56374_NC DOT_20110425 (2)

N° 563'74
C�"CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
EEN'ew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources T) --7
the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC C. / H-
and
[S�ules attached.
471
Applicant Name
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AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no) PNA yes / nod Crit.Hab. yes / no
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Project Location: County
Street Address/ State Road/ Lot #(s) rF 1
Subdivision
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Agent or Applicant Printed Name
PermitOffice s Signature
Signature "Please read compliance statement on back of permit
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NCDNR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
oeve+iy Eaves perjue, in7Ve(rU jairte$ Pi. Gr"Son, Director Dee Freetriao, Secretary
May 2, 2011
Clav Willis, Environmental Officer
Division I
NC Dept. of Transportation
11.3 Airport Road, Suite 100
Edenton, NC 27932
Dear Mr. Willis:
Attached is General :Permit 456374C.
In order to validate this permit, please sign the permit as indicated. Retain the white copy for
your files and return the signed yellow and pink copies to us in the enclosed, self-addressed
envelope. If the signed permit copies are not returned to this office before the initiation of
development, you will be working without authorization and will be subject to a Notice of
Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
Stephen Lane
Coastal Management Representative
SL/lsb
Enclosures
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] \ FAX: [phone] \ Internet: www,nccoastalmanagement.net
An Equal opportunity \ Affirmative Action Employer - 50% Recycled \ 10% Post Consumer Paper

pplicant: N
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name DISTURB TYPEChoose One
TOTAL Sq. Ft.
FINAL Sq. Ft.
(Applied for.
(Anticipated final
Disturbance total
disturbance.
includes any
Excludes any
anticipated
restoration
restoration or
and/or temp
tamn imnantsl
imnart amnuntl
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
Disturbance
disturbance.
total includes
Excludes any
any anticipated
restoration and/or
restoration or
temp impact
temo impacts)
amount)
Dred e ❑ Fill E-7 0 I 70
g ['-�f3oth ❑ Other ❑
e

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
April 21, 2011
Stephen Lane
NC Division of Coastal Management
400 Commerce Ave.
Morehead City, NC 28557
Dear Mr. Lane,
EUGENE A. CONTI, JR.
SECRETARY
This letter is requesting a general permit .1700 be issued for emergency shoulder stabilization along
SR 1142 Waterlily Rd, Currituck County. The 2 sites are located 0.9 and 1.06 miles north of SR 1154 and
are noted on the attached maps and will be 70' in length total for the 2 locations. The stabilization will
occur on an eroded bank that has collapsed along SR 1142 causing the shoulder of the road to become
unstable. The Division of Coastal Management considers the project area to be within an AEC that requires
authorization for the shoulder stabilization. Included with this request are the MP-1, MP-2 forms, location
map, landowner notices, and permit drawings depicting the proposed work. WBS element # is 1.202711. If
any additional information is needed please contact Clay Willis at 252-482-7977.
Sincerely,
Jerry Jennings, P.E.
Division Engineer, Division One
Clay Willis
Environmental Officer, Division One
113 Airport Drive, Suite 100, Edenton, NC 27932, Phone [phone], Fax [phone]

DCM MP4
APPLICATION for
Major neuelopment Permit
(last revised 12/27/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
N.C. Department Of Transportation
Project Name (if applicable)
SR 1142 Waterlilly Rd - Shoreline Stabilization
Applicant 1: First Name
Clay
MI
Last Name
Willis
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
113 Airport Raod
PO Box
City
Edenton
State
NC
ZIP
27932
Country
USA
Phone No.
252 482
- 7977 ext.
FAX No.
252 - 482 - 8722
Street Address (if different from above)
City
State
ZIP
Email
[e-mail]
2. Agent/Contractor Information
Business Name
Agent/ Contractor 1: First Name
MI
Last Name
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
ZIP
Phone No. 1
-
- ext.
Phone No. 2
- - ext.
FAX No.
Contractor #
Street Address (if different from above)
City
State
ZIP
Email
<Form continues on back>
252-808-2808 . 1-888-4RCOAST :. www.nccoastalmanagement.net

