20181617 Ver 1_CAMA Application_20181127

ROY COOPER
Governor
MICHAEL S. REGAN
Secrefury
BRAXTON C. DAVIS
Director November 28, 2018
MEMORANDUM
TO:
NORTH CAROLINA
Environmental Quality
20181617
Anthony Scarbraugh, DWR - Water Quality - 401, WaRO
FROM: Doug Huggett, Major Permits Coordinator
c/o Gregg Bodnar, Assistant Major Permits Coordinator
Division of Coastal Management
SUBJECT: CAMA/Dredge and Fill Permit Application Review
Applicant: Don Britton
Project Location: 39316 NC Hwy 12, Dare County
Proposed Project: Construct a 130 linear feet of rock riprap breakwater and a 4'x80' pier
with a 6'x12' "L" platform.
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 12/4/18 to 400 Commerce Avenue, Morehead City, NC 28557 (fax: [phone]). If
you have any questions regarding the proposed project, please contact Cynthia Rountree at (252)
264-3901. 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
6epe.8mrd�w k N�w+nanr�Yi tIU.... � �// `
North Carolina Department of Environmental Quality Division of Coastal htanagetnent
Elizabeth City Office 1 401 South Griffin Street, Suite 300 Elizabeth City, North Carolina 27909
252.264.3401

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
APPLICANT'S NAME: Don Britton
2. LOCATION OF PROJECT SITE: 39316 NC Hwy 12, Avon, Dare County, Pamlico
Sound
Photo Index — 2006:174-7859 (L-15)
Latitude. 35022'14.75"N Longitude: 75030'2.07"W
3. INVESTIGATION TYPE: CAMA/ Dredge and Fill
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit— Sept. 6, 2018; Nov. 1,2018
Was Applicant Present — No but agent was
present; no
5. PROCESSING PROCEDURE: Application Received Complete — Nov. 5, 2018
Office — Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan — Dare County
Land Classification From LUP — C-2 General Commercial
(B) AEC(s) Involved: Estuarine Shoreline, Estuarine Waters and Public Trust Area
(C) Water Dependent: Yes
(D) Intended Use: Private
(E) Wastewater Treatment: Existing — Conventional Septic System
Planned -none
(F) Type of Structures: Existing — Storage Garage, gravel driveway and
parking area, and single-family residence
Planned - 2 rip -rap breakwaters and pier with "L"
platform
(G) Estimated Annual Rate of Erosion: N/A
Source — N/A
7. HABITAT DESCRIPTION: [AREA]
DREDGED FILLED SHADED
(A) Open Water
392 sqft
(B) High Ground
40 sqft
(C) Shallow Bottom
780 sqft
(D) Total' Area Disturbed: 1,212 sqft
(E) Primary Nursery Area: No
(F) Water Classification: SC Open: Yes

Field Investigation Report
Page 2
8. PROJECT SUMMARY:
The applicant proposes to construct a 130 linear feet of rock rip -rap breakwater and a 4 foot
by 80 -foot pier with a 6 foot by 12 foot "L" platform going out into the Pamlico Sound.
Proiect Settina
The property proposed for development is located at 39316 NC 12 Hwy in Avon, and consists
of 2.11 acres adjacent to the Pamlico Sound. The site includes 1,152 square foot single family
residence and 1,024 square foot storage building. There is also an asphalt parking area.
beside the house with a marl driveway to the storage building. The adjacent property to the
north is Cape Hatteras National Sea Shore and the property to the south is a residential lot.
Vegetation on the site includes but is not limited to, indigenous yard grasses, Southern
Redcedar (Juniperus spp.) and Soft Needle Rush (Juncus effuses). Soil Types on the site
include Duckston Fine Sand (DtA). Submerged Aquatic Vegetation (SAV) near the site include
Widgeon Grass (Ruppia maritima). The property has an elevation of 3 feet above normal water
level.
Development Proposal
The applicant proposes to construct two rock breakwaters averaging 17 feet off shore. One
breakwater is proposed to be 6 foot by 62 foot and the other 6 foot by 68 foot with a five-foot
gap between the two sections. The applicant also proposes to construct an 80 foot by 4 foot
pier with a 12 foot by 6 foot "L" platform and approximately 10 foot walkway over high ground.
The water depth at the terminus is approximately 2 feet.
Anticipated Impacts
The proposed development will result in the filling of 780 square feet and shading of 392
square feet of Estuarine Water and Public Trust Areas, The proposed development will also
result in the shading of 40 square feet of Estuarine Shoreline. Temporary Turbidity will occur
during construction.
Submitted by: Cynthia Rountree
Date: November 6, 2018

