20060954 Ver 1_COMPLETE FILE_20060612

reviews
Subject: reviews
From: Kyle Barnes <[e-mail]>
Date: Thu, 27 Jul 2006 17:01:18 -0400
To: Ian McMillan <[e-mail]>
First disregard my comments on Sandy Pt from 7/10/061 Change to Issue at your own
risk.
There are several on here that do not require written concurrence under GC 3490:
06-0954 Michael Sanders Pasquotank 6/12/2006 07/27/06
CAMA/MJ GC 3490: Meets conditions, No written concurrence needed
06-0957 Bethel Cr. SID Perquimans 6/13/2006 07/27/06
CAMA/MJ GC 3490: Meets conditions, No written concurrence needed
06-0956 The Sea Vista SD Pamlico 6/13/2006 07/27/06 CAMA/MJ
GC 3490: Meets conditions, No written concurrence needed
06-0977 James Bond Beaufort 6/14/2006 07/27/06 CAMA/MJ GC
3490: Meets conditions, No written concurrence needed'
06-1072 Pirates Way, LLC Dare 6/28/2006 07/26/06 LAMA/MJ
Issue normal conditions
06-0896 Jerry East Chowan 7/27/2006 07/27/06 CAMA/MJ Hold:Request for verification
of 404 wetlands on site
This one was sent up around 6/21/06
06-0555 Ensign Services, Inc Pamlico 3/21/2006 06/21/06 CAMA/MJ SAV info shows no
impact, Issue with condition that Marine fisheries moritorium for construction in a
PNA fromApril 1- Oct 1.
1 of 2 8/9/2006 10:57 AM

Permit Class
NEW
STATE OF NORTH CAROLINA
Department of Environment and Natural Resources
and
ggo,9%
5 206
?6R a ?R ??N
Coastal Resources Commission
;rmit Number
162-06
ATF
a 95y
for
X_ Major Development in an Area of Environmental Concern
oE??ppursuant to NCGS 113A-118 5 U eo
X Excavation and/or filling pursuant to NCGS 113-229
Issued to Michael Sanders, 903 Small Drive, Elizabeth City, NC 27909
Authorizing development in Pasquotank County at Pasquotank River, 724 Small Drive, off SR
1131, Newbegun , as requested in the perinittee's'application dated 6/7/06, including the
attached workplan drawings (5), sheet 1 through 4 of 4 dated 6/7/06, and 1 dated 10/4/04.
This permit, issued on September 27, 2006 , is subject to compliance with the application (where consistent
with the permit), all applicable regulations, special conditions and notes set forth below. Any violation of these terms may
be subject to fines, imprisonment or civil action; or may cause the permit to be null and void.
Shoreline Stabilization
1) The authorized alignment of the bulkhead shall be constructed in a straight line between the corners of
the two adjacent bulkheads, all as expressly and specifically set forth in the attached permit application
and workplan drawings.
2) The bulkhead shall be constructed prior to any backfilling activities.
3) The bulkhead shall be structurally tight so as to prevent seepage of backfill materials through the
structure.
(See attached sheets for Additional, Conditions)
This permit action may be appealed by the permittee or
other qualified persons within twenty (20) days of the issuing
date. An appeal requires resolution prior to work initiation or
continuance as the case may be.
This permit shall be accessible on-site to Department
personnel when the project is inspected for compliance.
Any maintenance work or project modification not covered
hereunder requires further Division approval.
All work shall cease when the permit expires on
December 31, 2009
Signed by the authority of the Secretary of DENR and the
Chairman of the Coastal Resources Commission.
j Ch es S. Jones, Director
7Division of Coastal Manacrement
This permit and its conditions are hereby accepted.
In issuing this permit, the State of North Carolina agrees
that your project is consistent with the North Carolina Coastal
Management Program. Signature of Permittee

