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HomeMy WebLinkAbout57307D - Cape kLAMA / V'DREDGE & FILL IN. `'� ERAL PERMIT Previous permit # env OModificatiori []Complete Reissue ❑Partial Reissue Date previous permit issued uthorized by the State of North Carolina, Department of Environment and Natural Resources the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC_ b0 _ y, ti ules attached. -Ml licant Name_�i�(�1 `I (�f ►,/'+ Project Location: County X��C�Nl��slr ress� Q/Cr__?G(�'�'''� Y Street Address/ State Road/ Lot #(s) v1 �1(_l"Ni122!!�2 _.___._-- ...__State 1W ZIP_ _2,A/W� �'/ �'rit�YCr�.w ne # ((�) j-PdS�CU Fax su' _...__ �} 1.. horized Agenti^{ CityW���i�'fh ZIP_ ected 11/Cw : tw WKA ,cS Phone h (�) River Basin—=/- ( ! QEA i ; HHF 1 IH (l UBA ❑ H/A C(s): tr. B•1' 'r ` /�rey n�a 1 ody 44,I C., 2 [ 1 PWS: _ [lFQ ',W: yes /(5 PNA ye / no Crit.Hab. yes / no Closest Mal. Wtc Body 'Y ilfQpe FeAr ,pe 1;ProjectlAct�� _-/ ' w / ier lat(i Inge iron ulkl asir oat oad ead ,o V NV: Lndt Ora ,otc Wvo tithCa10- (Scale: ,dock) length . number...: ■■■w, ■w - . ■■ iiN"' ':0� 'iME :I Z avg distance offshorei . ■■ma max distance offshore-:�■iTi■''� channel cubic yards i�i'i�ii iiIi�Gi�ii =�i 10.0 iiai`�'iiii�■ ON I • ■■■■■�■■ INM a■■■�■■■�i■■■a ■ F?"a Ems 0 'A q LA a, J rA- ML'z: 13rMM W.) PIP ■■r.><si�� ■■ '�■,■ r.�� ■ POEM■ ■ .G�■ i ■ Adw Is ■■■■■■■■■■■■■■■■lk ■■■■■■■■■■1■ building permit may be required by: otes/ Special Conditions U See note on bad% regarding River Basin rt // '_� //0111- 55 11 l U.S. ARMY CORPS OF ENGINEERS WILMINGTON DISTRICT )n ID. SAW-2011-00618 County: New Hanover USGS Quad: Wilmington GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION erty Owner: Cape Fear Public Utility Authori C/o Mr. Matthew Jordan Address: 235 Government Center Drive Wilmington, NC 28403 phone No.: (910) 332-6542 and location of property (water body, road name/number, town, etc.): Proiect area is an existing 40 foot -wide ,r line easement approximately 2,500 feet in length, located at the end of Smith Creek Boulevard, parallel i nt Mill Creek, Wilmington, New Hanover County, North Carolina. (34.25627 N,-77.92572 W). :ription of projects area and activity: Authorization to temporarily impact 0.11 acres and permanently imps acres of wetlands and 40 if of tidal creek for the purpose of rehabilitating the existing sewer outfall with a Mel 48" ductile iron pipe and new manholes down to the iunction box at the Burnt IVLII Creek Outfall and th Creek Outfall confluence. PLEASE SEE THE SPECIAL CONDITIONS ON THE FOLLOWING PA( Jcable Law: ® Section 404 (Clean Water Act, 33 USC 1344) ❑ Section 10 (Rivers and Harbors Act, 33 USC 403) iorization: Regional General Permit Number: Nationwide Permit Number: 12 ,our work is authorized by the above referenced permit provided it is accomplished in strict accordance with the ath litions and your submitted plans Any violation of the attached conditions or deviation from your submitted plans m ect the vermittee to a stop work order, a restoration order and/or appropriate legal action. his verification is valid until the NWP is modified, reissued, or revoked. All of the existing NWPs are scheduled to be me ,ued, or revoked prior to March 18, 2012. It is incumbent upon you to remain informed of changes to the NWPs. We will is notice when the NWPs are reissued. Furthermore, if you commence or are under contract to commence this activity bef that the relevant nationwide permit is modified or revoked, you will have twelve (12) months from the date of the modifice cation of the NWP to complete the activity under the present terms and conditions of this nationwide permit. Lctivities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification ild contact the NC Division of Water Quality (telephone (919) 733-1786) to determine Section 401 requirements. 