20220152 Ver 1_CAMA Application_20220201

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
BRAXTON DAVIS
Director
February 1, 2022
MEMORANDUM:
NORTH CAROUNA
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.bodnarncdenngov
SUBJECT: CAMA/Dredge & Fill Review
Applicant: Joseph and Brenda Powell
Project Location: 416 Goose Nest Lane in Perquimans County
Proposed Project: Construct a docking facility, boat ramp, boatlift, bulkhead, gazebo, and three
mooring pilings
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to GreggBodnarat the address above by February 22, 2022. 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
D 11 North Carolina Department of Environmental Quality I Division of Coastal Management
J7/]� Elizabeth City Office 1 401 South Griffin Street, Suite 300 1 Elizabeth City, North Carolina 27909
rvparH caaounv, � !�
oap,.m� virm�mmmen�ae owny 2522264.3901

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DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
APPLICANT'S NAME: Joseph & Brenda Powell
LOCATION OF PROJECT SITE: 415 Goose Nest Lane, Perquimans County,
adjacent to Albemarle Sound
Latitude: 36°05'15"N Longitude: - 76021'34"W
INVESTIGATION TYPE: CAMA & Dredge and Fill
INVESTIGATIVE PROCEDURE: Dates of Site Visit — October 27, 2021
Was Applicant Present — yes
5. PROCESSING PROCEDURE: Application Received Complete — January 25, 2022
Office — Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan — Perquimans County
Land Classification From LUP — RA — Rural Agricultural District
(B) AEC(s) Involved: Estuarine Shoreline (ES), Estuarine Waters (EW), Public Trust
Shoreline (PTS) and Public Trust Area (PTA)
(C) Water Dependent: Yes
(D) Intended Use: Private/Community
(E) Wastewater Treatment: Existing — Septic
Planned -none
(F) Type of Structures: Existing —house, 2 out buildings, fence, bulkhead,
flag pole, and driveway
Planned -boat ramp, docking facility, bulkhead,
gazebo, boatlift, and 3 mooring pilings
(G) Estimated Annual Rate of Erosion: na
Source - na
7. HABITAT DESCRIPTION: [AREA]
DREDGED FILLED SHADED
(A) Open Water (EW, PTA)
1,974 sgft
(B) Shallow Bottom (EW, PTA)
50 sgft
260 sgft
(C) High Ground (ES)
11,250 sqft
248 sgft
(D) Total Area Disturbed: 13,782 square feet
(E) Primary Nursery Area: No
(F) Water Classification: SB Open to shellfishing: No

Joseph & Brenda Powell
Field investigation Report
Page 2
PROJECT SUMMARY
The applicant proposes to replace 130 feet of an existing bulkhead with two 10 foot returns,
construct a 20 foot by 150 foot boat ramp with 50 foot of bulkhead along the sides and a 4 foot
by 38 foot courtesy pier, a 47 foot by 6 foot shoreside dock, 47 foot by 4 foot walkway landward
of the bulkhead, and a 134 foot by 6 foot pier with a 4 foot by 14 foot finger pier leading to a 12
foot by 12 foot octagonal gazebo, a 25 foot by 16 foot covered platform with an additional lower
platform and 3 mooring pilings.
Project Setting
The property proposed for development is located at 415 Goose Nest Lane in Perquimans
County and consists of approximately 1.08 acres adjacent to Albemarle Sound. The property
currently contains a single family dwelling, two outbuildings, fencing, a driveway and failing
bulkhead. The properties to the east and west are both residential lots.
Vegetation on the site includes, but is not limited to, indigenous yard grass, ornamental flowers,
and shrubs. Soil Types include Roanoke Silt Loam (RO). The property has an elevation of
approximately 6 feet above normal water level (NWL) along the shoreline.
The shoreline is 150 feet in length and currently is bulkheaded along the entire shoreline.
The water classification for this area is Primary Recreation, Salt Water (SB) and are estuarine
waters that are closed to shellfishing. The water depths within the project area range from -
3 to -4 feet and submerged aquatic vegetation was not observed in within the project area,
but it was outside of the growing season.
Development Proposal
The applicant proposes to replace 130 feet of an existing 150 foot wooden bulkhead with vinyl
an average of 2 feet waterward of the existing bulkhead. The applicant also proposes to
include 10 foot return walls on each end of the bulkhead. The applicant also proposes to
construct a 20 foot wide by 50 foot long boat ramp with an associated 4 foot by 47 foot
courtesy pier. The boat ramp will also include a 25 foot by 15 foot concrete/gravel access
drive connecting to it. The applicant also proposes to construct a 47 foot by 6 foot
shoreside dock running parallel to the bulkhead connecting the courtesy pier to the main
pier to the west of the boat ramp. The applicant also proposes to place a 47 foot by 4 foot
boardwalk landward of the shoreside dock. The main pier is proposed to be 134 foot long
by 6 foot wide and be elevated 1 foot above the bulkhead with a 14 foot by 4 foot finger pier
on the west side of the dock leading to a 12 foot octagonal gazebo, a 25 foot by 16 foot "T"
shaped covered end platform with an additional open 8 foot by 15 foot and 5 foot 6 inches
by 16 foot lowered platform area to the west side of the covered area and a set of 3 foot by
6 foot steps on the north side of the open platform. The applicant also proposes to install a
12 foot by 12 foot boatlift and 3 mooring pilings for a total slip count of three.

