19880181 Ver al_Complete File_19881024

State of North Carolina
Department of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor
S. Thomas Rhodes, Secretary
October 24, 1988
Mr. C. 0. White, Division Engineer
N. C. Department of Transportation
Division of Highways
P. 0. Box 7480
Ahoskie, NC 27910
R. Paul Wilms
Director
Subject: Certification Pursuant to Section
401 of the Federal Clean Water Act,
Proposed Widening of SR1119
N. C. Dept. of Transportation
Little River
Pasquotank County
Dear Mr. White:
Attached hereto are two (2) copies of Certification No. 2279
issued to N. C. Department of Transportation dated October 24, 1988.
If we can be of further assistance, do not hesitate to contact us.
Sincerely yours,
. Paul Wilms
cc: Wilmington District Corps of Engineers
Washington Regional Office
W ll.iam Mills
Mr. David Owens
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]

NORTH CAROLINA
Pasquotant County
CERTIFICATION
THIS CERTIFICATION is issued in conformity with the requirements of
Section 401 Public Laws 92-500 and 95-217 of the United States and_
subject to the North Carolina Division of Environmental Management
Regulations in 15 NCAC 2H, Section .0500 to N. C. Dept. of
Transportation pursuant to an application filed on the 14th day of
September, 1988 to widen SR1119 near Elizabeth City.
The Application provides adequate assurance that the discharge of
fill material into a wetlands area adjacent to the waters of Little
River in conjunction with the proposed away widening in Pasquotank
County will not result in a violation of applicable Water Quality
Standards and discharge guidelines. Therefore, the State of North
Carolina certifies that this activity will not violate Sections 301,
302, 303, 306, 307 of PL 92-500 and PL 95-217 if conducted in accordance
with the application and conditions hereinafter set forth.
Condition(s) of Certification:
1. That the activity be conducted in such a manner
as to prevent significant increase in turbidity
outside the area of construction or construction-
related discharge (increases such that the
turbidity in the Stream is 25 NTU's or less
are not considered significant).
2. That appropriate sedimentation and erosion control measures
shall be employed to minimize turbidity and siltation impacts.
Violations of any condition herein set forth shall result in
revocation of this Certification.
This Certification shall become null and void unless the above
conditions are made conditions of the Federal Permit.
This the 24 day of October, 1988.
WQC# 2279
DIVISION OF ENVIRONMENTAL MANAGEMENT
Paul Wi ms, Director

?STA7Z
S I- h
ate.. ?.
State of North Carolina
Department of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbury Street 0 Raleigh, North Carolina 27611
James G. Martin, Governor
S. Thomas Rhodes, Secretary
October 24, 1988
Mr. C. 0. White, Division Engineer
N. C. Department of Transportation
Division of Highways
P. 0. Box 7480
Ahoskie, NC 27910
R. Paul Wilms
Director
Subject: Certification Pursuant to Section
401 of the Federal Clean Water Act,
Proposed Widening of SR1119
N. C. Dept. of Transportation
Little River
Pasquotank County
Dear Mr. White:
Attached hereto are two (2) copies of Certification No. 2279
issued to N. C. Department of Transportation dated October 24, 1988.
If we can be of further assistance, do not hesitate to contact us.
Sincerely yours,
/ Paul Wilms
cc: Wilmington District Corps of Engineers
Washington Regional Office
Mr. William Mills
Mr. David Owens
Pollution Premntion Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]

NORTH CAROLINA
PasQuotant Count
CERTIFICATION
THIS CERTIFICATION is issued in conformity with the requirements of
Section 401 Public Laws 92-500 and 95-217 of the United States and_
subject to the North Carolina Division of Environmental Management
Regulations in 15 NCAC 2H, Section .0500 to N. C. Dept. of
Transportation pursuant to an application filed on the 14th day of
September, 1988 to widen SR1119 near Elizabeth City.
The Application provides adequate assurance that the discharge of
fill material into a wetlands area adjacent to the waters of Little
River in conjunction with the proposed away widening in Pasquotank
County will not result in a violation of applicable Water Quality
Standards and discharge guidelines. Therefore, the State of North
Carolina certifies that this activity will not violate Sections 301,
302, 303, 306, 307 of PL 92-500 and PL 95-217 if conducted in accordance
with the application and conditions hereinafter set forth.
Condition(s) of Certification:
1. That the activity be conducted in such a manner
as to prevent significant increase in turbidity
outside the area of construction or construction-
related discharge (increases such that the
turbidity in the Stream is 25 NTU`s or less
are not considered significant).
2. That appropriate sedimentation and erosion control measures
shall be employed to minimize turbidity and siltation impacts.
Violations of any condition herein set forth shall result in
revocation of this Certification.
This Certification shall become null and void unless the above
conditions are made conditions of the Federal Permit.
This the 24 day of October, 1988.
WQC# 2279
DIVISION OF ENVIRONMENTAL MANAGEMENT
. Paul Wi ms, Director

