19930742 Ver 1_Complete File_19931012

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
October 12, 1993
Mr. Barney O'Quinn
Planning and Environmental Branch
N.C. Department of Transportation
P.O. Box 25201
Raleigh, N.C. 27611
Dear Mr. O'Quinn:
4 v
?9'**J?
Subject: Proposed fill in Wetlands or Waters
Bridge widening, Bridge # 40, SR 1208
Dare County
DEM Project # 93742
Upon review of your request for 401 Water Quality Certification
to place fill material in waters which are tributary to Jean Guite
Creek for bridge replacement located at SR 1208 in Dare County as
described in your submittal dated 27 August 1993, we have determined
that the proposed fill can be covered by General Water Quality,
Certification No. 2735. A copy of the General Certification is
attached. This Certification may be used in qualifying for coverage
under Corps of Engineers' General Permit No. 031.
If this Certification is unacceptable to you, you have the right
to an adjudicatory hearing upon written request within thirty (30)
days following receipt of this Certification. This request must be in
the form of a written petition conforming to Chapter 150B of the North
Carolina General Statutes and filed with the Office of Administrative
Hearings, P.O. Box 27447, Raleigh, N.C. 27611-7447. Unless such
demands are made, this Certification shall be final and binding.
1786.
If you have any questions, please contact John Dorney at 919-733-
Sincerely,
P estofn Howard,. P.E.
93742.1tr
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Washington Field Office
Washington DEM Regional Office
Mr. John Dorney
Central Files
John Parker, DCM
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 5096 recycled/ 10% post-consumer paper
To: John Dorney
Planning Branch
DIVISION OF ENVIRONMENTAL MANAGEMENT
CAMA/COE PERMIT APPLICATION REVIEW
WaRO PROJECT 9 13 -06 U - C? ESQ SUPERVISOR: THO
REVIEWER: SAWYER DATE: /o 3
WETLAND INFORMATION FOR CENTRAL OFFICE TRACKING
PERMIT YR
92 nn
o
:
PERMIT NO.: COUNTY: 400-.?
PROJECT NAME: Me- 5, I P-6 3' /c.V ;'?
PROJECT TYPE: - PERMIT TYPE: gk km
COE #: DOT 9:
RCD FROM CDA: dac_) DATE FROM CDA: V/
.
C ZA ?T 3
REG OFFICE: WaRO RIVERJUB ??
BASIN 9: t`?65: 5
STREAM OR ADJACENT WATER BODY: -oo-.r-- ? =-h-
CLASS: S e-- STREAM INDEX $: 7
OPEN OR CLOSEp:
WL IMPACT: /1 WL TYPE:
WL REQUESTED: WL ACR EST:
HYDRO CNECT?: WL SCORE:
MITIGATION: MITIGATION TYPE:
MITIGATION SIZE: RATING SHEET ATTACHED?
RECOMMENDATION: ISSUE ISSUE/COND DENY HOLD
STORMWATER PLAN REQ' D • 7 IF YZ3, DATE APPROVED • ' ' `"`?
PROJECT DESCRIPTION: 'i, camZ? ao ? ? I
WATER QUALITY CERT. (401
CERT. REQ'D: Y
IF YES, TYPE: 1-•-.'c0 o
SEWAGE DISPOSAL
TYPE OF DISPOSAL PROPOSED: ?'??•
(EXISTING, PROPO SED, SEPTIC TANK ETC.)
TO BE PERMITTED BY:
(DEM, DHS, COUNTY)
IF BY DEM, IS SITE AVAILABLE AND PERMIT ISSUANCE PROBABLE:
WATER/WETLAND FILL
L
AREA OF FILL: WATER: 02
K
;
WETLAND: -D -
IS FILL ELIMINATING A SIGNI CA
USE?
DREDGING
AREA TO BE DREDGED:
IS DREDGING ACTIVITY EXPECTED TO CAUSE A SIGNIFICANT LOSS OF
RESOURCE?
IS SPOIL DISPOSAL ADEQUATELY ADDRESSED?
MARINA
ARE THE FOLLOWING ADEQUATELY
ADDRESSED?