PROJECT NARRATIVE
Don Britton
October 3, 2098
Received
Iw ; i; -
DCM-EC
Project Description:
The subject property is located at 39316 NC 12 Hwy in Avon, Dare County, North
Carolina adjacent to the Pamlico Sound. The property is a developed 2.11 acre
lot with a single family residence, storage building and asphalt parking area.
The proposed improvements include the construction of 130 linear feet of a rock
rip -rap breakwater and a 4'x80' pier with a 6'x12' platform.
Construction Techniques:
The pier pilings will be installed by jetting them in hydraulically. The remaining
pier construction will be done by hand using conventional framing techniques.
The rock for the breakwater will be placed using an excavator. The construction
material will be placed on the asphalt parking area located.on the east side of the
property adjacent to NC 12. A backhoe will be used to transport small amounts
of material to the shoreline and wood matting will be used to cross the wetland
areas. The mats will be removed when construction is complete.
Submerged Aquatic Vegetation (SAV) Analysis:
An SAV (subaquatic vegetation) survey was conducted on 9/5/18 by Doug
Dorman of Atlantic Environmental Consultants, LLC. There were dense areas of
Wideon grass found in the adjacent waters of the proposed project starting at 65'
from the existing shoreline. The density of the vegetation ranges from absent at
0'-40', moderate at 40'-65' and dense water ward of 65' from the shoreline. One
meter square samples were taken in the project area and the results are in table
1.
Wetland Delineation:
A wetland delineation was completed by Atlantic Environmental Consultants, LLC
and verified by the US Army Corp of Engineers on August 8, 2014. A copy of the
Approved Jurisdictional Determination signed by Kyle Barnes is included with the
application.

PROPOSED ROCK RIP -RAP
0.5'
Received
EXISTING BOTTOM
DCM-EC
TYPICAL BREAKWATER CROSS SECTION
N.T.S.
�96�6._-•_6r�9 a -PIi_cR •`' �� l � GOVERMENT - -
�z,(MF �'JTi 09LITT1E KINNAK40 UFE SAVING STATION
MF OB 1635, P9 406
AVON, NC I
VICINITY MAP (NTS)
7-__
1 404 WEfIAN ON
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1■• �4 ■ - • EAIf1E0 BYOU AAR A COR
404 WETLANDS T__ - F ENGINEERS 8 8/14 LOT 1-2 _ EXISTING
r �.4•;u. fes;: z- J k - ( . 2.1 ACRES 91.917.50 SF) - ,, •F' :. t3%� SINGLE
44.427.22 F WETLANDS / •_ • FAMILY
.� 46.490.28 SF UPLANDS f' ..•.., - ; �,;y v •.' .: a. _ RES
~ 41• z ! - - 404 WETWIDS
f ,..
SAE J �1 i 1 r----._.-_._.__._.-----1 E' .s'-1 ----------
.•.:, _ _-
FOURREGE -2M
CAPE HATTERAS ELECTRIC
_
J$:�•��X� `15:5' � BULKHEAD WOOD BUiEAO - -� MEMBERSWP CORP. /
N//F
HENRY t R�LLIDNA SAILERS
LECEND IDT 3 {,:
- - - - - - - - - - - PROPOSED ROCK BREAKWATER /
-
IX ASPHALT t _----------
.':.tliAM'1 DRIVEWAY ----------------- -..
-V
BUTFEA LINE
75 AEC ANE
- - - - - EXISTING NORMAL WATER LEVEL LOT 4
X 4.4' - Ex WATER DEPTHS /
- - - - - - - - 10 - SAV SAMPLE PIONTS
/
TYPICAL PIER CROSS SECTION
N.T.S.
CAMA MAJOR SITE PLAN
DON BRITTON
PROPOSED ROCK BREAKWATER & PIER
AVON - DARE COUNTY - NORTH CAROLINA
so 0 60 120 180' ATLANT/C ENl1//?ONMENTAL CONSULTANTS, LLC
GRAPHIC SCALE 1"=60• - P.O. 90.Y 3266, KITTY HAIyK, N.C. 279V
X252)261-7707, a -moi/ doagdaecfgmailcom