ACTION .• !NO Di'?• frf }' # 6•t...f
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FILE %
FORMAT i #'•!#':1.F{#-'f #"} ?•?S NEXT R CD r rs.3..:.
` RE tfHAS
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CORD f"EA S- BEEN 1';
RE ?.:t.31 !
CORD !
RD NO l'}:?•r81 i' RD DATA
A
-
PRCl..O : 0:481 P#.O J : NC:D 1 t' 1119 COUNTY: PASQ?ti.l'? A?•!K REGION : ::f*7
ASSIGNE D TO: t?l J M OAK, JOINT NOTICE: 'r
TYPE CERTIFICATION RECOMMEND DATES YYMMDD
404 !°'N : 401 ?:r._Q : Y' ISSUE: 7' RECEIVED: ti3?.`s00
CAMA ONLY: GC: DENY: INITIAL REPORT: 88092i
DF/?f?t•sMA: Y SE :P: EWP1 EQ: N HOLD: FINAL _ REPORT: 88ioi::'
RECEIVING STR EAM: LITTLE RIVER CLASS: "C: BASIN: SBASIN: PAS
COMMENTS:
SITE LOCATED ON SR i •i 1 ?? NEAR ELIZABETH CITY
DOT PROPOSES TO WIDEN AN EXISTING RURA L ROAD
;'i?,?.?:.31:::C WILL RESULT IN FILL IN .'.8si0 S0 00 OF 404 WET LANDS
?y P: WILL BE IMPLEMENTED TO CONTROL R UNOFF
COPIES: ,•
REEff VED
t?
c u ; 2 f F9s8
WATER M
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
Comments concernYng an application for State Federal CAMA Permit(s) from
i 1
A. PERMIT:
This office cannot comment on this project until after the close of the Section
1 Certification Public Comments Period.
This office has no objection to the issuance of the permit(s) for the proposed
project 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.
14 Certification is required for
this project. Such action to
process the certification has
been initiated. Proposed
Certification will be acted on
or after (Q (.I
The proposed project is certified
under Gen eral Certification
A) No. 1179 issued on January 25, D) 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.

