3-24 PASQ - Davis, Nancy

Elizabeth City Field Office
Local Government
Pasquotank County
CAMA
MINOR DEVELOPMENT
PERMIT
as authorized by the State of North Carolina, Department of Environmental Quality and the
Coastal Resources Commission for development in an Area of Environmental Concern
pursuant to the Coastal Area Management Act, Section 113A-118 of the General Statutes.
3.24 PAS
Permit Number
Issued to Nancy Davis Revocable Living Trust, authorizing development in the Estuarine Shoreline (AEC) at 116 Weeks
Drive, in Pasquotank County, as requested in the permittee's application, dated May 15, 2024, and received complete on
May 30, 2024. This permit, issued on May 30, 2024, is subject to compliance with the application and site drawing
(where consistent with the permit), all applicable regulations and special conditions and notes set forth below. Any
violation of these terms may subject permittee to a fine, imprisonment or civil action, or may cause the permit to be null
and void.
This permit authorizes: Construction of a retaining wall -140' long, and the placement of dirt backfill along the retaining
wall and adjacent yard area for the creation of a Swale.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat drawing
dated May 15, 2024. [GS 113A-1201
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood Regulations. [GS 113A-120]
(3) Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and
modification of this permit. [GS 113A-1201
(4) A copy of this permit shall be posted or available on site. Contact this office at [phone] for a final inspection at
completion of work. [GS 113A-1201
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualified persons
within twenty (20) days of the issuing date. This permit must be on the project
site and accessible to the permit officer when the project is inspected for
compliance. Any maintenance work or project modification not covered under
this permit requires further written permit approval. All work must cease when
this permit expires on: DECEMBER 31, 2027
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal
Management.
Check #1532. in the amount of $100, was received on May 15. 2024 for
the permit fee.
Ron Renaldi
NC Division of Coastal Management
S. Griffin Street, Ste, 300
4Zabeth , N¢'2j909
PERMITTEE
(Signature required if conditions above apply to permit)

Name: Nancy Davis Revocable Living Trust
Minor Permit # 3-24 PASQ
Date: May 30, 2024
Page 2
(5) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
developmenUconstruction shall be located a distance of 30 feet landward of normal water level. [07H .0209(d)(10)]
(6) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Prior to any land -disturbing activities, a barrier line of filter cloth must
be installed between the land disturbing activity and the adjacent marsh or water areas, until such time as the area
has been properly stabilized with a vegetative cover. [07H .0209(d)(3)]
(7) This permit does not authorize development within any wetlands or open water areas. [GS 113A-120] and [07H
.0205(d)]
SIGNATURE: DATE:
ERMITTEE

Renaldi, Ronald
From: Hoadley, James W
Sent: Thursday, May 30, 2024 9:08 AM
To: Renaldi, Ronald; Williams, Paul C; Stallings, Robert T
Subject: RE: CAMA Minor Permit Notification for Project at 116 Weeks Drive, Pasquotank County.
No we are good with what they are proposing
11T.Ti w
James W. Hoadley
County Maintenance Engineer
Camden, Currituck, and Pasquotank Counties
North Carolina Department of Transportation
252-621-6420 office
252-621-6430fax
)whoa(i ftCa�r1ociDt.gov
1929C North Road Street
Elizabeth City, NC 27909
From: Renaldi, Ronald <[e-mail]>
Sent: Thursday, May 30, 2024 8:43 AM
To: Williams, Paul C <[e-mail]>; Hoadley, James W <[e-mail]>; Stallings, Robert T
<rtsta I I i ngs @ ncdot.gov>
Subject: RE: CAMA Minor Permit Notification for Project at 116 Weeks Drive, Pasquotank County.
Good morning Jim &Tim,
Just checking back in on this to see if there are any objections or concerns.
Thanks,
Ron Renaldi
District Manager, Northeastern District