Anticipated Impacts
The proposed development will result in the excavation of 50 square feet, filling of 260 square
feet and the shading of 1,974 square feet of the Estuarine Waters and Public Trust Area of
Environmental concern. It will also result in the filling of 11,250 square feet of Estuarine
Shorelines AEC. Temporary turbidity will possibly occur during construction.
Submitted by: Cynthia Rountree
Date: 1 /27/22

Project Narrative for Joseph Harper Powell and Brenda Powell
Revised January 5, 2022
Location:
The applicant's property is located at 415 Goose Nest Lane (SR #1443), Goose Nest Lane
Subdivision, Perquimans County. The property is located south of Harvey's Point Testing Facility
along the shores of the Albemarle Sound.
History and Existing Conditions:
Goose Nest Lane is a nineteen -lot residential subdivision that was platted in 1978. All lots within
the subdivision have bulkheads in varying condition. Twelve of the nineteen lots have piers, with
the longest being 150' in length, located two lots west of the applicant's property. A longer —250'
pier is located in an adjacent subdivision—2,200' east along the same shoreline. Seven of the
nineteen lots in the applicant's subdivision have boat ramps. There are no public ramps along the
Albemarle Sound in Perquimans County. The closest public ramp to Goose Nest Lane is 9.4 miles
north along the Perquimans River near the Town of Hertford.
Lots to the east and west of the applicant's lot are developed with single family dwellings, out
building, bulkheads and piers. Located to the north is the Harvey's Point Testing Facility. The
nearest pier west of the applicant's is property is —67', and to the east is —73' (measured from
the riparian line). The width of the waterbody (Albemarle Sound) varies between 7.5' miles to 9
miles from the shoreline of Goose Nest Lane south to Tyrell County. Located—5,250' southeast
of the applicant's property is a Military Danger Zone Restricted Area (MDZRA) associated with
the Harvey Point Testing Facility.
The applicant's property is developed with a single-family dwelling, multiple out buildings,
fencing, associated infrastructure, and a failing bulkhead. Elevations of the property are between
4' and 8' with an average of 6' above normal water level (NWL). Elevation of the existing bulkhead
is 4' above NWL. Water depths along the bulkhead average 3' below NWL, water depths 50'
waterward of the bulkhead average 3'-6" and at 150' the depth is 4'. Vegetation on the property
in limited to domestic gasses, ornamental flowers and shrubs, and Bradford pear trees.
The adjacent water bottom is a fine silty sand with no submerged aquatic vegetation. While
historically SAVs have been known to inhabit areas adjacent to the applicant's shoreline and late
fall and early winter is not a favorable time for submerged aquatic growth, no vegetation has
been found within the project area over that past five years. This finding is based on residents
that fish and crab the waters adjacent to Goose Nest, myself as a Field Representative working
with the Division of Coastal Management in the area, and as a recreational fisher living in
Perquimans County and frequenting the area. In addition, the applicants have sustained water
depths of 3' and greater within the project area.
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1
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The project site is located within the Coastal Waters of the State of North Carolina, are designated
as Estuarine Waters, and are classified as "SB" primary recreation/saltwater. There are no known
archeological, geological or historical sites associated with the applicant's property.
Proposed Development:
The Powell's would like to make the following improvements to their property to access the
Albemarle Sound:
1) Bulkhead:
Replace 130' of a 150' failing wooden bulkhead (with a vinyl bulkhead) an average of 2'
waterward of the existing structure with a total height of 5' above normal water level (A
1' increase from the existing bulkhead). Return walls will extend 10' landward at the
property lines. A proposed boat ramp will be placed along 20' of the 150' shoreline with
50' return walls extending landward from the new bulkhead alignment. Fill excavated for
the boat ramp will be used as back fill and spread and graded along the applicant's
shoreline. If additional fill is needed it will be obtained from a commercial provider.
Associated fill and grading will be limited to a distance of 75' from the completed project
shoreline.
N
130' x 2' - 260sf Shallow Water Bottom Fill
150' x 75' = 11,250sf of High Ground Fill/Disturbance
2) Boat Ramp:
Construct a 20' wide concrete boat ramp terminating in line with the replacement
bulkhead (2' waterward of NWL). Of the 20', 16' will be for the boat ramp and the
remaining 4' will facilitate the construction of a low (2' above NWL) 4' wide courtesy pier.
Constructing the courtesy pier over concrete will reduce the chances of erosion occurring
landward of the pier and provide safe access for the applicant to walk a boat off the trailer
and out of the ramp safely. In addition, the construction of the pier at 2' will allow the
applicants to embark and disembark at a near even elevation with a pontoon boat deck.
Ramp Waterward of NWL: 20' x 2' = 40sf Shallow Bottom Excavation/Fill
Ramp Landward of NWL: 20' x 48' = 960sf High Ground Excavation. Total ramp length
will be 50' (2' waterward of NWL and 48' landward).
An additional 20sf water bottom disturbance is anticipated to install a coffer dam if the
concrete ramp is poured in place. Anticipated impacts will be temporary.
The boat ramp will be constructed by one of two methods:
a. Poured on high ground and slide into place between 1" x 6" guides along the base
of the ramp return walls, or,
b. poured in place landward of a temporary vinyl coffer dam.
2

