20010444 Ver 1_COMPLETE FILE_20010326

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Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Kerr T. Stevens
Division of Water Quality
April 3, 2001
DWQ# 01-0444
Anson County
JMG land & Timbes, Inc.
Route 1 Box GCA
Lilesville, NC 28091
APPROVAL of 401 Water Quality Certification
Dear Sirs:
You have our approval, in accordance with the attached conditions, to place fill in 0.01 acre of waters in
order to stabilize 6 inches of shoreline on your property near SR 1744 on Blewett Falls Lake in Anson County, as
you described in your application materials received by the Division of Water Quality on March 26, 2001. After
reviewing your application, we have decided that this fill is covered by General Water Quality Certification Number
3280. This Certification allows you to use Regional Permit Number 198200030 when the Corps of Engineers
issues it. In addition, you should get any other federal, state or local permits before you go ahead with your
project including (but not limited to) Sediment and Erosion Control, Coastal Stormwater, Non-Discharge and
Water Supply Watershed regulations. Also this approval will expire when the accompanying 404 permit expires
unless otherwise specified in the General Certification.
This approval is only valid for the purpose and design that you described in your application. If you change
your project, you must notify us and you may be required to send us a new application for a new certification. If
the property is sold, the new owner must be given a copy of the Certification and approval letter and is thereby
responsible for complying with all conditions. If total wetland fills for this project (now or in the future) exceed one
acre, compensatory mitigation may be required as described in 15A NCAC 2H .0506 (h). For this approval to be
valid, you must follow the conditions listed in the attached certification.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You
must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition which
conforms to Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, P.O.
Box 27447, Raleigh, N.C. 27611-7447. This certification and its conditions are final and binding unless you ask
for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If
you have any questions, please telephone John Dorney at 919-733-9646.
Sincerely,
Attachment
01. 2Stev?l
cc: Corps of Engineers Raleigh Regulatory Field Office
Fayetteville DWQ Regional Office
Central Files
File Copy
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
nin 799 47002 i..ti.....,\ non 7a'2 RGnl is. n 1J1n Ml)- ,..., e? i .... -h.....,n"-A. 1
UI U444
DWQ ID: CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE;
1. NOTIFICATION TO THE CORPS OF ENGINEERS
2. APPLICATION TO NC DIY, of WATER QUALT7Y FOR SECTION 401 CERTIFICATION
3. C'OORDINATiON WITH TH9,NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE FIELD
OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN (7) COPIES
MUST BE SENT TO THE NC DIVISION OF WATER QUALITY, AT'CN: JOHN DORNEY, 4401 REEDY
CREEX ROAD, RALEIGH, NC 27607.E LEME EMT OR TYPE.
1. OWNER'S NAME:
2. MAILING ADDRESS: ?'t 1 C', o x (., L A
SUBDIVISION NAME ;
CITY: ?'.\ y \\ STATE: nc- ZIPCODE: a?SOc%\
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE):
?\ e_ w I ? ? 1; cl_\\ 5 A, air C?
3. TELEPHONE NUMBER: (NOME) ?"\o,? %L\%, - $'3'1'3 (WORK) Vj otil L CtL - 1 \ \ I
4. IF APPLICABLE: AGENTS NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: M'• \: e- o \ .. c
3. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: A tx --,o NEAREST TOWN: - 1 S \ \
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.) A
C) a
CC?mo.
6. IMPACTED OR NEAREST STREAMAUVER:
RIVER BASIN: _ LA a k k. „ C?o.s ...
