19880139 Ver 1_COMPLETE FILE_19880101

Permit Class Permit Number
New STATE OF NORTH CAROLINA 87:88
Department of Natural Community Development
C e3A rs ion
fem.. z
X Mai 1 ini onmental
? v? r
Con te. ?1?i1 V l-: lr i4
0 Excavatio 6 g'1`t to NCGS 113-229
Issued to Dary Lynn Lewis, Route 2, Box 4347-B, Leland, NC 28451
authorizing development in Brunswick Countyat Dead Creek at intersection of
SR 1413 and US 17 as requested in the permittee's application dated 3/l/88 including
attached plats, 3, location, plan view and cross section dated received 3/28/88.
This permit, issued on 2 Cj U , is subject to compliance with the application (where consistent
with the permit), all applica le regu ations, special conditions and notes set forth below. Any violation of these terms may subject
permittee to a fine, imprisonment or civil action; or may cause the permit to be null and void.
(1) In order to protect juvenile fin fish, no excavation or filling will be
permitted between the dates of March 1 and September 30 of any year without
the prior approval of the N. C. Division of Coastal Management.
(2) No excavated or fill material will be placed at any time in any marsh or
surrounding waters outside. of the alignment of the fill area indicated
on the plat.
(3) All excavated materials will be confined landward of the mean high water
(MHW) elevation contour and any regularly or irregularly flooded vegetated
wetlands.
(4) Excavation will not exceed 6 feet below the elevation of mean low water
(MLW).
(5) The temporary placement or double handling of excavated or fill materials
within waters or vegetated wetlands is not authorized.
See
This permit action may be appealed by the permittee
or other qualified persons within twenty (20) days of the
issuing date. An appeal requires resolution prior to work
initiation or continuance, as the case may be.
This permit must be accessible on-site to Department
personnel when the project is inspected for compliance.
Any maintenance work or project modification
not covered hereunder requires further Departmental
approval.
All work must cease when the permit expires on
December 31. 1991
In issuing this permit, the State of North Carolina
agrees that your project is consistent with the North
Carolina Coastal Management Program.
Signed. by the authority of the Secretary of DNRCD and
the Chairman of the Coastal Resources Commission.
U7
David W. Owens, Director
Division of Coastal Management
This permit and its conditions are hereby accepted.
Signature of Permittee
Dary onn,tewi Permit:-#87-88
Page 2;bf 2
40 M. ADDITIONAL-CONDITIONS
(6) The `activity will °b6'conducted in such a manner as to prevent a significant
increase in turbidity outside the area of construction or construction-
related discharge.
(7) The- permittee will maintain the authorized work in good condition and in
conformance with the -terms and conditions of this permit. The permittee
is not relieved of;?thi`s requirement if he abandons the structures without
having the permit transferred to a third party.
NOTE: The proposed project is certified under General Water Quality Certification
No. 1431 issued on October 16, 1980, for boat ramp construction.
DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, NORTH CAROLINA 28402.1890
IN REPLY REFER TO May 19, 1988
Regulatory Branch
SUBJECT: File No. SAWC088-N-010-0262
Mr. John Parker
Division of Coastal Management
North Carolina Department of
Natural Resources and
Community Development
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Dear Mr. Parker:

Reference the application of Mr. Dary Lynn Lewis for a
Department of the Army perm:!.t to construct a boatramp, excavate a
basin and enlarge a pier on Dead Creek, off Town Creek, near
Leland, Brunswick County, North Carolina.
The Federal agencies have completed review of the proposal as
presented by the application and your field investigation report.
We recommend that the following conditions be included in the
State authorization:
a. In order to protect juvenile fin fish, no excavation or
filling will be permitted between the dates of April -1 and
September 30 of any year without the prior approval of the North
Carolina Division of Coastal Management.
b. All excavated materials will be confined landward of the
mean high water (MHW) elevation contour and any regularly or
irregularly flooded vegetated wetlands.
c. No excavated or fill materials will be placed at any time
in any vegetated wetlands or waters.
d. Excavation will not exceed 6 feet below the elevation of
mean low water. (MLW).
-2-