(Specific construction methodology is the responsibility of the owner and contractor.)
Ramp Access Drive: 25' x 15' = 375sf impervious Surface Within the 75' AEC
is proposed and will connect to an existing concrete/gravel drive —75' from NWL.
Normal water level (NWL) will extend —18' inside the ramp, leaving —32' x 20' above NWL.
The 25' x 15' access drive will extend from the ramp to the existing gravel and concrete
that is landward of the 75' Area of Environmental Concern (AEC). A small 45% transition
from the ramp to the drive will add an additional 12.5sf (half of 5' x 5').
Impervious Cover within the 75' AEC: 32' x 20' = 640sf
25' x 15' = 375sf
5'x5') =2= 12.5sf
Total = 1,027.5sf of Impervious Lot Cover
(or —9.15% lot cover)
3) Courtesy Pier:
A 4' wide pier will extend —38' waterward of NWL with 18'within the boat Ramp and 20'
waterward of the new bulkhead. The total length of the pier structure will be —47'. The
courtesy pier will be elevated 2' above NWL to facilitate safe access to a boat.
Courtesy Pier: 38' x 4' = 152sf (Does not apply to the 1,200sf shading limit)
9' x 4' = 36sf above NWL over Concrete
4) Shoreside Dock:
A 47' x 6' shoreside dock (also 2' above NWL) will parallel the bulkhead and provide access
from the boat ramp courtesy pier to the main pier.
Shoreside Dock: 47' x 6' = 282sf of Shallow Water Bottom Shading
5) Landward Walkway:
A 47' x 4' walkway is also proposed landward of the shoreside dock with stairs to the
access the courtesy dock.
Landward Walkway: 47' x 4' = 188sf High Ground Shading
6) Main Pier:
The main pier will be 134' x 6' and will be —1'-0" above the proposed bulkhead (-6' above
NWL) and will provide access to an finger pier with an octagonal gazebo, a boatlift, three
tie pilings for personal water craft (PWC), and a 25' x 16' roofed platform at the terminal
end of the structure with stairs down to an "L" shaped uncovered platform with an
3

elevation of 2' above NWL for ease of access to the water and PWC(s). The main pier will
extend 10' landward of the bulkhead.
Main Pier: 134' x 6' = 804sf of Shallow Bottom Shading
7) Gazebo:
An octagonal gazebo will be constructed on the west side of the pier — 64' waterward of
the bulkhead. A 4' x 14' wide finger pier will access the gazebo.
Gazebo: (12' x 12') — 32 = 112sf (octagonal)
Finger Pier: 14' x 4' = 56s#
168sf Shallow Bottom Shading
8) Main Platform:
A proposed 25' x 16' roofed platform with an elevation of — 5' above NWL will step down
onto an "L" shaped open platform 2' above NWL.
Roofed Area: 25 x 16 = 400sf
Open " L" Platform: 8' x 15' = 120sf
5'- 6" x 16' = 88sf
Stairs to the water: 3' x 6' = 18sf
626sf Shallow Bottom Shading _ 3
9) Boatlift: 12' x 12' footprint (Does not apply to shading limitation)
10) Three Mooring Pilings: Pilings will accommodate three PWCs and will extend no greater
than 156' waterward of the proposed replacement bulkhead (6' waterward of the pier
platform). The tie pilings will accommodate 2 Personal Water Craft that will be tied front
and back between the pilings. There will be no free -swinging craft at anytime.
Proposed Impacts:
The following impacts will result from the proposed development:
1) A total of 300sf of shallow water bottom will be filled in association with the proposed
bulkhead alignment and boat ramp.
2) Total shading of shallow water bottom by all piers, finger piers, docks, and covered and
uncovered platforms will be 2,032sf.
3) Total shading by docks and mooring facilities, excluding the main pier and courtesy pier
1,076sf (Maximum allowed is 1,200sf).
4) A total of 11,250sf of high ground disturbance is anticipated from bulkhead backfill,
anchors, gravel ramp access, and associated grading of fill dirt. It is anticipated that
grading will occur within the entire 75' Area of Environmental Concern (AEC).
5) High Ground impervious surface within the 75' AEC, from the boat ramp and access drive
will be 1,027sf which will result in —9.15% lot cover with the 75' AEC.
El

6) Temporary turbidity is anticipated during construction.
7) Silt barriers will be used as needed to prevent siltation of the adjacent waters of the
Albemarle Sound.
Purpose and Need:
The design and configuration of the proposed development is to provide ease of access to the
water and watercraft. The applicants are seniors and this will provide maximum safety in
accessing and enjoying the waters of the Albemarle Sound.
7 L
5