Gem mp-1 Received
APPLICATION for OC -1 501 20119 oii
Major Development Permit DMEC
(last revised 12/27106)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/. Landowner Information .
Business Name
Project Name (if applicable)
Britton Property
Applicant 1: First Name
Don
Ml
Last Name
Britton
Applicant 2: First Name
Ml
Last Name
I
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
9505 Watts Road
PO Box
city
Great Falls
State
VA
ZIP
22066
Country Phone No.
USA 703 - 624 — 3340 ext.
FAX No,
Street Address (if different from above)
CRY
State
ZIP
Email
[e-mail]
2. AgentlContractor Information
Business Name
Atlantic Environmental Consultants, LIc
Agent/ Contractor 1: First Name
Ml
Last Name
Doug
A
Dorman
Agent/ Contractor 2: First Name
M1
Last Name
Mailing Address
PO Box
city
State
P.O. Box 3266
Kitty Hawk
NC
ZIP
Phone No. I
Phone No. 2
27949
252.261 -7707
ext.
252 - 599 - 2603 ext.
FAX No.
Contractor #
252 261 7707
Street Address (if different from above)
City
State
ZIP
Email
[e-mail]
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Form DCM MP -1 (Page 2 of 4) Received APPLICATION for
Major Development Permit
3. Project Location DC WE C
County (can be multiple)
Street Address
State Rd. #
Dare
39316 NC 12 Hwy
d. Approximate elevation of tract above NHW (normal high water) or
Subdivision Name
City
State
Zip
None
Avon
NC
27915 -
Phone No.
Lot No.(s) (if many, attach additional page with list)
703 - 624 - 3340 ext.
1, 2, ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Pamlico 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
Pamlico Sound
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
®Yes ❑No
work falls within.
Dare County
4. Site Description
a. Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
154 linear feet
91,917 sf
c. Size of Individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
N/A, I I
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
3' ❑NHW or ®NWL
e. Vegetation on tract
Red Cedar, Live Oak, Wax Myrtle, Black Needle Rush, Salt Medow Cordgrass.
f. Man-made features and uses now on tract
Existing single family residence, Garage/storage building, asphalt and concrete parking areas.
g. Identify and describe the existing land uses adjacent to the proposed project site.
Residential properties to the south and Cape Hatteras National Seashore to the north.
h. How does local government zone the tract?
I. Is the proposed project consistent with the applicable zoning?
Residential
(Attach zoning compliance certificate, if applicable)
®Yes [:]No ❑NA
j. Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes ®No
k. Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. []Yes ®No [INA
If yes, by whom?
I. Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes ®No ❑NA
National Register listed or eligible property?
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Form DCM MP -1 (Page 3 of 4)
m, (1) Are there wetlands on the site?
(II) Are there coastal wetlands on the site?
(iii) If yes to either (i) or (ii) above, has a delineation been conducted?
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
Conventional septic system for residence.
o. Describe existing drinking water supply source.
Public water supply
p. Describe existing storm water management or treatment systems.
None.
APPLICATION for
Major Development Permit
®Yes ❑No
❑Yes ®No
®Yes []NO
Received
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 dally operations of the project when complete.
The proposed rock rip -rap will help stabilize the shoreline and the pier will be used by the owner for water access,
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.
All construction material will be delivered to the asphalt area on the east side of the property adjacent to NC 12. Material will
be transported in by backhoe and a small excavator. Temporary matting may be used to cross wetland area if needed.
Equipment will be stored onsite during construction.
d. List all development activities you propose.
Construction of 130 linear feet of rock rip -rap, a 4'x80' pier with a 6'x12' platform.
e. Are the proposed activities maintenance of an existing project, new work, or both? New
f. What is the approximate total disturbed land area resulting from the proposed project? None ❑Sq.Ft or []Acres
g. Will the proposed project encroach on any public easement, public accessway or other area ❑Yes ®No [INA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
None.
i. Will wastewater or stormwater be discharged into a wetland? ❑Yes ®No ❑NA
If yes, will this discharged water be of the same salinity as the receiving water? []Yes []No [INA
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
6. Additional Information
In addition to this completed application form, (MP -1) the following items balow,, if applicable, must be submitted in orderfor the application
package to be complete..: items (a) (t) are always applicable to any major development application. Please consult the application
instruction booklet on how to property prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross-sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
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 Henry 8 Ramona Sauers Phone. No.
Address PO Box 235, White Marsh, MD 21162
Name Cape Hatteras National Sea Shore, clo David Hallac Phone No. 252-473-2111
Address 1401 National Park Drive, Manteo, NC 27954
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.
None
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. Certification and Permission to Enter on Land
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the information provided in this application is truthful to the best of my knowledge.
Date 10/3/18 Print Name —Doug Dorman, Consultant
Signature
Please indicate indicate application attachments pertaining to your proposed project.
®DCM MP -2 Excavation and Fill Information ❑DCM MP -5 Bridges and Culverts Received
❑DCM MP -3 Upland Development
❑DCM MP -4 Structures Information 4 7 F
DCM-EC
252-808.2808 .- 1-888-4RC®AST :: www.nccoastaimanagement.net