'or activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CA r to beginning work you must contact the N.C. Division of Coastal Management. 'his Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required F e or local approvals/permits. f there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulator dam, please contact Emirs at (910) 251-46�5. 1 LION ID # SAW-2011-00618 ;CIAL CONDITIONS: Prior to construction within any jurisdictional areas, the permittee must correctly install silt fencing (with or without safety fencing) parallel with the utility line corridor, on both sides of the jurisdictio crossing. This barrier is to serve both as an erosion control measure and a visual identifier of the lir of construction within any jurisdictional area. The permittee must maintain the fencing, at minimur until the wetlands have re -vegetated and stabilized. 2. Cleared wetland areas, associated with the areas of temporary impact, shall be re -vegetated with a wetland seed mix or a mix of native woody species. The permittee shall not use any Fescue grass o. invasive species such as Lespedeza within the wetland areas. 3. The construction/presence of this utility line (to which this Nationwide Permit (NWP) verification 1 pertains) will not affect our review of any future proposed impacts. The presence of this utility line not be an adequate justification for future impacts (e.g., additional utility lines must be built in jurisdictional waters of the U.S. because the location of this utility line necessitates the location of t other utility lines). We will examine any future proposal to impact jurisdiction waters of the U.S. tc ensure that you have avoided, minimized, and/or mitigated for unavoidable impacts. Corps Regulatory Official: Date: NATIONWIDE PERMIT 12 DEPARTMENT OF THE ARMY CORPS OF ENGINEERS FINAL NOTICE OF ISSUANCE AND MODIFICATION OF NATIONWIDE PERMITS FEDERAL REGISTER AUTHORIZED MARCH 19, 2007 Utility Line Activities. Activities required for the construction, maintenance, repair, and removal of utility lines and associated facilities in waters of the United States, provided the activity does not result in the loss of greater than 1/2 acre of waters of the United States. Utility lines: This NWP authorizes the construction, maintenance, or repair of utility lines, including outfall and intake structures, and the associated excavation, backfill, or bedding for the utility lines, in all waters of the United States, provided there is no change in pre - construction contours. A "utility line" is defined as any pipe or pipeline for the transportation of any gaseous, liquid, liquescent, or slurry substance, for any purpose, and any cable, line, or wire for the transmission for any purpose of electrical energy, telephone, and telegraph messages, and radio and television communication. The term "utility line" does not include activities that drain a water of the United States, such as drainage tile or french drains, but it does apply to pipes conveying drainage from another area. Material resulting from trench excavation may be temporarily sidecast into waters of the United States for no more than three months, provided the material is not placed in such a manner that it is dispersed by currents or other forces. The district engineer may extend the period of temporary side casting for no more than a total of 180 days, where appropriate. In wetlands, the top 6 to 12 inches of the trench should normally be backfilled with topsoil from the trench. The trench cannot be constructed or backfilled in such a manner as to drain waters of the United States (e.g., backfilling with extensive gravel layers, creating a french drain effect). Any exposed slopes and stream banks must be stabilized immediately upon completion of the utility line crossing of each waterbody. Utility line substations: This NWP authorizes the construction, maintenance, or expansion of substation facilities associated with a power line or