gem MP-1
APPLICATION for ,AN 1 4 20112 -�
Major Development Permit
(last revised 12127106)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Project Name (if applicable)
Powell
Applicant 1: First Name
MI
Last Name
Joseph
H
Powell
Applicant 2: First Name
MI
Last Name
Brenda
Powell
tf additional applicants, please attach an additional page(s) with names listed.
Mailing Address
PO Box
City
State
415 Goose Nest Lane
Hertford
INC
ZIP
Country
Phone No.
FAX No.
27944
us
757 - 421 - 7775 ext.
Street Address (if different from above)
City
State
ZIP
Same as above
-
Email
[e-mail]
2. Agent/Contractor Information
Business Name
Agent/ Contractor 1: First Name
Lynn
Ml
Last Name
Mathis
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
178 Sue Lane
PO Box
City
Hertford
State
NC
ZIP
27944
Phone No. 1
252 - 333 -
6619 ext.
Phone No. 2
- - ext.
FAX No.
Contractor #
Street Address (if different from above)
Same as above
City
State
ZIP
-
Email
[e-mail]
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Form DCM MP-1 (Page 2 of 4) APPLICATION for
Major Development Permit
iA € 4
3. Project Location
County (can be multiple) Street Address State Rd. #
Perquimans 415 Goose Nest Lane Y SR #1443
Subdivision Name City State Zip
Goose Nest Lane Hertford NC 27944 -
Phone No. Lot No.(s) (if many, attach additional page with list)
757 - 421 - 7775 ext. 7-A, ,
a. in which NC river basin is the project located? b. Name of body of water nearest to proposed project
Pasquotank Albemarle Sound
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 Albemarle Sound
e. Is proposed work within city limits or planning jurisdiction? f. If applicable, list the planning jurisdiction or city limit the proposed
NYes ❑No work falls within.
Perquimans County
4. Site Description
a. Total length of shoreline on the tract (ft.) b. Size of entire tract (sq.ft.)
150'—47,044.8
c. Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
—47,044.8sf,
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
6' ❑NHW or N NWL
e. Vegetation on tract
Domestic grass, ornamenm#al flowers and shrubs, pear trees
f. Man-made features and uses now on tract
House, two out buildings, fencing, failing bulkhead, flag pole, and associated infrastructure.
g. Identify and describe the existing land uses adiacent to the proposed project site.
Restidental and governmental
h. How does local government zone the tract?
i. Is the proposed project consistent with the applicable zoning?
RA - Residential Agricultural
(Attach zoning compliance certificate, if applicable)
®Yes ❑No ❑NA
j. Is the proposed activity part of an urban waterfront redevelopment proposal? []Yes MNo
k. Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes NNo ❑NA
If yes, by whom?
1. Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes NNo ❑NA
National Register listed or eligible property?
Form continues on next pages
252-808-2808 ., www.nccoastaimanagement.net

Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site? ❑Yes ®No
(ii) Are there coastal wetlands on the site? ❑Yes ®No
(iii) If yes to either (i) or (ii) above, has a delineation been conducted? ❑Yes ❑No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
Septic
o. Describe existing drinking water supply source.
County Supply
p. Describe existing storm water management or treatment systems.
None - surface flow over vegetated yard
5. Activities and Impacts
a.
Will the project be for commercial, public, or private use? ❑Commercial ❑Public/Government
®Private/Community
b.
Give a brief description of purpose, use, and daily operations of the project when complete.
The ramp, piers, platforms and docking facilities are for the private use of the Powell family and friends. To access the water
for recreational use of a pontoon boat and two PWCs.
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.
Backhoe, skid steer, pump, power tools will be used to excavate a boat ramp, install a new vinyl bulkhead and wash in
pilings for the docking facility.
d.
List all development activities you propose.
Replacement bulkhead, concrete boat ramp, courtesy finger pier at the boat ramp, shoreside walkway, shoreside dock, main
pier, finger pier to a gazebo, a boatlift, covered platform at the wateiward end of the main pier, open "L" platfor step down to
access the water and three mooring pilings, and stair in the water.
e.
Are the proposed activities maintenance of an existing project, new work, or both? Both
f.
What is the approximate total disturbed land area resulting from the proposed project? 11,250 ®Sq.Ft or ❑Acres
g.
Will the proposed project encroach on any public easement, public accessway or other area ❑Yes ®No ❑NA
that the public has established use of?
h.
Describe location and type of existing and proposed discharges to waters of the state.
Surface flow
i.
Wili wastewater or stormwater be discharged into a wetland? ❑Yes ❑No ®NA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ❑No ®NA
j.
Is there any mitigation proposed? ❑Yes ❑No ®NA
If yes, attach a mitigation proposal.
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Form DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
S. Additionallnformadon
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) — (0 are always applicable to any major development application. Please consult the application
instruction booklet on how to properly prepare the required items below.
a. A project narrative.
b. An accurafe, 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.
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 Charles and Heather Higgins Phone No.
Address 409 Goose Nrst Lane, Hertford, NC 27944
Name Onley Rogers & Stephanie Shughart Phone No.
Address 423 Goose Nest Lane, Hertford, NC 27944
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.
Bulkhead permit for James Jellison #152-97 1210411997
h. Signed consultant or agent authorization form, if applicable.
i. Wetland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
7. CertificWion 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.
further certify that the information provided in this application is truthful to the best of my knowledge.
Date January 12, 2022 Print Name f Lynn Mathis (Agent)
Signature
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-
EDCM MP-4 Structures Information
252-808-2808 .. 1-888-4RCOAST . www.nccoastaImanagement.net

