OIB_16-37_Dew

Ocean Isle Beach OIB 16.37
Local Government Permit Number
CAMA
MINOR DEVELOPMENT
PERMIT _
as authorized by the State of North Carolina, Department of Environmental Quality,
and the Coastal Resources Commission for development
in an area of environment concern pursuant to Section 113A-118 of the
General Statutes, "Coastal Area Management'
Issued to Jerry & Beverly Dew, authorizing development in the Ocean Hazard (AEC) at 452 E. Second St., Lot 5 & 16,
Block 31, Section A, in Ocean Isle Beach, as requested in the permittee's application dated May 27, 2016, and received
complete on June 8, 2016, This permit, issued on June 27, 2016, is subject to compliance with the application and site
drawing (where consistent with the permit), all applicable regulations and special conditions and notes set forth below.
Any violation of these terms may subject permittee to a fine, imprisonment or civil action, or may cause the permit to be
null and void.
This permit authorizes: Filling a portion of the aforementioned lot with beach compatible sand as shown on the site plan.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on June 8, 2016.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at 910-579-3469 for a final inspection at
completion of work.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualified persons
within twenty (20) days of the issuing date. This permit must be on the project
site and accessible to the permit officer when the project is inspected for
compliance. Any maintenance work or project modification not covered under
this permit, require further written permit approval. All work must cease when this
permit expires on.
December 31.2019
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal
Management.
' Keith F. Dycus
CAMA LOCAL PERMIT OFFICIAL
3 West Third Street
Ocean B ctt�2844
PERMITTEE
(Signature required d conditions above apply to permit)
7iECEiVED
Frr:BA IA/u nninv�rns . n
AUG 252016

Name: Jerry & Beverly Dew
Minor Permit Al OIB 16-37
Date: June 27, 2016
Page 2
The permittee is required to contact the Local Permit Officer 910-579-3469, shortly before he plans to begin
construction to arrange a setback measurement that will be effective for sixty (60) days barring a major shoreline
change. Construction must begin within sixty (60) days of the determination or the measurement is void and must
be redone.
(6) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetatatively stabilized (planted and
mulched) within 14 days of construction completion.
(7) Sand used to strengthen dunes must be brought in from an outside source and must be of the same nature as the
sand in the area, which it is to be placed. No sand is to be removed from the lot.
(8) Dune disturbances will be allowed only to the extent necessary for development and if the dune's protective value is
not weakened or reduced. Disturbed dune areas will be immediately stabilized.
(9) Sediment shall be determined compatible for beach fill projects according to rules 15A071-1.0312 (3) (a)-(f) under the
Coastal Area Management Act (Attached).
SIGNATUR DATE: ~°�
RMITTEE
F
RECEIVED
C'CM WILMINGTON, NC
AUG252016

OIB 16-37
�� egeach Permit Number
Ooea \ ernTent
CAMA
MINOR DEVELOPMENT --�
PERMIT
as a�att+odZed by the state of North Carolina, Department of Environmental Quality,
ac�a t ,, Coastal Resources Commission for development
�� an area 04 environment concern pursuant to Section 113A-118 of the
Gecteca� Statutes, Coastal Area Management"
g e�y uew, authorizing development in the Ocean Hazard (AEU) at 452 E. Second St., Lot 5 & 16,
;ectiron V,, pcean \s\e Beach, as requested in the permittee's application dated May 27, 2016, and received
on June g, 2416. This permit, issued on June 27, 2016, is subject to compliance with the application and site
where consis\eat ttith the permit), all applicable regulations and special conditions and notes set forth below.
lwn of these terms may subject permittee to a fine, imprisonment or civil action, or may cause the permit to be
,void.
>en\t authorizes'. Fitting a portion of the aforementioned lot with beach compatible sand as shown on the site plan.
P\I pCO�sed development and associated construction must be done in accordance with the permitted work plat
drawtn9s�s� dated received on June B, 2016,
All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood Regulations.
31 Any change or changes In the plans for development, construction, or land use activities will require a re-evaluation and
modification of this permit.
I4i A copy of this permit shall be posted or available on site. Contact this office at 910-579-3469 for a final inspection at
completion of work.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualified persons
w irm twenty {20j days of the issuing date. This permit must be on the project
site and accessible to the permit officer when the project is inspected for
compliance. Any maintenance work or project mod'ficafion not covered under
this pemtd, require further written permit approval. All work must cease when this
Permit expires om
December 31, 2019
In issuing this permit it Is agreed that this project is censistent with the local Land
Use Plan and Bit �uce le the ordinances.
approval of the not be Divisiotransferred of Coastal
another parry
Management.
Keith F. Dycus
CAMA LOCAL PERMIT OFFICIAL
3 West Third Street
Ocean Isle Beach, NC 28469
PERMITTEE
(Signature required if conditions above a ppIyy to ppeermit)
fR�C:CIMED
DCM WILMINGTON, NC
J U N 2 7 2016

