HomeMy WebLinkAbout20110908 Ver 1_401 Application_20111011Dennison, Laurie
From: Steenhuis, Joanne
Sent: Tuesday, October 11, 2011 3:54 PM
To: Charles_Sellars@nps.gov
Cc: Dennison, Laurie
Subject: Long point Application
Mr Sellars,
I have been forwarded your application from Dave Timpy with the USACE. Along with the Corps permit you will also
need a 401 Certification from the State. I will forward your application to Laurie Dennison in Raleigh, NC. You will need
to contact her to make sure to send in the appropriate fee for the application ($240.00)and you most likely have to send
her a hard copy for our records. If you need to talk with Laurie her # is 919.807.6303. Thanks!
Joanne Steenhuis
Dennison, Laurie
From: Steenhuis, Joanne
Sent: Tuesday, October 11, 2011 3:49 PM
To: Dennison, Laurie
Subject: FW: Long Point Dredging and Bulkhead, Cape Lookout National Seashore, SAW-2011-01652
Attachments: EMAIL STELLARS Re_ NPS Request to dredge at Long Point, Core Banks.pdf; Long Point
Options.pdf; NIPS PCN Signe001.PDF
-----Original Message-----
From: Timpy, David L SAW rmailto: David. L. TimpyPusace. army. mill
Sent: Tuesday, October 11, 2011 2:21 PM
To: Steenhuis, Joanne
Cc: ron.sechlerOnoaa.aov; iohn ellisPfws.gov
Subject: Long Point Dredging and Bulkhead, Cape Lookout National Seashore, SAW-2011-01652
Joanne,
Attached is a PCN submitted by the National Park Service to restore Hurricane Irene damage
at Cape Lookout National Seashore. They have proposed excavating approximately 3,500 cy of
sand deposited in an existing basin at Long Point as a result of the hurricane and to install
approximately a 150 foot bulkhead extension to the existing retaining walls and to install new
mooring piles. This alternative is "Option 2" as described in an email from Charles Stellars, NPS
dated October 1, 2011.
Based on our review of this information, we have determined it meets the terms and
conditions of NWP35 (Maintenance Dredging of Existing Basins) and
NWP13 (Shoreline Stabilization).
By copy of this email, I am requesting comments (email or phone call is
acceptable) on the NPS proposal described above. Your prompt attention will be greatly
appreciated.
Dave Timpy
Project Manager
Regulatory Division
US Army Corps of Engineers, Wilmington District
69 Darlington, Avenue
Wilmington, North Carolina 28402-1890
Office: 910-251-4634
Cell: 910-617-3254
Fax: 910-251-4025
Email:david.L.Timpy@usace.army.mil
Website: htW://www.saw.usace.army.mil
1
From: Charles Sellars(d)nos.oov
To: Beter. Dale E SAW
Cc: Wicker. Christine W SAW; Timov. David L SAW; doua.huaaettCa ncdenr.aov
Subject: Re: NPS Request to dredge at Long Point, Core Banks
Date: Saturday, October 01, 20119:25:19 PM
Attachments: Attachment 1.Ddf
Long Point Ootions.Ddf
Mr. Beter,
Thank you for your time and for the valuable insight into the permitting
process given our circumstances.
By this email, I am hoping that I can clarify a few things and ask if,
given this additional information, any of this work could be performed
under an emergency authority:
I have attached some before and after aerial photos (Attachment 1) that
show the overwashed area and the accumulated sand in the Long Point
harbor area. As you can see, the need to dredge and/or install a
bulkhead/seawall has resulted entirely from Hurricane Irene. What we are
attempting to determine is the best course of action. In doing so, we
would like to determine if, in the opinions of all regulatory agencies,
correcting this situation, through either Option 2 or 3 below, could
fall under the emergency authority? This question is asked as this
situation resulted in an economic hardship for the ferry operators that
transport visitors to this area of the National Seashore. Due to the
accumulated sand that restricts access to the ramp and the types of
ferries that are used by the operators, they are unable to load and
off-load the vehicles and passengers that wish to access the Long Point
area. This includes the visitors who wish to rent cabins as well as
those that wish to access the island for beach camping and, of course,
fishing. As we move into the popular fall fishing season, the inability
to access the island is creating a hardship from an economic standpoint
and a recreational standpoint.
The Management Staff at Cape Lookout National Seashore continues to
evaluate the following (3) options (see Long Point Options attachment).
Option 1 - In the interest of getting the harbor open, performing
only a dredging operation at this time. This would require a later
permitted activity to extend the bulkhead/seawall (as shown in Option
2). This option will only be considered if, in the opinion of all
regulatory agencies, it can be performed under the emergency
authorities and carried out as soon as possible in an attempt to
salvage as much of the fall fishing season as possible. Performing
Option 1 would eliminate Option 3.
