Attachment 2 - Permit Application Forms

DCM MP-1
APPLICATION for
Major Development Permit
(last revised 12127/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Project Name
(if applicable)
Carteret County
Radio Island
Shoreline Stabilization &
Infrastructure
Protection
Project
Applicant 1: First Name
MI
Last Name
Eugene
Foxworth
Applicant 2: First Name
MI
Last Name
Rudi
Rudolph
If additional applicants, please attach an
additional pages) with names listed,
Mailing Address
PO Box
City
State
302 Courthouse Square
Beaufort
NC
ZIP
Country
Phone No,
FAX No.
28516
us
252 - 222 - 5835 ext.
252 -
222 - 5826
Street Address ('?different from above)
City
State
ZIP
Email
[e-mail];
[e-mail]
2. Agent/Contractorinformation
Business Name
Moffatt & Nichol
Agent/ Contractor 1: First Name
MI
Last Name
Mark
Pirrello
Agent/ Contractor 2: First Name
MI
Last Name
Doug
Huggett
Mailing Address
PO Box
City
State
4700 Falls of Neuse Rd Suite 300
Raleigh
NC
ZIP
Phone No. 1
Phone No, 2
27609
919 - 781 -
4626 ext.
- - ext.
FAX No.
Contractor#
919 781 4869
Street Address (d different from above)
City
State
ZIP
Email
[e-mail]; [e-mail]
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Form DCM MP-1 (Page 2 of 6)
APPLICATION for
Major Development Permit
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Form DCM MP-1 (Page 3 of 6)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Carteret
Radio Island
Subdivision Name
City
State
Zip
Beaufort
Phone No.
Lot No.(s) (if many, attach additional page with list)
252 - 222 - 5835 ext.
I I I ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
White Oak
Taylors Creek
c. Is the water body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
®Natural ❑Manmade []Unknown
Beaufort Inlet
e. Is proposed work within city limits or planning jurisdiction?
f. If applicable, list the planning junsdiction or city limit the proposed
®Yes ❑No
work falls within.
Carteret County
4. Site Description
a.
Total length of shoreline on the tract (ft.)
b. Size of entire tract (scift)
21800 it
2131500 sq.ft. Radio Island Beach
446,200 sq.ft. Radio Island Dredge Material Containment
Area (DMCA)
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)
0 - 29 it (11 ft Average) ®NHW or ❑NWL
e.
Vegetation on tract
None
f.
Man-made features and uses now on tract
Marine Corp Access Road (Marine Drive), Parking/Launch
Facility, Recreational Beach Access Area.
g.
Identify and describe the existing land uses adiacent to the proposed project site.
Marina, State Port Facility
h.
How does local government zone the tract?
i. Is the proposed project consistent with the applicable zoning?
Not zoned
(Attach zoning compliance certificate, if applicable)
❑Yes ❑No ®NA
j.
Is the proposed activity part of an urban waterfront redevelopment
proposal? ❑Yes NNo
k.
Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes ®No ❑NA
If yes, by whom?
I.
Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes ®No ❑NA
National Register listed or eligible property?
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Form DCM MP-1 (Page 4 of 6)
APPLICATION for
Major Development Permit
m. (1) Are there wetlands on the site?
NYes
❑No
(ii) Are there coastal wetlands on the site?
NYes
❑No
(Ili) If yes to either (i) or (ii) above, has a delineation been conducted?
[]Yes
NNo
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
N/A
o. Describe existing drinking water supply source,
N/A
p. Describe existing storm water management or treatment systems.
N/A
5. Activities and Impacts
a.
Will the project be for commercial, public, or private use? ❑Commercial NPubllc/Govemment
❑Private/Community
b.
Give a brief description of purpose, use, and daily operations of the project when complete.
The proposed project consists of placing the beach quality material dredged from East Taylors Creek (CAMA Permit # 32-20)
on the southeastern shoreline of Radio Island to provide protection to Marine Dr, Town infrastructure, and public beach
access.
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.
The proposed project will transport the beach quality material from East Taylors Creek to the Radio Island placement site. If
material is mechanically excavated from East Taylors Creek, the material will be transported by bardge to Radio Island and
placed mechanically on the shoreline from the waterside, If a hydraulic cutter suction dredge is utilized, the material will be
pumped into a DMCA constructed on Radio Island, then mechanically placed on Radio Island from the landside by
dumptruck. Placement and grading activities on the beach would incolve the use of bulldozers to redistribute and grade the
beach fill material to the proposed beach profile. Land -based equipment will also be utilized to construct the DMCA as
proposed in the plan set.
d.
List all development activities you propose.
Placement of beach quality material along Radio Island Shoreline.
DMCA construction on Radio Island as temporary storage of dredged material and clarification of dredge effluent.
e,
Are the proposed activities maintenance of an existing project, new work, or both? New Work
f.
What is the approximate total disturbed land area resulting from the proposed project? 4.9 Radio Island Beach
10.3 Radio Island DMCA
❑Sq,Ft or NAcres
g.
Will the proposed project encroach on any public easement, public accessway or other area NYes ❑No ❑NA
that the public has established use of?
h.
Describe location and type of existing and proposed discharges to waters of the state.
If mechanical excavation of East Taylors Creek utilized, as part of the dredging process, small quantities of dredge effluent
will return to the waters of the state within the dredging area as the excavated material is placed on the floating barges for
transport. If Hydraulic Cutter Suction Dredge utilized, clarified effluent will be returned to waters through the DMCA
clarification area outfall.
i,
Will wastewater or stormwater be discharged into a wetland? ❑Yes ❑No NNA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ❑No NNA
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Form DCM MP-1 (Page 5 of 6)
APPLICATION for
Major Development Permit
j. Is there any mitigation proposed? []Yes ❑No ®NA
If yes, attach a mitigation proposal.
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6.
Additional lnformation
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 property 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.
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 Olde Town Yacht Club Inc, Phone No,
Address 100 Olde Town Yacht Club Dr„ Beaufort, NC 28516
Name Phone No.
Address
:Name Phone No.
Address
g.
A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
The USACE has conducted previous maintenace events under
a federal authorization provided in 1935,
- U.S. Army Corps of Engineers Action ID SAW-2017-02286
- Coastal Area Management Act (CAMA) Permit No. 35-20
issued by the N.C. Division of Coastal Management
- Water Quality Certification No. 2019-1718, issued by the
N.C. Division of Water Resources
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.
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 jO1tt�t'L.{ Print Name si� �or"p w
Signature `, '� 1
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Form DCM MP-1 (Page 6 of 6)
APPLICATION for
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
Major Development Permit
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7 MV@I4 i1J,lba
(Except for bridges and culverts)
Attach this
form
to Joint Application for
CAMA
Major Permit, Form
DCM MP-1.
ee 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
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
(excluding
(NLW or
Breakwater
shoreline
NWL)
stabilization
Beach:2800 ft
Length
DMCA: 1000
ft
Width
Beach:126 ft
DMCA: 550 ft
Avg. Existing
-'
Beach:+1.1 ft
Depth
NA
NA
DMCA: +21.5
ft
Final Project
Beach: +4.5 ft
Depth
NA
NA
DMCA: +21.5
ft
1. EXCAVATION - ®This section hot appl(catile
a. Amount of material to be excavated from below NHW or NWL in b. Type of material to be excavated.
cubic yards.
(i) Does the area to be excavated include coastal wetlands/marsh
(CVJ), 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
(it) Describe the purpose of the excavation in these areas:
a. location of disposal area.
Radio Island Dredge Material Containment Area (DMCA) (if
utilized) then Placement on Radio Island Eastern Shoreline
c. (i) Do you claim title to disposal area?
❑Yes NNo ❑NA
(ii) If no, attach a letter granting permission from the owner
e. (i) Does the disposal area include any 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 NNone
d. High -ground excavation in cubic yards.
b. Dimensions of disposal area.
Beach: 2,800 ft x 126 ft; DMCA: 1,000 ft by 550 ft (if
Utilized)
WII a disposal area be available for future maintenance?
❑Yes NNo ❑NA
(ii) If yes, where?
(i) Does the disposal include any area in the water?
❑Yes NNo ❑NA
(ii) If yes, how much water area is affected?
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Form DCM MP.2 (Excavation and Fig], Page 2 of 3)
(ii) Describe the purpose of disposal in these areas:
3. SHORELINE STABILIZATION
(If development isfa wood groin, use MP-4 - Structures)
a. Type of shoreline stabilization:
❑Bulkhead ❑Riprap ❑Breakwater/Sill ❑Other:
_ Width: 126 ft
c. Average distance waterward of NHW or NWL: 18 it d. Maximum distance waterward of NHW or NWL: 52 it
e. Type of stabilization material;
Beach Quality Sand
g. Number of square feet of fill to be placed below water level.
Bulkhead backfill Riprap
Breakwater/Sill _ Other 100,913 so.ft.
i. Source of fill material.
East Taylors Creek
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.
+/- 1Oft (Visual Observation)
h.
Type of fill material.
Beach Quality Sand
a. (i) Will fill matedal be brought io the site? ®Yes ❑No ❑NA b. (i) Will fill material be placed in coastal wetlands/marsh (CW),
If yes, submerged aquatic vegetation (SAV), shell bottom (SB), or
(if) Amount of material to be placed in the water 0 other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
(iii) Dimensions of fill area 446,200 sc.ft. ❑CW ❑SAV ❑SB
(iv) Purpose of fill ❑WL ®None
Temporary Dredge Material Containment Area (DMCA) (it) 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)?
DMCA: Dike Construction, Silt fencing or other BMP measure for Hydraulic Cutter Suction Dredge, Multiple Excavators, Bulldozers,
managing runoff. Dump Trucks, Bardges
Radio Island: Land -based equipment (bulldozers) grading material
into placement template
c. (1) Will navigational aids be required as a result of the project? d. (1) Will wetlands be crossed in transporting equipment to project
NYes ❑No ❑NA site? ❑Yes NNo ❑NA
(if) If yes, explain what type and how they will be implemented. (if) If yes, explain steps that will be taken to avoid or minimize
Applicant will file a Notice to Mariners prior to construction and environmental impacts,
work with USCG to determine marking requirements for pipeline
placement.
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