HomeMy WebLinkAbout19950920 Ver 1_Complete File_19950830State of North Carolina
Department of Environment,
Health and Natural Resources
Washington Regional Office
7
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Mr. H. Franklin
N.C. Department
P.O. Box 25201
Vick, P. E.
of Transportation
Raleigh, N.C. 27611
L1,DEHNR
Subject: CAMA Application for Review
Ocracoke Island North Dock
Ferry Terminal
Hyde County
Dear Mr. Vick:
The above subject CAMA Major Permit Application has been reviewed
by this office to determine the potential for the proposed project
to violate water quality standards. The N.C. Department of
Transportation proposes to construct a new restroom building and
its associated waste disposal system to replace the previously
existing facility and its failed septic system. There is no fill
proposed to be placed in waters and/or wetlands of the State.
Pending State approval of the proposed septic system and if the
project is constructed as proposed in the application, this office
has determined that the proposed project should not violate water
quality standards.
If you have any questions or comments, please call this office at
(919)946-6481. Thank you.
Sincerely,
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Ja vb •W1i1 ill, U
Jim Mulligan
Regional Supervisor
cc: ohn Dorney, DEM
John Parker, DCM
Bob Ubler
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1424 Carolina Avenue, Washington, NC 27889 Telephone 919/946-6481 FAX 919/975-3716
An Equal Opportunity Affirmative Action Employer 50%recycled/10% post-consumer paper
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Coastal Management
James B, Hunt, Jr., Governor
Jonathan B, Howes, Secretary
Roger N. Schecter, Director
RECEIVED ? 59 ?
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N% 3 01995
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ENVIRONN ENTAIu CtENCES
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25 August 1995
MEMORANDUM W,gSy NGr?
ON OFFICE
TO: Mr. A. Preston Howard, P.E., Director AUP 2 8 1995
Division of Environmental Management
FROM: John R. Parker, Jr.
Major Permits Processing Coordinator -
SUBJECT: CAMA/Dredge and Fill Permit Application Review
Applicant: North Carolina Department of Transportation FIL b
Project Location: Off NC 12 adjacent Pamlico Sound and Hatteras Inlet at the north end of
Ocracoke Island at the North Ferry Terminal, Hyde County, North
Carolina
Proposed Project: To construct a new restroom building and its associated waste disposal
system, replacing the previously existing facility and its failed septic
system.
Please indicate below your position or viewpoint on the proposed project and return this form
by 15 September 1995. If you have any questions regarding the proposed project, please contact
Jeff Schaffer at 946-6481. When appropriate, in-depth comments with supporting data is
requested.
REPLY -Y-/ This office has no objection to the project as proposed.
This office has no comment on the proposed project.
This office approves of the project only if the recommended
changes are incorporated. See attached.
This office objects to the project for reasons described in the
attached comments. l
Signed Date ? U I'3 I?S?
1424 Car "flashingi ,on, North Carolina 27889 Telephone 919-946-6481 FAX 919-975-3716
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper
DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: NC Dept. of Transportation
2. LOCATION OF PROJECT SITE: Hyde County off NC 12 adjacent Pamlico Sound and Hatteras
Inlet at the north end of Ocracoke Island at the Ocracoke Island North Dock Ferry Terminal.
Photo Index - 1989: NA 1984: NA
State Plane Coordinates - X: 2,961,600 Y: 539,000
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 1/18/95; 8/23/95
Was Applicant Present - No; No
5. PROCESSING PROCEDURE: Application Received - 8/10/95
Office - Washington
6. SITE DESCRIPTION:-
(A) Local Land Use Plan - Hyde County, Ocracoke Section
Land Classification From LUP - Developed - Land; Conservation - Water
(B) AEC(s) Involved: Ocean Hazard/Inlet Hazard
(C) Water Dependent: No
(D) Intended Use: Public
(E) Wastewater Treatment: Existing - None - abandoned/removed
Planned - Septic tank, pump tank, valve box, drain field (LPP system)
(F) Type of Structures: Existing - Office bldg., ferry docks, parking lot
Planned - Restroom bldg.
(G) Estimated Annual Rate of Erosion: 12 ft/year
Source - Inlet Hazard Areas, The Final Report and Recommendations to the Coastal Resources
Commission, September 1978 - 1986 Update
7. HABITAT DESCRIPTION:
[AREA]
DREDGED FILLED OTHER
(A) Vegetated Wetlands
(B) Non-Vegetated Wetlands
(C) Other ±25,700 ft2
(High Ground)
(D) Total Area Disturbed: .59 acre
(E) Primary Nursery Area: No
(F) Water Classification: SB Open: No
8. PROJECT SUMMARY: The applicant is proposing to construct a new.restroom building and, its
associated waste disposal system to replace the previously existing facility and its failed septic
system.
