19970587 Ver 1_Complete File_19970722

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
APPROVAL of 401 Water Quality Certification
Town of Windsor
P.O. Box 508
Windsor, NC 27983
Dear Sirs:
�EHNR
July 22, 1997
Bertie County
WQC 401 Project #970587
COE #199705899
You have our approval, in accordance with the attached conditions, to shade in 0.16 acres of wetlands or
waters for the purpose of constructing a boardwalk, boat ramp and bulkhead at Roanoke/Cashie River Center,
as you described in your application dated 30 June 1997. After reviewing your application, we have decided
that this fill is covered by General Water Quality Certification Number 3112. In addition, you should get any
other federal, state or local permits before you go ahead with your project including (but not limited to)
Sediment and Erosion Control, Coastal Stormwater, Non - Discharge and Water Supply Watershed regulations.
Also this approval will expire when the accompanying 404 or CAMA permit expires unless otherwise
specified in the General Certification.
This approval is only valid for the purpose and design that you described in your application. If you
change your project, you must notify us and you may be required to send us a new application. If total
wetland fills for this project (now or in the future) exceed one acre, compensatory mitigation may be required
as described in 15A NCAC 2H .0506 (h). For this approval to be valid, you must follow the conditions
listed in the attached certification.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written
petition which conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 27611 -7447. This certification
are final and binding unless you ask for a heating.
This letter completes the review of the Division of Water Quality under Section 401
Act If you have any questions, please telephone John Domey at 919 - 733 -1786.
Sincerely,
ton Howar , r. P.E.
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Washington Field Office
Washington DWQ Regional Office
Mr. John Dorney
Central Files
Frank Harmon
John Parker, DCM
and its conditions
of the Clean Water
970587.1tr
Division of Water Quality • Environmental Sciences Branch
Environmental Sciences Branch, 4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer - 50% recycled /100/6 post consumer paper

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DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON; NORTH CAROLINA 28402 -1890
REPLY TO July 1, 1997
ATTENTION OF
Regulatory Branch
Action ID No. 199705899
Town of Windsor
c/o David Overton
Post Office Box 508
Windsor, North Carolina 27983
Dear Mr. Overton:
On February 11, 1991, we renewed General Permit No. 198000291 (copy enclosed),
which provides Federal authorization for construction activities that receive authorization from
the State of North Carolina.
A review of your application received June 27, 1997, for Department of the Army
(DA) authorization to construct an ecotourism center, including construction of a boardwalk,
boatramp, and a bulkhead, on property located off U.S. Highway 17, adjacent the Cashie
River, in the Town of Windsor, Bertie 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 Sate
will result in your receiving written notice from us that your application is consistent with the
general permit and you may commence your activity. Onlv 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 Action ID No. 199705899 and will be coordinated

by Mr. Raleigh Bland in the Washington Regulatory Field Office. Mr. Bland is available at
telephone [phone], extension 23.
Sincerely,
R R&4
Raleigh Bland, P.W.S.
Regulatory Project Manager
Copies Furnished (without enclosure):
Mr. John Parker
Division of Coastal Management
North Carolina Department of Environment,
Health and Natural Resources
Post Office Box 27687
Raleigh, North Carolina 27611 -7687
John Dorney
Water Quality Section
Division of Environmental Management
North Carolina Department of Environment,
Health and Natural Resources
4401 Reedy Creek Road
Raleigh, North Carolina 27607
Mr. John Hefner
U. S. Fish and Wildlife Service
Fish and Wildlife Enhancement
Post Office Box 33726
Raleigh, North Carolina 27636 -3726
Mr. Larry Hardy
National Marine Fisheries Service
Pivers Island
Beaufort, North Carolina 28516

-3-
Mr. Thomas Welborn, Chief
Wetlands, Oceans, and Watersheds Branch
U.S. Environmental Protection Agency
Atlanta Federal Center
100 Alabama Street, SW
Atlanta, Georgia 30303
Mr. Terry Moore, District Manager
Washington Regional Office
North Carolina Division of Coastal Management
943 Washington Square Mall
Washington, North Carolina 27889