r
Form DCM MP -2
EXCAVATION and FILL
(Except for bridges and culverts)
DK Ke"n
Ive
d
OCT 2Q1(I
DMEC
Attach this form to Joint Application for CAMA Major Permit, Form DOM 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 divan In foot_
f. EXCAVArlON
a. Amcunt of material to
cubic yards.
tram below NHW or NWL In
to be excavated.
® This seotlon not applicable
a (i) Does the area to be excavated include coastal wetionds/marsh d. High -ground excavation In cubic yards.
(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
OWL ❑None
(ii) Describe the purpose of the excavation in these areas: '
2. DISPOSAL OF EXCAVATED MATERIAL ®This section not
a. Location of disposal area. applicable
b. Dimansians of disposal area.
c. (1) Do you claim title to disposal area?
❑Yes ❑No ❑NA
(Il) If no, attach a letter granting permission from the owner
d_ (i) Will a disposal area be available for future maintenance?
❑Yes ❑No ❑NA
(U) If yes, where?
e. (i) Does the disposal area include any coastal wetlands/marsh f. (I) Does the disposal Include any area in the water?
(CM, submerged aquatic vegetation (SAV), shell bottom (5B),
or other wetlands (WL)? If any boxes are checked, provide the ❑Yes ❑No [INA
number of square feet affected. (if) If yes, how much water area is affected?
❑CW ❑SAV USE
OWL ONone
(ii) Describe the purpose of disposal in these areas:
Access
Channel
(NLW or
NWL)
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
Breakwater
Ocher
(excluding
shoreline
stabilization
Length
130'
Width
6'
Avg. Existing
Depth
Final. Project
Depth
NA
NA
NA
IVA
f. EXCAVArlON
a. Amcunt of material to
cubic yards.
tram below NHW or NWL In
to be excavated.
® This seotlon not applicable
a (i) Does the area to be excavated include coastal wetionds/marsh d. High -ground excavation In cubic yards.
(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
OWL ❑None
(ii) Describe the purpose of the excavation in these areas: '
2. DISPOSAL OF EXCAVATED MATERIAL ®This section not
a. Location of disposal area. applicable
b. Dimansians of disposal area.
c. (1) Do you claim title to disposal area?
❑Yes ❑No ❑NA
(Il) If no, attach a letter granting permission from the owner
d_ (i) Will a disposal area be available for future maintenance?
❑Yes ❑No ❑NA
(U) If yes, where?
e. (i) Does the disposal area include any coastal wetlands/marsh f. (I) Does the disposal Include any area in the water?
(CM, submerged aquatic vegetation (SAV), shell bottom (5B),
or other wetlands (WL)? If any boxes are checked, provide the ❑Yes ❑No [INA
number of square feet affected. (if) If yes, how much water area is affected?
❑CW ❑SAV USE
OWL ONone
(ii) Describe the purpose of disposal in these areas:

