20191295 Ver 1_CAMA Application_20190926

ROY COOPER
Governor
MICHAEL S.REGAN
Secretary
BRAXTON C. DAVIS
Director
September 26, 2019
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)
grego. bod nar an, ncden r. aov
SUBJECT: CAMA/Dredge & Fill Application Review
Applicant: Tim and Deborah McCollister
Project Location: Parcel #014909000 at 0 NC 12 Hwy, Frisco in Dare County
Proposed Project: Construct a wooden elevated bridge over a man-made canal and a gravel
access driveway
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Gregg Bodnar at the address above by October 17, 2019. If you have any
questions regarding the proposed project, contact Ron Renaldi (252-264-3901, ext. 235) 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"
PRINT NAME
AGENCY
SIGNATURE
DATE
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.
�E
North Carolina Department of Environmental Quality I Division of Coastal Management
Elizabeth City Office 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: Tim and Deborah McCollister
2. LOCATION OF PROJECT SITE: 0 NC 12 Hwy (Parcel #014909000), Lot 2, Block A
of C H Fulcher Tract subdivision, next to McCollister residence at 52138 NC 12 Hwy,
Frisco, Dare County; adjacent to man-made canal that connects to Pamlico Sound.
Latitude: 35°14'57.33"N Longitude: 75036'30.31"W
3. INVESTIGATION TYPE: CAMA & D&F
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit — 08/13/19
Was Applicant Present - No
5. PROCESSING PROCEDURE: Application Received Complete — 09/09/19
Office - Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan — Dare County
Land Classification From LUP — S1/Residential
(B) AEC(s) Involved: ES, PTS, EW, PTA
(C) Water Dependent: Yes
(D) Intended Use: Private
(E) Wastewater Treatment: Existing — Onsite septic system
Planned - N/A
(F) Type of Structures: Existing — Mobile home
Planned - Wooden vehicular bridge and driveway
(G) Estimated Annual Rate of Erosion: N/A
Source — N/A
7. HABITAT DESCRIPTION: [AREA)
DREDGED FILLED OTHER
(A) Vegetated Wetlands (404)
n/a
535 sf
n/a
(B) Open water (PTA AEC)
n/a
n/a
288 sf shaded
(bridge)
(C) High ground (ES/PTS AECs)
n/a
1,248 sf (less
n/a
404 fill area)
Upland disturbance outside of
1,962 sf (less
CAMA AEC
404 fill area)
(D) Total Area Disturbed: 3,745 sf + 288 sf = 4,033 sf impacts (0.09 acres)
(E) Primary Nursery Area: No
(F) Water Classification: SA; HQW Open to Shellfishing: No

Field Investigation Report: Tim and Deborah McCollister
Page 2
8. PROJECT SUMMARY: Construct a wooden elevated bridge over a man-made canal
and a gravel access driveway.
Project Setting
Tim and Deborah McCollister's project is located on Parcel #014909000 at 0 NC 12 Hwy,
Lot 2, Block A of C H Fulcher Tract subdivision, in Frisco, Dare County. The 48,000± sf lot
is next to their single-family residence at 52138 NC 12 Hwy, Frisco, and is adjacent to a
man-made canal that connects to the Pamlico Sound. Man-made features onsite include a
mobile home and septic system. The shoreline length is 240 linear feet (98' is on the
Pamlico Sound and 142' is along the canal). The elevation of the tract ranges from 3' to 6'
above normal water level (NWL). There was no notable erosion escarpment in the project
area, and no known archeological sites on the property.
Coastal wetland vegetation onsite consists of Black Needlerush (Juncus roemerianus), Salt
meadow Cordgrass (Spartina patens), and Big Cordgrass (Spartina cynosuroides). High
ground is overgrown with the following non -coastal vegetation: Live Oak (Quercus
virginiana), Eastern Red Cedar (Juniperus virginiana), Wax Myrtle (Morella cerifera),
Chinese Privet (Ligustrum sinense Lour), Adam's Needle Yucca (Yucca filamentosa), and
indigenous grasses.
The adjacent riparian property to the north is developed with a single-family residence,
storage shed, walkway over wetlands to the adjacent sound, and a wooden vehicular bridge
that is elevated 4' above NWL in the center. The adjacent riparian property to the south is
an undeveloped, vacant lot.
The Pamlico Sound is classified as Coastal Waters, and is in the Pasquotank River Basin.
The Environmental Management Commission's water classifications for this tributary are SA
and High Quality Waters (HQW). The area is closed to shellfishing. The water depths in
the adjacent man-made canal range from -1' to -1.5' NWL at the project site. There were no
submerged aquatic vegetation (SAVs) found at the project site.
Development Proposal
In order to access the existing mobile home, the applicants are proposing to construct a
24'x12' wooden, elevated bridge over a man-made canal. The height of the bridge is
proposed at 4' for navigation clearance underneath, and will shade 288 sf of open water.
The project also includes the construction of a gravel access/driveway. The driveway in the
75' Coastal Shoreline Area of Environmental Concern (AEC) will be approximately 150' in
length, and transition from 10' to 12' in width as it enters the 30' Public Trust Shoreline AEC,
totaling 1,713 sf of high ground disturbance. Further upland disturbance proposed outside
of the CAMA AEC for the proposed driveway and parking will be approximately 2,032 sf.
Included in the development of the driveway is filling of approximately 535 sf of USACOE
404 wetland vegetation (465 sf within the CAMA AEC and 70 sf outside of the CAMA AEC).

