINE:
STATE DUE DATE: 3-23-22
AGENCY
DATE
COMMENTS
RETURNED
OBJECTIONS:
YES NO
NOTES
DCM — Field Rep
DCM — LUP Consistency Determination
Local Permit Officer
Corps of Engineers— Regulatory Branch
DWR-401 Section
DWR—Public Water. Supply
DEMLR — Stormwater
DEMLR — Sed and Erosion
DOA — State Property Office
Wildlife Resources Commission
DMF — Shellfish Section
DMF — Habitat & Enhancement
DNCR —Archives & History
DNCR — Natural Heritage Program
NCDOT
NC Dept of Commerce

DCM Coordinator: Greg Bodnar Distributed Yes® No ❑
Applicant: Chowan Baptist Association Distribution Date: 3/2/2022
AGENCY
ECRO
Community Development/LPO
Rhonda Repanshek
DCM Planner
Charlan Owens Eliz City
USCOE:
Raleigh Bland
Community Assistance
Lee Padrick (Beaufort Carteret, Craven, Eliz City,
Pamlico, Washington)
Cultural Resources
Renee Gledhill -Earley
Div. of Water Infrastructure
(No longer public Water Supply)
Clif Whitfield
Marine Fisheries
James Harrison
NC DOT
David Harris
Shellfish Sanitation
Shannon Jenkins
Sharon Gupton
State Property
Mike Moser
Wanda Hillard
Sheri Montalvo
DEMLR/DWR:
DEMLR
Sediment& Erosion-
Storm water-
DWR 401-
Samir Dumpor
Roger Thorpe
Chris Pullinger
WRC
National Heritage Program
Maria Dunn (WARD)
Rodney Butler
https://ncconnect-my.sharepoint.com/personal/ella_ godfrey_ncdenr_gov/Documents/Documents/Major
Permits/Perquimans/Powell/Maj Comment Distribution Sheet -Joseph & Brenda Powell.docx
Revised : 6/29/2018

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
BRAXTON DAVIS
Director
March 2, 2022
MEMORANDUM:
NORTH CAROLINA
Environmental Quality
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax: [phone] (Courier 04-16-33)
gregg.bodnar(@ncdenr.gov
SUBJECT: CAMA/Dredge & Fill Review
Applicant: Chowan Baptist Association
Project Location: 377 Camp Cale Road in Perquimans County
Proposed Project: Replace the existing wooden bulkhead with a vinyl sheeting bulkhead 2 foot
waterward of the existing bulkhead
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Grenar Bodnar at the address above by March 23, 2022. If you have any questions
regarding the proposed project, contact Cynthia Rountree (252-264-3901, ext. 234) when appropriate, in-
depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
PRINT NAME
AGENCY
SIGNATURE
DATE
�-1,. North Carolina Department of Environmental Quality I Division of Coastal Management
_ CLL'./!ll��� u Elizabeth City Office 1 401 South Griffin Street, Suite 300 1 Elizabeth City, North Carolina 27909
252.264.3901

ROY COOPER
Governor
ELIZABETH S. BISER
.Secretary
BRAXTON DAVIS
Director
EMAIL MEMORANDUM
NORTH CAROLINA
Environmental Quality
TO: The Daily Advance
Patricia Wilkins
[e-mail]
FROM: Ella Godfrey
DATE: March 1, 2022
SUBJECT: Public Notice: Chowan Baptist Association — Camp Cale
Please publish the attached Notice in the Thursday, March 10, 2022, edition of The
Perquimans Weekly.
The State Office of Budget and Management requires an original Affidavit of Publication
prior to payment for newspaper advertising. The State Office of Budget and Management
requires an original Affidavit of Publication prior to payment for newspaper advertising.
Please send me the affidavit, an original copy of the published notice, and an
original invoice.
Thank you for your assistance in this matter. If you should have any questions, please
contact me at our Elizabeth City office [phone].
Attachment
cc: Jonathan Howell, Major Permits Coordinator, DCM, Morehead City
Christy Simmons, PIO, DCM, Morehead City
Ellie Davis, Accounts Payable, DCM, Morehead City
File
� Na[h Can olina Uepariment o[Environmental Qudlny Division of Coastal Management
Hoibeth City Office 101South Griffin Stceer Sume 300 ; U zabeth City. North Carolina 27009
� r•..^^ 15)2oI3901