3. SHORELINE STABILIZATION
(If development is a woad groin, use MP -4— Structures)
a. Type of shoreline stabilization:
OBulkhead ORiprap ®Breakwater/SIII ❑other. _
c. Average distance waterward of NHW or NWL: 15 feet
e. Type of stabilization material:
Granite
g. Number of square feet of fill to be placed below water level.
Bulkhead backfill Riprap
Breakwater/Sill 780 sf Other
I. Source of fill material.
Trucked in from local mine site
4. OTHER FILL ACTIVITIES
(Excluding Shoreline Stabilization)
a. (1) Will fill material be brought to the site? ®Yes ON.
If yes,
W Amount of material to be placed in the water ZdU
(iii) Dimensions of fill area no, x a,
(iv) Purpose of fill
Rock rip -rap breakwater
h'.-. n
0This section not aplolicabl
b. Length: 130 feet
Width: 6 fast
d. Maximum distance waterward of NHW or NWL: 30 feet
f. (i) Has there been shoreline erosion during preceding 12
months?
Oyes []No [INA
(il) If yes, state amount of erosion and source of erosion amount
information.
2' Google Earth
h. Type of fill material.
Granite
OThis section not applicable
b. (i) Will fill material be Placed in coastal wetlandsimarsh (CW),
submerged aquatic vegetation (SAV), shell bottom (SB), or
otherwetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV OSB
OWL ®None
(ii) Describe the purpose of the fill in these areas:
S. GENERAL
a. How will excavated or fill material be kept on slte and erosion b,
controlled? What type of construction equipment Will be used (e.g., dragline,
backhoe, or hydraulic dredge)?
The rock will be stored at parking area on the east side of property. Backhoe, excavator
e. (i) Will navlQa.tlonal aids be required as a result of the project?
OYes Mo QNA
00 If yes, explain what type and how they will be Implemented.
d. (i),WIII wetlands be crossed in transporting equipment to project
site? ®Yes []No [JNA
(ii) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
Temporary wood matts will be used to cross wetlands if needed
10/13/18 Authorized agent - Doug Dorman
Date Applicant Name
Britton Property_
Project Name Applicant Signa`Fuure