Field Investigation Report: Tim and Deborah McCollister
Page 3
In accordance with N.C.G.S. 143-214.7(b2), "for purposes of implementing stormwater
programs, built -upon area means impervious surface and partially impervious surface to the
extent that the partially impervious surface does not allow water to infiltrate through the
surface and into the subsoil". One of the five exemptions to "built -upon area" is a surface of
#57 stone, as designated by the American Society for Testing and Materials, laid at least
four inches thick over a geotextile fabric. The fill material proposed for the applicants'
driveway will be 4", #57 stone, and will be laid over geotextile fabric that is permeable and
comprised of non -biodegradable material.
Silt fencing will be installed around disturbed area(s) to prevent runoff into the adjacent
wetlands. Temporary matting is proposed to be used to cross wetlands during construction.
The pilings for the bridge will be hydraulically installed with a pump. All other construction
will be completed by conventional framing methods.
Anticipated Impacts
• The construction of the elevated bridge will shade 288 sf of Open Water habitat in the
Estuarine Waters, Public Trust Areas AECs.
• 404 wetland fill proposed during the construction of the access/driveway will total
approximately 535 sf.
. The construction of the gravel access/driveway will disturb an additional 1,248 sf of high
ground in the Coastal Shoreline AEC, and 1,962 sf outside of the CAMA AECs.
o Impacts for the entire project will total 4,033 sf.
Submitted by: Yvonne Carver
Date: 09/23/19

PROJECT NARRATIVE
McCollister Project
July 30, 2019
Parcel #: 014909000
PIN #: 051613231274
Project Description:
PCei ed
The subject property is located in Frisco, Dare County, North Carolina. The property is a
developed 1.17 acre lot with Coastal and Section 404 wetlands.
The proposed project is associated with the improvements to access an existing mobile
home. The property owners have been accessing the existing mobile home from the
adjacent property to the east over an existing bridge. This bridge access is no longer
available and the owners need to build a bridge to the access the mobile home and
property on the Pamlico Sound. The proposed bridge will be a 24' long 12' wide pile
supported wooden bridge elevated over an existing ditch. The access driveway to the
bridge will impact 535 square feet of Section 404 wetlands and will be constructed using
#57 stone.
Alternative Bridge Location:
The proposed bridge and driveway location have been chosen to minimize impacts to
the existing wetlands and mature live oaks on the property. The initial bridge design was
18' long x 12' wide crossing over a narrower portion of the waterway. This location would
have impacted 330 square feet of Section 404 wetlands but would have resulted in the
removal of 3 mature live oak trees. The proposed location will result in the construction
of a 24' long x 12' bridge that will impact 535 square feet of Section 404 wetlands with
no removal of mature live oak trees.
Submerged Aquatic Vegetation (SAV) Analysis:
An SAV (subaquatic vegetation) survey was conducted on 7/1/19 by Doug Dorman of
Atlantic Environmental Consultants, LLC. There was no SAV growth in the location of
the proposed bridge.
Wetland Fill Mitigation:
The proposed bridge project will impact 535 square feet of Section 404 wetlands for the
construction of the access driveway to the existing mobile home. The wetland impacts
have been limited to 535 Square feet therefore we are proposing no mitigation for this
project.
Wetland Delineation:
A wetland delineation was completed by Atlantic Environmental Consultants, LLC and
verified by the US Army Corp of Engineers on May 13, 2019. A copy of the Approved
Jurisdictional Determination signed by Billy Standridge is included with the application.