SEWAGE DISPOSAL: MARINA SERVICES:
OXYGEN IN BASIN: CLOSURE OF SHELLFISHING WATERS:
CC: WaRO; Central Files; DCM Field Offices; ODE Washington Office
DIVISION OF ENVIYO ENTAL MANAGEMENT
/ D /
MEMORANDUM
• TO: Bill Moore, Environmental Engineer
Water Quality Section, WaRO
FROM: Deborah Sawyer, Environmental Technician
Water Quality Section, WaRO
SUBJECT: Dredge and Fill Reviews for Stormwater Review
12c? lC,
Project: f? C .D 67- S R
Project No.: d -?
Date Received:
.F:"111,t Date Comment:
Description of Project:
Comments:
S

r
DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: NC DOT - Bridge #40
2. LOCATION OF PROJECT SITE: SR 1208, Kitty Hawk, Dare County
Photo Index - 1989: 145-11; H-9 1984: 137-493; T-11
State Plane Coordinates - X: 2965400 Y: 861200
3. INVESTIGATION TYPE: CAMA/D&F
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 08/16/93
Was Applicant Present - No
5. PROCESSING PROCEDURE: Application Received - August 13, 1993
Office - Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Kitty Hawk
Land Classification From LUP - Developed Village/Conservation
(B) AEC(s) Involved: PT
(C) Water Dependent: No
(D) Intended Use: Public
(E) Wastewater Treatment: Existing - N/A
Planned - N/A
(F) Type of Structures: Existing - Bridge
Planned - Widen existing bridge and resurface
(G) Estimated Annual Rate of Erosion: N/A
Source - N/A
7. HABITAT DESCRIPTION: [AREA]
DREDGED FILLED
1?,a5N1,?`c?1???
U7Ury`UFrICE
r?ljJ
V4 r_* .11L
OTHER
(A) Vegetated Wetlands
(B) Non-Vegetated Wetlands
(C) Other
Shallow Water 2 sq. ft. Shaded
204 sq. ft.
(D) Total Area Disturbed: 2 sq. ft.
(E) Primary Nursery Area: Yes
(F) Water Classification: SC Open: N/A
8. PROJECT SUMMARY: Widen existing 20' wide DOT bridge across manmade canal to Jean Guite
Creek to 24' width.
t
.A
NC DOT Bridge #40/SR 1208
BIO REPORT
Page 2
SITE DESCRIPTION
The applicant proposes to widen an existing bridge over a
manmade canal off of Jean Guite Creek in Kitty Hawk, Dare county on
SR 1208. This proposed construction would include the placement of
two pilings within Public Trust Waters and shallow water habitat.
The bulkheading under the bridge would also be extended on both
shoreline banks to match the new bridge width. The proposed
construction would increase the bridge width from 20 ft. to 24 ft.
The entire bridge will also be resurfaced. Existing clearances
beneath the bridge will be maintained. No additional construction
is planned for the bridge approach ramps.
Coastal species (Typha latifolia) are present on an adjacent
parcel approximately 40 ft. from the bridge on the north-east
approach. The immediate area where the proposed work would occur
is vegetated in upland lawn grasses. No shoreline stabilization
structures are present adjacent to the proposed construction.
Jean Guite Creek is classified as an Inland Water and Primary
Nursery Area. No fish spawning activity was observed during this
field visit at the site. The site is located in a residential area
of Kitty Hawk and is classified as "Developed Village/ Conservation"
in the Kitty Hawk LUP.
ANTICIPATED IMPACTS
This proposed project will include the filling of
approximately 2 sq. ft. of Public Trust Waters to provide support
for the widening of the bridge structure. Increased turbidity would
be experienced temporarily due to the placement of these pilings.
This project would not adversely impact public trust access or
other coastal resources.
CAMA REVIEW
LUP Consistency findings will be forwarded under a separate
report.
Submitted by: Dennis W. Hawthorn
Date: August 24, 1993
,Please type or print. Carefully describe all anticipated
development activities, including construction, excava-
tion, filling, paving, land clearing, and stormwater con-
trol. If the requested information is not relevant to your
project, write N/A (not applicable). Items 1-4 and 3-9
must be completed for all projects.
1 APPLICANT
If you plan to build a marina, also compldf-c'!ib !*D
attach Form DCM-hiP-2.
b. Is the proposed activity maintenance of aiuf, + i
existing project, new work, or both?
Both
c
a. Name NC Dept. of Transportation
Attn: B.J. O'Quinn, Asst. Branch Mgr.
Address Pn Rix P5pnl
4 LAND AND WATER
CHARACTERISTICS
City Raleigh State NC d. Describe the planned use of the project.