Name: Jerry & Beverly Dew
Minor Permit # 0113 16.37
Date: June 27, 2016
Page 2
910--5�
(5) The permittee is required to contact the Local Permit � � - 69,
construction to arrange a setback measurement that will be effective fors. shod/y b
change.
be redone. Construction must begin within sixty (60) days of the det2rrrtir7at/on or t6e%me su �- s P� 7S�o`eey,
nt
(6) All unconsolidated material resulting from associated grading and landscaping shalt rda„dmusc
sedimentation and erosion control measures. Disturbed areas shall be ve berets/ t
9etata�.0 ned o�
mulched) within 14 days of construction completion. eiy stabili2e P1byeNe e
d ctiv
(7) Sand used to strengthen dunes must be brought in from an outside source and mustb rated aW/
sand in the area, which it is to be placed. No sand is to be removed from the lot e Cfthe same nature disturbancesDune stabilized-
(9)
SIGNATURE: DATE:
PERMITTEE
RECEIVED
DCM WILMINGTON, NC
JUN 2 7 2016

V%
Ocean Isle Beach OIB 16-37
Local Government Permit Number
CAMA
MINOR DEVELOPMENT —t
PERMIT
as authorized by the State of North Carolina, Department of Environmental Quality,
and the Coastal Resources Commission for development
in an area of environment concern pursuant to Section 113A-118 of the
General statutes, "Coastal Area Management'
Issued to Jerry & Beverly Dew, authorizing development in the Ocean Hazard (AEC) at 452 E. Second St., Lot 5 & 16,
Block 31, Section A, in Ocean Isle Beach, as requested in the permittee's application dated May 27, 2016, and received
complete on June 8, 2016. This permit, issued on June 27, 2016, is subject to compliance with the application and site
drawing (where consistent with the permit), all applicable regulations and special conditions and notes set forth below.
Any violation of these terms may subject permittee to a fine, imprisonment or civil action, or may cause the permit to be
null and void.
This permit authorizes: Filling a portion of the aforementioned lot with beach compatible sand as shown on the site plan.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s) dated received on June 8, 2016.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at 910-579-3469 for a final inspection at
completion of work.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the pernitlee or other qualified persons
Within twenty (20) days of the issuing date. This permit must be on the project
site and accessible to the permit officer when the project is inspected for
compliance. Any maintenance work or project modification not covered under
this permit, require further written permit approval. All work must cease when this
permit expires on:
December 31, 2019
In issuing this permit it is agreed that this project is consistent with the local Land
Use Plan and all applicable ordinances. This permit may not be transferred to
another party without the written approval of the Division of Coastal
Management.
Keith F. Dycus
CAMA LOCAL PERMIT OFFICIAL
3 West Third Street
Ocean Isle Beach, NC 28469
PERMITTEE
(Signature required if conditions above apply to permit D
DCM WILMINGTON, NC
JUN 2 7 2016