Construction Techniques:
The bridge pilings will be installed by jetting them in hydraulically. The remaining
construction will be done by hand using conventional framing techniques. As the bridge
is being constructed some matting may be placed temporarily over the existing wetlands
to provide a safe working platform. The matting will be removed when the bridge
construction is complete. A pickup truck and small tractor will be used to transport
material over the bridge as it is being constructed.
DETAILS FOR PROJECT:
Proposed impacts within Public Trust Waters:
Wooden Bridge 12'x24'........................................................ 288 square feet
Proposed impacts within the 75' AEC:
#57 Stone Driveway........................................................ 1,713 square feet
Received
c �-

Gem Mr -1
APPLICATION for
Major Development Permit
(last revised 12/27106)
Received
"[Z a
0CM-Eco
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Project Name (if applicable)
McCollister Bridge
Applicant 1: First Name
MI
Last Name
Tim
Agent/ Contractor 1: First Name
McCollister
Last Name
Applicant 2: First Name
MI
Last Name
Dorman
Deborah
Agent/ Contractor 2: First Name
McCollister
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
Mailing Address
PO Box
City
State
1305 Equinox Landing
Chesapeake
VA
ZIP
Country
Phone No.
Phone No. 1
FAX No.
23322
USA
757.630-8754 ext.
252 - 261 - 7707 ext.
Street Address (if different from above)
City
State
ZIP
Email
252 261 7707
tim—[e-mail]
Street Address (if different from above)
2. Agent/Contractor Information
Business Name
Atlantic Environmental Consultants, LLC
Agent/ Contractor 1: First Name
MI
Last Name
Doug
A
Dorman
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
P.O. Box 3266
Kitty Hawk
NC
ZIP
Phone No. 1
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]
<Form continues on back>
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S?i=k,k IV+::'11.1
Form DCM MP -1 (Page 2 of 4) c - „ APPLICATION for
Major Development Permit
f)(14 -Fr
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Dare
0 NC 12 Hwy; Parcel #014909000; Pin # 051613231274
NC 12
Subdivision Name
City
State
Zip
None
Frisco
INC
27936 -
Phone No.
Lot No.(s) (it many, attach additional page with list)
757-630-8754 ext.
I I I ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Man-made features and uses now on tract
Manmade canal to 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 (sci t.)
240 total linear feet; 98' soundside; 142' canal
51,164 sf
c.
Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
51,164 sf, I I
NWL (normal water level)
(It many lot sizes, please attach additional page with a list)
3'-6' ❑NHW or ®NWL
e.
Vegetation on tract
Live Oak, Red Cedar, Black Needle Rush, Spartine sp., Wax Myrtle, Chinese Privot.
I.
Man-made features and uses now on tract
Exisitng mobile home and septic system.
g.
Identify and describe the existing land uses ad6acent to the proposed project site.
Residential properties adjacent to property
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 [INA
j.
Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes SNo
k.
Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes SNo [INA
If yes, by whom?
I.
Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes SNo ❑NA
National Register listed or eligible property?
<Form continues on next page>
.252-000.2008 :: 1.888-4r3COAST :: www. nccoasta l management. net

Form DCM MP -1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (1) Are there wetlands on the site?
®Yes ❑No
(ii) Are there coastal wetlands on the site?
®Yes ❑No
(iii) If yes to either (1) or (ii) above, has a delineation been conducted?
®Yes ❑No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
Onsite conventional septic system
Received
q i
o. Describe existing drinking water supply source.
Public water supply
p. Describe existing storm water management or treatment systems.
None
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? ❑Commercial ❑PubliclGovernment
®Private/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
The proposed driveway and bridge will provide permanent access to the existing mobile home. The property owners have
used an adjacent property owners bridge to access the mobile home but ownership has changed and this is no longer an
option. The proposed brdige will privide permanent access over an existing ditch.
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.
The pier and bridge pilings will be installed hydraulically with a pump. The remaining construction will be done by hand using
conventional framing techniques. A pickup truck will be used to transport material over the bridge as it is being constructed.
Any equipment being used will be stored onsite when not in use.
d. List all development activities you propose.
Construction of an elevated w000den bridge over an exisitng ditch to access an existing mobile home. Upland development
includes driveway to elevated bridge and driveway improvements to existing mobile home.
e. Are the proposed activities maintenance of an existing project, new work, or both? New
I. What is the approximate total disturbed land area resulting from the proposed project? 3,745 SSq.Ft or ❑Acres
g. Will the proposed project encroach on any public easement, public accessway or other area ❑Yes SNo ❑NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
Surface runoff.
I. Will wastewater or stormwater be discharged into a wetland? []Yes SNo ❑NA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ❑No ❑NA
j, Is there any mitigation proposed? ❑Yes SNo ❑NA
If yes, attach a mitigation proposal.
<Form continues on back>
252-808-2808 .. 1.888-4RCOAST .. www.nccoastaimanagement.net