RECEIVED
i
7. (a) IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA),
NIGH QUALITY WATERS (HQW),'OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES , NO v IF YES, EXPLAIN:
(b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA Ole ENVIRONMENTAL CONCERN (AEC)? YES NO
(c) IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION? N A
8. (a) HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES NO ? IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS
PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
(b) ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES NO ? IF YES, DESCRIBE ANTICIPATED WORK:
9. (a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND:
(b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
- 0-
10. (a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: \ oo x S EXCAVATION: N ?p
FLOODING: N \ A OTHER : N A
DRAINAGE: 1,)\q TOTAL ACRES TO BE IMPACTED: N n
(b) (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: N X P, FT AFTER FT
WIDTH BEFORE (based on normal high water contours): FT
AVERAGE DEPTH BEFORE: FT AFTER: FT
(b) (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION: CONSTRUCTION OF A DAMT-LOODING:
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAWING TO TILE POND? N \P-
WHAT IS THE EXPECTED POND SURFACE AREA? N \ P
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY)
? Qc,. w c??1\ W'• \\ ?c e{ cc.?<\, 'a. ? s. ?cZn. 2x??'??n?
t
u-\c,?? 0 c4L\\cN a? b
?? o c ? 2 o c, w \ ?1 p G C ? '`i 'x l•, `L ,r D d c c \ `? n ? \ 'a,]\ U ? t) n
c'i . ?? c o- 1n yON
13. PURPOSE OF PROPOSED WORK: a? Q c r \ r g COU ' \ \ Z c- \ u n,-
14. STATE REASONS WHY IT IS RELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT W
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS)
15. YOU ARE REQUIRED ID CONTACT TH); US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY
FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR TIIREATENED
SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA'IIIAT MAY BE AFFECTED BY TILE
PROPOSED PROJECT. DATE CONTACTED:
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA
WILICII MAY BE AFFECTED BY 111E PROPOSED PROJECT. DATE CONTACTED:
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF
PUBLIC (STATE) LAND? YES ( ) NO (X) (IF NO, GO TO 18)
(a) IF YES, DOES TIIE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO TILE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES ( ) NO ( ) N \ C?
(b) IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH TILE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES ( ) NO ( ) N \c>
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING'IIIE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGQETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SHOULD gE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL INTO
WETLANDS:
(a) WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES, AND
PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29,
AND 38). ALL STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST
BE, SHOWN ON THE MAP. MAP SCALES SHOULD BE I INCH EQUALS SO FEET OF 1
INCH EQUALS 100 )FEET OF `THEIR EQUIVALENT. S Q - C?uc'Aw? Na
(b) IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PRODUCT.
(c) IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO TIIE PLACEMENT OF THE DELINEATION LINE.
(d) ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
(e) WHAT IS LAND USE OF SURROUNDING PROPERTY? 4a==Cc.
P.
15
(1) IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
NN. i'
(g) SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
1. ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2. EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY
CERTIFICATION, AND
3. (IN THE TWENTY COASTAL, COUNTIES ONLY), A LETTER FROM TIIB NORTI I
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
PROGRAM.
. ? /9 0200
OWNER'S/AGENT'S SIGNATURE DATE
(AGENTS SIGNATURE VALID ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS
PROVIDED).
P
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L?k?
: ®10 DWQ ID CORPS AC'T'ION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT 1!)
PRE-CONSTRUCTIO14 NOTIFICATION APPLICATION 12
sG
FOR NATIONWIDE PERMITS THAT REQUIRE:
1. NOTIFICA'T'ION TO THE CORPS OF ENGINEERS
2. APPLICATION TO NC DIV, OF WATER QUALTTY FOR SECTION 401 CERTII7CAT10N
3. COORDINATION WITH TH9,kC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (I) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE FIELD
OFFICE OF THE CORPS OF ENGINEERS (SEt; AGENCY ADDRESSES SHEET). SEVEN (7) COPIES
MUST BE SENT TO THE NC DIVLSION OF WATER QUALITY, ATTN: JOITN DORNEY, 4401 REEDY
CREEK ROADo RALEIGH, NC 27607.-PLEASE PRINT OR TYPE.
:'t
1. OWNER'S NAME: V La c,c\ b \.
2. MAILING ADDRESS: (Z't 1 ?S o x G, ?. A
SUBDIVISION NAME : %\ ew c- -N \ C???\y
CITY:_ \--'?\ c a v \\ T STATE: n v-- ZIP CODE: WS O "O
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE):

TELEPHONE NUMBER: (HOME)%L\`d - 83'1 IS (WORK) S7 OA)
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL. ADDRESS,
PHONE NUMBER: M'. ?. CI, o n t\ vz \' c-, ( ?'1
3. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: t\ t\ -2?,„ r NEAREST TOWN: _ L \ e S v \ \
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.) (4'b a'A
C) 0
1n c n c??t 0- e. ( r V' t\ tA --AL UA S c, c r F Jh
C
6. IMPACTED OR NEAREST STREAMIRIVER: ?\ Q w?\ \\ s
RIVER BASIN: L-\a A \C, N S?a.s
PA`lM?_NT
RE?;EIVE ?-?