Name: Jerry & Beverly Dew
Minor Permit # OIB 16-37
Date: June 27, 2016
Page 2
The permittee is required to contact the Local Permit Officer 910-579-3469, shortly before he plans to begin
construction to arrange a setback measurement that will be effective for sixty (60) days barring a major shoreline
change. Construction must begin within sixty (60) days of the determination or the measurement is void and must
be redone.
(6) All unconsolidated material resulting from associated grading and landscaping shall be retained on site by effective
sedimentation and erosion control measures. Disturbed areas shall be vegetatatively stabilized (planted and
mulched) within 14 days of construction completion.
(7) Sand used to strengthen dunes must be brought in from an outside source and must be of the same nature as the
sand in the area, which it is to be placed. No sand is to be removed from the lot.
(6) Dune disturbances will be allowed only to the extent necessary for development and if the dune's protective value is
not weakened or reduced. Disturbed dune areas will be immediately stabilized.
(9) Sediment shall be determined compatible for beach fill projects according to rules 15A07H.0312 (3) (a)-(f) under the
Coastal Area Management Act (Attached).
SIGNATURE: DATE:
PERMITTEE
RECEIVED
DCM WILMINGTON. NC
JUN 2 7 2016

GENERAL INFORMATION
LAND OWNER
Name �rnl
Address -� J� �� /�
City 06w /$� 0&rrState i"V Zip Phone
AUTHORIZED AGENT
Address
City
[MMERIV E
TOWN OF OCEAN
State Zip Phone Pt ANNING J IN
LOCATION OF PROJECT: (Address. street name and/or directioto to site. If not oceanfront, what is the name of the
adjacentwaterbody.)_,, S,,. 414 CJ)&' 57,
DESCRIPTION OF PROJECT: (List all proposed construction and land disturbance.) 7/� S f}1l C
SIZE OF LOT/PARCEL: aOt9 square feet / o, 6100 acres
PROPOSED USE: Residential K (Single-family [3, Multi -family ❑ ) Commercial/Industrial ❑ Other ❑
COMPLETE EITHER (1) OR (2) BELOW (Contact your Local Permit Officer ifyou are not sure which AEC applies
to yo ur Rroperty):
(1) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTURE: square feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non -load -bearing attic space)
(2) COASTAL SHOR,�E/L�INE AECs: SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT
UPON SURFACES:AA n square feet (includes the area of the roof/drip line of all buildings, driveways, covered decks,
concrete or masonry patios, etc. that are within the applicable AEC. Attach your calculations with the project drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State Stormwater
Management Permit issued by the NC Division of Water Quality?
YES_ NO Z
If yes, list the total built upon area/impervious surface allowed for your lot or parcel: ----/V r s—square feet V D
GTON,NC
JUL o 7 2016

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the CAMA
ininor development permit, including, but not limited to: Drinking Water Well, Septic Tank (or other sanitary waste
treatment system), Building, Electrical, Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA
Certification, Sand Dune, Sediment Control, Subdivision Approval, Mobile Home Park Approval, Highway Connection, and
others. Check with your Local Permit Officer for more information.
f./�I.tiYslTldfi;Y1ZY73Y1r1/►1�i:�yCilii
I, the undersigned, an applicant for a CAMA minor development permit, being either the owner of property in an AEC or a
person authorized to act as an agent for purposes of applying for a CAMA minor development permit, certify that the person
listed as landowner on this application has a significant interest in the real property described therein. This interest can be
described as: (check one)
-7--r,y 7—v l3ev,1'41e,4te1. S.-
Xan owner or record title, Title is vested in see Deed Book o3�75
page �57 in the DI*Vc,,t,`C4 6!k 'County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of
probate was in County.
_if other interest, such as written contract or lease, explain below or use a separa Ft-4al;-'
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I.JFy
I harthermore certify that the following persons are owners of properties adjoining thi
ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit.
[=
(Address)
_41
�CKNOWWLEDGEMENTS:
I, the undersigned, acknowledge that the land owner is aware that the proposed development is planned for an area which
may be susceptible to erosion and/or flooding. I acknowledge that the Local Permit Officer has explained to me the particu-
lar hazard problems associated with this lot. This explanation was accompanied by recommendations concerning stabiliza-
tion and floodproofing techniques.
I furthermore certify that I am authorized to grant, and do in fact grant, permission to Division of Coastal Management staff,
the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information
related to this permit application.
This the '1 day of-9, 20
or person authorized to act as his/her agent for purpose of filing a CAMA permit application
This application includes: general information (this form), a site drawing as described on the back of this application, the
ownership statement, the Ocean HazardAECNotice where necessary, a checkfor S100.00 madepayable to the locality, and
any information as may be provided orally by the applicant. The details of the application as described by these sources are
incorporated without reference in anypermit which may be issued. Deviation from these details will constitute a violation of
any permit. Any person developing in an AEC withoutpermit is subject to civil, criminal and administrative action.==C E I V E D
NILMINGTON, NC
JUL 0 7 2016