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 far the application
package to be complete. items (a) — (0 are always applicable to any major development application. Please consult the application
instruction booklet on how to 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 slate 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 Nathan & Susan Rosen Phone No.
Address 1824 SW Brooklane Drive, Corvallis, OR 97333
Name Susan Yen & Micheal Duell Phone No.
Address PO Box 336, Manns Harbor, NC 27953
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.
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 7/30/19 Print Name _Doug Dorman, Consultant
Signature
Please indicate application attachments pertaining to your proposed project.
®DCM MP -2 Excavation and Fill Information ®DCM MP -5 Bridges and Culverts deceived,
®DCM MP -3 Upland Development
❑DCM MP -4 Structures Information
252.808-2808 .. 1-888-4RCOAST .. www.necoastaimanagement.net

Form DCM MP -2
EXCAVATION and FILL
(Except for bridges and culverts)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP -1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
Describe below the purpose of proposed excavation and/or fill activities. All values should be given in feet.
®This section not applicable
a.
Access
b. Type of material to be excavated.
cubic yards.
c.
Other
d. High -ground excavation in cubic yards.
Channel
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
(excluding
(NLW or
❑CW ❑SAV ❑SB
Breakwater
shoreline
NWL)
(ii) Describe the purpose of the excavation in these areas:
stabilization
Length
2.
DISPOSAL OF EXCAVATED MATERIAL
®This section not applicable
a.
Location of disposal area.
b. Dimensions of disposal area.
c.
Width
(i) Do you claim title to disposal area?
d. (1) Will a disposal area be available for future maintenance?
❑Yes ❑No [INA
❑Yes ❑No [INA
Avg. Existing
(ii) If yes, where?
e.
(i) Does the disposal area include any coastal wetlands/marsh
NA
NA
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
Depth
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
(a) If yes, how much water area is affected?
❑CW ❑SAV ❑SB
Final Project
(ii) Describe the purpose of disposal in these areas:
NA
NA
Depth
®This section not applicable
a.
Amount of material to be excavated from below NHW or NWL in
b. Type of material to be excavated.
cubic yards.
c.
d. High -ground excavation in cubic yards.
(I) 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.
❑CW ❑SAV ❑SB
OWL ❑None
(ii) Describe the purpose of the excavation in these areas:
2.
DISPOSAL OF EXCAVATED MATERIAL
®This section not applicable
a.
Location of disposal area.
b. Dimensions of disposal area.
c.
(i) Do you claim title to disposal area?
d. (1) Will a disposal area be available for future maintenance?
❑Yes ❑No [INA
❑Yes ❑No [INA
(ii) If no, attach a letter granting permission from the owner.
(ii) 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?
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
❑Yes ❑No [INA
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
(a) If yes, how much water area is affected?
❑CW ❑SAV ❑SB
OWL ❑None
(ii) Describe the purpose of disposal in these areas:
��^^
j `J i� �. e i rind
6,„a a ,1 i?'-
): r -f7
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised: 12/26/06

Form DCM MP -2 (Excavat9on and Fill, Page 2 of 3)
3. SHORELINE STABILIZATION ®This section not applicable
(If development is a wood groin, use MP -4 — Structures)
a. Type of shoreline stabilization: b. Length:
❑Bulkhead ❑Riprap ❑Breakwater/Sill ❑Other: _ Width:
c. Average distance watenvard of NHW or NWL: d. Maximum distance waterward of NHW or NWL:
e. Type of stabilization material:
g. Number of square feet of fill to be placed below water level.
Bulkhead backfill _ Riprap
Breakwater/Sill_ Other
i. Source of fill material.
4. OTHER FILL ACTIVITIES
(Excluding Shoreline Stabilization)
a. (i) Will fill material be brought to the site? ®Yes ❑No ❑NA
If yes,
(ii) Amount of material to be placed in the water 0
(iii) Dimensions of fill area Varies total 535 sf
(iv) Purpose of fill
For proposed access driveway to proposed driveway.
a. How will excavated or fill material be kept on site and erosion
controlled?
# 57 stone will be used for driveway and silt fence will be installed
around distrubed area to prevent material from impacting
wetlands.
c. (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.
7/30/19
Date
McCollister Project
f. (i) Has there been shoreline erosion during preceding 12
months?
[]Yes ❑No El NA
(ii) If yes, stale amount of erosion and source of erosion amount
information.
h. Type of fill material.
(. eived
❑This section not applicable
submerged aquatic vegetation (SAV), shell bottom (SB), or
other wetlands (WL)? If any boxes are checked, provide th
number of square feet affected.
❑CW _ ❑SAV _ OSB _
OWL 535sf ❑None
(ii) Describe the purpose of the fill in these areas:
Wetlands will be filled for access driveway to bridge and
existing mobile home.
What type of construction equip
backhoe, or hydraulic dredge)?
Small tractor and dump truck
d. (i) Will wetlands be crossed in transporting equipment to project
site? ®Yes []No []NA
(ii) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
Temporary matting will be used during construction to cross
wetlands.
Project Name
Authorized agent - Doug Dorman
Applicant Name
252-808-2808 :: 1.888-4RCOAS3 1stalmanaaement.net revised: 12/26/06

