20211288 Ver 1_CAMA Application_20210826

i M,,STATE',,
d .a .i(gyp
v rm K , �
ROY COOPER 4 , 'i„
Governor $ C-:
ELIZABETH S.BISERr �r
Secretary
BRAXTON DAVIS NORTH CAROLINA
Director Environmental Quality
August 26, 2021
MEMORANDUM:
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)
[e-mail]
SUBJECT: CAMA Review
Applicant: Forehand Beach Properties, LLC
Project Location: 1928 W. Fifth Street, Kill Devil Hills in Dare County
Proposed Project: Extend existing pier with a covered platform at the end, add a floating
platform with two boatlifts adjacent to the docking facility with a pedestrian
gangway connecting the two.
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 September 16, 2021. If you have any
questions regarding the proposed project, contact Sarah Loeffler(252-264-3901, ext. 232)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
D .�_ North Carolina Department of Environmental Quality I Division of Coastal Management
Elizabeth City Office 1401 South Griffin Street,Suite 300 I Elizabeth City,North Carolina 27909
WHIM CAHOUNA
O al tparlment /" 252.264.3901

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Forehand Beach Properties, LLC (do Brian Forehand)
2. LOCATION OF PROJECT SITE: 1928 W Fifth Street, Lot 58 & 59 within the Wright's
Shores subdivision, Kill Devil Hills, Dare County, adjacent to Colington Creek that leads to
the Roanoke Sound.
Latitude: 36.033425°N Longitude: - 75.686121°W
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit— 5/18/2021
Was Applicant Present — No
5. PROCESSING PROCEDURE: Application Received Complete — 8/6/2021
Office — Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan — Kill Devil Hills
Land Classification From LUP - Residential
(B)... AEC(s) Involved: Public Trust Area (PTA) & Estuarine Water (EW)
(C) Water Dependent: Yes
(D) Intended Use: Private Residential
(E) Wastewater Treatment: Existing — Municipal
Planned — N/A
(F) Type of Structures: Existing — Single-family residence, bulkhead, & pier
Planned — Extended pier, roofed platform, floating
Platform with a gangway, & boat lifts (2)
(G) Estimated Annual Rate of Erosion: None
Source —Applicant
7. HABITAT DESCRIPTION:
Shaded Filled Other
450 ft2(pier extension)
A) Shallow Bottom PTA & EW AEC's 1,024 ft2(platforms)
450 ft2(boat lifts)
B) High Ground Areas & ES AEC's
1,170 ft2(existing pier)
C) Other 40 ft2(gangway)
(D) Total Area Disturbed: ± 1,964 ft2(± 3,134 ft2with existing pier)
(E) Primary Nursery Area: No
(F) Water Classification: SC Open to Shellfish Taking: No
8. PROJECT SUMMARY: The applicant proposes the extension of an existing pier which
would end in a covered platform. The applicant is also proposing an additional floating
platform and two boat lifts adjacent to the proposed docking facility, as well as, a
pedestrian gangway connecting the fixed platform to the floating platform.