WATER QUALITY SECTION
DIVISION OF ENVIRONMENTAL MANAGEMENT

James G. Martin, Governor
S. Thomas Rhodes, Secretary
The Daily Advance
Legal Advertisement Section
Post Office Box 588
David W. Owens
Director
27909
Elizabeth City, North Carolina 27909
Re: CLAUDE V. BARRETT PUBLIC NOTICE
N.C. DOT (HOBBS LANDING) PUBLIC NOTICE
Dear Sir:
Please publish the attached Notices in the Monday, September
26, 1988 issue of the Daily Advance.
The State Office of Budget and Management requires an
original Affidavit of Publication prior to payment for newspaper
advertising. Please send the Affidavit, an original copy of the
published notice, and an original invoice to Portia Rochelle,
Division of Coastal Management, P. O. Box 27687, Raleigh, North
Carolina 27611.
Thank you for your assistance in this matter. If you should
have any questions, please contact me at our Elizabeth City
office.
Sincerely.,
Robert Abernethy
FIELD REPRESENTATIVE
RA:yl
Enclosures (2)
cc: John Parker.
Portia Rochelle
File P.O. Box 27687, Raleigh, North Carolina 27611-76.97 Telephone [phone]
An Equal Opportunity Affirmative Action Emplover
d0ST^TE'
?y
L, , n
State of North Carolina
Department of Natural Resources and Community Development
Division of Coastal Management
512 North Salisbury Street • Raleigh, North Carolina 27611
Field Services
Route 6, Box 203
Elizabeth City, NC
[phone]
September 21, 1988
NOTICE OF FILING OF
APPLICATION FOR CAMA MAJOR DEVELOPMENT
PERMIT AND WATER QUALITY CERTIFICATION
The Department of Natural Resources and Community
Development hereby gives public notice as required by NCGS
113A-119(b) and 143-215 3(a)(1)(c) that N.C. DEPARTMENT OF
TRANSPORTATION of Raleigh, N.C., filed an application on August
15, 1988, for a permit from the Division of Coastal Management to
develop in an Area of Environmental Concern and for certification
from the Division of Environmental Management that a discharge of
fill material in.project wetlands will not violate applicable
water quality standards.
According to said application N.C. DEPARTMENT OF
TRANSPORTATION proposes to widen, improve and pave SR 1119, Hobbs
Landing Road, Pasquotank County, N.C.
A copy of the entire application and additional information
may be examined (or copies furnished upon request and payment of
reproduction costs) during normal business hours at the office of
Robert Abernethy, Division of Coastal Management, located at
Route 6 Box 203, Elizabeth City, N.C., [phone], and/or
the office of Bill Moore, Division of Environmental Management,
NRCD Regional Field Office, Washington, N.C., 27889.
The Division of Environmental Management proposes to take
final action on this water quality certification on or before
October 21, 1988. The issuance of the CAMA Major Development
permit and the Section 401 Certification may deviate from this
projected date depending upon the nature of the comments
submitted and subsequent hearings that may result.
'All persons desiring to make comments should do so in
writing to Mr. David Owens, Director, Division,of Coastal
Management, P.O. Box 27687,` Raleigh, N.C., 27611, prior to
October 11, 1988 for consideration in the LAMA permit decision.,
and to Mr. Bill Mills, Division of Environmental Management, P.O.
Box 27687, Raleigh, N.C., 27611, prior to October 11, 1988 for
consideration in the water quality certification decision. Later
comments on the CAMA application will be accepted and considered
up to the time of permit decision. Project modifications may
occur based on review and comment by the public and state and
federal agencies. Notice of the permit decision-in this matter
will be provided upon request.
PUBLISHED ON: Monday, September 26, 1988
4' .
f
#°di SxA i A DFr t.:A#'iA i'40 i #''aE,} DATE 09/ 2# !• BE3
ACTION ! #v#:a FILE f ... L~A#v#A4 1 SWD FORMAT NRDFCAMA J4L}2
i`= R t 0 ENTERED THIS DATA, RECORD IS NO 0048i F t'':D DATA
PRO it: 0048i i''ROJ : Na=DOT SR iii 9 COUNTY: PA Sla'lUO i f'1NK REGION: 0*7
ASSIGNED TO: WJM ZA-)d;-Z.- JOINT NOTICE: Y
TYPE CER TIFICATION RECOMMEND DATES' YYMMDD
404 ; '?'
t :
= 401 ;;?c?• ?Y ? ?:_.?.?.??? : ?; E CE :gy
: V ?::
E 88004
•
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?.:r-r#°#}` t?#``{Lr'. Si\: . DENY: [ t
.F.p
•
INITIAL 1:?8.`"'._'.#
i t
STREAM: RECEIVING
COMMENTS:
SITE LOCATED ON SR ii!9 NEAR ELIZABETH CITY
DOT PROPOSES TO WI DEN AN EXISTING RURAL ROAD

PROJECT WILL
RESUL
T IN FILL IN 2800 SQ.
FT. OF 404 WET
LANDS ?? 4:j I a
ADDITIONAL COMMENTS PENDING
COPIES: WAR(3-C;Et4T!RAL.-t!IL.Lil-I)Ctm