e. The temporary placement or double handling of excavated or
fill materials within waters or vegetated wetlands is not
authorized.
f. The permittee will maintain the authorized work in good
condition and in conformance with the terms and conditions of this
permit. The permittee is not relieved of this requirement if he
abandons the permitted activity without having it transfered to a
third party.
g. The authorized structure and associated activity will not
cause an unacceptable interference with navigation.
h. The activity will be conducted in such a manner as to
prevent a significant increase in turbidity outside the area of
construction or construction-related discharge. Increases such
that the turbidity in the waterbody is 50 NTU's or less are not
considered significant.
Questions or comments may be addressed to Mr. Ernest Jahnke,
telephone [phone].
Sincerely,
Charles W. Hollis
Chief, Regulatory Branch
-3-

Copies Furnished:
Mr. William Mills
Water Quality Section
J Division of Environmental
Management
North Carolina Department of
Natural Resources and
Community Development
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Ms. L. K. (Mike) Gantt
U.S. Fish and Wildlife Service
Post Office Box 25039
Raleigh, North Carolina 27611-5039
Mr. Randy Cheek
National Marine Fisheries Service
Habitat Conservation Division
Pivers Island
Beaufort, North Carolina 28516
Ms. Beverly Etheridge, Chief
Wetlands Section
Region IV
Marine and Estuarine Branch
U.S. Environmental Protection Agency
345 Courtland Street
Atlanta, Georgia 30365
Mr. C. Robert Stroud, Jr.
Wilmington Regional Office
North Carolina Division of
Coastal Management
7225 Wrightsville Avenue
Wilmington, North Carolina 28403
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DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
Comments concernYng an application,for State Federal CAMA Permit(s) from __)tj_?j
1 a C? l 1; f r? + ?rl. f (1 L A 16 11
A. PERMIT:
This office cannot comment on this project until after the close of the Section
401 Certification Public Comments Period.
\,/,This office has no objection to the issuance of the permit(s) for the proposed
;Koject with the following conditions:
That the activity be conducted in such a manner as to prevent significant
increases in turbidity outside the area of construction or construction-
related discharge (increases of 25 NTU's or less are not considered
significant).
That the instream turbidity not be increased by more than 50 NTU's as a
result of the proposed activity after a reasonable opportunity for dilu-
tion and mixture. -
That turbidity levels in shall not be increased
by more than 10 NTU's as a result of the proposed activity after a reason-
able opportunity for dilution and mixture.
B. CERTIFICATION STATUS:
Certification is not required
for this project.
Certification is required for
this project. Such action to
process the certification has
been initiated. Proposed
Certification will be acted on
or after
The proposed project is certified
under General Certification

A) No. 1179 issued on January 25, No. 1431 issued on October 16,
1977, for sewer line construction 1980, for boat ramp construction.
B) No. 1272 issued on November 10, E) No. 1664 issued on September 8,
1978, for bulkhead construction. 1983, for Rip-Rap Placement.
C) No. 1273 issued on November 10, F) No. 1665 issued on September 19,
1978, for discharges of liquid 1983, for incidental bridge
effluent from diked upland disposal construction.
areas. Kle, / / ?

WATER QUALITY SECTION
DIVISION OF ENVIRONMENTAL MANAGEMENT

f'3
DIVISION OF ENVIRONMENTAL MANAGEMENT
MEMORANDUM
DATE: d
TO: Bill Mills;
Operations Branch
FROM: James H. Gregson ,r#-6- ' j
Wilmington Regional Office
THROUGH: A. Preston Howard, Jr.
Wilmington Regional Offic
SUBJECT: Regional Office Review & Recommendations
Application for Permit for Excavation and/or Fill
Project Description: 71,?- yQ? 7? try"w4".16 a, ?o?t crn-?t,
Adjacent Water Body:49eo
Classification: e S44/
Status:
The project has been reviewed to determine impacts to water
quality. The appropriate comments below have been checked:
(X) The project wi 1 ill not require a 401 Water Quality
Certification.
(X) The project complies with the General 401 Water Quality
Certification # /y3 for az4y qjve
(X) The proposed project should be done in such a way as to
not cause the turbidity outside the immediate
construction area to exceed S-a NTU.