Form DCM MP-1 (Page 2 of 5)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Currtuck
SR 1142 Watedilly Rd
1142
Subdivision Name
City
State
Zip
Coinjock
NC
27923 -
Phone No.
Lot No.(s) (if many, attach additional page with list)
- - ext.
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
Pasquotank
Currituck 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.
NNatural ❑Manmade []Unknown
Currituck Sound
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
❑Yes NNo
work falls within.
4. Site Description
a.
Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
70'
4200
c.
Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
20' NNHW or ❑NWL
e.
Vegetation on tract
Various roadside grasses on a maintained shoulder.
f.
Man-made features and uses now on tract
SR 1142 Wateriiliy Rd
g.
Identify and describe the existing land uses adjacent to the proposed project site.
Residential
h.
How does local government zone the tract?
1. Is the proposed project consistent with the applicable zoning?
N/A
(Attach zoning compliance certificate, if applicable)
❑Yes ❑No NNA
j.
Is the proposed activity part of an urban waterfront redevelopment proposal? Yes NNo
k.
Has a professional archaeological assessment been done for the tract? If yes, attach a copy. []Yes NNo ❑NA
If yes, by whom?
I.
Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes NNo EINA
National Register listed or eligible property?
<Form continues on next page>
m. (i) Are there wetlands on the site? []Yes NNo
(ii) Are there coastal wetlands on the site? ❑Yes NNo
(iii) If yes to either (i) or (ii) above, has a delineation been conducted? ❑Yes NNo
(Attach documentation, if available)
252-808-2808 .. 1-888-4RCOAST :. www.necoastalmanagement.net

Form DCM MP-1 (Page 3 of 5)
APPLICATION for
n. Describe existing wastewater treatment
None
o. Describe existing drinking water supply source.
None
p. Describe existing storm water management or treatment systems.
None
Major Development Permit
5. Activities and Impacts
a. Will the project be for commercial, public, or private use?
[]Commercial ®Public/Govemment
❑Private/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
The purpose of this project is to stabilize the shoulder of SR 1142 by placing rip rap and backfilling with shoulder material.
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.
A tracked excavator, backhoe, and dump truck will be used during construction.
d. List all development activities you propose.
To stabilize 70' of shoulder along SR 1142 Waterlilly Rd.
e. Are the proposed activities maintenance of an existing project, new work, or both?
Maintenance
f. What is the approximate total disturbed land area resulting from the proposed project?
1050 ®Sq.Ft or []Acres
g. Will the proposed project encroach on any public easement, public accessway or other area
❑Yes ®No ❑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 from SR 1142.
i. Will wastewater or stormwater be discharged into a wetland?
❑Yes ®No ❑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 ®No ❑NA
If yes, attach a mitigation proposal.
<Form continues on back>
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) — (0 are always applicable to any major development application. Please consult the application
instruction booklet on how to properly prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
252-8€8-2808 1-888-4RCOAST .. vvww.nccoastalnianagement.net

Form DCM MP-1 (Page 4 of 5)
APPLICATION for
Major Development Permit
d. A copy of the deed (with state 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 Dennis C Haynes Trustee
Phone No.
Address 1085 Waterlily Rd
Coinjock, NC 27923
Name Susan Griggs Wellons
Phone No.
Address 503 Fieldstone Ct
Greensboro, NC 27455
Name Kimberly B. Tate Trustee
Phone No.
Address 1093 Waterlily Rd
Coinjock, NC 27932
Name Sarah D. Butler
Address 920 Oklahoma Dr.
Chesapeake, VA 23323
Name Walter L. Curies
Address 200 Wynne Fork Rd
Hertford, NC 27944
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and Issuing dates.
none
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
252-808-2808 :: 1-888-4RCOAST :: www.nccoostaimanagement.net

Form DCM MP-1 (Page 5 of 5)
APPLICATION for
Major Development Permit
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 �/ A Print Name ao�
Signature
Please indicate application attachments pertaining to your proposed project.
®DCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and Culverts
❑DCM MP-3 Upland Development
❑DCM MP-4 Structures Information
252-808-2808 . 1-888-4RCOAST . www.n-Coastaimanagement.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.
Access
Other
Channel
(NLW or
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
Breakwater
(excluding
shoreline
NWL)
stabilization
Length
Width
Avg. Existing
NA
NA
Depth
Final Project
Depth
NA
NA
1. EXCAVATION ®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.
d. High -ground excavation in cubic yards.
c. (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
❑WL ❑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. (i) Will a disposal area be available for future maintenance?
❑Yes ❑No ❑NA
❑Yes ❑No ❑NA
(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 ❑NA
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
(ii) If yes, how much water area is affected?
❑CW ❑SAV ❑SB
❑WL ❑None
(ii) Describe the purpose of disposal in these areas:
252-808-2808 ;: 1.888.4111C AST :: MiiJ✓bRw.0ccoasYal!p �rf.2;it'E33i 11$,4I t revised. ; d Z72i rliiS