utility line in non -tidal waters of the United States, provided the activity, in combination with all other activities included in one single and complete project, does not result in the loss of greater than 1/2 acre of waters of the United States. This NWP does not authorize discharges into non -tidal wetlands adjacent to tidal waters of the United States to construct, maintain, or expand substation facilities. Foundations for overhead utility line towers poles and anchors: This NWP authorizes the construction or maintenance of foundations for overhead utility line towers, poles, and anchors in all waters of the United States, provided the foundations are the minimum size necessary and separate footings for each tower leg (rather than a larger single pad) are used where feasible. Access roads: This NWP authorizes the construction of access roads for the construction CERTIFIED MAIL — RETURN RECEIPT REOLESTED DIVISION OF COASTAL M_ N-AGEMENT ADJACENT RIPARIAN'PROPERTY OWNER STATEMENT co Cape Fear Public Utility Authority I hereby certify that I own property adjacent to (Name of Property Owner) property located at 2201 J.R. Kennedy Drive , (Lot, Block, Road, etc.) On Burnt Mill Creek ,in Wilmington N.C. (Waterbody) (Town and/or County) Applicant's phone #: 910 MZ- & 0:0 Mailing Address: 235 Government Center Wilmington, NC 28403 He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (Individual proposing development must fill in description below or attach a site drawing) If you have objections to what is being proposed, you must notify the Division of Coastal Management (I)CM) in writ within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, N( DC1N1 representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection if you have been notified by Certified Mail (Property Owner Information) ol'mk Signature Frank C. Styers, P.E. Print or Type Name 235 Government Center Drive (Riparian Property Owner Information) Signature IIIILL%ism Print or Type Name b+oo Po? 1c a. &U E- Mailing Address Mailing Address cam 5400 Glenwood Avenue, Suite 300 Raleigh, North Carolina 27612 tel: 919 787-5620 fax: 919 781-5730 March 24, 2011 Mr. Robb Mairs Field Representative North Carolina Division of Coastal Management 127 Cardinal Drive Extension Wilmington, North Carolina 28405-3845 Subject: Cape Fear Public Utility Authority Burnt Mill Creek Phase 2 Sewer Improvements Project Request for CAMA General Permit Review Dear Robb: Enclosed please find one set of full-size plans for the sewer improvements for the above referenced project and a check for the CAMA General Permit fee of $400. The plans include a plan and profile view of the stream crossing on Sheets C-1 and C-3. Additionally, a copy of each adjoining property owner notification and the signed certified mail receipts are included as an attachment herein. Please review the enclosed plans and call me at (919) 325-3549 if you have questions. Thank you for your assistance. Very truly yours, Patrick Stout, EIT Project Engineer Camp Dresser & McKee Attachments: Full -Size Plan Set Cape Fear Public Utility Authority Stewardship. Sustainahility. Service. March 10, 2011 Mr. Bill Vassar 1223 North 23rd Street Wilmington, NC 28405 Re: Burnt Mill Creek Phase II Sewer Improvements Project Division of Coastal Management Adjacent Riparian Property Owner Statement To Mr. Vassar, This letter is to inform you that you are an adjacent riparian property owner to a construction project that will be occurring within the Coastal Shoreline and Public Trust Areas of Environmental Concern (AEC) area. This notification is required by the North Carolina Division of Coastal Management when obtaining a general permit. The permit is required when installing utility lines in the coastal wetland, estuarine water, public trust areas and estuarine and public trust shoreline AECs. The construction project being permitted is the second