rOrm DOM POP-2
EXCAVATION and FILL JAN 14 2022
(Except for bridges and culverts)
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
Canal
Boat Basin
Boat Ramp
Rock Groin
{excluding
Breakwater
shoreline
I NWL
f
stabilization)
i
48' above
Length
NWL
i
2' below NWL
Width
2ti'
i
Avg. Existing
Depth
3'
NA
NA
i
3' at NWL
after
1
excavation of
I
1' conc. to be
Finai Project
placed level
Depth
with water
NA
NA
bottom fill at
the
waterward
end of the
ramp
f
1. EXCAVATION El This section not applicable
a. Amount of material to be excavated from below NHVV or NVVL in b. Type of material to be excavated.
cubic yards finely silty sand
20' x Tx 2' = 360cf = 27 = 13.33 cy
(1.48cy of conc. will be placed back for the toe on the waterward
end of the ramp)
c. (i) Does the area to be excavated include coastal wetlandsimarsh d. High -ground excavation in cubic yards.
(CVWt), submerged aquatic vegetation (SAV), shell bottom (SB), 48' x 20' x T = 6,720 = 2 =3,360 27 = 124.44cy
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
aCW ❑SAV ❑gB
OWL ®None
(4) Describe the purpose of the excavaibn in these areas:
1. DISPOSAL OF EXCAVATED MATERIAL ❑ This section not applicable
a. Location of disposal area. b. Dimensions of disposal area.
Onsite as backfll for replacement bulkheadl 150' x 75'

3. SHORELINE STABILIZATION ❑This section not applicable
(If development is a wood groin, use MP-4 — Structures)
a. Type of shoreline stabilization:
®Bulkhead ❑Riprap ❑Breakwater/Sill ❑Other:
c. Average distance waterward of NHW or NWL: 2'
e. Type of stabilization material:
vinyl
g. Number of square feet of fill to be placed below water level.
Bulkhead backfill —260sf Riprap
Breakwater/Sill Other Created water bottom in
the rampe will be filled with
concrete —480sf & natural
water bottom fill is 40sf
i. Source of fill material.
Commercial concrete
b. Length:
130' bulkhead with + (2)10' return walls adjacentto property
lines and (2) 50' returns at the ramp =250' total
Width: —1'
d. Maximum distance waterward of NHW or NWL: 2'
f. (i) Has there been shoreline erosion during preceding 12
months?
❑Yes ®No ❑NA
(ii) If yes, state amount of erosion and source of erosion amount
information.
h. Type of fill material.
Clean fill from on site and a commercial supplier as needed
(Whitehurst)
4. OTHER FILL ACTIVITIES This section not applicable
(Excluding Shoreline Stabilization)
a. (i) Will fill material be brought to the site? ®Yes ❑No DNA b. (i) Will fill material be placed in coastal wetlandsimarsh (CW),
If yes submerged aquatic vegetation (5AV), shell bottom (513), or
other wetlands (WL)? If any boxes are checked, provide the
(ii) Amount of material to be placed in the water 40sf number of square feet affected.
(iii) Dimensions of fill area 20' x 2' ❑CW ❑SAV ❑SB
(iv) Purpose of fill ❑WL ®None
Concrete toe of proposed boat ramp placed 2' waterward of (ii) Describe the purpose of the fill in these areas:
existing NWL at the old bulkhead
5. GENERAL
a. How will excavated or fill material be kept on site and erosion b. What type of construction equipment will be used (e.g., dragline,
controlled? backhoe, or hydraulic dredge)?
Seeded and silt barrier as needed Backhoe, pumps, drills and nail guns
c. (i) Will navigational aids be required as a result of the project?
❑Yes ®No DNA
(ii) If yes, explain what type and how they will be implemented.
January 12, 2022
Date
d. (i) Will wetlands be crossed in transporting equipment to project
site? ❑Yes ®No DNA
(ii) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
Powell
Project Name
arevised: 12/26106

Form DCM MP-2 (Excavation and Fill, Page 3 of 3)
(Agent) Lynn Mathis
Applicant Name
(Agent)
Applicant Signature
JAN 14 2�M
252-808-2808 :: 1-888-4111COA5T revised: 12126106

Form DCM MP-3 t w
UPLAND DEVELOPMENT JAN 0 & 2D2Z
(Construction andlor land disturbing activities)
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.
GENERAL UPLAND DEVELOPMENT
a. Type and number of buildings, facilities, units or structures
proposed
1) Walkway extending from the main pier 10' landward
(10' x 6'),
2) Landward walkway paralleling the bulkhead (47' x 4'),
and,
3) —9' x 4' of courtesy pier located within the concreted boat
ramp.
c. Density (give the number of residential units and the units per
acre).
1 existing
e. If the proposed project will disturb more than one acre of land, the
Division of Land Resources must receive an erosion and
sedimentation control plan at least 30 days before land -disturbing
activity begins
(i) If applicable, has a sedimentation and erosion control plan been
submitted to the Division of Land Resources?
❑Yes ❑No ®NA
(ii) If yes, list the date submitted:
b. Number of lots or parcels.
1
d. Size of area to be graded, filled, or disturbed including roads,
ditches, etc.
11,250sf total land disturbance
--10,223sf of dirt fill and grading from ramp excavation
1,027sf = impervious cover by the ramp & access drive
f. List the materials (such as marl, paver stone, asphalt, or concrete)
to be used for impervious surfaces.
Concrete and gravel
g. Give the percentage of the tract within the coastal shoreline AEC to h. Projects that require a CAMA Major Development Permit may also
be covered by impervious and/or built -upon surfaces, such as require a Stormwater Certification.
pavement, building, rooftops, or to be used for vehicular driveways (i) Has a site development plan been submitted to the Division of
or parking. Water Quality for review?
Area of AEC: 11,250sf ❑Yes ❑No ®NA
Impervious Cover: 1,027sf
Percent of Lot Cover within the 75' AEC: —9.12%
i. Give the percentage of the entire tract to be covered by impervious
and/or built -upon surfaces, such as pavement, building, rooftops,
or to be used for vehicular driveways or parking.
Lot size: 47,044sf
Impervious Cover: 9,1 S9sf
Percent of Total Lot Cover:—19.53%
j. Describe proposed method of sewage disposal.
Existing septic
(ii) If yes, list the date submitted:
k, Have the facilities described in Item (i) received state or local
approval?
❑Yes ®No ❑NA
If yes, attach appropriate documentation.
252-808-28082 :: 1-88"RCQAST :: www_nccoastaimana ement net

