HomeMy WebLinkAbout20140319 Ver 1_401 and CAMA Application_20140328pOPARrn,� E -Filed Annual Report "0 9803604
LIMITED LIABILITY COMPANY
ANNUAL REPORT Do not data enter manually
NAME OF LIMITED LIABILITY COMPANY American Towers LLC
REPORT FOR THE YEAR 2013 STATE OF INCORPORATION DE
SECRETARY OF STATE L L C ID NUMBER 1214350
NATURE OF BUSINESS telecommunications
REGISTERED AGENT CT Corporation System
REGISTERED OFFICE MAILING ADDRESS 150 Fayetteville St, Box 1011
Raleigh, NC 27601
REGISTERED OFFICE STREET ADDRESS 150 Fayetteville St, Box 1011
Raleigh, NC 27601 Wake County
PRINCIPAL OFFICE TELEPHONE NUMBER 617- 375 -7500
PRINCIPAL OFFICE MAILING ADDRESS 116 Huntington Avenue, I1 th Floor
Boston, MA 02116
PRINCIPAL OFFICE STREET ADDRESS 116 Huntington Avenue, l l th Floor
Boston, MA 02116
MANAGERS/MEMBERS /ORGANIZERS
Name American Tower Corporation
Title Manager
Address
116 Huntington Avenue
11 th Floor
Boston, MA 02116
CERTIFICATION OF ANNUAL REPORT MUST BE COMPLETED BY ALL LIMITED LIABILITY COMPANIES
American Tower Corporation, by Michael John McCormack - SVP and Asst Secy 4/29/2013
FORM MUST BE SIGNED BY A MANAGEWMEMBER DATE
American Tower Corporation, by Michael John McCormack - SVP and Asst Secy Manager
TYPE OR PRINT NAME TYPE OR PRINT TITLE
ANNUAL REPORT FEE E -Paid MAIL TO Secretary of State • Corporations Division • Post Office Box 29525 • Raleigh, NC 27626 -0525
Environmental Corp. of America
1340 Patton Avenue, Suite K
Asheville, NC 28806
From: Ben Salter
ben.salter@eca- usa.com
To: Ms. Jennifer Burdette
NC Division of Water Quality
401/Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699 -1650
Date: March 24, 2014
20140319
rar co�� Phone: 828 -505 -0755
.� Fax No.: 828 -505 -0959
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TRANSMITTAL COVER SHEET
Phone:
Subject: Individual Section 401 Certification Application
American Towers, LLC — 273437 (Hibbs Rd NC)
5899 US Highway 70 MAR 8 2014
Newport, Carteret County, North Carolina
ECA Project Number: L0954 _ WA
USACE Project #: SAW- 2010 -1235 8wich
Notes: Ms Burdette:
Please find the attached Individual Section 401 Certification Application for your review
Included are 1) five copies of the application package, 2) two full sized plan sheets and 3) three
11 "x 17" sets of plans including existing conditions, proposed plans, and Stormwater /Erosion and
Sediment Control Plans A Stormwater Permit was issued for the project in 2011 (SW8 110419).
A Stormwater Management Permit Plan Revision Form was submitted to NCDENR on February
24, 2014 (included in Appendix H). I have also included a $K8 review fee
Z"k v
A 404 application has been sent to USACE and a Coastal Zone Consistency Certification has
been sent to NCDCM
Please contact me if you have any questions or need additional information.
Thank you
Sincerely,(
Ben Salter
Environmental Corporation of America, 1340 Patton Avenue, Suite K, Asheville, NC 28806
ENVIRONMENTAL CORPORATION OF AMERICA
ENVIRONMENTAL I GEO "TECHNICAI. I WETLANDS I ECOLOGI j CULL URAL RESOURCES
North Carolina Division of Water Quality
401 /Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699 -1650
Attention Ms. Jennifer Burdette
Subject: Individual Section 401 Certification Application
American Towers LLC — 273437 (Hibbs Rd NC)
5899 US Highway 70
Newport, Carteret County, North Carolina
Latitude: 34145' 20.7" N
Longitude: 7615 V 37.8" W
ECA Project Number: L0954
USACE #: SAW- 2010 -1235
NCDENR Stormwater Permit Number: SW8 110419
Dear Ms. Burdette:
March 17, 2014
. MR�JAP
Environmental Corporation of America is assisting its client, American Towers LLC, with
environmental compliance for a proposed project consisting of a 250 -foot self - supporting lattice
telecommunications structure and a fenced, gravel covered compound within a 10,000 square
foot lease area. The project site also includes an approximate 4,469 -foot by 20 -foot
access /utility easement, which is shown on Sheet SW -2 included in Appendix A.