Attach this form to Joint Application for CAMA Major Permit, Form DCM MP -1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
1. DOCKING FACILITY/MARINA CHARACTERISTICS ❑This section not applicable
a. (i) Is the docking facility/marina: b. (i) Will the facility be open to the general public?
❑Commercial ❑Public/Government ®Private/Community []Yes ®No
c. (i) Dock(s) and/or pier(s)
(ii) Number 1
(iii) Length 80'
(iv) Width 4'
(v) Floating ❑Yes ®No
e. (i) Are Platforms included? ®Yes []No
If yes:
(ii) Number 1
(iii) Length 6
(Iv) Width 12'
(v) Floating ❑Yes ®No
Note: Roofed areas are calculated from drlpline dimensions.
g. (i) Number of slips proposed
Q
(ii) Number of slips existing
Q
I. Check the proposed type of siting:
❑ Land cut and access channel
❑Open water; dredging for basln and/or channel
®Open water; no dredging required
[]Other; please describe:
k. Typical boat length: 10'
m. (i) Will the facility have tie pilings?
[]Yes ®No
(II) If yes number of tie pilings?
d. (1) Are Finger Piers included? []Yes ®No
If yes:
(ii) Number
(iii) Length
(iv) Width
(v) Floating []Yes [--]No
f. (i) Are Boatlifts Included? ❑Yes ®No
If yes:
(ii) Number
(iii) Length
(iv) Width
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 supplies
® Dockage ("wet slips") only, number of slips: 1
❑ Dry storage; number of boats:
❑ Boat ramp(s); number of boat ramps:
❑ Other, please describe:
j. Describe the typical boats to be served (e.g., open runabout,
charter boats, sail boats, mixed types).
Jet ski
1. (i) Will the facily be open to the general public?
[]Yes 29%
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Received
Form DCM MP -4
STRUCTURES
GC' 2, i `i'`'
(Construction within Public Trust Areas)
®MEC
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP -1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
1. DOCKING FACILITY/MARINA CHARACTERISTICS ❑This section not applicable
a. (i) Is the docking facility/marina: b. (i) Will the facility be open to the general public?
❑Commercial ❑Public/Government ®Private/Community []Yes ®No
c. (i) Dock(s) and/or pier(s)
(ii) Number 1
(iii) Length 80'
(iv) Width 4'
(v) Floating ❑Yes ®No
e. (i) Are Platforms included? ®Yes []No
If yes:
(ii) Number 1
(iii) Length 6
(Iv) Width 12'
(v) Floating ❑Yes ®No
Note: Roofed areas are calculated from drlpline dimensions.
g. (i) Number of slips proposed
Q
(ii) Number of slips existing
Q
I. Check the proposed type of siting:
❑ Land cut and access channel
❑Open water; dredging for basln and/or channel
®Open water; no dredging required
[]Other; please describe:
k. Typical boat length: 10'
m. (i) Will the facility have tie pilings?
[]Yes ®No
(II) If yes number of tie pilings?
d. (1) Are Finger Piers included? []Yes ®No
If yes:
(ii) Number
(iii) Length
(iv) Width
(v) Floating []Yes [--]No
f. (i) Are Boatlifts Included? ❑Yes ®No
If yes:
(ii) Number
(iii) Length
(iv) Width
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 supplies
® Dockage ("wet slips") only, number of slips: 1
❑ Dry storage; number of boats:
❑ Boat ramp(s); number of boat ramps:
❑ Other, please describe:
j. Describe the typical boats to be served (e.g., open runabout,
charter boats, sail boats, mixed types).
Jet ski
1. (i) Will the facily be open to the general public?
[]Yes 29%
252-808-2808 .: 1-888-4RC®AST :: www.nccoastaimanagement. not revised: 12/27/06

Form ®CM MP -4 (Structures, Page 2 of 4)
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 will residue from vessel maintenance be disposed of?
h. Give the number of channel markers and "No Wake" signs proposed.
1. Give the location of fuel -handling facilities, and describe the safety measures planned to protect area water quality.
j. What will be the marina policy on overnight and live -aboard dockage?
k. Describe design measures that promote boat basin flushing?
1. If this project is an expansion of an existing marina, what types of services are currently provided? Received
m. Is the marina/docking facility proposed within a primary or secondary nursery area?
DYes []No
DMEC
252-808-2808 :: 1-888-4RCOAST u vwvw.necoastalnianagement.net revised: 12127106