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Town of Windsor - Roanoke / Cashie River Center
2. LOCATION OF PROJECT SITE: Bertie County adjacent US 17 (Water Street) on the Cashie River at
Windsor, North Carolina
Photo Index - 1995: N/A 1989: N/A 1984: N/A
State Plane Coordinates - X: 2,608,200 Y: 821,600 �
Windsor South Quad. (upper left corner) F O
3. INVESTIGATION TYPE: CAMA
�tiTq :1.9,9,
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 6/12/97 1/22/97 11/14/96 ,�so,Fti
Was Applicant Present - NO YES YES �Fs
5. PROCESSING PROCEDURE: Application Received - 06/16/97
(A) Vegetated Wetlands
404 delineated wetlands
(B) Non - Vegetated Wetlands
river bottom
(C) Other High ground
(D) Total Area Disturbed: ±2.96 acres
(E) Primary Nursery Area: NO
(F) Water Classification: B -SW Open: NO
±5,400 ft2
±2,800 ft2
shaded
±3,990 ft2
shaded
8. PROJECT SUMMARY: The applicant proposes to construct a boardwalk, boat ramp, and bulkhead
associated with the construction of an ecotourism center including several education buildings and an
amphitheater.
Office - Washington
6. SITE DESCRIPTION:
(A)
Local Land Use Plan -
Bertie County
Land Classification From LUP - Conservation (water, wetlands), Developed (land)
(B)
AEC(s) Involved: PTA
(C)
Water Dependent: YES
(D)
Intended Use: Public
(E)
Wastewater Treatment:
Existing - Town of Windsor municipal sewer
Planned -Same
(F)
Type of Structures:
Existing - 2 buildings (4,368 ft2 and 4,000 ft2)
Planned - Renovate existing buildings, 2 shelters, boardwalk, dock,
amphitheater, boat ramp with dock, and bulkhead
(G)
Estimated Annual Rate
of Erosion: Zero
Source - Applicant
7. HABITAT DESCRIPTION:
[AREA]
DREDGED FILLED OTHER
(A) Vegetated Wetlands
404 delineated wetlands
(B) Non - Vegetated Wetlands
river bottom
(C) Other High ground
(D) Total Area Disturbed: ±2.96 acres
(E) Primary Nursery Area: NO
(F) Water Classification: B -SW Open: NO
±5,400 ft2
±2,800 ft2
shaded
±3,990 ft2
shaded
8. PROJECT SUMMARY: The applicant proposes to construct a boardwalk, boat ramp, and bulkhead
associated with the construction of an ecotourism center including several education buildings and an
amphitheater.

Roanoke /Cashie River Center
Bertie County
Project setting
The project site is located adjacent US 17 (Water Street) in the Town of Windsor on the
Cashie River in Bertie County, North Carolina. The proposed site is approximately 6.23 acres
and is an old lumber yard with two existing buildings and various concrete pads and connecting
strips. A portion of the site has been delineated as 404 wetlands by the US Army Corps of
Engineers (USACOE). The entire site has been previously impacted and sawdust fill and other
fill (concrete, brick, etc.) is evident. The terminal portion of Queen Street adjacent the Cashie
River is also included in the project. The project site is vegetated with upland and wetland
grasses, scrub willows, and several young cypress, sycamore, and maple along the river shoreline.
The property is bordered on the north (upstream) side by a developed industrial lot that
has been abandoned and is overgrown with upland grasses and vines, several hardwoods, and
concrete riprap along the shoreline. The south (downstream) side of the project site is bordered
by a developed lot and is vegetated with upland grasses and shrubs.
The Cashie River is classified as B -SW by the Environmental Management Commission.
The Cashie River is not open to shell fishing. The applicant is in the process of submitting an
Environmental Assessment to this Division to submit to the State Clearinghouse to determine if
the project is in compliance with the NCNEPA.
Project description
The Town of Windsor in a cooperative arrangement with the Partnership for the Sounds
proposes to develop the site and create the Roanoke /Cashie River Center. The existing metal
building will be renovated and will serve as a visitors center and education facility. The existing
wood framed building will be renovated and will house the offices of the U. S. Fish and Wildlife
Service. A gravel or asphalt drive and parking area will be constructed on the upland portion of
the project site. The applicant proposes to expand the existing 404 delineated wetland area and
incorporate it into a teaching and demonstration area. A small footbridge and an overlook will
be constructed over the wetland area. A 50' by 28' and a 14' by 18' picnic shelter are proposed
on the site.
An amphitheater is proposed adjacent the river on an upland sloped area and this will
connect to the proposed 10' wide by 560' long boardwalk adjacent to and partially over the Cashie
River. A 6' wide by 65' long handicap accessible ramp is proposed adjacent the boardwalk for
access into the Cashie River. A 20' wide by 20' long boat ramp is proposed at the end of Queen
Street and ±35' of bulkhead will be constructed to stabilize the boat ramp area. The bulkhead
will average 2' below the normal water level, A 20' wide by 40' long handicap accessible ramped
dock is proposed adjacent the boat ramp. The terminal end of Queen Street will be upgraded to
include a turn around area for boating access.