Michael Sanders
ADDITIONAL CONDITIONS
Permit # 162-06
Page 2 of 3
4) The bulkhead shall be solid and constructed of treated wood, concrete slabs, metal sheet piles or other
suitable materials approved by department personnel. No excavation or other land disturbing activities
is permitted except for that which may be required for the construction of the bulkhead wall, riprap,
deadmen cables, etc. This permit does not authorize any excavation waterward of the approved
alignment.
5) . The backfill material shall be clean and free of any pollutants except in trace quantities.
6) All backfill material shall be obtained from a high ground source and confined behind the permitted
bulkhead. _
Sedimentation and Erosion Control
7) Appropriate sedimentation and erosion control devices, measures or structures shall be implemented to
ensure that eroded materials do not enter adjacent wetlands, watercourses and property (e.g. silt fence,
diversion swales or berms, etc.). At a minimum, a silt fence shall be properly installed immediately
landward of the bulkhead cap immediately following completion of backfilling activities.
8) All disturbed areas shall be properly graded and provided a ground cover sufficient to restrain erosion
within thirty days of project completion.
Docking Facility
9) Unless specifically altered herein, this permit authorizes the 6 ft. x 130 ft. pier terminating in a 20 ft. x
20 ft. platform, the 14 ft. x 28 ft. boathouse, the 6 ft. x 38 ft. "L" shaped catwalk, and the 12 associated
mooring pilings, all as expressly and specifically set forth in the permit application and attached
workplan drawings. No other structure, whether floating or stationary, shall become a permanent part of
this platform without permit modification. No non-water dependent uses of structures shall be
conducted on, in or over public trust waters without permit modification.
10) The boathouse shall not be completely enclosed or have side coverage more than one half the height of
the side, from the roof waterward. The dripline of the boathouse shall not exceed 400 square feet.
11) The authorized boathouse shall be single story, and shall not be designed to allow for second story use.
12) No attempt shall be made by the permittee to prevent the full and free use by the public of all navigable
waters at or adjacent to the authorized work.
13) The permittee shall maintain the authorized work in good condition and in conformance with the terms
and conditions of this permit. The permittee is not relieved of this requirement if she abandons the
permitted activity without having it transferred to a third party.
A r
Michael Sanders
ADDITIONAL CONDITIONS
Permit # 162-06
Page 3 of 3
14) This permit does not authorize the interference with any existing or proposed Federal project, and the
permittee shall not be entitled to compensation for damage to, the authorized structure or work, or injury
that may be caused from existing or future operations undertaken by the United States in the public
interest.
15) The permittee shall install and maintain at his expense any signal lights or signals prescribed by the U.S.
Coast Guard, through regulation or otherwise, on the authorized facilities. At a minimum, permanent
reflectors shall be attached to the structure in order to make it more visible during hours of darkness or
inclement weather.
16) This permit authorizes a maximum of 5 boat slips.
General
17) The permittee understands and agrees that, if future operations by the United States requires the
removal, relocation, or other alteration of the structure or work authorized by this permit, or if in the
opinion of the Secretary of the Army or his authorized representative, said structure or work shall cause
unreasonable obstruction to free navigation of the navigable waters, the permittee shall be required,
upon due notice from the Corps of Engineers, to remove, relocate or alter the structural work or
obstructions caused thereby, without expense to the United States or the state of North Carolina. No
claim shall be made against the United States or the state of North Carolina on account of any such
removal or alteration.
18) No vegetated wetlands shall be excavated or filled, even temporarily.
NOTE: This permit does not eliminate the need to obtain any additional state, federal or local permits,
approvals or authorizations that may be required.
NOTE: Future development of the permittee's property may require a modification of this permit.
Contact a representative of the Division at [phone] prior to the commencement of any
such activity for this determination. The permittee is further advised that many non-water
dependent activities are not authorized within 30 feet of the normal water level.
I
NOTE: The N.C. Division of Water Quality has authorized the proposed project under General Water
Quality Certification No. 3400 (DWQ Project No. 060954), which was issued on 7/27/06.
NOTE: The U.S. Army Corps of Engineers authorized the proposed project under General Permit No.
198000291 (COE ORM No. SAW-2006-154269-170) which was issued on 7/20/06.
20060954
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
ti
June 7, 2006
MEMORANDUM:
TO: Cyndi Karoly D ( (?
Environmental Biological Supervisor L9 a
Division of Water Quality JUN 1 2 2006
FROM: Doug Huggett y?iANO?( pl 11
Major Permits Processing Coordinator
SUBJECT: CAMA/DREDGE & FILL Permit Application Review
Applicant: Michael Sanders
Project Location: 724 Small Drive (pvt) off SR 1131, Newbegun Land, Pasquotank Co.
Proposed Project: Bulkhead and backfill, pier, platform, boathouse with catwalk, slips
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 06/28/06, to 400 Commerce Avenue, Morehead Ci??, NC 28557. If you have any
-
questions regarding the proposed project, please contact Frank Jennings at [phone]. When
appropriate, in-depth comments with supporting data are requested.
REPLY: This agency has no objection to the project as proposed.
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.
SIGNED DATE
1367 U.S.17 South, Elizabeth City, North Carolina 27909
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 30% Recycled by Fiber Weight
1
DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
I. APPLICANT'S NAME: Michael Sanders
2. LOCATION OF PROJECT SITE: 724 Small Drive (pvt) off SR 1131, Newbegun Land
Subdivision, Pasquotank County, and on the Pasquotank River.
Photo Index - 2000: 237-1905 (F-22) 1995: 167-1706 (0-3,4)
1989:128-13 (E-19) 1984: 121-756 (G-18)
State Plane Coordinates - X: 2848800 Y: 912200 GPS: E053016A
Wade Point, NC UL ;
3. INVESTIGATION TYPE: CAMA / D&F
i
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 05/30/06
Was Applicant Present - No
5. PROCESSING PROCEDURE: Application Received Complete - 06/07/06
Office - Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Pasquotank
o T UP Conservation
-
(B) AEC(s) Involved: PTA, EW, ES
(C) Water Dependent: Yes
(D) Intended Use: Private
(E) Wastewater Treatment: Existing - NIA
Planned - N/A
(F) Type of Structures: Existing - Riprap
Planned - Bulkhead, pier, platform, slips, boathouse
(G) Estimated Annual Rate of Erosion: 2 feet
Source - Applicant
7. HABITAT DESCRIPTION: [AREA]
T)PPTnrMT) FTL.L.ED OTHER
(A) Public Trust Area, Estuarine 2,312 sf - 960 sf
Waters bulkhead occupied
1,684 sf shaded
(B) Estuarine Shoreline Upland 9,375 sf graded
(C) Total Area Disturbed: 13,371 sf (.307 acres)
(D) Primary Nursery Area: No
(E) Water Classification: SC Open: No
8. PROJECT SUMMARY: The applicant proposes to construct a new bulkhead in line with
adjacent bulkheads, backfill the area behind the new bulkhead and to construct a new pier,
platform, boathouse and slips.
S /
Field Investigation Report: Michael Sanders
Page 2
Project Setting
The site of the development proposal is a 30,492-square foot vacant lot located at 724 Small Drive
(private) off SR 1131 in Newbegun Land Subdivision, in Pasquotank County, and adjacent to the
Pasquotank River. The property is mostly flat and vegetated with indigenous grasses and a few
loblolly pines. The property has an elevation of approximately 8 feet above normal water level (NWL)
and the soils are classified as Elkton silt loam. Man-made features on the lot consist of riprap along
the 125-foot long shoreline.
The adjacent property to the north is a residential lot developed with a single-family dwelling and a
shoreline bulkhead. The adjacent property to the south is an undeveloped residential lot with a
shoreline bulkhead. The alignment of both bulkheads is approximately 19 feet waterward of the
existing riprap on the applicant's lot. The return walls for both bulkheads have experienced damage
and erosion and trash has accumulated along the applicant's shoreline. The existing riprap on the
applicant's property has experienced some damage from Hurricane Isabel and bare areas are visible.
The waters of the Pasquotank River in this area are classified as SC and are closed to shellfish taking.
Development Proposal
In order to prevent erosion and trash accumulation along the shoreline, the applicant proposes to
construct a new wood/vinyl bulkhead in line with the existing adjacent property bulkheads. The
applicant proposes to backfill the proposed bulkhead and to grade and slope the area along the current
shoreline.
In order to provide water access, the applicant proposes to construct a pier, platform, boathouse with a
catwalk, and four slips created by eight mooring pilings to be located in the approximate center of the
shoreline. The water depth in the Pasquotank River near the proposed pier head is approximately -4
feet deep. The proposed pier will be 6 feet wide and 130 feet long with a 20-foot-by 20-foot "L"
platform. A 6-foot wide and 38-foot long catwalk around a 14-foot by 28-foot boathouse with a boatlift
is to be constructed on the north side of the "U. Twelve (12) mooring pilings are proposed to create
four open slips.
Anticipated Impacts
The proposed bulkhead will result in the filling of approximately 2,312 square feet of Public Trust
Area and Estuarine Waters. Approximately 275 cubic yards of backfill material will be placed below
NWL as part of the backfill. The grading, sloping and seeding of the work area will involve
approximately 9,375 square feet of Estuarine Shoreline AEC.
`V
Field Investigation Report: Michael Sanders
Page 3
The proposed pier and platform structures will result in 1,180 square feet of Public Trust Area,
Estuarine Waters AEC shading.
The proposed boathouse, boat lift and catwalk will result in 504 square feet of Public Trust Area,
Estuarine Waters AEC shading. The area of the proposed boathouse that is open water is
approximately 254 square feet and the total roofed area including overhang is 392 square feet. Total
proposed coverage is 1,684 square feet over Estuarine Waters and Public Trust Area AECs.
Temporary water turbidity will occur during construction. The pier, platform and boathouse will
provide moorings for five vessels and the four open slips will occupy approximately 960 square feet of
Estuarine Waters, Public Trust Area AECs.
Submitted by: Frank A. Jennings, III
Date: June 7, 2006