I AEC HAZARD NOTICE
Project Is In An: .Ocean Erodible Area / High Hazard Flood Area Inlet Hazard Area
Property Owner: Setf\4 i- �F i I . \ 1,V
Property Address: t/ S_oZ /E-,���
Date Lot Was Platted: 9/3t7z /9r
This notice is intended to2nake you, the applicant, aware of the
special risks and conditions associated with development in this
area, which is subject to natural hazards such as storms, erosion
and currents. The rules of the Coastal Resources Commission
require that you receive an AEC Hazard Notice and acknowledge
that notice in writing before a permit for development can be
issued.
The Commission's rules on building standards, oceanfront
setbacks and dune alterations are designed to minimize, but not
eliminate, property loss from hazards. By granting permits, the
Coastal Resources Commission does not guarantee the safety of
the development and assumes no liability for future damage to
the development. Permits issued in the Ocean Hazard Area of
Environmental Concern include the condition that structures be
relocated or dismantled if they become imminently threatened by
changes in shoreline configuration. The structure(s) must be
relocated or dismantled within two (2) years of becoming
imminently threatened, and in any case upon its collapse or
subsidence.
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual long-term
average ocean erosion rate for the area where your property is
located is __+_ feet per year.
The rate was established by careful analysis of aerial photographs
of the coastline taken over the past 50 years.
Studies also indicate that the shoreline could move as much as
��Qfeet landward in a major storm.
The flo d waters in a major storm are predicted to be about
feet deep in this area.
Preferred oceanfront protection measures are beach nourishment
and relocation of threatened structures. Hard erosion control
structures such as bulkheads, seawalls, revetments, groins,jetties
and breakwaters are prohibited. Temporary sand bags may be
authorized under certain conditions.
The applicant must acknowledge this information and requirements
by signing this notice in the space below. Without the proper
signature, the application will not be complete.
�#lic?l Signature Date
SPECIAL NOTE: This hazard notice is required for development
in areas subject to sudden and massive storms and erosion. Permits
issued for development in this area expire on December 31 of the
third year following the year in which the permit was issued.
Shortly before work begins on the project site, the Local Permit
Officer must be contacted to determine the vegetation line and
setback distance at your site. If the property has seen little change
sin ce.the time of permit issuance, and the proposed development
can still meet the setback requirement, the LPO will inform you
that you may begin work. Substantial progress on the project
must be made within 60 days of this setback determination, or
the setback must be remeasured. Also, the occurrence of a major
shoreline change as the result of a storm within the 60-dayperiod
will necessitate remeasurement of the setback. It is important
that you check with the LPO before the permit expires for official
approval to continue the work after the permit has expired.
Generally, if foundation pilings have been placed and substantial
progress is continuing, permit renewal can be authorized. It is
unlawful to continue work after permit expiration.
For more information, contact:
Keith F. Dyc
Local Permit Officer
3 West Third Street
Address
Ocean Isle Beach, NC 28469
Locality
910-579-3469
Phone Number
[ac3M0W[E
JUN-8.2016
TOWN OF OCEAN IStE BEACH
°� AtIN�4i0 8 �NSPECTIQPJS
CEiVED
NILMINGTON, NC
JUL 0 ? 2016

