82-14 Burtner, Sharon

Permit Class Permit Number
NEW 82-14
STATE OF NORTH CAROLINA
Department of Environment and Natural Resources
and
Coastal Resources Commission
erMtt
for (9
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 Sharon Burtner,12035 Waples Mill Road, Oakton, VA 22124 2117
Authorizing development in Perauimans County adj. to the Little River, at 1234 Otter Way,
New Hone Township , as requested in the pennittee's application dated 6/24/14 including the
attached workplan drawing (2), 1 dated 6/10/14 and 1 dated 6/11/14.
This permit, issued on September 212014 , 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.
1) In accordance with the permittee's email dated 9/7/17, the original proposal to fill non -coastal
wetlands is hereby removed from this project. Any reference to the wetland fill in the attached
application is hereby null and void.
Observation Pier
2) Unless specifically altered herein, this permit authorizes the construction of the observation pier
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 reconfigured
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.
3) No attempt will 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.
(See attached sheet for Additional Conditions)
This permit action may be appealed by the permittee or
other qualified persons within twenty (20) days of the issuing
date. An appeal requires resolution prior to work initiation or
continuance as the case may be.
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, 2017
the authority of the Secretary of DENR
of the Coastal Resources Commission.
r V'
P% w
Braxton C. Davis, Director
Division of Coastal Management
RECENEIDhis permit and its conditions are hereby accepted.
SEP 2 91014
DCM-MHD CITY
In issuing this permit, the State of North Carolina agrees
that your project is consistent with the North Carolina Coastal
Management Program. Signature of Permittee

Sharon Burtner Permit # 82-14
Page 2 of 2
ADDITIONAL CONDITIONS
4) The permittee shall maintain the authorized work in good condition and in conformance with the terms
and waditions of this permit. The permittee is not relieved of this requirement if he abandons the
pe tttivity without having it transferred to a third party.
5) ThR e t 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.
6) The permttee 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.
7) This permit does not authorize any formalized boat slips.
General
8) 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.
9) The permittee understands and agrees that, if future operations by the United States requires the
removal, relocation, or other alteration of the structure or work authorized by this permit, or if in the
opinion of the Secretary of the Army or his authorized representative, said structure or work shall cause
unreasonable obstruction to free navigation of the navigable waters, the permittee will be required, upon
due notice from the Corps of Engineers, to remove, relocate or alter the structural work or obstructions
caused thereby, without expense to the United States or the state of North Carolina. No claim shall be
made against the United States or the state of North Carolina on account of any such removal or
alteration.
10) 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.
11) The permittee and/or his contractor shall meet with a representative of the Division prior to project
initiation in order to discuss the conditions set forth in this permit.
NOTE: This permit does not eliminate the need to obtain any additional state, federal or local permits,
approvals or authorizations that may be required.
NOTE: 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: The U.S. Army Corps of Engineers authorized the proposed project under COE Action Id. No.
SAW-2201401381.

Pekmit Class
NEW
PermitNumber
82-14
STATE OF NORTH CAROLINA
Department of Environment and Natural Resources
and
• 4 �,` $! j{y
4
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 Sharon Burtner, 12035 Waprles Mill Road, Oakton, VA 22124 2117
Authorizing development in Perauimans County adi. to the Little River, at 1234 Otter Way,
New Hope Township as requested in the permittee's application dated 6/24/14, includingthe
he
attached worknlan drawing (2). 1 dated 6/10/14 and 1 dated 6/11/14.
This permit, issued on September 22, 2014 , 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
ie subject to tines, imprisonment or civil action; or may cause me permit to be null ana voia.
1) In accordance with the permittee's email dated 9/7/17, the original proposal to fill non -coastal
wetlands is hereby removed from this project. Any reference to the wetland fill in the attached
application is hereby null and void.
Observation Fier
2) Unless specifically altered herein, this permit, authorizes the constructiori of the observation pier
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 reconfigured
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.
3) No attempt will 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.
(See attached sheet for Additional Conditions)
This permit action may be appealed by the permittee or Signed by the authority of the Secretary of DENR and the
other qualified persons within twenty (20) days of the issuing
date. An appeal requires resolution prior to work initiation or
continuance as the case may be.
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, 2017
in issuing this permit, the State of North Carolina agrees
that your project is consistent with the North Carolina Coastal
Management Program.
Chairman of the Coastal Resources Commission.
�;� Braxton C. Davis, Director
Division of Coastal Management
This permit and its conditions are hereby accepted.
Signature of Permittee

Sharon Burtner
ADDITIONAL CONIDITIONS
Permit # 82-14
Page 2 of 2
4) The permittee 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.
5) 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.
6) 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.
7) This permit does not authorize any formalized boat slips.
General
8) 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.
9) The permittee understands and agrees that, if future operations by the United States requires the
removal, relocation, or other alteration of the structure or work authorized by this permit, or if in the
opinion of the Secretary of the Army or his authorized representative, said structure or work shall cause
unreasonable obstruction to free navigation of the navigable waters, the permittee will be required, upon
due notice from the Corps of Engineers, to remove, relocate or alter the structural work or obstructions
caused thereby, without expense to the United States or the state of North Carolina. No claim shall be
made against the United States or the state of North Carolina on account of any such removal or
alteration.
10) 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.
11) The permittee and/or his contractor shall meet with a representative of the Division prior to project
initiation in order to discuss the conditions set forth in this permit.
NOTE: This permit does not eliminate the need to obtain any additional state, federal or local permits,
approvals or authorizations that may be required.
NOTE: 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: The U.S. Army Corps of Engineers authorized the proposed project under COE Action Id. No.
SAW-2201401381.

Project Narrative for Partial Fill of Wetlands on 123 Otter Way, Hertford, NC, Lot #48
I seek permission to fill half of the wetlands on my property. I believe this is the best way to both
respect the environment and secure more usable land. The wetlands leading into the water will be
unaffected; thus providing a natural filter and other wetlands benefits. The half extending further onto
my property and leading to my proposed pier I would like to fill. When I was sold the property I was
assured that it was all solid land. Although you are not responsible for what has been told me, I do
believe that this compromise of letting half remain as is, particularly as that half is the most important
half to retain the benefits of the wetlands, and filling the other half, which doesn't even look like
wetlands most of the year, is an appropriate plan of action. Actually, the entire wetlands on my
property is of negligible consequence, given its size and location.
Please let me know if you have any further questions or if I can be of service in any way.
Thank you for carefully considering this request.
Respectfully,
Sharon Burtner
12035 Waples Mill Road
Oakton, VA 22124-2117
703-380-8337
[e-mail]
rJ
URECEM x
L 21 2014
DCM-MO MY
JUN 3 0 2014
I

NO MP-1
APPLICATION for
Major Development Permit
(last revised 12127/06)
..
L JUN 3 0 2014 r y
North Carolina DIVISION OF -COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Project Name (if applicable)
N/A
N/A
Applicant 1: First Name `
MI
Last Name
Sharon
P
Burtner
Applicant 2: First Name
MI -
Last Name
It additional applicants, please attach an additional pages) with names listed.
city
Mailing Address
PO Box
State
12035 Waples Mill Road
Virginia
Oakton
ZIP
Country
Phone No.
FAX No.
22124 2117
us
703 - 380 - 8337 ext.
Street Address (d different from above)
City
State
ZIP
Email
[e-mail]
2. Agent/Contractor Information
Business Name
N/A
Agent/ Contractor 1: First Name
MI
Last Name
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
ZIP
Phone No. 1
- - ext.
Phone No. 2
- - ext.
FAX No.
Contractor #
Street Address (d diflererd from above)
RECENED
City
State
ZIP
-
Email -
DC1IhH*?ffl, continues on back>
252-808.2806 .. 1-888-4RCOAST ., wwty. nccoastalmanagement. net

Form DCM MP-1 (Page $ofJ)
APPLICATION for
Major Development Permit
JUN 3 0 2014
3 Location
, tProject
County (can be multiple)
Street Address iTState
Rd. #
Perquimans
123 Otter Way
None -Private
Subdivision Name
City
State.
Zip
Rivers Edge II
Hertford
NC
27944 -
Phone No.
Lot No.(s) (if many, attach additional page with list)
703 - 380 - 8337 ext.
48,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Pasquotank
Little River
c. Is the water body identifleb in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
®Natural ❑Manmade ❑Unknown
Albemarle Sound
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
®Yes ❑No
work falls within.
Perquimans Co.
a. Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
136.61'
53,530
c. Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
53,530, 1 1
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
4-6' ❑NHW or ®NWL
e. Vegetation on tract
Domestic grass and ornamentals, and 404 wetland vegetation
f. Man-made features and uses now on tract
House and required infrastructure
g. Identify and describe the existing land uses ad'acen to the proposed project site.
Residential
h. How does local government zone the tract?
I. Is the proposed project consistent with the applicable zoning?
RA-43
(Attach zoning compliance certificate, if applicable)
®Yes []No ❑NA
j. 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>
262-808-2808 :: i-883-4RCOAST :: wwvt.nceoa stal man agement.net

Form DCM MP-1 (Page3 oil)
APPLICATION for
Major Development Permit
m. (I) Are there wetlands on the site? ®Yes []No
(ii) Are there coastal wetlands on the site? []Yes ®No
(iii) If yes to either (i) or (ii) above, has a delineation been conducted? ®Yes ❑No
(Attach documentation, it available)
n. Describe existing wastewater treatment facilities.
Septic
o. Describe existing drinking water supply source.
County water
p. Describe existing storm water management or treatment systems.
Ditch along front of property
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? 1
❑Commercial ❑Public(Govemment
®Prvate/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete:
I will filll0_05 acres of non -coastal wetlands adjacent to the Little River, in addition to constructing a 384 sq It pier with T-head
for residential use.
REDVGtt7 : RLL. IN WET7A"OS = .0454 AC
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.
Excavator, backhoe, various hand and power tools.
d. List all development activities you propose.
1. Fill a portion of 404 wetlands.
2. Build a pier with T-head.
e. Are the proposed activities maintenance of an existing project, new work, or both?
New
f. What is the approximate total disturbed land area resulting from the proposed project?
—0.0ray- ❑Sq.Ft or SAcres
oq Sq
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. Descdbe location and type of existing and proposed discharges to waters of the state.
None
I. Will wastewater or stormwater be discharged into a wetland?
❑Yes ®No ❑NA
If yes, will this discharged water be of the same salinity as the receiving water?
❑Yes ❑No ❑NA
j. Is there any mitigation proposed?
[]Yes ®No ❑NA
If yes, attach a mitigation proposal.
JUL &Nontinues on back>
252-808.2808 :: 1.888-4 rWAST .: www. nccoasta lma nagement. net

Form DCM MP-1 (Pagel ofld)
APPLICATION for '
Major Development Permit'
III& nallnformation:
in addition this compfeted apphrafion form (MP 1}the following gems below, if applicable must be subm+tted in orderfor the application
package to;be complete: Items (a),=:(fJ are always applicable to any ma/or developm htappkcahon Please consult the appkcation
+nstructionbookletonhowtopropedyprel5arelhe:regwrod;ifemsbelow
a A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with thelarea to the site.
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
I. 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.
r N-am eTravrs White-',,,!' Phone No ,
Address1004AustinLeeCucle,Eliza athCity NC27909` a.
Name Glenn and Connie Lamb r Phone No.
Address 1242 Lake Road, Herford, NC 27944
phone No -�
r
Address '
;f • i
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, perrnittee, and issuing dates.
GP#58757A
h. Signed consultant or agent authorization form, if applicable.
I. Wetland delineation, if necessary. -
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10). if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
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 June 24, 2014 Print Name Sharon Burtner
Signature • y /t'-
j
Please indicate application attachments pertaining to your proposed project.
®DCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and ulve
®DCM MP-3 Upland Development I SON 3 O 2014�
®DCM MP-4 Structures Information
252-805.260& .. 'u-88E-4 t�Cak3't' .. wvv Yi�.nceoasta6managememt.neY

Form DCM MP-2
EXCAVATION and FILL JUN 30 2014
--- -- I
for bridges and culverts --__J
(Except 9 )
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to Mete all otherseefiensoi-the Joint
Application that relate to this proposed project. Please include all supplemental information.
Describe below the purpose of proposed excavation and/or fill activities. All values should be given in feet
Access
Other
Channel
(NLW or
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
Breakwater
(excluding
shoreline
NWL
stabilization
Length
Width
Avg. Existing
NA
NA
Dept
Final Project
Depth
1. EXCAVATION ®This section not applicable
a. Amount of material to be excavated from below NHW or NWL in b. Type of material to be excavated.
cubic yards.
c. (i) Does the area to be excavated include coastal wetlands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
- ❑WL []None
(it) Describe the purpose of the excavation in these areas:
2. DISPOSALOFEXCAVATED MATERIAL
a. Location of disposal area.
c. (i) Do you claim title to disposal area?
❑Yes ❑No ❑NA
(ii) If no, attach a letter granting permission from the owner
(i) Does the disposal area include any coastal wetlandstmarsh
(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 _ ❑S8
OWL _ ❑None
(ii) Describe the purpose of disposal in these areas:
d. High -ground excavation in cubic yards.
®This section notapplicable
b. Dimensions of disposal area.
d. (i) Will a disposal area be available for future maintenance?
❑Yes []No ❑NA
(ii) If yes, where?
f. (i) Does the disposal include any area in the water?
❑Yes ❑No ❑NA
(ii) If yes, how much water area is affected?
'JUL 2 1 ? - 4
DCM•MHfi r1-,,,
252-806.2808 :: 1-888-4PCOAST :: www.nccoastatmanaaement-net:. revised: 1212606

Fof-m 0CM VIQP-2 (Ercairation and FiU, Fagc 2 ©: 2)
3 SHORELINESTABILIZATION10,This sectipn npt applicable,
(If development rs -400d grorn,'use MP 4 ,Struc37
tures):
a. TVDe of shoreline stabilization: b. Length:
[]Bulkhead ❑Riprap ❑Breakwater/Sill ❑Other. Width: _
c. Average distance waterward of NHW or NWL: d. Maximum distance waterward of NHW or NWL:
e. Type of stabilization material:' I. (i) Has there been shorelineerosion during preceding 12
months?
[]Yes ❑No ❑NA
(ii) If yes, state amount of erosion and source of erosion amount
information.
g. Number of square feet of filRo be placed below water level. h. Type of fill material.
Bulkhead backfll_ Riprap_
Breakwater/Sill_ Other_
L Source of fill material.
B '- OTllER FILL ACTIVITIES pThrs sed�on not applrcable
(Exc t(drpg Shoh§#ne_ Stabilization) r '
a.� (i) Will fill material be brought to the site? ®Yes ❑No ❑NA b, e (1) Will fill material be placed in coastal wetlands/marsh (CW), '
If yes,
(ii) Amount of material to be placed in the water None
(III) Dimensions of fill area irregular
(iv) Purpose of fill
See b.(ii)
a. How will excavated or fill material be kept on
controlled?
Seed and vegetate. Silt Fence.
c. (i) Will navigational aids be required as a result of the project?
❑Yes ❑No ®NA
(ii) If yes, explain what type and how they will be implemented.
suomergea aquatic vegetation (z Av), sneu ootrom (stt), or
other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
®WL 0.05 res ❑None
(ii) Describe tse of the fill in these areas:
improved access to pier
What type of construction equipment will be used (e.g., dragline,
backhoe, or hydraulic dredge)?
Bulldozer for grading. Fill
d. (i) Will wetlands be crossed in transporting equipment to project
site? ❑Yes ®No ❑NA
(ii) If yes, explain steps that will be taken to avoid or rpinimize
environmental impacts.
252-808-2808 :: 5-888-4RCOAST-:: vvvrw.nceoastafmanacement.net — "----fev3t�dT'E ZJ26/06