Form DCM MF -2 (Excavation and Fill, ?age 3 of 3)
Appli S nature
DCNII-E U-8
252-808-2808 :: 1.888-4RCOAST :: www.nccoastaimanaaement.net revised: 12/26/06

IREn, r�
Form DCM MP -3
UPLAND DEVELOPMENT
(Construction and/or land disturbing activities)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP -1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
GENERAL UPLAND DEVELOPMENT
a. Type and number of buildings, facilities, units or structures b. Number of lots or parcels.
proposed. 1
Driveway
c. Density (give the number of residential units and the units per
acre).
1 residential unit on 1.17 acres
e. If the proposed project will disturb more than one acre of land, the
Division of Land Resources must receive an erosion and
sedimentation control plan at least 30 days before land -disturbing
activity begins.
(i) If applicable, has a sedimentation and erosion control plan been
submitted to the Division of Land Resources?
❑Yes ®No [INA
(ii) If yes, list the date submitted:
g. Give the percentage of the tract within the coastal shoreline AEC to
be covered by impervious and/or built -upon surfaces, such as
pavement, building, rooftops, or to be used for vehicular driveways
or parking.
0%. For further clarification on Built Upon Area refer to
N. C. G. S.143 -214.77(b2).
i. Give the percentage of the entire tract to be covered by impervious
and/or built -upon surfaces, such as pavement, building, rooftops,
or to be used for vehicular driveways or parking.
0%
j. Describe proposed method of sewage disposal.
Existing conventional septic system.
I. Describe location and type of proposed discharges to waters of the
state (e.g., surface runoff, sanitary wastewater, industrial/
commercial effluent, 'Wash down" and residential discharges).
Surface runoff
d. Size of area to be graded, filled, or disturbed including roads,
ditches, etc.
3,745 sf
f. List the materials (such as marl, paver stone, asphalt, or concrete)
to be used for impervious surfaces.
No impervoius area proposed. #57 stone will be used for
driveway with geotextiel fabric installed under stone. (see
driveway cross section).
h. Projects that require a CAMA Major Development Permit may also
require a Stormwater Certification.
(i) Has a site development plan been submitted to the Division of
Water Quality for review?
❑Yes ®No [INA
(ii) If yes, list the date submitted:
k. Have the facilities described in Item (i) received stale or local
approval?
®Yes []No [INA
If yes, attach appropriate documentation.
m. Does the proposed project include an innovative stormwater
design?
❑Yes ❑No ®NA
If yes, attach appropriate documentation.
252-808-28082 :: 1-888.4RCOAST :: www.ricconstalm_onaciement.net revised: '12126/06

Form DCM NIP -3 (Upland Development, Page 2 of 2)
m. Describe proposed drinking water supply source (e.g., well,
community, public system, etc.)
Existing public system
o. When was the lot(s) platted and recorded?
4/17/63
7/30/19
Date
McCollister Propeject
Project Name
Tim & Deborah McCollister
Applicant Name
Agent - Doug Dorman
ApgliGant Signature
n. (!)Will water be impounded? ❑Yes ®No []NA
(ii) If yes, how many acres?
p. If proposed development is a subdivision, will additional utilities be
installed for this upland development?
❑Yes ❑No ®NA
RereilleCl
i,JCo M -E C
252-808.2808 :: 1-888.2RCOAST :: www.nccoastalmanagement.net revised: 12126/06