North Carolina Division of Coastal Management
North Carolina Department of Environmental Quality
401 S. Griffin St., Ste 300
Elizabeth City, NC 27909
Office: [phone]
Please note that my email address is now.RoruzidRenaldi(d�deq.nc.gov.
Click HERE to Find the DCM Field Rep in your CAMA region.
DE
�Q
NAB
PePamnent I Environmont:IpQwl;y
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
From: Williams, Paul C <[e-mail]>
Sent: Tuesday, May 28, 2024 7:56 AM
To: Hoadley, James W <[e-mail]>; Stallings, Robert T <[e-mail]>
Cc: Renaldi, Ronald <[e-mail]>
Subject: FW: CAMA Minor Permit Notification for Project at 116 Weeks Drive, Pasquotank County.
Jim and Tim,
Please see email below. Do you have any objections or concerns about this project in Pasquotank County?
Thanks,
Paul C. Williams, Jr.
Division Environmental Officer
Division One
NC Department of Transportation
[phone] office
[phone] mobile
[phone] fax
pcwilliams2Ca ncdot.gov
113 Airport Dr.
Suite 100
Edenton, NC 27932
2

Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Email correspondence to and from this sender is subject to the N.C. Public Records Law and may be disclosed to third parties.
From: Renaldi, Ronald <[e-mail]>
Sent: Friday, May 24, 2024 11:27 AM
To: Williams, Paul C <[e-mail]>
Subject: CAMA Minor Permit Notification for Project at 116 Weeks Drive, Pasquotank County.
Paul,
I'm helping an applicant out with her minor permit application and NCDOT is the ARPO.
I'm attaching the application and site plan for your review. The proposed development
includes the removal of existing fencing and replacing it with a retaining wall, placing fill
material in an area that was washed out and installing a shallow swale to help drain water
off the property. Once you review, could you please respond back to me with any
comments or concerns so I can proceed with processing the application.
Thanks,
Ron Renaldi
District Manager, Northeastern District
North Carolina Division of Coastal Management
North Carolina Department of Environmental Quality
401 S. Griffin St., Ste 300
Elizabeth City, INC 27909
Office: [phone]
Please note that my, email address is now Ronald. Renaldi!d�deq.nc.gov.
Click HERE to Find the DCM Field Rep in your CAMA region.

aEQ-;'-
t Pana t of EnWronmoOW naaliq f
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized
state official.

Locality Va � 2t u off, IK N,,' I
Permit Number
Ocean Hazard Estuarine Shoreline ORW Shoreline _
(For official use only)
GENERAL INFORMATION
LAND OWNER - MAILING ADDRESS
Name 11IAlvr(/ aailiz,
Address
Public Trust Shoreline Other
RECEIVED
MAY 1 5 2024
City
1 i ZG
State Zip) 9a iPhone
7�7 r 7�+ y p��� 11
Email
AJ An )n'. i C
=Al
/I Al ,P adnl-4 d.. ",oi,
AUTHORIZED
Name
Address
City
Email
State
Zip Phone
LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent waterbody.)
�0 W �e ks b (I art
l�
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) % ly� ]f/�/a �TQ / /r/iJ1�
wall. t;2 .A:,,,1e_ sa) -o-// Qd /_ e �,, j --/) A)141) �
SIZE OF LOT/PARCEL: • $3a AC-- square feet acres
PROPOSED USE: Residential (Single-family R/Multi-family ❑ ) Commercial/Industrial ❑ Other
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer if you are not sure which AEC applies
to your property):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non -load -bearing attic space)
(2) COASTAL SHORELINE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: square feet (includes the area of the foundation of all buildings, driveways, covered decks,
concrete or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
Stormwater Manage nt Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)?
YES_ NO
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: square feet.