This office has no objection to the project as proposed.
JHG:kc
cc: DCM- We6CR7' StRa+4
CF, WiRO

M
OFFICE OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. Applicant's name Dary Lynn Lewis
2. Location of project site Intersection of SR 1413 and US Hwy 17 just north of
Town Creek Bridge on Dead Creek a tributary of Town Creek in Brunswick Countv
No Photo
3. Investigation type: Dredge & Fill X CAMA x
4. Investigative procedure: (A) Dates of site visit 3/7/88
(B) Was applicant present yes
5. Processing procedure: Application received 4/11/88 Office WiRO
6. _Site description: (A) Local Land Use Plan Brunswick County
Land Classification from LUP Transitional/Mixed Use
Development constraints identified in LUP none
(B) AEC(s) involved: Ocean Hazard Estuarine Shoreline
Coastal Wetlands Public Trust Waters X
Estuarine Waters Other
(C) Water dependent: Yes X No Other
(D) Intended use: Public Private x Commercial
(E) Type of waste water treatment: Existing Septic Tank
Planned
(F) Type of structures: Existing House, shed, house trailer
Planned
7.
(G) Estimated annual rate of erosion none Source
Habitat description: AREA
Dredged Filled Other
(A) Vegetated wetlands:
Cypress Swamp 350 s.f.
(B) Non-vegetated wetlands:
(C) Other:
(D) Total Area Disturbed: 350 s.f.
8. Project Summary Applicant proposes to construct a 40 s.f. dock onto existing
pier, and to excavate approximately 350 s f boat basin with ramp for private
boat access.

Dary Lynn Lewis
Page Two
9. PROJECT DESCRIPTION
Mr. Lewis owns approximately 3 acres of high ground property adjacent to Dead
Creek. The transition zone between high ground and the creek is largely
cypress swamp. Present structures on the property consist of a house, shed,
house trailer, and a 35' pier. Elevation of the high ground property averages
approximately 18 feet. With the exception of the "404" wetland area adjacent
to Dead Creek, the property is cleared farmland with scattered hardwoods.
Dead Creek is inland water, Class CSW, and secondary nursery area. Water depth
of Dead Creek in this area averages approximately 12'-15'.
The applicant proposes to add a dock to his existing pier and to excavate a
small boat basin with boat ramp off the existing creek. The dock will be
approximately 10' x 4' and will parallel the creek. The basin area will have
maximum dimensions of 35' long x 10' wide x -6' mean low water. Less than 100
cubic yards of material will be excavated and will be deposited on high ground.
A concrete slab will be used to form the ramp. This structure will be
approximately 9' x 121.
10. ANTICIPATED IMPACTS
The loss of 350 s.f. of wetlands will not involve those under CAMA
jurisdiction. Provided that the project is timed to avoid peak biological
activity in the creek, no significant adverse impacts on coastal resources will
result.
Submitted by: C. Robert Stroud, Jr. Date: April 19, 1988 Office: Wilmington
r
Please type or print. Carefully describe all an-
ticipated development activities, including construc-
tion, excavation, .filling, paving, land clearing, and
stormwater control. If the requested information is
not relevant to your project, write N/A (not W
plicable). Items 1.4 and 8.9 must be completed for
all projects.

d. Dcuxibe the planned of project.
I,?IC? TD P 7- Bo s)r
Si}/Tb Gy/?-TEll

a.
a. Name ! W R V L Z'F_ W/ S b.
Address .'Rok"4l341-13 C.
City L ELAA1,U State o/,
Zip-26'</S / Day phone l S S -2 z I 1 E'97/y.
Landowner or Authorized ent e
b. Project name •lif anyl _l4'?I t E PAn
c. If the applicant is not the landowner, also give
the owner's name and address. g
114 tr_1
Developed Community
Rural Other
h. How is the tract zoned by local government?
Conservation Transitional

