20190619 Ver 1_CAMA Application_20190508

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ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Director
May 8, 2019
MEMORANDUM
NORTH CAROLINA
Environmental Quality
FROM, Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax: [phone] (Courier 04-16-33)
qreqq.bodnar(@ncdenr.qov
SUBJECT, CAMA lDredge & Fill Application Review
Applicant: Phyllis Bosomworth
Project Location: 1703 Rivershore Road in Elizabeth City
Proposed Project: Construct a bulkhead, dredge a boat basin, and fill 147sf of wetlands
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Gregg Bodna at the address above by May 29, 2019. If you have any questions
regarding the proposed project, contact Lynn Mathis (252-264-3901, ext. 234) when appropriate. in-depth
comments with supporting data is requested.
REPLY:
This agency has no objection to the project as proposed.
"Additional comments may be attached"
This agency has no comment on the proposed project,
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
PRINT NAME
AGENCY
SIGNATURE
DATE
North Carolina Department of Environmental Quality I Division of Coastal Management
Elizabeth City Offlce 1 401 South Griffin Street, Suite 300 1 Elizabeth City, North Carolina 27909
252.264.3901

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1 . APPLICANT'S NAME: Phyllis Bosomworth
2. LOCATION OF PROJECT SITE: 1703 Rivershore Road, in Elizabeth City,
Pasquotank County, North Carolina. The site is adjacent to a small tributary off of the
Pasquotank River.
Photo Index: 2006: 237-7741 G 9
Latitude: 36017'10.22" N Longitude: 76'12' 04.22" W
3. INVESTIGATION TYPE: CAMA/D&F
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit: March 15, 2019
Was Applicant Present: No — Consultant Present
5. PROCESSING PROCEDURE: Application Received Complete: April 17, 2019
Office: Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan: Pasquotank County
LUP Land Classification: Low Density Residential
(B) AEC(s) Involved: EW, PTA and ES
(C) Water Dependent: Yes
(D) Intended Use: Residential
(E) Wastewater Treatment: Existing: Sewer
Planned: N/A
(F) Type of Structures: Existing: Derelict bulkhead
Planned: Replacement Bulkhead
(G) Estimated Annual Rate of Erosion: <4"
7. HABITAT DESCRIPTION: (AREA)
GRADE FILL EXCAVATE
(A) High Ground: ES
8,054sf
(13) Shallow Water Bottom: EW & PTA
51 1sf
774sf
(C) Wetlands: 404
147sf
(D) Total Area Disturbed: 9,456sf (0.217 acres)
(E) Primary Nursery Area: No
(F) Water Classification: SC Open: No
8. PROJECT SUMMARY: The property owner is requesting a permit to: 1) Construct a 229'
replacement bulkhead with 51 1sf of shallow bottom fill, 2) fill 147sf of 404 wetlands, 3)
dredge 744sf in an existing boat basin, and, 4) place excavated spoil on the applicant's
property.

Phyllis Bosornworth
Field Investigation Report
Page 2
Promect Settina
The project site is located at the end of 1703 Rivershore Road in City of Elizabeth City, in
Pasquotank County, North Carolina. The applicant's property consists of.9 acres and is split by
Rivershore Road, with .7 acres on the landward side of the road and .2 acres fronting on an
unnamed tributary off of Forbes Bay and the Pasquotank River on the northeast side of the
property. All adjacent uses are residential and are situated in a Low Density Residential zone.
Currently the property is vacant with the exception of a failing bulkhead. Approximately 147
square feet (SF) of 404 wetlands have been flagged along the edge of the old bulkhead by the
US Army Corps of Engineers. In the approximate center of the lot is an existing 57' x 13' boat
basin. In 2016 a derelict boathouse was removed from the basin, and the associated dwelling
across Rivershore Road was demolished and removed in 2018.
Vegetation on the waterward side of the property includes, but is not limited to, loblolly pine
(Pinus taeda), bald cypress (Taxodium distichum), groundsel tree (Bacchads halimifolia), sweet
gum (Liquidambar styraciflua), cat brier (Smilax rotundifolia), switch cane (Arundinaria tecta),
poison ivy (Toxicodendron radicans), and a variety of domestic grasses.
