20011269 Ver 1_COMPLETE FILE_20010822

l

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D.
Acting Director
Division of Water Quality
August 30, 2001 a31?? ,(J y
CERTIFIED MAIL: 7001 0320 0003 0382 7396 1 l
RETURN RECEIPT REQUESTED
Salty Shores Canal Owners Association
112 Jerelyn Court
Newport, NC 28570
Dear Canal Owners:
SUBJECT: Approval of 401 Water Quality and
Additional Conditions
Salty Shores Canal Dredging Project
DWQ Project # 011269
Carteret County
You have our approval, in accordance with the attached conditions (WQC # 3301) to conduct the following.
activity at the Salty Shores Subdivision, Carteret County. This approval allows you to:
1) Dredge 20,025 square feet (0.45 ac) of non vegetated wetlands (canal bottom)
This approval is only valid for the purpose and design that you described in your CAMA application dated
August 14, 2001 received by the Division of Water Quality (DWQ). After reviewing your application, we have
determined that this activity is covered by General Water Quality Certification Number 3301. This Certification
allows you to use your CAMA Permit when it is issued by the NC Division of Coastal Management. Please keep in
mind that there may be additional Federal, State or Local regulations applicable to your project, such as (but not
limited to) Sediment and Erosion Control, Non-Discharge and Water Supply Watershed regulations and Coastal
Stormwater. In addition, this approval will expire when the accompanying CAMA Permit expires unless otherwise
specified in the General Certification.
This approval is only valid for the purpose and design that you described in your CAMA application date
August 14, 2001. If you change or modify your project, you may need to notify the Division (DWQ) in writing and
youu may be required to send us an application for a 401 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 and the additional condition listed below.
1). Turbidity controls must be maintained throughout construction, so that turbidity does not exceed 25 NTUs outside
the project area.
2). Impacts to SAV's must be avoided
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
conforming to Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714
Mail Service Center, Raleigh, N. C. 27699-6714. This certification and its conditions are final and binding unless you
ask for a hearing.
Ex127 Cardinal Drive t., Wilmington, NC 28405-3845 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer

r
Page Two
Salty Shores Canal Owners Association
August 30, 2001
This letter completes the review of the DWQ Permit # 011269 under Section 401 of the Clean Water Act. If you
have any questions, please telephone Joanne Steenhuis or Rick Shiver at 910-395-3900.
Sincerely,
Gregory J. Thorpe, Ph.D.
Acting Director, Division of Water Quality
Attachment: GC # 3301
cc: Corps of Engineers Wilmington Field Office -Lillette Moore
WiRO- Joanne Steenhuis
401/Wetland Unit, Central Office - Cyndi Karoly
CAMA (Raleigh) - Jeff Schaffer
CAMA - Brad Shaver
Central Files

CAMA PERMIT 401 WATER QUALITY CERTIFICATION AND WRITTEN
DIVISION OF WATER QUALITY CONCURRENCE FOR SPECIFIED BOAT
RAMPS, BULKHEADS, SHADING, PIERS, MAINTENANCE DREDGING,
UTILITY LINES AND UPLAND DEVELOPMENT
GENERAL 401 WATER QUALITY CERTIFICATION FOR PROJECTS ELIGIBLE FOR
CORPS OF ENGINEERS GENERAL PERMIT NUMBER 198000291 (ISSUED TO THE
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT)
AND NEUSE/TAR-PAMLICO BUFFER RULES
This General Certification and written concurrence is issued in conformity with
requirement of Section 401, Public Laws 92-500 and 95-217 of the United States and subject to
the North Carolina Division of Water Quality Regulations in 15 NCAC 2H, Section .0500 and 15
NCAC 2B .0200 for the discharge of fill material as described in General Permit 198000291 and
for the Neuse and Tar-Pamlico Buffer Rules (15A NCAC 2B .0233 and .0259). This Water
Quality Certification (WQC) is rescinded when the Corps of Engineers re-authorizes Regional
General Permit 0291 or when deemed appropriate by the Director of the Division of Water
Quality (DWQ.