phase of a two phased sanitary sewer rehabilitation project. The sanitary sewer being rehabilitated is the Burnt Mill Creek Outfall, which was constructed in 1965 and his since experienced significant degradation. The rehabilitation project will prevent the possibility of a future failure of the Burnt Mill Creek Outfall. Phase I was completed in May 2009. Phase II consists of rehabilitating 2,500 linear feet of below -ground, 48-inch, 42-inch and 24-inch diameter sewer and 10 manholes and 1 junction box. The rehabilitation that will be occurring adjacent to your property will be installation of a new 48-inch gravity sanitary sewer line and associated manholes. The new parallel sanitary sewer will be installed within the existing permanent sanitary sewer easement. The only work that will be occurring within the temporary construction easement will be clearing and staging of materials for installation of the parallel sanitary sewer. This phase of the project is scheduled to begin in the summer of 2011. The overall site plan for the Phase 11 work is included in Attachment No. 1. Mr. Bill Vassar March 10, 2011 Page Two North Carolina Division of Coastal Management 127 Cardinal Drive Ext. Wilmington, North Carolina 28405 Thank you for assisting the Cape Fear Public Utility Authority in our efforts to continue providing quality service to our customers through the proper operation and maintenance of our existing sanitary sewer outfall. Please feel free to contact me should you have any questions or concerns about the project. Sincerely, ?-�It ki- (If-, -5 6-1-1� Frank C. Styers, P.E. Director of Engineering cc: Michael Sloop, CDM Attachment No. 1 �. SYtIN CREFN BWlEV4p LO BE DSED rOR CDYSiRUCnon E SHEET c-` NCCE59�lnrt5 tK c-, non . r PVYP Sr� 2 JE.NE v ORM •vYUY1lE AS DmonK CDHSiRuc - ..n USED. CpRPACttM K ^`� RESPONLBIE rat WN— M inE ERO - N.D SEaMFM RONiRDL —T RE—E— — v.R RFNNEDv D nE. .� 3 EYGNEER $11.,IL PRDNDE El£ClRO,RC <DPv D< DYRS Or S COtK1RUCigN. PERWnExi NID iEYPORMi FASFYEMS Ai MEM �� BOx / � ConiN4T0N5 REauESr. �r saE-eotwc e-3 oe / con`rRiocntE PORE A m N sSYN 1 sav D �� Ei. r.Yw / z� - RocR RIIiT RROIECIIDN� . RERYNIEM SNVLNry y' '�✓� yNFW SSYN 1 iB . SEWER F. SFYEM / ,1 r PERM / R SEVER EASEYEM -� 'T—_�IT.iFNLE axcx wnem mm / y sevu Dutr�u .d YEr mN / s. _ �-ol4 / PERWHENt W-R 1. -�`S� 'i i59 "'/ •.. f4 Sw inky SEWER [/KEYEM �� � _ \ carrsrRuciron usEUENr 4 � Ya ssw / T m� 1 a ,..nd ro ., SI.T fEYtE DIIEIL 5 � - _-.. - ii'(iry tx> sae aoatc a-x uns a- atYsmucnw - a Wolf :. RE VE D /� caEsmucTgn ERmNKF \ \ �\ c NC f1T, oaY C CAPE FEAR FEIeLIC vnLF AurNomTY _ NORTH CAROLINA CSmIDDir.DNc OVERALL SITE PLAN a rx..K; BURNT MILL CREEK PHASE 2 SEWER C "n --oz. IMPROVEMENTS Attachment No. 2 CERTIFIED MAIL — RETURN RECEIPT REQUESTED DIVISION OF COASTAL -XI -NAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATENMENT I hereby certify that I own property adjacent to Cape Fear Public Utility Authority (Name of Property Owner) property located at 2201 J.R. Kennedy Drive (Lot, Block, Road, etc.) on Burnt Mill Creek in Wilmington (Waterbody) Applicant's phone #: 91 o 33 Z- & CeJ-v (Town and/or County) Mailing Address: 235 Government Wilmington, NC 28403 He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. Is N.C. Center DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (Individual proposing development must fill in description below or attach a site drawing) If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writ within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NC DCM representatives can also be contacted at (910) 796-7215_ No response is considered the same as no obiection if you have been notified by Certified Mail (Property Owner Information) Signature Frank C. Styers, P.E. Print or Type dame (Riparian Property Owner Information) Signature Print or Type Name 235 Government Center Drive Mailing Address Mailing