There is no known submerged aquatic vegetation (SAV) within the proposed work area, and
the area is not recognized by current NCDMF mapping as supporting SAVs. Water depths
along the existing bulkhead, range, from -. 18' in the basin to -5.11' at the northwest corner of
the property. Soundings at the mouth of the creek established an existing average depth of
—2.5' entering the river at Forbes Bay. A heavy organic debris layer has formed in the boat
basin over the years from overhanging trees. The creek width is —28' at its narrowest point.
Situated across from the east facing shoreline is a shore side walkway leading to a dock and
boathouse. Further up the unnamed tributary, on the neighboring property, is a 6'wide shore
side dock.
The waters of the Pasquotank River along the project site are classified as SB, which are
primarily recreational and any use specified by the SC classification applies (including aquatic
propagation, fishing, wildlife, secondary recreation and agriculture). The property is located in
an AE Flood Zone with an average elevation of —3' above normal water level (NWL). The
annual rate listed by the applicant's agent as 2'; however, actual erosion over that last 25 years
at this site is a is less than 4" per year, and only along the northwest side of the basin. Tidal
fluctuation within the Pasquotank River and its tributaries is from wind ties.
There are no known archeological sites or historic sites associated within or adjacent to the
project area. There are no known inconsistences with the local Land Use Plan or local Zoning
Ordinance.
Development Proposal
The applicants, Phyllis Bosomworth requests a CAMA Major Permit to undertake the following
development:

Phyllis Bosomworth
Field Report
Page 3
1) Construct a 229' replacement bulkhead a maximum of 2' waterward of the existing
dilapidated bulkhead alignment and an average of 2.23' waterward of NWL. The
proposed alignment will be a maximum of 9', waterward of NWL. The proposed
alignment will result in —511 sf of shallow bottom fill. Backfill will consist of clean sand
from a local source and topped with dredge spoil. The replacement bulkhead will result
in a narrowing of the waterbody from 28'to 27'at the northwest corner of the bulkhead
and will tie into an existing bulkhead to the west. The bulkhead will also tie into an
existing bulkhead on the southeast corner.
2) Wetland fill associated with the replacement bulkhead will be —147 sf. The area in
question was flagged by the USACE at the request of the applicant's consultant.
3) Excavation of a 744sf shallow bottom within an existing boat basin is requested and will
include the removal of silt and organic debris that has accumulated over of the years.
Removal of spoil will be undertaken by long reach excavator and placed on the
applicant's property. The current average depth is -1' (Maximum -2.54'), and the
proposed finished depth will be --2.5'. Spoil to be removed will be —41 cubic yards (cy)
and will be retained on the property and used for fill over the bulkhead backfill sand at
an average depth of less than 2". The placement of a thin layer of excavated spoil will
occur once the spoil has decanted of excess water, and post bulkhead construction. A
silt barrier will be established prior to placement of any spoil.
4) According to the application and plans there will be —8,054sf of high ground disturbance
associated with the installation of the new bulkhead and the placement and grading of
excavation spoil on the lot. A silt fence will be installed to retain all fill onsite, and remain
until vegetation is established. Finished elevations of the proposed bulkhead and backfill
will be within 2" of land elevations, and as such should not alter the current drainage
pattern(s) on or adjacent to the applicant's property.
Anticipated habitat impacts include the following:
I ) Loss of —511 sf of shallow water bottom habitat from fill associated with the
construction of the replacement bulkhead,
2) Temporary disturbance and loss of 744sf shallow bottom habitat from excavation
below NWL.
3) Loss of 147sf of 404 wetlands.
4) Temporary disturbance of —8,054sf of high ground from dredge spoil and grading.
5) The proposed development will temporarily disrupt animal populations within adjacent
waters and the project area.
6) Installation of the proposed bulkhead may result in temporally suspending sediments in
the water.
7) Installation of the bulkhead and backfill will not result in a significant increase in
elevation of the subject property.
8) During the project construction it is anticipated that noise levels may periodically
increase above surrounding background (ambient) levels from heavy equipment.