Poria DCM MP -4 (Structures, Page 3 of 4)
n. Is the marina/docking facility proposed within or adjacent to any shellfish harvesting area?
❑Yea ❑No
o. Is the marinaldocking facility proposed within or adjacent to coastal wetlands/marsh (CW), submerged aquatic vegetation (SAV), shell bottom
(SB), or other wetlands (WL)? If any boxes are checked, provide the number of square feet affected.
❑CW ❑SAV ❑SB
❑WL ❑None
p. Is the proposed marinaldocking facility located within orwithin close proximity to any shellfish leases? ❑Yes ❑No
If yes, give the name and address of the leaseholder(s), and give the proximity to the lease.
3. BOATHOUSE (including covered lifts) ®This section not applicable
a. (i) Is the boathouse structure(s):
❑Commercial ❑Public/Government ❑Private/Community
(II) Number
(iii) Length
(iv) Width
Note: Roofed areas are calculated from dripline dimensions.
4. GROIN (e.g., wood, sheetpile; etc. Yf 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 139 b. Average distance from NHW, NWL, or wetlands
6
c. Maximum distance beyond NHW, NWL or wetlands
M
6. !MOORING PILINGS'and BUOYS ®This section not applicable
a. Is the structure(s): b. Number
❑Commercial ❑Public/Government ❑Private/Community
e. Distance to be placed beyond shoreline d. Description of buoy (color, inscription, size, anchor, etc.)
Note: This should be measured from marsh edge, if present.
e. Arcoftheswing None Received
7. GENERAL _ DClY1'EC
252-808-2808 :: 1.888.4RCOAST :: vrww.nccoastalmanngement.net revised: 12/27/08

Form ®CM MP -4 (Structures, Paige 4 of 4)
a. Proximity of structure(s) to adjacent riparian property lines b. Proximity of structure(s) to adjacent docking facilities.
105' to the south (Sauer), 17' to the north (NPS) 530' to the south.
Note: For buoy or mooring piling, use arc of swing including length
of vessel.
c. Width of water body
25 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 and of structure at NLW or NWL
2.2'
8. OTHER ®This section not applicable
a. Give complete description:
10/3/2018
Applicant Name
Applicant Signature
Receive
0U 5 6 'ie,3
DCM-EC
252-808.2808 :: 1-888-4RCO AST :: ww v.nccoastalmanacgement.net revised:12127/06

-7 ... _..._....._ .. ...................�C�EI'VE�
............-...___.,.._...__.... _ __ ___..._..... .
DMEC
�Q All of those certain lots known as and being Lot No. 1 and Lot No. 2, Section 3,
of the subdivision known as "Atlantic Estates" as shown on a map or plat
entitled "Sections 3 and 4 of Atlantic Estates, North of Avon - Kinnakeet
Township, Dare County - North Carolina" prepared by Wesley M. Meekins, Jr.,
�. Registered Land Surveyor, of Manteo, North Carolina and appearing of record
In Plat Cabinet A at Slide bit In the Office of the Register of Deeds of Dare
County, North Carolina.
6e property hereinabove described was acquired by Grantor by Deed recorded in Book 91 0,
Page 5120)are County Public Registry.
TO I VE AND TO HOLD the aforesaid lot or parcel of land and all privileges and
appurtenance ereto belonging to the Grantee in fee simple.
And the Igfor covenants with the Grantee, that Grantor is seized of the premises in fee
simple, has the rig'hf 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 except for the exceptions hereinafter stated.
Tide to the properohereinabove described is subject to the following exceptions:
O
1. Exception is takedl 2014 ad valorem taxes.
2. Exception is taken tlti`< _ casements and restrictions of record.
IN WITNESS WHEREO,` a Grantor, has hereunto set her hand and seal, the day and year
fust above written. >
4.U (SEAM)
Brenda B. Sitz
0
STATE OF NORTH CAROLINA ,h
COUNTY OF ,E—
I,
I, 3'nAA NE. HAjk)-oob -- , a Notary lic of the State aforesaid, certify that Brenda
B. Sitz, personally appeared before me this day and cknowledged the execution of the foregoing
instrument.
Witness my hand and official stamp or seal this the day of Ma -a 2014.
OFFICIAL SEAL
Notary Public. North Carotins
County of oars N Pu 1
(SEAL) JOANN E. HARWOOD My Comma ,Itl Expires: �/S
Registration , T
6344163 6: 1959 P: 218 Page 2 of 2 8/28V14 1;89 PM
mill NUr rI��M w�� k1 W11AN A ILNIW i 11111
0 Book 1969 Page 213-0002