WATEP
MEMORANDUM
TO: Bill Moore
FROM: Robert Abernethy
SUBJECT: APPLICATION FOR CAMA MAJOR PERMIT AND/OR
DREDGE AND FILL PERMIT
DATE: September 9, 1988
Attached is an application by NC DOT (80BBS LANDING)
which was received by me on 8/15•/88 I am
considering this application complete, have acknowledged
receipt, and have begun processing.
If you have any questions, do not hesitate to contact me.
MEMORANDUM
TO: Bill Moore
FROM: Robert Abernethy
SUBJECT: APPLICATION FOR CAMA MAJOR PERMIT AND/OR
DREDGE AND FILL PERMIT
DATE: September 9, 1988
Attached is an application by NC DOT (HOBBS LANDING)
which was received by me on 8/15%88 I am
considering this application complete, have acknowledged
receipt, and have begun processing.
If you have any questions, do not hesitate to contact me.
/Y11
Enclosures
OFFICE OF COASTAL MANAGEMENT Lat:36 07' 45"
FIELD INVESTIGATION REPORT Long:76*12' 15"
1. APPLICANT'S NAME N.C. DEPT. OF TRANSPORTATION (HOBBS LANDING)
2. LOCATION OF PROJECT SITE SR 1119 (Hobbs Landing) Little River,
Pasquotank County. Photo ref. 119-773 20 G.H.& I.
3. INVESTIGATION TYPE: DREDGE & FILL X CANA X
4. INVESTIGATIVE PROCEDURE:
(A) DATES OF SITE VISIT 6/15/88 9/1/85
(B) WAS APPLICANT PRESENT ves no
5. PROCESSING PROCEDURE: APPLICATION RECEIVED 8/15/88
OFFICE Elizabeth City
6. SITE DESCRIPTION: (A) LOCAL LAND USE PLAN Pasguotank
LAND CLASSIFICATION FROM LUP rural
DEVELOPMENT CONSTRAINTS IDENTIFIED IN LUP none
(B), AEC(S) INVOLVED: OCEAN HAZARD ESTUARINE SHORELINE X
COASTAL WETLANDS PUBLIC TRUST WATERS
. ESTUARINE WATERS OTHER
(C) WATER DEPENDENT: YES NO X OTHER
(D) INTENDED USE: PUBLIC X PRIVATE COMMERCIAL
(E) TYPE OF WASTE WATER TREATMENT: EXISTING none
PLANNED none
(F) TYPE OF STRUCTURES: EXISTING none
PLANNED none
(G)ESTIMATED ANNUAL RATE OF EROSION N/A SOURCE
7. HABITAT DESCRIPTION:
,(A) VEGETATED WETLANDS DREDGED FILLED OTHER
404 wetlands 2800 sq. ft.
(B) NON-VEGETATED WETLANDS:
(C) OTHER:
(D) TOTAL AREA DISTURBED: 2800 sq. ft.
8. PROJECT SUMMARY: Applicant proposes to widen, improve and pave
SR 1119 to within 40' of the NWL of the Little River. This project
will result in the filling of 2800 sq. ft. of 404 wetlands. No
mitiaation has been Dronosed.
N.C. D.O.T. (HOBBS LANDING ROAD)
BIO REPORT
PAGE 2
SITE REPORT
N. C. State Department of Transportation proposes to widen,
improve and pave SR 1119, Hobbs Landing Road. Dominant
vegetation on either. side of the road is currently agricultural
fields. Along a 400' section near the Little River, the road
crosses a 404 wetland. This wetland contains a small stream
dominated by an emergent growth of Pickerel weed Pontederia
cordata and cattails Typha spp. Surrounding this stream is a
forested wetland with a red maple Acer rubrum, black willow Salix
nigra overstory.
Applicant proposes, while widening the road to fill 2800 sq.
ft. of this wetland, to provide a wider shoulder for the road.
Road will also be paved to within 40' of the Little River.
ANTICIPATED IMPACTS
With the. widening of SR 1119, 2800 sq. ft.' of 404 wetlands,
primarily forested wetlands will be filled.
CAMA REVIEW
The proposal is consistent with the rural classification of
the Pasquotank LUP
Submitted by: Robert Abernethy
Date: September 9, 1988
?Ptease type or print. Carefully describe all aj?-
tieipated development activities, including &n
tion, excavation, filling, paving, land cleari g,
stormwater control. If the requested informltio
not relevant to your project, write N/A (noT' at
plicable). Items 1-4 and 8-9 must be completed
all projects.
Describe the planned use of the ro] ect.
Provide Public Transportpation b
L2 0188 , paving roa
is 0CM • CC
f APPLrl"A?NT
-MLen; r. C. 0. White, Division Engineer
a. Name NC Dept. of T ans.-n;v_ of llwys.
Address • U- Box 748
City Ahoskie State NC
'Zip 27910 IDay phone [phone]
Landowner or X Authorized agent
b. Project name (if any) _
Hobbs:Landing Road
c. If the applicant is not the landowner, also give
the owner's name and address.
N/A
- 2; LOCATION OF. PROPOSED
_..PROJECT
a. ctree*_ sdd*f_ or cPcnnriary rnacl mimher
Secondary Road 1119
b. City,,eeksville unity, or landmark
c. County Pasquotank'
d. Is proposed work within city limits or planning
jurisdiction.? No
e. Name of body of water nearest project
Little River
`D
ESCRIPTION AND PLANNED
b USE OF PROPOSED PROJECT
a. Describe all development activities you propose
(for example, building a home, motel, marina,
bulkhead, or pier).
Grade, Drain and Pave
Secondary Road
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?
New Work
c. Will the project be for community, private, or
commercial use?
Public Transportation
I,AND ,AND WATER
CHARACTERISTICS
a. Size of entire tract See attached sketch
b. Size of .individual lot(s) N JAJ
c. Elevation of tract above mean sea level or Na-
tional Geodetic Vertical Datum 0.4'
d. Soil type(s) and texture(s) of tract Roadbed-
marl,.wetlands-organic peat/clay
e. Vegetation on tract Cattails
f. Man-made features now on tract. None
g. What is the CAMA Land Use Plan Classifica-
tion of the site? (Consult the local land use
plan.)
Conservation Transitional
Developed Community
X Rural Other
Ii. How is the tract zoned by local government?
N/A
i. How are adjacent waters classified? SC
j. Has a profe?;sional archaeological survey been
carried out for the tract? None
If so, by whom?
N/A 5 UPLAND DEVELOPMENT
Complete this section if the project includes any
upland development.
N/A 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 sedirrien-
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.
I

