NCC214872_NOI Application_20210827

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 8/25/2021 9:51:26 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 8/25/2021 10:50:19 AM (Review- Construction NOI 62915)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 8/25/2021 9:52 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: August 27, 2021 5:00
PM 8/25/2021 9:52 AM
Submit by Miller, Ariyelle L 8/27/2021 10:02:20 AM (Payment Verification for NCC214872)
* Bruce J Marek
• Miller, Ariyelle L assigned the task to Miller, Ariyelle L 8/27/2021 10:01 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: October 6, 2021 5:00 PM
8/25/2021 10:50 AM

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1
NORTH CAROLINA
EnrlronmertW quallly
A. Project Information
Part A.
Project Location and Waterbody Information
Are you submitting IT No
an NOI that was r Yes
rejected before?
1a. Project Name * Deep Point Ferry Landing Dredge Spoil Disposal
1 b. Specific Lot This field rray be used to list specifc lot numbers.
Numbers
1 c. Parcel ID List all Rios associated w ith this project.
Number(s) (PIN) 2380000301; 2380000302; 2380000303
2. County* Brunswick
3. Highway or Street 1301 Ferry Rd
Address* Street name only is acceptable if no address number assigned yet
4.CityorTownship* Southport
5. State * NC
6. Zip Code* 28461
7. Latitude* Enter the latitude in decimal degrees
33.9310
8. Longitude * Enter the longitude in decimal degrees (MJSTbe negative)
-77.9967
If you do not know the latitude and longitude coordinates for this project, you can search the location on this map of
North Carolina. Look for the coordinates in the bottom left corner.
9. Date to Begin*
08/23/2021
Estimated Construction Project Start Late
10. Date to End*
08/01/2024
Estinated Construction Project End Date
11. SIC (Primary)*
Commercial (1542)
Standard Industrial aassification for Development
12. Acres to be
19.00
disturbed*
(including off -site borrow and waste areas)

13. Total site area 71.00
(acres) *
14. Post- 30.00
construction (Estimated)
impervious area
(acres) *
Project Tracking ID NCC-BRUNS-2021-Deep Point Ferry Landing Dredge Spoil
Disposal
Assigned automatically (not used)
Below you must enter waterbody information for surface waters affected by this project. Please consult
DWR's Surface Water Classifications Map Viewer to find waterbody name and corresponding index number. Please
enter only immediate receiving waterbodies - not waters downstream of those unless the project extends there. You
may enter up to 3 waterbodies if needed.
15a. Receiving Cape Fear River
Waterbody* Name of waterbody into which stormwater runoff will discharge
15b. Waterbody 18-88-3.5
Index No. * NCWaterbody Index Number
Stormwater V No
discharges will flow r Yes
to additional
wate rs *
16a. Is this project
subject to the NC
Sediment Pollution
Control Act?*
16b. Is this project
subject to the US
Clean Water Act?
r Yes
r No, not subject to NC SPCA
r Yes
f No, not subject to US CWA
This project will be issued a Certificate of Coverage under NCG250000 rather than NCG010000. The Erosion and
Sediment Control Plan shall be reviewed and approved by the appropriate DEMLR Regional Office, and then this Notice
of Intent form shall be completed and submitted.

B. Permittee Information
Part B. ^
F2rnittee Inforrration - Legally Fbsponsible Entity and Individual
Important: The person who signs the NOI Certification Form and signs the Certification in Section E of this application
form should be the same person as listed in THIS SECTION, or an authorized responsible individual within the same
organization. That person must be a responsible corporate officer who owns or operates the construction activity, such
as a president, secretary, treasurer, or vice president, or a manager that is authorized in accordance with Part IV,
Section B, Item (6) of the NCG010000 General Permit. For more information on signatory requirements, see Part
IV, Section B, Item (6) of that permit.
1. Organization Legally Pesponsible Entity
Name * Bald Head Island Limited LLC
IF pernittee is an individual (i.e., organization does not apply), enter first and last narre in this field.
Note: The organization name must match the business entity name registered with the NC Secretary of State. You can
verify the registration here.
2. First Name * Charles
If Corporation, enter Faegistered Agent First %rre
3. Last Name* Paul III
IF Corporation, enter F;bgistered Agent Last %rre
3b. Title Registered Agent/CEO
4. Permitee E-mail [e-mail]
Address*
5. Permittee 910-457-5000
Telephone No.*
6. Permittee Mailing Street Address
Address* P.O. Box3069
Address Line 2
City
Bald Head Island
Fbstal / Zip Code
28461
Check box if the
street address the
same as mailing
address
7. Permittee Street
Address*
F Yes
Street Address
6 Maritime Way
Address Line 2
city
Bald Head Island
Fbstal / Zip Code
28461
State / Frovince / Fbgion
NC
Country
Brunswicck
State / Frovince / Faegion
NC
Country
United States
8. Type of Ojvnership is only individual if an individual is naned in B.1. above.
Ownership* Non -Government