0
XA\
VN\
DAIt' REAL ESTATE
COUI , ` '�' f TRANSFER TAX
LT
z.
Received
OCT 91 701P
DCM-EC
B: 1959 P: 213 Doe Ido 6344163
08/28/2014 01:69 PM Reoeipt 4: 14-4931
Doo Code: DEED NCExolsa Tax pd: 80 '00
VanzoIt MoMurran-Smlth, Register of Deeds Dare CCC; NC
6344153 5: 1959 P; 213 Pape 1 of 2 5/28/14 1:59 PM
Bill WIN M"WIM INTO, 1, tlb 11111
v SPACE ABOVE THIS LINE FOR RECORDING DATA
LAND TRAN RNUMBER: 1555-14
()Q t
1% LAND T ER FEE: $4,000.00 AFTER RECORDING CtE'1'URN 1'C1:
EXCISE TAX: $ .00 WDONNELL &:,SSOCIA E,3, Fik
PARCEL NUMBE . 13357000 PO. BOX 122415
REAL ESTATE TAXES PAID: 2013 COL.UAISIA, SC 29211
803-931-8793
Prepared by- (�x Return to:
E.Crouse Gray, Jr., A Licenserth Carolina Attorney Peter W.R. Martin
Delinquent Taxes, if any, are to d by the closing Advantage Title Company
attorney to the County Tax Collec%on disbursement 2037 Liberty Road
of closing proceeds.\X Eldersburg, MD 21784
GRAY & LLOYD, L.L.P.
3120 North Croatan Highway, Ste. 101 ��• All or a portion of the property herein conveyed
Kill Devil Hills, North Carolina 27948 n1 does not include the primary residence of the Grantors.
My File No. 7286-002
NORTH CAROLINA
DARE COUNTY 0
THIS DEED made this the 21st day0t ay, 2014, by and between Brenda B. Sitz,
unmarried, of PO Box 911, Avon, NC 27915, Gr and 12 To Sound, GLC, of 9505 Watts Road,
Great Falls, VA 22060, Grantee:
The designation Grantor and Grantee as used he?ein shall include said parties, their heirs, and
successors and assigns, and shall include singular, plural, masculine, feminine or neuter as required
by context.
WITNESSETH:Y�
THAT the Grantor, for a valuable consideration paid by r�qrantee, the receipt of which is
hereby acknowledged, has and by these presents does grant, barg�ln, sell and convey, unto the
Grantee in fee simple, all that certain lot or parcel of land situated i Kinnakeet Township, Dare
County, North Carolina, and more particularly described as follows:
6
0ook 1969 Page 213-0001

MAJOR PERMIT FEE MATRIX
Applicant: 00�'\ E r& OVA
Selection.
Development Type
Fee
DCM %
DWO %
(14300 1601 435100093 1625 6253)
(24300 1602 435100095 2341)
I. Private, non-commercial
development that does not
$250
100%($250)
0%($0)
involve the filling or
excavation of any wetlands
oro en 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-
wn
commercial development, if
$250
100%($250)
MOO)
General Water Quality
Certification No. 4097 (See
attached) can be applied:
III(B). Public or commercial
development, if General
$400
100%($400)
0%($0)
Water Quality Certification
No. 4097 (See attached)
can be applied:
III(C). If General Water
Quality Certification No.
$400
60%($240)
40%($160)
4097 (see attached) could
be applied, but DCM staff
determined that additional
review and written DWQ
concurrence is needed
because of concerns
related to water quality or
aquatic life:
III(D). If General Water
Quality Certification No.
$400
60%($240)
40% ($160)
4097 (see attached) cannot
be applied:.
IV. For development that
❑
involves the filling and/or
$475
60%($285)
40%($190)
excavation of more than
one acre of wetlands and/or
open water areas: