20200853 Ver 1_CAMA Application_20200625

ROY COOPER
Governor
MICHAELS.REGAN
Secretary
BRAXTON C. DAVIS
Director
June 25, 2020
MEMORANDUM:
NORTH CAROLINA
Environmental Quality
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax: [phone] (Courier 04-16-33)
gregg.bodnar(Wricdenr.Gov,
SUBJECT: CAMA/Dredge & Fill Application Review
Applicant: Dawn Gagne
Project Location: 2182 Pike Road in Currituck County
Proposed Project: Dredge a man-made canal and construct a new bulkhead
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Greau Bodnar at the address above by July 16, 2020. If you have any questions
regarding the proposed project, contact Robert Corbett (252-264-3901, ext. 233) when appropriate, in-
depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
PRINT NAME
t:9[e7�/a\111:7q
U911q
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.
North Carolina Department of Environmental Quality I Division of Coastal Management
Elizabeth City Office 1 401 South Griffin Street, Suite 300 1 Elizabeth City, North Carolina 27909
252264.3901

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Dawn Gagne
2. LOCATION OF PROJECT SITE: 2182 Pike Road within the Carova Beach s/d of
Corolla, Currituck County adjacent to a man-made canal leading to Knotts Island Bay
which connects to the Currituck Sound
Latitude: 36031'9.41"N Longitude: - 75'52'5.21"W
3. INVESTIGATION TYPE: CAMA / Dredge & Fill
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit — 4/23/20
Was Applicant Present — No
5. PROCESSING PROCEDURE: Application Received Complete — 6/18/2020
Office — Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan — Currituck County
Land Classification from LUP - Limited Service Area
(B) AEC(s) Involved: Coastal Wetlands (CW), Estuarine Waters (EW), Public Trust
Area (PTA), and Estuarine Shoreline (ES)
(C) Water Dependent: Yes
(D) Intended Use: Private Residential
(E) Wastewater Treatment: Existing — None
Planned — None
(F) Type of Structures: Existing — None
Planned - Bulkhead
(G) Estimated Annual Rate of Erosion: 1.5'
Source — Applicant
7. HABITAT DESCRIPTION: (Area ft')
EXCAVATED Fill OTHER
(A) High Ground within
1600 ft' (Spoils)
3,940 ft' Disturbed
ES AEC
(Bulkhead)
(B) Shallow Bottom
7,200 ft' (Dredge)
958 ft' (Bulkhead)
IF
EW,PTA& CW AEC
(D) Total Area Disturbed: 13,698 ft2
(E) Primary Nursery Area: No
(F) Water Classification: SC Open to Shellfishing: No
8. PROJECT SUMMARY: The applicant proposes to dredge a man-made canal and
construct a new bulkhead.

Dawn Gagne
Field Investigation Report
Page 2
Project Setting
The site of the proposed development is located at 2182 Pike Road, within the Carova
Beach s/d of Corolla, Currituck County, adjacent to a man-made canal leading to Knotts
Island Bay which connects to the Currituck Sound.
The project location is a vacant lot, 16,117 sf in size, and has approximately 180' of
unhardened shoreline. The elevation of the property is approximately +5 feet above NWL.
According to the USDA's Natural Resources Conservation Services' Web Soil Survey, the
soil on the property is made up of Newhan fine sand. A sparsely vegetated fringe coastal
wetland consisting of Bulrush (Scirpus spp.) was observed growing along the east side of
the shoreline for ±111'. A jurisdictional delineation was performed by the USACE on
1/28/2020 which lay claim to 610 ftz of 404-wetlands. Other vegetation on the property
consisted of trees and grasses that are mowed periodically.
The adjacent riparian property to the northwest contains a single family dwelling, a
bulkheaded shoreline, a boat ramp and a dock. The adjacent riparian property to the east
contains a single family dwelling and a bulkheaded shoreline which includes a boat basin.
The man-made canal, which connects to Knotts Island Bay, is classified as Joint waters by
the agreement with the Marine Fisheries Commission and Wildlife Resources Commission.
The Division of Environmental Management's water quality classification for this waterbody
is SC and it is closed to shellfish taking. Water depths within the project site range from 1'
to 4.5' below normal water level (NWL) and average -2.9'. The bottom substrate within the
project area is made up of muddy sand. Submerged aquatic vegetation, as defined by the
Division of Marine Fisheries, was not observed growing within the project area.
Development Proposal
The applicant proposes to mechanically dredge a 180' x 40' section of a man-made canal to
a connecting depth of -4.5'. All of the spoils will be kept on the project site and will be
located 30' from NWL. Once the dredging is complete the applicant proposes to construct
197' of wooden bulkhead. In order square off the property, the proposed bulkhead will tie
into the existing bulkhead of the adjacent property to the northwest and continue in a
.straight alignment south for 17' before turning 900to the east for 180' before tying into the
existing bulkhead on the east side of the property. This proposed alignment will result in an
average distance of 5' waterward of NWL with a maximum distance of 25'. The proposed
alignment will be waterward of 610 ftz of 404-wetlands delineated by the USACE. The
proposed bulkhead will be back filled using the spoils from the dredging once it has dried
resulting in the filling of ± 222ft2 of fringed coastal wetlands.