PROJECT NARRATIVE
We own Lot 74 as shown on the plat enclosed with this application. As you can see fiom
the plat, our lot has suffered significant erosion as compared to the two lots immediately adjacent
to it. The prior owner of our lot placed some rock on the shoreline, but our lot is still subject to
and suffers from erosion from the pounding of the waves. Our lot has an elevation of
approximately 8 feet above the normal water level and an erosion escarpment started forming.
When the previous owner installed the existing rip-rap, the erosion of the shoreline slowed but
the bank has continued to experience erosion. Also, on the lot to our left there is continuing
erosion where the adjacent owners' bulkhead abuts our lot, which has no bulkhead.
We would like to erect a bulkhead across our lot to tie in with the existing bulkheads on
either side. We do not wish to extend any further into the water than the bulkheads on either
side. In other words, ours will sit "flush" with the adjacent owner's bulkheads. We will backfill
the eroded area after the proposed bulkhead has been constructed.
In addition to the aesthetic value of having our lot look the same as the lots on either side,
the bulkhead we propose should assist with controlling the erosion and trash build-up on our lot
as well as the bulkhead on either side.
We want to build a pier 150 feet in length with at least one boat lift. The pier will have a
"T" shape and may have a covered boat house or "gazebo" on the end. We also propose a
number of mooring pilings for additional dock space.
FAUsersMIIKEProject Narratve Re. Lot 74.wpd
Form DCM-MP-1
APPLICATION,
(To be completed by 211 applicants)
1. APPLICANT
a. Landowner:
b. City, town, community or landmark
/t,rG?L?' fSt..C-cl,U t??-ti ? St.? g0i Ul Siv?y
c. Street 4iddress or secondary roa?Lnumber
r d. Is proposed work within city limits or planning
Name jurisdiction? Yes _ No
Address
e. Name of body of water nearest project (e.g. river,
City /+?lC X'jj tJEX'
LQ-):7 fbeltl L'.. ?y State ?'. ? . creek, sound, bay) P •S?try77't
.
Zip(9')5c ( Day Phone,2 J, - 34 _ ?S 7y
3. DESCRIPTION AND PLANNED USE
Fax
b. Authorized Agent: A// /9- ?
Name
Address
City
Zip
Fax
State
c. Project name (if any) e,
Ho7E. Permit will be issued in name of lmrdowrsar(sj, mid/or
project name.
2. LOCATION OF PROPOSED
PROJECT
a. County C u u,t 4??
a. List ' all development activities you propose (e.g.
building a home, motel, marina, bulkhead, pier, and
excavation and/or filling activities.
(?GNS 7VV C7' 4 C1) j? j t ?#C,4 0 jA;
?= /`?'?L"i ! L Y ; ?r? i? ?sy ? s?.??? F''? `I-' S ??? I"?r.? FP}
b. Is the proposed activity maintenance of an existing
project, new work, or both? /Ue-401 6icw tc-'
c. Will the project be for public, private or commercial
use?' 7-7,0 C-'
d. Give a brief description of purpose, use, methods of
construction and daily operations of proposed
project. If more. space is needed, please attach
additional pages._ eGA;is r-/JttC-r
IA; /,/u e 6c) 4-ti 4-.d JriC?ru t- P u C_t?! /4-ter
T
C-j- !1 ?f ,ZZ r? P/'Z WC + W'// Revised 03/95