The project site is located within the Newport, NC USGS 7.5 Minute Topographic Quadrangle in
the location shown on Figure 1 of Appendix A The site lies within the White Oak River Basin
(HUC 03020101) The Bogue Sound lies approximately 1 95 miles to the south of the site. The
nearest named surface water bodies to the project site are Hull Swamp, located approximately
2,775 feet to the south and Snows Swamp Branch, located approximately 2,675 feet to the
northeast of the proposed lease area. Both waterbodies are tributaries of the Newport River
which is located approximately 1 mile to the northeast at its closest point to the project site
The project site is located on a 33.64 -acre parent parcel owned by Jean R. Wellons, Parcel
Identification Number 6347.03.32.3534000. The Individual Permit applicant is American
Towers LLC. The applicant proposes to lease a 100 -foot by 100 -foot area and obtain a 4,469-
ENVIRONMENTAL CORPORATION OF AMERICA
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1A
Page 2
foot by 20 -foot access /utility easement on the parent tract An authorization form is included in
Appendix C allowing NCDENR to access the property and American Towers LLC to obtain the
necessary permits to construct the project and to act as a primary contact for the property owner
with regards to local /state /federal consultation and permitting
Based on a Jurisdictional Determination obtained from the Wilmington District US Army Corps
of Engineers (USACE) for the project area (dated November 29, 2010), the project, as proposed,
would result in impacts to 0.70 acres of jurisdictional forested wetlands (See Figures in
Appendix A). The impacts would result from the placement of gravel fill material within the
access /utility easement over approximately 1,510 feet of a proposed 12 -foot wide access drive.
The limits of mechanized land clearing within the easement extend to the boundaries of the 20-
foot wide easement to accommodate buried utilities and to minimize future vegetation
maintenance along the access. Therefore, the entire easement width was considered when
calculating the area of impact. The proposed access would also cross a ditch feature that was
determined by USACE to be Jurisdictional "relatively permanent waters" (RPW) American
Towers LLC proposes to place an 18 -inch culvert within this feature. Associated impacts would
total 30 linear feet (90 square feet). Volumes and types of fill material to be used within the
identified jurisdictional areas are indicated on Sheet SW -2 in Appendix A.
The project site was also visited by Ms Joanne Steenhuis of the NC Division of Water Quality
(DWQ) to determine whether any State Waters were present within the project area. According
to Ms. Steenhuis, no State Waters were determined to be present within or adjacent to the project
area.
ECA has prepared this Individual Section 401 Water Quality Certification Application in order
for American Towers LLC to meet the requirements of Sections 401 and 404 of the Clean Water
Act. ECA has also prepared an Individual Section 404 Permit Application and has submitted
this application to the USACE. Due to the location of the proposed project within one of North
Carolina's 20 coastal counties, ECA is providing a copy of the USACE Individual Permit
Application along with a Coastal Zone Management Act Consistency Certification to the North
Carolina Division of Coastal Management (NCDCM).
A Pre - Construction Notification Form has been completed and signed by the applicant and is
included in Appendix C
The project engineer submitted a Stormwater Management Permit Application to the NC
Department of Environmental and Natural Resources ( NCDENR). The Stormwater Permit was
issued by NCDENR on December 16, 2011 (SW8 110419). To obtain approval for changes to
the proposed site layout (reduction in impervious surface) since the Stormwater Permit was
received, a Stormwater Management Permit Plan Revision Application Form was submitted to
NCDENR on February 24, 2014.
ENVIRONMENTAL CORPORATION OF AMERICA
!Atlanta, GA I Asheville, NC I Chicago, IL i Nashville, TN ; West Palm Beach, FL I WVVW eca- ttsaXOM ' (770) 667 -2040
Page 3
Alternatives Considered
American Towers LLC has evaluated multiple alternative sites in order to meet the wireless
telecommunications coverage objectives of the anchor carrier tenant (AT &T Mobility), to reduce
environmental impacts to the extent possible, and to obtain local approvals within established
zoning constraints. A map showing the alternative site locations evaluated is provided in
Appendix A American Towers LLC began searching for a suitable tower site in the general site
vicinity in May 2009.