NOTICE OF FILING OF
APPLICATION FOR CAMA MAJOR
DEVELOPMENT PERMIT
The NC Department of Environmental Quality hereby gives public notice as
required by NCGS 113A-119(b) that application for a development permit in an AEC as
designated under the CAMA was received on 02/21/22. The Chowan Baptist Association
(Camp Cale) proposes to replace the 691-foot bulkhead 2 foot waterward of the existing
bulkhead, located at 377 Camp Cale Road in Perquimans County,
A copy of the entire application may be reviewed at the office of Greg Daisy NC
Division of Coastal Management, located at 401 S Griffin St, Ste 300, Elizabeth City, NC,
252-264-3901 during normal business hours. Comments mailed to Braxton Davis,
Director, DCM, 400 Commerce Avenue, Morehead City, NC 28557, prior 03/30/22, will
be considered in making the permit decision. Later comments will be considered up to
the time of permit decision. Project modification may occur based on review & comment
by the public, state & federal agencies. Notice of the permit decision in this matter will be
provided upon written request.
PLEASE PUBLISH ON: Thursday, March 10, 2022
� North ( a:ohna Department of Emlroninental Q alit) U vision of Coastal Monagernent
�I Elizeheth Clty Off t e iO] South Criffin Street SLtite 300 Klzaheth City, North Carolina 27909
1521643401

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
BRAXTON DAVIS
Director
March 1, 2022
NORTH CAROLINA
Environmental Quality
Chowan Baptist Association — Camp Cale
c/o Matthew Thomas
377 Camp Cale Road
Hertford, NC 27944
Dear Mr. Thomas:
The NC Division of Coastal Management hereby acknowledges receipt of your application
submitted for State approval to replace the existing bulkhead at 377 Camp Cale Road in
Perquimans County.
It was received complete February 21, 2022 and appears to be adequate for processing at this time.
The projected deadline for making a decision is May 7, 2022. 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 February 21, 2022, you may
request a meeting with the Director of the Division of Coastal Management and pennit 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
D _E Q� North Carolina Department of Environmental Quality I Division of Coastal Management
Elizabeth City office 1 401 South Griffin Street, Suite 300 1 Elizabeth City, North Carolina 27909
o�uo����•i o.nn� /`� 252.2643901

Chowan Baptist Association - Camp Cale
Matthew Thomas
March 1, 2022
Page 2 of 2
along your property where it can be observed from a public road. Some examples would be:
Nailing the notice card to a telephone pole or tree along the road right-of-way fronting your
property, or at a point along the road right-of-way where a private road would lead one into your
property. Failure to post this notice could result in an incomplete application.
An onsite inspection will be made, and if additional information is required, you will be contacted
by the appropriate State or Federal agency. Please contact Cynthia Rountree, Field Representative,
if you have any questions and or if you wish to receive a copy of her field report.
Sincerely
C�
Ron Renaldi
District Manager, Northeastern District
NC Division of Coastal Management
WE
Enclosure
cc: Jonathan Howell, Major Permits Coordinator, DCM, Morehead City, NC
Cynthia Rountree, DCM, Elizabeth City, NC
Doug Dorman, Atlantic Environmental Consultants, LLC, Kitty Hawk, NC

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DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Chowan Baptist Association (Camp Cale)
2. LOCATION OF PROJECT SITE: 377 Camp Cale Road, Perquimans County,
adjacent to the Perquimans River
Latitude: 36' 8'19.74"N Longitude: - 76022'7.83"W
3. INVESTIGATION TYPE: CAMA & Dredge and Fill
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit — October 12, 2021
Was Applicant Present — yes
5. PROCESSING PROCEDURE: Application Received Complete — February 21, 2022
Office — Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan — Perquimans County
Land Classification From LUP — RA-1 Rural Ag District
(B) AEC(s) Involved: Estuarine Waters (EW), Estuarine Shoreline (ES), Public Trust
Shoreline (PTS) and Public Trust Area (PTA)
(C) Water Dependent: Yes
(D) Intended Use: commercial
(E) Wastewater Treatment: Existing — septic system
Planned -none
(F) Type of Structures: Existing —piers and launch area, cabins, pavilion,
bulkhead, playground, riprap and parking
lot
Planned -replacing bulkhead
(G) Estimated Annual Rate of Erosion: na
Source - na
7. HABITAT DESCRIPTION: (AREA]
DREDGED FILLED SHADED
(A) Open Water (EW, PTA)
(B) Shallow Bottom (EW, PTA)
1,382 sq ft
(C) High Ground (ES)
11,245 sq ft
(D) Total Area Disturbed: 12,627 square feet
(E) Primary Nursery Area: No
(F) Water Classification: SB Open to shellfishing: No