9) Treated wood leaches over time in surrounding waters and sediment. The amount of
leaching is dependent on the type of organic material present in the water bottom
substrate, oxygen levels and water movement; however, it is estimated that 90% of the
leaching will occur within the first 90 days.
Submitted by: Lynn W. Mathis - Date: April 29, 2019 to DM - DIVI Review Complete: May 6, 2019

1703 Rivershore Road
Phyllis Bosomworth
Existinq Conditions
The subject property is located at 1703 Rivershore Road in Elizabeth City, Pasquotank County, NC and
owned by Phyllis Bosomworth. The property is waterfront, on a tributary of Forbes Bay on the Pasquotank
River, in the Pasquotank River Basin. The property is split by Rivershore Road (total area 0.9 acres), with
0.7 acres on the landward (SW) side of Rivershore Road and 0.2 acres on the waterward side of the
road. Until 2018, there was a residential home on the landward side of the property which has since been
demolished. The owner will be building a new home sometime in the future. The waterward side of the
road has a dilapidated wood bulkhead that has washed out and is in disrepair.
There is a portion of the shoreline that contains a small amount of Section 404 wetlands that were
created by bulkhead failure and naturalization overtime. This area is delineated on the Site Plan and
was staked and verified by US Army Corps on 2/28/2019. There is also some additional areas of
bulkhead washout that does not contain wetland, but is now surface water due to a greater amount of
erosion than the 404 wetland area. The yard area on the waterward side of the road contains some
mature trees (cypress, gum and oak) and maintained grasses.
Adjacent riparian properties have bulkheading and rip -rap shoreline stabilization which appears to be in
good condition. The property across the tributary includes a roofed boat lift, bulkheading and a wood
walkway system.
This area is subject to wind tides that regularly fluctuate on the order of 2 ft. Shown on the base map are
water depths collected and normalized to normal water level (NWL) which was evident from a black line
on the bulkhead and nearby cypress knees in the water.
Proposed Wor
Proposed work requiring a CAMA Major Permit includes 229 linear feet (LF) of bulkheading with a tieback
system. A total of 511 square feet (SF) of backfill below NWL will be required to achieve the preferred
alignment. The bulkhead is proposed to be a maximum of 2 ft waterward of the existing dilapidated wall
in any location, with an average of 1.5 ft waterward of the dilapidated wall. Since the old bulkhead has
washed out in some locations, the total average distance of the new bulkhead from NWL is 3 ft.
In addition to the new bulkhead, the owner would like to maintenance dredge the area within a small
basin in the central location of the project as shown on the plan. This has collected organic material over
the years. Approximately 1.5 ft of material (average) is proposed to be removed from this location to re-
establish a depth of -2.5 ft NWL to match adjoining water depths. Currently, during time of low wind tides,
the bottom is exposed. This excavation is proposed to be accomplished after the new bulkhead and sand
backfill is in place. The excavation area is very close to the edge of shore on all sides and can be
accomplished with a back hoe. The excavated material will total 41 cu ycls and is planned to be used as
a layer of topsoil for the disturbed and filled bulkhead backfill areas in combination with planting and
establishing grass.
We evaluated the bottom conditions and found there to be an organ ic-dominated bottom along the
proposed bulkhead alignment along the project area. There was no SAV observed and no rhizomes
systems encountered. We also reviewed SAV mapping resources obtained from NCDMF and this area is
not recognized as having supported SAV. There was a layers of semi -decomposed leaf litter on top of
the substrate.
Purpose and Need
Ms. Bosomworth recently purchased this property and the bulkhead is aged and in disrepair. This project
is dominantly a restoration of existing conditions to maintain adequate protection.
Received
Al"i I �� 711�91
DMEC

DCM MP -1
APPLICATION for
Major Development Permit
(last revised 12/27106)
D —1
WI I
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicantl Landowner Information
Received
Business Name
Project Name (if applicable)
APR I cl 21"
Applicant 1: First Name
Phyllis
Ml
R
Last Name
Bosomworth
DMEC
Applicant 2: First Name
Ml
Last Name
Ml
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
301 Breezewood Dr.
PO Box
I
City
Elizabeth City
State
NC
ZIP
27909
Country
ou 'y
u
�Paquotank��25'2
P
Phone No.