The State of North, Carolina certifies that the specified category of activity will not
violate applicable portions of Sections 301, 302, 303, 306 and 307 of the Public Laws 92-500 and
95-217 if conducted in accordance with conditions hereinafter set forth.
Conditions of Certification:
Activities covered by this General Certification do not require written concurrence
from the Division of Water Quality as long as they comply with all conditions of
this General Certification, the CAMA Permit and General Permit 198000291. If any
condition in this Certification cannot be met, then the applicant is required to
submit an application and receive written concurrence from DWQ prior to beginning
work;
2. The following activities do not require written concurrence and do not require
payment of the 401 Water Quality Certification fee -
• Boat Ramps and associated access (i.e., roads and parking lots) that involve the
excavation or.fillino of less than 500 square feet of wetland and open water area,
with the,exception that the excavation or filling of coastal wetlands.may not
exceed 100 square feet and except when associated with new marinas,
subdivisions and commercial development);
• Shoreline protection measures that tie into existing bulkheads, land or other
.shoreline protection measures or do not extend waterward of the water line more
- than-10-feet, provided that the activity will not involve the excavation or filling
of any SAV or shellfish resources and impacts less than 500, square feet of
vegetated wetlands or less than 100 square feet of coastal wetlands;
-• Piers and docks designed to accommodate fewer than 10 vessels and the water
depth is greater than three feet;
Maintenance dredging of less than 0.5 acres of water or non-vegetated wetlands
provided that the applicant can-provide written documentation showing the
historic dimensions of the dredged channel, and no Submerged Aquatic
Vegetation or shellfish beds are excavated or filled;
R
Projects that only involve shading of waters or wetlands;
Utility lines, except wastewater lines and potable water discharge lines which are
subject to an NPDES Permit, as long as wetland or water impacts are temporary;
Upland development which involves no more than 1/10 of an acre of excavation
or filling of non-coastal wetlands, with the exception that no more than 2,000
square feet of the non-coastal excavation or filling may take place within an Area
of Environmental Concern. For the purposes of this area calculation, the
excavation or filling impacts of boat ramps, bulkheads or other shoreline
stabilization measures must be considered. The applicant must comply with all
applicable coastal stormwater rules;
Single family home construction that results in fill of 404 wetlands as long as
written concurrence is not required from DWQ for the applicable Corps of
Enaineers Nationwide Permit.
3. Activities authorized by Coastal Area Management Act (CAMA) General
permits do not require written concurrence from the Division of Water
Quality as long as they comply with all other conditions of this General
Certification;
4. In accordance with North Carolina General Statute Section 143-215.31)(e),
any request for written concurrence for a 401 Water Quality Certification
must include the appropriate fee. If a project also requires a CAMA Permit, one
payment to both agencies shall be submitted and will be the higher"of the two fees.
The fee shall be collected and distributed between the two agencies by the:Division
of Coastal Management; -
5. This certification does not eliminate the need to obtain any additional permits,
approvals or authorizations that may be required. Specifically, the permitee shall
contact the North Carolina Division of Water Quality to determine consistency with
the Neuse or Tar-Pamlico Buffer Rules (15A NCAC 2B .0233 and 15A NCAC 2B
.0259). New development activities located in the protected 50-foot wide riparian
areas (whether jurisdictional wetlands or not) within the Neuse and Tar-Pamlico
River Basins shall be limited to ".uses" identified within and constructed in
accordance with 15A NCAC 2B .0233 and 15A NCAC.2B .0259. All new
development shall be located. designed, constructed, and maintained to have minimal
disturbance to protect water quality to the maximum extent practicable through the
use of best management practices. Activities listed as "exempt" from these rules do
not need to apply for written concurrence under this Certification;
6. Appropriate sediment and erosion control practices that equal or exceed those
outlined in the most recent edition of the "North Carolina Sediment and
- Erosion Control .Planning and Design Manual" or the "North Carolina Surface
Mining Manual" (available from the Division of Land Resources in the DENR
Regional or Central Offices) shall be utilized to prevent exceedances of the
appropriate turbidity water quality standard (50 NTU's in freshwater streams and
rivers, 25 NTU's in all saltwater classes, and all lakes and reservoirs);
7. All sediment and erosion control measures placed in wetlands or waters shall
be removed and the natural grade restored after the Division of Land
Resources has released the project;
.e
8. If an environmental document is required, this Certification is not valid until a
Finding of No Significant Impact (FONSI) or Record of Decision (ROD) is issued by
the State Clearinghouse;
9. Measures shall be taken to prevent live or fresh concrete from coming into
contact with waters of the state until the concrete has hardened;
10. This General Certification is not applicable to a project where the Director of
the Division of Water Quality or the Director of the Division of Coastal Management
have determined, based on an initial review of the application, that written
concurrence is needed because of concerns related to water quality or aquatic life.