Fir.; F3'1 OCNI PAR-2 and Fitt, Page 2 of 2)
3. SHORELINE STABILIZATION ❑This section not applicable
(if development is a wood groin, use MP-4 — Structures)
a. Type of shoreline stabilization:
❑Bulkhead ®Riprap ❑Breakwater/Sill ❑Other:
c. Average distance waterward of NHW or NWL: 8'
e. Type of stabilization material:
riprap
g. Number of square feet of fill to be placed below water level
Bulkhead backfill Riprap 560
Breakwater/Sill Other
i. Source of fill material.
b. Length: 70'
Width: 15'
d. Maximum distance waterward of NHW or NWL: 10'
f. (i) Has there been shoreline erosion during preceding 12
months?
®Yes ❑No ❑NA
(ii) If yes, state amount of erosion and source of erosion amount
information.
5' - 8' resulting from wave action
h. Type of fill material.
riprap
4. OTHER FILL ACTIVITIES ®This section not applicable
(Excluding Shoreline Stabilization)
a. (i) Will fill material be brought to the site? []Yes []No ❑NA b. (i) Will fill material be placed in coastal wetlands/marsh (CW),
If yes,
(ii) Amount of material to be placed in the water
(iii) Dimensions of fill area
(iv) Purpose of fill
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 ❑None
(ii) Describe the purpose of the fill in these areas:
5. GENERAL
a. How will excavated or fill material be kept on site and erosion b. What type of construction equipment will be used (e.g., dragline,
controlled? backhoe, or hydraulic dredge)?
Using NCDOT Best Management Practices for soil and erosion tracked excavator, backhoe, dumptruck
control.
c. (i) Will navigational aids be required as a result of the project?
❑Yes ®No ❑NA
(il) if yes, explain what type and how they will be implemented.
d. (i) Will wetlands be crossed in transporting equipment to project
site? ❑Yes ®No ❑NA
(li) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
Date Applicant Name 5
SR 1142 Watedily Rd shoreline stabilization
Applic4Signature
Project Name
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S

Currituck SR 1142 Waterlily Rd, Site 1, 0.9 miles north of SR 1154
Shoreline stabilization

Currituck SR 1142 Waterlily Rd, Site 2, 1.06 miles north of SR 1154
Shoreline stabilization
r L. Curies
Wynn
Hertfordt -27944 Prt
75.E
Sarah D. Butler.
(1119 Waterlily Rd).�
6
920 Oklahoma Dr.
r,
Chesapeake, VA 233
Ki erly B. T`y. -,
15 WaterC
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jock, SIC 279M

IV.
County:
SR #:
WBS:
Description.
Scale:
Date:
Drawn:

Lane, Stephen
From: Shook, Ryan L
Sent: Thursday, April 21, 2011 3:47 PM
To: Lane, Stephen
Cc: Jennings, Frank
Subject: Currituck SR 1142 Waterlily Rd
Attachments: CAMA cover letter _.1700.doc; MP forms.pdf; topo.pdf; aerial_sketch.pdf;
riparian_notifications.pdf
Stephen,
This is to follow up on our discussion of the proposed shoreline stabilization project on SR
1142 Waterlily Rd in Currituck County. NCDOT is requesting a GP .1700 for emergency
shoreline stabilization for this project.
I have made an attempt and have not been able to contact 3 of the riparian landowners for
this project. Doors were also knocked on in an attempt to notify.
Susan Griggs Wellons
(1089 Waterlily Rd)
503 Greensboro, NC 27455
-Could not locate a phone number.
Sarah D. Butler
(1119 Waterlily Rd)
920 Oklahoma Dr.
Chesapeake, VA 23323
-Could not locate a phone number.
Walter L. Curles
(1121 Waterlily Rd)
200 Wynne Fork Rd
Hertford, NC 27944
-Left a message on his answering machine with brief description and asked that he call back.
I have the remaining 3 property owner signed riparian landowner notification forms which are
attached.
NCDOT would like to perform the needed repairs to the shoreline and eroding shoulder, as it
is a safety concern, early next week. This is when the crane can be mobilized to the site.
Also attached are the MP-1, MP-2 forms, aerials, topo, and sketch of the depicted work. Let
me know if you need any additional information.
Thanks,
Ryan
Ryan Shook
Environmental Specialist
NCDOT - Division 1
113 Airport Dr., Suite 100
Edenton, NC 27932
Office 252-482-7977
Fax [phone]