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 sureto.a
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.
0 S
c. Density (give the number of residential units and the units per
acre).
1
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 UNA
(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.
0
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.
Existing house and drive, no new impervious surfaces.
j. Describe proposed method of sewage disposal.
Existing septic
I. Describe location and type of proposed discharges to waters of the
state (e.g., surface runoff, sanitary wastewater, industriall
commercial effluent. "wash down' and residential discharges).
N/A
JUN
b. Number of lots or parcels.
1
30 2014
sections of the Joint
d. Size of area to be graded, filled, or disturbed including roads,
., 4jtches, etc. V-vq i zlem _
—0.4 acre total, including$95to be filled "�"O SF) and
0.05 of surrpunding land to be graded (2,178 SF)
f. List the materials (such as mad, paver stone, asphalt, or concrete)
to be used for impervious surfaces.
N/A
h. Projects that require a CAMA Major Development Penult may also
require a Stonnwater Certification.
(I) Has a site development plan been submitted to the Division of
Water Quality for review?
❑Yes ❑No UNA
(ii) If yes, list the date submitted:
k. Have the facilities described in Item (i) received state or local
approval?
❑Yes ❑No UNA
If yes, attach appropriate documentation.
m. Does the proposed project include an innovative stormwater
design?
[]Yes []No UNA
_I ch appropdate documentation.
A"
21 2014
JULDCKIMCny
252-808-28082 :: 1-8883RCOAST :: www.nccoastalmanaaement.net revised: 12126106

F Conn D'GM NhP-3 (U�Iand Gevelo ivic—itt, rage 2 a@2)
m. Describe proposed drinking water supply source (e.g., well,
community, public system, etc.)
Existing
o. When was the lot(s) platted and recorded?
2004
n. (1) Will water be impounded? ❑Yes ®No ❑NA
(ii) If yes, how many acres?
p. If proposed development is a subdivision, will additional utilities be
installed for this upland development?
❑Yes []No ®NA
AN 3 0 2014
2S2-808-2806 n 4-888-4RCOGST n wn .ncaoastatmanaaement.net revised:/2/26106

Form DCM MP-4 STRUCTURES i JUN 3 0 2014
(Construction within Public Trust Areas)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
1. DOCKING FACILITY/MARINA CHARACTERISTICS
a. (i) Is the docking facility/manna:
❑Commercial ❑PublicCovemment ®Private/Community
❑This section not applicable
b. (i) Will the facility be open to the general public?
[]Yes ®No
c. (i) Dock(s) and/or pier(s)
d. (i) Are Finger Piers included? ❑Yes ®No
(i) Number 1
If yes:
(iii) Length 32'
(it) Number _
(iv) Width 6'
(iii) Length)
(v) Floating ❑Yes ®No
IN) Width _
(v) Floating QYes ❑No
e. (i) Are Platforms included? ®Yes ❑No
f. (i) Are Boatlifts included? []Yes ®No
If yes:
If yes:
(ii) Number 1
(ii) Number
(iii) Length 12'
(iii) Length
(iv) Width 16'
(iv) Width
(v) Floating ❑Yes ®No
Note: Roofed areas are calculated from dripline dimensions.
g. (i) Number of slips proposed
In. Check all the types of services to be provided.
p
❑ Full service, including travel lift and/or rail, repair or
(i) Number of slips existing
maintenance service
0
❑ Dockage, fuel, and marine supplies
❑ Dockage Net slips) only, number of slips:
❑ Dry storage; number of boats:
❑ Boat ramp(s); number of boat ramps:
❑ Other, please describe:
N/A
I. Check the proposed type of siting:
❑ Land cut and access channel
❑Open water; dredging for basin and/or channel
®Open water; no dredging required
❑Other; please describe:
k. Typical boat length: N/A
m. () Will the facility have tie pilings?
[--]Yes ®No
(i) If yes number of tie pilings?
I. Describe the typical boats to be served (e.g., open runabout,
charter boats, sail boats, mixed types).
N/A
I. (1) Will the facility be open to the general public?
f.
JUL 21 2014
MUMMY
262-808-2806 :: 1-888-4nCOAST :: www.nccoastalmananement.net revised: 12/27/06

Form DC[T1 € P-4 (Structures, Page 2 of 4)
a. Check each of the following sanitary facilities that will be included in the proposed project.
❑ 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.
c. Describe the disposal of solid waste, fish offal and trash.
d. How will oyerboard 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 he the marina 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 marinaldocking facility proposed within a primary or secondary nursery area?
❑Yes ❑No
252-808-2806 :: 1E-888-411COAST :: wvwwr.nccoastal nansgiament.nef revised: 12/27/66

r-ortfa Lit; M MP-4 (Structures, Page 3 of 411
n. Is the marina/docking facility proposed within or adjacent to any shellfish harvesting area?
❑Yes []No
o. Is the madna/dodking 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 _ ❑SAV ❑SB
OWL _ ❑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 lilts)
a. (i) Is the boathouse structure(s):
❑Commercial ❑Public'Govemment ❑Private/Community
(it) Number _
(iii) Length
(iv) Width
Note: Rooted areas are calculated from dripline dimensions.
)
® This section not applicable
14.'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 or wetlands
6. MOORING PILINGS and BUOYS 0This section not applicable
a. Is the structure(s):
[]Commercial ❑Public/Govemment ❑Private/Community
C. Distance to be placed beyond shoreline
Note: This should be measured from marsh edge, if present.
e. Arc of the swing
7. GENERAL
b. Number
d. Description of buoy (color, inscription, size, anchor, etc.)
JUL 21 2014
DCMMHDCITY
2E2-808-2601 :: 1-&S&4RCOAST c www.neeoastalmanagement.net revised: 1227106

Form DGM IP-4 (5erucCures, Vzge 4 of 4)
a. Proximity of structure(s) to adjacent riparian property lines
60,
Note: For buoy or mooring piling, use arc of swing including length
of vessel.
c. Widthof water body
>1 mile
e. (i) Will navigational aids be required as a result of the project?
[-]Yes [-]No ❑NA
(ii) If yes, explain what type and how they will be implemented.
a. Give complete description:
b. Proximity of structure(s) to adjacent docking facilities.
>50'
d. Water depth at walerward end of structure at NLW or NWL
2' aporoxlmately
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�..
NC®ENR
North Carolina Department of Environment and
Pat McCrory
Governor
September 22, 2014
Sharon Burtner
12035 Waples Mill Rd.
Oakton, VA 22124-2117
Dear Sir or Madam:
Natural Resources
John E. Skvarla, III
Secretary
The enclosed permit constitutes authorization under the Coastal Area Management Act, and where
applicable, the State Dredge and Fill Law, for you to proceed with your project proposal. The original (buff -colored
form) is retained by you and it must be available on site when the project is inspected for compliance. Please sign
both the original and the copy and return the copy to this office in the enclosed envelope. Signing the permit and
proceeding means you have waived your right of appeal described below.
If you object to the permit or any of the conditions, you may request a hearing pursuant to NCGS 113A-
121.1 or 113-229. Your petition for a hearing must be filed in accordance with NCGS Chapter 150B with the Office
of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27611-6714, [phone] within twenty
(20) days of this decision on your permit. You should also be aware that another qualified party may submit an
objection to the issuance of this permit within twenty (20) days. 1.
The project plan is subject to those conditions appearing on the permit form. Otherwise, all work must be
carried out in accordance with your application. Modifications, time extensions, and future maintenance requires
additional approval. Please read your permit carefully prior to starting work and review all project plans, as
approved. If you are having the work done by a contractor, it would be to your benefit to be sure that he fully
understands all permit requirements.
From time to time, Department personnel will visit the project site. To facilitate this review, we request that
you complete and mail the enclosed Notice Card just prior to work initiation. However, if questions arise
concerning permit conditions, environmental safeguards, or problem areas, you may contact Department personnel
at any time for assistance. By working in accordance with the permit, you will be helping to protect our vitally
important coastal resources.
Enclosure
Sincerely,
e- V, P;66 _-7,
Douglas V. Huggett
Major Permits and Consistency Manager
400 Commerce Avenue, Morehead City, NC 28557
Phone: [phone] \ Intemet: http://portal.nedenr.orehveb/em/
An Equal Opportunity 1 Affirrnalive Action Employer— Made in pan by recycled paper

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
APPLICANT'S NAME: Sharon P. Burtner
2. LOCATION OF PROJECT SITE: 123 Otter Way, Rivers Edge Subdivision in New Hope Township,
Perquimans County, North Carolina
Photo Index: 2006: N/A 2000:162-17.36 Q14 & R141995:162-1664 Q19 1989: 1 21-14 H15 & 115
1984: 118-828 J18 & K18
State Plane Coordinates: X: 3200 2814105.225ftUSE Y: 885621.269ftUSN
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit: July 1, 2014
Was Applicant Present: No
5. . PROCESSING PROCEDURE: Application Received Complete: Julyq, 2014
Office: Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan: Perquimans County
LUP Land Classification: Residential Agricultural
(B) AEC(s) Involved: Estuarine Water, Public Trust Water and Estuarine Shoreline
(C) Water Dependent: Yes: Pier and Platform and No: Non -coastal wetland fill
(D) Intended Use: Private Residential
(E) Wastewater Treatment: Existing: Septic
Planned: None
(F) Type of Structures: Existing: House
Planned: Pier and platform
(G) Estimated Annual Rate of Erosion: NIA
HABITAT DESCRIPTION: [AREA]
DREDGED FILLED SHADE
(A) Vegetated Wetlands:
Dirt Fill: 2,000sf
(Non -Coastal)
(B) Non -Vegetated Wetlands:
Pier & Platform: 384sf
(Open Water)
(C) Other: (High Ground)I
Grading: 2,178sf
I I
Walkway to Pier: 60sf
J
(D) Total Area Disturbed: 4,622sf (A I Acre)
(E) Primary Nursery Area: No
(F) Water Classification: SC Open: No
8. PROJECT SUMMARY: The applicant proposes to fill 2,000sf of non -coastal wetlands in order to obtain direct
access to a proposed 6' x 32' pier with a 12' x 16' platform in the Little River. Project will also include a 6' x
10' access walkway to the pier and an additional 2,178sf of grading adjacent to the wetland fill area.

Sharon Burtner
Field Investigation Report
Page 2
Project Setting
The subject property is located at 123 Otter Way, Rivers Edge,Subdi vision (a small waterfront residential community), adjacent
to the Little River, in New Hope Township, Perquimans County, North Carolina. The lot is 53,530 square feet upon which the
owner has constructed a single family residence with associated infrastructure approximately 175' landward of normal water
level.
Located to the north of the applicant's property is the Little River, to the east and west are undeveloped residential lots, and to
the south is a private residential street (Otter Way). On March 22, 2012, General Permit #58757A was issued to the applicant
to placed riprap along 153' of shoreline for erosion control. The alignmentties into riprap on the adjacent property to the west
and into a bulkhead on the east side of the property.
Vegetation of the property is predominantly domestic grasses with the exception of an area of delineated non -coastal wetlands
located adjacent to the Little River. in the northwest corner of the applicant's property. Vegetation in this area includes, but is
not limited to, broad-leaved cattail (Typha latifolia), narrow -leaved cattail (Typha angustifolia), crimson eyed rose mallow
(Hibiscus palustris), wax myrtle (Myrica cerifera), poison ivy (Toxicodendron radicans), pennywort (Hydrocotyle umbellate),
smart weed (Polygonum ssp.), spike rush (Eleochads tuberculosa), prickley sow thistle (Sonchus asper), and catbrier (Smilax
bona-nox).
The average elevation of the applicant's property is 3' above normal water level, general flat and located within the AE Special
Flood Hazard Area. There are no unusual geologic formations on the property, and no identified archeological or historical
sites on or near the property.
Develooment Pr000sal
The applicant proposes to construct a 6' x 32' pier with a 12' x 16' platform in the Little River that will be accessed by a 6' wide
walkway approximately 10' in length that will cross the existing riprap alignment. The pier, as proposed, will be located in the
center of the lot and will have a small area of non -coastal wetlands between the dwelling and the pier. The applicant proposes
to fill 2,OOOsf of noncoastal wetlands to provide a straight access from the dwelling to the proposed pier. An additional 2,178sf
of high ground will we fill in conjunction with the wetland fill activity if approved.
High Ground Shading: 6' x 10' = 60sf
Non -coastal Wetland Fill: 2,OOOsf
High Ground Disturbance
(in conjunction with wetland fill): 2,178sf
Open Water Shading: Pier 6' x 32' = 192sf
Platform 12' x 16' = 192sf
Total: 4,622sf
Anticipated Impacts
1) Shading of 384sf of water bottom from the proposed pier and platform.
2) Shading of 60sf of high ground.
3) Loss of 2,OOOsf of non -coastal wetlands.
4) High ground disturbance 2,178sf.
5) Installation of the proposed pier and platform will result in temporally suspending sediments in the water.
Submitted by: Lynn W. Mathis
Date: July 14, 2014

DIVISION OF COASTAL MANAGEMENT
APPLICATION TRANSMITTAL AND PROCESSING RECORD
A) APPLICANT: Sharon Burtner County: Perquimans
LOCATION OF PROJECT: 123 Otter Way, Rivers Edge S/D, New Hope Township
DATE APPLICATION RECEIVED COMPLETE BY FIELD REP: 07/09/14
FIELD RECOMMENDATION: Attached: YES To Be Forwarded: NO
CONSISTENCY DETERMINATION: Attached: NO To Be Forwarded: YES
FIELD REPRESENTATIVE: Lynn Mathis DI TRICT OFFICE: Elizabeth City
DISTRICT MANAGER REVIEW: Date: / / 7 ^F
B) DATE RECEIVED BY MAJOR PERMITS UNrr: FEE REC'D: $ 250 (100%)
PUBLIC NOTICE RECD: Advertise: 07/23/14 END OF NOTICE DATE: Comments due: 08/12/14
ADJ. RIP. PROP NOTICES REC'D: DEED RECD:
APPLICATION ASSIGNED TO: 0S6L ON: i
C) 75 DAY DEADLINE: 09/22/14
MAIL OUT DATE: Circulation: 07/16/14
FEDERAL DUE DATE:
150 DAY DEADLINE:
STATE DUE DATE: Comments due: 08/06/14
FED COMMENTS RECD:
PERMIT FINAL ACTION: ISSUE DENY
DRAFT ON
AGENCY
DATE
COMMENTS
RETURNED
OBJECTIONS:
YES NO
NOTES
Coastal Management - Regional Representative
Coastal Management - LUP Consistency
Division of Community Assistance
Land Quality Section
Division of Water Quality
' Z
Storm Water Management (DWQ)
State Property Office
Division of Archives & History
Division of Environmental Health
Division of Highways
Wildlife Resources Commission
Local Permit Office
L 21 2014
44�w—xc
Division of Marine Fisheries
Corps of Engineers
//
1 1
1
(Di3�1

Pat McCrory
Governor
EWA
NCDENR
North Carolina Department of Environment and Natural Resources
MEMORANDUM
TO: Daniel Govoni, Assistant Major Permits Coordinator, NCDCM
THROUGH: Frank Jennings, District Manager, NCDCM 7-4?
FROM: Lynn Mathis, Field Specialist, NCDCMC%
DATE: July 14, 2014
SUBJECT: Sharon Burtner- CAMA Major Permit Recommendations
John E. Skvada, III
Secretary
The applicant proposes to construct a 6' x 32' pier with a 12' x 16' platform in the Little River that will be
accessed by a 6' wide walkway approximately 10' in length that will cross the existing riprap alignment.
The pier, as proposed, will be located in the center of the lot and will have a small area of non -coastal
wetlands between the dwelling and the pier. The applicant proposes to fill 2,000sf of the wetland to provide
a straight access from the dwelling to the proposed pier. An additional 2,178sf of high ground will we fill in
conjunction with the wetland fill activity if approved.
I have reviewed the rules as they pertain to wetland fill, piers and docks and would like to offer the
following:
15A NCAC 07H .0208 USE STANDARDS
(b) Specific Use Standards
(6) Piers and Docking Facilities.
(A) Piers shall not exceed six feet in width. Piers greater than six feet in width shall be permitted
only if the greater width is necessary for safe use, to improve public access, or to support a
water dependent use that cannot otherwise occur;
Consistent: The proposed width of the pier is 6'• 0"
(B) The total square footage of shaded impact for docks and mooring facilities (excluding the
pier) allowed shall be eight square feet per linear foot of shoreline with a maximum of 2,000
square feet. In calculating the shaded impact, uncovered open water slips shall not be counted
in the total. Projects requiring dimensions greater than those stated in this Rule shall be
permitted only if the greater dimensions are necessary for safe use, to improve public access,
or to support a water dependent use that cannot otherwise occur. Size restrictions shall not
apply to marinas;
Consistent: The total area of shading by the platform is well under the allowable limit.
(C) Piers and docking facilities over coastal wetlands shall be no wider than six feet and shall be
elevated at least three feet above any coastal wetland substrate as measured from the bottom
of the decking;
Consistent: The proposed boardwalk and walkways will cross no wetlands.
(D) A boathouse shall not exceed 400 square feet except to accommodate ted need for
a larger boathouse and shall have sides extending no farther than one %the
1367 US 17 South, Elizabeth City, NC 27909 ! J[I' .,
Phone: [phone] \ FAX: [phone] ; Internet: www.nccoastalmanagement.
An Equal Opportunity \ Affirmative Action Employer DPM-MfiDcny