Alternative 1 — Beacham Tract
This site is located off Stargazer Lane approximately 5,000 feet southwest of the preferred site
and is composed of 2 parcels owned by Frances Beacham. The parcels would require
recombination in order to meet setbacks. Although Ms. Beacham agreed to the combination, it is
estimated that the parcel would accommodate a tower up to 190 to 200 feet, based on setbacks A
250 -foot tower would be needed in order to meet the coverage objectives. In addition, the parcel
is currently classified R -15M where towers are not permitted. The parcel would require a
rezoning, or the County would need an ordinance re -write to allow towers in R classifications.
The site would utilize an existing drive to the woods line, and then require clearing through
dense trees and underbrush to the compound location. The rear property line is the center of Hull
Swamp which is surrounded by a broad area of wetlands This site was not considered further
due to zoning and setback issues and the potential for impacts to wetlands directly abutting Hull
Swamp.
Alternative 2 — Clamdiager Tract
The Clamdigger parcel is located immediately south of the current project parcel. This parcel,
owned by Clamdigger, Inc., was determined to be approximately 95% wetlands. The parcel
owner insisted that the facility be sited approximately 4,900 feet west of US Highway 70 Siting
on this tract in the owner - preferred location would have required approximately 3 acres of
wetland impacts. American Towers, LLC approached the owner about moving the site
approximately '/2 -mile to the east to reduce the access road length and required wetland impacts,
however, the owner was not agreeable due to the long and narrow shape of the parcel and the
potential for interference with future development activities.
Alternative 3 — Hyatt Tract
The Hyatt tract, located approximately 4,600 feet to the south of the currently proposed site
location, was also considered The owner of this parcel was unmotivated and the zoning process
would have been difficult with an uncertain outcome due to zoning, the relative small size of the
tract, and the required property boundary and residential setbacks. The parcel is currently
classified R -15M where towers are not permitted
ENVIRONMENTAL CORPORATION OF AMERICA
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Page 4
Alternative 4 — Auto Salvage Tract
After the Jurisdictional Determination was obtained for the current site location and the amount
of wetland impacts determined, American Towers, LLC approached the owner of the adjacent
Auto Salvage Yard (J. Copper, Inc ) to the north regarding a shift of the lease area and /or
access /utility easement onto this parcel. The owner declined because of a lease - purchase
agreement with the underlying property owner and an informal sublease agreement with another
party for the rear third of the parcel.
Alternative 5 — Wellons Tract (preferred alternative)
The Wellons parcel was identified after consideration of the Clamdigger tract This tract is
currently zoned "Industrial Warehouse ", which is a suitable zoning classification for
telecommunications tower facilities. The parcel owner initially insisted that the project site be
placed in its approximate current location in order to prevent interference with any future tract
development activities Based on the wetland boundaries established during the USACE
Jurisdictional Determination, it was determined that the proposed lease area (compound and
tower site) could be shifted slightly to the west and south to avoid impacts to wetlands and
waters in this portion of the tract The tract owner obliged, and the lease area was shifted
approximately 10 feet to the south and 30 feet to the west in order to avoid impacts to identified
wetlands and waters in this area The owner was approached again concerning shortening the
access to reduce proposed wetland impacts. However, due to the long and narrow shape of the
parcel, the owner would not agree to an alternate location on the tract
Based on the alternatives evaluated, the Wellons Tract was determined to be the most feasible
alternative considering environmental impacts, owner willingness, zoning, and setbacks. The
US Forest Service property to the north and west of the Wellons Tract was not considered due to
the likely unwillingness of this agency to permit the project to be constructed within National
Forest lands.
Avoidance and Minimization
Given stipulations set forth by the tract owner regarding siting of the proposed facility on the
parent tract, impacts to wetlands have avoided and minimized where possible. As indicated in
the Alternative 5 information provided in the previous section, the proposed lease area
(compound and tower) has been aligned so as to avoid impacts to wetlands and waters located
immediately surrounding the lease area on the north, east, and west. Impacts associated with the
current tract have been limited to the proposed 20 -foot access /utility easement. Only 12 feet of
this easement would be covered with fill material for the proposed access road The remaining 8
feet would only be cleared of vegetation to allow for passage of construction and maintenance
equipment and vehicles The project has been designed to avoid impacts to Jurisdictional RPW
located along the northern tract boundary and to the north and east of the lease area. In addition,
the proposed access /utility easement has been shifted slightly to the south in the area of a former
ENVIRONMENTAL CORPORATION OF AMERICA
Atlanta, GA I Asheville, NC I Chicago, IL I Nashville, TN I West Paln7 Beach, FL I www.eca- ijsP.com 1 (770) 667 -2040
Page 5
small pond /emergent wetland on the tract. Wetland impacts in this area have been reduced by
approximately 0 05 acres by shifting the easement to the south.