J. Describe location and type of proposed discharges to waters of the m. Does the proposed project include an innovative stormwater
state (e.g., surface runoff, sanitary wastewater, industrial/ design?
commercial effluent, "wash down" and residential discharges). ❑Yes ®No ❑NA
Surface Runoff If yes, attach appropriate documentation.
m. Describe proposed drinking water supply source (e.g., well, a. (i) Will water be impounded? ❑Yes ®No ❑NA
community, public system, etc.) (ii) If yes, how many acres?
Existing County Water System
o. When was the lot(s) platted and recorded? p. If proposed development is a subdivision, will additional utilities be
1978 installed for this upland development?
❑Yes ®No ❑NA
,January 5, 2022 }
Date
Powell JAN a S ZC22
Project Name
(Agent) Lynn Mathis w "'
Applicant Name
(Agent) C
Applicant Signature
252-806-2808 :: 1-888-4RCOASi :: www.necoastatmanaersant.net revised: 92i26/06

Form DCM MP-4
STRUCTURES
(Construction within Public Trust Areas)
JAH D d 2(22
Attach this form to Joint Application for LAMA 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.
9. DOCKING FACILITY/MARINA CHARACTERISTICS
a. (i) Is the docking facilitylmarina:
❑Commercial ❑Public/Government ®Private/Community
c. (i) Dock(s) and/or pier(s)
(ii) Number 3
(iii) Length 134' 38' 47'
(iv) Width 6' 4'
(v) Floating ❑Yes ®No
e. (i) Are Platforms included? ®Yes ❑No
If yes:
(ii) Number 2 Irregular shape
(iii) Length 12' 30.5'
(iv) Width 12' (Octagonal) ave 19.93'
(v) Floating ❑Yes ®No
Note: Roofed areas are calculated from dripline dimensions.
g- (i) Number of slips proposed
1 ( boatlift)
(ii) Number of slips existing
z 3 ('.&- c,
i. Chf ck the proposed type of siting:
❑ Land cut and access channel
FIC pen water; dredging for basin and/or channel
LIC pen water; no dredging required
® ther; please describe:
❑ This section not applicable
b. (i) Will the facility be open to the general public?
❑Yes ®No
d. (i) Are Finger Piers included? ❑Yes ®No
If yes
(ii) Number 1
(iii) Length 14'
(iv) Width 4'
(v) Floating []Yes ®No
f. (i) Are Boatlifts included? ®Yes ❑No
If yes:
(ii) Number 1
(iii) Length 12'
(iv) Width 12'
h. Check all the types of services to be provided.
❑ Full service, including travel lift and/or rail, repair or
maintenance service
❑ Dockage, fuel, and marine suppiies
❑ Dockage ("wet slips") only, number of slips:
❑ Dry storage; number of boats:
E Boat ramp(s); number of boat ramps: 1 rq Nate
❑ Other, please describe:
j. Describe the typical boats to be served (e.g., open runabout,
charter boats, sail boats, mixed types).
Pontoon boat and Personal Water Craft
252-808-2808 :: 4-888-41111COdis"T :: www_nccoasta9 an?_a% trent.net revised: 12127i06

k. Typical boat length: 21'
m. (i) Will the facility have tie pilings?
®Yes ❑No
(ii) if yes number of tie pilings?
3
1. (i) Will the facility be open to the general public?
❑Yes ®No
JAN 0
2. DOCKING FACILITY/MARINA OPERATIONS ®This 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:
❑ Showers
❑ Boatholding tank pumpout; Give type and location:
b. Describe treatment type and disposal location for all sanitary wastewater.
c. Describe the disposal of solid waste, fish offal and trash.
d. How will overboard discharge of sewage from boats be controlled?
e. (i) Give the location and number of "No Sewage Discharge" signs proposed.
(ii) Give the location and number of "Pumpout Available" signs proposed.
f. Describe the special design, if applicable, for containing industrial type pollutants, such as paint, sandblasting waste and petroleum products.
g. Where wil€ residue from vessel maintenance be disposed of?
h. Give the number of channel markers and "No Wake" signs proposed.
i. Give the €ocation 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?
?-52-808-2808 :: 1-888-4RCOAST — www.nccoas'tatrnanage� rrrertn.4 t