Field Investigation Report
Page 2
Project Setting
The proposed development is located at 1928 W Fifth Street, Lot 58 and Lot 59, within
the Wright's Shores subdivision. The property is within the Town of Kill Devil Hills in Dare
County, and is adjacent to Colington Creek which leads to the Roanoke Sound.
The property is platted at ± 13,000 ft2 (± 0.3 acres) and contains ± 136' of shoreline.
Elevations range from ± 8' above normal water level (NWL) to ± 10' above in the high ground
area. Man-made features within the property include a single-family residence with a cemented
driveway. The property is vegetated with landscape shrubs and domestic lawn grass along with
mature oak and pine trees. The shoreline of the property is hardened and contains man-made
features including a bulkhead and a pier located to the northerly side of the shoreline. The
property has not been determined to hold any archeological significance.
The applicant purchased the property in March 2021 and was issued CAMA General
Permit#79224A on 6/1/2021 for the construction of a 195'x6' pier and the removal of an existing
pier and platform. This permit expires on 10/1/2021 and the applicant anticipates that the
authorized pier section will be completed prior to permit expiration. In the event that it is not
completed, this length has been included in this application.
The waters of Colington Creek are joint waters, classified as SC, and are closed to
shellfish taking. The property is located along the eastern shore of Colington Creek and it is
±1,530' across the waterbody to the shoreline of a small island located across from the property.
The bottom substrate is hard bottom sand and water depths within the project site range from±2'
to ±3.6' below NWL. No wetlands were found to exist along the shoreline and the location is not
within a classified Primary,or Secondary Nursery Area. Submerged Aquatic Vegetation (SAV)
was observed to be growing, but an official SAV survey has not been conducted at this time. The
property is adjacent to an area designated by the NC Division of Marine Fisheries as SAV
Habitat. The adjacent properties also have shorelines hardened with bulkheads and are similarly
developed with man-made structures including single-family residences, piers, platforms, and
boat lifts of various sizes.
Development Proposal/Proiect Description
The applicant is proposing the construction of a 75'x6' extension onto an existing 195'x6'
pier, terminating in a fixed 24'x32' roofed platform. The applicant is,also proposing a floating
8'x32' lower platform located on the western side and two 15'x15' uncovered, boat lifts(creating
two slips) located on the northern and southern sides of the roofed platform. A small 10'x4'
aluminum, pedestrian gangway is proposed-to connect the fixed platform to the floating platform.
This proposed development would extend the docking facility past the established docking
facility length along the same shoreline to a total proposed length of 302'. The proposed
development would also create a platform with an individual size larger than 400 ft2. These
aspects along with increased shading impact elevated the permit from a general to a major
permit.
Water depths at the proposed development location are ±2 to ± 3.3' along the pier and
±3.6' below NWL at the end of the platform area. Rooted SAV was observed to be growing
within the waters of the project area at an estimated 75% density. The proposed structures are
similar in use as others in the area, but are proposed larger in length and platform size.

Field Investigation Report
Page 3
Structures along the pier line to the north are ± 242' and to the south are ± 210' in length. The
proposed development meets the ''A width rule, and does not encroach within the 15' riparian
access setback. The proposed docking facility is ±41' and ± 130' away from adjacent property
lines and structures to the south and ±33' and ± 60' away from adjacent riparian lines and
structures to the north.
Anticipated Impacts
• The proposed docking facility (consisting of two platforms and excluding the pier) will
shade 1,024 ft2 of Estuarine Waters and Public Trust Area AEC's. The cumulative shading
within those AEC's, including the pier, will be ± 2,644 ft2.
• The roofed platform will individually shade 768 ft2 of Estuarine Waters and Public Trust
Area AEC's.
• The installation of the proposed boat lifts will increase the total number of formalized
docking spaces from zero to two slips.
• The construction of the proposed pier extension will extend the docking facility ± 107'
beyond the established pier or docking facility length along the same shoreline for similar
use.
Submitted Submitted by: Sarah Loeffler
Date: August 23, 2021

1 i,�y,(5, Y�'"yy
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iw�
@CM MP-1
)ULt320�L-
APPLICATION for
MMajor Development Permit out ..
al p
(last revised 12/27/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
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Business Name Project Name(if applicable)
Forehand Beach Properties, Llc Forehand residence
Applicant 1: First Name MI Last Name
Brian Forehand
Applicant 2: First Name MI Last Name
I
if additional applicants,please attach an additional page(s)with names listed.
Mailing Address PO Box I City I State
110793 tiVilmington NC
(ZIP `Country Phone No FAX No
28401- 252-945-8025 ext. - -
•
Street Address(if different from above) City State I ZIP
Email
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Business Name
Not applicable
•Agent Contractor I First Name I MI Last Name
I Agent;Contractor 2• First Name MI Last Name
Mailing Address PO Box !City ; State
1
ZIP Phone No 1 Phone No 2
ext. ext.
FAX No ' Contractor It
• Street Address(if different from above) City State , ZIP
Email i
Form continues on back>
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REDEKED
Form DCM MP-1 (Page 2 of 4) APPLICATION for
WI- 1 3 2021 Major Development Permit
County(can be multiple) Street Address State Rd.#
Dare 1928 West 5t1'Street
Subdivision Name City State Zip
Wright's Shores Kill Devil Hills I NC 27948-
Phone No Lot No.(s) (if many,attach additional page with list)
same- - ext. Lot 58& 59
a In which NC river basin is the project located? b Name of body of water nearest to proposed project
Pasquotank Colington Creek
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 Roanoke Sound
1 i
e Is proposed work within city limits or planning jurisdiction? I f If applicable,list the planning junsdiction or city limit the proposed
®Yes ❑No work falls within
Kill Devil Hills
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a Total length of shoreline on the tract(ft.) b Size of entire tract(sq ft.)
136 0.30 acres or 13,000 sf
Size of individual'ot(s) d. Approximate elevation of tract above NHW(normal'high water)or
NWL(normal water level)
•If many lot sizes,please attach additional page with a list) 8-10 ❑NHW or RjNWL
a Vegetation on tract
lawn grass and landscaping mature oak and pine
f Man-made features and uses now on tract
residence, bulkhead and pier(under construction)
g Identify and describe the existing land uses adjacent to the proposed project site
• residential
h How does vocal government zone the tract? Is the proposed project consistent with the applicable zoning")
residential I (Attach zoning compiiance certificate :f applicable) •
❑Yes ONO Ec'NA
j Is The proposed activity part of an urban waterfront redevelopment proposal" ]Yes No
't. Has 3 professional archaeological assessment been lone for the tract^ If yes attach a copy ❑Yes No DNA
If yes,oy Nnom'
Is the proposed project located in a National Registered Historic Distract or does t•rvolve a ❑Yes IENo DNA
National Register.fisted of eligible property"
<Form continues on next page>
252•3)3.23 )3 1 .333.1RCOAST :. wuw n ; : Jas mala3?merit net