Dawn Gagne
Field Investigation Report
Page 3
Anticipated Impacts
• The dredging of the canal will result in the removal of 427 yd3 of material within
the PTA and EW AEC.
• The dredging of the canal will result in 7,200 ft2 of shallow water bottom
disturbance within the PTA and EW AEC.
• The spoil disposal area will disturb 1,600ft2 of high ground within the ES AEC
• The construction of the bulkhead along the proposed alignment will result in the
filling of ±958 ft2 of the PTA and EW AEC along 197' of the ES AEC filling
±222ft2 of CW AEC.
• The construction of the bulkhead will disturb ±3,940 ft2 of high ground within the
ES AEC.
Submitted by: Robert Corbett
Date: 6-19-2020

Received
PAY -13 2020
Project Narrative-2182 Dredge/Bulkhead DMEC
Introduction
This project is intended for the purpose to stabilize the shoreline to cease erosion and clear a safe path
for boating along the canal to Knotts Island Bay at the property located at 2182 Pike Road, Corolla, NC
27927.
Description of the Proiect
Component 1-Dredging
The project involves dredging along the property to the center of the canal. The purpose for the
excavation is to clear material to a depth of 4.5' in front of the property to establish a safe path for
boating along this portion of the canal to Knotts Island Bay. The proposed excavation can be reviewed
in the documentation for the Major Permit Application.
Component 2-Bulkhead
The project involves work to stabilize the shoreline by constructing a bulkhead along the property which
involves constructing the bulkhead adjacent to the two existing bulkheads at property 2184 Pike Road,
Corolla, NC 27927 located to the west and property 2181 Pike Road, Corolla, NC 27927 located to the
east. As determined by the USACE, this property exhibits wetland criteria. The report from the USACE
can be reviewed in the documentation for the Major Permit Application.