Chowan Baptist Association (Camp Cale)
Field Investigation Report
Page 2
PROJECT SUMMARY:
The applicant proposes to replace the 691 foot bulkhead 2 foot waterward of the existing
bulkhead.
Proiect Settin
The property proposed for development is located at 377 Camp Cale Road in Perquimans
County and consists of approximately 86 acres adjacent to the Perquimans River. The
property currently contains a piers and a launch area, playground, parking area, cabins, a
pavilion, riprap, and bulkhead. The properties to the east and west are both vacant lots.
Vegetation on the site includes, but is not limited to, Bald Cypress (Taxodium distichum),
indigenous yard grass and deciduous trees. Soil Types include Roanoke Silt Loam (Ro) and
Chowan Silt Loam (Co). The property has an elevation of approximately 9 feet above normal
water level (NWL) along the shoreline.
The shoreline is 1,400 feet in length and currently is bulkheaded along 691 feet of the
shoreline. The water classification for this area is Primary Contact Recreation, Tidal Salt Water
(SB) and is closed to shellfishing. The water depths within the project area range from -1.5 to
-2.8 feet. When the site visit was conducted there was no SAV present in the proposed
project area.
Development Proposal
The applicant proposes to replace the existing 691 foot wooden bulkhead with a vinyl sheeting
bulkhead 2 foot waterward of the existing bulkhead.
Anticipated Impacts
The proposed development will result in the filling of 1,382 square feet of the
Estuarine Waters and Public Trust Area of Environmental concern and 11,245 square feet of
Estuarine Shoreline and Public Trust Shoreline. Temporary turbidity will possibly occur during
construction.
Submitted by: Cynthia Rountree
Date: 2/25/22

***This is a word processing form to be completed in Microsoft Word***
NC Division of Coastal Management
Major Permit Application Computer Sheet
(1110112012)
Applicant: Chowan Baptist Association (Camp Cale)
Date:2/25/2022
Project Site County: Perquimans
Staff.- Cynthia Rountree
District: ®Elizabeth City ❑Washington
[]Morehead City ❑Wilmington
Project Name:
Rover File:
Date of initial application submitfal (EX.. v8/2007): 11/18/21
Date application "received as complete" in the Field office (EX: 1/8/2007): 2/21/2022
Permit Authorization: ❑CAMA ❑Dredge & Fill ®Both
SITE DESCRIPTION/PERMIT INFORMATION
PNA: [I Yes ®NO
Photos Taken: Yes ® No❑
Setback Required (riparian): ❑Yes ®No
Critical Habitat: ❑Yes ®No ❑Not Sure
15 foot waiver obtained: El Yes ®No
Hazard Notification Returned:
[]Yes ®No
SAV: El Yes ®No ❑Not Sure
Shell Bottom: ❑Yes ®No ❑ Not Sure
Temporary Impacts: ®Yes ❑No
Sandbags: []Yes ®No ❑ Not Sure
Did the land use classification come from
countyLUP: ®Yes ❑No
Mitigation Required (optional):
❑Yes ®No
Moratorium Conditions: ❑Yes ❑No
®NA
Environmental Assessment Done:
❑Yes ❑No ®NA
SECONDARY WATER CLASSIFICATION— OPTIONAL (choose MAX of 4)
❑ Future Water Supply (FINS)
❑ Nutrient Sensitive Waters (NSW)
❑ Swamp Waters (SW)
❑ High Quality Waters (HQW)
❑ Outstanding Resource Waters (ORW)
WETLANDSIMPACTED
❑ (404) Corp. of Engineers (Jurisdictional
❑ (LS) Sea lavender (Limonium sp.)
❑ (SS) Glasswort (Salicomia sp.)
wetlands)
❑ (CJ) Saw grass (Cladium jamaicense)
❑ (SA) Salt marsh cordgrass (Spartina
❑ (SY) Salt reed grass (Spartina
altemifiora)
cynosuroides)
❑ (DS) Salt or spike grass (Distichlis
❑ (SC) Bullrush or three square (Scirpus
[I(TY) Cattail (Typha sp.)
spicata)
sP )
❑ (JR) Blackneedlerush (Juncus
El(SP) Salf/meadow grass (Spartina
rcemerianus)
patens)
APPLICATION FEE
- $0.00
❑ lll(A) Private w/ D&F up to 1 acre; 3490
❑ III(D) Priv. public or comm w/ D&F to 1
can be applied - $250
acre; 3490 can't be applied - $400
ion to a CAMA Major
❑ Major Modification to a CAMA Major
❑ IV Any development involving D&F of
Kfeemequired
permit - $250
more than 1 acre - $475
r- $100
® 111(B) Public or commercial w/ D&F to 1
❑ Express Permit - $2000
acre; 3490 can be applied - $400
❑ Major deveopment extension request -
❑ /I. Public or commercial/no dredge
$100
and/or fill - $400
❑ I. Private no dredge and/or fill - $250
❑ 111(C) Priv. public or comm w /D&F to 1
acre; 3490 can be applied; DCM needs
DWQ agreement - $400

