20200997 Ver 1_CAMA Application_20200803

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Director
August 3, 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)
aregg.bodnar( ncdenrclov
SUBJECT: CAMA Application Review
Applicant: John P. Powles
Project Location: 2678 Ainsley Road in Perquimans County
Proposed Project: Construct a platform addition, install a boatlift and relocate two existing jet
ski lifts
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Gregg Bodnar at the address above by August 24, 2020. If you have any
questions regarding the proposed project, contact Cynthia Rountree (252-264-3901, ext. 234) when
appropriate, in-depth comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
PRINT NAME
AGENCY
SIGNATURE
DATE
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
252.264.3901

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: John P. Powels
2. LOCATION OF PROJECT SITE: 268 Ainsley Rd. (SR 1416), Perquimans County,
adjacent to the Perquimans River
Latitude: 36010'52.85"N Longitude:-76025'22.62"W
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit — 7 iy d't,10}°
Was Applicant Present — no
5. PROCESSING PROCEDURE: Application Received Complete — July 9, 2020
Office — Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan — Perquimans County
Land Classification From LUP — R-25 Residential and Ag District
(B) AEC(s) Involved: Public Trust Area and Estuarine Waters
(C) Water Dependent: Yes
(D) Intended Use: Private/Community
(E) Wastewater Treatment: Existing — septic system
Planned -none
(F) Type of Structures: Existing — Single family residence, driveway,
bulkhead and pier
Planned - Boatlift, platform addition and
move/relocate two jet ski lifts
(G) Estimated Annual Rate of Erosion: none
Source -
7. HABITAT DESCRIPTION: [AREA]
DREDGED FILLED SHADED
(A) Shallow Bottom (EW, PTA)
(B) Open Water (EW, PTA)
120 sgft
(C) High Ground (ES)
(D) Total Area Disturbed: 120 square feet
(E) Primary Nursery Area: No
(F) Water Classification: SB Open to shellfishing: No

John P. Powels
Field Investigation Report
Page 2
PROJECT SUMMARY:
The applicant proposes to construct a platform addition, install a new boatlift and relocate two
existing jet ski lifts on an existing docking facility that's adjacent to the Perquimans River.
Project Setting
The property proposed for development is located at 268 Ainsley Road in Perquimans
County and consists of approximately 37,068 square feet or 0.85 acres adjacent to the
Perquimans River. The property currently contains a single family residence with a bulkhead
stabilizing the shoreline. Along the water there is an existing pier and boathouse that extend
out into the Perquimans River. The properties to the east and west are single family
residences.
Vegetation on the site includes, but is not limited to, indigenous yard grasses. Soil Types
include Yeopim Loam (YeA). The property has an elevation of approximately 3 feet above
normal water level (NWL) along the shoreline.
The shoreline is 129.14 feet in length contains a bulkhead along its entirety. The water
classification for this area is Primary Recreation, Salt Water (SB) and are coastal waters that
are closed to shellfishing. The water depths at the terminus of the pier are -3 feet.
Development Proposal
The applicant proposes to construct a new 10 foot by 12 foot platform at the terminus of the
existing boathouse on the east side of the existing pier where the water depth is -3 feet. The
applicant also proposes to relocate two jet ski lifts from under the boat house area to the
outside of the boathouse on the east side. Once the jet ski lifts are relocated the applicant
proposes to install a new 13 foot by 10 foot boatlift under the existing boathouse.
Anticipated Impacts
The proposed development will result in the shading of 120 square feet of additional Estuarine
Waters and Public Trust Areas of Environmental Concern. Temporary turbidity will possibly
occur during construction.
Submitted by: Cynthia Rountree
Date: 7/23/20

Received
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Received
081W somas[ Permit %'�
(last revised 12127106) �M'Eld EL
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Project Name (if applicable)
OC K i= 6 1 i Oil)
Applicant t: First Name
��wN
MI
�
Last Name.
owLr_ s
i'"n
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
G `7� S L
PO Box
City
State/
ZIP C� ,-+
Y ! q
Country /1
C' J PI
Phone No. 1
- ON —ext.
0
FAX No.
- -
Street Address (if different from above)
City
State
ZIP
Email
2. Agent/Contractor Information
Business Name
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.
PFwne No. 2
- - ext.
FAX No.
Contractor#
Street Address (if different from above)
City
State
ZIP
Email
<Form continues on back>