A permit application was previously submitted to USACE, NCDWQ, and NCDCM by ECA in
December of 2011 for the same project location. The application was subsequently withdrawn
due to project funding issues. The previous application proposed fill and mechanized land
clearing within a 30 -foot wide easement. Since that time, the easement width has been reduced
to 20 feet to minimize wetland impacts associated with the project. This reduction in easement
width would result in a 0.34 -acre decrease in the amount of proposed wetland impacts from the
previous permit application.
The placement of fill material and mechanized land clearing in wetlands would be limited to the
proposed 20 -foot wide access /utility easement. American Towers LLC would implement
sediment and erosion control measures including installation of silt fencing along project
boundaries and stabilization of disturbed soils prior to silt fencing removal. A Stormwater
Management Plan for the project was approved by NCDENR (SW8 110419 dated December 16,
2011). To obtain approval for the changes to the proposed site layout (reduction in impervious
surface) since the Stormwater Permit was received, a Stormwater Management Permit Plan
Revision Application Form was submitted to NCDENR on February 24, 2014. Implementation
of the approved stormwater management plan and sediment and erosion control plan is expected
to minimize the potential for impacts to surface waters as a result of the introduction of sediment
from project site runoff. Thus, no adverse water quality impacts are anticipated.
The current tract was chosen over the Clamdigger tract to the south due to the need for less
wetland impacts. Placement of the facility on the Clamdigger tract would have required
approximately 3 acres of wetland impacts while the current tract would require less than 1 acre
of impacts as detailed in the Alternatives section Since the previous permit application was
submitted, a logging road was constructed on the Clamdigger tract in association with forest
management- related logging activities on the Wellons tract (subject tract) and the Clamdigger
tract. American Towers LLC attempted to acquire an easement from Clamdigger, Inc. along this
existing road to minimize the amount of wetland impact needed to access the proposed tower
facility location but was not able to obtain the easement. Therefore, the initially proposed
easement alignment on the Wellons tract was retained
Mitigation
American Towers LLC proposes to provide compensatory mitigation for the proposed wetland
impacts at a 2.1 ratio through the purchase of 14 non - riparian, forested wetland credits from the
Hoffman Forest wetland mitigation bank. The proposed mitigation includes both the forested
wetland impacts and proposed impacts to approximately 30 feet of RPW. It should be noted that
this RPW is an apparent man -made ditch with only seasonal standing water present based on the
lack of water during the Jurisdictional Determination visit According to Ms. Joanne Steenhuis
of NCDWQ, no RPW features within or adjacent to the project would be considered streams or
ENVIRONMENTAL CORPORATION OF AMERICA
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Page 6
State Waters
According to an email from the Hoffman Forest Bank dated November 22, 2013, the bank has
over 200 available non - riparian, forested wetland credits available for purchase. According to
Ms. Christy Wicker of USACE, these credits would be suitable for mitigation of the proposed
impacts. Purchase of credits would be executed upon USACE/NCDWQ approval of the
proposed project.
Conclusions
Based on the current project design, American Towers LLC proposes to impact 0.70 acres of
jurisdictional forested wetlands and 30 linear feet of jurisdictional RPW (90 square feet)
Impacts to wetlands would result from the placement of gravel fill material on a proposed 12-
foot wide access drive and mechanized land clearing of the remaining area within the 20 -foot
access /utility easement. An 18 -inch culvert would be placed across the entire easement within
the identified jurisdictional RPW which crosses the easement from north to south.
Compensatory mitigation would be provided through the purchase of 14 non - riparian forested
wetland credits from the Hoffman Forest wetland mitigation bank.
Implementation of the approved stormwater management plan and sediment and erosion control
plan would minimize the potential for runoff of sediment into surface waters Thus, the
proposed project is not anticipated to degrade waters of the State or violate State water quality
standards.
ECA, on behalf of American Towers LLC, has provided CZMA Consistency Certification to
NCDCM and an application for an Individual Section 404 Permit to USACE.
Closure
If you have any questions about the contents of this application package, please contact Ben
Salter of ECA at (828) 505 -0755 or ben salter @eca- usa.com.