Form DCM MP-1 (Page 3 of 4) j,r, -- APPLICATION for
Major Development Permit
JUL i 2321
m. (i) Are there wetlands on the site? DYes No
(ii)Are there coastal wetlands on the site? CIA•— ^ ' DYes No
(iii)If yes to either(i)or(ii)above,has a delineation been conducted? DYes No
(Attach documentation,if available)
n. Describe existing wastewater treatment facilities
municipal
o Describe existing drinking water supply source
minicipal
p Describe existing storm water management or treatment systems.
n/a
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'a. Will the protect be for commercial,public,or private use? ❑Commercial ❑PubliclGovernment
NPnvate/Community
b Give a bnef description of purpose•use,and daily operations of the project when complete
• residential pier and dock enjoyment
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
standard marine construction
1
d List all development activities you propose
Development activities include: Extend an approved 6' x 200' access pier an additional 70', and build a
24'x 32' covered platform with two 15'x 15' boat lifts and a 8'x 32' floating platform.This will take
place within the riparian corridor of 1928 West 5th Street, Kill Devil Hills.
•e Are the proposed activities maintenance of an existing protect,new work,or both", new
f What is the approximate total disturbed land area resulting from the proposed project' N/A ❑SG Ft or®Acres
g Will the proposed protect encroach on any public easement,oublic accessway or other area Oyes HNo DNA
:hat the oubuc has established use of?
h Describe'ocaticn and type of existing and proposed discharges to waters of the state
none
• Will wastewater or stormwater be discharged nto a wetland? [Des NNo DNA
if jes will this discharged water be of the same salinity as the receiving water? IEYes ONo !DNA
t Is there any mitigation proposed? DYes 'No DNA
If yes attach a mitigatiorh oroposai
<Form continues on back>
252•373 23')3 •• 1 .333•42COAST •' ,v ,v ,'/ n :: Dasta1rna•1ag amen t net

Form 0CM MP-1 (Page 4 of 4) APPLICATION for
Major Development Permit
I'tir - •-1_..r -__._r:L�... - ..`��i!�...v_.�c_..._-..__.._
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 appropnate 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.
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ice,+- F pig r i E' zf}y*rf o �.: '�R� $>'3 '�
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� �YucR,s:i. ,.
Name Susan Reynolds Phone No
Address Po Box 1553,NAgs HEad,NC 27959
i "'*�� 1�� m� €��a� �• ya� ���� > ter' ^�` 74 �- �•} lv�t4rA
' I
g A list of previous state or federal permits issued for work on the project tract Include permit numbers,permittee.and issuing dates
CAMA General Permit No. 79224 6/1,2021
h Signed consultant or agent authonzation form,if applicable
I Wetland delineation,if necessary
j A signed AEC hazard notice ror projects in oceanfront and inlet areas (must be signed by property owneri
k A statement of compliance with the N C Environmental Policy Act(N C G S 113A 1.101,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
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
y
Date "� 1 `! Print Name
! ,F.
/a-2e2t Signature /� ,�-f^"� p '
JUL 132621
Please indicate application attachments pertaining to your proposed project
EDCM MP-2 Excavation and Fill Information DCM MP-5 Bridges and Culverts
❑DCM MP-3 Upland Development
FIDCM MP-4 Structures Information
252.3 )3.2373 • 1 .333.1RCOAST • aa'ov n � ; laa'.eir313gat1a^ t net