11. Additional site-specific conditions maybe added to projects which have
applied for CAMA major permits which are proposed under this Certification
in order to ensure compliance with all applicable water quality and effluent
standards;
12. If written concurrence is required for this activity, DWQ shall be sent a
written notification within 30 days of completion of the wetland or stream
impact or upon expiration of the 404 Permit or 401 Certification. Such
notification shall be sent to the Central Office of the Division of•Water
Quality on the form provided with the Certification, shall be accompanied by
a map depicting the work completed, and shall-be signed by the land owner or
other responsible party.
Non-compliance with or violation of the conditions herein set forth by a specific fill
project shall result in revocation of this Certification for the project and may result in criminal
and/or civil penalties.
The Director of the North Carolina Division of Water Quality may require submission of
a formal application for individual certification for any project in this category of activity, if it is
determined that the project is likely to have a significant adverse effect upon water quality or
degrade the waters so that existing uses of the wetland or downstream waters are precluded.
Public hearings may be held for specific applications- or group of applications prior to a
Certification decision if deemed in the public's best interest by the Director of the North Carolina
Division of Water Quality.
Effective date: 1 December 2000
By
Kerr T. Stevens `
Director
WQC# 3301
„d -
DWQ Project No.:
Applicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:
County:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any subsequent
modifications, the applicant is required to return this certificate to the 401/Wetlands Unit, North Carolina Division of Water
Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621. This form may be returned to DWQ by the applicant, the
applicant's authorized agent, or the project engineer. It is not necessary to send certificates from all of these.
Applicant's Certification
1, , hereby state that, to the best of my abilities, due care and diligence was
used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications,
and other supporting materials.
Signature:
Agent's Certification
Date:
1, , hereby state that, to the best of my abilities, due care and diligence was
used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications,
and other supporting materials.
Signature:
Date:
Engineer's Certification
Partial Final
1, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,for the
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
construction such that the construction was observed to be built within substantial compliance and intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature
Registration No.
Date
MEMORANDUM
TO: John Dorney Regional Contact: -i Steenhuis
Non-Discharge Branch WO Supervisor: R Shiver
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name Salty Shores Canal Owners Association County Carteret
Project Number 01 1269 County2
Recvd From DCI<I Region Wilmington
Received Date 8/22/01 Recvd By Region
Project Type maintenance dredging
Certificates Stream Stream Impacts (ft.)