I. If this project is an expansion of an existing marina, what types of services are currently provided?
m. Is the marinaldocking facility proposed within a primary or secondary nursery area?
❑Yes ❑Noa F
n. Is the marina/docking facility proposed within or adjacent to any shellfish harvesting area?
[-]Yes ❑No
o. Is the marina/docking facility proposed within or adjacent to coastal wetlandslmarsh (CW), submerged aquatic vegetation (SAV), shell bottom
(SB), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected.
❑CW ❑SAV ❑SB
❑WL ❑None
p. is the proposed marina/docking facility located within or within close proximity to any shellfish leases? ❑Yes ❑No
If yes, give the name and address of the Ieaseholder(s), and give the proximity to the lease.
3. BOATHOUSE (including covered lifts) ®This section not applicable
a. (i) Is the boathouse structure(s):
❑Commercial ❑PublsclGovernment ❑PrivatelCommunity
(ii) Number
(iii) Length
(iv) Width
Note: Roofed areas are calculated from dripline dimensions.
4. GROIN (e.g., wood, sheetpile, etc. If a rock groin, use MP-2, Excavation and Fill.) ®This section not applicable
a. (i) Number
(ii) Length
(iii) Width
5. BREAKWATER (e.g., wood, sheetpile, etc.) ®This section not applicable
a. Length b. Average distance from NHW, NWL, or wetlands
c. Maximum distance beyond NHW, NWL or wetlands
6. MOORING PILINGS and BUOYS ®This section not applicable
a. Is the structure(s):
❑Commercial ❑PubliclGovernment ❑PrivatelCommunity
c- Distance to be placed beyond shoreline
Note: This should be measured from marsh edge, if present.
b. Number
d. Description of buoy (color, inscription, size, anchor, etc.)
SEE TIE PILINGS #1. m. UNDER DOCKING FACILITY
252-808-280$ :: 1-888 1E12C0A51" :: www.nccaastaimanaqgment.ne revised.-/2/27106

Form DCM MP-4 (structures, Page 4 of 4)
e. Arc of the swing
7. GENERAL
a. Proximity of structure(s) to adjacent riparian property lines b. Proximity of structure(s) to adjacent docking facilities.
29' to the west 72' west
38' to the east 68' east
Note: For buoy or mooring piling, use arc of swing including length
of vessel.
c. Width of water body
7.5 to 9 miles
e. (i) Will navigational aids be required as a result of the project?
❑Yes ®No ❑NA
(ii) If yes, explain what type and how they will be implemented.
d_ Water depth at waterward end of structure at NLW or NWL
4'-0"
8. OTHER El This section not applicable
a. Give complete description:
January 5, 2022
Date
Powell
Project Name
(Agent) Lynn Mathis
Applicant Name
(Agent)
Applicant Signature
(SEE ATTACHED NARRATIVE)
l AN 0 5 2�22
"gig -eviseet:/2/27106

1004 Harvey Point Rd, Hertford, NC 27944 to 415
Goose Nest Ln, Hertford, NC 27944 Drive 9.5 miles, 12 min
1 '04 Harvey Point Road
\> C2
Ab�malvNJma-op '
415 Nt LaneGO
M i
via Harvey Point Rd 12 min
Fastest route, the usual traffic 9-5 miles
LOCATIaN MAP
415 Goose Nest Ln

••ate,... � �_ f}' l
Drawn By: L. W. Mathis PROPERTY OWNER: JOSEPH H. & BRENDA POWELL Scale:1" = 64'
Date:12/20/2021 41S GOOSE NEST LANE, HERTFORD, NC 27944 PAGE 1 OF 6

KI
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Drawn By: L. W. Mathis PROPERTY OWNER: JOSEPH H. & BRENDA POWELL Scale: I" = W
Date:12/20/2021 415 GOOSE NEST LANE, HERTFORD, NC 27944 PAGE 2 OF 5

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Drawn By. L. W. Mathis PROPERTY OWNER: JOSEPH H. & 9RENDA POWELL A
Date: 2Q 2©1 I Scale: See Above,
415 GOOSE NEST" LANE, HERT'FORD, NC 27944 PAGE 4 OF 6