Bent M►-1
APPLICATION for Received
Major Development Permit JUN 5 - 2020
(last revised 12/27106) 2
North Carolina DIA19 .W&STAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Project Name (if applicable)
Applicant 1: First Name
Dawn
MI
M
Last Name
Gagne
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional pages) with names listed.
Mailing Address
2181 Pike Road
PO Box
City
Corolla
State
NC
ZIP
27927
Country
us
Phone No.
252-457-5137 ext.
FAX No.
Street Address (ddMerent from above)
2182 Pike Road
City
Corolla
State
NC
ZIP
27927-
Emaii
[e-mail]
2. Agenf/Contractor Information
Business Name
Beach Bulkheads
Agent/ Contractor 1: First Name
Santos
MI
Last Name
Elmy
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
106 Pinecone Ct.
PO Box
City
Grandy
State
NC
ZIP
27939
Phone No. 1
252 - 207 - 6926 ext.
Phone No. 2
ext.
FAX No.
Contractor #
Street Address (if different from above)
City
State
ZIP
Email
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Form DCM MP-1 (Page 2 of4) Received APPLICATION for
A� Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Currituck
2182 Pike Road
NC
Subdivision Name
City
State
Zip
Carova Beach
Corolla
NC
27927 -
Phone No.
Lot No.(s) (if many, attach additional page with list)
252 - 457 - 5137 ext.
18, 1 1 ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Pasquotank
Canal to Knotts Island Bay
c. Is the water body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
❑Natural ®Manmade ❑Unknown
Currituck 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.
Currituck County
4. Site Description
a.
Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
180
17675
c.
Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
(17675), 1 1
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
❑ NHW or ®NWL
e.
Vegetation on tract
pine, oak, coastal wetlands, & 404 wetlands
I.
Man-made features and uses now on tract
none
g.
Identify and describe the existing land uses adiaoent to the proposed project site.
single family dwellings
h.
How does local government zone the tract?
I. Is the proposed project consistent with the applicable zoning?
Residential
(Attach zoning compliance certificate, N 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 ft involve a ❑Yes ❑No ®NA
National Register listed or eligible property?
<Form continues on next page>
252.-808,2808 ., 1-888.4RCOAST .. www.nccoastalmanagement.net

Form DCM MP-1 (Page 3 of 4) APPLICATION for
Receivwdi
Major Development Permit
m. (i) Are there wetlands on the site? [' /� NYes []No
(ii) Are there coastal wetlands on the site? ®C M-E C NYes []No
(Iii) If yes to either (i) or (it) above, has a delineation been conducted? NYes [--]No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
N/A
o. Describe existing drinking water supply source.
N/A
p. Describe existing storm water management or treatment systems.
N/A
5. Activities and Impacts
a.
Will the project be for commercial, public, or private use?
❑Commercial ❑PublielGovernment
NPdvate/Community
b.
Give a brief description of purpose, use, and dairy operations of the project when complete.
Dredge canal for boating access
Bulkhead property to cease errosion
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.
Construct bulkhead using backhoe/bobcat (one each) brought in by contractor
d.
List all development activities you propose.
Dredging, Bulkhead
e.
Are the proposed activities maintenance of an existing project, new work, or both?
new work
f.
What is the approximate total disturbed land area resulting from the proposed project?
21600 NSq.Ft or ❑Acres
g.
Will the proposed project
encroach on any public easement, public accessway or other area
[]Yes NNo ❑NA
that the public has established
use of?
h.
Describe location and type of existing and proposed discharges to waters of the state.
N/A
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 NNA
j.
Is there any mitigation proposed?
❑Yes NNo ❑NA
If yes, attach a mitigation proposal.
<Form continues on back>
252.808.2808 :: t-888.4 RCOA ST :: w- �kccc. -na 9 e m e nt. n et

Received
Form DCM MP-1 (Page 4 of 4) ; APPLICATION for
Major Development Permit
r)rne_r7r
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, N applicable, most be submitted In order for the application
package to be complete. Items (a) - (i) are elways applicable to any major development application. Please consult the application
instruction booklet on how t0 property prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
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.
Name James 8 Susan Knox Phone No. 757-621.4136
Address 2184 Pike Road, Corolla, NC 27927
Name Jay Laughmiller Phone No. 252-267.1949
Address 2181 Pike Road, Corolla, NC 27927
Name Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, pernittee, and issuing dales.
N/A
h. Signed consultant or agent authorization form, If applicable.
1. 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.
7. Certification and Permission to Enter on Land
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the information provided in this application is truthful to the best of my knowledge.
Date Print Name D")n GQgne
Signature �-_)2L&.. -A*�
Please indicate application attachments pertaining to your proposed project.
®DCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and Culverts
❑DCM MP-3 Upland Development
❑DCM MP-4 Structures Information
252.808.2808 :: 1-888.4RCOAST :: www.necoastaimanagement.net