- 339 -
5151 ext.
FAX No.
Street Address (if different from above)
City
State
St is
ZIP
Email
phyllisb Clongandfoster.com
870
Kitty Hawk
2. AgentlContractor Information
Business Name
Quible & Associates P.C.
Agent/ Contractor 1: First Name
Ml
Last Name
Brian
Rubino
Agent/ Contractor 2: First Name
Ml
Last Name
Mailing Address
PC Box
City
State
870
Kitty Hawk
NC
ZIP
Phone No. 1
Phone No. 2
27949
252-491-8147
ext.
ext.
FAX No.
Contractor #
Street Address (if different from above)
City
State
ZIP
8466 Caratoke Highway Bldg 400
Powells Point
NC
27949 -
Email
[e-mail]
<Form continues on back>
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Form DCM MP -1 (Page 2 of 4)
Received APPLICATION for
Major Development Permit
APR I ', 201'.')
3. Project Location DMEC
County (can be multiple)
Street Address
tate Rd. #
Pasquotank
1703 Rivershore Rd
39,204 SF (0.9 acres); note: this is one parcel with land on
Subdivision Name
city
State
Zip
Rivershore
Elizabeth City
NC
27909 -
Phone No.
Lot No.(s) (if many, attach additional page with list)
ext.
I I I I
a. In which NG river basin is the project located?
b. Name of body of water nearest to proposed project
Pasquotank
Forbes Bay
c. Is the water body identified In (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
ONatural E]Manmade ElUnknown
Forbes Bay, Pasquotank River
a. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
SYes []No
work falls within.
City of Elizabeth City
4. Site Description
a.
Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
229 LF
39,204 SF (0.9 acres); note: this is one parcel with land on
both side of Rivershore Rd.
c.
Size of individual lot(s)
d. Approximate elevation of tract above NHW (normalhigh water) or
NWL (normal water level)
(If man; lot sizes, pleas; attach additional page with a list)
-3 EINHW or NNWL
9.
Vegetation on tract
Maintained grasses, trees, and shrubs.
f.
Man-made features and uses now on tract
Old dilapidated wooden bulkhead. There was a residential home on the landward side of Rivershore Road, but that was
demolished within the last year.
g.
Identity and describe the existing land uses adiacen to the proposed project site.
Adjacent properties are private single family residences.
h.
How does local government zone the tract?
I. Is the proposed project consistent with the applicable zoning?
Single family residential
(Attach zoning compliance certificate, if applicable)
MYes []No EINA
j.
Is the proposed activity part of an urban waterfront redevelopment proposal? Elves ONo
k.
Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. 0Yes 0No ONA
If yes, by whom?
1.
Is the proposed project located in a National Registered Historic District or does it Involve a E]Yes RNo EINA
National Register listed or eligible property?
<Form continues on next page>
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Form DCM MP -1 (Page 3 of 4)
rn. (I) Are there wetlands on the site?
(!I) Are there coastal wetlands on the site?
(ill) If yes to either (I) or (11) above, has a delineation been conducted?
(Attach documentation, ff available)
n. Describe existing wastewater treatment facilities,
None
o. Describe existing drinking water supply source.
City of Elizabeth City public water
p. Describe existing storm water management or treatment systems.
open space infiltration
APPLICATION for
Major Development Permit
OYes [--]No
[:]Yes ONO
OYes []NO
Received
5. Activities and Impacts
a.
Will the project be for commercial, public, or private use? ElCommercial OPublic/Government
OPrivate/Community
b.
Give a brief description of purpose, use, and daily operations of the project when complete.
Current use of the property will not change.
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.
Barge, clumptruck, skidsteer, vibratory hammer will all be utilized for the construction of a new bulkhead and associated
backfill and grading.
d.
List all development activities you propose.