Sincerely,
Environmental Co poration of America
Ben Salter, PWS Grant Burnham
Principal Wetlands Scientist Wetlands Scientist
ENVIRONMENTAL CORPORATION OF AMERICA
Atlanta, GA I Asheville, NC i Chicago, 11- 1 Nashville, TN 1 West Palm Beach, FL I WWW eCa -Lisa com i X770? 667 -2044
Page 7
Attachments
Appendix A. Figures
Appendix B USACE Jurisdictional Determination
Appendix C: PCN and Major CAMA Permit Forms
Appendix D: Authorizations and Property Information
Appendix E: Adjacent Property Owners
Appendix F: Cultural Resources Consultation
Appendix G: Protected Species Consultation
Appendix H: Stormwater Management Permit Revision Form
ENVIRONMENTAL CORPORATION OF AMERICA
Atlanta, GA I Asheville NC I Chicago, IL I Nashville, TN I West Palm Beach, FL I www eca -usa earn i 17701 667 -2040
APPENDIX A
Figures
ENVIRONMENTAL CORPORATION OF AMERICA
Atlanta, GA I Asheville, NC ; Chicago, IL I Nashville, TN I West Palm Beach, FL I w%" eca -usa com 1 (770) 667 -2040
0 T G ATE f A`N D 't� '� �►
/3c _ Proposed Lease
'�., -= --- Area (Approx.)
Proposed Access/ -
�``� Utility Easement'
(Approx.)
CROATAN NATI0
X27 s5f J 23x %�
.I
f C 0 V4
E LAIVU
• , z _ ar
2000 0 2000 Feet
Source: USGS Topographic Quadrangle Maps, 7.5 Minute Series, Newport, NC (site location), Mansfield, NC, Salter Path, NC and
Masontown, NC
American Tower Corporation 273437 (Hibbs Rd NC) AL C,,
5899 US Highway 70 w Z
N Newport, Carteret County, North Carolina
�'AMER��P
Figure 1: Site Location Plan ECA Proi. #: L -954 -3
ConnectGIS
Page 1 of 1
1:1425 feet
f
http://carteret .connectgis.com /Map/PrintW indow.aspx? Map = http: / /carteret.connectgis.co... 11/17/2011
APPENDIX B
USACE JURISDICTIONAL DETERMINATION
IN`v`IRONJNIEN I AL CORPOR mON OF AIMERICA
Atlanta, GA 1 Asheville, NC i Chicago, IL I Nashville, TN I West Palm Beach, FL I www eca -usa cc
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DIS I'RICT
Action Id SAW -2010 -01235 County Carteret U S G S Quad Salterpath
NOTIFICATION OF.IURISDICI'IONAL DETERMINATION
Pt Opelty Owner Wcllons Lnternrises, Inc. Agent Environmental Corp. ol'America
Address Attn: Jean Wcllons Attn: lien Salter
3025 Bridpe Street, Suite 9 65 Hill Street-Suite A
Morehead City, NC 28557 Asheville, NC 28801
(828)_505 -0755
Property desci Iption
Size (acres) 2 Nearest Town Newoort
,Nearest �Watelway Boeue Sound River Basin White Oak River
,.add t a °' USGS;fIUC ss .�ut'03020301 ,,�F Coordinates- r N3d 75 57° W'-761
5 °
I ocanon de5ctipuun "file Proicel at ca is located at 5851 US Highway 70 in Newport, Carteret County, North
Carolina. Parcel ID # is 634703323534000.
Indicate Which of the FollowinL, AI)lply:
A. Prelimirmi-y Determination
_ Based on prelnnutaty information, there may be wetlands on the above described property We strongly suggest you have
this piopeity Inspected to detemime the extent of Department of the Aimy (DA)jLmsdiction 'lobe considered final, a
lurisdicttonal detenunutuon must be vcrilied by the Cusps Thts plelunuriry detennmahon Is not an appealable action
under the Regulatory Piogiam Administrative Appeal Process ( Refeience•33 CFR Part 331)
1.