G( IV 3 .
3. Project Location
C my (can be multiple)
Street Address
0CM-E,
State Rd. #
u i ,u 5
G ► sL/�
Subdivision Name
City f
State
zip
V '$I IC
/Fo,��
%oQ-
17qqq
Phone No.
Lot No.(s) (d many, attach addtfonal page with list)
- ext.
• S - 33 Y
9 ,1 1,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
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c. Is th water body identified in (b) above, natural or manmade?
d. Name the dosed major water body to the proposed project site.
aturai ❑Manmade ❑Unknown
v. ✓17/- Ay y 0 ov'6
e. Is proposed work within city limits or planning jurisdiction?
f. if applicable, list the planning jurisdiction or city limit the proposed
Mr es
work falls within.
u I A4 A AJ S Cac, pry
4_ Site Description
a. Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.fL)
>�T o `
3'1 ocS'�7
c, Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
7 v' 6 8 S/f
lot "s1 fist)
NWL (normal water level) J
❑NH W 9 3
(If many sizes, atach additional page wf7h a
or FT
e. Vegetation on tract
jZ)155
f, Man-made features and uses now on tract
Aw-14flEAD,- i'-i G cV S i u
�►' 1-v9M i I h( c I W w�a�
g. Identify and describe the existing land uses adlacent to the proposed project site.
Ai�SiDEAST; AL
h. How does local government zone the tract?
L Is the proposed project consistent with the applicable zoning?
1 a TA J CT
(Attach zoning compliance certificate, if applicable)
1
ti7FN; 1 l v r1 - Ly TLUW-
93�. ON, ONA
j. Is the proposed activity part of an urban waterfront redevelopment proposal? Oyes �o
k. Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes ❑No WA
If yes, by whom?
I. Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes 2lo ❑NA
National Register listed or eligible property?
<Form continues on next page>

m. (i) Are there wetlands on the site?
❑Yes Qko
(it) Are there coastal wetlands on the site?
❑Yes 26-
(tit) If yes to either (i) or (it) above, has a delineation been conducted?
❑Yes []No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
•:: -``
5Eb°i 1C—
o. Describe existing drinking water supply source.
�° h
fAl C o()LL, F
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Yip i `.atJl s
p. Describe existing storm water management or treatment systems.
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? ❑Commercial [Public/Government
Ovate/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete. m
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.
f - w A'►TZ- k P , - Petu-ro o)j 0041-
d. List all development activities you propose.
�USi �u A7i0.1) or' 19AJ iO�iiiUv.iL /D j(i1���v1T%bKnt ToTxiSTi�G iiz.2
�AAOVAL OF �%051 IAJC 'X ie Sizz!iu,v of ?iIi2 is/4tcO-d44YJnAW 1?c4g
wc14rr-' i & o k'tiTs o 0c:7—s ;E;t6 OA .;cte
e. Are the proposed activities maintenance of an existing project, new work, or both?
GcrI4
f. What is the approximate total disturbed land area resulting from the proposed project? /' ❑Sq.Ft or ❑Acres
N
g. Will the proposed project encroach on any public easement, public accessway or other area []Yes SWo ❑NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
L Will wastewater or stormwater be discharged into a wetland? []Yes NKZo ❑NNA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ❑No RI A
j. Is there any mitigation proposed? ❑Yes ❑No OrA
If yes, attach a mitigation proposal.
<Form continues on back>