g�'� E r YF.e•
Form DCM MP-4 JUL 1 3 2d21
STRUCTURES C "
(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.
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_ � ha*C§s- - 'g. . .. ,�' z. 'srJ:�a.. _�. �'��..:'� ' `.�* `F n � •-x r�,
a (I) Is the docking facility/manna: b (i)Will the facility be open to the general public?
❑Commeraal ❑PublidGovemment Pnvate/Communsty ❑Yes No
c (i)Dock(s)and/or pier(s) d (i)Are Finger Piers included ❑Yes No
(ii)Number 1 If yes
fill)Length 270(total) (ii)Number 1, (aluminum gangway)
;iv)Width 6' (iii)Length 10
iv)Floating ❑Yes No (iv)Width 4
(v)Floating [Yes ONo N A
e ti) Are Platforms included' EIYes ❑No f (i) Are Boatlifts included') ®Yes I]No
If yes- If yes
Number 2 (ii)Number 2
in)Length (fixed) 8'(floating) (iii)Length 15'
iv)Width ?)Z1(fixed) 32' (floating) 1� ' iiv)Width 15'
(v)Floating Yes ®No (Oilt. FiXeGi +ore- 170wrf►1 )
Note. Roofed areas are calculated from dnpline dimensions. J
g i4 Number of slips proposed h Check all the types of services to tie orovided
2 ❑Full service. ncludmg travel'ift and/or rail, repair or
Number of slips existing maintenance service
El Dockage,fuel,and marine supplies
0
Dockage Cwet slips')only number of slips -
Dry storage. number of coats
0 Boat ramp(s)•number of boat,amos
❑Other please describe
Check the oroposed type of siting ) Describe the typical coats to oe served ,e g oper runaoout,
❑Land ut and access channel charter coats sail coats mixed types,
❑Open water dredging for casin and/or channel pleasure craft
El Open water; ro dredging required
❑Other o+ease describe
Typicai coat ergth 32 I l Will the facility be open to the general cublic^
❑Ye_s IEINo
m i)'Vill the`acility nave tie odings'
]Yes $INo
'n)if res number of ce pilings)
-- ._ revised; 12 27 0o

Form 0CM MP-4 (Structures, Page 2 of 4) lUL 1 3 7.621
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y}_ ! 2 J4 I: 11 �i '�'3 H3 yF t:
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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 Descnbe treatment type and disposal location for all sanitary wastewater
c Describe die disposal of solid waste fish offal and trash.
d How will overboard discharge of sewage from boats be controlled'
e . ti)Give the location and number of'No Sewage Discharge"signs proposed
in 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 df?
• Give the number of channel markers and 'No Wake'signs proposed
Give the location of fuel-handling facilities,and describe the safety measures planned to protect area water quality
What will oe the marina policy on overnight and live-aboard dockage'
+< Describe design measures that promote boat basin flushing?
• If this protect is an expansion of an existing manna,what types of services are currently provided'
n is the marra,docking facility pr000sed within a primary or secondary nursery area''
EYes ❑No
�.•, ono no.-.o . 4 a r revised: 12.2706

l/
Form DCM MP-4 (Structures, Page 3 of 4)
n Is the manna/docking facility proposed within or adjacent to any shellfish harvesting area's t 3 2,,02'I
['Yes ❑No JUL
o Is the marina/docking facility proposed within or adjacent to coastal wetlands/marsh(CW),submerged aquatic vegetation(SAV).shell bottgaa
(SB)•or other wetlands(WL)? If any boxes are checked,provide the number of square feet affected
❑CW ❑SAV ❑SB Cam
OWL ❑None
p Is the proposed manna/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
.ram s-. wca.� �. - t r c r.->•-�A,.rt � .,.o.� .,. ,.:.c. is Y.S, c +1* w`.,r :,+ 4- 4 `Y
c--c - airy t,� .[y •r { �-t
a (i) Is the boathouse structure(s):
OCommercial ❑PublidGovernment ❑Private/Community
Number
till)Length
tiv)Width
Note. Roofed areas are calculated from dripline dimensions.
- We
4 _onus
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a (i) Number
tit)Length
idol Width
:,-z;:ig-Thii:0000049t.41140014]
a Length b Average distance from NHW NWL. Jr Netlands
• Maximum distance oeyond NHW NWL ar wetlands
6 MO P1LINGSA7d BUOYS �tusse q ui agolpfr $
a Is the structureist o Number
❑Commercial ❑PublidGovernment ❑Pnvate/Corrmunity
• Distance to be placed beyond shoreline 7 Descr.otion at buoy irobr inscnpucn size anchor etc i
.Vote This should oe measured from marsh edge if°resent.
a Arc Di the swing
7. GENERAL •
•
352.808..3303 : 1.63,3-4RC0 .3T : r.+r.v-..ic,Dassalmanagem9nt�net re•„sad: 12 2' 06