A new bulkhead (229 If) is proposed to be constrcuted a maximum of 2 it waterward of the existing dilapidated wood wall that
have been washed on in some sections. There will be tie backs with cleadmen and backfill. Total associated land
disturbance is 8,712 SF, allowing some fill in the yard area. In addition, 744 SF (41 cu ycls) of maintenance excavation is
proposed in a small existing basin area that has accumulated organic material over the years. See attached project narrative
for a detailed clesciption of proposed work.
a.
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? 8,712 OSq.Ft or E]Acres
g.
Will the proposed project encroach on any public easement, public accessway or other area Elyse ONO ONA
that the public has established use of?
h.
Describe location and type of existing and proposed discharges to waters of the state.
No now proposed discharges
1.
Will wastewater or stormwater be discharged into a wetland? 0Yes ONO ONA
If yes, will this discharged water be of the same salinity as the receiving water? ElYes []No ONA
j.
Is there any mitigation proposed? ElYes 0No [DNA
If yes, attach a mitigation proposal.
<Form continues on back>
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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 below, IF applicable, must be submitted in order for the application
package to be complete. Items (a) — (f) 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 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.
a. 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 Hubert and Beverly McGee Phone No.
Address 1609 Rivershore Rd., Elizabeth City, NC 27909
Name Richard and Barabara Adams Phone No.
Address 1706 Rivershore Rd., Elizabeth City, NC 27909
Name Clay and Mary Foreman Phone No.
Address 1808 Rivershore Rd., Elizabeth City, NC 27909
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
h. Signed consultant or agent authorization to", 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.
1 7. Certification and Permission to Enter on Land I
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 _L* 0�-Zolq PrintName Fh;'111�s gojoynworkh
g , P_ bi^o
r% c%n %�
aMot 5?A-5XC.%e-C. heAt
Signaturee��
Please indicate application attachments pertaining to your proposed project.
EDCM MP -2 Excavation and Fill Information DDCM MP -5 Bridges and Culverts
EIDCM MP -3 Upland Development Received
EIDCM MP -4 Structures Information
Vn� 1' 2'N
DIME
2 5 2 - 8 0 8 - 2 8 0 8 : : 1-888-4RCOAST :: www.nccoastaimanagement.net

Form DCM MP -2
EXCAVATION and FILL
(Except for bridges and culverts)
Received
AP� 1 �� 21�'--)
DMEC
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.
1. EXCAVATION
a. Amount of material to be excavated from below NHW or NWIL in
cubic yards.
41 cu yds
c. (1) Does the area to be excavated include 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.
E]CW CISAV EISB
CIVIL ZNone
(11) Describe the purpose of the excavation in these areas:
removal of organic material that has accumulated in basin
2. DISPOSAL OF EXCAVATED MATERIAL
a. Location of disposal area.
on-site, for use as topsoil overlying sand bulkhead backfill
0 This section not applicable
b. Type of material to be excavated.
organic silt
d. High -ground excavation in cubic yards.
0
0 This section not applicable
b. Dimensions of disposal area.
8,712 sq.ft. This inIcudes the area of disturbance for the
project (2 inch lift or less); for use as topsoil to assist with
establishing grass cover stabilization. Not suitable for
structural fill
c. (i) Do you claim title to disposal area? d. (I) Will a disposal area be available for future maintenance?
MYes []No [INA 0Yes SNo EINA
(l) If no, attach a letter granting permission from the owner. (ii) If yes, where?
a. (I) Does the disposal area include any coastal wetlands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WQ? If any boxes are checked, provide the
number of square feet affected.
E]CW EISAV EISB
OWL MNone
III) Describe the purpose of disposal in these areas:
f. (I) Does the disposal include any area in the water?
[]Yes ENo EINA
(11) It yes, how much water area is affected'
252-608-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net
revised: 12/26106
Access
Other
Channel
Canal
Boat Basin
Boat Ramp
Groin
Rock7
Rock
(excluding
(NLW or
Breakwater
shoreline
NWQ
stabilization)
Length
-57
Width
-13
Avg. Existing
Depth
1.01
NA
NA
Final Project
Depth
2.5'
NA
NA
1. EXCAVATION
a. Amount of material to be excavated from below NHW or NWIL in
cubic yards.
41 cu yds
c. (1) Does the area to be excavated include 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.