Permit Wetland Wetland Wetland Stream Class'- Acres Feet' ME
Type Type Impact Score Index Prim. Supp. Basin Req. Req. CAM:-a «'at O O N ?0 36 rS.1 ORNT o.56 o.46 ?- ?- ?-

Mitigation Wetland-
MitigationType Type Acres Feet
Is Wetland Rating Sheet Attached? O Y ON Did you request more info? O Y ON
Have Project Changes/Conditions Been Discussed With Applicant? O Y O N
Is Mitigation required? O Y O N Recommendation: Q Issue O Issue/fond O Deny
Provided by Region: Latitude (ddmmss) Longitude (ddmmss)
Comments:
# 8301
cc: Regional Office
Central Office Page Number 1
North Carolina
Department of Environment and Natural Resources`
Division of Coastal Management
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Donna D. Moffitt, Director
NCDENR
August 14, 2001
169
MEMORANDUM: `
TO: Mr. John R. Dorney
Environmental Biological Supervisor
Division of Water Quality
FROM: Doug Huggett
Major Permits Processing Coordinator
SUBJECT: CAMA/DREDGE & FILL Permit Application Review
A ,2
Applicant: Salty Shores Canal Owners Association;
Project Location: Carteret County off Salty Shores Road (SR 1249) within Salty Shores
Subdivision just west of Broad Creek along Highway 24
Proposed Project: Proposes to conduct maintenance dredging of the Salty Shores Canal from the
boat ramp just inside the mouth of the canal to 641. feet offshore.
Please indicate below your agency's position or'4wpoirit%n the proposed project and return this form
by September 04, 2001. If you have any, questions regarding the proposed project, please contact at
[phone]. When appropriate, an in-depth comment with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
This agency has no, comment on the proposed project.
This agency approves of the, project $ only if the recommended changes are
incorporated. See attached
This agency objects to the project for reasons described in the attached comments.
'
SIGNED DATE
Morehead City Dlstnet \ 1544P J,1Wy- .24 ;Hestron Plaza II
Morehead City, .IIorth- Caroli na 28557
Phone: [phone] \ FAX: [phone] \. Internet: http://dcm2.enr.state.nc.us
A,` EQUAL OPPORTUNITY \ AFFIRMATIVE ACTION`EMPrrLOYE! R'-'SO% RECYCLED / 10% POST CONSUMER PAPER
DCM % DWQ %
Development Type FEE (1430016014351000§3 1625 6253 243001602 435100095 2341
1. Private, noncommercial
development that does not involve $250 100%($250) 0%($0)
the filling or excavation of any
wetlands or open water areas:

11. Public or commercial development n
that does not involve the filling or $400 100%($400) 0%($0)
excavation of any wetlands or open
water areas:
III. For development that involves the
filling and/or excavation of up to 1
acre of wetlands and/or open water
areas, determine if A, B, C, or D
below applies:
III(A). For Private, non-commercial
development, If General water Quality $250 100%($250) 0%($0)
Certification No.3301 (see attached)
can be applied:
III(B): For public or commercial
development, if General water Quality $400 100%($400) 0%($0)
Certification No.3301 (see attached)
can be applied:
III(C). If General Water Quality
Certification No. 3301 (see attached)
could be applied, but DCM staff
determined that additional review and $400 60%($240) 40% ($160)
written DWQ concurrence is needed
because of concerns related to water
quality or aquatic life:
III(D). If General Water Quality
Certification No. 3301 (see attached) $400 60%($240) 40% ($160)
can not be applied:
IV. For development that involves
the filling and/or excavation of more $475 60% ($285) 40% ($190)
than one acre of wetlands and/or
open water areas:

t
DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Salty Shores Canal Owners Association
2. LOCATION OF PROJECT SITE: Carteret County off Salty Shores Road (SR 1249)
within Salty Shores Subdivision just west of Broad Creek along Highway 24.
Photo Index - 1995:39-482 (index N-19,0-19) 2000:39-500 (index M-19,N-19)
State Plane Coordinates - X: 2,615,800 Y: 355,600 Salter Path Quad.
3. INVESTIGATION TYPE: CAMA,D&F
4. INVESTIGATIVE PROCEDURE: Dates of Site Visits - 7/13/01, 7/20/01
Was Applicant Present - No, Yes (Agent present)
5. PROCESSING PROCEDURE: Application Received - 8/10/01
Office - Morehead City
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Carteret County

B Land Classification From LUP - Limited Transition
AE
C (
) C(s) Involved: Estuarine Waters, Public Trust Areas
V%% (C) Water Dependent,: Yes
(D) Intended Use: Private for Canal Owners
(E) Wastewater Treatment: Existing - Septic Systems
Planned - N/A
(F) Type of Structures: Existing - Canal adjacent to 100 acre tract with 1/2 acre
lots serving a residential subdivision
Planned - Maintenance excavation for 1971 yd3
(G) Estimated Annual Rate of Erosion: N/A
Source - N/A
7. HABITAT DESCRIPTION: [AREA]
(A) Vegetated Wetlands
(B) Non-Vegetated Wetlands I 20,025 ft2
Canal Bottom
(C) Other
(D) Total Area Disturbed: 20,025 ft2
(E) Primary Nursery Area: No
(F) Water Classification: SA-ORW Open: Yes & No, Closed 200' outside mouth of
Canal beyond this point Open
FIELD INVESTIGATION REPORT:
SALTY PAGE /#2HORES / CARTERET COUNTY 011269
8. PROJECT SUMMARY: The applicant proposes to conduct maintenance dredging of
the Salty Shores Canal from the boat ramp just inside the mouth of the canal to 641 feet
offshore. The dredging will involve the removal of 1971 yd3 of material along a marked
navigation channel originating from the single-family residential development just west of
Broad Creek, Carteret County.
9. NARRATIVE DESCRIPTION:
Project Setting
Salty Shores Subdivision is located off Highway 24 just '/a mile west of Broad Creek
down SR 1249 in Carteret County. Salty Shores is separated into two sections, one being the
single-residential component made up of 1/2 acre lots and the other being a mobile home park
at the head of the +/- 1,500 foot long canal system connecting to, Bogue Sound. The manmade
canal runs south to north from the sound and then turns 90° and runs east to west to the head
of the canal. The entire tract is approximately 100 acres in size, which includes the portions of
the subdivision that do not have water access., The typical elevation throughout the tract is 8'-
10' above Normal Water Level (NWL). There are two boat ramps at the mouth of the canal
one associated with mobile home park on the west side of the entrance canal and the other on
the east side associated with a separate subdivision know as Radford Estates. Along the canal,
there are steep banks up to single-family residences with maintained yards and a dock with
boat slips.
Salty Shores Canal was originally opened to Bogue Sound in 1976 without state or
federal authorization. As a result of an enforcement action from the Corp of Engineers, an
earthen plug was placed at the mouth of the canal until 1984 when it was re-opened through
Major Permit No. 157-84. In 1986, an authorization was issued for canal maintenance and the
construction of bulkhead along the canal sides. It does not appear from a file search that there
has been a formal authorization for the section of the canal from the mouth south toward the
Intracoastal Waterway (ICW). This marked channel has been historically used to access the
ICW and there is pictoral evidence of the channel back to 1984.
The channel runs through Bogue Sound, which is classified as SA-ORW waters by the
Division of Water Quality. The area in question is not a primary nursery area and is only
closed to shell fishing 200' from the mouth of the canal. The existing depths within the mouth
of the canal vary from around 4 feet below Normal Water Level (NWL) at the boat ramp on
the west side to 2.5 feet below NWL at the mouth of the canal where the bulkhead stops.
Outside the mouth heading south toward the ICW the existing depth stays fairly consistent at
2.5 feet below NWL until the end of the marked channel where it slowly drops from 2.5 feet
below NWL to the outside connecting depth of 5 feet below NWL. The channel is bordered by
SAV beds on the east side 10' from the marked channel and 20' from the marked channel on
the west side. The beds presence and their proximity to the marked navigation channel were
confirmed in the field with the applicant's agent on 7/20/01. During the field visit, there were
some clams noted along the outside of the marked navigation channel. The current bottom is
made up of a muddy sand bottom with coarser sand along the center of the channel and
primarily mud along the banks of the channel.