Application CO MPUler Sheet, Page 2 of 3)
Applicant. Chowan Baptist Association (Camp Cale)
Date: 2/25122
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
Bulkhead
1
New Wont ®
Replace
691 ft
3 ft
9 ft
Maint ❑
®Y ❑ N
New Wont❑
Replace
Maint ❑
❑ Y ❑ N
New Wont❑
Replace
Maint ❑
❑ Y [IN
New Wont❑
Replace
Maint ❑
❑ Y ❑ N
New Work El
Replace
Maint ❑
❑ Y ❑ N
New Work El
Replace
Maim ❑
❑ Y [IN
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
New Work❑
Replace
Maint ❑
❑ Y ❑ N
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
New Work❑
Replace
Maint ❑
❑ Y ❑ N
New Work❑
Replace
Maint ❑
❑ Y ❑ N
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
New Work❑
Replace
Mamt❑
❑Y[IN
New Work❑
Replace
Maint ❑
❑ Y ❑ N
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
New Work
Replace
Maint ❑
❑ Y ❑ N
New Work
Replace
Maint ❑
❑ Y ❑ N
revised Nov. 2012

NC Division of Coastal Mgt. Application Computer Sheet, Page 3 of 3
Applicant: Chowan Baptist Association (Camp Cale)
Date: 2/25/2022
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. FL
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
ternimpacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Shallow Bottom
Dredge ❑ Fill ❑ Both ® Other ❑
1,382 sqft
1,382 sqft
High ground
Dredge ❑ Fill ® Both ❑ Other ❑
11,245 sqft
11,245 sqft
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other El
Dredge ❑ Fill ❑ Both ❑ Other El
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
?S? st0f" N:a<. ';Yi"d

Bulkhead Narrative
Chowan Baptist Association
(Camp Cale)
Camp Cale has six hundred feet of shoreline that is bulkheaded. The existing bulkhead is a
wooden structure. The last repair work was done in the 1980's but originally built sometime in
the 1960's. The bulkhead is at the end of Its lifespan and needs to be totally replaced.
Joe Riddick will be our contract and will replace the bulkhead using a vinyl product. The
bulkhead will be driven into the ground. We will raise the new bulkhead approximately
eighteen inches from the top of the old bulkhead. The construction will be done in front of the
old bulkhead within the allotted space not to exceed twenty-four inches with the average
distance being twelve inches.
Sunshine Contracting and Construction will be our secondary contractor and will be in charge of
filling in the materials behind the new bulkhead. They will grade and seed the area while also
using matting for erosion control.
The purpose of the project is to protect the shoreline of Camp Cale and to use it as a natural
resource for activities related to camping and outdoor experiences.
The project proponent hereby certifies that all information contained herein is true, accurate,
and complete to the best of my knowledge and belief.
The project proponent hereby requests that the certifying authority review and take action on
this CWA 401 certification request within the applicable reasonable period of time
Submitted by
Matt Thomas
Cale Director
252-334-7622
377 Camp Cale Rd.
Hertford Nc 27944
NOV 1 0 2021
r
.!

fed 2 1 2022
®6u1R-ti ^`
APPLICATION for
(last revised 12127106) North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant! Landowner Information
Protect Name (d applicable)
Business Name Camp Cale bulkhead
Chowan Baptist Association(Camp Cale)
MI Last Name
Applicant t: First Name Thomas
Mattew S
Applicant2: First Name
Mi Last Name
If additional applicants, please attach an addiflonal page(a) with names listed. State
PO Box city
Mailing Address Hertford NC
377 Camp Cale Road
Phone No- FAX No.
ZIP Country _
27W USA 252.334-7622 ext.
City State ZIP
Street Address (f different from above)
Email
[e-mail]
<Form continues on back>

Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Perquimans
377 Camp Cale Road
Subdivision Name
city
State
Zip
None
Hertford
NG
27944 -
Lot No.(s) (irmany, attach additional page with list)
Phone No.
252 — 334 - 7622 ext.
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
P�> v o V ^Y_
Perquimans River
c. Is the water body Identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
®Natural []Manmade ❑Unknown
Albelmarle Sound
e. is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
®Yes []No
work falls within.
Perquimans County
4.
Site Description
a.
Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
1400linear feet
3,746,160 sf
c.
Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
3,746.160 sf,
NWL (normal water leveg
(if many [of sizes, please attach additional page with a list)
16 ❑NHW or ®NWL
e.
Vegetation on tract
Trees, grass.
-made features and uses now on tract
rking area, cabins, pavilion, dockllaunch area.
[g.ldentify
and describe the existing land uses adiacent to the proposed project site.
cant land.
h.
How does local government zone the tract? I. Is the proposed project consistent with the applicable zoning?
RAt (Attach zoning compliance certificate, if applicable)
®Yes ONO DNA
I.
Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes ®No
k.
Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes ®No ❑NA
If yes, by whom?
I.
Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes ®No ❑NA
National Register listed or eligible property? _
<Form continues on next page>
252.808-2808 :: 1-888-411COAST :: www.nccoastaimanagement.not