eived
Form DCM MP-2
EXCAVATION and FILL
(Except for bridges and culverts)
OMEC
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
Describe below the purpose of proposed excavation and/or fill activities. All values should be given in feet.
Access
Other
Channel
(NLW or
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
Breakwater
(excluding
shoreline
NWL)
stabilization
Length
180
Width
40
Avg. Existing
2.9
NA
NA
Depth
Final Project
4.5
NA
NA
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.
sand
427
c.
(1) Does the area to be excavated include coastal wetlands/marsh
d.
High -ground excavation in cubic yards.
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
N/A
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
ECW ❑SAV ❑SB _
❑WL ❑None
(ii) Describe the purpose of the excavation in these areas:
Dredge to center of canal for boating access
2.
DISPOSAL OF EXCAVATED MATERIAL
❑This section not applicable
a.
Location of disposal area.
b.
Dimensions of disposal area.
on Project Site
40' x 40'
c.
(i) Do you claim title to disposal area?
d.
(i) Will a disposal area be available for future maintenance?
EYes ONO ❑NA
❑Yea ENO ❑NA
(II) If no, attach a letter granting permission from the owner.
(ii) If yes, where?
e.
(1) Does the disposal area include any coastal wetlands/marsh
f.
(i) Does the disposal include any area in the water?
(CV& submerged aquatic vegetation (SAV), shell bottom (Sal,
❑Yes ENO ❑NA
or other wetlands (WL)? If any boxes are checked, provide the
(ii) If yes, how much water area is affected?
number of square feet affected.
❑CW ❑SAV ❑SB
❑WL ENone
(ii) Describe the purpose of disposal in these areas:
252-600;.. ..s.v.ncc., ,.. _. .__.. revisedt?I26I00

Form DCM MP-2 (Excavation and Fill, Page 2 of 2)
3. SHORELINE STABILIZATION ❑This section not applicable
(If development is a wood groin, use MP-4 — Structures)
a. Tvoe of shoreline stabilization: b. Length: 197'
®Bulkhead ❑Riprap ❑Breakwater/Sill ❑Other: Width: 1 .�'�
c. Average distance waterward of NHW o(Nv t .. 5' d. Maximum distance waterward of NHW orgy 25'
e. Type of stabilization material:
wood
g. Number of square feet of fill to be placed below water level.
Bulkhead bacfiill 900 Riprap _
Breakwater/Sill_ Other_
I. Source of fill material.
upland
f. (i) Has there been shoreline erosion during preceding 12
months?
®Yes ❑No ❑NA
(it) If yes, state amount of erosion and source of erosion amount
information.
at least 1.5' from boat traffic
h. Type of fill material Received
sand „ I. _
%JCM-EC
4. OTHER FILL ACTIVITIES ®This section not applicable
(Excluding Shoreline Stabilization)
a. (A Will fill material be brought to the site? ❑Yes []No ❑NA b. (1) Will fill material be placed in coastal wetlands/marsh (CW),
If yes,
(it) Amount of material to be placed in the water
(iii) Dimensions of fill area _
(iv) Purpose of fill
5. GENERAL
a. How will excavated or fill material be kept on
controlled?
slit fencing (finished Bulkhead)
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.
(�31ao
Date
21 S 7-- Dr-edae I bl(x-A khead
Project Name
suomergeo aquatic vegetation lbHv), snail Dotiom too), of
other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV _ ❑SB _
OWL ❑None
(it) Describe the purpose of the fill in these areas:
b. What type of construction equipment will be used (e.g., dragline,
backhoe, or hydraulic dredge)?
long reach
d. (1) Will wetlands be crossed in transporting equipment to project
site? []Yes ®No ❑NA
(ii) If yes, explain steps that will betaken to avoid or minimize
environmental Impacts.
Applicant Name U
Ap Icant Signature
252-808-2808 :: 1.888-4RCOAST :: www.nccoastalmanagement-net revised: 12/26/06