E]CW CISAV EISB
CIVIL ZNone
(11) Describe the purpose of the excavation in these areas:
removal of organic material that has accumulated in basin
2. DISPOSAL OF EXCAVATED MATERIAL
a. Location of disposal area.
on-site, for use as topsoil overlying sand bulkhead backfill
0 This section not applicable
b. Type of material to be excavated.
organic silt
d. High -ground excavation in cubic yards.
0
0 This section not applicable
b. Dimensions of disposal area.
8,712 sq.ft. This inIcudes the area of disturbance for the
project (2 inch lift or less); for use as topsoil to assist with
establishing grass cover stabilization. Not suitable for
structural fill
c. (i) Do you claim title to disposal area? d. (I) Will a disposal area be available for future maintenance?
MYes []No [INA 0Yes SNo EINA
(l) If no, attach a letter granting permission from the owner. (ii) If yes, where?
a. (I) Does the disposal area include any coastal wetlands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WQ? If any boxes are checked, provide the
number of square feet affected.
E]CW EISAV EISB
OWL MNone
III) Describe the purpose of disposal in these areas:
f. (I) Does the disposal include any area in the water?
[]Yes ENo EINA
(11) It yes, how much water area is affected'
252-608-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net
revised: 12/26106

Form DCM MP -2 (Excavation and Fill, Page 2 of 3)
NBulkhead E]Riprap []Breakwater/Sill ElOther:
Width: Bulkhead: -1 ft
c. Average distance waterward of NHW or NWL: 3 ft;
d. Maximum distance waterward of NHW or NWL:
Note: avh 1.5 ft waterward of dilapidated bulkhead that is washed
out in some areas
I. (I) Has there been shoreline erosion during preceding 12
e. Type of stabilization material:
Bulkhead: Timber piles and vinyl or timber sheetpiling
months?
MYes []No ONA
(ii) If yes, state amount of erosion and source of erosion amount
information.
approximately 2 ft, physical observation
g. Number of square feet of fill to be placed below water level.
h. Type of fill material.
Bulkhead backfill 511 SIF Riprap
Sand Received
Breakwater/Sill Other
1. Source of fill material.
APr I
sand from local approved mine; imported rock from inland quarry
DMEC
4. OTHER FILL ACTIVITIES 0 This section not applicable
(Excluding Shoreline Stabilization)
a. (I) Will fill material be brought to the site? [:]Yes E]No []NA b. (1) Will fill material be Placed in coastal wetlands/marsh (CW).
If yes,
(11) Amount of material to be placed in the water
(lil) Dimensions of fill area
(iv) Purpose of fill
5. GENERAL
a. How will excavated or fill material be kept on site and erosion
controlled?
Silt fence will be used for any grading necessary for bulkhead
tiebacks
c. (I) Will navigational aids be required as a result of the project?
E]Yes 0No SNA
(11) If yes, explain what type and how they will be implemented.
submerged aquatic vegetation (SAV), shell bottom (SB), or
other wetlands (Wi If any boxes are checked, provide the
number of square feet affected.
EICW EISAV EISB
OWL E]None
(it) Describe the purpose of the fill in these areas:
b. What type of construction equipment will be used (e.g., dragline,
backhoe, or hydraulic dredge)?
Barge, skidsteer, vibratory hammer
d. (I) Will wetlands be crossed in transporting equipment to project
site? E]Yes SNIP EINA
(11) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
252-808-2808:: 1-888-4RCOAST:: %vw-w.nccoastaImanaqem-ent.net revised: 12/26106

'1�10k-Z-Okq
Date
BOSOMW06V-)
Project Name
j�n��S Gojov�,,jotA�1
ApplEcant Name rcn e�bt e) 0
Applicant Signature
Received
Af"'� I I '/- �' "
DCM-EC
252-808-2808 :: 11�8884RCOAST :: www.nccoastaimanagement.net revised: 12126106

MAJOR PERMIT FEE MATRIX
Applicant:
Selection
F[]Teve
D,
Development Type
Fee
DCM %
D C
435 000 9 1 6256253)
1 (14300 1601 435100093 1625 6253)
DWO %
(24300 1602 436100095 2341)
1. Private, non-commercial
I. Priv
development that does not
$250
olM($2530
100%($250)
00
0%($0)
involve the filling or
excavation of any wetlands
or 0 en water areas:
0 r 0 e
11. Public or commerciall
1 I - u b
F-1
development that does not
d a v a I 0
$400
100%($400)
0%($0)
involve the filling or
n 0 'v
cP
excavation of any wetlands
x a v
rv
or open water areas:
0 0 e
Major Modification to a
M jor
$250
100%($250)
0%($0)
ff
CAMA Maior permit
CAMA
For development that
I I - 'or
IIll.