Form DCM MP-1 (Page 3 of 4) APPLICATION for
Major Development Permit
rC
) Are therewetlands on the site? NYes []No
1) Are there coastal wetlands on the site? ❑Yes ONO
(ill) If yes to either (1) or (ii) above, has a delineation been conducted? ❑Yes ®No
(Adach documentation, if available)
n. Describe existing wastewater treatment facilities.
Multiple conventional spetio systems.
o. Describe existing drinking water supply source.
County and wells.
p. Describe existing storm water management or treatment systems.
Ditches and culvert pipes.
S. Activities and Impacts
Will the project be for commercial, public, or private use?
®Commercial ❑Public/Government
Ia.
t�
❑PrivatelCommunity
b. Give a brief description of purpose, use, and daily operations of the project when complete.
Bulkhead replacement to preserve shoreline.
i
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.
Bulkhead will be driven/shaken into ground. Light equipment.
d. List all development activities you propose.
Replace existing bulkhead with new bulkhead.
j
e. Are the proposed activities maintenance of an existing project, new wont, or both?
New work _
f. What is the approximate total disturbed land area resulting from the proposed project?
11,245 ®Sq.Ft or ❑Acres
g. Will the proposed project encroach on any public easement, public accessway or other area
❑Yes ®No ❑NA
that the public has established use of!
h. Describe location and type of existing and proposed discharges to waters of the state.
No existing or proposed discharges to waters of the state.
I. Will wastewater or storrnwater be discharged into a wetland?
❑Yes ONO ®NA
If yes, will this discharged water be of the same salinity as the receiving water?
❑Yes ❑No ®NA
j. Is there any mitigation proposed?
❑Yes ❑No ®NA
If yes, attach a mitigation proposal.
I_
<Form continues on back>
252-808-2808 .. 1.838-4RCOAST .. v,=4v +,l,:accoas?almanagamaart,asne

APPLICATION for
Form DCM MP-1 (Page 4 of 4)
Major Development Permit
6. Additional Information
In addition to this comp/clad application Corm, (MP-1) the fofMwing items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) — (0 are always applicable to any major development application Please consult the application
instruction booklet on how to properly prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar wkh the area to the site.
d. A copy of the deed (with state application only) or other Instrument under which the applicant claims title to the affected properties.
The appropriate application fee. Check or money order made payable to DENR.
e.
f. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name Clarke and Christine Summer Phone No,
Address 211 Cedar Street, Delmont, NC 28012
Name Watson Eure Heirs Go Elizabeth Eure Phone No.
Address 1644 New Hope Road, Hertford, NC 27944
Name Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dales.
GP-A8076-Camp Cele31411991 GP-A6886-Camp Cale-212011990
Major Permit#12.73 Camp Cale 1/25/1973
h. Signed consultant or agent authorization form, if applicable.
1. Wetland delineation, if necessary.
j. A signed AEG hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), N necessary. If the project Involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
7. Certification and Permission to Enter on Land _
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the information provided in this application is truthful to the best of my knowledge.
Date 0211622 Print Name _Doug Dorman, Consultant
Signature !/,
G
Please indicate application attachments pertaining to your proposed project.
®DCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and Culverts
❑DCM MP-3 Upland Development
❑DCM MP-4 Structures information
252-808-2808 .. 1-888-4RC®AST -. ww w.nc coastaSman::gement.net

Form DCM MP-2
EXCAVATION and FILL
(Except for bridges and culverts)
FEB 2 1 2u22
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
Describe below the purpose of proposed excavation and/or fill activities. All values should be given in feet.
Access
Other
Channel
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
Breakwater
(excluding
shoreline
(NLW or
NWL)
stabilization
Length
Width
Avg. Existing
NA
NA
Depth
Final Project
NA
NA
Depth
1. EXCAVATION 0This section not applicable
a. Amount of material to be excavated from below NHW or NWL in b. Type of material to be excavated.
cubic yards.
c. (i) Does the area to be excavated include coastal wetlands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB _
OWL ❑None
(if) Describe the purpose of the excavation in these areas:
d. High -ground excavation in cubic yards.
2. DISPOSAL OF EXCAVATED MATERIAL ®This section not applicable
a. Location of disposal area. b. Dimensions of disposal area-
C
. (I) Do you claim title to disposal area?
❑Yes ONO ❑NA
(if) If no, attach a letter granting permission from the owner.
e. (i) Does the disposal area include any coastal wetlands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
OWL ❑None
(if) Describe the purpose of disposal In these areas.
d. (I) Will a disposal area be available for future maintenance?
❑Yes Otto ❑NA
(if) If yes, where?
f. (i) Does the disposal include any area in the water?
❑Yes ❑No ❑NA
Qi) If yes, how much water area is affected?
252-208-2808 it 1-888-4RCOAST :: vlvnry.nccoasta4_msrndQ6xn©nt.nek revisadi 12:26106

Form VCM MP-2 (Excavation and Fill, Page 2 of 2)
3. SHORELINE STAB1LfZATION ❑This section not applicable
(if development is a wood groin, use MP4 — Structures)
a. Type of shoreline stabilization: b. Length: 691'
®Bulkhead ❑Riprap ❑breakwater/Sill ❑Other:
c. Average distance waterward of NHW or NWL: l'
e. Type of stabilization material
Vinyl
g. Number of square feet of fill to be placed below water level.
Bulkhead backfill 2.100 sf Riprap
Breakwater/Sill Other_
I. Source of fill material.
Local mine site.
4.
(Excluding Shoreline
a. (i) Will fill material be brought to the site? ❑Yes ❑No
If yes,
(ii) Amount of material to be placed in the water
(III) Dimensions of fill area __........_
(iv) Purpose of fill
5. GENERAL
Width: X
d. Maximum distance waterward of NHW or NWL: T
IF. (I) Has there been shoreline erosion during preceding 12
months?
®Yes ❑No DNA
(ii) If yes, state amount of erosion and source of erosion amount
information.
Failing bulkhead. 2'-T in some areas.
h. Type of fill material.
Sand
NThis section not applicable
b. (i) Will fill material be placed in coastal wetlands/marsh ((;uv),
submerged aquatic vegetation (SAV), shell bottom (SB), or
other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV _ ❑SB
❑W- ❑None
(11) Describe the purpose of the fill in these areas:
a. How will excavated or fill material be kept on site and erosion b. What type of construe
controlled? backhoe, or hydraulic
Fill will be brought in after completion of bulkhead. Skidster, backhoe
c. (i) Will navigational aids be required as a result of the project?
❑Yes UNo DNA
(if) If yes, explain what type and how they will be implemented.
02/18/22
Date
Camp Cale bulkhead
Project
Name
d. (1) Will wetlands be crossed in transporting equipment to project
site? ❑Yes NNo DNA
(ii) if yes, explain steps that will be taken to avoid or minimize
environmental impacts.
Authorized agent - Doug Dorman
Applicant Name
Applicant rem
252-808.2808 :: 1-888-4RCOAST n www.nccoastalmanagemern.net revised: 12126/06

WX 16 PAGE 59G
W TISLE
EXAMINATION
,H .t •a Hoer � EwS, JP.
IINORTH CAROLINA
II PERQUIMANS COUNTY
THIS DEED, made this the 17th day of February, 1995, by and
between THE CHOWAN BAPTIST ASSOCIATION, (also known as CHOWAN
BAPTIST ASSO(MATION), an unincorporated religious association,
acting through its Trustees who are JIM M. HARE, ZACK D.
ROBERTSON, OR. and CHARLES CALF, Grantor to CHOWAN BAPTIST
ASSOCIATION, a North Carolina non-profit Corporation, with an
'office located at 210 Berry Street, Hertford, NC 27944, Grantee;
W I T N E S S E T H:
That the Grantor in consideration of $1.00 and other
valuable consideration to it paid by the Grantee, the receipt of
which is hereby acknowledged, have bargained and sold, and do
hereby bargain, sell and convey to the Grantee, its successors
and assigns, the following described land in Perquimans County,
North Carolina, and being more particularly described as
follows:
IN THE TOWN OF HERTFORD, BETHEL TOWNSHIP, PEROUIMANS
COUNTY, NORTH CAROLINA:
BEGINNING at an iron pipe on the northwestern edge of the
right of way of Berry Street, said iron pipe being
southwesterly 470.3 feet as measured along the
northwestern edge of the right of way of Berry Street
from the southwestern edge of the right of way of State
Road 1336, said iron pipe also being at the southernmost
corner of the lot previously conveyed to Paul Smith at ux
and Barry Jones, thence from said iron pipe South 550 44'
58" West 100 feet along the northwestern edge of the
right of way of Berry Street to a concrete marker, thence
North 330 36' 53" West 241.74 feet to an iron stake,
thence North 550 44' 58" East 100 feet to an iron pipe at
the westernmost corner of the lot conveyed to Paul Smith
at ux and Barry Jones, thence South 330 36' 53" East
241.74 feet along the southwestern boundary of the Smith
and Jones lot to an iron pipe at the northwestern edge of
the right of way of Berry Street, said iron pipe being at
the southernmost corner of the Smith and Jones lot, the
place of beginning. This lot contains 0.5550 of an acre
and is shown on the plat of Eugene N. Jordan, Reg.
Surveyor, entitled "Chowan Baptist Association Lot" dated
February 1, 1989 which is recorded in Plat Cabinet 2,
Slide 16, Map 5 in the Perquimans County Registry and
made a part hereof by reference. For further description
and chain of title, see the deed recorded in Real Estate
Book 129, page 595 in the Perquimans County Registry.
IN NEW HOPE TOWNSHIP. PEROUIMANS COUNTY, NORTH CAROLINA:
Tract 1: Parcel A, containing 26.53 acres as shown on
the plat entitled "Plat of the property of James H. and
Elaine M. Cale, situated in Perquimans County" and
recorded in Deed Book 46, page 378A in the Perquimans
County Registry. For further description and chain of
title, see the deed recorded in Deed Book 51, page 287 in
said Registry.
DEC 15 YU21
Npr L.

auun 1firnct 597
NpIP RY
nsx
PUBUc
NOIhRY
PUBLIC
MAIIHEWa lP
Tract 2. Parcel B, containing 49.47 acres as shown on
the plat entitled "Plat of the property of James "E.and
Elaine M. Cale situated in Perquimans County" and
recorded Deed Book 46, page 378A in the Perquimans County
Registry. For further description and chain of title, see
the deeds recorded in Deed Book 46, page 377 and Deed'
Book 48, page 133 of said Registry. This tract is
conveyed subject to the easements of way described in the
aforesaid deeds.
To have; and to hold the aforesaid lot or parcel of land and
all improvements, privileges and appurtenances thereunto
belonging to it the said Grantee, its successors and assigns in
fee simple.
IN WITNESS WHEREOF, the Trustees on behalf of the Grantor
have hereunto set their hands and seals, the day and year first
above written
THE CHOWAN BAPTIST ASSOCIATION
G_. -(SEAL)
M M., HARE, Trustee
(SEAL)
-Z CR D ROBERTSON, J .,
rustee yy
By:,�(�D_s__ (SEAL)
CHARLES CALE, Trustee
NORTH CAROLINA
PERQUIMANS COUNTY
,
I, Shelia S. Harrell , a Notary Public, do hereby
certify that JIM RARE, Trustee, personally appeared before me
&is day and acknowledged the due execution of the foregoing
Witness my hand and official stamp or seal, this Bth day
f March , 1995.
My commission expires: 1-21-96 dJ}� I�11L
Notary Public
NORTH CAROLINA
PERQUIMANS COUNTY
I, Shelia S. Harrell , a Notary Public, do hereby
fy that ZACK D. ROBERTSON, JR., Trustee, personally
red before me this day and acknowledged the due execution
e foregoing deed.
1J' Witness my hand and official stamp or seal, this 7th day
)�"Af March 1995.
My commission expires:1-21-96
Notary Public
DrcC 1 5 2D21
5

Box 162YAc¢ 598
NUTAflY
e++
Puouc
,4 V MATTHEWS
NORTH CAROLINA
PERQUIMANS COUNTY
I, Shelia S. Harrell , a Notary Public, do hereby
certify that CIUIRLES CALE, TRUSTEE, personally appeared before
W.me this day and acknowledged the due execution of the foregoing
.deed.
411++ Witness my hand and official stamp or seal; this 28th day
4f February__, 1995.
L
F My commission expires:1-21-96 ..
Notary Public
NORTH CAROLINA
PERQUIMANS COUNTY
The foregoing certificates of SHELIA S. HARRELL a Notary
Public of Perquimans County, N.C. are certified to be correct.
This instrument was presented for registration this day and hour
and duly recorded in the office of the Register of Deeds of
Perquimane County, N.C. in Book 162, Page 596. This 23rd day of
March, 1995 at: 3:37 o'clock p.m/////.JJJ
REBORAHGISTER
S. REED BY
REGISTER OF DEEDS Deputy
c
p�C i 5 2°21

MAJOR PERMIT FEE MATRIX
ADDHCant: 01 h mn�) Cw
Selection
Developm4or
DCM %
DWQ
(14300 1601 435100093 1625 6253)
(24300 1602 435100095 2341)
I. Private, non-
development th
100% ($250)
0% ($0)
involve the fillin
excavation of any wetlands
or o an water areas:
Il. Public or commercial
❑
development that does not
$400
100% ($400)
0% ($0)
involve the filling or
excavation of any wetlands
or open water areas:
❑
Major Modification to a
$250
100% ($250)
0% ($0)
CAM A Major ermit
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-
cEl ommercial development, if
$250
100% ($250)
0% ($0)
General Water Quality
Certification No. 4175 (See
attached) can be applied:
III(B). Public or commercial
development, if General
$400
100% ($400)
0% ($0)
rLPWater
Quality Certification
No. 4175 (See attached)
can be a lied: :
II(C). If General Water
❑
Quality Certification No.
$400
60% ($240)
40% ($160)
4175 (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
a uatic life:
III(D). If General Water
Quality Certification No.
$400
60% ($240)
40% ($160)
4175 (see attached) cannot
be applied:
IV. For development that
involves the filling and/or
$475
60% ($285)
40% ($190)
excavation of more than
one acre of wetlands and/or
o en water areas:

9
Received From: _
Permit No.:
Applicant's Name:
Project Address: _
NC Division of Coastal Management
Cashier's Official Receipt
AB C D
Date: Nw 7-2 20 -
$ til
Check No.: ¢? 4 *�) l tt:
County: i. AAA vvt&4',
i !-7.
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant:
Signature of Field Representative:
Date:
Date:

AUTHORIZATION TO ACT AS REPRESENTATIVE FORM
Property Legal Description:
DEED BOOK: 162 PAGE NO: 596
PIN NO's.: 7878-71-9011
PROPERTY STREET ADRESS: 377 Camp Cale Road, Hertford, NC 27944
Please Print:
Property Owner: Chowan Baptist Association
Property Owner:
FEB 2 1 2022
DCM—EC
The undersigned property owners of the above noted property, so hereby authorize
Doug Dorman of Atlantic Environmental Consultants, LLC to,
(Contractor/Agent) (Name of consulting firm)
1. Acton my behalf and take all actions necessary for the processing, issuance and
acceptance of permits and/or certifications and any all standard and special
conditions attached.
2. Enter the property to obtain site information including inspections with regulatory
agencies (Dare County, North Carolina Department of Environmental Quality,
U.S. Army Corps of Engineers, etc.) for the purpose of obtaining permits and/or
certifications.
Property Owners Address (if different than property above):
377 Camn Cale Road. Hertford. NC 27944
Property Owners Telephone Number:
We hereby certify that the above information submitted in this application is true and
accurate to the best of our knowledge.
Authorized Signature and Title Authorized Signature and Title
Cc• �¢ 1�.-�c <-t-ur
Date: 2 a Z2 Date:

DATE: // /2 - 202
NAME: X � 7%o "n a S
ADDRESS: 377e o 4(c 4/
���
CITY: �L� dt sT /v� zip 7tyy DEC 1 5 2021
RE: e-, /k tiC
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that ea ,n D ra /e is applying for
a CAMA Major permit to
on property located at
r/i
which is adjacent to your property. A copy of the application and project drawing(s) is enclosed for your review. If you have no
objections to the proposed activity, please mark the appropriate statement below and return to:
r is le 77 �� �,� is /e ��. �c ���m d/UC2 7f9gas soon as possible.
If no comments are received within 30 days of receipt of this notice, it will be considered that you have no comments regarding this
project. If you have objections or comments, please mark the appropriate statement below and send your correspondence to the NC
Division of Coastal Management at 401 S. Griffin St., Ste 300., Elizabeth City, NC 27909. If you have questions about the project,
please do not hesitate to contact me at 252-33 `/- 70-2 ( or the Division of Coastal Management at 252-264-3901.
Sincerely,
;i�77`t �' -J A 5
I have no objection to the project as described.
I have objection(s) to the project as described.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do wish to waive the 15' setback requirement. � S 1 do not wish to waive the 15' setback requirement.
Gcg2K N- SLLKtA
Print Name Signatur of Adjao6aWroperty Owner
?(I ezopa ST• &F-L#-4o#xr rJL 2to7-
Mailing Address and/or Email Address
G(ctrl[Sk...i�aer4 @ w5n •to.�
3$ 00%4 21
Date
c4Z5-65 2,-321,4
Phone Number

DATE: l/- /2 - 2 oL
NAME:,//l�E
ADDRESS: 3 77 ea, it <le���
CITY: } f �o d( ST ry L ZIP 2 Zffl
l
To Whom It May Concern:
NAME)
This correspondence is to notify you as a riparian property owner that 6r P k 4 is applying for
(insert property owner name or company)
a CAMA Major permit to 14 e- e cut r e - `� 6
{insert project description)
on property located at
{insert roperty address I county)
which is adjacent to your property. A copy of the application and project drawing(s) is enclosed for your review. If you have no
objections to the proposed activity, please mark the appropriate statement below and return to:
_;; I�4 ��aM k 5' as soon as possible.
{insert name of responsible party)
If no comments are received within 30 days of receipt of this notice, it will be considered that you have no comments regarding this
project. If you have objections or comments, please mark the appropriate statement below and send your correspondence to the NC
Division of Coastal Management at 401 S. Griffin St., Ste 300., Elizabeth City, NC 27909. If you have questions about the project,
please do not hesitate to contact me at2 S2 - 33Y 7622— (insert phone number) or the Division of Coastal Management at 252-
264-3901. 0r"
Sincerely, 9 C'' \T
/ �7,
INSERT NAME
— I have no objection to the project as described.
DEC 11 '1041
I have objection(s) to the project as described.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
Print Name
I do wish to waive the 15' setback requirement.
Email Address
Adjacent Property Owner
I do not wish to waive the 15' setback requirement.
/0-
Date
3 1 z 1135-7
Phone Number

0
E
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i