NC Department of Transportation
Construct a new restroom facility with the associated waste disposal system
Ocracoke Island, Hyde County
Project setting
The project site is located off NC 12 adjacent the Atlantic Ocean, Pamlico Sound and
Hatteras Inlet at the North Dock Ferry Terminal situated at the north end of Ocracoke Island in
Hyde County, North Carolina. The proposed project is situated entirely in the Inlet Hazard Area
of Environmental Concern (AEC).
The area affected by the proposed project is high ground and is predominately vegetated
by Spartina patens, sea oats, green brier and wax myrtle. Based upon my 23 August 1995 onsite
inspection, field indicators suggest that the area designated for subsurface waste disposal, as
shown on the attached plats, was at one time a dredge spoil site or that area has been filled with
dredged material (sand and shell). Structures already existing on the project site are an asphalt
parking lot, the Ocracoke to Hatteras Ferry office building and ferry basin. According to the
applicant, the previously existing restroom facility and septic field have already been removed.
The Atlantic Ocean is classified as SB waters, and Pamlico Sound and Hatteras Inlet are
Estuarine Waters classified as SA waters by the Environmental Management Commission. This
area of Pamlico Sound is not designated as a Primary Nursery Area. Although shellfish inhabit
this area, this portion of Pamlico Sound is closed to harvest.
Project description
The applicant is proposing to construct a new restroom building and its associated waste
disposal system to replace the previously existing facility and its failed septic system. During
an onsite inspection, I measured the distance from the first line of stable natural vegetation to
establish the oceanfront setback of 360' (30 x 12' Average Annual Erosion Rate). Based upon
my measurements, over 50% of the proposed project is located seaward of the oceanfront
setback requirement in the Inlet Hazard AEC (see attached Field Plat). The proposed footprint
of the building is 45' long by 28' wide with an 18" roof overhang totalling 1,488 square feet of
covered area. On the north side of the proposed building, the applicant plans to install a wooden
ramp and deck to allow for access by handicapped persons. As proposed, the waste disposal
system has a design flow of 5,000 gallons per day and consists of a 5,000 gallon septic tank with
dual effluent filters installed in parallel; a 4,000 gallon pump tank; a duplex pump dosing
system, with 2 inch pump discharge piping, 3 inch supply line, 4 inch manifold and associated
appurtenances; and two low pressure pipe drainfields totaling 2,070 linear feet. The proposed
drainfield, including repair areas measures 180' long by 120' wide and is situated east of the
proposed restroom building.
Anticipated impacts
The project proposed will result in the disturbance of ±25,700 ft2 of high ground within
the Hatteras Inlet Hazard Area. The excavation activities associated with this project should not
have any direct affect on the surrounding waters.
Jeffrey R. Schaffer - 25 August 1995
Washington Regional Office
..................................................................................................... ....................... .
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,' N. C. DEPT. OF TRANSPORTATION OCRACOKE ISLAND FERRY TERMINAL
FACILITIES MANAGEMENT UNIT
I SOUTH WILMINGTON STREET kG # HATTERAS INLET DOCK
FFAX 27601
J (919) E 715-0400 NORTH CAROLINA
0399
Form DCM-MP-1
APPLICATION'
(To be completed by all applicants)
b. City, town, community or landmark
1. APPLICANT Ocracoke Island
a. Landowner:
Name NC Dept, of Transportation
Address P. 0. Box 25201
City Raleigh State NC
Zip 27611 Day Phone
Fax (919) 733-9794-
b. Authorized Agent:
(919 733-3141
Name
Address
City
Zip
Fax
Day Phone
State
c. Project name (if any) K-3307, Restroom
Facility on NC 12
NOTE: Pernct will be issued in name of landowner(s), and/or
project name.
2. LOCATION OF PROPOSED
PROJECT
a. County Hyde
c. Street address or secondary road number
NC 12
d. Is proposed work - within city limits or planning
jurisdiction? Yes x No
e. Name of body of water nearest project (e.g. river,
creek, sound, bay) Atlantic Ocean
3. DESCRIPTION AND PLANNED USE
OF PROPOSED PROJECT
a. List all development activities you propose (e.g.
building a home, motel, marina, bulkhead, pier, and
excavation and/or filling activities.