Roanoke /Cashie River Center
Town of Windsor
Page Two
Anticipated impacts
The project as proposed will result in filling of t 105 ft2 of river bottom as a result of the
construction of the bulkhead. The construction of the boardwalk and access docks will result in
the shading of f 3,990 ft2 of river bottom. The construction of the boardwalk will also result in
the shading of ±2,800 ft2 of 404 delineated wetland. Approximately 128,938 ft2 of uplands will
be disturbed. The project will result in localized turbidity as a result of the filling and
construction activities.
David W. Moye - 17 June 1997

Form DCM -MP' -1
APPLICA'1'tON
(To be completed by all applicants)
1. APPLICANT
a. Landowner:
Name Town of Windsor
Address PO Box 508
City Windsor State NC
Zip 27983 Day Phone [phone]
Fax [phone]
b. Authorized Agent:
Name Frank Harmon, Architect
Address 706 Mountfort Street
City Raleigh State NC
Zip 27603 Day Phone [phone]
Fax same
c. Project name (if any)
Roanoke / Cashie River Center
NOTE. Pemdt will be issued in name of landowner(s), and /or
project name.
2. LOCATION OF PROPOSED
PROJECT
a. County B e r t i e
Revised 03/95
b. City town, community or landmark
Windsor
c. Street address or secondary road number
US 17 / Water Street
d. Is proposed work within city limits or planning
jurisdiction? X Yes No
e. Name of body of water nearest project (e.g. river,
creek, sound, bay) C a s h i e River
3. DESCRIPTION AND PLANNED USE
OF PROPOSED PROJECT
a. List all development activities you propose (e.g.
building a home, motel, marina, bulkhead, pier, and
excavation and /or filling activities.
Construction and renovation of ai
existing warehouse to serve as a
visitors center and educational
facilitv with associated river.
boardwalks and amphitheatre.
b. Is the proposed activity maintenance of an existing
project, new work, or both? both
c. Will the project be for public, private or commercial
use? Publc /non- Arofit
d. Give a brief description of purpose, use, methods of
construction and daily operations of proposed
project. If more space is needed, please attach
additional pages.
Ecotourism visitation, education
_gateway to regional tourism.

Form DCM -MP -1
4. LAND AND WATER
CHARACTERISTICS
a. Size of entire tract a pp r ox 6.23 ac
b. Size of individual lot(s) n/a
c. Approximate elevation of tract above MHW or
NWL 2.2 to 10.6 above NWL
m. Describe existing wastewater treatment facilities.
Town of Windsor
n. Describe location and type of discharges to waters
of the state. (For example, surface runoff, sanitary
wastewater, industrial /commercial effluent, "wash
down" and residential discharges.)Runoff from
buildinq roof and site surfaces;
native vegetation is planned as a
buffer between site and river.
d. Soil type(s) and texture(s) of tract o. Describe existing drinking water supply source.
Dominantiv ara.vel and_concrptp Town of Windsor municipal
with some sandy loam grassed areas
e. Vegetation on tract Tract is covered by grass
and misc. wetland veaetation and
scrub willows. Few young bald cypress, sycamore and maples alonq river.
f. Man -made features now on tract 4368 s f frame/
metal building and concrete paving 5. ADDITIONAL INFORMATION
strips (4000 sf warehouse).
g. What is the CAMA Land Use Plan land
classification of the site? (ConsLlt the local land use plan.)
Conservation
X Developed
Rural
Transitional
Community
Other
h. How is the tract zoned by local government?
M -I Light Industrial
Is the proposed project consistent with the applicable
zoning? x Yes No
(arena, zoning compliance aeMficate, if applicable)
j. Has a professional archaeological assessment been
done for the tract? Yes x No
If yes, by whom?
k. Is the project located in a National Registered
Historic District or does it involve a National
Register listed or eligible property?
Yes X No
Are there wetlands on the site? X Yes No
Coastal (marsh) Other x
If yes, has a delineation been conducted? Yes
(Attach doctowmariore, if amailable)
see attached map
Revised 03/95
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 properties. If the applicant is not
claiming to be the owner of said property, then
forward a copy of the deed or other instrument under
which the owner claims title, plus written permission
from the owner to carry out the project.
• An accurate, dated work plat (including plan view
and cross- sectional drawings) drawn to scale in black
ink on an 8 1/2" by 11" white paper. (Refer to
Coastal Resources Commission Rule 73.0203 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 an
adequate number of quality copies are provided by
applicant. (Contact the U.S. Army Corps of
Engineers regarding 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 personnel unfamiliar with the area to the