ZAe7".ERSEC-r101V F' SR A113An/D 4i,S,
a. Street ad or secon road nun
-7,a .s r Np r2j-y o,,,- TD?,,Al

j. Has a professional archaeological survey been
carried out for the tract? 11ES
If so, by whom? i
Complete this section if the project includes any
upland development.
a. Type and number of b , facilities, or
structures proposed A?
w4/ / / i. How are adjacent waters classified? '
b. City,town, community, or landmark
c. County 0U'R'M C/ '?Ai Af
d. Is proposed work within city limits or planning
jurisdiction? X0
e. Name of bod of water nearest project
a. - Describe all development activities you propose
(for example, building a home, motel, marina,
bulkhead, or pier).
G
- ROOT-
I Ai'YI
If you plan to build a marina, also complete
and attach Form DCM-MP-2. `°°'m"- -=
b. Is the proposed activity maintenance of an ex
isting project, new work, or both.
b. Number of lots or
c. Density (Give the
and the units per.
of residential units
d. Size of area to be grade(
e. If the proposed project
one acre of land, the I
Resources must receive
tation control-plan at 1
t+?. activity begit
'>ljiq tion and erns
c. Will the project be for community, private, or ' "' sutgftt to the Divisi
,. _.
commercial use? 45 Give the percentage o
k 7z-
of mean high water to
of (''
or
rooftops.
Size of entire tract 0 ACRES
Size of individual lot(s) NQ
Elevation of tract above mean sea level or Na-
tional Geodetic Vertical Datum /1/rq
Soil type(s) and texture(s) of tract Nd
Vegetation on tract C P F? -
AA1Q) .S411AE
Man-made features now on tract S'177Az- c
lf/f_lI k /r, • V 7-0 4,IAI- W -.2
What is the CAMA Land Use Plan Classifica-
tion of the site? (Consult the local land use
plan.)
disturbed
11 disturb more than
sion of Land
erosion and sedimen-
t 30 days before land
If applicable, has a
control plan been
of Land Resources?
the tract within 75 feet
x covered by im-
i as pavement,
A
. I
g. List the materials, s snarl, paver stone, b. Amount of material to be excavated from
asphalt, or concrete, to be used for paved
t below water level in cubic yards/9fi7- "S
surfaces. c. Type of material Se-z1A1 9P
d. Does the area to be excavated include marsh-
h. If applicable, has a st rmwater management land, swamps, or other wetlands?
plan been submitted
vironmental M the Division of En-
? e.
f High ground excavation, in cubic yards -?

?Ut?FD
f
il di
l
R
S
D
anage ent . imensions o
spo
sposa
-
area
i. Describe proposed se ge disposal and/or waste g. Location of spoil disposal area OAI A,5 ?
water treatment faci l ties. ?Cj1?E n?S/ P.Co,0E7t T?/
h. Do you claim title to the disposal area?
j. Have these facilities ceived state or local If not, attach a letter granting permission from
approval? the owner.
k. Describe existing trea ent facilities. i. Will a disposal area be available for future
maintenance??
'
?S .?,C3dl/L=
If so, where? S /I)t
j. Does the disposal area include any marshland,
1. Describe location an type of discharges to swamoland,'or water areas? _ BYO
waters of the state (f examplep surface runoff, k. Will the fill ma
i be placed below mean
sanitary wastewater, ' dustrial/commercial te
high water? fY
effluent, or "wash do "). 1. Amount of fill in cubic yards A64
m. Type of fill material-A44
n. Source of fill material 44&
m. Water supply source o. Will fill material be laced on marsh or other
n. If the project is ocean front development, wetlands?
describe the steps t t will be taken to main- p. Dimensions of the wetland to be filled
twin established publ' beach accessways or pro- q. How will excavated or fill material be kept on
vide new access. site and erosion controlled? S1PX?m

o. If the project is on a oceanfront, what will
be the elevation a mean sea level of the
first habitable floo
6 EXCAVATION AND FILL
INFORMATION
a. Describe below the purpose of proposed excava-
tion or fill activities (excluding bulkheads,
which are covered in Section 7).
N Length Width Depth
Access channel
(MLW) or (NWL)
Boat basin
Other (break-
water, pier,
boat ramp,
rock jetty)
Fill placed in
wetland or below
MHW
Upland;fill
r. What type of construction equipment will be
used (for example, draglin , backhoe,or
02
hydraulic dredge)? ??UU
s. Will wetlands be crossed in transporting equip-
ment to the project site?.dY--Q If yes, explain
the steps that will be taken to lessen en-
vironmental impacts.
7 SHORELINE STABILIZATION
a. Length of bulkhead or r4preing b. Average distance waterwmean high water
N ? . or normal water level
c. Shoreline erosion during 12 months,
in feet
d. Type of bulkhead material
e. Amount of fill, in cubic yar , to be placed
below mean high water
f. Type of fill material
. ti