involves the filling and/or
nvolve
excavation of up to 1 acre
ex av,
c
of wetlands and/or open
of w.tI,
water areas, determine if A,
wat. r
B, C, or D below applies:
. , C c
111�
III(A). Private, non-
I I (A ;
El
commercial development, if
$250
100%($250)
0%($0)
General Water Quality
Certification No. 4097 (See
attached) can be a lied:
III(B). Public or commercial
I I I (B c
development, if General
deve
6' . rai
$400
100%($400)
0%($0)
r1atta
Water Quality Certl�ficatilon
Wat.'
No. 4097 (See attached)
can be applied:
III(C). If General Water
E]
Quality Certification No.
$400
60%($240)
40%($160)
4097 (see attached) could
be applied, but DCM staff
determined that additional
review and written DWO
concurrence is needed
because of concerns
related to water quality or
uatic life:
III(D). If General Water]
Quality Certification No.
$400
60%($240)
I
40%($160)
4097 (see attached) cannot
I
TEa
be applied:
For development that
or
IVIV.
involves the filling and/or
vol ve
$475
60%($285)
40%($190)
excavation of more than
xc
I
one acre of wetlands and/or
I open water areas:
E

BOOK 1289 PAGE 451 (4)
4417,48
PASQUOTANK COUNTY
Deed number 1,7- 1,741
Transfer tax $
Delinquent tax S
Pasquolank County Assesmes Office
This document presented and filed:
08118120W 04:33:48 PM
JOYCE W. PRITCHARD, Pascruotank County, NC
Excise Tax: $300.00
NORTH CAROLINA GENERAL WARRANTY DEED
Parcel Identifier No. 892314447409 Verified by _ County on the _ day of 20
By:
Mail[Box to: Trimpi & Nash, LLP, 200 N, Water St, Ste 2A, Elizabeth City, NC 27909
This instrument was prepared by: Thomas P. Nash, IV
Brief description for the Index: 1703 Rivershore Road
THIS DEED made this 18� day of August, 2017, by and between
GRANTOR
Melvin E. Powell, unmarried Phyllis R. Bosomworth
311 W Church Street 301 Breezewood Drive
Elizabeth City, NC 27909 1 Elizabeth City, NC 27909
Enter in appropriate block for each Grantor and Grantee: name, mailing address, and, if appropriate, character of entity, e.g.
corporation or partnership.
The designation Grantor and Grantee as used herein shall include said parlies, their heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt ofwhich is hereby acknowledged, has and
by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated in the
City of El inbeth City, El izabeth City Townsh If, Pasquotank County, N orth Carolina and more particularly described as to] lows:
See Exhibit "A" mached hereto and made a pan hereof
The property hereinabovc described was acquired by Grantor by instrument recorded in Book 112Y Page 446 -, Pasquotank
County Registry.
All or a portion of the property herein conveyed _mcludes or X does not include the primary residence of a Grantor.
A map showing the above described property is recorded in Map Book, Page_,_ Comfy Registry.
This instrument prepared by Thomas P. Nash, IV, a licensed North Carolinainlomey. Delinquent taxes, if my, to be paid by the closing
attorney to the county tax collector upon disbursement of closing proceeds,
Received
Afh� 5 - 2019
DMEC

TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in
fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the 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 following exceptions:
Easements, restrictions, rights of way of record, public service utility easements, if any and 2017 Ad Valorem Taxes.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
(SEAL)
STATE OF NORTH CAROLINA
COUNTY OF PASQUOTANK
1,
a Notary Public of the Countymnd State aforesaid, certify that Melvin E.