Form DCM -MP -1
site. Include highway or secondary road (SR)
numbers, landmarks, and the like.
• A Stormwater Certification, if one is necessary.
• 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. Upon signing this form, the applicant
further certifies that such notice has been provided.
Name Ed T. Colburn, Jr.
Address 112 South Side Ave, Manteo NC
Phone [phone]Y54
Name Steve Jilcutt
Address 1101 Stokes St, Windsor NC
Phone Y19 -794 -2666 27983
Name Stanley Thompson
Address 101 Baker St, Windsor NC
Phone [phone]
• A list of previous state or federal permits issued for
work on the project tract. Include permit numbers,
permittee, and issuing dates.
NONE
• A check for $250 made payable to the Department of
Environment, Health, and Natural Resources
(DEHNR) to cover the costs of processing the
application.
• A signed AEC hazard notice for projects in
oceanfront and inlet areas.
• A statement of compliance with the N.C.
Environmental Policy Act (N.C.G.S. 113A - 1 to
10) If the project involves the expenditure of public
funds or use of public lands, attach a statement
documenting compliance with the North Carolina
Environmental Policy Act.
Revised 03/95
6. CERTIFICATION AND PERNIISSION
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 conditions
and restrictions contained in the permit.
I certify that to the best of my knowledge, the proposed
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 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.
This is the 23rdday of May , 19 97
Print Name
Signature /���
La downer or Amtholied Agent
Please indicate attachments pertaining to your proposed
project.
X DCM MP -2
x DCM MP -3
x DCM W-4
DCM MP -5
DCM MP-6
Excavation and Fill Information
Upland Development
Structures Information
Bridges and Culverts
Marina Development
NOTE. Please sign and date each attachment in the
space provided at the bottom of each form.

Form DCM -MP -2
EXCAVATION
AND FILL
(Except 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.
Describe below the purpose of proposed excavation or
fill activities. All values to be given in feet.
Avenge Final
Esdcting Project
Length Width Depth Depth
Access
channel n/a
(MLW) or (NWL)
Canal
n/a
Boat
basin n/a
Boat
ramp
Rock
groin
Rock
breakwater
Other
(Excluding
shoreline
stabilization)
Revised 03/95
20' 20! 2'
n/a
n/a
n/a
2'
1. EXCAVATION
a. Amount of material to be excavated from elow
MHW or NWL in cubic yards
b. Type of material to be excavated n/a
c. Does the area to be excavated include coastal
wetlands (marsh), submerged aquatic vegetation
(SAVs) or other wetlands? Yes n/a No
d. Highground. excavation in cubic yards n/a
2. DISPOSAL OF EXCAVATED
MATERIAL
a. Location of disposal area n/a
b. Dimensions of disposal area n/a
c. Do you claim title to disposal area? n/a
Yes No
If no, attach a letter granting permission from the
owner.
d. Will a disposal area be available for future
maintenance? Yes No n/a
If yes, where?

Form DCM -MP -2
e. Does the disposal area include any coastal wetlands
(marsh), SAVs or other wetlands? n/a
Yes No
f. Does the disposal- include any area in the water?
Yes No n/a
3. SHORELINE STABILIZATION
a. Type of shoreline stabilization
1 Bulkhead Riprap
b. Length 35' lenqth
c. Average distance waterward of MHW or NWL
d. Maximum distance waterward of MHW or NWL
4'
e. Shoreline erosion during preceding 12 months
none
(Source of information) observation
f. Type of bulkhead or riprap material timber
g. Amount of fill in cubic yards to be placed below
water level
(1) Riprap none
(2) Bulkhead backfill - 44 cy
h. Type of fill material
i. Source of fill material
topsoil
on -site topsoil
4. OTHER FELL ACTIVITIES
(Excluding Shoreline Stabilization)
a. Will fill material be brought to site?
X Yes No
Revised 03195
If yes,
(1) Amount of material to be placed in the
water hone
(2) Dimensions of fill area 60, x 90,
(3) Purpose of fill to level f or
multipurpose lawn area
b. Will fill material be placed in coastal wetlands
(marsh), SAVs or other wetlands?
Yes x No
If yes,
(1) Dimensions of fill area n/a
(2) Purpose of fill
5. GENERAL
a. How will excavated or fill material be kept on site
and erosion controlled? Soil will be
stabilized with erosion control
measures (silt tencing) and
seeding.
b. What type of construction equipment will be used
(for example, dragline, backhoe, or hydraulic
dredge)?
TracHoe
c. Will wetlands be cr3ssed in transporting equipment
to project site? Yes X No
If yes, explain steps that will be taken to lessen
environmental impacts.
Partnership for the Sounds:
Roanoke /Cashie River Center
F ��,
997
Date