9 1 - - Public Transportation
Zip 27611 Dayphone 919-733-3141
Landowner or X Authorized agent
b. Project name (if any) Bridge # 40, Dare County
c. If the applicant is not the landowner, also give the
owner's name and address.
t,VA
a. Size of entire tract N/A
b. Size of individual lot(s) N/A
Will the project be for community, private, or
commercial use?
Public Transportation
c. Elevation of tract above mean sea level or
National Geodetic Vertical Datum
2 LOCATION OF PROPOSED
PROJECT d. Soil type(s) and texture(s) of tract
a. Street address or secondary road number 1208
e. Vegetation on tract
b. City, town, community, or landmark
Kitty Hawk f. Man-made features now on tract Titrber bridge
c. County
Dare
d. Is proposed work within city limits or planning
jurisdiction?
e. Name of body of water nearest project
Kitty Hawk Bay
3 DESCRIPTION AND PLANNED USE
OF PROPOSED PROJECT
g. What is the CAMA Land Use Plan Classification of
the site? (Consult the local land use plan.)
_ Conservation Transitional
X Developed Community
_ Rural Other
h. How is the tract zoned by local government?
V.iLlage Residential-1
L How are adjacent waters classified?
a. Describe all development activities you propose (for j. Has a professional archaeological survey been
example, building a home, motel, marina, bulkhead, carried out for the tract? No If so, by whom?
or pier). Vliden existing bridge four (4) feet on
North side.
3191
100014 -- AdOO
5 UPLAND DEVELOPMENT
Complete this section if the project includes any land
development.
a. Type and number of buildings, facilities, or
structures proposed N/A
b. Number of lots or parcels N/A
c. Density (Give the number of residential units and the
units per acre.) N/A
d. Size of area to be graded or disturbed
N/A
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
cor.:rol plan been submitted to the Division of Land
Resources? N/A
f. Give the percentage of the tract within 75 feet of
mean high water to be covered by impermeable
surfaces, such as pavement, buildings, rooftops.
fT/A
g. List the materials, such as marl, paver stone, asphalt,
or concrete, to be used for paved surfaces.
N/A
h. If applicable, has a stormwater management plan
been submitted to the Division of Environmental
Management? Pl/A
i. Describe proposed sewage disposal and/or waste
water treatment facilities.
N/A
j. Have these facilities received state or local approval?
N/A
k. Describe existing treatment facilities.
N/A
1. Describe location and type of discharges to waters of
the state (for example, surface runoff, sanitary
wastewater, industriallcommercial effluent, "wash
down"). II/A
p,- . r-4111. l)
m. Water supply source N/A
n. If the project is oceanfront development, describe
the steps that will be taken to maintain established
public beach accessways or provide new access.
N/A
o. If the project is on the oceanfront, what will be the
elevation above mean sea level of the first habitable
floor? N/A
6 EXCAVATION AND FILL
INFORMATION
a. Describe below the purpose of proposed excavation
or fill activities (excluding bulkheads, which are
covered in Section 7).
Access channel
(MLW) or (NWL)
Length Width Depth
N/A
Boat basin
Other (break-
water, pier,
boat ramp,
rock jetty)
Fill placed in
wetland or below
MHW
Upland fill
areas
N/A
N/A
N/A
N/A
b. Amount of material to be excavated from below
water level in cubic yards N/A
c. Type of material N/A
d. Does the area to be excavated include marshland,
swamps, or other wetlands?
N/A
e. High ground excavation, in cubic yards
N/a
.,
I003N - Ad07

)imensions of spoil disposal area
N/A
,ocation of spoil disposal area N/A
-,o you claim title to the disposal area? N/A
f not, attach a letter granting permission from the
)wner.
,Vill a disposal area be available for future
naintenance? N/A
[f so, where?
Does the disposal area include any marshland.
;wamps, or water areas?
N/A
c. Shoreline erosion during preceding 12 months, in
feet N/A
d. Type of bulkhead material N/A
e. -Amount of fill, in cubic yards, to be placed below
mean high water N/A
f. Type of fill material N/A
8 ADDITIONAL INFORMATION
In addition to the completed application form, the follow-
ing items must be submitted:
Will the fill material be placed below mean high
water? N/A
Amount of fill in cubic yards N/A
Type of fill material N/A
Source of fill material N/A
Will fill material be laced on marsh or other
wetlands? ti/K
Dimensions of the wetland to be filled
N/A
How will excavated or fill material be kept on site
and erosion controlled?
N/A
What type of construction equipment will be used
(for example, dragline, backhoe, or hydraulic
dredge)? Bridge Constzuction
Will wetlands be crossed in transporting equipment
to project site? No If yes, explain steps that will
be taken to lessen environmental impacts.
SHORELINE STABILIZATION
Length of bulkhead or riprap N/A
Average distance waterward of mean high water or
normal water level N/A
A copy of the deed (with state application only) or other
instrument under which the applicant claims title to the
affected property. 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 catty out
the project.
An accurate work plat ('including plan view and cross
sectional drawings) drawn to scale in black ink on an 8
112 x 11 white paper. (Refer to Coastal Resources
Commission Rule 71.0203 for a detailed description.)
Please note that original drawings arc preferred and
only high quality copies will be accepted. Blue-line
prints or other larger plats are acceptable only if 18 hi gh
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 besufficiently detailed
to guide agency personnel unfamiliar with the area to the
site. Include county road (SR) numbers, landmarks, and
the like.
A stormwater management plan, if applicable, that
may have been developed in consultation with the
Division of Environmental Management.
A list of the names and complete addresses of the
adjacent waterfront (riparian) landowners. These
individuals have 30 days in which to submit comments
on the proposed project to the Division of Coastal
Management and should be advised by the applicant of
that opportunity.
1003N -- Ad07
Name
Address
Name
Address
Name
Address
9 CERTIFICATION AND PERMISSION
TO ENTER ON LAND
SE ATTpp® LIST 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.
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 $100 made payable to the Department of
Natural Resources and Community Development to
cover the costs of processing the application.
A signed AEC hazard notice for projects in oceanfront
and inlet areas.
A statement on the use of public funds. If the project
involves the expenditure of public funds, attach a state-
ment documenting compliance with the North Carolina
Environmental Policy Act (N.C.G.S. 113A-1 to 10).
I certify that to the best of my knowledge, the proposed
activity complies with the State of North Carolina's ap-
proved Coastal Management Program and will be con-
ducted in a manner consistent with such program.
I further 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
project. nn q
This is the Jd day of Opt lJca ?? , 19!
X
Landowner6r Authorized/ agent

A

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ENLARGED MUNICIPAL AND SUBURBAN AREAS
DARE-0 COUNN
NORTH CAROLINA
SRioGE LGCA OO MAP
PREPARED BY BRIDGE MAINTENANCE UNIT RALEIGH,NORT}I CARCLINA
H COOPMATCH "TT"
U.S. DEPARTMENT OF TRANSPORTATION
FEDERAL HIGHWAY ADMINISTRATION

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BR. ## 40 ON S.R. 1208
DARE CO.
M11; I , r S
1
-1 2 ra IaEl;
PILES
10 KITTY HAWK
I
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17' 17'
kA G
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I,
(TENSION
DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: NC DOT - Bridge 1140 I
r SEP -
21c, 0
. LOCATION OF PROJECT SITE: SR 1208, Kitty Hawk, Dare County f
Photo Index - 1989: I45-11• H-9 1984: 137-493• T-11 `-- ---
State Plane Coordinates - X: 2965400 Y: 861200
3. INVESTIGATION TYPE: LAMA/D&F
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 08/16/93
Was Applicant Present - No
5. PROCESSING PROCEDURE: Application Received - August 13, 1993
Office - Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Kitty Hawk
Land Classification From LUP - Developed Village/Conservation
(B) AEC(s) Involved: PT
(C) Water Dependent: No
(D) Intended Use: Public
(E) Wastewater Treatment: Existing - N/A
Planned - N/A
(F) Type of Structures: Existing - Bridge
Planned - Widen existing bridge and resurface
(G) Estimated Annual Rate of Erosion: N/A
Source - N/A
7. HABITAT DESCRIPTION: [AREA]
DREDGED FILLED
OTHER
(A) Vegetated Wetlands
(B) Non-Vegetated Wetlands
(C) Other
Shallow Water 2 sq. ft. Shaded
204 sq. ft.
(D) Total Area Disturbed: 2 sq. ft.
(E) Primary Nursery Area: Yes
(F) Water Classification: SC Open: N/A
8. PROJECT SUMMARY: Widen existing 20' wide DOT bridge across manmade canal to Jean Guite
Creek to 24' width.