Form DCM MP-4 (Structures, Page 4 of 4) Kt 1::.1 "
a Proximity of structure(s) to adjacent nparan property lines b. Proximity of structure(s)to adjacent docking facilities)U 3 2o21
30' 50'-125'
Note- For buoy or mooring piling,use arc of swing including length '
of vessel. s ivi`o
c Width of water body d. Water depth at waterward end of structure at NLW or NWt-
1,530' -3.6'@ low tide
e (i) Will navigational aids be required as a result of the project'?
❑Yes No DNA
(ii) if yes,explain what type and now they will be implemented
4 fit{4 -t � r�u
Est - i� k �' t
a Give complete descriphon
I request permission to extend my permitted pier approximately 100Ibeyond the current permitted distance and build a 24'x 32'
covered platform and 8'x 32' floating dock, along with two 15'x 15' boatlifts.
•
3'? Sa�x^'cT� � i4
59.3O3-2803 4,S33_-iRCO AST :: _v'.y

6
�0 BK 2474 PG 894 - 895 (2) DOC# 700093896
1c` This Document eRecorded: 03/01/2021 04:34:21 PM
VFee: $26.00 Excise Tax: $1 ,420.00
`pare County, North Carolina Transfer Tax: $7,100.00
Oheryl L. House, REGISTER OF DEEDS
Dare County Land 3nsfer No. : 982-21 land Transfer Tax: 7100.00 1985 Sessions Law Chapter 670 (HB 215)
0
C> NORTH CAROLINA
GENERAL WARRANTY DEED
Excise Tar $1,420.00 Land Transfer Tax: $7,100.00
LT# Parcel Identifier No. 002161059
Mail after recording to: Gray&Lloyd, LLP 3120 N. Croatan Hwy., Ste. 101, Kill Devil Hills,NC 27948
This instrument was prepared byura F. Meads, 106A Ascension Drive, Kitty Hawk, NC 27949 F34366
THIS IIQED made this 1 day of March, 2021 by and between t
\-)C\ GRANTOR
C,•
Elizabeth An onstanzrr, divorced and not remarried RECEIVED
�� PO Box 1176 JUN 2 0 2021
Kill I]evil Hills, NC 27948
_ ��J/o DCM-EC
— _ CCIR,ANTEE
Forehand Bearoperties, LLC
PO Box k6793
Wilmington, NC 28404
The designat'on Grantor and Grantee as used herein shall include sai rties, their heirs, successors, and assigns, and
shall include singular, plural, masculine, feminine or neuter as required b text.
WITNESSETH, that the Grantor, for a valuable consideration paid by t'Grantee, the receipt of which is hereby
acknowledged, has and by these presents does grant, bargain, sell and con 1ej unto the Grantee in fee simple, all that
certain lot or parcel of land situated in Atlantic Township, Dare County, North Carolina and more particularly described as
follows: �(:))
Lots No. 58 and 59, of the subdivision known as Wright's Shores as shown on a map or plat thereof made by Baldwin & Gregg,
Engineers,dated October 12, 1970, and recorded in Map Book 4, Page 33, Public Registry of D € County,North Carolina.
submitted electronically by "Gray & Lloyd, LLP"
in compliance with North carolina statutes governing recordable doc'wilents
and the terms of the submitter agreement with the Dare county Registd of Deeds.
I.