In addition to the completed application form, the
following items must be submitted:
A copy of the deed (with state application only) or
other instrument under which the applicant claims
title to the affected property. If the applicant is not
claiming to be the owner of said property, then for-
ward a copy of the deed or other instrument under
which the owner claims title, plus written permis-
sion from the owner to carry out the project.
An accurate work plat (including plan view and
cross sectional drawings) drawn to scale in black
ink on 8 viz x 11 white paper. (Refer to Coastal
Resources Commission Rule 71.0203 for a detailed
description.)
Please note that original drawings are preferred and
only high quality copies will be accepted. Blue-line
prints or other larger plats are acceptable only if 16
high quality copies are provided by the applicant.
(Contact the U.S. Army Corps of Engineers regard-
ing that agency's use of larger drawings.) A site or
location map is a part of plat requirements and it
must be sufficiently detailed to guide agency per-
sonnel unfamiliar with the area to the site. Include
county road (SR) numbers, landmarks, and the like.
A stormwater management plan, if applicable, that
may have been developed in consultation with the
Division of Environmental Management.
A list of the names and complete addresses of the
adjacent waterfront (riparian) landowners. These
individuals have 30 days in which to submit com-
ments on the proposed project to the Division of
Coastal Management. The applicant must advise
the adjacent landowners of this opportunity by sen-
ding a copy of the permit application to them by
registered or certified mail. This notification is re-
quired by G.S. 113-229(d).
Name
Name
Name ",f [ E C? (? /
Adress R,,16W APAIDFD I. l t.?/OU f
C>. ?D 1l // '7(c ASZeKlll9
?2 ?os3
A list of previous state or federal permits issued
for work on the project tract. Include permit
numbers, permittee, and issuing dates.
A check for $100 made payable to the Depart-
ment of Natural Resources and Community
Development to cover the costs of processing the
application.
A signed AEC hazard notice for projects in ocean-
front and inlet areas.
A statement on the use of public funds. If the
project involves the expenditure of public funds, at-
tach a statement documenting compliance with the
North Carolina Environmental Policy Act
(N.C.G.S. 113A-1 to 10).
-9 CERTIFICATION'AND, P , ...
SION TO ENTER: ON,
Any permit issued in response to this application
will allow only the development described in the
application. The project will be subject to condi-
tions and restrictions contained in the permit.
I certify that to the best of my knowledge, the pro-
posed activity complies with the State of North
Carolina's approved Coastal Management Program
and will be conducted in a manner consistent with
such program.
I further 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 ap-
plication and follow-up monitoring of project.
This is the day Of?r/i1Afell ,
191E?ff_
X
Landowneivor Au&orized agent
Send the completed application materials to the
Division of Coastal Management Office nearest you
and the U.S. Army Corps of Engineers. See the
map on 64 inside front cover for the appropriate
DCM office ; ,te number.
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OFFICE OF COWIAL r'??1!?f ut!r'_? 1
WILMINGTON RcGiWAL u; i l'U