NC DOT Bridge 140/SR 1208
BIO REPORT
Page 2
SITE DESCRIPTION
The applicant proposes to widen an existing bridge over a
manmade canal off of Jean Guite Creek in Kitty Hawk, Dare county on
SR 1208. This proposed construction would include the placement of
two pilings within Public Trust Waters and shallow water habitat.
The bulkheading under the bridge would also be extended on both
shoreline banks to match the new bridge width. The proposed
construction would increase the bridge width from 20 ft. to 24 ft.
The entire bridge will also be resurfaced. Existing clearances
beneath the bridge will be maintained. No additional construction
is planned for the bridge approach ramps.
Coastal species (Typha latifolia) are present on an adjacent
parcel approximately 40 ft. from the bridge on the north-east
approach. The immediate area where the proposed work would occur
is vegetated in upland lawn grasses. No shoreline stabilization
structures are present adjacent to the proposed construction.
Jean Guite Creek is classified as an Inland Water and Primary
Nursery Area. No fish spawning activity was observed during this
field visit at the site. The site is located in a residential area
of Kitty Hawk and is classified as "Developed Village/Conservation"
in the Kitty Hawk LUP.
ANTICIPATED IMPACTS
This proposed project will include the filling of
approximately 2 sq. ft. of Public Trust Waters to provide support
for the widening of the bridge structure. Increased turbidity would
be experienced temporarily due to the placement of these pilings.
This project would not adversely impact public trust access or
other coastal resources.
CAMA REVIEW
LUP Consistency findings will be forwarded under a separate
report.
Submitted by: Dennis W. Hawthorn
Date: August 24, 1993
Plc,ftt typ6 or print. Carefully describe all anticipated
development activities, including construction, excava-
tion, filling, paving, land clearing, and stormwater con-
trol. If the requested information is not relevant to your
project, write N/A (not applicable). Items 1-4 and 3-9
must be completed for all projects.
1 APPLICANT
a. Name NC Dept. of Transportation commercial use?
Attn: B.J. O'Quinn, Asst. Branch Mgr. Public Transportation
Address?n Rnx 292n1
City Raleigh St to NC -
7jp 27611 Dayphone 919-733-3141
Landowner or X Authorized aacrit
b. Project name (if any) Bridge # 40, Dare County
c. If the applicant is not the landowner, also give the
owner's name and address.
rl/A
2 LOCATION OF PROPOSED
PROJECT
a. Street address or secondary road number
SR 1208
If you plan to build a marina, also compMfe'a4it!TII
attach Form DCIv1-NIP-2.
b. Is the proposed activity maintenance of all:" 1 i
existing project, new work, or both?
Both
c. Will the project be for community private or
d. Describe the planned use of the project.
Public Transaort3tion
4 LAND AND WATER
CHARACTERISTICS
a. Size of entire tract N/A
b. Size of individual lot(s) N/A
c. Elevation of tract above mean sea level or
National Geodetic Vertical Datum
d. Soil type(s) and texture(s) of tract
e. Vegetation on tract
b. City, town, community, or landmark
. Kitty Hank f. Man-made features now on tract Tim bridcp
C. County
Dare
g. I?Vhat is the CAMA Land Use Plan Classification of
the site? (Consult the local land use plan.)
Conservation Transitional
X Developed Communitv
Rural Outer
h. How is the tract zoned by local government?
V.ill.aoe ResideMial-1
d. Is proposed work within city limits or planning
jurisdiction?
e. Name of body of water nearest project
Kitty hiavk Bay
3 DESCRIPTION AND PLANNED USE
OF PROPOSED PROJECT
a. Describe all development activities you propose (for
example, building a home, motel, marina, bullhead,
or pier)._ Widen existinq bridge four (4) feet on
Morth side.
How are adjacent waters classified?
j. Has a professional archaeologic, survey been
car7ied out for the tract? fb If so, by whom?
3/91
L00014 - Ad00
5 UPLAND DEVELOPMENT
Complete this section if the project includes any land
development.
a Type and number of buildings, facilities, or
structurespro posed N/A
b. Number of lots or parcels
N/A
c. Density (Give the number of residential units and the
units per acre.) N/A
d. Size of area to be graded or disturbed
N/A
C.
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? N/A
f. Give the percentage of the tract within 75 feet of
mean high water to be covered by impermeable
surfaces, such as pavement, buildings, rooftops.
NiA'
g. List the materials, such as marl, paver stone, asphalt,
or concrete, to be used for paved surfaces.
tJ/A
h. If applicable, has a stormwater management plan
been submitted to the Division of Environmental
Management? N/A
i. Describe proposed sewage disposal and/or waste
water treatment facilities.
N/A
j. Have these facilities received state or local approval?
N/A
k Describe existing treatment facilities.
tJ/A
1. Describe location and type of discharges to waters of
the state (for example, surface runoff, sanitary
wastewater, industrial/commercial effluent, "wash
down"). IJ/A
,." tl

m. Water supply source N/A
n. If the project is oceanfront development, describe
the steps that will be taken to maintain established
public beach accessways or provide new access.
N/A
o. If the project is on the oceanfront, what will be the
elevation above mean sea level of the first habitable
floorg tJ/A
6 EXCAVATION AND FILL
INFORMATION
a. Describe below the purpose of proposed excavation
or fill activities (excluding bulkheads, which are
coveted in Section 7).
Length Width Depth
Access channel
(MI.W) or (NWL)
hl/A
Boat basin
Other (break-
water, pier,
boat ramp,
rock jetty)
Fill placed in
wetland or below
MHW
Upland fill
areas
WA
N/A
N/A
N/A
b. Amount of material to be excavated from below
water level in cubic yards tl/A
c. Type of material N/A
d. Does the area to be excavated include marshland,
swamps, or other wetlands?
N/A
e. High ground excavation, in cubic vards
N/a
LOOON - AdOO

mensions of spoil disposal area c. Shoreline erosion during preceding 12 montlis, in
N/A feet N/A
)cation of spoil disposal area N/A
a you claim title to the disposal area? N/A
not, attach a letter granting permission from the
vner.
d. Type of bulkhcad material N/A
e. -Amount of fill, in cubic yards, to be placed below
mean high water N/A
f. Type of fill material N/A
rill a disposal area be available for future
aintenance? N/A
so, where?
8 ADDITIONAL INFORMATION
oes the disposal area include any marshland, in addition to the completed application form, the follow-
,vamps, or water areas? ing items must be submitted:
N/A
Dill the fill material be placed below mean high
eater? N/A
Umount of fill in cubic yards N/A
Cype of fill material N/A
Source of fill material N/A
Will fill material be placed on marsh or other
wetlands? li//1
Dimensions of the wetland to be filled
N/A
How will excavated or fill material be kept on site
and erosion controlled?
N/A
What type of construction equipment will be used
(for example, dragline, backhoe, or hydraulic
dredge)? Bridoe ConstlJcticn
Will wetlands be crossed in transporting equipment
to project site? No If yes, explain steps that will
be taken to lessen environmental impacts.
SHORELINE STABILIZATION
Length of bulkhead or ripmp N/A
Average distance waterward of mean high water or
normal water level N/A
A copy of the deed (with state application only) or other
instrument under which the applicant claims title to the
affected property. If the applicant is not claiming to be
the owner of said property, then forward a copy of the
deed or other instn,unent under which the owner claims
title, plus written permission from the owner to carry out
the project
An accurate work plat (including plan view and cross
sectional drawings) drawn to scale in black ink on an 8
12 x 11 white paper. (Refer to Coastal Resources
Commission Rule 71.0203 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 18 high
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.suffrciently detailed
to guide agency personnel unfamiliar with the area to the
site. Include county road (SR) numbers, landmarks, and
the like.
A stormwater management plan, if applicable, that
may have been developed in consultation with the
Division of Environmental Management
A list of the names and complete addresses of the
adjacent waterfront (riparian) landowners. These
individuals have 30 days in which to submit comments
on the proposed project to the Division of Coastal
Management and should be advised by the applicant of
that opportunity.
100711 - Ad07
Name
Address
Name SEE ATFAUED LIST
Address
Name
Address
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 $100 made payable to the Department of
Natural Resources and Community Development to
cover the costs of processing the application.
A signed AEC hazard notice for projects in oceanfront
and inlet areas.
A statement on the use of public funds. If the project
involves the expenditure of public funds, attach a state-
ment documenting compliance with the North Carolina
Environmental Policy Act (N.C.G.S. 113A-1 to 10).
9 CERTIFICATION AND PERMISSION
TO ENTER ON LAND
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 ap-
proved Coastal Management Program and will be con-
ducted in a manner consistent with such program.
I further 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
project.
This is the fid day of A UG 19L-?
Landowner 6r Authorized agent

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