Option 2 - This option would be to dredge the sand that was carried
into the harbor from the overwash activity, restoring the harbor to
its original location. In doing so, the extension of the
bulkhead/seawall will be necessary to reduce the amount of sand from
migrating into the harbor area (as shown on the attached ). The
question that I would like to have answered is, since the sand that
washed into the area was the result of Irene, and the
bulkhead/seawall is only needed to address this accumulation of sand,
can this be allowed under the emergency authorities. I realize we
will be hardening approximately 150' of the shoreline, but I am
asking for consideration of the fact that this is necessary, as
stated above, only because of the effects of the storm.
Option 3 - This option would be to "chase the island." In doing so,
the proposed measures would be to leave the majority of the sand that
was carried into the harbor in place and install a new
seawall/bulkhead (as shown on the attached maps) at the sound or
creek side of the deposit of sand. This option would require the
installation of approximately 280' of new bulkhead/seawall. In
addition, this will require dredging of sand and other materials so
that the basin will be useable by the ferries and National Park
Service vessels. Again, I would like to ask for consideration that
this work is necessary only because of the effects of the storm.
I understand that fine sand can be pumped back to the beach area, but I
would like to have some clarification about any appropriate areas that
materials other can sand can be pumped to or removed and hauled to a
suitable location. Can it be used as fill material behind the new
bulkhead/seawall? Can it be used along the back road area (behind the
dune line)?
Our need to clarify these questions is necessary to determine if any of the
fall fishing season can be salvaged.
Should you have any questions, please don't hesitate to give me a call.
Thank you,
Charles Sellars
Deputy Chief, Division of Facility Management
Great Smoky Mountains National Park
office: 252-728-2250 x3035
cell: 865-202-5203
(See attached file: Attachment l.pdo
(See attached file: Long Point Options.pdf)
"Beter, Dale E
SAW"
<Dale.E.Beter@usa To
ce.army.mil> <Charles_sellars@nps.gov>
cc
09/28/2011 05:02 "Timpy, David L SAW"
PM <David.L.Timpy@usace.army.mil>,
<doug.huggett@ncdenr.gov>, "Wicker,
Christine W SAW"
<Christine.W.Wicker@usace.army. miI>
Subject
NPS Request to dredge at Long
Point, Core Banks
Mr. Charles Sellars
National Park Service
252-728-2250
Mr. Sellars:
Thank you for your phone call and inquiry regarding dredging approximately
3500 cu yds and extending a bulkhead (approximately 180') on Long Point,
Core
Banks. As discussed, your project will require permit. You are also
encouraged to contact the State Division of Coastal Management (DCM) and
request an application at:
http0//dcm2.enr.state.nc-us/--permits/permits.htm
By way of copy, I am notifying Mr. Doug Huggett, DCM, and our CAMA Project
Manager, Mr. David Timpy, of your request. With receipt of the
application,
the Corps will determine the appropriate permit category, including
possible
verification under GP291. Timeframes for issuance will vary depending on
the
permit category and resource concerns.
Please note that Mr. Timpy will return to the office Monday, October 3,
2011.
Please do not hesitate to contact me or Mr. Timpy should you have any
questions.
Dale Beter, Chief
Wilmington Regulatory Field Office
U.S. Army Corps of Engineers
69 Darlington Avenue
Wilmington, NC 28402-1890
Tel: (910) 251-4631
Fax: (910) 251-4025
The Wilmington District is committed to providing the highest level of
public
support. Please vist our website at: www.saw.usace.army.mil
Please assist us in better serving you! Please complete the customer
survey
by clicking on the following link:
http:// ern 2.nwl2.usace.army.mil/survey.htmi
2 0 1 1 0 9 0 8
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1a. Type(s) of approval sought from the
Corps:
El Section 404 Permit ®Section 10 Permit
1b. Specify Nationwide Permit (NW P) number: 13 or General Permit (GP) number: 291
1c. Has the NWP or GP number been verified by the Corps? ? Yes ® No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
? 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
1 e. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ? No For the record only for Corps Permit:
? Yes ? No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ? yes ® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer th
below. ® Yes ? No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ® Yes ? No
2. Project Information
2a. Name of project: Dredge Long Point Boat Basin and Install New Bulkhead and Mooring Pilings
2b. County: Carteret
2c. Nearest municipality / town: n/a
2d. Subdivision name: n/a
2e. NCDOT only, T.I.P. or state
project no: n/a
3. Owner Information
3a. Name(s) on Recorded Deed: National Park Service, Cape Lookout National Seashore
3b. Deed Book and Page No. n/a
3c. Responsible Party (for LLC if
applicable): n/a
3d. Street address: 131 Charles Street
3e. City, state, zip: Harkers Island, NC 28531
3f. Telephone no.: 252-728-2250
3g. Fax no.: 252-728-2160
3h. Email address: CALO.Superintendent®nps.gov
Page 1 of 11
PCN Form - Version 1.3 December 10, 2008 Version
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ? Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 11
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1 a. Property identification no. (tax PIN or parcel ID): Carteret County, NC Parcel ID # 160020010100000
1 b. Site coordinates (in decimal degrees): Latitude: 34.89950 Longitude: - 76.257761
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: 7,033.6 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Core Sound
proposed project:
2b. Water Quality Classification of nearest receiving water: n/a
2c. River basin: n/a
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
I
The boat basin was filled with sand by ocean overwash that resulted from Hurricane Irene. The area adjacent to the boat
basin is marsh and a sand road. The boat basin is accessed from Core Sound via a channel.
3b. List the total estimated acreage of all existing wetlands on the property:
extensive
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
none
3d. Explain the purpose of the proposed project:
to dredge the sand from the basin and install bulkhead to restore the basin to a useable condition
3e. Describe the overall project in detail, including the type of equipment to be used:
The project consists of dredging and pumping or hauling sand and other organic matter from the Long Point Harbor , or
boat basin. Approximately 3,500 cubic yards of sand that was washed into the basin during Hurricane Irene will be
removed and the basin restored to a useable depth of 55. This will require the removal of approximately 8' of sand. As
the sand accumulation is much larger that the basin's original size, and given the fact that the sand washed into a marsh
area, (2) new sections of PVC bulkhead will need to be installed to keep this sand from migrating into the basin. New
mooring piles will need to be installed as well.
NOTE: Approval for additional dredging at other locations throughout Cape Lookout National Seashore is not being
requested throuh this document. This PCN applies only to the boat basin at Long Point.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
? Yes ®No ? Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type ? Preliminary ? Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other;
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Page 3 of 11
PCN Form - Version 1.3 December 10, 2008 Version
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past? 0 Yes ? No ® Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 4 of 11
PCN Form - Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
? Wetlands ? Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary T
W1 ? P ? T ? Yes
? No ? Corps
? DWQ
W2 ? P ? T ? Yes ? Corps
? No ? DWQ
W3 ? P ? T ? Yes
? No ? Corps
? DWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? PEI T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
91 ? P ? T ? PER ? Corps
? INT ? DWQ
S2 ? P ? T ? PER ? Corps
? INT ? DWQ
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWQ
311. Total stream and tributary impacts
3i. Comments:
Page S of 11
PCN Form - Version 1.3 December 10, 2008 Version
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary T
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4L Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
K Total
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes ? No if yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWO)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a.
? Neuse ? Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6d. 6e. 6f. 6g.
Buffer impact
number - EReason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or Stream name mitigation (square feet) (square feet)
Tem ora T ct required?
B1 ?P?T ?Yes
? No
B2 ?P?T ?Yes
? No
B3 ? P ? T ? Yes
? No
6h. Total buffer impacts
6i. Comments:
Page 6 of 11
PCN Form - Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Dredging will take place outside of sea turtle and shorebird nesting seasons
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State? ? Yes ® No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps
2c. If yes, which mitigation option will be used for this
project? ? Mitigation bank
F1 Payment to in-lieu fee program
? Permittee Responsible Mitigation
3. Complete If Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete If Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 11
PCN Form - Version 1.3 December 10, 2008 Version
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWO
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation? ? Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment Into an approved in-lieu fee fund).
6h. Comments:
Page 8 of 11
PCN Form - Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified ? Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
F1 Yes No
?
Comments:
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 0%
2b. Does this project require a Stormwater Management Plan? ? Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWO Stormwater Program
? DWO 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? n/a
? Phase II
3b. Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
[] Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?
4. DWQ Stormwater Program Review
? Coastal counties
4a. Which of the following state-implemented stormwater management programs apply ? HOW
? ORW
(check all that apply): ? Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ? Yes ? No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
5b. Have all of the 401 Unit submittal requirements been met? ? Yes ? No
Page 9 of 11
PCN Form - Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWO Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the ® Yes ? No
use of public (federal/state) land?
1b. If you answered "yes" to the above, does the project require preparation of. an
environmental document pursuant to the requirements of the National or State ® Yes ? No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
? Yes
® No
letter.)
Comments: Categorical Exclusion
2. Violations (DWO Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 213 .0200)?
2b. Is this an after-the-fact permit application? ? Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWO Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
n/a
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
n/a
Page 10 of 11
PCN Form - Version 1.3 December 10, 2008 Version
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or ® Yes ? No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ® Yes ? No
impacts?
®
Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted. ? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Over 20 years of monitoring T&E species in this area
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ® Yes ? No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
This area has been dredged in the past and has been used for ferry operations on a routine basis.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a, Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation ? Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ® Yes ? No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? FEMA FIRM 3720842200J
Patrick M. Kenney 10/11/11
Applicant/Agent's Printed Name Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 1 I of 11
PCN Form - Version 1.3 December 10, 2008 Version
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ately 50' of New Bulkhead/Seawall Required in This Location
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