6. Additionallnformation
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package lobe complete. Items (a) - (t) are always applicable to any majordevelopment application. Please consult the application
instruction booklet on how to properly prepan: the required items below.
a. A project narrative.
X1S1 bU(, C✓ 149,f4JUDVAT /O-Ai
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed pmect. 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. " - ,5-0 O
f. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name f as + Qj1'rr`j j0CAOIN Phone No. 7S?_-.%3is'�.jliq
Address 7a, Ai&,S b y Rye . Kr--An4oKn, eyc- X?T/Y ZS Z-s(.Z•.s2sy
Name 571--VC -, kj..1_yl4JoyZ }'4M/ATO 1 Phone No. c1Oy-Sro-9fSS
�1
Address 66 wl`AJ31 Y Rip, 91inli=c+.en . )C- o5'?941q
Name Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract Include permit numbers, permittee, and issuing dates.
�i NEr2pc �M ; iS RZ7271— 6111/2 001 - (5:4A -2 Z eL
h. Signed consultant or agent authorization form, if applicable.
1. Wetland delineation, H 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.
1 7. Certification and Permission to Enter on Land I
I understand that any permit issued in response to this application will allow orgy thi
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 tglthe beA of my knowledge.
Date
Print Name
S
Please indicate application attachments pertaining td vouf proposed project
❑DCM MP-2 Excavation and Fill Information / ❑DCM MP-5 Bridges and Culverts
❑DCM MP-3 Upland Development
U&M MP-4 Structures Information
ro �
1�. KC14

STRUCTURES
(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: �
❑m Comercial ❑Publidm Govement EdPrivate/Community
❑This section not applicable
b. (i) Will the facility be open to the general public?
❑Yes �o
c. (i) Dock(s) ardfor plants)
d. (I) Are Finger Piers included? ❑Yes [2 o
(H) Number
If yes:
(iii) Length
(ii) Number _
(iv) Width
(iii) Length
(v) Floating ❑Yes UNo
(iv) Width _
(v) Floating ❑Yes ❑No
e. (i) Are Platforms included? []Yes []No
(i) Ara Boatiirts included? Yes []No
If yes:
If yes:
(ii) Number (
(ii) Number I
(iii) Length �;'D^
(iii) Length /.3
+•
(iv) Width
(iv) Width j 0
(v) Floating ❑Yes GKO-
Note: Roofed areas are calculated from dripfine dimensions.
g. (i) Number of slips proposed
h. Check all the types of services to be provided.
❑ Full service, including travel lift and/or fail, repair or
umber of slips existing
maintenance service
❑ Dockage, fuel, and marine supplies
❑,/Dockage Cwet slips") only, number of slips:
Ly Dry storage; number of boats: t_
❑ Boat ramp(s); number of boat ramps:
❑ Other, please describe:
i. Check the proposed type of siting:
❑ Land cut and access channel
[]Open water, dredging for basin and/or channel
pen water, no dredging required
❑Other, please describe:
k. Typical boat length:
m. (i) Will the facility have He pilings?
❑Yes Bko,
(ii) If yes number of he pilings?
j. Describe the typical boats to be served (e.g., open runabout,
((c�f�h�,ar�ter-r� boats, sail boats, mired types).
���rr
"YEAJ ►2u.JAq3<i Lij
I. (i) Will the facility tie open to the general public?
❑Yes PRO

2. DOCKING FACILITY/MARINA OPERATIONS Whis section not applicable
a. Check each of the following sanitary facilities that will be included in the proposed project
❑ Office Toilets
❑ Toilets for patrons; Number. Location:
GElV lej
❑ Showers
❑ Bcatholdug tank pumpouk Give type and location:
b. Describe treatment type and disposal location for all sanitary wastewater. M
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 prgwsed.
(li) 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, swrdblasti g 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. _
1. 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 marinaldokidng facility proposed within a primary or secondary nursery area?
DYes ONo

❑Yes ❑No
o. Is the marinaldocdng 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 OSAV OSB
OWL ❑None (eceived
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.
3. BOATHOUSE (including covered lifts) Erns section not applicable
a. (i) Is the boathouse structure(s):
❑Commercial ❑PubliciGovemment ❑Private/Community
(ii) Number
(ui) Length
(tv) Width
Note: Roored areas an: caku/ated from ddpline dimensions.
4. GROIN (e.g., wood, sheetpfle, etclfa rock groin, use MP-Z Excavation and Fdl.) his section not applicable
a. (i) Number
(ii) Length _
(in) Width
5. BREAKWATER (e.g., wood, sheetphe, etc.) Clhls section not applicable
a. Length _ b. Average distancefrom NHW, NWL, orwetlsnds
c. Maximum distance beyond NNW, NWL orwetlands
6. MOORING PILINGS and BUOYS R<S section not applicable
a. Is the struckm(s):
OCommerclab OPubudCommment OPrivatefCommunity
c. Distance to be placed beyond shoreline
Note: This should be measured born marsh edge, ffpmsent.
e. Am of the swing _
7. GENERAL
b. Number
d. Description of buoy (odor, Inscription. size, anchor, etc.)