Form DCM MP -5
BRIDGES and CULVERTS
eceiv d
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. BRIDGES ❑This section not applicable
a. Is the proposed bridge:
[]Commercial ❑Public/Government ®Private/Community
c. Type of bridge (construction material)
Wooden
e. (1) Will proposed bridge replace an existing bridge? ❑Yes ®No
If yes,
(ii) Length of existing bridge:
(iii) Width of existing bridge:
(iv) Navigation clearance underneath existing bridge:
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
9. Length of proposed bridge: 24'
b. Water body to be crossed by bridge:
Ditch connected to Pamlico Sound
d. Water depth at the proposed crossing at NLW or NWL:
-1.5'
f. (i) Will proposed bridge replace an existing culvert? ❑Yes ®No
If yes,
(ii) Length of existing culvert:
(iii) Width of existing culvert:
(iv) Height of the top of the existing culvert above the NHW or
NWL: _
(v) Will all, or a part of, the existing culvert be removed?
(Explain)
h. Width of proposed bridge: 12"
I. Will the proposed bridge affect existing water now? ❑Yes ®No j. Will the proposed bridge affect navigation by reducing or
If yes, explain: increasing the existing navigable opening? ❑Yes ®No
If yes, explain:
k. Navigation clearance underneath proposed bridge: 4'
I. Have you contacted the U.S. Coast Guard concerning their
approval? ❑Yes ®No
If yes, explain:
m. Will the proposed bridge cross wetlands containing no navigable n. Height of proposed bridge above wetlands: N/A
waters? ❑Yes ®No
If yes, explain:
2. CULVERTS ®This section not applicable
a. Number of culverts proposed: _
b. Water body in which the culvert is to be placed:
< Form continues on back>
252-808-2808 :: 1-888-4RCOAST :: wwwmccoasti F:: revised: 10/26/06

Form DCM MP -5 (Bridges and Culverts, Page 2 of 4)
0. Type of O~ (construction material):
d. (Q VAII proposed mWrt replace W axdstklg bridge?
Oyes Ohio
If yes.
(u) Length of existing bridge:
(Iii) Width of existing bridge:
(Iv) Navigation clearance underneath exieWg bridge:
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
L Length of proposed curved:
h. Height of the lop of the proposed culvert above the NM or NWL.
J Will the Proposed culvert affect navigation by reducl�n or
increasing the existing navigable opening? Nes ONO
ff yes, explain:
3. EXCAVATION and FILL
a. (1) Will the placement of the proposed bridge or culvert require any
excavation below the NNW Or NWL? Oyes ONO
If yes,
(iQ Avg. length of area to be excavated: _
(iii) Avg. width of area to be excavated:
(iv) Avg. depth Of area to be excavated:
(v) Amount of material to be excavated in cubic yards:
c. (i) Will the placement of the proposed bridge or culvert require any
hgh-groun0 excavation? Oyes ONO
Ryes,
(li) Avg. length of area to be excavated:
(iii) Avg. width of area to be excavated:
(iv) Avg. depth of area to be excavated:
(v) Amount of material to be excavated in cubic yards:
e. (1) Wal proposed culvert replace an existing culvert?
Oyes ONO
If yes,
(ii) Length of existing culvert(sy
Vh) WKHh of exlsting cuNen(s):
(lv) Haight of the tap Of the existing covert above the NNW or
NWL:
(v) Will 00, or a pad Of. the exlsWg culvert be removed?
(Explain)
g. Width of proposed Merl:
i. Depth of culvert to be buried below existing boom tumour.
k. Will the proposed culvert affect existing water flow?
Oyes ONO
If yes, explain:
❑This section not applicable
b. (i) Will the placement Of the proposed bridge or culvert require any
excavation within coastal wetlands/marsh (CM, submerged
aquatic vegetation (SAV), shell bong, (SB), or oiler wetlands
(WL)? If any boxes are checked. PrOvide the number of square
feet affected.
OCW _ OSAV _ OSB _
OWL ®None
(ii) Describe the purpose of the excavation in these areas:
252-808.2808 :0 1-888.4RCOAST :: vevyW.nccoastab anagernen_t.net revised: 10/28108
ti
�_.c a

Form DCM MP -5 (Bridges and Culverts, Page 3 of 4) Received
d. If the placement of the bridge or culvert involves any excavation, please complete the following:
(i) Location of the spoil disposal area:
(ii) Dimensions of the spoil disposal area: _ ! 3 C V! -F C
(iii) Do you claim title to the disposal area? ❑Yes ❑No (If no, attach a lettergranting permission from the owner.)
(iv) Will the disposal area be available for future maintenance? []Yes []No
(v) Does the disposal area include any coastal wetlands/marsh (CW), submerged aquatic vegetation ISM), other wetlands (WL), or shell
bottom (SB)?
❑CW ❑SAV OWL ❑SB ❑None
If any boxes are checked, give dimensions if different from (it) above.
(vi) Does the disposal area include any area below the NHW or NWL? ? ❑Yes ❑No
If yes, give dimensions if different from (ii) above.
e. (i) Will the placement of the proposed bridge or culvert result in any f.
fill (other than excavated material described in Item d above) to
be placed below NHW or NWL? ❑Yes ®No
If yes,
(ii) Avg. length of area to be filled:
(iii) Avg. width of area to be filled:
(iv) Purpose of fill:
(i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed within 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 535 ❑None
(ii) Describe the purpose of the excavation in these areas:
g. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed on high -ground? ❑Yes ®No
If yes,
(it) Avg. length of area to be filled:
(iii) Avg. width of area to be filled:
(iv) Purpose of fill:
a. Will the proposed project require the relocation of any existing b. Will the proposed project require the construction of any temporary
utility lines? ❑Yes ®No detour structures? ❑Yes ®No
If yes, explain: If yes, explain:
If this portion of the proposed project has already received
approval from local authorities, please attach a copy of the
approval or certification.
< Form continues on back>
252.808.2808 :: 1.888.411COAST :: w .nccoastalmanagement.net revised: 10/26/06