Received
ABOVE THIS UNE FOR RECORDING DATA)
Land Transfer Tax No. #
Land Transfer Tax: NONE
Revenue Stamp Amount: NONE
Parcel No. 087A0010018000S
Peal Estate Taxes Paid: Paid through 2017
Frepared by and return to:
Eenita A. Lloyd, Attorney at Law
GRAY & LLOYD, L.L.P.
3120 N. Croaton Hwy., Suite 101
K711 Devil Hills, NC 27948
v.ww.graya n diloyd.com
My File No. 13309-002
NORTH CAROLINA, CURRITUCK COUNTY
,,,,, 1 , rill
DMEC
NO TITLE SEARCH PERFORMED
THIS DEED OF GIFT made this 10th day of August, 2018, by and between JAY E.
LAUGHMILLER, unmarried, of 2181 Pike Road, Corolla, NC 27927, Grantor to DAWN
MARIE GAGNE, of 2181 Pike Road, Corolla, NC 27927, Grantee:
The designation Grantor and Grantee as used herein shall include said parties,
their heirs and successors and assigns, and shall include singular, plural, masculine,
feminine or neuter as required by text.
WITNESSETH:
THAT the Grantor, for a valuable consideration paid by the Grantee, the receipt
of which is hereby acknowledged, has and by these presents does grant, bargain, sell
and convey, unto the Grantee in fee simple, all that certain lot or parcel of land
situated in Fruitville Beach Township, Currituck County, North Carolina, and more
particularly described as follows:

Received
PAY 111 K13
All that certain lot of land shown and designated as Lot 18, Block 14 sa¢T10 C
5, on the plat of Carovo Beach, as recorded In Map Book 2, Page 139, in
the Office of the Register of Deeds of Cuurrituck County.
It is the intent hereof to convey Grantor's entire interest in the above
described real property.
Grantor(s) hereby certify the above described real property is not a principal
residence of any of the Grantor(s).
That Grantor acquired the above -referenced property by a General Warranty
Deed as recorded in Book 1452, Page 469, Currituck County Public Registry.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and
cppurtenances thereunto belonging to the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the
premises in fee simple, has the right to convey the some in fee simple; that title is
marketable and tree and clearof all encumbrances and that Grantor will warrant and
defend the title against the lawful claims of all persons whomsoever except for the
exceptions hereinafter stated.
Title to the property hereinabove described is subject to the following exceptions:
1. Exception is taken to the 2018 ad valorem taxes.
2. Exception is taken to any easements and restrictions of record.
IN WITNESS WHEREOF, the Grantor has set his hand and seal, the day and year
first above written.
(SEAL)
ay E. ugh er
STATE OF NORTH CAROLIN�A
COUNTY OF Cuk-'i�' �`�` ,,
a Notary Public of the State aforesaid, certify that
JAY E. LAUGHMILLER personally appeared before me this day and acknowledged the
execution of the foregoin instrument. Witness my hand and official stamp or seal, this
dC� day of(, 2018.
S:���d-- �
Notary Public
My Commission Expires -,- �` r
Registration Number:
x �xp+oia•anaw�gay.o.aam w,maw�nf>eaamxoeosen,-wb�.,f�inoa•ae.��nwa.ennm