CAMA Major Permit Recommendation
Sharon Burtner
July 14, 2014
Page 2 of 3
walls and covering only the top half of the walls.
Consistent: No boat house is proposed.
(E) The total area enclosed by an individual boat lift shall not exceed 400 square feet except to
accommodate a documented need for a larger boat lift;
Consistent: No Boatlifts have been proposed.
(F) Piers and docking facilities shall be single story. They may be roofed but shall not be
designed to allow second story use;
Consistent: No roofed areas are proposed.
(G) Pier and docking facility length shall be limited by:
(i) not extending beyond the established pier or docking facility length along the same
shoreline for similar use; (This restriction does not apply to piers 100 feet or less in
length unless necessary to avoid unreasonable interference with navigation or other
uses of the waters by the public);
Consistent: Proposed pier will be 32'.
(ii) not extending into the channel portion of the water body; and
Consistent: The channel portion of the water body will not be obstructed.
(iii) not extending more than one-fourth the width of a natural water body, or human made
canal or basin. Measurements to determine widths of the water body, canals or
basins shall be made from the water ward edge of any coastal wetland vegetation that
borders the water body.
Consistent: The proposed work will not impact the %with rule.
(H) Piers or docking facilities longer than 400 feet shall be permitted only if the proposed length
gives access to deeper water at a rate of at least 1 foot each 100 foot increment of length
longer than 400 feet, or, if the additional length is necessary to span some obstruction to
navigation.
Consistent: Proposed pier will only be 32' long.
(1) Piers and docking facilities shall not interfere with the access to any riparian property and
shall have a minimum setback of 15 feet between any part of the pier or docking facility and
the adjacent property owner's areas of riparian access.
Consistent: No other pier will be within 50' of the proposed pier and platform.
(J) Applicants for authorization to construct a pier or docking facility shall provide notice of the
permit application to the owner of any part of a shellfish franchise or lease over which the
proposed dock or pier would extend. The applicant shall allow the lease holder the
opportunity to mark a navigation route from the pier to the edge of the lease.
Consistent: There are no known shellfish franchises or leases within or adjacent to the
proposed marina.
15A NCAC 07H .0209 COASTAL SHORELINES
(d) (10) Within the Coastal Shorelines category (estuarine and public trust shoreline AECs), new
development shall be located a distance of 30 feet landward of the normal water level or
normal high water level, with the exception of the following:
(A) Water -dependent uses as described in Rule 07H .0208(a)(1) of this Section;
Inconsistent: The filling of wetlands for the purpose of obtaining high ground
access to a proposed pier is not consistent with this rule.
(G) Grading, excavation and landscaping with no wetland fill except when required by a
permitted shoreline stabilization project. Projects shall not increase stormwater runoff to
adjacent estuarine and public trust waters;

CAMA Major Permit Recommendation
Sharon Burtner
July 14, 2014
Page 3 of 3
Inconsistent: Shoreline stabilization exists on the applicant's property. Fill in this
case is to facilitate a straight walking path to a proposed pier and platform, and
maintain a clear view of the water.
I would like to recommend the following condition:
No wetland fill is authorized by this permit.
RBMWW 4
JUL 21 2014

�� ale
N C®ENR.
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory
Governor
701TW75O:eM- u
TO: Daniel Govoni, DCM Assistant Major Permits Coordinator
FROM: Jessi Baker, DCM Fisheries Resource Specialist 16
I
SUBJECT: 123 Otter Way, Perquimans County, NC
DATE: August 11, 2014
John E. Skvarla, III
Secretary
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
construct a pier, platform and walkway and to fill wetlands to a more direct route through the yard from the
house to the dock.
Wetlands are generally positioned in the landscape to provide the ecological function of filtering water runoff
from uplands, resulting in improved water quality. The proposed filling of wetlands are unnecessary and could
be avoided by moving the pier entrance south, bridging the wetland area, or traversing around the wetland to
access the pier in its proposed alignment.
It is recommended that the proposed wetland impacts be avoided. Please feel free to contact Jessi Baker at
[phone] ext. 213 or [e-mail] if you have any further questions or concerns.
400 Commerce Ave., Morehead City, NC 28557
Phone: [phone] FAX: [phone] Internet: wvnv.nccoastalmanagement.net f.
An Equal Opportunity 1 Affirmative Action Employer

_r
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory
Governor
John E. Skvarla, III
Secretary
August 7, 2014
MEMORANDUM:
To: Daniel Govoni
Assistant Major Permits Coordinator
Coastal Management Division
400 Commerce Avenue
Morehead City, NC 28557
From: Dyk Luben, P.E., Acting Regional Engineer, PWSS/WaRO
Subject: CAMA Application Review
Applicant: Sharon Burtner
Project Location: 123 Otter Way, in the Rivers Edge S/D in Perquimans County
Proposed Project: Fill non -coastal wetlands & construct a pier, platform, & walkway
REPLY: This office has no objection to the project as proposed.
X This office has no comment on the proposed project.
This office approves of the project only if the recommended changes are
incorporated. See attached.
This office objects to the project for reasons described in the attached
comments.
SIGNED DATE/
Public Water Supply Section
Washington Regional Office
943 Washington Square Mall, Washington, North Carolina 27889
Phone, 252-946-6481 1 FAX: [phone] Internet www.ncwater.org/pws/
An Equal opportunity \ Affirmative Action Employer
CAU
RECEIVED
G 11 2014
DCM-m Crry

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
APPLICANT'S NAME: Sharon P. Burtner
2. LOCATION OF PROJECT SITE: 123 Otter Way, Rivers Edge Subdivision in New Hope Township,
Perquimans County, North Carolina
Photo Index: 2006: N/A 2000: 162-1736 Q14 & R141995:162-1664 Q19 1989: 1 21-14 H15 & 115
1984: 118-828 J18 & K18
State Plane Coordinates: X: 3200 2814105.225ftUSE Y: 885621.269ftUSN
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit: July 1, 2014
Was Applicant Present: No
PROCESSING PROCEDURE: Application Received Complete: July9, 2014
Office: Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan: Perquimans County
LUP Land Classification: Residential Agricultural
(B) AEC(s) Involved: Estuarine Water, Public Trust Water and Estuarine Shoreline
(C) Water Dependent: Yes: Pier and Platform and No: Non -coastal wetland fill
(D) Intended Use: Private Residential
(E) Wastewater Treatment: Existing: Septic RECM W t,
Planned: None
(F) Type of Structures: Existing: House AUG 11 2014
Planned: Pier and platform }
(G) Estimated Annual Rate of Erosion: N/A nCM-MHDCTTV
7. HABITAT DESCRIPTION: [AREA]
DREDGED FILLED SHADE
(A) Vegetated Wetlands:
Dirt Fill: 2,000sf
(Non -Coastal)
(B) Non -Vegetated Wetlands:
Pier & Platform: 384sf
(Open Water)
(C) Other: (High Ground)
Grading: 2,178sf
Walkway to Pier: 60sf
(D) Total Area Disturbed: 4,622sf (.11 Acre)
(E) Primary Nursery Area: No
(F) Water Classification: SC Open: No
8. PROJECT SUMMARY: The applicant proposes to fill 2,000sf of non -coastal wetlands in order to obtain direct
access to a proposed 6' x 32' pier with a 12' x 16' platform in the Little River. Project will also include a 6' x
10' access walkway to the pier and an additional 2,178sf of grading adjacent to the wetland fill area.

Sharon Burtner
Field Investigation Report
Page 2
Project Setting
The subject property is located at 123 Otter Way, Rivers Edge Subdivision (a small waterfront residential community), adjacent
to the Little River, in New Hope Township, Perquimans County, North Carolina. The lot is 53,530 square feet upon which the
owner has constructed a single family residence with associated infrastructure approximately 175' landward of normal water
level.
Located to the north of the applicant's property is the Little River, to the east and west are undeveloped residential lots, and to
the south is a private residential street (Otter Way). On March 22, 2012, General Permit#58757A was issued to the applicant
to placed riprap along 153' of shoreline for erosion control. The alignment ties into riprap on the adjacent property to the west
and into a bulkhead on the east side of the property.
Vegetation of the property is predominantly domestic grasses with the exception of an area of delineated non -coastal wetlands
located adjacent to the Little River in the northwest corner of the applicant's property. Vegetation in this area includes, but is
not limited to, broad-leaved cattail (Typha latifolia), narrow -leaved cattail (Typha angustifolia), crimson eyed rose mallow
(Hibiscus palustris), wax myrtle (Myrica cerifera), poison ivy (Toxicodendron radicans), pennywort (Hydrocotyle umbellate),
smart weed (Polygonum ssp.), spike rush (Eleocharis tuberculosa), prickley sow thistle (Sonchus asper), and catbrier (Smilax
bona-nox).
The average elevation of the applicant's property is 3' above normal water level, general flat and located within the AE Special
Flood Hazard Area. There are no unusual geologic formations on the property, and no identified archeological or historical
sites on or near the property.
Development Proposal
The applicant proposes to construct a 6' x 32' pier with a 12' x 16' platform in the Little River that will be accessed by a 6' wide
walkway approximately 10' in length that will cross the existing riprap alignment. The pier, as proposed, will be located in the
center of the lot and will have a small area of non -coastal wetlands between the dwelling and the pier. The applicant proposes
to fill 2,OOOsf of noncoastal wetlands to provide a straight access from the dwelling to the proposed pier. An additional 2,178sf
of high ground will we fill in conjunction with the wetland fill activity if approved.
High Ground Shading: 6' x 10' = 60sf
Non -coastal Wetland Fill: 2,OOOsf
High Ground Disturbance
(in conjunction with wetland fill): 2,178sf
Open Water Shading: Pier 6' x 32' = 192sf
Platform 12' x 16' = 192sf
Total: 4,622sf
Anticipated Impacts
1) Shading of 384sf of water bottom from the proposed pier and platform.
2) Shading of 60sf of high ground.
3) Loss of 2,OOOsf of non -coastal wetlands.
4) High ground disturbance 2,178sf.
5) Installation of the proposed pier and platform will result in temporally suspending sediments in the water.
Submitted by: Lynn W. Mathis
Date: July 14, 2014

Project Narrative for Partial Fill of Wetlands on 123 Otter Way, Hertford, NC, Lot #48
I seek permission to fill half of the wetlands on my property. I believe this is the best way to both
respect the environment and secure more usable land. The wetlands leading into the water will be
unaffected; thus providing a natural filter and other wetlands benefits. The half extending further onto
my property and leading to my proposed pier I would like to fill. When I was sold the property I was
assured that it was all solid land. Although you are not responsible for what has been told me, I do
believe that this compromise of letting half remain as is, particularly as that half is the most important
half to retain the benefits of the wetlands, and filling the other half, which doesn't even look like
wetlands most of the year, is an appropriate plan of action. Actually, the entire wetlands on my
property is of negligible consequence, given its size and location.
Please let me know if you have any further questions or if I can be of service in any way.
Thank you for carefully considering this request.
Respectfully,
Sharon Burtner
12035 Waples Mill Road
Oakton, VA 22124-2117
703-380-8337
[e-mail]
RECEWW
AUG 11 2014
DCM•MHDCT[Y

BCM MP-1
APPLICATION for
Major Development Permit
(last revised 12/27/06)
North Carolina DIVISION OF COASTAE MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Project Name (if applicable)
N/A
N/A
Applicant 1: First Name `
MI
Last Name
Sharon
P
Burtner
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
city
Mailing Address
PO Box
State
12035 Waples Mill Road
Virginia
Oak, ton
ZIP
Country
Phone No.
FAX No.
22124 2117
us
703 - 380 - 8337 ext.
-
Street Address (d diNerent from above)
City
State 7IP—
Email
[e-mail]
2. Agent/Contractor Information
Business Name
N/A
Agent/ Contractor 1: First Name
MI
Last Name
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
Po Box
city
State
ZIP
Phone No. 1
-
- ext.
Phone No. 2
- - ed.
FAX No.
Contractor #
Street Address (if different from above)
City
State
ZIP
Email
AUG 11 2014
<Form continues on back>
252-808.2808 :: 1.886-4RCOAST :: wwiv.nccoastalman

Form DCM MP-1 (Page $ofJ)
�1I
I JUN 3 0 2014 I
APPLICATION for,
Major Development Permit
3 Pvoject Locaf�on
County (can be multiple)
Street Address
State Rd #
Per uimans
q
123 Otter Way ---- —.
Y I
None -Private
Subdivision Name
City
State
Zip
Rivers Edge II
Hertford
NC
27944 -
Phone No.
Lot No.(s) (if many, attach additional page with list)
703 - 380 - 8337 ext.
48,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Pasquotank
Little River
c. Is the water body identifeb in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
®Natural ❑Manmade ❑Unknown
Albemarle Sound
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
NYes ❑No
work falls within.
Perquimans Co.
Srte DescnpGon a s
r
a.
Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
136.61'
53,530
c.
Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
53,530, 1 1
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
4-6' ❑NHW or NNWL
e.
Vegetation on tract _
Domestic grass and ornamentals, and 404 wetland vegetation
f.
Man-made features and uses now on tract
House and required infrastructure
g.
Identify and describe the existing land uses adjacent to the proposed project site.
Residential
h.
How does local government zone the tract?
I. Is the proposed project consistent with the applicable zoning?
RA-43
(Attach zoning compliance certil if applicable)
NYes ❑No ❑NA
j.
Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes NNo
k.
Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes NNo ❑NA -
If yes, by whom?
I.
Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes NNo ❑NA
National Register listed or eligible property?
<Form continues on next page>
252-808-2808 :: 1-888-4RCOAST :: w w w'.asocoaat:almanagemerrt.net

Form DCM MP-1 (Page3 ofy)
APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site? ®Yes [-]No
(ii) Ane there coastal wetlands on the site? []Yes SNo
(III) If yes to either (i) or (ii) above, has a delineation been conducted? SYes []No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
Septic
o. Describe existing drinking water supply source.
County water
p. Describe existing stone water management or treatment systems.
Ditch along front of property
5. Acdvities and Impacts
a. Will the project be for commercial, public, or private use? I
❑Commercial ❑PublictGovernment
_
SPrivate/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete:
I will fill 0.05 acres of non -coastal wetlands adjacent to the Little River, in addition to' constructing a 384 sq ft pier with T-head
or residential use.
Cf
2EpuCer) : RtA. tv weTLAµroS = .0454 AC
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.
Excavator, backhoe, various hand and power tools.
d. List all development activities you propose.
1. Fill a portion of 404 wetlands.
2. Build a pier with T-head.
e. Are the proposed activities maintenance of an existing project, new work, or both?
New
f. What is the approximate total disturbed land area resulting from the proposed project?
—9.A6— ❑Sq.Ft or SAcres
og5q
g. Will the proposed project encroach on any public easement, public accessway or other area
❑Yes SNo ❑NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
None
1. Will wastewater or stormwater be discharged into a wetland?
❑Yes SNo ❑NA
If yes, will this discharged water be of the same salinity as the receiving water?
❑Yes []No ❑NA
j. Is there any mitigation proposed?
❑Yes SNo ❑NA
If yes, attach a mitigation proposal.
awvan�aav
<Form continues on back>
AUG 112014
252-8ee-2808 :: t-e88-4RCOAST „ www.nccoastalmanagrpx["..P