F` "'T' nCNI MP -S (Bridges and Culverts, Page 4 of 4)
C. Will the proposed project require any work channels? d. How will excavated or fill material be kept on site and emsim
Dyes ®No aonaonef?
/f yes, WmP/ate Form DCM-MP-2. SIO fence will be Installed in Work areas and tea at slope at
wetland fill areas to toward further impacts to wetlands.
e. What type ofconstruCtion equipment will be used (for example,
draliff", badchoe, or hydraulic dredge)?
Hydraulic pump, hard toois.
g. Will the placement of the proposed bridge or culvert require any
shoreline stabilization? Dyes ®No
If yes, complete form MP -2, Seobon 310r Shonehne
Stabilaab'on only
7/30/19
Date
McCollister Project
Project Name
Tim & Deborah McCollister
Applicant Name
A6plfc r7%nsture
f. Will Mmands be crossed in transporting equipment to project site?
®Yes []No
It yes, explain steps that will be taken to avoid or minknize
environmental kapacts.
Temporary matting will be used during construction of
bridge and driveway.
eceiv0d
252.808.2808 :: 1-888-0RCOAST :: wwwyngcoastahmanag_ement net revised: 10126/06

DARE REAL ESTATE
COUNTY TRA NSrER TAX
0 LT
9-/7
N?, APPROyrD
0 DARE COUNTY T
COLLECTOR
NO, 1 9 5 g0
Recorded: 12/05/2017 04:34:36 PM
BY: SHAREE WILDER
Vamob McMunan, Register of Deeds
Dare Courdy, NC
Fee Amt $26.00 NC Fxdae Talc $116.00
BOOK 2208 PAGE 479 (3)
7000/8719 �IIIIIII�II`IIIIIII�
I
\�mm
Parcel Identifier No. 14909.000
Mail after recording to: Dixon & Dixon Law Offices, PLLC, P. O. Box 750, Avon, NC 27915
This instrument was prepared &an L. Merrell, Attorney At Law
Brief Description for the index I -JW 2, Blk. A, C. H. Fulcher Tract
NORTH OZOROLINA GENERAL WARRANTY DEED
GRANTOR GRANTEE
Jerry I.ee Sharp and wife, O Timothy J. McCollister and wife,
Margaret Bennett Sharp () Debra L. McCollister
35270 Babb Drive Tk365 Equinox Landing
Ivor, VA 23666 Rkesspeake, VA 23322
The designation Grantor and Grantee as used herein shall include sparties, their heirs, successors, and assigns, and
shall include singular, plural, masculine, feminine or neuter es regewdld by context.
WITNESSETH, that the Grantor, for a valuable consideration paid ✓Qa Grantee, the receipt of which is hereby
acknowledged, has and by these presents does grant, bargain, sell and &fty unto the Grantee in fee simple all that
certain lot or parcel of land situated in the Village of Frisco, Hatteras T spip, Dare County, North Carolina and
more particularly described as follows:
See Exhibit "A" attached hereto and made a part hereof`
All ora portion of the property herein conveyed does not include the primary re ence of the Grantor.
This instrument prepared by Dan L. Merrell, a licensed North Carolina attorney. Deleof taxes, if any, to be paid by
the closing attorney to the County Tax Collector upon disbursement of closing procee
. cawed
Book 2208 Page 479