Address Cape Fear Public Utility Authority Stewardship. Sustainability. Service. March 10, 2011 International Paper Corporate Real Estate 6400 Poplar Avenue Memphis, TN 38197 Re: Burnt Mill Creek Phase II Sewer Improvements Project Division of Coastal Management Adjacent Riparian Property Owner Statement To Whom It May Concern, This letter is to inform you that you are an adjacent riparian property owner to a construction project that will be occurring within the Coastal Shoreline and Public Trust Areas of Environmental Concern (AEC) area. This notification is required by the North Carolina Division of Coastal Management when obtaining a general permit. The permit is required when installing utility lines in the coastal wetland, estuarine water, public trust areas and estuarine and public trust shoreline AECs. The construction project being permitted is the second phase of a two phased sanitary sewer rehabilitation project. The sanitary sewer being rehabilitated is the Burnt Mill Creek Outfall, which was constructed in 1965 and his since experienced significant degradation. The rehabilitation project will prevent the possibility of a future failure of the Burnt Mill Creek Outfall. Phase I was completed in May 2009. Phase II consists of rehabilitating 2,500 linear feet of below -ground, 48-inch, 42-inch and 24-inch diameter sewer and 10 manholes and 1 junction box. The rehabilitation that will be occurring adjacent to your property will be installation of a new 48-inch gravity sanitary sewer line and associated manholes. The new parallel sanitary sewer will be installed within the existing permanent sanitary sewer easement. This phase of the project is scheduled to begin in the summer of 2011. The overall site plan for the Phase II work is included in Attachment No. 1. Also attached is a North Carolina Division of Coastal Management Adjacent Riparian Property Owner Statement form. Please complete the fields provided under the Riparian Property North Carolina Division of Coastal Management 127 Cardinal Drive Ext. Wilmington, North Carolina 28405 Thank you for assisting the Cape Fear Public Utility Authority in our efforts to continue providing quality service to our customers through the proper operation and maintenance of our existing sanitary sewer outfall. Please feel free to contact me should you have any questions or concerns about the project. Sincerely, -�� O'� (I � a-1p--- Frank C. Styers, P.E. Director of Engineering cc: Michael Sloop, CDM Attachment No. 1 sNEEr x �. SYRN �; RaAEVARo LD RE USED fOR CDMiR11CMW �� C-� _ �AN r • _ 1. JR. NENNfar DIINC RF AS GORDNfL _ CDNSiNUCMIN ACCESS.. IP If USUSED, CDMRACT(Mi 5 EX JEWcipN _7' RESPDx51WF f0R Ap1ERINC i0 ME EROSIW ANO .BDX / � / SEpYEM COMRW RENYL REWWEYENIS ALOrW JR. 3. ENdrEFA SNAII PI10NK CELECiRTE CDN' I DNSiNUCIgN. iEYPOMRi PFAWNEM AND EASCYEMS AL NEW JUNCRDx CDMW.CrgtS REWESi o4r SdLBOPoNC B-3 I[D r ♦: -• SSYH / 1 D SrARRJCWST ENIWJICE WT- " Er. SSYH / 5 • ..... zz mYER EASFAEM - 'lam rY/ " O •I rEW SSw / i8 11 �, / PERYANENr AS» 1,�+ i fENCE SEWERFi5F1[M 11. ��•: Q / G \ -Y'' / " "• SSYNJ I •�• ) / SSW / 1TA ,� , SYflll CREEK SMDARY UiCE Q. SSW // .rift arrlc arr — / j '♦ 1f55 / SAMAArFASEMfM { ti• / ' /9 iFYPDRARr �. o NEW ssW / �A SfrM I eR •..� .. sFr c rFxcE ounFis wsRunD' aN EASFSM:M - \ _ (rn +z) sae eoRRM: a-z ` EJS rare i. -_. EET 'C— C-2 \\uYrts a caNsmucnoN F NDIE 3. V r EIVED 252011 #! I GTON, NC �pMw lcm CAPE FEAR PUBLIC UTILITY AUTHORITY •_ _ NORTH CAROLINA BURNT MILL CREEK PHASE 2 SEWER OVERALL SITE PLAN aNeEr NR. IMPROVEMENTS C-1 Attachment No. 2 ■ Complete items X, 2, and 3. Also complete A. Sig ture item 4 if Restricted Delivery is desired. X r l ■ Print.your narne,and address on the reverse l so that we can return the card to you. B. Rece' ed by (Printed ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: � &L M-ss,4e I ZZ3 4Qr" 2-31jD -S T' W,LM 04TOA(, nIG 3 8,-o S D. Is delivery address different from item 11 If YES, enter delivery address below: ❑ 3. Service Type Certified Mail CJ/Express Mail ❑ Registered �Mab Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number _ ^ I% 6/f A nA (Transfer from service label) 7009 1680 0002 0520 5429 / PS Form 3811, February 200 102595-02-M-1540 ■ Complete items'1, 2, and f3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece or on the front if space permits. 1. Article Addressed to: A. Signat� X [„ 0Agentt ❑ Addressee B. Received by ( Printed Name) C. Date of Delivery D. Is delivery address different from item 1? El Yes If YES, enter delivery address below: ❑ No CERTIFIED MAIL — RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATENMENT I hereby certify that I own property adjacent to Cape Fear Public Utility Authority (Name of Property Owner) property located at 2201 J.R. Kennedy Drive (Lot, Block, Road, etc.) Is on Burnt Mill Creek ,in Wilmington ,N.C. (Waterbody) (Town and/or County) Applicant's phone #: 910 331-(a (4 -1o Mailing Address: 235 Government Center Wilmington, NC 28403 He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. ----------------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (Individual proposing development must fill in description below or attach a site drawing) If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in wr within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, N DCM representatives can also be contacted at (910) 796-7215_ No response is considered the same as no objection if you have been notified by Certified Mail (Property Owner Information) Signature Frank C. Styers, P.E. Print or Type Name (Riparian Property Owner Information) Signature Print or Type Name 235 Government Center Drive Mailing Address Mailing Address CERTIFIED MAIL — RETURN RECEIPT REQUESTED DIVISION- OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to cape Fear Public Utility Authority (Name of Property Owner) property located at 2201 J.R. Kennedy Drive Is (Lot, Block, Road, etc.) on Burnt Mill Creek ,in Wilmington N.C. (Waterbody) (Town and/or County) Applicant's phone #: 910 332—ice *10 Mailing Address: 235 Government center Wilmington, NC 28403 He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. ----------------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAW-ING OF PROPOSED DEVELOPMENT: (Individual proposing development must fill in description below or attach a site drawing) R€CEIVED DOM WILMINGTON, NC APR 0 4 2011 If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in Kwri within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, N DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection if you have been notified by Certified Mail (Property Owner Information) ?A P4 - - L Signature Frank C. Styers, P.E. Print or Type Name (Riparian Property OwnerInformation) Vpature Print or Type Name 235 Government Center Drive Mailing Address Mailing Address m N DATE INVOICE # 02/22/11 BMC PERMIT .I Cape Fear Public Utillty Authority N .rhiy. Sot.n.wrr. S...k.. PO DESCRIPTION 112868 ENVIRONMENTAL&ECOLOGICAL AR NET AMOUNT 400.00 $********400.00 BB & T CHECK NUMBER 27195 DATE 03/03/2011 $********400.00 z--h a Cn Hex d PAY FOUR HUNDRED AND 00/100 DOLLARS ******************************************* NC DIVISION OF COASTAL MANAGEMENT TO THE ORDER 400 COMMERCE AVE MOREHEAD CITY NC 28557 This disbursement has been GovernmrequirentBedudgetbyth' eLocalppmvedae and Fiscal Control Act OF I 1112719511' 1:0531011,20: 0005L00376409116 I u C r r -j, Division of Coastal Mgt. Habitat impact Computer Sheet licant: JG�i'f% Permit #: s" �"e,/ cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id in your Habitat code sheet. itat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) Dredge ❑ Fill ❑ Both LX Other ❑ Dredge ❑ Fill ❑ Both A Other ❑ O Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill 0 Both ❑ Other ❑