Form DCM MP-1 (Pagelofed)
APPLICATION for,
Major Development Permit
Vi dAddiflonal tiformadon'
In adddion fo thrs completed appliratlon form (MP-1) the following dems below, it appbcable must be sabmrtted in `ober for the`apphcatron
package to,'be complete: Items (a) = (>J are always'�apphcabletd:any major development appGcahon Please consultthe appkcagon
instruction booklet on how to properly prepare the regw2d,items below
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that Is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
J. A copy of the deed (with stale application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
I. 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.
r Name Travis White" +� _ phone No ,
Address 1004 Austin Lee Circle Ehzabelh`Crty NC 27909
x<
Name Glenn and Connie Lamb Phone No.
Address 1242 Lake Road, Herford, NC 27944
Phone No
G �
Address -* r i - F' c r s , �•
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
GP#58757A
h. Signed consultant or agent authorization form, if applicable.
I. Wetland delineation, If necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10). if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
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 June 24,
Print Name Sharon Burtner.
Signature [ �+ e` .l
Please indicate application attachments pertaining to your proposed project.
®DCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and
®DCM MP-3 Upland Development
®DCM MP-4 Structures Information
252-808.2808 1-888-4RCOAST .. ww+Yr.ncemastaEur,anagemEnt.nei

{
Form DCM MP-2
EXCAVATION and FILL JUN 30 2014
(Except for bridges and culverts) L --- ---
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be surf: io SMV8tL-alt other seetiens-ef-the Joint
Application that relate to this proposed project. Please include ail supplemental information.
Describe below the purpose of proposed excavation and/or fill activities. All values should be given in feet.
Access
Other
Channel
(NLW or
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
Breakwater
(excluding
shoreline
NWL
stabilization
Length
Width
Avg. Existing
NA
NA
Depth
Final Project
NA
NA
Depth
1.
EXCAVATION
ElThis 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 wetlandstmarsh
d.
High -ground excavation in cubic yards.
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB _
❑WL []None
(11) Describe the purpose of the excavation in these areas:
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?
d.
(i) Will a disposal area be available for future maintenance?
❑Yes []No ❑NA
❑Yes []No ❑NA
(ii) If no, attach a letter granting permission from the owner.
(ii) If yes, where?
e.
(i) Does the disposal area include any coastal wetlands/marsh
f.
(i) Does the disposal include any area in the water?
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
❑Yes []No ❑NA "
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
(i) If yes, how much water area is affected?
❑CW ❑SAV ❑SB
OWL ❑None
RBCEIM
(ii) Describe the purpose of disposal in these areas:
AUG 11 2014
DCI�tMimcrry
252-808-2808 :: 1-888-4€ZCOAST :: www.nccoastafmanaaement-ne4 revised: 12/26106

Form Dalf[ EirfP-Z (Excaiatuon and MU, Page 2 of 2.)
3 : SHORELIRIE STABILIZR,TIOW - 1&hrs section not applicable
(If develo ,pmends a wood groin, use MP 4 =,,,Structures)
n Tvop of shoreline stabilization: b. Lenath:
❑Bulkhead ❑Riprap ❑Breakwater/Sill ❑Other._ Width: _
C. Average distance wateward of NHW or NWL: d. _ Maximum distance waterward of NHW or NWL:
e. Type of stabilization material:-
g. Number of square feet of filrio be placed below water level.
Bulkhead backfill_ Riprap_
Breakwater/Sill Other
i. Source of fill material.
f. (i) Has there been shoreline. erosion during preceding 12
months?
❑Yes ❑No ❑NA
(ii) If yes, state amount of erosion and source of erosion amount
information.
h. Type of fill material.
4
4 OTHER F/LL ACT1111TIES ❑7hrs sechbn not applicable`
(Exc)yding Shorelrne'Stabtlrzahorj) s
�z
a. (i) Will fill material be brought to the site? ®Yes ❑No ❑NA b. (i) Will fill material be placed in coastal wetlands/marsh (CW),
If yes,
(ii) Amount of material to be placed in the water None
(III) Dimensions of fill area irre ular
(iv) Purpose of fill
See b.(ii)
a. How will excavated or fill material be kept on site and erosion
controlled?
Seed and vegetate. Sill Fence.
C. (i) Will navigational aids be required as a result of the project?
❑Yes ❑No ®NA
(ii) If yes, explain what type and how they will be implemented.
suomergea aquatic vegetation tartv), snen oaaom tao/, or
other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW _ ❑SAV ❑SB
®WL 0.05 ras ❑None
(ii) Describe tse of the fill in these areas:
improved access to pier
%lE�SE� %y .Gtf y y /fL '
b. What type of construction equipment will be used (e.g., dragline,
backhoe, or hydraulic dredge)?
Bulldozer for grading. Fill
d. (i) Will wetlands be crossed in transporting equipment to project
site? []Yes ®No ❑NA
(ii) If yes, explain steps that will be taken to avoid or Minimize
environmental impacts.
252-868-2808 :: 1-888-4d2COA.ST :: wv .ncanaistalmaraaaeernent.net .---.-____ evisud!-12261®6

Form DCM MP-3
(Construction and/or land disturbing activities)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be iuretac
Application that relate to this proposed project. Please include all supplemental information.
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).
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
(if) 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.
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.
Existing house and drive; no new impervious surfaces.
j. Describe proposed method of sewage disposal.
Existing septic
I. Describe location and type of proposed discharges to waters of the
state (e.g., surface runoff, sanitary wastewater, industrial/
commercial effluent, 'Wash down" and residential discharges).
NIA
t -
JUN 30 2014
b. Number of lots or parcels.
sections of the Joint
d. Size of area to be graded, filled, or disturbed including roads, _
.OR 4j(ches, etc. O.O�{$Q 01mv
S—g:1`I acre total, including$66to be filled "�F) and
0.05 of surrpunding land to be graded (2,178 SF)
f. List the materials (such as marl, paver stone, asphalt, or concrete)
to be used for impervious surfaces.
N/A
h. Projects that require a CAMA Major Development Permit may also
require a Stornwater 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.
m. Does the proposed project include an innovative stovnwater
design?
[]Yes []No ®NA
If yes, attach appropriate docume tionRECEID
AUG 11 2014
DCM-MHDCITY
252-808-28082 :: 1-886-4RCCAST :: wwwmr-coastalmananement.nets. revised.: 12/26106

F6:Ut'frn DGM P--3 (Uptand Devetrsgaal&E2t, raugr Z Of 2)
m. Describe proposed drinking water supply source (e.g., well, n. (i) Will water be impounded? ❑Yes NNo ❑NA
community, public system, etc.) (ii) If yes, how many acres?
Existing
o. When was the lot(s) platted and recorded?
2004
p. If proposed development is a subdivision, will additional utilities be
installed for this upland development?
❑Yes ❑No NNA
2�S$-80&-2665::1-S6&4RCOASTrevised:'E2/26106

Form DCM MP-4 r
JUN 30 2014
STRUCTURES
(Construction within Public Trust Areas)
-- - -
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be pp jsure 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(Government ®Private/Community
❑This section not applicable
b. (i) Will the facility be open to the general public?
[]Yes ®No
c. (i) Dock(s) and/or pier(s)
d. (i) Are Finger Piers included? ❑Yes ®No
(ii) Number 1
If yes:
(iii) Length 32'
(it) Number
(iv) Width 6'
(H)i Lengths
(v) Floating ❑Yes ®No
(iv) Width
(v) Floating MYes []No
e. (I) Are Platforms included? ®Yes ❑No
I. (i) Are Boatlifts included? []Yes ®No
If yes:
If yes:
(ii) Number 1
(ii) Number
(III) Length 12'
(ii) Length
(iv) Width 16'
(iv) Width
(v) Floating []Yes ®No
Note: Roofed areas are calculated from dripline dimensions.
g. (I) Number of slips proposed
h. Check all the types of services to be provided.
0
❑ Full service, including travel lift and/or rail, repair or
(i) Number of slips existing
maintenance service
0
❑ Dockage, fuel, and marine supplies
-
❑ Dockage ("wet slips") only, number of slips:
❑ Dry storage; number of boats:
❑ Boat ramp(s); number of boat ramps:
❑ Other, please describe:
N/A
i. Check the proposed type of siting:
❑ Land cut and access channel
[]Open water; dredging for basin and/or channel
®Open water; no dredging required
❑Other; please describe:
k. Typical boat length: N/A
m. () Will the facility have tie pilings?
❑Yes ®No
(it) If yes number of tie pilings?
j. Describe the typical boats to be served (e.g., open runabout,
charter boats, sail boats, mixed types).
N/A
I. (1) Will the facility be open to the general public?
❑Yes ®No REMWED
AUG 11 2914
DCM MHD CrrY
2F2.808-2806 :: 1-888-4RCOAST :: www.nccoastainnanaaement.net revised: 12/27/06

Form DUV+i MP-4,(Strrsctueres, Page 2 of 4)
a. Check each of the following sanitary facilities that will be included in the proposed project.
❑ 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.
N
c. Describe the disposal of solid waste, fish offal and trash.
d. How will overboard discharge of sewage from boats be controlled?
e. (1) 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 marina 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 marinaldocking facility proposed within a primary or secondary nursery area?
❑Yes []No
252-803-2865 :: 4-886-4RCOAST:: v ww.nceoastafrrcanapernernt.net revised: 12/27/66

Form DPP MP-4 (Structures, Page 3 of4)
n. Is the marina/docking 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 ❑SAV ❑SB
❑WL ❑None
p. Is the proposed marinaldocking 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.
i
J Li N 2014
3. BOATHOUSE,(ncluding covered lifts) 1 t` ®This section not applicable
a. (i) Is the boathouse structure(s):
❑Commercial ❑Public/Government ❑Private/Community-
(ii) Number
(III) Length I
(iv) Width
Note: Roofed areas are calculated from dripline 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 or wetlands
6. MOORING PILINGS and BUOYS ®This section not applicable
a. Is the structure(s):
❑Commercial ❑Public/Government ❑Private/Community
c. Distance to be placed beyond shoreline
Note: This should be measured from marsh edge, if present.
e. Arc of the swing _
7. GENERAL
b. Number
d. Description of buoy (color, inscription, size, anchor, etc.)
RECENED
-AUG 11-2014
'DCM MHD C1TTS'
252408-2808 ;: 1-88"RCaAST :: vvww.nccoastatmanagemenf.rvet revised:/2127/06

Form DGM MP-4 (StrucCares, rage 4 of 4)
a. Proximity of structures) to adjacent riparian property lines
60'
b. Proximity of structure(s) to adjacent docking facilities.
>50'
Note: For buoy or mooring piling, use arc of swing including length
ofvessel.
c. Width of water body d. Water depth at walerward end of structure at NLW or NWL
>1 mile 2' approximately
e. (i) Will navigational aids be required as a result of the project?
E3Yes ❑No ❑NA
(ii) If yes, explain what type and how they will be implemented. ,
a. Give complete description:
0
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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
July 16, 2014
TO: Charlan Owens, District Planner
Division of Coastal Management
FROM: Daniel Govoni
Assistant Major Permits Coordinator
Division of Coastal Management
SUBJECT: CAMA Permit Application Review
Applicant: Sharon Burtner
Project Location: 123 Otter Way, in the Rivers Edge S/D in Perquimans County
Proposed Project: fill non -coastal wetlands & construct a pier, platform, & walkway
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 08/06/14 to 400 Commerce Avenue, Morehead City, NC 28557 (fax: [phone]).
If you have any questions regarding the proposed project, please contact Lynn Mathis at (252)
264-3901. When appropriate, in-depth comments with supporting data are requested.
REPLY: This office has no objection to the project as proposed.
This office has no comment on the proposed project.
This office approves of the project only if the recommended changes are
incorporated. See attached.
This office objects to the project for reasons described in the attached
mments.
SIGNS DATE
1367 US 17 South, Elizabeth City, NC 27909 1 RECEIVED
Phone: [phone] FAX: [phone] ; Internet: www.n=astaimanagement.net
An Equal opportunity l Affirmative Action Employer AUG U 7 2014
1>�.rMllDcrly

w_
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
MEMORANDUM
TO: Daniel Govoni, DCM Assistant Major Permits Coordinator
Division of Coastal Management
FROM: Chadan Ower)ICP, DCM NE District Planner
Division of Coastal Management
SUBJECT: Major Permit Request by Sharon Buttner to install a 6 foot wide by 10 foot long
walkway connecting to a 6 foot wide by 32 foot long pier with a 12 foot by 16 foot
terminus platform on the Little River, at 123 Otter Way, in the New Hope
community, in Perquimans County.
DATE: August 4, 2014
Consistency Determination: The request is consistent with/not in conflict with the 1998
Perquimans County Land Use Plan certified by the CRC on
October 24, 2002.
Overview: The subject property consists of a 1.23 acre lot with 153 linear feet of shoreline
along the Little River. The lot is elevated approximately 3 feet above Normal Water Level
(NWL). Vegetation on the site consists of domestic grasses, with an area of non -coastal
wetlands along the shoreline at the northwest comer of the lot. The property is within the AE
Floodzone.
A single-family residence and associated infrastructure are located on the lot. Riprap is located
along the length of the shoreline as permitted under General Permit #58757A issued in March
2012. The riprap ties into riprap on the adjacent property to the west and bulkhead on the
adjacent property to the east.
Installation of a 6 foot wide by 10 foot long walkway connecting to a 6 foot wide by 32 foot long
pier with a 12 foot by 16 foot terminus platform is proposed. The walkway/pier will be located in
the center of the lot, with the walkway extending from high ground over the riprap.
The waters of the Little River are classified SC in this area and are closed to shellfish
harvesting. A review of Submerged Aquatic Vegetation (SAV) was not provided. There are no
unusual geologic formations on the property. No archaeological or historic reso sn
identified on or near the property.
AUG 0 7 2014
t)CN:-Y.HD Crty
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] FAX: [phone] ; Internet www.ncooastalmanagement.net
An Equal opportunity I AfGmiadve Aclion Employer- Made in part by recycled paper

North Carolina Department of Environment and Natural Resources
Division of Coastal Management
MEMORANDUM
Page 2 of 2
Anticipated Impacts resulting from this project are expected to include: the shading of 384 sq. ft.
of Public Trust Area/Estuarine Waters Areas of Environmental Concern (AEC) and 60 sq. ft. of
Estuarine Shoreline AEC; the filling of 2,000 sq. ft. of non -coastal wetlands within the Estuarine
Shoreline AEC, and; the grading of 2,178 sq. ft. of High Ground within the Estuarine Shoreline
AEC.
Basis for Determination:
The Perquimans County Land Classification Map identifies the site area as 'Rural". As noted on
Page 49 of the Land Use Plan (LUP), all areas within an AEC also qualify for the designation of
"Conservation". The following are LUP policies that may be applicable to this request:
Areas of Environmental Concern (AEC) and Appropriate Land Uses in AECs:
Policy #1, Page vi.
"Perquimans County will continue to support and enforce, through its CAMA Minor
Permitting capacity the State policies and permitted uses in Areas of Environmental
Concern. Such uses shall be in accord with the general use standards for coastal
wetlands, estuarine waters, estuarine shorelines, and public trust areas as stated in
Chapter 15A, Subchapter 7H of the North Carolina General Statutes."
Note: The implementation statement for this policy indicates that the County will refer
applicants to the State CAMA office for major permits.
Constraint to Development Including Soil Limitations, Flood Prone Areas, Hazardous and
Fragile Land Areas:
Policy #2, Page vi.
"The County will continue to rely on existing Regional, State and Federal regulatory
programs to monitor and determine the appropriateness of future development in the
fragile lands areas, flood prone areas and soils with limitations to development."
i2ECEiVED
Commercial and Recreational Fishing: 1 AUG 0 7 2014
Policy #12, Page ix.
DCM-MHDCfR'
"The County encourages commercial and recreational fishing in its waters and will
cooperate with other local governments, State and federal agencies to control
pollution of these waters to allow commercial and recreational fishing to increase."
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] FAX:[phone]; Internet: www.nccoastalmanagement.net
An Equal OpporW 4l Affimob" Action Employer— Made in pars by recycled paper