Ur\ G't l Y r-V VJJ LJVVtt I UUUQ'JUCIU
This instrument was prepared by Laura F. Meads, a licensed North Caroline attorney. Delinquent taxes, if any,to be paid by the
dosing attorney to the county tax collector upon disbursement of closing proceeds.
�O
CY'a portion of the property hereinabove described was acquired by Grantor by instrument recorded in Book 1507
Pagg'6, Dare County Registry.
A map,te}iowing the above described property is recorded in Plat Book 4, Page 33, and referenced within this instrument.
The abov ebscribed property ❑ does ® does not include the primary residence of the Grantor.
TO HAVE AO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the
Grantee in fee` ple.
And the Grantor g ants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the
same in fee simple, t title is marketable and free and clear of all encumbrances,and that Grantor will warrant and defend
the title against the I I claims of all persons whomsoever except for the exceptions hereinafter stated.
Title to the property herkeove described is subject to the following exceptions:
Ad valorem taxes for 2021 and all subsequent years.
Easements and restrictions appearing of record in Dare County Public Registry.
IN WITNESS WHEREOF,the G ntor has hereunto set his hand and seal,or If corporate, has caused this
instrument to be signed In Its rate name by its duly authorized officers the day and year first above
written. O t_
.� (S )
(ENTITY NAME) `� " 10zabefh A. nstanzer
By: C� (SEAL)
Title:
By: (SEAL)
Title:
d
C(�
NORTH CAROLINA bete, CO*re
I certify that the following person(s)personally appeared b me this day,each acknowledging to me that he or she signed
the foregoing documll ent: Elizabeth A. Konstanzer. Wdn any hand and official stamp or seal, this the I day
My Commission Expires: 0 l / l g/ Ri ✓ec IAiu41 4:
eNttttrurll0 l ry Pubic
Ss M "oo01.• UUUVrir> ry 1 e uk1112t M. `tti, �
Pri to Name: �
a µtor
ok Public u
s pore Count?
s 4, ,.i RECEIVED
Nee JUN282021
d DCM-EC
O
Oi.

MAJOR PERMIT FEE MATRIX
p
Applicant: ro yt. 4a 1•Ja/ �-
)
v+i e°," LLC
fr. ibvraA4 Fv jt4d 1
Selection Development Type Fee DCM % DWQ%
(14300 1601 435100093 1625 6253) (24300 1602 435100095 2341)
� r
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 open water areas:
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-
El commercial development, if $250 100% ($250) 0% ($0)
General Water Quality
Certification No. 4097 (See
attached)can be applied:
IIl(B). Public or commercial
ri 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 $160
Quality Certification No. $400 60% ($240) 40% ($160)
4097 (see attached) cannot
be applied:
IV. For development that
Ei involves the filling and/or $475 60% ($285) 40% ($190)
excavation of more than
one acre of wetlands and/or
open water areas:

ly Top View Drawing
^'117 - / Prepared b.y: Brian Forehand
Colington Creek Address: 1928 West 59'Street, Kill Devil Hills, NC
width of waterbody " 1.530' Sheet 1 of 2
I
width iimstation - 382' Date -6/2Q/2021
8'x 32' floating dock Scale: 1" =50'
,r -3.6' NLW
/IDate revised-7-12-2021
ITT— L--f . ..-1 ! 8-2(0-202I Shll..
15' x 15' ooatlift ) a e •
all.....15' Y 15' boatlift
' Slip 2 , • r • s Slip 1
Approximate Riparian Corridor Setback—w. 3.3' 111 W
24 32' fixed platformsr j
Approximate Rsoarian Corridor Setback
(drip edge)
Approximate Rspar'an Corr dor
Approtim3:e P•parian Corridor
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This nap is prepared
from data used for the 1928 W Fifth ST Owners:Forehand Beach Properties Tax District:Kill Devil Hills yy
�.,"t Of• inventory of the real Kill Devil Hills NC,27948 LIc-Primary Owner Subdivision:Wright's Shores ; 4 r ; , s'
., •.' 4, property for tax Parcel:002161059 Lot BLK-Sec:Lot:58& 59 Blk:Sec: c %�,f;R c.k ti
0 i ,. purposes.Primary Z I * ;, i` '`
r.ra Pin:987412976470 Building Value:$329,200 Property Use:Residential -r t wtl
`! • j Cr Information sources such ,
asrecadeddeeds,plats, Land Value:$267,000 Building Type:Traditional ar Al
wills,and other primary Misc Value:$19,800 Year Built: 1995 TINT '; - i
•If t -.:sat` public records should be . 1'.
flrf ,''`s;��. consulted forverflication
Total Value:$616,000 q
of the information i d
contained in this map. ' 'r'"
002161-059 07-987412-020 03/11
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This map is prepared 1 k r
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information sources such
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ifi c A.,10.'•
of the information
contained in this map.
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