Powell personally came before me this day and acknowledged the due execution of the foregoing instrument for the
purposes therein expressed.
Witness my hand and official sea], this the day of Atcmsi 2017.
� 1 �j
()L� �,- i 44,A, ­-�
Notary Public ........ '
CAcIAI
Nc , PO�RTEe
My Commission Expires: 1"UCL"\ -1 , -�C)V-j No� 'lctY Public
Lot,
Received
AP'? 5 - 2919
DMEC

EXHIBIT "A"
TRACT ONE: Beginning at an iron pipe on the North margin of Parkview Drive in the
City of Elizabeth City at the Southeast comer of the lot of Joe Flickinger and running
thence North 00 20' East 118.95 feet to an iron pipe; thence South 390 15' East 70.3 feet
to an iron pipe located at the Southwest comer of the lot of John Frisby; thence North 500
25' East 166 feet to an iron pipe located in the Western margin of Rivershore Road;
thence along said Rivershore Road South 390 32' East 100 feet to an iron pipe; thence
along said Rivershore Road South 390 11'30" East 172.5 feet to a nail located at the
intersection of the West margin of Rivershore Road with the North margin of Parkview
Drive; thence along the North margin of Parkview Drive North 720 16' West 60.7 feet to
an iron pipe; thence along the North margin of Parkview Drive North 790 4 I'West 74.2
feet to an iron pipe; thence along the North margin of Parkview Drive North 86' 43'West
145 feet to an iron pipe; thence along the north margin of Parkview Drive North 890 33'
West 70. 18 feet to an iron pipe, the place of beginning, and being the same lot of land
upon which the house numbered as 1703 Rivershore Road is situated, and as is more
particularly described on a plat prepared by S. Elmo Williams, Registered Surveyor,
dated October 8, 1979.
LESS AND EXCEPT: Beginning at an iron pipe situate on the Northern margin of
Parkview Drive, the same point being the Southwest comer of the First Tract conveyed to
Thomas S. Wafts, et ux, by Coston L. Sawyer, et ux, and also being the Southeast comer
of the lot of Joseph R. Flickinger, and running thence S 890 3YE 20 feet along the
Northern margin of Parkview Drive to a point; thence N 00 20'E 95 feet more or less to
the line of John Frisby; thence N 390 15'W 60 feet more or less with the line of John
Frisby to an iron pipe at the Northwest comer of the First Tract conveyed to Thomas S.
Watts, et ux, by Coston L. Sawyer, et ux; thence S 0* 20' W 118.95 feet along the eastern
line of the lot of Joseph R. Flickinger to an iron pipe on the Northern margin of Parkview
Drive, the point and place of beginning.
Said tract consisting of a strip of land 20 feet in width, running Northwardly from
Parkview Drive between parallel lines, to the line of John Frisby, and being a portion of
the First Tract conveyed to Thomas S. Watts and Magnetite P. Watts by Deed of record
in Deed Book 414, Page 208, Pasquotank Public Registry.
TRACT TWO: Beginning at an iron pipe situate on the Eastern margin of Rivershore
Road in the City of Elizabeth City at the Northwest comer of the lot of Robert Lowry and
running thence along the East Margin of Rivershore Road North 390 32' West 100 feet to
an iron pipe located on the East margin of Rivershore Road at the line of John Frisby;
thence along the Frisby line North 500 25' East 14 1.1 feet to an iron pipe set at the margin
of a creek; thence South 17' 40' West 8 1.22 feet along said creek to the Northeast comer
of a boathouse; thence South 860 15'East 38.2 feet to a point upon said creek; thence
Received
� Dn 6 - 70"1
DMEC

along said creek South 490 14' East 30.18 feet to the property of Robert Lo%vry; thence
South 50' 25'West 105.8 feet to an iron pipe, the point of beginning, all as is more
particularly described on a plat prepared by S. Elmo Willims, Registered Surveyor,
dated October 8, 1979.
Received
A " 5 - HIII
DCM-EC