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
minor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and
others. Check with your Local Permit Officer for more information.
STATEMENT OF OWNERSHIP:
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
listed as landowner on this application has a significant interest in the real property described therein. This interest can be
described as: (check one)
r' an owner or record title, Title is vested in name of / / A A
see Deed Book % 9 -% page I n•Ti in
_an owner by virtue of inheritance. Applicant is an heir to the estate of
is
probate was in
County Registry of Deeds.
County.
_if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this application.
NOTIFICATION OF ADJACENT RIPARIAN PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit..
(1) (Name) ddre�� RECEIVED
(2) %
MAY 20-21
(3) N r_ o -T' RA.�.
(4) r r a H a rs
ACKNOWLEDGEMENTS:
I, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which
may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
I furthermore certify that I am authorized to grant, and do in fact grant, permission to Division of Coastal Management staff,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application. yy�
This the �� day of /+ l
"k
person authorized to act as his/her agent for purpose of filing a CAMA permit application
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean HazardAECNotice where necessary, a checkfor $100.00 madepayable to the locality, and
any information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in any permit which may be issued. Deviation from these details will constitute a violation of
any permit. Any person developing in an AEC without permit is subject to civil, criminal and administrative action.

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
F<I3TtF 0 MAIL Fib ilF4N RECEIPT REQiJ€519D or NANI3 DELIVERY MAY 1 5 2024
(Top portion to be completed by owner or their agent) A
Nome of Property Owner; /)%l�Nf C /y�G / � DCM—EC
Addreso of Property:
Mailing Address of Owner,
/I AWC� cp
Owner's'emal;
Agent's Name;
Agents Finalt.
©was Phone#;
Agent Phone#:_
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom noAlon to bs oomnlstsd bv_tho Adjacent Fl:22 tv 12n r)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing, A
da�oriot(n Or drewlao wi h dimensions, must be, orovidad with his latter,
ivr I DO NOT have objections to this proposal, I DO have objections to this proposal.
rr you nave onjoauons to wnat is oemg proposes, you must noury ma rv.c, urvrsron or Loossrer
Managemont (DCM) In writing within 10 days of receipt of this notice, Correspondence should be
mailed to 4018, OriNIn St„ Ste, 300, Elisabeth City, NC, 27000, DCM representatives can also be
contacted at [phone], No response Is considered the same as no objection /f you have been
notified by Cer lifted Mall,
WAIVER SECTION
I underatand that any proposed plar, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap rovetments), (if you wish to waive the setback, you must sign
the appropriate blank below,) 16O wish to waive some/all of the 1 b' set��i �,�(�,R �
/1
Signal olAd/aconf Iparlan Property Owner
.OR-
I do not wish to waive the 10' setback requirement (Initial the blank)
Signature of Adjacent Riparian Property Owner: _
Typed/Printed name of ARPO:
Melting Address of ARPO:
ARPO's small: ARPO's Phone#:
Data: "waiver is valid for up to ono year from ARPO's Signature"
Rov/sod July 2021