B. Approved Determination
'There are Navigable Waters ofthe United States within the above described ptopetty subject to the permit lequirements of
Section 10 of the Rivers and Flat bois Act and Section 404 of the Clean Water Act Unless there Is a change in the law of
our published regulations, this determination may be felted upon for a period not to exceed five years from the date of this
notification
X These ate waters of the U S including wetlands on the above descttbed property subject to the permit requirements of
Section 404 of the Clean Water Act (CWA)(33 USC � 1344) Unless thete is a change in the late or our published
I�gulauons, this deteinunation may be celled upon tot a pet tad not to exceed five years from the date of this notiEcation
_ We strongly suggest you have the wetlands on your property delineated Due to the size of your property and /or our
present workload, the Corps nmy not be able to accomplish this wetland delineation in a timely manner Foi a more timely
delineation you may wish to obtain a consultant fo be considered final, any delineation must be verified by the Corps
The waters of the U S Including wetland on your ptolect area have been delineated and the delineation has been verified bN
the Corps We stlungly suggest you have this dC1111Cd 011 surveyed Upon cuntpletian, this survey should be Ievlewcd and
verified by the Corps Once verified this suivey will provide an accurate depiction of all areas subject to CWA
autisdiction on your piopeity which, provided thete is no change in the law of oil published regulations, may be relied
upon tot a pet rod not to exceed five year s
X The watcts of the U S Including wetlands have been delineated and surveyed and are accurately depicted on the plat
signed by the Corps Regulatory Official rclentified below on 11/29/2010 Unless thete Is a change In the law or out
published tegulatlons, this determination may be relied upon for a period not to exceed five years from the date of'this
notification
Thete are no waters of the U S , to Include wetlands, present on the above descttbed property which are subject to the
permit requirements ol•Section 404 of the Clean Watet Act (33 USC 1344) Unless there is a change in the law or our
published regulations this determination may be relied upon rut a period not to exceed five years from the date of this
notification
X The piopeny is located in one ofthe 20 Coastal CUnntles subject to iegulation under the Coastal Aiea Management Act
(LAMA) You should contact the Division of Coastal Management in Motehead City, NC, at (252) 808 -2808 to
deteimine then iequnements
Placement ofdiedged or fill material within wtuets of the US and /or wetlands without a Department ofthe Atmy permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC 3 131 1) If you have any questions regarding this
determination and /or the Corps regulatory program, please contact Christy Wicker at 910- 251 -1637
C, Basis For Determination
The site exhibits wetland criteria as defined fn the 1987 wetland delineation manual which is abutting a UT to Bogie
Sound a Section 10 Navigable Water. This deternnnation is based on a site visit conducted by Christy Wicker on
9/2/2010.
D. Remarks
Please note that onhv a portion of the pi opei tv was delineated as indicated on the survey.
� E. Attention USDA Program Participants
'I his delineation /deteunitiation has been conducted to identify the limits of Corps' Clean Water Act Juusdiction tot the
particular site identified in this request I he delineation /deteuntnation may not be valid tot the wetland conservation
provisions of the Food Security Act of 1985 If you or your tenant are USDA Program participants, of anticipate participation
in USDA ptogiams }ou should request a certified wetland detetnunation Froin the local office of the Natural Resources
Conser vat on Set vice, pt ioi to starting woi k
F. Appeals Information (This information applies only to approved jurisdictional deternimations as indicated In
B. above)
This correspondence constitutes in approved Jur nsdretional determination for the above desci abed site If you object to this
determination, you may request an administrative appeal under Corps regulations at 33 CFR part'33I Enclosed you will find a
Notification of Appeal Process (NAP) fact sheet and inquest for appeal (RI A) form If'you request to appeal this
determination yuu must submit a winpleted RI'A loran to the following address
District Engineer, Wilmington Regulatory Drvrsu>n
Alto Ms Christy Wicker, Regulatory Specialist,
Wilnungton Regulatory Field Oft-ice
69 Darlington Ave
Wilmington, North Ca[olina 28403
!n order loi an RI-A to be accepted by the Corps, the Corps must deteirinne that it is complete, that it meets the criteria for'
appeal under 33 CFR part 331 5, and that it has been received by the Distinct Office within 60 days of the date of the NAP
Should you decide to submit an RI -A form It must be received at the above address by January 29, 2010
* *It is not necessary to submit an RFA torm to the Disti let Office it you do not oblect to the determination in this
coitespondence **
Corps Regulatory Official —
Date 11/29/2010 F\piiation Date 11/29/2015
The Wilmington Disu ic[ is committed to p[oviding [lie highest level of support to the public. `fo help us ensure We continue to
do so, please complete the Customet Satisfaction Survey located at our website at http //[egulatoiy usacesurvev coo/ to
complete the swveV online
Copy Furnish Joanne Sleenhau NCULNR -DWQ, 127 C idntal Drive Wilmington, NC 28405
1 o%�ei Lngineeung Prol"sionals 3703 Junction Blvd Raleigh NC 27603
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APPENDIX C
PCN AND MAJOR CAMA PERMIT FORMS
ENVIRONib]rN IAL CORPORATION Oh AMERICA
Atlanta, GA I Asheville, NC I Chicago, IL I Nashville, TN I West Palm Beach, FL I www eca -usa com 1 (770) 667 -2010
n •.
20140319
Office Use Only
Corps action ID no
DWQ project no
Form Version 1 3 Dec 10 2008
Page 1 of 11
PCN Form – Version 1 3 December 10, 2008 Version
Pre - Construction Notification PCN Form
A. Applicant Information
1
Processing
la
Type(s) of approval sought from the
Corps
®Section 404 Permit ❑Section 10 Permit
1b Specify Nationwide Permit (NWP) number or General Permit (GP) number
1c
Has the NWP or GP number been verified by the Corps?
❑ Yes
❑ No
1d
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
le
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 1 h
below
® Yes
❑ No
1h
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a
Name of project
American Towers LLC 273437 (Hibbs Rd NC)
2b
County
Carteret
2c
Nearest municipality / town
Newport
2d
Subdivision name
E
2e
NCDOT only, T I P or state
project no
jJ
3.
Owner Information td, A,9
2 In : i
3a
Name(s) on Recorded Deed
Jean R Wellons
d
3b
Deed Book and Page No
1333/327 NR - 1NliT�P. AuTy
3c
Responsible Party (for LLC if
applicable)
—
3d
Street address
PO Box 1018
3e
City, state, zip
Morehead City, NC 28557
3f
Telephone no
3g
Fax no
3h
Email address
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 Lessee
4b
Name
4c
Business name
(if applicable)
American Towers LLC
4d
Street address
10 Presidential Way
4e
City, state, zip
Woburn, MA 01801
4f
Telephone no
781 - 926 -4512
4g
Fax no
4h
Email address
brittney vanderheide @amencantower com
5
Agent/Consultant Information (if applicable)
5a
Name
Ben Salter
5b
Business name
(if applicable)
Environmental Corporation of America
5c
Street address
1340 Patton Avenue, Suite K
5d
City, state, zip
Asheville, NC 28806
5e
Telephone no
828 - 505 -0755
5f
Fax no
828- 505 -0959
5g
Email address
ben salter @eca -usa com
Page 2 of 11
PCN Form — Version 1 3 December 10, 2008 Version
B. Project Information and Prior Project History
1 Property Identification
1a Property identification no (tax PIN or parcel ID)
6347 03 32 3534000
lb Site coordinates (in decimal degrees)
Latitude 34 755750 N Longitude - 76 860500 W
(DD DDDDDD) ( -DD DDDDDD)
1c Property size
33 64 acre parent tract, acres
2 Surface Waters
2a Name of nearest body of water (stream, river, etc ) to
Hull Swamp
proposed project
2b Water Quality Classification of nearest receiving water
Class C
2c River basin
I White Oak
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
Property is a successional clear cut and undeveloped
3b List the total estimated acreage of all existing wetlands on the property
11+ acres
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
no stream or State Waters, over 1 mile of RPW ditch on property
3d Explain the purpose of the proposed project
The purpose of the project when complete will be to provide infrastructure for the support and placement of wireless
telecommunications antennas and equipment, the facility will be an unmanned wireless telecommunications facility
consisting of an access road and a 80' by 80' fenced compound located within a 100 -foot by 100 -foot lease area that will
be occupied by a 250 -foot self - supporting lattice telecommunications tower and ground -level support equipment, the
facility will require periodic equipment maintenance
3e Describe the overall project in detail, including the type of equipment to be used
American Towers, LLC proposes to construct a 4,469' long by 12' wide access drive within a 20' wide access /utility
easement The 12' wide drive would be covered with #57 stone over geotextile fabric and a compacted subgrade, the
entire 20' easement will be cleared of vegetation, a 80' by 80' gravel- covered, fenced compound would be constructed
within the 100' by 100' lease area along with a 250' tall self - supporting lattice tower and a 20' by 11' 5" equipment
building, the entire 100' by 100' lease area would be cleared of vegetation, the remaining space within the compound will
be reserved for the equipment of future telecommunications carriers
The facility would be constructed utilizing motorized clearing /grading equipment including dozers, backhoes, and sod
compactors, a cement mixer, low boy tractor trailer, and a crane would be used in construction of the site, the proposed
access and compound area would be cleared of vegetation and covered with a crushed gravel surfacing material,
equipment will be stored within the project area during clearing, surfacing, and construction activities
4. Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
® Yes ❑ No ❑ Unknown
Comments USACE Jurisdictional Determination, SAW -2010-
01235, 11/29/10
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 Dynamic Environmental
Name (if known)
Other
4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
USACE Jurisdictional Determination, SAW- 2010 - 01235, 11/29/10
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?