C. Site Contact Information
Part C.
Roject Site Contact Inforrration
....................................................................................................................................................................................................
1. Primary Site
Bruce
Contact - First
Name *
2. Primary Site
Marek
Contact - Last
Name *
3. Title
P.E.
4. Site Contact E-
[e-mail]
mail Address*
5. Site Contact
19102282484
Telephone No.
6. Organization
Bruce Marek, P.E.
Name
7. Site Contact
Street Address
Mailing Address*
5489 EASTWIND RD
Address Line 2
city
Wilmington
Fbstal / Zip Code
28403
8. Consultant Name
(Optional)
Bruce Marek P.E.
First and Last nacre
9. Consultant E-mail
[e-mail]
This person will be copied on all correspondence.
10. Consultant
910-228-2484
Telephone No.
11. Billing E-mail
(For Annual Fee correspondence)
[e-mail]
Default is legally responsible person e-rrail
12. Billing
(For Annual Fee correspondence)
Telephone
910-457-5000
Default is legally responsible person telephone
State / Rovince / Region
NC
Country
United States

D. E&SC Plan
Part D. ^
Erosion & Sediment Control (E&SC) Ran Approval Information
......................................................................................................................................................................................................................................................................................................................................
1. Date E&SC Plan 08/19/2021
Approved *
2. E&SC Plan Project BRUNS-2017-049
Number/ID * Assigned by agency or local program
3. E&SC Plan r State DEQ Office
Approved by* r Local Program
4. State DEQ Office * Wilmington (WiRO)
Documentation of E&SC Plan approval and the signed Notice of Intent (NOI) Certification Form is required for a
complete application. Please also upload a site map showing the overall extent of the project (for linear projects, can
include the beginning point and end point coordinates in the "Notes" box below).
5. E&SC Plan BRUNS-2017-049 Approval Revised 8-19-2021.pdf 307.41 KB
Approval letter or Mast beRDFforml
Grading Permit
6. Site Location Map Mist be RDFfornat (lint 20 NB)
BRUNS-2017-049 Deep Point Marina 1301 Ferry
37.18KB
Rd. Southport Location Map.pdf
Rease do not upload entire set of E&SC plans.
7. Notes (Optional) Frovide any additional information that night help the reviewer better understand how uploaded documents support
the application. Include additional w aterbodies if necessary.
Existing SW Permits SW8-951012 & SW8-071004
CAMA 91-96
This is the mainland side Deep Point Marina/Ferry Terminal
/Parking Facility for the Bald Head Island Ferry. It opened for
passenger ferry operations in 2009.
8. NOI Certification SKM_C364e21082509440.pdf 98.49KB
Form Mist be R7Ffon-rat
This is an Express F No
Review Project* r Yes

E. Certification
North Carolina General Statute 143-215.66 (1) provides that:
Any person who knowingly makes anyfalse statement, representation, or certification in any application, record, report, plan, or other
document filed or required to be maintained under this Article or a rule implementing this Atide; or who knowingly makes a false statement
of a material fact in a rulemaking proceeding or contested case under this Atcle; or who falsifies, tampers with, or knowingly renders
inaccurate any recording or monitoring device or method required to be operated or maintained under this Atide or rules of the
Commission implementing this Atcle shall be guilty ofa Class 2 misdemeanor which may include a fine not to exceed ten thousand
dollars ($10,000).
Under penalty of law, I certify that:
17 I am the person responsible for the construction activities of this project, for
satisfying the requirements of this permit, and for any civil or criminal penalties
incurred due to violations of this permit.
rJ The information submitted in this NOI is, to the best of my knowledge and belief,
true, accurate, and complete based on my inquiry of the person or persons who
manage the system, or those persons directly responsible for gathering the
information.
* 17 I will abide by all conditions of the NCG010000 General Permit and the
approved Erosion and Sediment Control Plan.
* rJ I hereby request coverage under the NCG010000 General Permit and
understand that coverage under this permit will constitute the permit
requirements for the discharge(s) and is enforceable in the same manner as an
individual permit.
Specify if you are:* IT The Legally Responsible Person named on this Notice of Intent
f Authorized Responsible Person* (signing on behalf of Legally Responsible
Person named in Part B)
Important: The person who electronically signs this Certification above must be the same person who signs the NOI
Certification Form. If that person is signing on behalf of the Permittee, that individual must be an authorized responsible
person within the same organization as the Permittee. *An authorized individual is a responsible corporate officer who
owns or operates the construction activity, such as a president, secretary, treasurer, or vice president, or a manager
that is authorized in accordance with Part IV, Section B, Item (6) of the NCG010000 General Permit. For more
information on signatory requirements, see Part IV, Section B, Item (6) of that permit.
Signature
Type Name * Charles A. Paul, III
Title Registered Agent/CEO
Organization Legally Plesponsible Entity
Bald Head Island Limited LLC
Date * 08/25/2021

F. Tracking and COC Info
NOI Tracking No. 62915
NC Reference No.
NCG25-2021-4872
Uses 'count_nurrber' variable (increrrented by SP)
Certificate of
NCC214872
Coverage (COC)
Uses 'count_nurrber' variable (increrrented by SP)
No.*
Count Number 4872
Sequential nurrber for subrrittal that is incremented by Stored Frocedure
COC Year 2021
Year of date reviewed (used to assign YY digits after "NOC' in COCno.)
Initial Invoice No. NCC214872-2021
Invoice Due Date 9/24/2021
Initial Fee $ 100.00
Invoice Status OPEN