Project Description
The project involves the maintenance excavation of the channel running from the mouth
of the canal toward the ICW. For purposes of this field report the project is called maintenance
based on the historical use as an access channel. The project has been broken into four sections
labeled sections A-D on the application. The entire reach of the channel is being proposed for
25 feet wide for a total distance from inside the mouth toward the ICW of 801 feet. Section A
is proposed at 240'X25'X-2' for 444 yd3, section B is proposed at 93'X25'X-3' for 258 yd3,
section C is proposed at 356'X25'X3' for 989 yd3, and finally section D is proposed at
112'X25'X-2.7' for 280 yd3. The total yardage for the project comes to 1,971 yd3.
A mud bucket style dredge will perform the dredging. This type of dredge uses a
hydraulic clamshell bucket to excavate the bottom and then spoils are placed on the barge until
unloading along the shore. The spoils will be loaded into a dump truck and hauled to an
upland site within the community just south of Highway 24. According to the agent the
dredging could be complete within 10 working days.
Anticipated Impacts
The proposal will excavate 20,025 ft2 of open bottom within a marked navigation
channel. There would be short-term turbidity expected from the dredging. Impacts to the SAV
beds are not expected because the project's design includes sloping of the channel to reduce
the impact from sloughing. Improved boating access would occur as a result of the channel
maintenance.
Brad E. Shaver - Morehead City Office - August 14, 2001
Form DCM-MP-1
APPLICATION.
(To be completed by all applicants)
1. APPLICANT
a. Landowner:
Name `A L-ty Shnro ?' ,4 t d-1 L S d.
/ f S O
Address Ax - re (kt GL-k-t
e.
City State ` .,
Zip 'jJ Day Phone- $9
. 3 -1O%5J
Fax
b. Authorized Agent:
Name Lev, O-ron
Address. VH/ ?-
City ?Ar, ..Sr ??.5 State
b. City, town, community or tan mark, j
j. & j
c. Street address or.secondary road num er
_ ??,h??? S Ana
Is proposed work within ciVNo
mits or plannin
jurisdiction? Yes Name of body of w gr nearest project (e. g. river,
creek, sound, bay),
3. DESCRIPTION AND PLANNED USE
OF PROPOSED PROJECT
a. List all development activities you propose (e.g.
building a home, motel, marina, bulkhead, pier, anc
excavation d/or filling activities.
are da.-x
Zip Day Phone
a- /a-cCs
Fax-
c. Project name (if.any) L,
NOTF.• Perndt will be issued in name of imadowner(s), and/or
project name.
2. LOCATION OF PROPOSED
PROJECT
a. County
b. Is the proposed activity maintenance of an existing
project, new work, or both? -min/-P.Al
al/c;
C. Will the project b for public, private or commercial
use?
d. Give a brief description of purpose, use, methods of
construction and daily operations of proposed
project. If mores ace is needed, please attach
additional pages. - , A Z.-L/
-/--C)/
Revised 03/95
Form DCM-MP-1
4. LAND AND WATER
CHARACTERISTICS
a. Size of entire tract 106
b. Size of individual lot(s)1
C. Approximate elevation of tr ct above MEW or
NWL -?7fo rL%
d. Soil type(s) and texture(s) of tra
e. Vegetation on tract
f. Man-made features now on tract
r,
What is the CAMA Land Use Plan land
classification of the site? (Consult the local L=,& tae pL=.)
Conservation -zTransitional
Developed Community
Rural Other
h. How i e tragt zoned by local government?
i. Is the proposed project consistent with the applicable
zoning? /,? Yes No
(Aaach zoning conFLi=ce eerrifi=e, if applicable)
Has a professional archaeological assessment been
done for the tract? Yes ;:Z No
If yes, by whom?
Is the project located in a National Registered
Historic District or does it involve a National
Register listed or eligible property?
Yes _;jZ No
Are there wetlands on the site? Yes JZNo
Coastal (marsh) Other
If yes, has a delineation been conducted?
(attach doc un nLariorn, if a i= abLe)
m. Describe existing wastewater treatment facilities.