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.
a. Type and number of buildings, facilities, units or
structures proposed Renovation of existing
facilities; new lb'X14' snelter and
new 501xl8' picnic snelter.
b. Number of lots or parcels 2
c. Density (give the number of residential units and the
units per acre) n/a
d. Size of area to be graded, filled or disturbed
including roads, ditches, etc. 2.96 ac
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.
If applicable, has a sedimentation and erosion
control plan been submitted to the Division of Land
Resources? X Yes No
If yes, date submitted May 23, 19 9 7
f. List the materials (such as marl, paver stone,
asphalt, or concrete) to be used for paved surfaces.
Gravel on all walking surfaces
at grade, asphalt or gravel for
parking and service access.
g. Give the percentage of the tract within 75 feet of
MHW or NWL, or within 575 feet in the case of an
Outstanding Resource Water, to be covered by
impervious and /or built -upon surfaces, such as
pavement, buildings, rooftops, or to be used for
vehicular driveways or parking. 4%
Revised 03/95
h. Projects that require a CAMA Major Development
Permit may also require a Stormwater Certification.
Has a site development plan been submitted to the
Division of Environmental Management for review?
Yes No
If yes, date submitted May 23, 19 9 7
i. Describe proposed method of sewage disposal.
Town of Windsor municipal
j. Have the facilities described in Item i. above
received state or local approval? see
(Attach appropriate docununtation) attached letter
k. Describe location and type of proposed discharges to
waters of the state (for example, surface runoff,
sanitary wastewater, industrial /commercial effluent,
"wash down" and residential discharges).
Gravel parking lot and existing
building runott.
1. Describe proposed drinking water supply source
(e.g. well, community, public system, etc.)
Town of Windsor municipal
m. Will water be impounded? Yes X No
If yes, how many acres?
n. If the project is a oceanfront development, when
was the lot(s) platted and recorded? n/a
Partnership for the Sounds:
Roanoke /Cashie River Center
Applicant or. Project Nawe
�.�/
Signature
May 23, 1997
Date

Form DCM -MP4
S'-t'RUC'i'URES
(Construction within Public Trust Areas)
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 which relate to
this proposed project.
a. Dock(s) and /or Pier(s)
(1) _ Commercial X Community _ Private
(2) Number b1
(3) Length
(4) Width 6' � ( access ramp)
(5) Finger Piers Yes X No
(i) Number
(ii) Length
(iii) Width
(6) Platform(s) Yes X No
(i) Number
(ii) Length
(iii) Width
(7) Number of slips proposed n/a
(8) Proximity of structure to adjacent riparian
property lines at NE property line
(9) Width of water body 150,
(10) Water depth at waterward end of pier at
MLW or NWL 61
b. Boathouse (including covered lifts) n/a
(1) Commercial Private
(2) Length
(3) Width
c. Groin (e.g. wood, sheetpile, etc.) n/a
(1) Number
(2) Length(s)
d. Breakwater (e.g. wood, sheetpile, etc.) n/a
(1) Length
(2) Average distance from MHW, NWL or
wetlands
(3) Maximum distance beyond MHW, NWL or
wetlands
Revised 03/95
e. Mooring buoys n/a
(1) _ Commercial _Community _ Private
(2) Number
(3) Description of buoy
(Color, inscription, size, anchor, etc.)
(4) Width of water body
(5) Distance buoy(s) to be placed beyond
shoreline
f. Mooring structure (boatlift, mooring pilings, etc.)n /a
(1) _ Commercial _Community _ Private
(2) Number
(3) Length
(4) Width
g. Other (Give complete dercriprion)
Boardwalk and bridge over canal,
560 if - 10' width.
Boat deck and access ramp,
lu, wiatn x 4u, lengtn.
Partnership for the Sounds:
Roanoke /Cashie River Center
Applicant or jec Name
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Signature /
May 23, 1997
Date