" "" L� UAMA N DRUOU111 & FILL 1'4 . ui 4 1 J LN Isc, U
IN GENERAL PERMIT Previous permit
Date previous t<Tstlfa�l-� '
LI New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of envirminnw yopelrn 02riant to:
15A NCAC �'� • I (U(� - ❑ Itulas attached. General Permit Rules available at the following link: svwwdea nc ggYLCAMArules
Applicant Name W. (%z if S511n tl i S 1Z s..: f h)c I t v- fj Tim 1 l' Authorized Agent
Address 111 LV,�„t,f~+ Q f Project Location (County): Pint!,) uc j-c n k
City J- I • Ta Ix F� State [-., _ ZIP a'1•'1 t1 `!. Street Address d/Lot /Stara Roa#(s) I I (p_W t.5. jCy D n v-(-
Phone#(7:jJ) JkN-�4LU - --- Lod KI
Email Aznnc y L..ruaAl-r (P)1n.-.'A cum Subdivision.
City C I �..,IxY I� ��4s11 zip a 3 `J uq
Affected ❑ CW EW PTA � ES PTS Adj, Wtr, Body PnyCpv i • }r-/it_t- (L. v (/ trathnan/unk)
AEC(s): ❑OEA ❑IHA uW ❑SPIMA ❑PWS ClosestMaj. Wtr.Body SarrCP-
01i Vasco PNA: yn no. i
Type of Project/ActivityRtplpl � Rt�,--p— Li2 A I-. SL.2 Kh.! A4�
- — — — -- -- _ - - (Scale: N T,ti. j
Shoreline Length, _
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger piers) cif
Total Platform area �- fxhtn�l :5 Onu•S 14yowb1e iV
Groin length/R �j�
_ lI + liotrvn f✓S%
ulkhe Rlprap length
Avg distance offshore F' - of - f`K--rnr+•.� a.c.11 / kv[1!ha« «J v
l be v( f
Breakwater/Sill
Max distance/ length
Basin, channel -- (Yu, j`�� cx P,yrFi Ea a IyI c
Cubic yards
Boat ramp
Boathouse/ Boatlltt
Beach Bulldozing
Auvkt r�
Other �•� Ahc(nMvxt Pit,! !41-0/n
SAV observed: yes nq --.-
Moratorium: (:1 dj yes no Q� PC,�VU li-C A - 1�-• V-=
Site Photos: _ yeses' nQ
Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: Pit Sr da-i,.ej�C r't-Y
u — �TAWPAM/NEUSE/BUFFER (circle one)
Permit Conditions
❑ See note on back regarding River Basin rules
- ----- -- -- — ❑ See additional notes/conditions on back
I AM AWARE OF STATUTES CRC RULES AND CONDITIONS THAT APPLY TO THIS PROTECT AND REVIEWED COMPLIANCE STATEMENT, (Please Initial)
Agent or Applicant POINTED Name Permit Office le
' �a
Signature "Please read compliance statement on back o(permit ' Sign
-Ab ('C) oo tI -, 13,1 A, a -A ��to /� a.ti
Application Feels) Check a/Money Order Issuing Date Eepiratpate
I

RECEIVED
MAY 0 2 20$
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haLW,2d and
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her h6use -
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e

RECEIVE
MAY 15 2024
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
OERTtFtElg MAIL . RVURN fifty IPT BEQUEST@D or HAND 99 WNRY
(Top portion to bra completed by owner or their agent)
Noma of Property Owner: k
Address of Property:
Moiling Address of C
Nfinucyc/3r
Owner erne ;
Agent's Name;
Agent's €mail;
_ Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(@attam norNon to be completed by the Adjacent Property Owner)
RRECEIVED
MAY 1 5 2024
ne-IRM
I hereby certify, that I own property adjacent to the above rafsrenced property, The individual applying for this
permit hap described to me, as shown on the attached drawing, the development they are proposing, A
100 NOT have objections to this proposal,
if you nova aDlecuons ro wnar is Doing propor
Management (DCM) In writing within 10 days of
mslled to 4018, Griffin 81., Sfo, 300, Elisabeth t
contacted of [phone], No response is con.
notified by Cortif/ed Mall,
I DO have objections to this proposal,
of this notice, Correspondence should be
27000, DCM roprosentatives con also be
the same as no objection If you have boon
WAIVER SECTION
I underatand that any proposed pier; dock, mooring pilings, boat romp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of I6' from my area of riparlan access unless waived by me
(thls does not apply to bulkheads or riprop revetments). (if you wish to waive the setback, you must sign
the appropriate blank below,)
16O wish to waive some/all of the 15' setback
8lgnature ofAdJacen Rlparlan Property Owner
.OR -
I do not wish to waive the 16' setback requirement (initial the blank)
Signature of Adjacent Rlparlan Property Owner:
TypedlPrinted name of ARPO:
Mailing Address of ARPO:
ARPO's email,
Date:
ARPO's PhoneM,
*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021