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CEr:C OF CC,ii ;A.E FOANAGEMENI
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DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
\ « WILMINGTON, NORTH CAROLINA 28402-1890
IN REPLY REFER TO April 12, 1988
Regulatory Branch
SUBJECT: File No. SAWC088-N-010-0262
Mr. Dary Lynn Lewis
Route 2, Box 434-B
Leland, North Carolina 28457
Dear Mr. Lewis:
r-
(? rl R ? 1 in??tl
rlr. U i I8,9
G. R
On February 6, 1986, we renewed general permit No. SAWC080-N-
000-0291 (copy enclosed), which provides Federal authorization for
construction activities that receive authorization from the State
of North Carolina.
A review of your application received March 28, 1988, for
Department of the Army authorization to construct a boatramp,
excavate a basin and enlarge a pier on Dead Creek, off Town Creek,
near Leland, in Brunswick County, North Carolina, indicates it to
be a candidate for Federal authorization under this general
permit. Accordingly, the administrative processing of your
application will be accomplished by the North Carolina Division of
Coastal Management. Comments from Federal review agencies will be
furnished to the State.
If your application must be withdrawn from this general permit
process for any reason, you will be informed regarding its further
management. If there are no unresolved differences in State-
Federal positions or policies, the final action taken on your
application by the State will result in your receiving written
notice from us that your application is consistent with the
general permit and you may commence your activity. Only after
receiving such confirmation should you begin work.
Your application, pursuant to Section 10 of the River and
Harbor Act and Section 404 of the Clean Water Act, has been
assigned No. SAWC088-N-010-0262 and will be coordinated by
Mr. Ernest Jahnke. He is available at telephone [phone].
Sincerely,
Charles W. Hollis
Chief, Regulatory Branch
Enclosure
to
s-
-2-
Copies Furnished (without enclosure):
Mr. John Parker
Division of Coastal Management
North Carolina Department of
Natural Resources and
Community Development
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Mr. William Mills
Water Quality Section
Division of Environmental
Management
North Carolina Department of
Natural Resources and
Community Development
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Ms. L. K. (Mike) Gantt
U.S. Fish and Wildlife Service
Post Office Box 25039
Raleigh, North Carolina 27611-5039
Mr. Randy Cheek
National Marine Fisheries Service
Habitat Conservation Division
Pivers Island
Beaufort, North Carolina 28516
Ms. Beverly Etheridge, Chief
Wetlands Section
Marine and Estuarine Branch
Region IV
U.S. Environmental Protection Agency
345 Courtland Street
Atlanta, Georgia 30365
Mr. C. Robert Stroud, Jr.
Wilmington Regional Office
North Carolina Division of
Coastal Management
7225 Wrightsville Avenue
Wilmington, North Carolina 28403
e.
1?.
IN REPLY REFER TO
Regulatory Branch
DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, NORTH CAROLINA 28402-1890
April 12, 1988
SUBJECT: File No. SAWCO88-N-010-0262
Mr. William Mills
Water Quality Section
Division of Environmental Management
North Carolina Department of Natural
Resources and Community Development
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Dear Mr. Mills:
Enclosed is the application of Mr. Dary Lynn Lewis for
Department of the Army authorization and a State Water Quality
Certification to construct a boatramp, excavate a basin and
enlarge a pier on Dead Creek, off Town Creek, near Leland, in
Brunswick County, North Carolina. Your receipt of this letter
verifies your acceptance of a valid request for certification in
accordance with Section 325.2(b)(ii) of our administrative
regulations.
We are considering authorizing the proposed activity pursuant
to Section 404 of the Clean Water Act, and we have determined that
a water quality certification may be required under the provisions
of Section 401 of the same law. A Department of the Army permit
will not be granted until the certification has been obtained or
waived.
In accordance with our administrative regulations, 60 days
after receipt of a request for certification is a reasonable time
for State action. Therefore, if you have not acted on the request
by June 13, 1988, the District Engineer will deem that waiver has
occurred.
Questions or comments may be addressed to Mr. Ernest Jahnke,
telephone [phone].
Sincerely
Cha W. Hol
hief, Regulatory Branch
Enclosure
--Ov '

-2-
Copies Furnished (without enclosure):
Mr. John Parker
Division of Coastal Management
North Carolina Department of
Natural Resources and
Community Development
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Mr. C. Robert Stroud, Jr.
Wilmington Regional Office
North Carolina Division of
Coastal Management
7225 Wrightsville Avenue
Wilmington, North Carolina 28403