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
July 16, 2014
MEMORANDUM
TO:
Tim Walton, Manager
State Property Office
FROM: Daniel Govoni
Assistant Major Permits Coordinator
Division of Coastal Management
SUBJECT: CAMA Permit Application Review
Applicant: Sharon Burtner
John E. Skvarla, III
Secretary
RECEIVED
JUL 18 2014
DOA
STATE PROPERTY
OFFICE
Project Location: 123 Otter Way, in the Rivers Edge S/D in Perquimans County
Proposed Project: fill non -coastal wetlands & construct a pier, platform, & walkway
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 08/06/14 to 400 Commerce Avenue, Morehead City, NC 28557 (fax: [phone]).
If you have any questions regarding the proposed project, please contact Lynn Mathis at (252)
264-3901. When appropriate, in-depth comments with supporting data are requested.
REPLY: s office has no objection to the project as proposed.
This office has no comment on the proposed project.
This office approves of the project only if the recommended changes are
incorporated. See attached.
This office objects to the project for reasons described in the attached
comments.
'1111
SIGNED DATE
izEcs�
1367 7 South, Elizabeth City, NC 27909
Phone: [phone] FAX: 252-26Q723 ; Internet: www.nocoastalmanagement.
AUG 0 6 2014
An Equal Opportunity 1 Affirmative Action Employer
DCM.Nncirr ,

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
2.
3.
4.
5.
6.
APPLICANT'S NAME: Sharon P. Burtner
LOCATION OF PROJECT SITE: 123 Otter Way, Rivers Edge Subdivision in New Hope Township,
Perquimans County, North Carolina
Photo Index: 2006: NIA 2000:162-1736 Q14 & R141995:162-1664 Q19 1989: 1 21-14 H15 & 115
1984: 118-828 J 18 & 1<18
State Plane Coordinates: X: 3200 2814105.225ftUSE Y: 885621.269ftUSN
INVESTIGATION TYPE: CAMA
INVESTIGATIVE PROCEDURE: Dates of Site Visit: July 1, 2014
Was Applicant Present: No
PROCESSING PROCEDURE: Application Received Complete: July4, 2014
Office: Elizabeth City
SITE DESCRIPTION:
(A) Local Land Use Plan: Perquimans County
LUP Land Classification: Residential Agricultural
(B) AEC(s) Involved: Estuarine Water, Public Trust Water and Estuarine Shoreline
(C) Water Dependent d Platform and No: Non -coastal wetland fill
(D) Intended U a: Private R
(E) Wastewater eptic
Planned: None RECEIVED
(F) Type of Structures: Existing: House -.
Plan*9T_1P5'ierand platform AUG 0 6 2014
(G) Estimated Annual Rate of Erosion:
HABITAT DESCRIPTION: [AREA] DCM Y_"D CITY
DREDGED FILLED SHADE
(A) Vegetated Wetlands:
Dirt Fill: 2,000sf
(Non -Coastal)
(B) Non -Vegetated Wetlands:
Pier & Platform: 384sf
(Open Water)
(C) Other: (High Ground)
Grading: 2,178sf
Walkway to Pier: 60sf
(D) Total Area Disturbed: 4,622sf (A 1 Acre)
(E) Primary Nursery Area: No
(F) Water Classification: SC Open: No
8. PROJECT SUMMARY: The applicant proposes to fill 2,000sf of
access to a proposed 6' x 32' pier with a 12' x 1FpTa-tform in tl�
an additional 2,178sf of
Qlands in order to obtain direct
'roject will also include a 6' x
to the wetland fill area.

Sharon Burtner
Field Investigation Report
Page 2
Project Setting
The subject property is located at 123 Otter Way, Rivers Edge Subdivision (a small waterfront residential community), adjacent
to the Little River, in New Hope Township, Perquimans County, North Carolina. The lot is 53,530 square feet upon which the
owner has constructed a single family residence with associated infrastructure approximately 175' landward of normal water
level.
Located to the north of the applicant's property is the Little River, to the east and west are undeveloped residential lots, and to
the south is a private residential street (Otter Way). On March 22, 2012, General Permit#58757A was issued to the applicant
to placed riprap along 153' of shoreline for erosion control. The alignment ties into riprap on the adjacent property to the west
and into a bulkhead on the east side of the property.
Vegetation of the property is predominantly domestic grasses with the exception of an area of delineated non -coastal wetlands
located adjacent to the Little River in the northwest corner of the applicant's property. Vegetation in this area includes, but is
not limited to, broad-leaved cattail (Typha latifolia), narrow -leaved cattail (Typha angustifolia), crimson eyed rose mallow
(Hibiscus palustris), wax myrtle (Myrica cerifera), poison ivy (Toxicodendron radicans), pennywort (Hydrocotyle umbellate),
smart weed (Polygonum ssp.), spike rush (Eleocharis tuberculosa), prickley sow thistle (Sonchus asper), and catbrier (Smilax
bona-nox).
The average elevation of the applicant's property is 3' above normal water level, general flat and located within the AE Special
Flood Hazard.Area. There are no unusual geologic formations on the property, and no identified archeological or historical
sites on or near the property.
Development Proposal
The applicant proposes to construct a 6' x 32' pier with a 12' x 16' platform in the Little Riverthat will be accessed by a 6' wide
walkway approximately 10' in length that will cross the existing nprap alignment. The pier, as proposed, will be located in the
center of the lotand will have a small area of non -coastal wetlands between the dwelling and the pier. The applicant proposes
to fill 2,OOOsf of noncoastal wetlands to provide a straight access from the dwelling to the proposed pier. An additional 2,178sf
of high ground will we fill in conjunction with the wetland fill activity if approved.
High Ground Shading: 6' x 10' = 60sf
Non -coastal Wetland Fill: 2,OOOsf
High Ground Disturbance
(in conjunction with wetland fill):. 2,178sf
Open Water Shading: Pier 6' x 32' = 192sf
Platform 12' x 16' = 192sf
Total: 4,622sf
Anticipated Impacts
1) Shading of 384sf of water bottom from the proposed pier and platform.
2) Shading of 60sfof high ground.
3) Loss of 2,OOOsf of non -coastal wetlands.
4) High ground disturbance 2,178sf.
5) Installation of the proposed pier and platform will result in temporally suspending sediments in the water.
Submitted by: Lynn W. Mathis
Date: July 14, 2014

FILED (n PEROUIPIANS Count NC
an Jun 11 2007 at 1213:26
ty: DEBORAH S. REED
REGISTER Of DEEDS
BOOK 330 PAGE 151
•-Iu 11�
PERQUIMANSCOUNTY
LAND TRANSFER TAIL
AMOUNT AO
PAID $
STATE OF NORTH CAROLINA
COUNTY OF PERQUIMANS
P. Iaeuad Jun 11 2007
4110.00
Star at PER®UIMANS
North Carolina County
Real Eatata Excise Tax
THIS DEED, Made and entered into this day
of MAM , 2007, by and between Coastal Land
Development, Inc., party of the first part, and Sharon Patricia
Burtner whose address is 12035 Waples Mill Road, Oakton, VA 22124
party of the second part;
W I T N E S S E T H:
That the said party of the first part, for and in
consideration of the sum of TEN AND N01100 ($10.00) DOLLARS, and
other good and valuable considerations to it in hand paid, by the
party of the second part, the receipt of which is hereby
acknowledged, has bargained and sold and by these present does
bargain, sell and convey unto the said party of the second part,
her heirs and assigns, subject to the encumbrances as hereinafter
set out, that certain tract or parcel of land lying and being in
New Hope Township, Perquimans County, State of North Carolina,
and being more particularly described as follows:
rID
RECEIVEDG 0 6 2014
CM-MRDary

BOOK 330 PAGE 152
k.
�V BEING all of Lot No. Forty -Eight (48) as the
`d same is shown on that map of record in the
Office of the Register of Deeds of Perquimans
County in Plat Cabinet 2, Slide 141 Map #3,
and Slide 141 Map #4. The map herein
referred to was prepared by CE Solutions,
dated May 23, 2005 and identified by the
following legend: "Final Plat of The Rivers
Edge, Phase 2". Further reference ie made to
said map for a more complete and accurate
description of this property.
n(I This conveyance is further made subject to
those certain conditions and restrictions
��� recorded in Book 274, Page 572 of the
Perquimans County Registry. -
As expressly shown and designated on the plat
referenced for the premises herein conveyed,
Lots 55-60 of Phase 2 of The Rivers Edge are
subject to a "dedicated easement area" or
"reserved for conservation easement" area for
Gy benefit of the State of North Carolina by and
through the North Carolina Ecosystem
Enhancement Program ("EEP"). By acceptance
of this deed,. Grantee acknowledges and agrees
to.(i) the application of the EEP terms and
conditions to the "dedicated easement area"
and "reserved for conservation easement" area
as shown on Lots 55-60, Phase 2 of The Rivers
Edge by the plat referenced and (ii) an
amendment or modification to the Declaration
of Covenants, Conditions and Restrictions for
The Rivers Edge Subdivision so providing.
TO HAVE AND TO HOLD the aforesaid tract or parcel of
land together with all the rights, privileges and appurtenances
thereunto belonging 'unto her, the said party of the second part,
her heirs and assigns, in fee simple forever, subject to the
encumbrances as set out hereinabove.
And the said party of the first part, covenants to and
with the said party of the second part, her heirs and assigns,

Y
/ '
BOOK 330 PAGE 153
that it is seized of said premises in fee and has a lawful right
to convey the same in fee simple; that the same is free and clear
of all encumbrances, except for the encumbrances as set out
hereinabove, and that it hereby warrants and will forever defend
the title to the same against the lawful claims of all persons
whomsoever.
IN TESTIMONY WHEREOF, Coastal Land Development, Inc.
has caused this instrument to be signed in its name by its
President, all by authority duly given, this the day and year
first above written.
Coa 1 Land Development, Inc.
B
President
'AECOM
AUG 0 5 7P,ih
�('�t•Mtir1 r'T�'

BOOK 330 PAGE 151
Q
STATE OF NORTH CAROLINA
COUNTY OF
I, ffA&th S�J _ kfp� Notary Public,
certify that Robert T. Farris, personally came before me this day
and acknowledged that he is President of Coastal Land
Development, Inc., a corporation, and that by authority duly
given and as the act of the corporation, the foregoing instrument
was signed in its name by Robert T. Farris, its President.
My commission expires
Witness my hand and official seal, this the _ '*_
day of 1 2007.
h06lll
i
Notary Public
KI0 TAR Y
PUBLIC v
(OFFPr.6
4 rSA �J
Ole-
-w�

Project Narrative for Partial Fill of Wetlands on 123 Otter Way, Hertford, NC, Lot #48
I seek permission to fill half of the wetlands on my property. I believe this is the best way to both
respect the environment and secure more usable land. The wetlands leading into the water will be
unaffected; thus providing a natural filter and other wetlands benefits. The half extending further onto
my property and leading to my proposed pier I would like to fill. When I was sold the property I was
assured that it was all solid land. Although you are not responsible for what has been told me, I do
believe that this compromise of letting half remain as is, particularly as that half is the most important
half to retain the benefits of the wetlands, and filling the other half, which doesn't even look like
wetlands most of the year, is an appropriate plan of action. Actually, the entire wetlands on my
property is of negligible consequence, given its size and location.
Please let me know if you have any further questions or if I can be of service in any way.
Thank you for carefully considering this request.
Respectfully,
Sharon Burtner
12035 Waples Mill Road
Oakton, VA 22124-2117
703-380-8337
[e-mail]
t i
I
JUN 30 2014
J
ryscmw
D
N0 6 2014
CMMfIDCITY

Gem MP-1
APPLICATION for
Jp
j JUN 30 2014.
Major Development Permit I
(last revised 12/27/06)
North Carolina DIVISION OF-COASTAE MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Project Name (if applicable)
N/A
N/A
Applicant 1: First Name `
MI
Last Name
Sharon
P
Burtner
Applicant 2: First Name
MI
Last Name
if additional applicants, please attach an additional page(s) with names listed.
CRY
Mailing Address
PO Box
State
12035 Waples Mill Road
Virginia
Oaron
ZIP
Country
Phone No.
FAX No.
22124 2117
us
703 - 380 - 8337 ext,
Street Address (f diffennt from above) _
City
State
ZIP
Email
[e-mail]
2. Agent(Contractor Information
Business Name
N/A
Agentl Contractor 1: First Name
MI
Last Name
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
ZIP
Phone No. 1
-
- ext.
Phone No. 2
- - ext.
FAX No.
Contractor #
Street Address (d different from above)
City
State
ZIP
Email
<Form continues on back>
AUG 0 6 2014
252-808-2808 :: 1-686-4RCOAST :: wwW,ncceastaimanagement.ne;)CMMHDCITP

Form DCM MP-1 (Page $ofJ)
_J
I JUN .10 2014
APPLICATION for
Major Development Permit
3 ' Project Location
County (can be multiple)
Street Address
State Rd. #
Perquimans
123 Otter Way
None -Private
Subdivision Name
City
State
Zip
Rivers Edge II
Hertford
INC
27944 -
Phone No.
Lot No.(s) (if many, attach additional page with list)
703 - 380 - 8337 ext.
48,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Pasquotank
Little River
c. Is the water body identifieb in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
®Natural ❑Manmade ❑Unknown
Albemarle Sound
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
®Yes []No
work falls within.
Perquimans Co.
d Srte Descnpfion ` "
a. Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
136.61'
53,530
c. Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
53,530, 1 1
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
4-6' ❑NHW or ®NWL
e. Vegetation on tract
Domestic grass and ornamentals, and 404 wetland vegetation
f. Man-made features and uses now on tract
House and required infrastructure
g. Identify and describe the existing land uses adiacent to the proposed project site.
Residential
h. How does local government zone the tract?
I. Is the proposed project consistent with the applicable zoning?
RA-43
(Attach zoning compliance certificate, if applicable)
®Yes ❑No ❑NA
j. 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>
2 5 2 - 6 0 8 - 2 8 0 8 .. 1-888-4RCOAST ,. wwW.nccoastalmanagement.net

Form DCM MP-1 (Pagej of?)
APPLICATION for
Major Development Permit
m. (I) Are there wetlands on the site? ®Yes []No
(ii) Are there coastal wetlands on the site? ❑Yes ®No
(iii) If yes to either (i) or (ii) above, has a delineation been conducted? Was []No
(Attach documentation, if available).
n. Describe existing wastewater treatment facilities.
Septic
o. Describe existing drinking water supply source.
County water
p. Describe existing stone water management or treatment systems.
Ditch along front of property
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? 1
❑Commercial ❑Public/Government
®Private/Communtty
b. Give a brief description of purpose, use, and daily operations of the project when complete:
I will filll0_05 acres of non -coastal wetlands adjacent to the Little River, in addition to' constructing a 384 sq ft pier with T-head
for residential use.
Rcnuc(-_r) : it6L. 1P4 wETI.Aw)S = .0454 AC
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.
Excavator, backhoe, various hand and power tools.
d. List all development activities you propose.
1. Fill a portion of 404 wetlands.
2. Build a pier with T-head.
e. Are the proposed activities maintenance of an existing project, new work, or both?
New
f. What is the approximate total disturbed land area resulting from the proposed project?
—0.06— ❑Sq.Ft or ®Acres
ogsq
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.
None
I. Will wastewater or stormwater be discharged into a wetland?
[]Yes ®No ❑NA
If yes, will this discharged water be of the same salinity as the receiving water?
[]Yes ❑No ❑NA
j. Is there any mitigation proposed?
[]Yes ®No ❑NA
If yes, attach a mitigation proposal.
<Form continues on back>
AUG 0 6 2014
252-808-2808 :. 1.888-41IRCOAST .. www.ncconstatmanad%ment.net
t. TI MMMIC"