Form DCM-MP-1
4. LAND AND WATER
CHARACTERISTICS
a. Size of entire tract _ -a S r-
b. Size of individual lot(s) /
c. Approximate elevation of tract above MHW or
NWL
d. Soil type(s) and texture s)of tact
e. Vegetation on tract A eS ???
f. Man-made features now on tract
g. What is the CAMA Land Use Plan land
classification of the site? (Consult the local IMW Use plan.)
Conservation Transitional
Developed Community
Rural Other
h. How is the tract zoned by local government?
4-1",
i. Is the proposed pro ect consistent with the applicable
zoning? es No
(Attach zoning eonpliance certificate, if applicable)
j•
Has a professional
done for the tract?
If yes, by whom?.
in. Describe existing wastewater treatment facilities.
A/ Z4
n. Describe location and type of discharges to waters
of the state. (For example, surface runoff, sanitary
wastewater, industrial/commercial effluent, "wash
down" and residential discharges.)
o. Describe existing drinking water supply source.
S. ADDITIONAL INFORMATION
In addition to the completed application form, the
following items must be submitted:
• A copy of the deed (with state application only) or
other instrument under which the applicant claims title
to the affected properties. If the applicant is not
claiming to be the owner of said property, then
forward a copy of the deed or other instrument under
which the owner claims title, plus written permission
from the owner to carry out the project.
• An accurate, dated work plat (including plan view
and cross-sectional drawings) drawn to scale in black
ink on an 8 1/2" by 11" white paper. (Refer to
Coastal Resources Commission Rule 71.0203 for a
detailed description.)
Please note that original drawings are preferred and
only high quality copies will be accepted. Blue-line
prints or other larger plats are acceptable only if an
adequate number of quality copies are provided by
applicant. (Contact the U.S. Army Corps of
Engineers regarding that agency's use of larger
drawings.) A site or location map is a part of plat
requirements and it must be sufficiently detailed to
guide agency personnel unfamiliar with the area to the
k? --Is -the project- located in -- a--National - Registered _
Historic District or does it involve a National
Register listed or eligib property?
Yes No
]o
Are there wetlands on the site? Yes
Coastal (marsh) Other
If yes, has a delineation been conducted?
(Attach docsonentation, if available)
archaeological assessment been
Yes L?o
Revised 03195
Form DCM-MP-1
site. Include highway or secondary road (SR)
numbers, landmarks, and the like.

6. CERTIFICATION AND PERMISSION
TO ENTER ON LAND -
• A Stormwater Certification, if one is necessary.
• 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. Upon signing this form, the applicant
further certifies that such inotice has been provided.
Name
Address c> i3 D I ks u
Phone MdU H& O A
-Name - 0 Au0
Address 7 .? S ii' Z (- ?? .0 f OL--""
Phone ?? 1 Z- Y3 ?Tl f C /V. L.
!Gcl/
Name
Address
Phone
• A list of previous state or federal permits issued for
work on the project tract. Include permit numbers,
permittee, and issuing dates.
• A check for $250 made payable to the Department of
Environment; Health, and Natural Resources
(DEHNR) to cover' the costs of processing the
application.
• A signed AEC hazard notice for projects in
oceanfront and inlet areas.
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 conditions
and restrictions contained in the permit.
I certify that to the best of my knowledge, the proposed
activity complies with the State of North Carolina's
approved Coastal Management Program and will be
conducted in a manner consistent with such program.
I certify that I am authorized to grant, and do in fact,
grant permission to representatives of state and federal
&C 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.
This is the day of .
Print Name r C `'? ? e= S fti??r?'
Signature ' " / - -
1;a0*nar or Authorized Agent
Please indicate attachments pertaining to your proposed
project.
DCM MP-2 Excavation and Fill Information
DCM MP-3 Upland Development
r% DCM MP-4 Structures Information
DCM MP-5 Bridges and Culverts
_ DCM MP-6 Marina Development
• A statement of compliance with the N.C.
Environmental Policy Act (N.C.G.S. 113A - 1 to
10) If the project involves the expenditure of public
funds or use of public land's, attach a statement
documenting compliance with the North Carolina
Environmental Policy Act.
NOTE: Please sign and date each attachment in the
space provided at the bottom of each form.
Revised 03195
Form DCM-MP-2
EXCAVATION
AND FILL
(Except bridges and culvwts)
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.
Describe below the purpose of proposed excavation or
fill activities. All values to be given in feet.
Average FbA
Existing Project
¦ ..,..s1, Width nenth Denth
Access
channel
(MLw) or (NWL)
Canal
Boat
basin
Boat
ramp
Rock
groin
Rock
breakwater
Other
(Excluding
shomUne
atabilization)

G,?1< ; ::^ a J

i
1. EXCAVATION /,/ l /4-
a. 'Amount of material to be excavated from below
MHW; or NWL in cubic yards
b. Type of material to be excavated Z
c. Does the area to be exca ted include coastal
wetlands (marsh), submer ed aquatic' vegetation
(SAVs) or other wetlands? Yes No
d. Highground excavation i cubic yards
2. DISPOSAL OF EXCAVATE
MATERIAL Af
a. Location of disposal area
b. Dimensions of disposal area
c. Do you claim title to disp al area?
Yes No
If no, attach a letter gr ting permission from the
owner.
d. Will a disposal ea be available for future
maintenance? Yes No
If yes, where?
Revised 03195
Form DCM-MP-2
/?1114-
e. Does the disposal area inc
(marsh), SAVs or other
Yes N
f. Does the disposal i lude
Yes No
e any coastal wetlands
any area in the water?
3. SHORELINE STABILIZATION
a. Type of _s • reline stabilization
Bulkhead Riprap
/?2-r,
b. Length
c. Average distance waterwarof MHW or NWL
3 0 ? •?
d. Maximum distance
of MHW or NWL
;U4 ,
If yes,
(1) Amount of material to be placed
water
(2) Dimensions of fill ar
(3) Purpose of fill
b. Will fill material be laced in
(marsh), SAVs or o r wetlands?
Yes No
If yes,
(1) Dimensio of fill area
(2) PurposeAf fill
the
wetlands
5. GENERAL
I q
04
a.
How will excavated or fill material be kept on site
e. Shoreline erosion during preceding 12 months
.
and erosion controlled')
?/L ' '? `Z 9,4 A-? lG t?G(Ll? l`f?l 4'?1
mationJ
(Source of fnfor
pp
®VSie?tQL;A- 1 1LFt./
f. Type of bulkhead or i rap gaterial
ej tti 60 d - b.
What type of construction equipment will be used
(for example, dragline, backhoe, or hydraulic
g. Amount of fill in cubic yards to be placed below dredge)?
water level
(1) Riprap
(2) Bulkhead backfill 7 3_C4, .y ds
c. Will wetlands be cr:,ssed in transporting equipment
Tyre of fill material 4
h to project site? Yes No
.
1 F e'kl I A.', If yes, explain steps that will be taken to lessen
environmental impacts. ,
i. Source of fill material k!>_ p'?'"?
044
4. OTHER FILL ACTIVITIES `
(Excluding Shoreline Stabilization) /L
a. Will fill materia;be br ught to site?
Yes No
LI,G/NC- I S'4f
Applicant or Project N e
Signature
Date
Revised 03!45
Form DCM-MP4
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 which relate to
this proposed project.
a. Dock(s) and/or Pier(s)
(1) _, Commercial -Community _ Private
(2) Number
r
(3) Length 7?
?
(4) Width
(5) Finger Piers Yes No
(i) Number
(ii) Length
(iii) Width
(6) Platform(s) es No
(i) Number
(ii) Lengthy "
(iii) Width
'
(7) Number of slips proposed <S`
(8) Proximity of structure to adjacent riparian

(9) property lines
Width of water body
(10) Water depth at waterwardend of pier at
MLW or NWL
e. Mooring buoys
(1) _ Commercial -Community _ Private
(2) Number
(3) Description of buoy
(Color, inscription, size, anchor, etc.)

(4) Width of water body
(5) Distance buoy(s) to be placed beyond
shoreline
f. Mooring structure (boatlift coring pilin s 50
(1) __._ Commercial .----Community Li-Frivate
(2) _
Number
(3) Length
(4) Width
g. Other (Give complete description)
b. Boathouse (including covered lifts)
(1) Commercia) 1--Private %
(2) Length
(3) Width
C. Groin (e.g. wood, sheetpil , etc.) / '-
(1) Number
(2) Length(s)
d. Breakwater (e.g.
(1) Length
(2) Average
wetlands
(3) Maximu
wetlands .
wood, sheetpil , etc.)
;distance fro MHW, NWL or
nce eyond MHW, NWL or
;S?}iv?Li?SA?licant or Pro' ame
Signature
4:W
Hate
Revised 03/95
MAJOR PERMIT FEE MATRIX
Applicant: /?? c ( S ^ r--S
Selection Development Type Fee DCM %
(14300 1601 435100093 1625 6253) DWO %
(24300 1602 435100095 2341)
1. 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
development that does not $400 100°/Q ($400) 0%($0)
involve the filling or
excavation of any wetlands
or open water areas:
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:

III(A). For Private non-
:
commercial development, if $250 50)
100%($2 0%($0)
General Water Quality
Certification No. 3301 (see
attached can be applied:
III(B). For public or
commercial development, if $400 100%($400) 0%($0)
General Water Quality
Certification No. 3301 (see
attached can be applied:
III(C). If General Water
Quality Certification No. $400 60%($240) 40%($160)
3301 (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)
3301 (see attached) cannot
be applied:
IV. For development that
involves the filling and/or $475 60%($285) 40%($190)
excavation of more than
one acre of wetlands and/or
Open water areas:
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cQ USE of THIS MAP FOR PURPOSES OTHER Legend '
THAN EXPRESSED ON THIS MAP ARE PROHIOTED
AND ARE PROTECTED LINGER US COPYRIGHT .LAWS
UNAUTHORIZED CHANUNG Of THIS MAP IS FORGERY Elp t
exis
ng Iroh
pin
ip
N pin
i
new
THIS MAP DOES NOT CONSTITUTE A StJ80MSTOr+
ACCORDING TO NCGS 47-30 (F) (11) BECAUSE IT IS R/W right of way

? center of ditch or road
AN EXISTING PARCEL SR state road
NOTE: THIS LOT IS IN FLOOD HAZARD AREA: AE 5 a ditch
ACCORDING TO FEMA MAP 372089 Shaded CM Concrete Monument
DATED Oct. 5 2004 4000J X
Pasquotank River '
bulkhead
bulkhead
29.6
Nip g

S 68°50'20"W
242,0'
Lot 75
David 8 Shirl
Walker
474/710
N 68°50'20"E
Vicinity Map
Pasquotank River
, site ?4
?o
T Small Dr, moo'
0
v
41
75' MBL 247.82'
Flood Zone
Shaded X
Lot # 73
Pin # 894104825478 ?Eld&-41 d f "nb N4 A,
Ge?Fed- 4B
70/100 acres 727/950
•i
i ?
50' MBL o
C7)/
Cm
Ef 'EI?? 99,74'
S 21 09 40 E 125.03 J??•S S 6901'5- 3 '
• 404 0.30.
p PK NAIL in O PK
Small Drive nail in N
•1
Maggie
Drive
I, HENRY CUNINGHAM, PROFESSIONAL SURVEYOR,
00 CERTIFY THAT THIS MAP WAS DRAWN FROM
AN ACTUAL SURVEY BY ME, THAT THIS MAP WAS
DRAWN IN ACCORDANCE WITH BOARD RULES,
THAT THIS MAP SHOWS THE LAND DESCRIBED IN
DEED BOOK 756 : PAGE 402 IN THEPasquotank
COUNTY REGISTRY; THAT THE ERROR OF
CLOSURE IS 1:20,000+ AS COMPUTED BY DMD
WITNESS MY. ORIGINAL SIGNATURE, R?,QS X1104,
NUMBER AND SEAL,` .R o4,,
THIS THE 4 DAY OF October gS? 9
L-1358
L-1358
''yF`l9y?SUR?E?oQ, ?
1605 EDGEWO DRIVE 2
ELIZABETH CITY, NC 27909CU
•!I I I I II 11 11114 M 1,
Lot 74 section E of Newbegun Land.
mb 8 p. 48
Lot Surveyed "For
Mike and Ginger Sanders-
Nixonton' Township
Pasquotank County
North Carolina
Date: October 4, 2004
Scale 60'
0 60 120 180
j FILE M 117-04