Lane, Stephen
From: Shook, Ryan L
Sent: Thursday, April 21, 2011 3:47 PM
To: Lane, Stephen
Cc: Jennings, Frank
Subject: Currituck SR 1142 Waterlily Rd
Attachments: CAMA cover letter _.1700.doc; MP forms.pdf; topo.pdf; aerial_sketch.pdf;
riparian_notifications.pdf
Stephen,
This is to follow up on our discussion of the proposed shoreline stabilization project on SR
1142 Waterlily Rd in Currituck County. NCDOT is requesting a GP .1700 for emergency
shoreline stabilization for this project.
I have made an attempt and have not been able to contact 3 of the riparian landowners for
this project. Doors were also knocked on in an attempt to notify.
Susan Griggs Wellons
(1089 Waterlily Rd)
503 Greensboro, NC 27455
-Could not locate a phone number.
Sarah D. Butler
(1119 Waterlily Rd)
920 Oklahoma Dr.
Chesapeake, VA 23323
-Could not locate a phone number.
Walter L. Curles
(1121 Waterlily Rd)
200 Wynne Fork Rd
Hertford, NC 27944
-Left a message on his answering machine with brief description and asked that he call back.
I have the remaining 3 property owner signed riparian landowner notification forms which are
attached.
NCDOT would like to perform the needed repairs to the shoreline and eroding shoulder, as it
is a safety concern, early next week. This is when the crane can be mobilized to the site.
Also attached are the MP-1, MP-2 forms, aerials, topo, and sketch of the depicted work. Let
me know if you need any additional information.
Thanks,
Ryan
Ryan Shook
Environmental Specialist
NCDOT - Division 1
113 Airport Dr., Suite 100
Edenton, NC 27932
Office 252-482-7977
Fax [phone]
1

,APR-25-2011 09:55 From:DCM-DMF ECITY 2522643723 To:912522473330 P.1/3
� cnu7at
DIVISION OF COASTAL ALkNAGEAdENT
1367 US 17 South, Elixaheth City, NC 27009 AA
Phone: [phone]; Fag: 252-264-3723 �4DENR
FAX MEMORANDUM
TO:
COMPANY:
PHONE NO: FAX NO:
FRAM: rc` A/v %�c%y�.✓
DATE: TOTAL NO, OF PAGES: �
SUBJECT:

HPR-25-2011 09:55 From:DCM-DMF ECITY 2522643723 To:912522473338 P.2/3
04/ 21 / 2011 08: 03 2523314739 NCDOT PAGE 0.107
DIVISION OF COASTAL MANAGEMENT
t�AJACE IT RIPARfAN P 20?'IrRTY 10 ER NOTIEtC ION FOR
CERTIFIED MAIL, - RETURN RECEIPT REQUESTED
1 hereby certify that I own property adjacent to COOT 11 � 44 W�
s
(Dame of Property owner)
property located
( ( (Address, Lot, 13loJ, Road, etc,)
on urr YJCJ pUv1 , in �.Urr' -t -c r—
N.C.
(Waterbody) (Gity/Towin .and/or County)
Agent's Name #: —A ,r��, n Mailing Address: �J CDoT 7 M ckPA-
n _ �..,. .►., ... �. T C7 7 if ✓~ - �i 9 r M
c;-=r-ri i_•:: _:_ :"_'__..!.: :.. � :v f:i-
and I have no objections to the proposal
----------------------- -----------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in doseription below or attach a slit drawing)
SR 1)42—
if you have objections to what is being proposed, you mu8t notify the Divlalon of Coastal Management
(DC'M) in wrNiing wfthin 10 days of recalptt of this notice. Contact information for DCM offices is
available at www.nccoostalmongament.rrerlcontact dcm.htm or by calling i-88a,4RC0As1-_ No
response is considered the same as no objection if you have been notified by Certified Mail,
(Property Owner Information)
AW or Type !fame
Mailing Adriress
CltylStaterLip
Telephone Number
Date
(Riparian Proper
t
y
Owner Information)
naluro
Print or Type Name
1
Mailing Address
Telephone Number
Dais

�-PR-25-2011 09:55 Froa:DCM-DMF ECITY 2522643723 To:912522473330 P.3/3
04/21/2011 08: 05 2523314739 NCDOT PAGr 0c l07
DIVISION OF COASTAL MANAGEMENT
ADJACENT -RIPARIAN PROPERTY MNER NOTIE CATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
hereby certify that 1 own property adjacent to _ N QO T-
(Name of Property Owner)
property locate,d at
I1
++ (( (Address, Lot, eta, Road, etc) �+
on vrr� i✓tJ� + uv\ fn �—ljrri-'4-uL�� `a+
�... I N.0
(Waterbody) (Cityfiown and/or county)
Agent's Name #: A i f vs5 I 1 Mailing Address: cDFai"A 1-7 m
•�:.���.:i:.'llyi'I '.1 L'V`11i6."rx fl :: i�. .—_.__ _�_%'�,���.•.: Jam.. 11011�11C`i(
!lk j{ JGii +uVulluf 1,
and I have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT -
(lndiwidual proposing development must 1111 in description bellow or attach a site drawing)
5,q 1142-
1%yAu have objections to what is being proposed, you must npt/t}r the Division of Coastal ihManagennent
(DOM) in writing within 10 days of receipt of fhfs notice. Contact lnfonnFffon for DCAfl offices /s
ovailable at www.nccOastalmangament.neticantact dcM.htm or by calling 1-888-4RCQAST. No
reonce is conslderred the came as no ab actfan IYMY have been notified Py Certified Mail.
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