g. List the materials, such as marl, paver stone, b.. . Amount of material to be excavated from
asphalt, or concrete, to be used for paved below water level in cubic yards N/A
surfaces. C. Type of material N/A
d. Does the area to be excavated include marsh-
h. If applicable, has a stormwater management land, swamps, or other wetlands? N/A
plan been submitted to the Division of En- e' ' High ground excavation, in cubic yards N/A
vironmental Management? f. Dimensions of spoil disposal area N/A
i. Describe proposed sewage disposal and/or waste g. Location of spoil disposal area N/A
water treatment facilities.
li. Do you claim title to the disposal area? N/A
j. Have these facilities received state or local If not, attach a letter granting permission from
approval? the owner.
k. Describe existing treatment facilities. i. Will a disposal area be available for future
maintenance?/, N/A
If so, where'
j. Does the disposal area include any marshland,
1. Describe location and type of discharges to swamplland,'or'water areas? N/A
waters nf;the state (for examniPrsurface runoff, k. Will the fill material be placed below mean
sanitary wastewater, industrial/commercial high water? No
effluent, or "wash down"). 1. Amount of fill in cubic yards 156 cy
m. Type of fill material Sand-clay
n. Source of fill material Local Borrow Pit
m. Water supply source o. Will fill material be placed on marsh or other
n. If the project is oceanfront development, wetlands? Yes
describe the steps that will be taken to main- p. Dimensions of the wetland to be filled 400'X7'
tain established public beach accessways or pro- q. How will excavated'or fill material be kept on
vide new access. site and erosion controlled?
Silt Fence
o. If the project is on the oceanfront, what will r. What type of construction equipment will be
be the elevation above mean sea level of the used (for example, dragline, backhoe, or
first habitable floor? hydraulic dredge)? Motor Grader, Dump
't'rucks
.EXGAVATION AND.` FIT*L+'' r

t s. Will wetlands be crossed in transporting equip-
'' ; r3'k9
INFORMATION ` _ "}
:.

No
ment to the project site. If yes, explain
the steps that will be taken to lessen en-
a. Describe below the purpose of proposed excava- vironmental impacts.
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
400' 7'
Y,7_? SIC)RE:IN'. STABILIZATION-
N /A N /A
a. Length of bulkhead or riprap
b. Average distance waterward of mean high water
or normal water level
c. Shoreline erosion during preceding 12 months,
in feet
d. Type of bulkhead material
e. Amount of fill, in cubic yards, to be placed
below mean high water
f. Type of fill material
2

o
I?, A list of previous state or federal permits issued
8 ADDITIONAL INFORMATION "o fov work on the project tract. Include permit
permittee, and issuing dates.
In addition to the completed application form,?the ,, ..®`r -
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.
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.
An accurate work plat (including plan view and A statement on the use of public funds. If the
cross sectional drawings) drawn to scale in black project involves the expenditure of public funds, at-
ink on 8 V2 x 11 white paper. (Refer to Coastal tach a statement documenting compliance with the
Resources Commission Rule 7J.0203 for a detailed North Carolina Environmental. Policy Act
description.) (N.C.G.S. 113A-1 to 10).
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
Name
Address
Name
Address
9 CFRTI' FICA'TION AND FERMIS
SION TO
ENTER ON LAND
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.
44%
This is the t8 `day of L
19 13
x")
Landowner or 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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