Please type or print. Carefully describe all an-
ticipatlid development activities, including-
excavation, filling, paving, land clearing, and
stormwater control. If the requested information is
not relevant to your project, write N/A (not ap-
plicable). Items 1-4 and 8-9 must be completed for
all projects. . ,
AycJCogq-/` - 0/6 - 0-24 2,
d. Describe the planned use of the project. D
. T
u?n ?) A ?4n
a. Name OA -? P J,/
z/- V-ty
Address L
City State A-I C
Zips .?S7 Day phone&4_2 A', 47/
.__.z?Landowner or Authorized agent
b. Project name (if any)_X1401l'I,?;V- OX
c. If the applicant is not the landowner, also give
the owner's name and address.
A
2,.101CATION OF. PROPOSED
PROJECT
t?tiT?2.Szr?a?C?FSI?, /44/3 AkV a-s A r z ll;ty
a. ?reet address or secondary road number
7A/e,E?17/?
b. City, town, community, or landmark
c. County
d. Is proposed work within city limits or planning
jurisdiction? 1;1W
e. Narne of body of water nearest project
AND PLA?NN]ED
3 - DESCRIPTIONo-
USE OF PROPOSED PROJECT
a. Describe all development activities you propose
(for example, building a home, motel, marina,
bulkhead, or pier).
I?: 1
If you plan to build a marina, also complete
and attach Form DCM-MP-2.
b. Is the proposed activity maintenance of an ex-
isting project, new work, or both?
l!/E lti? «?1)j'/C
c. Will the project be for community, private, or
commercial use?
a. Size of entire tract _
b. Size of individual lot(s)
c. Elevation of tract above mean sea le el or Na-
tional Geodetic Vertical Datum W/9-
d. Soil type(s) and texture(s) of tract Z
e. Vegetation on tract ?- - e c?1
Z--73-
f. Man-made features now on tract S/J1f?L?
d,--O
g. What is the CA Land Use Plan Classifica-
tion of the site? (Consult the local land use
plan.)
Conservation Transitional
Developed Community
Rural Other
h. How is the tract zoned by local government?
i. How are adjacent waters classified? F?-IL
j. Has a professional archaeological survey been .
carried out for the tract? -S
If so, by whom? -r4FW_1 w.
5 UPLAND DEVELOPMENT
Complete this section if the project includes any
upland development.
a. Type and number of buildings, facilities, or
structures proposed
b. Number of lots.or parcels
c. Density (Give the number of residential units
and the units per acre.)
d. Size of area to be graded or disturbed
e. If the proposed project will disturb more than
one acre of land, the Division of Land
Resources must receive an erosion and sedimen-
tation control plan at least 30 days before land
disturbing activity begins. If applicable, has a
sedimentation and erosion control plan been
submitted to the Division of Land Resources?
f. Give the percentage of the tract within 75 feet
of mean high water to be covered by im-
permeable surfaces, such as pavement,
buildings, or rooftops.

-w .List the materials, such as marl, paver stone,
asglh?al ,or',aoncrete, to be used for paved
surfaces.
h., If applicable, has a stormwater management
lar beenjisubmitted to the Division of En-
vironmental Managementl
i. Describe proposed sewage disposal- and/or waste
water treatment facilities.
j. Have these facilities received state or local
approval?
k. Des, ribe existing treatment facilities.
I. Describe location and type of dikcharges to
waters of the state (for examplersurface runoff,
sanitary wastewater, industrial/commercial
effluent, or "wash down").
m. Water supply source
n. If the project is oceanfront development,
describe the steps that will be taken to main-
tain established public beach accessways or pro-
vide new access.
o. If the project is on the oceanfront, what will
be the elevation above mean sea level of the
first habitable floor?
6 EXCAVATION AND FILL
INFORMATION
a. Describe below the purpose of proposed excava-
tion or fill activities (excluding bulkheads,
which are covered in Section 7).
Length Width Depth
Access channel
(MLW) or (NWL)
Boat basin
Other (break-
water, pier,
boat ramp,
rock jetty)
Fill placed in
wetland or below
MHW
Upland fill
areas