??T? ?,l1S?irn
n. Describe location and type of discharges to waters
of the state. (For example, surface runoff, sanitary
wastewater, industrial/commercial effluent, "wash
down" and r idenial discharg
o. Describe existing r' ng;w ter su ,ply source.
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 proje.^t.
• 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
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 proj= to the Division of Coastal
Management. Upon signing this form, the applicant
further certifies that such notice has be--n provided.
Name
Address a
Phone I
Name 2ZDf)Lt i% ?
Address ,::_
Phone
Name
Address
Phone
• A list of previous state or federal permits issued for
work on the project tract. Include permit numbers,
armittee, and issuing dates.
vp??
g,tp?
•??f?i?T?%/ ?V: /? .mil /IL?/? ?i 2._? /<?.j .? ,?/?'7../ /c/
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 AIV-D PERINIISSION
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 conditionf
and restrictions contained ;n the permit.
I certify that to the best of my knowledge, the propose::
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 day of 2 ?9-
Print Name
Signature
IG7fdO1V7iCr Or rized Agew
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 dare each arrachment in the
space provided at the bottom of each form.
400 copies of this public document were printed at a total cost of $52.48 or $ .13 per copy.
Revivd ov(K
EXCAVATION
AND FILL
(Except bridges and culverts)
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.
Describe below the purpose of proposed excavation or
fill activities. All values to be given in feet.
Average Final
Essting Project.
Length Width Deflth Denrh
Access
channel
(MLI-) or (NWL),
J0
Canal
Boat
basin
Boa*_
rarnp
Rock
groin
Rock
breakwater
Other
(Ezc.ud;ng
di z= ion)

N?

'til::;iii •`,, ?- wti,? r?:%::.?'{%/-:??.N::

JUL 3 0 2001
1. EXCAVATION
a. Amount of material to be excavated from below
MHW or NWL in cubic yards IF71
b. Type of material to be excavates %yaa
c. Does the area to be excavated incl.:ce coastal
wetlands (marsh), submerged aquatic LYNO
Lion
(SAVs) or other wetlands? Yes d. Highground excavation in cubic yards /,
2. DISPOSAL OF EXCAVATED
MATERIAL
a a,
a. Location of dis osal area 76
9,5-
'54 r
b. Dimensions of disposal area
disosal area?
C. Do you claim ti7NO'
Yes If no,
attach a letter granting permissior rom the
owner.
d. Will a disposal area be ava' ble for future
maintenance? Ye,, No
If yes, where?

.:evu.ed 0-;9-
e. Doer the disposal area include any coastal wetlands
(marsh), SAVs or o er wetlands?
Yes No
f. Does the disposal inc de any area in the water?
Yes disposal
If yes,
(1) Amount of material to be placed in the
water
(2) Dimensions of fill area
(3) Purpose of fill
3. SHORELINE STABILIZATION AiIA
a. Type of shoreline stabilizafion
Bulkhead Riprap
b. Lenzrh
c. Aver age distance waterward of NfHW or NWL .
d. Maximum distance waterward of MHW or NWL
i..
e. Shoreline erosion during preceding 12 months
(Source of information)
f. Type of bulkhead or. ripra material
g. Amount of fill in cubic yards to be placed below
water level
(1) Riprap ?.
(2) Bulkhead backfill
h. Type of fill material
i. Source of fill material
4. OTHER FILL ACTIVITIES
(Excluding Shoreline Stabilization)
a. Will fill material be b Q=ht to site?
Yeso
b. Will fill material be placed in coastal wetlands
(marsh), SAVs or othe :lands?
Yes No
If yes,
(1) Dimensions of fill area
(2) Purpose of fill
5. GENERAL
a. How will excavated or fill material be kept on site
and erosion controlled?
b. What type of construction equipment will be used
(for example, dragline, backhoe, or hydraulic
dredge)'? N
/? e1lq-L
Will wetlands be cr3ssed in transoor~ng equipment
to project site? Yes --4? No
If yes, explain steps that will be taken to lessen
environmental impacts.
AppU or jest N2me
Signature
Date
Revised 03;9
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