Restroom facility, septic system,
boardwalk
b. Is the proposed activity maintenance of an existing
project, new work, or both? New work
c. Will the project be for public, private or commercial
use?_ Public
d. Give a brief description of purpose, use, methods of
construction and daily operations of proposed
project. If more space is needed, please attach
additional pages. Public restroom facility
will be constructed at the Ocracoke
Island North-Ferry Terminal to serve
ferry passengers and visitors to the
Cape Hatteras National Seashore.
Revised 03/95
Form DCM-MP-1
4. LAND AND WATER
CHARACTERISTICS
a. Size of entire tract 1.59 acres
b. Size of individual lot(s) N/A
c. Approximate elevation of tract above MHW or
NWL 7.3 feet
d. Soil type(s) and texture(s) of tract
Sand
e. Vegetation on tract Spartina patens,
Uniola paniculata
f. Man-made features now on tract parking lot
g. What is the CAMA Land Use Plan land
classification of the site? (Consult the local Land use plan.)
Conservation
Y_ Developed
Rural
Transitional
Community
Other
h. How is the tract zoned by local government?
N/A
L Is the proposed project consistent with the applicable
zoning? Yes No
(Attach Zoning compliance certificate, if applicable)
j. Has a professional archaeological assessment been
done for the tract? Yes X. No
If yes., by whom?
k. Is the project located in a National Registered
Historic District or does it involve a National
Register listed or eligible property?
Yes X No
1. Are there wetlands on the site? Yes X No
Coastal (marsh) Other
If yes, has a delineation been conducted?
(Attach documentation, if available)
m. Describe existing wastewater treatment facilities.
The existing sewer field has failed
and has been closed by the Hyde Co.'
Health Dept. Portable toilets are
currently being used.
n. Describe location and type of discharges to waters
of the state. (For example, surface runoff, sanitary
wastewater, industrial/commercial effluent, "wash
down" and residential discharges.) U,/A
o. Describe existing drinking water supply source.
Private well
5. ADDITIONAL INFORMATION
In addition to the completed application form, the
following items must be submitted:
• A copy of the deed (with state application only) or
other instrument under which the applicant claims title
to the affected properties. If the applicant is not
claiming to be the owner of said property, then
forward a copy of the deed or other instrument under
which the owner claims title, plus written permission
from the owner to carry out the project.
• An accurate, dated work plat (including plan view
and cross-sectional drawings) drawn to scale in black
ink on an 8 1/2" by 11" white paper. (Refer to
Coastal Resources Commission Rule 7J.0203 for a
detailed description.)
Please note that original drawings are preferred and
only high quality copies will be accepted. Blue-line
prints or other larger plats are acceptable only if an
adequate number of quality copies are provided by
applicant. (Contact the U.S. Army Corps of
Engineers regarding that agency's use of larger
drawings.) A site or location map is a part of plat
requirements and it must be sufficiently detailed to
guide agency personnel unfamiliar with the area to the
Revised 03/95
Form DCM-MP-1
site. Include highway or secondary road (SR)
numbers, landmarks, and the like.
• A Stormwater Certification, if one is necessary.
• 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. Upon signing this form, the applicant
further certifies that such notice has been provided.
Name Myra Wahab
Address P. 0. Box 129
Phone Ocracoke, NC 27960
Name Hattie T. Johnson
Address P. 0. Box 519
Phone Ocracoke, NC 27960
Name Howard Sylvester Tolson
Address P. 0. Box 254
Phone Ocracoek, NC 27960
• A list of previous state or federal permits issued for
work on the project tract. Include permit numbers,
permittee, and issuing dates.
N/A
• A check for $250 made payable to the Department of
Environment, Health, and Natural Resources
(DEHNR) to cover the costs of processing the
application.
• A signed AEC hazard notice for projects in
oceanfront and inlet areas.
• A statement of compliance with the N.C.
Environmental Policy Act (N.C.G.S. 113A - 1 to
10) If the project involves the expenditure of public
funds or use of public lands, attach a statement
documenting compliance with the North Carolina
Environmental Policy Act.
6. CERTIFICATION AND PERMISSION
TO ENTER ON LAND
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 conditions
and restrictions contained in the permit.
I certify that to the best of my knowledge, the proposed
activity complies with the State of North Carolina's
approved Coastal Management Program and will be
conducted in a manner consistent with such program.
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.
This is the e2? day of ??L, 191F
Print Name H. iklin )?Vcy/, P. E.
1 -1
Signature
or Authorized .Agent
Please indicate attachments pertaining to your proposed
project„
DCM MP-2 Excavation and Fill Information
DCM MP-3 Upland Development
DCM MP-4 Structures Information
DCM MP-5 Bridges and Culverts
DCM MP-6 Marina Development
NOTE. Please sign and date each attachment in the
space provided at the bottom of each form.
Revised 03/95
Form DCM-MP-3
UPLAND
DEVELOPMENT
(Construction and/or land disturbing activities)
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.
a. Type and number of buildings, facilities, units or
structures proposed 1 restroom building, 1
septic tank, 1 pumptank, 1 valve box,
1 wooden boardwalk with platform
b. Number of lots or parcels N/A
h. Projects that require a CAMA Major Development
Permit may also require a Stormwater Certification.
Has a site development plan been submitted to the
Division of Environmental Management for review?
Yes X No (Not required)
- If yes, date submitted
i. , Describe proposed method of sewage disposal.
5,000 gallon septic tank
4,000 gallon pump tank
c. Density (give the number of residential units and the
units per acre) N/A
d. Size of area to be graded, filled or disturbed
including roads, ditches, etc.
(x.59 acre
e. If the proposed project will disturb more than one
acre of land, the Division of Land Resources must
receive an erosion and sedimentation control plan at
least 30 days before land disturbing activity begins.
If applicable, has a sedimentation and erosion
control plan been submitted to the Division of Land
Resources? Yes x No
If yes, date submitted
f. List the materials (such as marl, paver stone,
asphalt
r concrete) to be used for paved surfaces.
N/A
g. Give the percentage of the tract within 75 feet of
h1HW or NWL, or within 575 feet in the case of an
Outstanding Resource Water, to be covered by
impervious and/or built-upon surfaces, such as
pavement, buildings, rooftops, or to be used for
vehicular driveways or parking. N/A
j. Have the facilities described in Item i. above
received state or local approval? pending
(Attach appropriate documentation)
k. Describe location and type of proposed discharges to
waters of the state (for example, surface runoff,
sanitary wastewater, industrial/commercial effluent,
"wash down" and residential discharges).
N/A
Describe proposed drinking water supply source
(e.g. well, community, public system, etc.)
private well
in. Will water be impounded? Yes X No
If yes, how many acres?,
n. If the project is a oceanfront development, when
was the lot(s) platted and recorded? N/ A
(See National Park Service Special Use
Permit)
NC Dept of Tran r tion - TI K-3307
Ap =cat jeci N e
4Sig to
• .lam oZD 9s
Date
Revised 03/95
• J J
• AEC HAZARD NOTICE
Project Is in An: Ocean Erodible Area High Hazard Flood Area
Date Lot Was Platted:
This notice is intended to make 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 onbuilding standards, oceanfront
setbacks and dune alteration 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.
The best available information, as accepted by the Coastal
Resources Commission, indicates that the annual ocean
erosion rate for the area where your property is located is
_12, 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 /oo feet landward in a major storm.
The flood 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 devices, including sand bags, may
be allowed under certain conditions.
This structure shall be relocated or dismantled within two
years of becoming imminently threatened.
The applicant must acknowledge this information and
requirements by signing this notice in the below space.
Without the proper signature, the application dill not be
complete. , /7/1 /
Applicant's Signature
/J 0 ? ?, I ? V a
Date
?Inlet Hazard Area
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 will
determine the vegetation line and setback distance at your
site. If the property has seen little change and the proposed
development can still meet the setback requirement, the
LPO will inform you that you may begin work. It is impor-
tant 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 may not be necessary. If substantial progress has
not been made, the permit must be renewed and a new
setback line established. It is unlawful to continue work
after permit expiration without this approval.
For more information, contact:
Local Permit Officer
/4/.Z4/ L'1l?OLINd ,!!vim
Address
1Z&r4V1A f-MJ%J ?t/C 2 7J??9
Locality
t"'91-7) 9y.01- 4111W
Phone
Revised 11193
Fflmi• 10-114
Rev. Aug. 86
OMB No. 1024-0026
PAGE 1 of
UNITED STATES DEPARTMENT OR THE INTERIOR
National Park Service
Saacial
-- Use Permit
Construction: Construct and-
Name of Use Maintain a Restroom Building and
Date Permit Reviewed 19 _
Sewer Field Reviewed 19 _
Reviewed 19 _
Expires 19
Long Term X
Short Term
NC-DOT, Division of Highways
of
Name or Permittee
Cape Hatteras National Seashore
P 0 B Name of Area
SER-CAHA-5700-162
Permit l/___
Region Park Type No a
ox 25201
Raleigh, NC 27611-5201 919-715-0400
Address
is hereby authorized during the period from (Time , q
day 15 Month NOV 194 ), through (Time
day 14 Month NOV 1999 ), to use the following described land or facilities in the above named area:
An area of land adjacent to the existing ferry terminal on the north end of Ocracoke
Island (per attached site plan).
For the purpose(s) of: Constructing and maintaining a restroom building and sewer field.
Authorizing legislation or other authority (RE. NPS-53 Appendix 1): 36 CFR, Chapt. 1, Part 5.7
NEPA Compliance: CATEGORICALLY EXCLUDED X EA/FONSt EIS OTHER APPROVED PLANS
PERFORMANCE BOND: Required Not Required X Amount $
LIABILITY INSURANCE: Required Not Required X Amount $
ISSUANCE of this permit is subject to the conditions on the reverse hereof and appended pages and when appropriate
to the payment to the U.S. Dept. of the Interior, National Park Service of the sum of $ waived
The undersigned hereby accepts this permit subject to the terms, covenants, obligations, and reservations, expressed
or implied herein.
PERMITTEE
Signature Date
Authorizing Official ?- Thomas L. Hartman 11 /15/94
Signature Superintendent Date
Additional Authorizing Official
(If Required) Signature
Title
Phone
Date
ADDENDUM SPECIAL USE PERMIT SER-CAHA-5700-162
Cape Hatteras National Seashore page 3
9. Permittee will remove the old restroom building and drain field and restore
the site to its natural condition.
10. Permittee may construct and maintain a restroom building and sewer field
based on the metes and bounds shown on the site plan P1 submitted October 24,
1994.
11. Maintenance of the parking area will continue to be the responsibility of
the Park Service.
12. District Ranger Ed Whitaker has been designated as the Superintendent's
representative. He should be notified prior to beginning the project. He can
be reached at (919) 995-5041.
13. Permittee shall immediately halt activities and notify the Superintendent
upon discovery of any archeological, paleontological, or historic findings.
14. Permittee is responsible for obtaining any State or Federal' permits (Corps
of Engineers, CAMA, etc.) required. This special use permit will be valid con-
tingent upon approval by CAMA; construction will not commence until all necessary
approvals have been acquired.
15. . Permittee will maintain the construction site in a neat and orderly manner.
16. In consideration for obtaining privileges granted herein, permittee agrees
to indemnify and save harmless the United States from any loss to it, including
not only damage to government property and injury to government employees but
also judgments, settlements, or compromises for property damage or injury to all
persons for which the United States may be liable, resulting from the exercise
by the permittee and its employees of the privileges granted herein.
17. This permit shall be in effect until November 14, 1999.
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I SOUTH WILMINGTON STREET HATTERAS INLET DOCK
RALEIGH, NORTH CAROLINA 27601
(919) 715-0400 FAR (919) 715-0399
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FACILITIES MANAGEMENT UNIT
?J I SOUTH WILMINGTON STREET HATTERAS INLET DOCK
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(919) 715-0400 FAX (919) 715-0399
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DIVISION OF COASTAL MANAGEME
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FIELD INVESTIGATION REPORT
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1. APPLICANT'S NAME: NC Dept. of Transportation t
2. LOCATION OF PROJECT SITE: Hyde County off NC 12 adjacent Pamlico Sound and Hatteras
Inlet at the north end of Ocracoke Island at the Ocracoke Island North Dock Ferry Terminal.
Photo Index - 1989: NA 1984: NA
State Plane Coordinates - X: 2,961,600 Y: 539,000
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 1/18/95; 8/23/95
Was Applicant Present - No; No
5. PROCESSING PROCEDURE: Application Received - 8/10/95
Office - Washington
6. SITE DESCRIPTION:,
(A) Local Land Use Plan - Hyde County, Ocracoke Section
Land Classification From LUP - Developed - Land; Conservation - Water
(B) AEC(s) Involved: Ocean Hazard/Inlet Hazard
(C) Water Dependent: No
(D) Intended Use: Public
(E) Wastewater Treatment: Existing - None - abandoned/removed
Planned - Septic tank, pump tank, valve box, drain field (LPP system)
(F) Type of Structures: Existing - Office bldg., ferry docks, parking lot
Planned - Restroom bldg.
(G) Estimated Annual Rate of Erosion: 12 ft/year
Source - Inlet Hazard Areas, The Final Report and Recommendations to the Coastal Resources
Commission, September 1978 - 1986 Update
7. HABITAT DESCRIPTION:
[AREA]
DFIEDUED FILLED
(A) Vegetated Wetlands
(B) Non-Vegetated Wetlands
(C) Other I I I ±25,700 ft2
(High Ground)
(D) Total Area Disturbed: .59 acre
(E) Primary Nursery Area: No
(F) Water Classification: SB Open: No
8. PROJECT SUMMARY: The applicant is proposing to construct a new restroom building and its
associated waste disposal system to replace the previously existing facility and its failed septic
system.
r
Form DCM-MP-1
I kolc vJ
its
Al"PPLICATION
(To be completed by all applicants)
b. City, town, community or landmark
Ocracoke Island
1. APPLICANT
a. Landowner:
Name NC Dept. of Transportation
Address
P. 0. Box 25201
City Raleigh State NC
Zip 27611 Day Phone (919 733-3141
Fax
(919) 733-9794
b. Authorized Agent:
Name
Address
City
State
Zip Day Phone
Fax
c. Project name (if any) K-3307, Restroom
Facility on NC 12
NOTE. Perndt will be issued in name of lmdov mer(s), mid/or
project nano.
2. LOCATION OF PROPOSED
PROJECT
a. County Hyde
c. Street address or secondary road number
NC 12
d. Is proposed work within city limits or planning
jurisdiction? Yes _ x No
e. Name of body of water nearest project (e.g. river,
creek, sound, bay) Atlantic Ocean
3. DESCRIPTION AND PLANNED USE
OF PROPOSED PROJECT
a. List all development activities you propose (e.g.
building a home, motel, marina, bulkhead, pier, and
excavation and/or filling activities.
Restroom facility, septic system,
boardwalk
b. Is the proposed activity maintenance of an existing
project, new work, or both? New work
c. Will the project be for public, private or commercial
use? Public
d. Give a brief description of purpose, use, methods of
construction and daily operations of proposed
project. If more space is needed, please attach
additional pages. Public restroom facility
will be constructed at the Ocracoke
Island North Ferry Terminal to serve
ferry passengers and visitors to the
Cape Hatteras National Seashore.
Revised 03195
r
Form DCM-MP-1
site. Include highway or secondary road (SR)
numbers, landmarks, and the like.
• A Stormwater Certification, if one is necessary.
• 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. Upon signing this form, the applicant
further certifies that such notice has been provided.
Name Myra Wahab
Address P. 0. Box 129
Phone Ocracoke, NC 27960
Name Hettie T. Johnson
Address P. 0. Box 519
Phone Ocracoke, NC 27960
Name Howard.Sylvester Tolson--
Address P. 0. Box 254
Phone Ocracoek, NC 27960
• A list of previous state or federal permits issued for
work on the project tract. Include permit numbers,
permittee, and issuing dates.
N/A
• A check for $250 made payable to the Department of
Environment, Health, and Natural Resources
(DEHNR) to cover the costs of processing the
application.
• A signed AEC hazard notice for projects in
oceanfront and inlet areas.
• A statement of compliance with the N.C.
Environmental Policy Act (N.C.G.S. 113A - 1 to
10) If the project involves the expenditure of public
funds or use of public lands, attach a statement
documenting compliance with the North Carolina
Environmental Policy Act.
Revised 03/95
6. CERTIFICATION AND PERMISSION
TO ENTER ON LAND
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 conditions
and restrictions contained in the permit.
I certify that to the best of my knowledge, the proposed
activity complies with the State of North Carolina's
approved Coastal Management Program and will be
conducted in a manner consistent with such program.
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.
?b
This is the ,?-o day of J&tL 19-2--F
Print Name H • fk lin P . E .
Signature
or Authorized Agent
Please indicate attachments pertaining to your proposed
project.
DCM MP-2 Excavation and Fill Information
_9- DCM MP-3 Upland Development
DCM W-4 Structures Information
DCM MP-5 Bridges and Culverts
DCM W-6 Marina Development
NOTE. Please sign and date each attachment in the
space provided at the bottom of each form.
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N. C. DEPT. OF TRANSPORTATION 4',,.TC `••/ OCRACOKE ISLAND FERRY TERMINAL
!\ FACILITIES MANAGEMENT UNIT
1 SOUTH WILMINGTON STREET HATTERAS INLET DOCK
RALEIGH, NORTH CAROLINA 27601
(919) 715-0400 FAX (919) 715-0399°,,
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