Date
VU JUN'8
2016
�1/?�iNA LtJ��%i; 4�Sonl
C9ySec�.�y ,Dri ��
RE: CAMA Application Notification
Dear rI`&WA
This letter is to inform you that I have applied for a Minor CAMA Permit on
my property located at Lot , Block Section , with a
physical address of 01
Ocean Isle Beach, North Carolina. CAMA regulations require me to notify
you of my intentions. I have enclosed a copy of my permit application and a
copy of the proposed project drawing.
If you have any questions on my proposed project, please contact Keith
Dycus, Local CAMA Permit Officer for the Town of Ocean Isle Beach at
910-579-3469.
RECEIVED
Sincerely, DCM WILMINGTON, NC
JUL 0 7 2016
�- U:a. Postal service`'
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Date 11-
RE: CAMA Application Notification
Dear 'Lrkr s' i
This letter is to inform you that I have applied
my property located at Lot Block
iD
,IUN-82016
DI
L—.
TO!'..'! -OF OCEAN ISLE BEACH
-'.>;NING & INSPECTIONS K
for a Minor CAMA Permit on
with a
physical address of L L45],2. Ej- iE ? V-4-/� C—
Ocean Isle Beach, North Carolina. CAMA regulations require me to notify
you of my intentions. I have enclosed a copy of my permit application and a
copy of the proposed project drawing.
If you have any questions on my proposed project, please contact Keith
Dycus, Local CAMA Permit Officer for the Town of Ocean Isle Beach at
910-579-3469.
Sincerely,
V r„
Im
M1
C�vTo�/1 �sa�
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RECEIVED a
DOM WILMINGTON, NO C3
JUL 0 7 19016
U.S. Postal Service`'
CERTIFIED MAILO RECEIP i
Do� Only

s
April 27, 2016
Applied Resource Management, PC
Post Office Box 882
Hampstead, North Carolina 28443
Attention: Mr. Walter Giese
Reference: Laboratory Data Results
Various Projects
S&ME Project No. 3506-15-004
NC PE Firm License No. F-0176
Dear Mr. Giese:
ram_a W [ED
-
r-
fE Jc - 3 2016
TO':Y7I 3.N ISLE BEACH
SPECTIONS
S&ME, Inc. (S&ME) is providing laboratory testing services in general accordance with our Proposal No.
35-1400586 dated October 23, 2014, as authorized by an executed S&ME Agreement for Services (Form
AS-071).
Two soil samples were sampled by Applied Resource Management personnel and delivered to our office
on April 20, 2016. Project data provided to us for the two (2) samples, included samples that were
obtained from the M. Wilson Pit/Ash (10YR7/1) and the T. Dew/OIB (10YR6/3) locations. We identified the
two samples as S&ME Sample Id 31,
As requested, grain -size analysis (hydrometer) testing was performed on the soil samples in general
accordance with the American Society for Testing and Materials (ASTM) test procedure entitled ASTM D-
422, "Particle Size Analysis of Soils." A hydrometer was performed to determine the percent of sand, silt,
and clay particles in the samples.
Attached please find the results of our laboratory testing for the samples. S&ME appreciates the
opportunity to be of service to you. If you have any questions relative to this letter, please feel free to
contact us at your convenience.
Sincerely,
Y�an
ffum, P.E.
Project Engineer
Jason Faucette
Lab Manager
RECEIVED
DCM WILMINGTON, NC
JUL 0 7 2016
S&ME, Inc,13006 Hall Waters Dr, Ste 100 1 Wilmington, NC 28405 1 p 910.799.99451 f 910.799.99581 www.smeinc.com

Attachments
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HD)
L- a zoos...
TOWN ANSPECTIISLE BEAONSCH
INi
RECEIVED
DCM WILMINGTON, NC
JUL 0 ? 2016

Faun No. rR-11422-3
Revision No. 0
Revision Dale: 02120108 Particle Size Analysis of Soils
ASTAI D422
S&NIE, lac. - Wilmington, 3006 Hall Waters Drive, Suite 100, Will
S&ME Project S: 3506-15-004 Rep
Projeet Name: Applied Resource Lab Tesling (Various Projects) 'Pest
Client Name: Applied Resource Mmragement. PC
I rr yya' • A_ssgra#�•% I LI
&1441 �VC�fl�5 tSS LL I (J
Address: PO Box 882, Hampstead, NC 28443
Sample Id: 31 Type: Site Material Sample Dale: 4/20/16
Location: M.Wilson Pit/As i Sample: IOYR7/1 Depth(R): N/A
Sample Description: While SAND
'
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imp■■■�nu�■■■�m��■■■��uu�■■■�m��■■■■■
0.075 and > 0.005 nun
Maximum Particle Size: # 10 Gravel: 0.0% Silt I I°%,,
Silt & Clay (% Passing #200); 2.3% Total Sand: 97.7% ally 1.1%
Assumed Specific Gravity 2.650
Liquid Limit N/A Plastic Limit N/A Plastic Index N/A
Coarse Smut: 0.0% Medium Sand: 7.4% tine Sand: 90.3%
lkscription of Sand and Gravel Rounded © Angular O Hard & Durable ❑ Soft ❑ Weathered Ih friable ❑
Mechanical Stirring Appanlus A Dispersion Period: I min. Dispersing Agent: %Wium 14exanxlaphosphale: 30 g.1750nd.
References / Comments /Devinllons: ASI'M D 4318, D 8 , D 2487
*Sample was taken by Applied Resource Management (v el n Pit, 7520 Rabbit Bay Rd., Ash, NC)
Technical Respmo di0• fsarorffPaslum Dme
This report shall not be reproduced, except inJdl, u•iihma the v rilren approved o/MAIF,, Inc. )IN, NC
JUL 0 ? 2016
MAIF hic. - CoiNomle 3201.5pring Forest Road 3506-15-004(7)(AI lHison Pit).xls
Raleigh. AV 27616 Page I of I

rornfNa. TR-D422-3
Revision No. 0 Particle Size Analysis of Soils
Revision Date: 02/20/08 y D
J
ASTMD422 Qt�( Ass$rrijQr
S&ME, Inc. - Wiluington, 3006 Flail Waters Drive, Suite 100, Wilntin (on, 'C 28405
S&ME Project #: 3506-15-004 Report ate: TON18Of OdEAWIRE BEACH
Project Name: Applied Resource Lab Testing (Various Projects) Test Dal (s) PLAN &%WfjQTlONS
Client Name: Applied Resource vianagemcnl, PC
Address: PO Box 882. 1 lampstcad, NC 28443
Sample ld: 31 Type: Site Material Sample Dadc: 4/20/16
Location: 1'. DeNv/OIS Sample: IOYR6/3 Dept6(Ii)• NIA
Sample Description: Lialit G av SAND
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ulu
Gravel: 0.0% Silt
0.3%
Silt S Clay (% Passing #200):
0.4%
Total Sand: 99.6% Clay
0.1%
Assumed Specific Gravity
2.650
Liquid Limit
N/A
Plastic Limit N/A Plastic Index
N/A
Coarse Sand:
0.0%
Medium Sand: 19.80/0 Pine Sand:
79.8%
DtKrlptlon or Sand nad Gravel
Rounded O Angola➢' ® I'lard & Durable ❑ Soft ❑ Neadiewd &Friable ❑
Mechanical Stirring Appaaraaas A
Dispersion Period:
I min. Dispersing Agent: Stadium I lesamerapho>phale:
30 giMuil.
References/Conarteats/Devla/totrs:
ASTM D 4318, D
54, D 2487
"Sample was taken by Applied Resource A-lanfigeniew!Iyupy
Dew, 451 E 2nd St., Ocean isle Beach, NC)
tAMArl KAA ,
rn�a &� L%27,�fc
7ccMNcal Respolai !lily
i r
l:d
e ParRlon
Date
This report shall not he wpr e.v"pj al fidl,. rulmea llae ari!!ea apprm�a/ oJSh.1l6', bar.
RECEi VED
MAX. Inc. - Corporate 3201 $n•ing sorest Road aDv%au13��itt+isA �®I1,I,r8JC
Raleigh. NC. 27616 Pa l I
JUL 07201� 6

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TOWN OF OCEAN I5LC BEACH
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1 inch = 40 feet oceanisle