NOTARY PUBLIC OATH NOTIFICATION
vnrtnx�r
State of North Carolina Elaine F. Marshall
DEPARTMENT OF THE SECRETARY OF STATE t
SECRETARY OF STATE Issue Date: Jan 30, 2017
Received
Register of Deeds of I11„ / t 2L)
Currituck County: DMEC
In accordance with Section 106-10(a) of the North Carolina General Statutes, the Secretary of State is
appointing for commission as Notary Public, upon taking the oath of office, the following:
SANDRA PLANETTA Reappointment
199 OLD JURY RD
MOYOCK NC 27958
To be effective 3/2/2017 ;expiring 311/2022
From: Secretary of State
ATTENTION: COMMISSION NOT VALID UNTIL OATH OF OFFICE IS TAKEN
1. You must appear before the Register of Deeds office of the above named county
within 45 days after the commissioning issue date and shall be duly qualified by
taking the general oath of office prescribed in General Statute 11-11 and the oath
prescribed for officers in General Statute 11-7. The Register of Deed's fee is $10.00.
Failure to take the oath of office with the Register of Deeds before entering into the
office is a criminal offense and will subject you to ejection from office.
(N.C.G.S 10B-60(b)(3))
2. If the appointee does not appear before the Register of Deeds office within 45
days, the Register of Deeds must return the commission to the Secretary of State's
office. The appointee must reapply for commissioning and submit a check for
$50.00 with application.
3. For name changes, if the appointee does not appear before the Register of Deeds
office within 45 days of the issue date, the Register of Deeds must return the
commission to the Secretary of State's office. The appointee must reapply for
commissioning and submit a check for $50.00 with application.
4. Applicant for re -commissioning as a notary shall submit a reappointment appli-
cation, which can be obtained from your local Register of Deeds office, Secretary
of State's Notary Public Section, or from the Secretary of State's web page
http://www.sosnc.qov
5. Name on seal or stamp must appear the same as your commission.
6. If the name or county listed above are incorrect, then contact Certification and
Filing Customer Service at 919.807.2219.
THIS IS YOUR RECEIPT FOR YOUR $60.00 APPLICATION FEE
Notary Number: 200706400159
Tracking Number: Web-02946214

11/20/2019 Denise A. Hall Register of Deeds, Currituck, NC
Received
Denise A. Hall
Register of Deeds, Currituck, NC
ttAY 1 j i 2)
Consolidated Real Estate Index
Criteria - Given Name: Dawn Last Name: Gagne Grantee/Grantor: Either Party Type: Either
LJMEC
Date: 09/27/2018 13:53:00 Doc #: 338667 Kind: DEED Book: 1459 Page: 162
Description
DEED OF GIFT
LOT: 18 ELK: 1 SUB: CAROVA BEACH TP: FRUITVILLE SEC 5
Tax: $0.00
Grantors Grantees
LAUGHMILLER, JAY E. GAGNE, DAWN MARIE
72.15.246.181/CurrituckNCNW/application.asp?resize=true 1/1

11/20/2019
Currituok County
PARID: 087A001001S0005
TOWNSHIP: FROITVILLE BEACH
Cr1YNAME: COROLLA
GAGNE, DAWN MARIE
Tax Year
2020
Owner Tax Account #
149052
Owner
GAGNE, DAWN MARIE
Mailing Address 2181 PIKE RD
City,state,2ip COROLLA NC 27927
Owner ID Associated Owner 1
149052
Associated Owner 2
2182 PIKE RD
NBHD: R087A000
ROLL:REAL
Received
CIA" I. 2�;2J
DMEC
currituckncgovcoMICARE/Datalets/PrintDatalet.aspx?pin=087A00100180005&gsp=OWNERRtaxyear--2020&jur-027&ownseq=0&card=l &ro11=REAL... 1/1

MAJOR PERMIT FEE MATRIX
Applicant: Dawn Gal4ne
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
n water areas:
ic or commercial❑pment
that does not
$400
100%($400)
0%($0)
the filling or
tion of any wetlandsn
F
waterareas:
Modification to a
$250
100%($250)
0%($0)
Major permit
III. For development that
involves the filling and/or
excavation of up to 1 acre
of wetlands and/or open
water areas, determine if A,
B, C, or D below applies:
III(A). Private, non-
commercial development, if
$250
100% ($250)
0% ($0)
General Water Quality
Certification No. 4097 (See
attached can be applied:
III(B). Public or commercial
development, if General
$400
100% ($400)
0% ($0)
Water Quality Certification
No. 4097 (See attached)
can be applied:
III(C). If General Water
Quality Certification No.
$400
60% ($240)
40% ($160)
4097 (see attached) could
be applied, but DCM staff
determined that additional
review and written DWQ
concurrence is needed
because of concerns
related to water quality or
aquatic life:
III(D). If General Water
®
Quality Certification No.
$400
60% ($240)
40% ($160)
4097 (see attached) cannot
be applied:
IV. For development that
❑
involves the filling and/or
$475
60% ($285)
40% ($190)
excavation of more than
one acre of wetlands and/or
III
open water areas:

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