Lt
Di
ll

This document Presented and filed:
C1f313012017 04:52:54 ply!
4-14AW O�. �1� I "
JACQUEUNE S. FRIERSON, PERQUIMANS CO, NC
Excise Tax: $718.00
BOOK 465 PAGE 276 (4)
414963 111111111111111
19'.31
PERQUINIA", COUNTY
LANTD 7RANSf'ERTAX
A,NfaU,\T .00 B ?1
PAID $ 354j)00
ly
NORTH CAROLINA GENERATE WARRANTY REED
Excise Tax: 3718,00 County Land Transfer Tax S3,590 9
Parcel Identifier No- U10 3-007A-GN Verified by County on the day of
—__..._.�., 2016
By:
Mail After recording to:ltaci1e15. Gunther p C..1#7 PI_Church Sheet lierford, NC 27944
This it%trumc t u•a& prepared by: Rachel 5. Gunther.,P.C.. J 47 N Churth $yeet Hertford. NC 2iF#4,
Brici'&-scr'ption for the Index: #? A GOOSE NEST LAN£
THIS DEED [trade this '�4-41r day of June . 20L7, by and between
U AN'I'UR GRANTEE
CAROL S. DAVIS and husband DAINTIEL E. DAVIS, JR., JOSEPH HARPER POWELL JR and wife
SH- RO L.1. WULATCI4 and husband Thomas Whittaich, BRENDA B. POWELL
fARY S. COOPER and husband Charlie Cooper, 833 Saint Brides mead West
P.O. BOX 633 Chesapeake, VA 23322
Columbia,NC 27925
The desiguation GranWr and Grantee as used htrein Shall include said parties, their heirs, successors, and assigns, aad shall
inclzde s"srguiar,plurat, ;na5e;:]ine. fetniainc or neuter as rewired by context.
N1TNI'.SSETII, that the Grantor, for a valuable consideration paid by the Grantee. the receipt of which is hereby
acknOwledged, has and by these presenls does grant, bargain, W11 and convey unto the Grantee in fce simple, all that
czrtain Jof, parcel of ]and or condominium unit situated in Bethel Township, I` rauirrrans County, North Carolina
and more particularly described as follows;
Lot No, 7 as shown on the plat of Goose Nest Lane Subdivision recorded In Plat book B Page fig
of the Perquimans County Registry.
1
J A N 0 6 2U22
1E �\.q

SK 465 PG 277 DOC#414963
The property hereinabove, described a -as acquired by Grantor by instrument recorded in Book 174 page 356 .
All Ora portion of the property herein conveyed 7 _ includes or,_ does not inetude the primary residence of a
Grantor.
A map showing the above described property is recorded in Plat Book b, Page 69,
TO HAVE ARID TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto
belonging to the Grantee in fte situp;e.
And the Grantor covenants with the Grantee, that Grantor is seized of ilte premises in fee simple, has the right to
convey the same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will
warrant and defend the title against the lawful claims of all persons whomsoever, other than the follotivvrg
exceptions:
l All easements, restrictions and covenants of record and all governmental and zoning regulations affecting the same
IN WITNESS WHEREOF, the Graa for has duly executed the regoing ss of the dayan ear first above written.
4 '
By'
CARD S. DAVIS /t
DANILL E. DAVIS. JR
State of NORTid CAROLINA - City,1County of ,lf
1, the undersigned ]rotary Public of the City/County of and State aforesaid, eertify that
CAROL.$.V a d NIEL E. DAMS A. personally appeared before me this day and acknowledged the
due execution of the foregoing instrument for the purposes therein expressed.
Winters my hand and Notarial stamp or seal this 2-lq day of June, 2017.
!�yy Commissionexpires: O �2 �2p� Amg
iaiary Public
(Affix Seal) 9ACHiI S. GUNSHF9
Notary pu6lie, North Carolina
pnrquimam County
Ntv Cemnlission
Ri[as
July 20. 2019
I,
JAN 0 5 2C-22

BK 465 PG 278 DCC#414963
By:
SHARON L. WHTTLATCIi
BY:
I HUMAS WHITLATCH
State of NORTH CAROLINA - CitylCounty pf
I, the undersigned Notary Public of tbte City/County of AQn620 and State aforesaid, eci- ify that
SHARON L. WHITLATCH and THOMAS WHIT CH personally appeared before me this day and
acknowledged the due execution of the foregoing instrument for the purposes thereist expressed
Witness nay hand and Notarial stamp or seal this day of .Tune, 2017.
/� r7
My COMMiSSiDn expires:"`�
Notary Public.
T''oWar Printed rT)pedN.e
{Affix Sea])
THIS SPACE INTENTIONALLY LEFT BLANK
�0 =
c, NOTAR), qn�
�C PUBLIC U�

BK 455 PG 279 DOC#414963
By:
MAR S. COO
r
By:
CHARLir . COOPER _-
State of NQRT}i AROLENA - City'County of �_�
1, die undersigned Notary Public of the City/COunty of and State aforesaid certify that
MARY S. OOPS and ARi COOPER personally appeared before the this day and acknmvledged the due
execution of the foregoing instrument for the purposes therein expressed.
Witnesg my hand and Notarial start/ or seal this � ay of lone 2017
My Commission expires: �2ozo
`0
Notary Public
i`fotary'sPrinted riypedName
JAN 0 6 2UZ

MAJOR PERMIT FEE MATRIX
Applicant: 1 J* ��e- �,C�
�- (� N'eci} 1� HivYr' 'Vd "C, ZICi,
Selection
Development "type
Fee
DCM %
DWQ %
(14300 1601 4351000931625 6253)
(243001602 435100095 2341)
I. Private, non-commercial
development that does not
$250
100% ($250)
0%($0)
involve the filling or
excavation of any wetlands
or open water areas:
11. Public or commercial
El
development that does not
$400
100% ($400)
0%fl ($0)
involve the filling or
excavation of any wetlands
or open water areas:
Major Modification to a
$250
100% ($250)
0% ($0)
CAMA Major eermit
Ill. 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:
ill(A). Private, non -
El
commercial development, if
$250
100% ($250)
0% ($0)
General Water Quality
Certification No. 4097 (See
attached) can be applied:
Ill(B). Public or commercial
development, if General
$400
10001o' ($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
Ei
involves the filling and/or
$475
60% ($285)
40% ($190)
excavation of more than
one acre of wetlands and/or
open water areas: