USACE Eng_Form_4345(Avon-Dare County) - Signed

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U.S. Army Corps of Engineers (USACE)
FormAppmved-
APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT
OMB No. 0710-0003
33 CFR 325. The proponent agency is CECW-CO-R.
Expires: 02-284022
The public reporting burden for this collection of information, OMB Control Number 0710-0003, is estimated to average 11 hours per response, including the time
for reviewing Instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding the burden estimate a burden reduction suggestions to the Department of Defense, Washington Headquarters Services,
at whs me-alex esd mbx dd-dod-Information-cdlection=_®mxil mil Respondents should be aware that notwithstanding any other provision of law, no person shall
be subject to any penally for failing to comply with a collection of Information if It does not display a currently valid OMB control number. PLEASE DO NOT
RETURN YOUR APPLICATION TO THE ABOVE EMAIL.
PRIVACY ACT STATEMENT
Authorities: Rivers and Harbors Act, Section 10, 33 USC 403; Clean Water Act, Section 404, 33 USC 1344; Marine Protection, Research, and Sanctuaries Act,
Section 103, 33 USC 1413; Regulatory Programs of the Corps of Engineers; Final Rule 33 CFR 320-332. Principal Purpose: Information provided on this form
will be used In evaluating the application for a permit. Routine Uses: This Information may be shared with the Department of Justice and other federal, state, and
local government agencies, and the public and may be made available as part of a public notice as required by Federal law. Submission of requested information
is voluntary, however, if information is not provided the permit application cannot be evaluated nor can a permit be issued. One set of original drawings or good
reproducible copies which show the location and character of the proposed activity must be attached to this application (see sample drawings and/or instructions)
and be submitted to the District Engineer having jurisdiction over the location of the proposed activity. An application that is not completed in full will be returned.
System of Record Notice (BORN). The information received is entered into our permit tracking database and a BORN has been completed (SORN #A1145b)
and may be accessed at the following website: httt ://dgcld.defense.a4v/Privacy/SORNslndex/DOD-wide-SORN-Article-View/Article/570115/a1145b-ce asgx
(ITEMS 1 THRU 4 TO BE FILLED BY THE CORPS)
1. APPLICATION NO.
2. FIELD OFFICE CODE
3. DATE RECEIVED
4. DATE APPLICATION COMPLETE
(ITEMS BELOW TO BE FILLED BYAPPLICANT)
5. APPLICANT'S NAME
8. AUTHORIZED AGENT'S NAME AND TITLE (agent is not required)
First- Robert Middle- L Last- Outten
First- Haiqing Middle- Liu Last- Kaczkowski
Company- Dare County
Company- Coastal Science & Engineering, Inc
E-mail Address- [e-mail]
E-mail Address- [e-mail]
6. APPLICANTS ADDRESS:
9. AGENTS ADDRESS:
Address- 954 Marshall Collins Drive
Address- 160 Gills Creek Parkway _
City- Manteo State- SC Zip- 27954 Country- USA
City- Columbia State- SC Zip- 29209 Country- USA
7. APPLICANTS PHONE NOs. WAREA CODE
10. AGENTS PHONE NOs. WAREA CODE
a. Residence b. Business c. Fax
a. Residence b. Business c. Fax
[phone] [phone]
[phone] [phone]
STATEMENT OF AUTHORIZATION
11. 1 hereby authorize, Coastal Science & Engineering to act in my behalf as my agent in the processing of this application and to furnish, upon request,
supplemental information In support of this permit application.
SIGNATURE OF APPLICANT DATE
NAME, LOCATION, AND DESCRIPTION OF PROJECT OR ACTIVITY
12. PROJECT NAME OR TITLE (see instructions)
Avon Village Beach Nourishment
13. NAME OF WATERBODY, IF KNOWN (if applicable)
14. PROJECT STREET ADDRESS (if applicable)
Atlantic Ocean
Address
15. LOCATION OF PROJECT
Latitude: oN 35*2015011 Longitude: oW 75030'5"
City- Avon State- NC Zip- 27915
16. OTHER LOCATION DESCRIPTIONS, IF KNOWN (see instructions)
State Tax Parcel ID Municipality
Section- Township- Range -
ENG FORM 4345, FEB 2019 PREVIOUS EDITIONS ARE OBSOLETE. Page 1 of 3

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17. DIRECTIONS TO THE SITE
Project site directions, from Nags Head, NC:
Follow NC-12 S/Cape Hatteras National Park Hwy South.
Continue to follow NC-12 S for approximately 40 miles to Avon.
Proposed project limits are from the southern borders of Avon Village, extending 2.5 miles north to Due East Road ocean -front.
18. Nature of Activity (Description of project, include all features)
The proposed project is to protect NC Highway 12 via beach nourishment along the 13,200 linear feet (-2.5 miles) of shoreline
at Cape Hatteras National Seashore in front of the Village of Avon. It will involve excavation of up to 1,000,000 cubic yards of
beach -quality sand from an offshore borrow area via hydraulic and/or hopper dredge. Typical fill section will add from ~40 to
100 cubic yards per linear foot of beach and advance the berm crest of the shoreline an average of ~75 feet after natural profile
adjustment. The low -profile dune will be constructed to improve storm protection along �9,200 feet of the project area south of
Avon Pier. Vegetation will be planted on the newly -constructed dune after nourishment. The borrow area (-250 acres) is —2
miles offshore of Avon within state waters.
19, Project Purpose (Describe the reason or purpose of the project, see Instructions)
NC Highway 12 (NC Hwy 12) is the main artery for access and emergency vehicles to communities of Avon and Hatteras Village, as
well as National Seashore facilities. The southernmost mile of the Village of Avon (south of the Avon Pier) has experienced
accelerated erosion in recent years. The dunes along this highly eroding section of the beach have been washed away, and the
ocean water has frequently washed over and flooded NC Hwy 12 during inclement weather events. The overwash on NC Hwy 12
has impeded and prevented first responders from responding to emergencies, sanitation workers from picking up trash, and citizens
from performing normal daily tasks. In addition to the safety issues, there has been flood damage to infrastructures and negative
effects on the tourism economy. The proposed project is to restore the critically eroded oceanfront and to protect NC Highway 12
from future flooding and overwash. It is intended to widen the beach, improve storm protection, and provide an erosion buffer to
reduce chronic damage to NC Hwy 12 and federal, state, and county infrastructures.
USE BLOCKS 20-23IF DREDGED AND/OR FILL MATERIAL IS TO BE DISCHARGED
20. Reason(s) for Discharge
Excavate beach -quality sediments from offshore borrow area and place on the beach.
21. Type(s) of Material Being Discharged and the Amount of Each Type In Cubic Yards:
Type Type Type
Amount in Cubic Yards Amount in Cubic Yards Amount in Cubic Yards
Beach -quality medium sand of 1 million cubic yards
22. Surface Area in Acres of Wetlands or Other Waters Filled (see instructions)
Acres Sand displacement seaward of the mean high water line will result in a fill of the ocean bottom of approximately 46 acres.
or
Linear Feet
23. Description of Avoldence, Minimization, and Compensation (see instructions)
N/A
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24. Is Any Portion of the Work Aready Complete? Yes X No IF YES, DESCRIBE THE COMPLETED WORK
25. Addresses of Adjoining Property Owners, Lessees, Etc., Whose Property Adjoins the Waterbody lif more than can be entered here, Please attach a supplemental lisp.
a. Address- 11730 Yates Ford Road
city- Fairfax Station State- VA Zip- 22039
b. Address- 2685 Saint Joseph Way
city- Colorado Springs state- CO Zip- 80919
c. Address-
City- State - Zip -
d. Address-
City- State - Zip -
e. Address-
City- State- Zip-
26, List of Other Certificates or Approvals/Denials received from other Federal, State, or Local Agencies for Work Described in This Application.
AGENCY TYPEAPPROVAL" IDENTIFICATION DATEAPPLIED DATE APPROVED DATE DENIED
NUMBER
*Would Include but Is not restricted to zoning, building, and flood plain permits
27. Application's hereby made for permit or permits to authorize the work described in this application. I certify that this information In this application is
complete end c rate. I further certify that I possess the authority to undertake the work described herein or am' acting as the duty authorized agent of the
applicant aal�
SIGNATURE OF APPLICANT DATE SIGNATURE OF AGENT DATE
The Application must be signed by the person who desires to undertake the proposed activity (applicant) or it may be signed by a duly
authorized agent if the statement in block 11 has been filled out and signed. -
18 U.S.C. Section 1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States
knowingly and willfully falsifies, conceals, or covers up any trick, scheme, or disguises a material fact or makes any false, fictitious or fraudulent
statements or representations or makes or uses any false writing or document knowing same to contain any false, fictitious or fraudulent
statements or entry, shall be fined not more than $10,000 or imprisoned not more than five years or both.
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