G
✓,-The properly hereinabove described was acquired by Grantor by instrument recorded in Deed Book 2181, Page 807,
e County Registry.
Am3p showing the above described property is recorded in Map Book 2, Page 191.
TOE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to
the Gr, , a in fee simple.
And the
VV''e.mor covenants with the Grantee, (hat Grantor is seized of the premises in fee simple, has the right to
convey the sa sn fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will
warrant and nd the title against the lawful claims of all persons whomsoever except for the exceptions hereinafter
stated.
Title to the propeereinabove described is subject to the following exceptions:
Easements and reslriQ as of record, if any, in the Dare County Registry.
Any and all local, cou; , state and federal ordinances, rules and regulations relating to land use, zoning and
subdivision affecting the subject premises.
IN WITNESS WHEREOF, tt&rantor has hereunto set his hand and seal, or if corporate, has caused this
instrument to be signed in its cor6orale name by its duly authorized officers and its seal to be hereunto affixed
by authority of Its Board of Dir 6rs, the day and year first above written. �p
RW �.Q..a.1C)aQ (SEAL)
JeekdLe Sharp —sz,
Y 1 � f 0.2a ,tmLmt �(SEAL)
Margaret Bennett Sharp
Stale of iVONt' CialYA(�SA _, County of Qu"_�t I CL
1, a Notary Public of the Coli ty and State aforesaid, certify that Jerry Lee Sharp
personally appeared before ;his day and acknowledged the execution of the
SEAL -STAMP foregoing instrument. Witne y hand and official stamp or seal, this97 _ day of
srtl OslrlNisrS.2017.
My commission expires:l-alr"o2( (SEAL)
Notary Pub
UMMYJ.'21n! M
NonhNotCaorolinndin
ce O
f.UfflNek County
C,
State of , County of THpo/�l
SEAL -STAMP
f, a Notary Public of the County and State aforesaid, c rlify that Margaret Bennett
pN80N F. tH personally appeared before me this day and ackno gad the execution of the
Notary Vi db foreg ng ins�trum/ant Witness my hand and official stempl r eel, this -/-7—day of
com"OlneI 0 • , 2017.
1701N
Fx '3i' commission expires: EAL)
'ElfccM669 31 _2= Notary Public(
SNARoN �. LEF
Received
CriAl r
Book 2208 Page 480

G
`10
EXHIBIT A
'Beginning at an existing iron stake or other marker situated on the Northern margin of the right of way
an
Hatteras NC 12 Highway in Frisco, NC; said beginning point being situated on the Southeast corner
3, Block A of the C. H. Fulcher Tract; and running thence from said beginning point along the
ern margin of the right of way of the Hatteras NC 12 Highway North 75`00'00" East 69.02 feet to
'ting iron stake in the Southwest corner of a parcel of land now or formerly belonging to Edward J.
C�). and shown as Lot A on Map Book 2, Page 191 in the Dare County Public Registry, and
ining thence North 24'56'57" West 728.78 feet, more or less, to a point at the mean high
water imarXof the Pamlico Sound; thence running in a generally Northwesterly direction along the mean
ater rr( k of the Pamlico Sound North 77°36'56" West 86.36 feet, more or less, to a point at the
high v r mark of the Pamlico Sound, and cornering; running thence South along the
nmost bo nary of Lot 3, Block A of the C. H. Fulcher Tract South 25°00'00" East 769.23 feet,
high w
mean
Easter
more or less, to
existing iron stake marking the point and place of beginning.
The same being designated as Lot 2, Block A, on the aforesaid map of the Division of C. H. Fulcher Estate
Reference is made to th�5ertain deed from Virginia L. Sharp, Widow, Grantor to Jerry Lee Sharp,
Grantee, dated July 18, 20b7'Find recorded July 19, 2017 in Deed Book 2181, Page 807 in the Dare
County Public Registry for furtl{�c)arification.
d
0
�l
Received
Book 2208 Page 481

MAJOR PERMIT FEE MATRIX
ADDlicant: Tim and Deborah McCollister
Selection
Development Type
Fee
DCM %
DWQ %
(14300 1601 435100093 1625 6253)
(24300 1602 435100095 2341)
I. Private, non-commercial
E]
development that does not
$250
100%($250)
0%($0)
involve the filling or
excavation of any wetlands
or open water areas:
II. Public or commercial
development that does not
$400
100%($400)
0%($0)
involve the filling or
excavation of any wetlands
oro en 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-
commercial development, if
$250
100%($250)
0%($0)
General Water Quality
Certification No. 4175 (See
attached can be applied:
III(B). Public or commercial
development, if General
$400
100%($400)
0%($0)
Water Quality Certification
No. 4175 (See attached)
can be applied:
III(C). If General Water
Quality Certification No.
$400
60%($240)
40%($160)
4175 (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
Certification No.
$400
60%($240)
40% ($160)
4175 (see attached) cannot
be a lied:
IV. For development that
oElQuality
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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