7. (a) IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA),
HIGH QUALITY WATERS (HQW),'OtJTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY (WS-I OR WS-II)? YES NO v IF YES, EXPLAIN:
(b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES NO
(c) IF THE PROJECT IS LOCATED THIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION? W (N
,0
8. (a) HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROJECT? YES NO ? IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS
PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401
CERTIFICATION):
(b) ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE
FUTURE? YES NO ? IF YES, DESCRIBE ANTICIPATED WORK:
9. (a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND:
(b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
- b-
10. (a) NUMBER OF .ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FH11NG \ o o x S EXCAVATION:
FLOODING: N \ A OTHER : to \ a
DRAINAGE: N \y TOTAL ACRES TO BE IMPACTED: N?n
(b) (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION:
LENGTH BEFORE: N 1 A FT AFTER: FT
WIDTH BEFORE (based on normal high water contours): FT
AVERAGE DEPTH BEFORE: FT AFTER: FT
(b) (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CIIANNEL:
CHANNEL EXCAVATION: CONSTRUCTION OF A DAMNLOODINO:
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO TIIE POND? N ?A
WHAT IS THE EXPECTED POND SURFACE AREA7 N \
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY)
aj Qc,, w a-\\ W•\\ be et ce.?<? 'a. ? S'. co c?. ?7t?a\.r??
L\nzc alt b
2?aocc?? y^v lL, LtiDoAt ?\ Qcs?1 alp\L)
(3a`\c?V\\\c4 \.cN. 9, nccCL ?•? sic0lj
?.
13. PURPOSE OF PROPOSED WORK: o c e r, -L ti\M .\ 13. a \ 10
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS)
gq
CrIr 0° 1CI t? C7 St ??JCI?t 0.01\or C C,_????? Nb5? C) N-
15. YOU ARE REQUIRED TO CONTACT TtW US FISH AND WILDLIFE SERVICE AND/OR
NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY
FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED
SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA'HiAT MAY BE AFFECTED BY THE
PROPOSED PROJECT. DATE CONTACTED:
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA
WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED:
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OT THE USE OF
PUBLIC (STATE) LAND? YES( ) NO (X) (1F NO, GO TO 18)
(a) IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA
ENVIRONMENTAL POLICY ACT? YES ( ) NO ( ) N \ c-\
(b) IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE? YES ( ) NO ( ) N \n
IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BA00ETI', DIRECI'OR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH T1IIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OF FILL MATERIAL INTO
WETLANDS:
(a) WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES, AND
PONDS ON THE PROPERTY (FOR NATIONWIDE PERMI'T' NUMBERS 14, 18, 21, 26, 29,
AND 38). ALL STREAM (INT'ERMITT'ENT AND PERMANENT) ON THE PROPERTY MUST
BE SHOWN ON DIE MAP. MAP SCALI3S SHOULD BE I INCH EQUALS 30 FEET OF 1
INCH EQUALS 100 FEET OF THEIR EQUIVALENT. S e Guc ???on %a
(b) IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PRODUCT.
(c) IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO DIE PLACEMENT OF DIE DELINEATION LINE.
(d) ATTACK A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
(e) WHAT IS LAND USE OF SURROUNDING PROPERTY? %gamm-
P.
(Q IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
L
(g) SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
I. ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2. EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY
CERTIFICATION, AND
3. (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORDI
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
PROGRAM. ,
OWNER'S/AGENT'S SIGNATURE DATE
(AGENTS SIGNATURE VALID ONLY IF AUTHORIZATION LETTER FROM THE OWNER IS
PROVIDED).

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