C 0,yV E i0L 0 "EIJ AL L 0 ii=,e Lr 9 z- " AF % �i:ram
Note: FortwoyormoodngpiUM use arc of swing inclodinglangth -
ofvessel
c. Width of water body
e. (i) Will navies' naI aids be required as a msult of the project?
❑Yes ;MINA
(11) if yes, edam what type and how they will be implemented.
d. Water depth at waterward end of structure at NLW or NWL
& OTHER ❑This section not applicable
a. Give complete description:
YQCAove S'X IA' aF 1_xisiWb 1pi'li✓1 ie J4ec0,k, ATk A w ,c3adTL:i'i
_j US;MLL8$%;0.,y 6i /9ai LQb�JiTiOvLrJG OOrX i� r Jai/ 012 it % o
f x l `5'i t iL G ei gA
UtCcy, P(i,tJ0y►4Ti0P
Project Name
DCA4-EC

This document presented and filed: {9�y
10/15/2018 02:39:05 PM �� i l+l" �, �'
JACQUELINE S. FRIERSON, PERQUIMANS CO, NC
Excise Tax: $1,060.00
BOOK 481 IIpIIPAGE 196 (4)
ansss I IIIIIIIIIIIIIIIIIInIIIlllll� �FERQUIMANS LAND TRANSFERTAX
INI I'N AMOUM$ 5300 0�0
PAID S.11u t
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: $160.00 County Land Transfer Tax $5,300.00
Parcel Identifier No. 5-DO51-0008-CGE Verified by County on the _ day of
,2018
By:
Mail After recording to: Hornthal Riley,Ellis & Maland LLP 301 East Main Street, Elizabeth City, NC 27909
HREM FILE NO. 31052-O.WBM
This instrument was prepared by: Rachel S Gunther P.C. 147 N Church Street. Hertford, NC 27944
Brief description for the Index: #8 COVE GROVE EST.
THIS DEED made this 8th day of October, 2018, by and between
GRANTOR
CHARLES F. PAGELS, divorced and not remarried,
JACQUE S. PAGELS, divorced and not remarried,
5112 Wil-Acre Drive
Loves Park, IL 61111
GRANTEE
JOHN P. POWLES and wife,
BEVERLY A. POWLES,
268 Ainsley Road
Hertford, NC 27944
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall
include singular, plural, masculine, feminine or neuter as required by context.
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, parcel of land or condominium unit situated in Parkville Township, Perquimans County, North Carolina
and more particularly described as follows:
SEE ATTACHED EXHIBIT A — LEGAL DESCRIPTION
1

MAJOR PERMIT FEE MATRIX
Applicant: d� J /k_.
Selection
Development Type
Fee
DCM %/%
6253)
;DW0(1430016014351000931625
(24300160095 2341)
I. Private, non-commercialdevelopment
that does not
$250
100%($250)
)
involve the filling or
excavation of any wetlands
or o an 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:
Ej
Major Modification to a
$250
100% ($250)
0% ($0)
CAMA 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
can be applied:
ublic or commercial
ment, if General
$400
100% ($400)
0% ($0)
uality Certification
p;aa
7 (See attached)
lied:
General Water
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
a uatic life:
III(D). If General Water
Quality Certification No.
$400
60% ($240)
40% ($160)
4097 (see attached) cannot
be a lied:
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:

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JohnPowles,Pierreconfiguration 1—XiSiIw6 �FTS1�� f�-ocJg7loN
r,
Major Permit plats
Drawer: John P. Powles
Date: July 4, 2020
Page aof4 iKs� iN6 'JOCK �RflWiNG-

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John Powles, Pier reconfiguration
Major Permit plats
Drawer: John P. Powles
Date: July 4, 2020
Page 3 of 4
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IONS

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3
A
N
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