Form DCM MP-1 (Pagel ofd)
APPLICATION for
Major Development Permit
6 �cdd l?►on' I'Mfoil*46onl
In addition to this completed application form (MP=1) the following items below rf appAcable must be submitted m o1-1 iderforthe apphrahon `
package.to,be complete: Items (a). -,(I) are always applicableto any ma/ordevelopment:applicahon Please consult the ap'plipation -
mstmctionbookieton;hdw'topmpedypraparethe-requin:ditemsbelow
r._-..- - .. .�.. _ _
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with thelarea to the site. .
it. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
f. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
NameTravis White Pfidne No.
Address 1004 Austin Lee Circle-4Ehzabeth City NC 27909= �� �:': r ° ,
., ,.. .,.
Name Glenn and Connie Lamb Phone No.
Address 1242 Lake Road, Herford, NC 27944
Name,'
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
GP#58757A
h. Signed consultant or agent authorization form, if applicable.
i. Wetland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
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 June 24,
Print Name Sharon Burtner
Signature =2,
Please indicate application attachments pertaining to your proposed project. _
®DCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and ulve
®DCM MP-3 Upland Development EJUN3 0 2014
®DCM MP-4 Structures Information
25i-808.2808 ,. 1-888-4ROGAST .. w•vv yy.nccaasYalrr,artagemenY.rteY

IFau-m 0CM MP-2
(Except for bridges and culverts)
a _ _
JUN 30 2014
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure t—o-do fslete-alt otherseeHensefihe Joint
Application that relate to this proposed project. Please include all supplemental information.
Describe below the purpose of proposed excavation and/or fill activities. All values should be given in feet.
Access
Other
Channel
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
(excluding
(NLW or
Breakwater
shoreline
NWL)
stabilization
Length
Width
Avg. Existing
NA
NA
Depth
Final Project
NA
NA
Depth
I
1. EXCAVATION ®This section not applicable
a. Amount of material to be excavated from below NHW or NWL in b. Type of material to be excavated.
cubic yards.
c. (i) Does the area to be excavated include coastal wetlands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB _
❑WL ❑None
(ii) Describe the purpose of the excavation in these areas:
2. DISPOSAL OF EXCAVATED MATERIAL
a. Location of disposal area.
c. (i) Do you claim title to disposal area?
Dyes ❑No DNA
(ii) If no, attach a letter granting permission from the owner
e. (i) Does the disposal area include any coastal wetlandstmarsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
❑WL ❑None
(ii) Describe the purpose of disposal in these areas:
d. High -ground excavation in cubic yards.
®This section not applicable'
b. Dimensions of disposal area.
d. (i) Will a disposal area be available for future maintenance?
❑Yes ❑No DNA
(ii) If yes, where?
f. (i) Does the disposal include any area in the water?
❑Yes ❑No DNA
(ii) If yes, how much water area is affected?
itECEM
AUG 0 6 2014
DCM-MHDCrrY
252-808-2808 :: 1-888-4ROGALST :s %ww.nccoastafmananement.net revised: 12126106

Form DCrA AVAP-2 (Encavatton, and Fal, Page 2 of 2)
3 8F90I2ELIfl1E STABILIZATION,
-tk7his secbpn not applrtiable
(If development rs a'wood groin,: use MP-4 Structures)
a. Type of shoreline stabilization: b. Length:
❑Bulkhead ❑Riprap ❑Breakwater/Sill ❑Other: _ Width:
c. Average distance waterward of NHW or NWL: d. Maximum distance waterward of NHW or NWL:
e. Type of stabilization material:'
g. Number of square feet of flPto be placed below water level.
Bulkhead backfill _ Riprap
Breakwater/Sill_ Other_
I. Source of fill material.
f. (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.
h. Type of fill materipl.
4 OTHER FILL ACTIVITIES' btwiisedign nol applicable.
�'(Ezc)[(diji0, Shoreline StabrhzaGon)
a. (!)Will fill material be brought to the site? ®Yes ❑No DNA b. (1) Will fill material be placed in coastal wetlands/marsh (CW),
If yes,
(ii) Amount of material to be placed in the water None
(iii) Dimensions of fill area irregular
(iv) Purpose of fill
See b.(ii)
a. How will excavated or fill material be kept on
controlled?
Seed and vegetate. Silt Fence.
c. (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.
suomergea aquatic vegeranon ta�vb sneu ootiom lac), or
other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
r AWL 0.05- res ❑None
(ii) Describe tse of the fill in these areas:
improved access to pier
REZ/15E✓J N • v�szi /fG '
What type of construction equipment will be used (e.g., dragline,
backhoe, or hydraulic dredge)?
Bulldozer for grading. Fill
d. (i) Will wetlands be crossed in transporting equipment to project
site? ❑Yes ®No DNA
(ii) If yes, explain steps that will betaken to avoid or minimize
environmental impacts.
252-803-2808 ::'i-883-4RCOAST :: rrtww.nccaasta6raoa€aaer2eveont.rvet
---T------rev-¢N601. kZt2S106

Form DCM MF-3
UPLAND DEVELOPMENT
(Construction and/or land disturbing activities)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sureio complete-allother 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.
0
c. Density (give the number of residential units and the units per
acre)
1
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:
b. Number of lots or parcels.
1
d. Size of area to be graded, filled, or disturbed including roads,
ditches, etc. n d4q1 Zr�
5 .1�1 acre total, including-9:e&to be filled (2,1;18 SF) and
0.05 of surrpunding land to be graded (2,178 SF)
f. List the materials (such as mad, paver stone, asphalt, or concrete)
to be used for impervious surfaces.
N/A
g. Give the percentage of the tract within the coastal shoreline AEC to h. Projects that require a CAMA Major Development Permit may also
be covered by impervious and/or built -upon surfaces, such as require a Stornwater Certification.
pavement, building, rooftops, or to be used for vehicular driveways (i) Has a site development plan been submitted to the Division of
or parking. Water Quality for review?
0 []Yes ❑No ®NA
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.
Existing house and drive; no new impervious surfaces.
Describe proposed method of sewage disposal
Existing septic
I. Describe location and type of proposed discharges to waters of the
state (e.g., surface runoff, sanitary wastewater, industriall
commercial effluent, 'wash down' and residential discharges).
N/A
(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.
m. Does the proposed project include an innovative stornwater
design?
❑Yes ❑No ®NA
If yes, attach appropriate documentation.
RECEIVED
AUG 0 6 2014
252-808-28062 :: 1-888.4RC0ASF :: www.nccoastalr anaoement.net revised: 12/26/06

l €3t•ra DGM F&P-3 (Upland Devel-apmen", Pages 2 of 2)
m. Describe proposed drinking water supply source (e.g., well,
community, public system, etc.)
Existing
o. When was the lot(s) platted and recorded?
2004
n. (i) Will water be impounded? ❑Yes NNo ❑NA
(ii) If yes, how many acres?
p. If proposed development is a subdivision, will additional utilities be
installed for this upland development?
❑Yes ❑No NNA
0
252-SOS-26d8 :: 4-586-4RCOAST n vwmn.nccoastatmanaaacment.net revised: 42/26/66

s
Form ®CMI MP-4 r----_ .._ ..
STRUCTURES uuN 30 zola
(Construction within Public Trust Areas)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
1- DOCKING FACILITY/MARINA CHARACTERISTICS
a. (i) Is the docking facility/marina:
❑Commercial ❑PubliclGovernment ®Private/Community
❑This section not applicable
b. (i) Will the facility be open to the general public?
❑Yes ONO
c. (1) Dock(s) and/or pier(s)
d. (1) Are Finger Piers included? ❑Yes ONO
(ii) Number 1
If yes:
(iii) Length 32'
(ii) Number
(iv) Width 6'
(iii) Lengths
(v) Floating []Yes ®No
(iv) Width
(v) Floating- ❑Yes ONO
e. (i) Are Platforms included? ®Yes []No
f. (i) Are Boatlifts included? []Yes ENO
If yes:
If yes:
(ii) Number 1
(ii) Number _
(III) Length 12'
(iii) Length
(iv) Width 16'
IN) Width
(v) Floating []Yes ®No
ote: Roofed areas are calculated from dripline dimensions.
g. (i) Nu er of slips proposed -
h. Check all the types of services to be provided.
p
El Full service, including travel lift and/or rail, repair or
(ii) Numb of slips existing
maintenance service
0
❑ Dockage, fuel, and marine supplies
❑ Dockage ("wet slips") only, number of slips:
❑ Dry storage; number of boats:
❑ Boat ramp(s); number of boat ramps:
❑ Other, please describe:
N/A
I. Check the proposed type of siting:
❑ Land cut and access channel
❑Open water; dredging for basin and/or channel
®Open water; no dredging required
❑Other; please describe:
k. Typical boat length: NIA
m. (I) Will the facility have tie pilings?
❑Yes ONO
(ii) If yes number of tie pilings?
j. Describe the typical boats to be served (e.g., open runabout,
charter boats, sail boats, mixed types).
N/A
I. (1) Will the facility be open to the general public?
❑Yes ONO RECEWED
AUG 0 6 2014
111CM-M11DCITY
252-808-2808 :: 1-888-411COAST :: LA .nccoastgImarpacpement-net revised: 12/27/06

Form DCM MF-4 (Structures, (sage 2 of a.)
a. Check each of the following sanitary facilities that will be included in the proposed project.
❑ 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.
N
c. Describe the disposal of solid waste, fsh 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.
a
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 he the marina 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 madna/docking facility proposed within a primary or secondary nursery area?
❑Yes []No
252-808-2809 :: 1-888-e118COAST :: vvww.naaaastalnnanaaemeret.net revised: 12/27/06

Form DCM MP-4 (Steuctoures, Page a of at
n. Is the marina/docking 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 _ ❑SAV ❑SB
OWL _ ❑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. (i) Is the boathouse structure(s):
❑Commercial ❑PublictGovernment ❑Private/Community -
(ii) Number _
(III) Length /
(iv) Width
Note: Roofed areas are calculated from ddpline 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 or wetlands
S. MOORING PILINGS and BUOYS ®This section not applicable
a. Is the structure(s):
❑Commercial ❑Public/Government ❑Private/Community
c. Distance to be placed beyond shoreline
Note: This should be measured from marsh edge, if present.
e. Arc of the swing
b. Number
d. Description of buoy (color,inscription, size, anchor, etc.) f
7. GENERAL
252-808-2808 :: 1-88"RCOAST :: !A .nocaastalmanPgeme_nt.net
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000M
G 0 6 201,
CM--MHD CITY
revised: 12127/06

Form DMM MP— (8truoWees, Vacte k of 4)
a. Proximity of structure(s) to. adjacent riparian property lines
60'
b. Proximity of structure(s) to adjacent docking facilities.
>50'
Note: For buoy or mooring piling, use arc of swing including length
of vessel.
c. Width of water body d. Water depth at watenaard end of structure at NLW or NWL
>1 mile 2' approximately
e. (i) Will navigational aids be required as a result of the project? . .
[-]Yes []No. ❑NA
(ii) If yes, explain what type and how they will be implemented.
a. Give complete description:
0
0
252-806-28O6 :: 1-988-4RCOAST revised: 12/27/06

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DCM-MffD Cr Y

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvada, III
Governor Secretary
July 16, 2014 G t y. D9.21.01
MEMORANDUM
TO: Maria Tripp Dunn
NC Wildlife Resources Commission
FROM: Daniel Govoni
Assistant Major Permits Coordinator
Division of Coastal Management
SUBJECT: CAMA Permit Application Review
Applicant: Sharon Burtner
Project Location: 123 Otter Way, in the Rivers Edge S/D in Perquimans County
Proposed Project: fill non -coastal wetlands & construct a pier, platform, & walkway
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 08/06/14 to 400 Commerce Avenue, Morehead City, NC 28557 (fax: [phone]).
If you have any questions regarding the proposed project, please contact Lynn Mathis at (252)
264-3901. When appropriate, in-depth comments with supporting data are requested.
REPLY: This office has no objection to the project as proposed.
v// This office has no comment on the proposed project.
This office approves of the project only if the recommended changes are
incorporated. See attached.
This office objects to the project for reasons described in the attached
comments.
SIGNED 4 AA At DATE 8-4- 7-D1q
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] \ FAX: [phone] ; Internet: www.nocoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer

A A
ICffi R
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
7uly 16, 2014
MEMORANDUM
TO:
Kea Pace, PE; Envirorunental Operations & Rest Area
Department of Tratrsportation
iiROM: Daniel Govoni
Assistant Major Permits Coordinator
Division of Coastal Management
SUBJECT: CAMA Permit Application Review
John E. Skvarla, III
Secretary
Applicant: Sharon Butrtner
Project Location:, 123 Otter Way, in the Rivers Edge S/D in Perquimans County
Proposed Project: fill non -coastal wetlands & construct a pier, platform, & walkway
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 08/06/14 to 400 Commerce Avenue Morehead City NC 28557 (fax: [phone].
If you have any questions regarding the proposed project, please contact Lynn Mathis at (252)
264-3901. When appropriate, in-depth comments with supporting data are requested.
jpLy; This office has no objection to the project as proposed.
This office has no comment on the proposed project.
This office approves of the project only if the recommended changes are
incorporated. See attached.
This office objects to the project for reasons described in the attached
Comments.
SIGNED © t'A DATE 013 a�l�
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] FA)C262-264-3723 ; Internet: wwwmccoastalmanagementnet
An Equal Opportunity 1 Affirmative Action Employer
TO/TO 39Vd iOQON 6ELVTEEZ9Z T9:00 17TOZ/EZ/10

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
July 16, 2014
MEMORANDUM
TO:
Lee Padrick
Division of Community Assistance
FROM: Daniel Govoni
Assistant Major Permits Coordinator
Division of Coastal Management
SUBJECT: CAMA Permit Application Review
Applicant: Sharon Burtner
John E. Skvarla, III
Secretary
Project Location: 123 Otter Way, in the Rivers Edge S/D in Perquimans County
Proposed Project: fill non -coastal wetlands & construct a pier, platform, & walkway
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 08/06/14 to 400 Commerce Avenue, Morehead City, NC 28557 (fax: [phone]).
If you have any questions regarding the proposed project, please contact Lynn Mathis at (252)
264-3901. When appropriate, in-depth comments with supporting data are requested.
REPLY: V This agency has no objection to the project as proposed.
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 �� DATE 7 'a7a
P. ASIXIVED
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] FAX: [phone] ; Internet: www.naroastalmanagement.net JUL 2 4 2014
An Equal Opportunity 1Affirmative Action Employer

lME ENR
North Carolina Department of Environment and Asa r- e�•,r�.
Pat McCrory John aria, Ill
Govemor AUG 5 2014 Secretary
July 16, 2014W--k P® ` �<;
MEMORANDUM �"�
TO:. Robert Tankard, Environmental Engineer
DWR - Water Quality, Aquifer Protection Section, WaRO
FROM: Daniel Govoni
Assistant Major Permits Coordinator
Division of Coastal Management
SUBJECT: CAMA Permit Application Review
Applicant: Sharon Burtner
Project Location: 123 Otter Way, in the Rivers Edge S/D in Perquimans County
Proposed Project: fill non -coastal wetlands & construct a pier, platform, & walkway.
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 08/06/14 to 400 Commerce Avenue Morehead City, NC 28557 (fax: [phone]).
If you have any questions regarding the proposed project, please contact Lynn Mathis at (252)
264-3901. When appropriate, in-depth comments with supporting data are requested.
REPLY: This agency has no objection to the project as proposed.
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes are
incorporated. See attached, j6Q (t�N,svtvq
This agency objects to the project for reasons described in the attached
comments.
DATEX1rT11q
1367 US 17 South, Elizabeth City, NC 27909
252-2643901 PFAX: 252.2643723 ; Internet: www.n=astalmanagament.net
An Equal Opportunity \ Affirmative Action Employer

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
August 7, 2014
CERTIFIED MAIL: 7012 2210 0002 4887 0635
RETURN RECEIPT REQUESTED
Ms. Sharon Burtner
12035 Waples Mill Road
Oakton, VA 22124
Subject: REQUEST FOR ADDITIONAL INFORMATION
123 Otter Way, in Rivers Edge S/D in Perquimans County
Dear Mr. Paul:
John E, Skvarla, III
Secretary
DWR p 14-0750
PerquimansCounty
On July 18, 2014,.the Division of Water Resources (Division) received your application dated July 16, 2014,
requesting a 401 Water Quality Certification from the Division for the subject project. The Division has
determined that your application is incomplete and cannot be processed. The application is on -hold until
all of the following Information is received:
1. Impact Justification (Avoidance and Minimization)
The Major Development Permit application received in this Office states that Sharon Burtner is the
owner of subject property located at 123 Otter Way in New Hope Township, Perquimans County.
This Office believes that the 401/404-wetlands impacts from the fill area for proposed
ingress/egress walkway to your proposed pier and platform depicted in DCM Staff Drawing can be
reconfigured to avoid and minimize impacts to the 401/404-wetlands. It is therefore necessary to
demonstrate Avoidance and Minimization of 401/404-wetland for the proposed project.
Pursuant to Title 15A NCAC 02H .0506 (a)(7) and (b)(2), the applicant shall furnish all of the above
requested information for the proper consideration of the application. If all of the requested information Is
not received in writing within 30 calendar days of receipt of this letter, the Division will be unable to
approve the application and it will be returned. The return of this project will necessitate reapplication to
the Division for approval, including a complete application package. and the appropriate fee. Please
respond in writing within 30 calendar days of receipt of this letter by sending three copies of all of the
above requested information to the 401 & Buffer Permitting Unit, 1617 Mail Service Center, Raleigh, NC
27699-1650.
Please be aware that you have no authorization under the Section 401 of the Clean Water Act for this
activity and any work done within waters of the state may be a violation of North Carolina General Statutes
and Administrative Code.
Division of Water Resources -Water Quality Regional Operations Section -Washington Regional Office
943 Washington Square Mall, Washington, NC 27889
Phone: [phone] Fax: 252.97M7161 Internet: www.ncdenr.gov
An Equal OpporfunIty IiAlfirma6ve Mon Employer —Made in pad by recycled paper

Mr. Sharon Burtner
Request for Additional Information
Page 2 of 2
Please contact me at 252-948-3924 or [e-mail] if you have any questions or
concerns.
Sca ra gh, Environmental Senior Specialist
,ua ty Re ionai Operation Section
of ate . esources, NCDENR
cc: Raleigh Bland, USACE Washington Regulatory Field Office
Doug Huggett, DCM Morehead City
Lynn Matthis, DCM Elizabeth City
DWR WaRO 401 files
Jennifer Burdette, DWR 401 & Buffer Permitting Unit

Govoni, Daniel
From: Scarbraugh, Anthony
Sent: Wednesday, September 17, 2014 3:10 PM
To: Govoni, Daniel;'Bland, Raleigh W SAW'
Cc: Mathis, Lynn
Subject: RE: 123 Otter Way CAMA Major
Daniel,
Ms. Burtner has removed the 401/404-wetland impacts associated with her project via email
correspondence received on September 16, 2014. This Office has no objection to the pier and
the associated platform, which will require no written concurrence.
Thanks,
Anthony
Anthony Scarbraugh
Environmental Senior Specialist
Washington Regional Office
North Carolina Department of Environment and Natural Resources Division of Water Resources -
Water Quality Regional Operations Section
943 Washington Square Mall
Washington, NC 27889
[phone]
****************************************************************************
E-mail correspondence to and from this address may be subject to the North Carolina Public
Records Law and may be disclosed to third parties unless the content is exempt by statue or
other regulation.
****************************************************************************
-----Original Message -----
From: Govoni, Daniel
Sent: Wednesday, September 17, 2014 9:46 AM
To: Scarbraugh, Anthony; 'Bland, Raleigh W SAW'
Cc: Mathis, Lynn
Subject: FW: 123 Otter Way CAMA Major
Raleigh and Anthony, our 75 day clock is 9/22/14. Let me know if you are going to be able to
have your final comments completed by then or if you will need additional information so that
I can put the CAMA Major app. on hold if needed. Thanks
Daniel M. Govoni
Asst. Major Permits Coordinator
NC Division of Coastal Management
400 Commerce Ave.
Morehead City, NC 28557
[phone]
[phone] fax
daniel.govoni(@ncdenr.gov
E-mail correspondence to and from this address may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.
1

-----Original Message -----
From: Mathis, Lynn
Sent: Wednesday, September 17, 2014 9:26 AM
To: Govoni, Daniel
Subject: FW: 123 Otter Way CAMA Major
-----Original Message -----
From: Sharon Burtner [mailto:[e-mail]]
Sent: Wednesday, September 17, 2014 9:24 AM
To: Scarbraugh, Anthony
Cc: Mathis, Lynn
Subject: Re: 123 Otter Way CAMA Major
Dear Mr. Scarbrough,
When I wrote back quickly to you yesterday saying that you could withdraw my request, I'm
afraid that I wasn't clear. What I meant was that I had given up on the idea of the partial
fill of the wetlands, which seemed like a costly, losing battle. I certainly want my pier!
After many, many months of working on and revising the application and spending $400, I
really hope that my quick reply yesterday does not prevent my pier proposal from going
through.
Thank you for your attention to this matter.
Sincerely,
Sharon Burtner
703-380-8337
anthonv.scarbraueh(@ncdenr.eov wrote:
From: "Scarbraugh, Anthony" <[e-mail]>
To: "[e-mail]" <[e-mail]>
CC: "Mathis, Lynn" <[e-mail]>
Subject: 123 Otter Way CAMA Major
Date: Tue, 16 Sep 2014 12:39:20 +0000
Ms. Burtner,
On August 14, 2014, you received a certified mailing from this Office requesting that you
demonstrate Avoidance and Minimization of 401/404-wetland impacts for the proposed
ingress/egress walkway to your proposed pier and platform at your property at 123 Otter Way
in New Hope Township of Perquimans County. Within the letter, you were required to respond
within 30 calendar days of receipt or the Division of Water Resources would be unable to
approve the application and it would be returned. This Office will allow an additional 10
days to address the request for additional information or withdraw your request. If you have
any questions or concerns, please feel free to contact me.
Thanks,
Anthony Scarbraugh
2

Anthony Scarbraugh
Environmental Senior Specialist
Washington Regional Office
North Carolina Department of Environment and Natural Resources Division of Water Resources -
Water Quality Regional Operations Section
943 Washington Square Mall
Washington, NC 27889
[phone]
****************************************************************************
E-mail correspondence to and from this address may be subject to the North Carolina Public
Records Law and may be disclosed to third parties unless the content is exempt by statue or
other regulation.
****************************************************************************
Sign up for FREE email from Everyone.net email at http://www.everyone.net
9

Govoni, Daniel
From: Bland, Raleigh W SAW [[e-mail]]
Sent: Wednesday, September 17, 2014 10:01 AM
To: Govoni, Daniel; Scarbraugh, Anthony
Cc: Mathis, Lynn
Subject: RE: 123 Otter Way CAMA Major (UNCLASSIFIED)
Classification: UNCLASSIFIED
Caveats: NONE
No problem with the pier and platform part...
SAW 201401381 Tier II PGP 198000201 16 Sep14
Thanks!
-----Original Message -----
From: Govoni, Daniel [mailto:[e-mail]]
Sent: Wednesday, September 17, 2014 9:46 AM
To: Scarbraugh, Anthony; Bland, Raleigh W SAW
Cc: Mathis, Lynn
Subject: [EXTERNAL] FW: 123 Otter Way CAMA Major
Raleigh and Anthony, our 75 day clock is 9/22/14. Let me know if you are going to be able to
have your final comments completed by then or if you will need additional information so that
I can put the CAMA Major app. on hold if needed. Thanks
Daniel M. Govoni
Asst. Major Permits Coordinator
NC Division of Coastal Management
400 Commerce Ave.
Morehead City, NC 28557
[phone]
[phone] fax
daniel.eovoni(dncdenr.eov
E-mail correspondence to and from this address may be subject to the North Carolina Public
Records Law and may be disclosed to third parties.
-----Original Message -----
From: Mathis, Lynn
Sent: Wednesday, September 17, 2014 9:26 AM
To: Govoni, Daniel
Subject: FW: 123 Otter Way CAMA Major
-----Original Message -----
From: Sharon Burtner [mailto:[e-mail]]
Sent: Wednesday, September 17, 2014 9:24 AM
1

To: Scarbraugh, Anthony
Cc: Mathis, Lynn
Subject: Re: 123 Otter Way CAMA Major
Dear Mr. Scarbrough,
When I wrote back quickly to you yesterday saying that you could withdraw my request, I'm
afraid that I wasn't clear. What I meant was that I had given up on the idea of the partial
fill of the wetlands, which seemed like a costly, losing battle. I certainly want my pier!
After many, many months of working on and revising the application and spending $400, I
really hope that my quick reply yesterday does not prevent my pier proposal from going
through.
Thank you for your attention to this matter.
Sincerely,
Sharon Burtner
703-380-8337
--- anthonv.scarbraueh(@ncdenr.eov wrote:
From: "Scarbraugh, Anthony" <[e-mail]>
To: "[e-mail]" <[e-mail]>
CC: "Mathis, Lynn" <[e-mail]>
Subject: 123 Otter Way CAMA Major
Date: Tue, 16 Sep 2014 12:39:20 +0000
Ms. Burtner,
On August 14, 2014, you received a certified mailing from this Office requesting that you
demonstrate Avoidance and Minimization of 401/404-wetland impacts for the proposed
ingress/egress walkway to your proposed pier and platform at your property at 123 Otter Way
in New Hope Township of Perquimans County. Within the letter, you were required to respond
within 30 calendar days of receipt or the Division of Water Resources would be unable to
approve the application and it would be returned. This Office will allow an additional 10
days to address the request for additional information or withdraw your request. If you have
any questions or concerns, please feel free to contact me.
Thanks,
Anthony Scarbraugh
Anthony Scarbraugh
Environmental Senior Specialist
Washington Regional Office
North Carolina Department of Environment and Natural Resources Division of Water Resources -
Water Quality Regional Operations Section
943 Washington Square Mall
Washington, NC 27989
[phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public
Records Law and may be disclosed to third parties unless the content is exempt by statue or
other regulation.
2

############################################################################
Sign up for FREE email from Everyone.net email at htto://www.evervone.net
Classification: UNCLASSIFIED
Caveats: NONE

Govoni, Daniel
From:
Mathis, Lynn
Sent:
Wednesday, September 17, 2014 9:26 AM
To:
Govoni, Daniel
Subject:
FW: 123 Otter Way CAMA Major
-----Original Message -----
From: Sharon Burtner [mailto:[e-mail]
Sent: Wednesday, September 17, 2014 9:24 AM
To: Scarbraugh, Anthony
Cc: Mathis, Lynn
Subject: Re: 123 Otter Way CAMA Major
Dear Mr. Scarbrough,
When I wrote back quickly to you yesterday saying that you could withdraw my request, I'm
afraid that I wasn't clear. What I meant was that I had given up on the idea of the partial
fill of the wetlands, which seemed like a costly, losing battle. I certainly want my pier!
After many, many months of working on and revising the application and spending $400, I
really hope that my quick reply yesterday does not prevent my pier proposal from going
through.
Thank you for your attention to this matter.
Sincerely,
Sharon Burtner
703-380-8337
anthonv.scarbraush(ancdenr.eov wrote:
From: "Scarbraugh, Anthony" <[e-mail]>
To: "[e-mail]" <[e-mail]>
CC: "Mathis, Lynn" <[e-mail]>
Subject: 123 Otter Way CAMA Major
Date: Tue, 16 Sep 2014 12:39:20 +0000
Ms. Burtner,
On August 14, 2014, you received a certified mailing from this Office requesting that you
demonstrate Avoidance and Minimization of 401/404-wetland impacts for the proposed
ingress/egress walkway to your proposed pier and platform at your property at 123 Otter Way
in New Hope Township of Perquimans County. Within the letter, you were required to respond
within 30 calendar days of receipt or the Division of Water Resources would be unable to
approve the application and it would be returned. This Office will allow an additional 10
days to address the request for additional information or withdraw your request. If you have
any questions or concerns, please feel free to contact me.
Thanks,
Anthony Scarbraugh
1

Anthony Scarbraugh
Environmental Senior Specialist
Washington Regional Office
North Carolina Department of Environment and Natural Resources Division of Water Resources -
Water Quality Regional Operations Section
943 Washington Square Mall
Washington, NC 27889
[phone]
****************************************************************************
E-mail correspondence to and from this address may be subject to the North Carolina Public
Records Law and may be disclosed to third parties unless the content is exempt by statue or
other regulation.
****************************************************************************
Sign up for FREE email from Everyone.net email at http://www.everyone.net
9

w
NCDENR
North Carolina Department of Environment
Pat McCrory
Governor
July 16, 2014
MEMORANDUM
and Natural Resources
TO: Jessi Baker, Fisheries Resource Specialist
Division of Coastal Management, Morehead City
FROM: Daniel Govoni
Assistant Major Permits Coordinator
Division of Coastal Management
SUBJECT: CAMA Permit Application Review
Applicant: Sharon Burtner
John E. Skvarla, III
Secretary
Project Location: 123 Otter Way, in the Rivers Edge S/D in Perquimans County
Proposed Project: fill non -coastal wetlands & construct a pier, platform, & walkway
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 08/06/14 to 400 Commerce Avenue, Morehead City, NC 28557 (fax: [phone]).
If you have any questions regarding the proposed project, please contact Lynn Mathis at (252)
264-3901. When appropriate, in-depth comments with supporting data are requested.
REPLY: This agency has no objection to the project as proposed.
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 DATE
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] FAX: [phone] ; Internet: www.nocoastaimanagement.net
rJU
RECMW
L 21 2014
An Equal opportunity 1 Affirmative Action Employer DCS:vNf-; Jm

w
NCDENR
North Carolina Department of Enviro7Sh
Pat McCrory
Governor JUL22 2o% IL
July 16, 2014 ion B aecreational
lity Sec *ion
MEMORANDUM
E. Skvarla, III
Secretary
TO: Patti Fowler, Section Chief
Marine Fisheries — Shellfish Sanitation & Recreational Water Quality
FROM: Daniel Govoni
Assistant Major Permits Coordinator
Division of Coastal Management RECEIM
SUBJECT: CAMA Permit Application Review IIJL 29 2 0'
Applicant: Sharon Burtner
DCM-MHDCITy
Project Location: 123 Otter Way, in the Rivers Edge S/D in Perquimans County
Proposed Project: fill non -coastal wetlands & construct a pier, platform, & walkway
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 08/06/14 to 400 Commerce Avenue, Morehead City, NC 28557 (fax: [phone]).
If you have any questions regarding the proposed project, please contact Lynn Mathis at (252)
264-3901. When appropriate, in-depth comments with supporting data are requested.
REPLY: This office has no objection to the project as proposed.
This office has no comment on the proposed project.
This office approves of the project only if the recommended changes are
incorporated. See attached.
This office objects to the project for reasons described in the attached
comments.
SIGNED DATE 1/1y �Ly
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] FAX [phone] ; Internet: www.nocoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
July 16, 2014
Ms. Sharon P. Burtner
12035 Waples Mill Road
Oakton, VA 22124
Dear Ms. Burtner:
John E. Skvarla, III
Secretary
The NC Division of Coastal Management hereby acknowledges receipt of your
application for State approval for development of your property located at 123 Otter
Way in Perquimans County. It was received complete on July 9, 2014, and appears to
be adequate for processing at this time. The projected deadline for making a decision is
September 22, 2014. 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 July 9, 2014, 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.
RECEWM
JUL 21 2014
DCAI-i: flDCITY
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] FAX: [phone] ; IntemeC htto://Dortal.ncdenr.orc/web/cnVdcm-home
An Equal Opportunity 1 Affirmative Action Employer

July 1, 2014
Page 2
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 Lynn Mathis,
Field Specialist, if you have any questions and or if you wish to receive a copy of her
field report.
Sincerely,
Frank JeiSnings
District Manager, Northeastern District
NC Division of Coastal Management
FJ/yc
Enclosure
cc: 'Daniel Govoni, Assistant Major Permits Coordinator, DCM, Morehead City, NC
Lynn Mathis, Field Specialist, DCM, Elizabeth City, NC

x diklm, 194417
AMA
J
PERMIT
APPLIED
CT: NON- CaA5IrLAAD
V %%
x
FOR
84'D F11a1- •
COMMENTS ACCEPTED THROUGH 091/L Ily
APPLICANT:
S N A R*AfJ a %^*-rt4cA
/Za3s uAPAeS %a
ofUCT� N, VA tz z Y
lo3- 394- S 337
FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
,.� t yooij a. "ATH IS
IDIV. of COAsrAc MAIlAcErmAr
/047 "i MPY 17 3.
4ECILA SErO Ct?% Act. 2.7101
ZS 2- ttoy• 394, t-xr. 23 1

LEA
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
EMAIL MEMORANDUM
TO: The Daily Advance
Legal Advertisement Section
edale a�ls2daitvadvance.com
FROM: Yvonne Carver for Lynn Mathis
DATE: July 16, 2014
SUBJECT: Public Notice — Sharon Burtner
ACCOUNT: #2119219, NCDENR/Stadiem
John E. Skvarla, III
Secretary
Please publish the attached Notice in the Wednesday, July 23, 2014 issue of The
Perguimans Weekly.
The State Office of Budget and Management requires an original Affidavit of Publication
prior to payment for newspaper advertising. Please send the affidavit, an original
copy of the published notice, and an original invoice to Melissa Sebastian, NC
Division of Coastal Management, 400 Commerce Avenue, Morehead City, NC
28557, (Telephone [phone]).
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: Daniel Govoni, Assistant Major Permits Coordinator, DCM, Morehead City
Michele Walker, PIO, DCM, Raleigh
Melissa Sebastian, Accounts Payable, DCM, Morehead City
File
REC>:3VED
a
IUL 21 2014
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] FAX: [phone]; Internet: www.nccoastalmanagement.net i)C .!•a't �rir'
An Equal Opportunity 1 Affirmative Action Employer

NOTICE OF FILING OF
APPLICATION FOR CAMA MAJOR
DEVELOPMENT PERMIT
NCDENR 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 07/09/14. Sharon Burtner proposes to fill non -coastal wetlands &
construct a pier, platform, & walkway at 123 Otter Way, in the Rivers Edge S/D in
Perquimans County.
A copy of the entire application may be reviewed at the office of the Division of
Coastal Management, located at 1367 US 17 South, Elizabeth City, NC, 252-264-3901
during normal business hours. Comments mailed to Braxton Davis, Director, DCM, 400
Commerce Avenue, Morehead City, NC 28557, prior to 08/12114, 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: Wednesday, July 23, 2014

MAJOR PERMIT FEE MATRIX
Applicant: SI{RRCo r'x.fLTJ 6z
G 146cK N a. I_ 9s / =
Selection
Development Type
Fee
DCM %
DWQ %
(14300 1601 435100093 1625 6253)
(24300 1602 435100095 2341)
I. Private, non-commercial
development that does not
$250
100% ($250)
0% ($0)
involve the filling or
excavation of any wetlands
or open water areas:
II. Public or commercial
development that does not
$400
100% ($400)
0% ($0)
involve the filling or
excavation of any wetlands
or o en water areas:
III. For development that
involves the filling and/or
excavation of up to 1 acre
of wetlands and/or open
water areas, determine 'rf A,
B, C, or D below applies:
III(A). Private, non-
commercial development, if
$250
100% ($250)
0% ($0)
General Water Quality
Certification No. 3490 (See
%ze,7reC�J r,y,1)rrc�
attached can be applied:
/
III(B). Public or commercial
❑
development, if General
$400
100%($400)
0% ($0)
Water Quality Certification
No. 3490 (See attached)
can be lied:
III(C). If General Water
Quality Certification No.
$400
60%($240)
40%($160)
3490 (see attached) could
be applied, but DCM staff
RHCEWO
determined that additional
review and written DWQ
concurrence is needed
JUL 2 1 2014
of concems
related to water quality or
aquatic life:
DCM_NMCffY
III(D). If General Water
Quality Certification No.
$400
60% ($240)
40% ($160)
3490 (see attached) cannot
lbecause
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
open water areas:
c3-, 000 rp Al1dn1 aY9.SPL (t7-z40 4:)
h Gt w IAl A -CC,

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
1r,V S k)ktte
joerf Aisf ALL-cC)rc(c
�r Z� , Gfy, lac aJg01
A. S19 re
Agent
X -5Q ❑ Addre
a. a—d,,.,rf by f PHRted YBlna\ C. DeLAW& N
D. Is delivery address different irom fterr117 Oyes
If YES, VIrterdelivery address No
JUL - 8 20?4
3,1 Service Type ., .
M CartlSed Mall ❑ Express Mall
1 Registered -.--0 Fralum RecelptforMerchandlse
❑ Insured Mail O C.O.D.
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FILED In PERGUINANS Countyy,� NC
on Jun 11 2007 of 12.13.28 PM
b9: DEBORAH S. REED
REGISTER OF DEEDS
BOOK 330 PAGE 151
yo a
PERQUIMANS COUNTY
LAND TRANSFER TAX
AMOUNT S al M AO
PAID S OD
STATE OF NORTH CAROLINA
COUNTY OF PERQUIMANS
P Ieeue/ Jun 11 2007
t 110.00
�.� .f PEROUIMANS
Nor h terelin! Ceunty
Reel Estate Excise Tex
THIS DEED, Made and entered into this. day
of �_ , 2007, by and between Coastal Land
Development, Inc., party of the first part, and Sharon Patricia
Burtner whose address is 12035 Waples Mill Road, Oakton, VA 22124
party of the second part;
W I T N E S S E T H:
That the said party of the first part, for and in
consideration of the sum of TEN AND N01100 ($10.00) DOLLARS, and
other good and valuable considerations to it in hand paid, by the
party of the second part, the receipt of which is hereby
acknowledged, has bargained and sold and by these present does
bargain, sell and convey unto the said party of the second part,
her heirs and assigns, subject to the encumbrances as hereinafter
set out, that certain tract or parcel of land lying and being in
New Hope Township, Perquimans County, State of North Carolina,
and being more particularly described as follows: REMW
JUL 21 2014
DCM-MCffp

BOOK 330 PAGE 152
BEING all of Lot No. Forty -Eight (48) as the
same is shown on that map of record in the
Office of the Register of Deeds of Perquimans
County in Plat Cabinet 2, Slide 141 Map #3,
and Slide 141 Map #4. The map hereiTi
referred to was prepared by CE Solutions,
dated May 23, 2005 and identified by the
following legend: "Final Plat of The Rivers
Edge, Phase 20. Further reference is made to
said map for a more complete and accurate
description of this property.
This conveyance is further made subject to
those certain conditions and restrictions
recorded in Book 274, Page 572 of the
Perquimans County Registry.
As expressly shown and designated on the plat
referenced for the premises herein conveyed,
Lots 55-60 of Phase 2 of The Rivers Edge are
subject to a "dedicated easement area" or
"reserved for conservation easement" area for
benefit of the State of North Carolina by and
through the North Carolina Ecosystem
Enhancement Program (11EEP4). By acceptance
of this deed, Grantee acknowledges and agrees
to.(i) the application of the EEP terms and
conditions to the "dedicated easement area"
and "reserved for conservation easement" area
as shown on Lots 55-60, Phase 2 of The Rivers
Edge by the plat referenced and (ii) an
amendment or modification to the Declaration
of Covenants, Conditions and Restrictions for
The Rivers Edge Subdivision so providing.
TO HAVE AND TO HOLD the aforesaid tract or parcel of
land together with all the rights, privileges and appurtenances
thereunto belonging unto her, the said party of the second part,
her heirs and assigns, in fee simple forever, subject to the
encumbrances as set out hereinabove.
And the said party of the first part, covenants to and
with the said party of the second part, her heirs and assigns,

BOOK 330 PAGE 153
that it is seized of said premises in fee and has a lawful right
to convey the same in fee simple; that the same is free and clear
of all encumbrances, except for the encumbrances as set out
hereinabove, and that it hereby warrants and will forever defend
the title to the same against the lawful claims of all persons
whomsoever.
IN TESTIMONY WHEREOF, Coastal Land Development, Inc.
has caused this instrument to be signed in its name by its
President, all by authority duly given, this the day and year
first above written.
Co 1 and Development, Inc.
B
President
RECEIV&p
JUL 21 2014
DChf.UMet(Y

BOOK 330 PAGE 151
STATE OF NORTH CAROLINA
COUNTY OF
I, _&a9_ � ' Notary Public,
certify that Robert T. Farris, personally came before me this day
and acknowledged that he is President of Coastal Land
Development, Inc., a corporation, and that by authority duly
given and as the act of the corporation, the foregoing instrument
was signed in its name by Robert T. Farris, its President.
My commission expires aQ ze Z®
Witness my hand and official seal, this the 5� '
day of , 200.
r,0 TA..sv
PUBLIC Ua
(OFFI/@iitrs
ia./' g
Notary Public
a

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2013-02347 County: Perauimans U.S.G.S.Quad: NC-WEEKSVILLE
Property Owner:
Address:
Telephone Number:
NOTIFICATION OF JURISDICTIONAL DETERMINATION -
Ms. Sharon Burtner
12035 Waples Mill Road
Oaldon, VA, 22124-2117
f7031838-1705
I� JU1� 30 2014
Size (acres) 1.22 Nearest Town Hertford
Nearest Waterway Little River River Basin Albemarle. North Carolina, Virginia.
USGS HUC 3010205 Coordinates Latitude: 36.151884
Longitude:-76.242928
Location description. The property under review is located at 123 Otter Way in the New Hope area of Perauimans
County, North Carolina.
Indicate Which of the Following Am)
A. Preliminary Determination
X Based on preliminary information, there may be wetlands on the above described property. We strongly suggest you have
this property inspected to determine the extent of Department of the Army (DA) jurisdiction. To be considered final, a
jurisdictional determination must be verified by the Corps. This preliminary determination is not an appealable action
under the Regulatory Program Administrative Appeal Process (Reference 33 CFR Part 331). If you wish, you may request
an approved JD (which may be appealed), by contacting the Corps district for fiuther instruction. Also, you may provide
new information for further consideration by the Corps to reevaluate the JD-
B. Approved Determination
_ There are Navigable Waters of the United States within the above described property subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law or
our published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
There are waters of the US. including wetlands on the above described properly subject to the permit requirements of
Section 404 of the Clean Water Act(CWAX33 USC § 1344). Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification.
_ We strongly suggest you have the wetlands on your property delineated. Due to the size of your property and/or our
present workload, the Cotps may not be able to accomplish this wetland delineation in a timely manner. For a more timely
delineation, you may wish to obtain a consultant. To be considered final, any delineation must be verified by the Corps.
The waters of the U.S. including wetlands on your project area have been delineated and the delineation has been
verified by the Corps. We strongly suggest you have this delineation surveyed. Upon completion, this survey should be
reviewed and verified by the Corps. Once verified, this survey will provide an accurate depiction of all areas subject to
CWA jurisdiction on your property which, provided there is no change in the law or our published regulations, maybe
relied upon for a period not to exceed five years.
The waters of the U.S. including wetlands have been delineated and surveyed and are accurately depicted on the plat
signed by the Corps Regulatory Official identified below on _. Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification.
_ There are no waters of the U.S., to include wetlands, present on the above described project area which are subject to the
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the 2W AtWTVED
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
JUL 2 12014
Page 1 of 2
DChf.Mn CITY

X The property is located in one of the 20 Coastal Counties subject io regulation under the Coastal Area Management.Act
(LAMA). You shouldeontact the Division of -Coastal Management in Elizabefh.City; NC, at [phone] to determine
their requirements.
Placement of dredged or fill material within waters of the US and/or wetlands without a Department of the Army permit may
constitute a vioiationef Section 301 of the Clean Water Act (33 USC § 1311).Ifyou have any questions regarding this
deterrainationandlor the Corps regulatory program, please contact Kyle Barnes at 910-251-4584 or
Kyle. W.B arnesOusamarmy.mil;
c. Basis For IDeterminationi
D, Remarks, The area of wetlands on .the subiectnronertp ivas flagged anti deterinined to'be annroximately 0:12
acres m size.
E. Attention USDA Program Participants
This; delineation/determinationhas been conducted to identify the limits of Corps' .Clean Water Act jurisdiction for the
particular site identified'irr ibi's request The delineation/determination may not be.valid for the wetland conservation
provisions.of Vie Food Security Act of 1985; Ifyou or your tenant are USDA Program participants, or anticipateparticipation
in USDA programs, you should request a.certifiedwetland.defeiminationfiom the local office of the Natural Resources
Conservation Service, prior to starting wont.
F. Appeals Information (This information applies onlylo approved jurisdictional determinations as indicated,in
B. above)
This correspondence constitutes_ a a,approved jtuisdietiona].determination for'the_above described site. Ifyou objectao this
determination, you may requestan adrninisfiative.appeal:under Corps regulations.at 33 CFR Part 331. Enclosed you will find a
Notification of Appeal Process (NAP) fact street and request for appeal (RFA) form. If you request to appeal this
determination youmust suliirdta completed RFA form to the, following address:
US' Army Corps of Engineer's
Soutli Atlantic Division. .
Attar: Jason Steele, ReviewOfficar
60 ForsythSti_eet.SW, Rood 1.0MI5
Atlanta, Georgia M303-8801
In order for an RFA to be accepted by the Corps, the Corps must determine that -it is complete, thatit meets the _criteria for
appeal under 33 CFRpart 334.5, and that it has been received bythe-Division Office wi J 60 days oftbe-date of the. NAP.
Should you decide to submit an RFA f iu, Jtmustbe received at the above address'by �
"It is Aot necessaryto submit an.RFA:forin to the Division -Office if youdomot object to the determination in this
correspondence."
Corps Regulatory --Official: r /`
Date: December 9, 2013 Expiation Dato: December %2018
Tire 13'ilniiigioiiDisliictis coniaitiiled to prolriding_thehigliest leiie1 ofsirppol�t to'tl2epgUlic. To hdp its ensmE We confinite to
do so, please complete the attached crrsiomp- Satisfacfiori Sinliey or visit OffiAyer2.riiyD.irsace anriuriiiUs7rrveuhli)d to`
complete the sin vey milina.

MAILING DISTRIBUTION SHEET W
IDCM Field Offices
Elizabeth City
Morehead City
Washington
Wihhington
US ACO E OMces:
Washington: Raleigh Bland
Wili nington: Ronnie Smith
Cultural Resources:
Public Water Supply:
IBC DOT:
Shellfish Sanitation:
State Property:
Water Resources:
Washington:
Wilmington:
Wildliffe Resources:
(with revised work plan drawings)
Renee Gledhill -Early or([e-mail])
Diane Williams (WIRO)
Joey White (WARO)
Ken Pace r
Patti Fowler
Tim Walton
Karen Biggins (Raleigh)
John Hennessy (NC DOT) /
Anthony Scarborough J'
Joanne Steenhuis — 401
Chad Coburn - 401
Linda Lewis - Stormwater
Maria Dunn (WARO)
LP®:
Fax Distribution: Perinitee #:
Agent
0

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