b. Amount of material to be excavated from
below water level in cubic yards
c. Type of material I/./!?i
d. Does the area to be excavated include marsh-
land, swamps, or other wetlands?
e. High ground excavation, in cubic ards
f. Dimensions of spoil disposal are ?G'?
g. Location of spoil disposal a ea ?G
h. Do you claim title to the disposal area?_
If not, attach a letter granting permission from
the owner.
i. Will a disposal area be available for future
ES
ell I
If so, where? T/?E ,57 4 L
j. Does the disposal area included marshland,
swamplland,'or water areas?
k. Will the fill mate 'a be placed below mean
high water?
1. Amount of fill in cubic yards
m. Type of fill material
n. Source of fill material 61r
o. Will fill material b placed on marsh or other
wetlands?
p. Dimensions of the wetland to be filled
q. How will excavated or fill material be kept on
site and erosion controlled? -SW Z?,112
?S i(/EE7?< ff- 22
r. What type of construction equipment will be
used (for example, dra line, backhoe, or
hydraulic dredge)? •c; Z
s. Will wetlands be crossed in transporting equip-
ment to the project site?,&n If yes, explain
the steps that will be taken to lessen en-
vironmental impacts. /1.57-
7 SHORELINE STABILIZATION
a. Length of bulkhead o riprap
I? ? b. Average distance wat rward of mean high water
or normal water le el
c. Shoreline erosion du ing preceding 12 months,
in feet
d. Type of bulkhead mat rial
e. Amount of fill, in cubic yards, to be placed
below mean high wa e
f. Type of fill materia
V??F7M?k*4*s`g«???
$ = ONA?INFORMA'TIO
D r ,..r. ns1N_ , ?vx,?.,,?n.?x N..v2'i?h.r- M1 y' e
s
In addition to the completed application form, the
following items must be submitted:
A copy of the deed (with state application only) or
other instrument under which the applicant claims
title to the affected property. If the applicant is not
claiming to be the owner of said property, then for-
ward a copy of the deed or other instrument under
which the owner claims title, plus written permis-
sion from the owner to carry out the project.
An accurate work plat (including plan view and
cross sectional drawings) drawn to scale in black
ink on 8 V2 x 11 white paper. (Refer to Coastal
Resources Commission Rule 7J.0203 for a detailed
description.)
Please note that original drawings are preferred and
only high quality copies will be accepted. Blue-line
prints or other larger plats are acceptable only if 16
high quality copies are provided by the applicant.
(Contact the U.S. Army Corps of Engineers regard-
ing that agency's use of larger drawings.) A site or
location map is a part of plat requirements and it
must be sufficiently detailed to guide agency per-
sonnel unfamiliar with the area to the site. Include
county road (SR) numbers, landmarks, and the like.
A stormwater management plan, if applicable, that
may have been developed in consultation with the
Division of Environmental Management.
A list of the names and complete addresses of the
adjacent waterfront (riparian) landowners. These
individuals have 30 days in which to submit com-
ments on the proposed project to the Division of
Coastal Management. The applicant must advise
the adjacent landowners of this opportunity by sen-
ding a copy of the permit application to them by
registered or certified mail. This notification is re-
quired by G.S. 113.229(d).
Name
Address ?5? Tn ?2
Name_
Address
Name

A list of previous state or federal permits issued
for work on the project tract. Include permit
numbers, permittee, and issuing dates.
A check for $100 made payable to the Depart-
ment .of Natural Resources and Community
Development to cover the costs of processing the
application.
A signed AEC hazard notice for projects in ocean-
front and inlet areas.
A statement on the use of public funds. If the
project involves the expenditure of public funds, at-
tach a statement documenting compliance with the
North Carolina Environmental Policy Act
(N.C.G.S. 113A-1 to 10).
?9 'CERTIFICATION AND P a } g
SION TO ENTER ON LANII.
Any permit issued in response to this application
will allow only the development described in the
application. The project will be subject to condi-
tions and restrictions contained in the permit.
I certify that to the best of my knowledge,° the pro-
posed activity complies with the State of North
Carolina's approved Coastal Management Program
and will be conducted in a manner consistent with
such program.
I further 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 ap-
plication and follow-up monitoring of project.
This is the day of
19?_.
X
Landowner Authorized agent
Send the completed application materials to the
Division of Coastal Management Office nearest you
and the U.S. Army Corps of Engineers. See the
map on the inside front cover for the appropriate
DCM office and addresses and phone number.
3

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