® Yes ® No ❑ Unknown
5b If yes, explain in detail according to "help file" instructions
Permit application submitted in December 2011 but was withdrawn due to temporary lack of project funding
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
la 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
Fill /Mech
Clearing
Forested
® Yes
❑ No
® Corps
❑ DWQ
070
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
070
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)
S1 ❑ 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
3h Total stream and tributary impacts
31 Comments
Page 5 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
02 ❑P
03 ❑ PEI T
04 ❑P ❑T
4f. Total open water impacts
4g Comments
5. Pond or Lake Construction
If pond 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
5f. Total
5g Comments
5h Is a dam high hazard permit required
❑ Yes ❑ No If yes, permit ID no
51 Expected pond surface area (acres)
51 Size of pond watershed (acres)
5k Method of construction
6 Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below If yes, then individually list all buffer impacts
below If any impacts require mitigation, then you MUST fill out Section D of this form
6a.
❑ Neuse E] Tar-Pamlico E] Other
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b
6c
6d
6e
6f
6g
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
im act
required?
El Yes
B1 ❑P ❑T
❑ No
❑ Yes
B2 ❑ P ❑ T
❑ No
❑ Yes
B3 ❑ P ❑ T
❑ No
6h Total buffer impacts
61 Comments
Page 6 of 11
PCN Form — Version 1 3 December 10, 2008 Version
D Impact Justification and Mitigation
1 Avoidance and Minimization
1a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
The proposed lease /compound area has been shifted to the west from the initial location in order to avoid impacts to wetlands
within this area Based on new design, no wetlands will be impacted by the proposed lease /compound area The access has
been shifted slightly to the south in the area of an on -site pond in order to avoid impacts to this feature The initially proposed
20 foot wide access drive has been reduced to 12 feet in width and the area of mechanized clearing limited to 20 feet in width
Multiple properties were evaluated for siting of the facility An analysis of these alternatives is provided as an attachment
lb Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Fill within wetlands will be limited to the proposed 12' wide access drive, clearing within wetlands will be limited to the 20'
easement
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
projects
® Mitigation bank
❑Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a Name of Mitigation Bank Hoffman Forest
3b Credits Purchased (attach receipt and letter)
Type Non- npanan,
forested wetland
Quantity 1 4
3c Comments Credits will not be purchased until further into the review process, propose to purchase 1 4 non - riparian
forested wetland credits Hoffman Forest Bank has indicated that the bank currently has over 200 of these credits available
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 DWQ
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
1a
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
❑ Yes ❑ No
Comments
2.
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
42%
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
Based on impervious surface area, no structural BMPs are required, silt fencing is proposed around boundaries of entire
area of disturbance
❑ Certified Local Government
2e
Who will be responsible for the review of the Stormwater Management Plan?
® DWQ Stormwater Program
❑ DWQ 401 Unit
3
Certified Local Government Stormwater Review
3a
In which local government's jurisdiction is this project?
Carteret County
❑ 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
El es ® No
attached? Stormwater Management Permit Application is attached
4.
DWQ Stormwater Program Review
® Coastal counties
❑ HQW
4a
Which of the following state - implemented stormwater management programs apply
❑ ORW
(check all that apply)
❑ Session Law 2006 -246
❑ Other
4b Has the approved Stormwater Management Plan with proof of approval been
attached? Stormwater Management Permit Application is 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 (DWQ Requirement)
la
Does the project involve an expenditure of public (federal /state /local) funds or the
❑ Yes ® No
use of public (federal /state) land?
lb
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)?
1c
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
2
Violations (DWQ 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 2B 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 (DWQ 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
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
No wastewater will be generated, unmanned facility
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
habitat?
NC DENR identified populations of the federally endangered rough leaf
® Yes ❑ No
loosestrife within approx 0 15 miles and red - cockaded woodpecker within
0 2 miles of the subject site on US Forest Service land to the north USFWS
has cleared the project for impacts to federally T &E species
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?
USFWS and NC Natural Heritage websites and consultation
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?
Online NOAA EFH Mapper
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a Will this project occur In or near an area that the stale, 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?
Consultation with NC SHPO
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? Online FEMA Flood Mapper
margaret Robinson
ertior Counsel
Applicant /Agent's Printed Name
Date
App cant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
is provided
Page 1 1 of 11
PCN Form — Version 1 3 December 10, 2008 Version
DCM MP -1
APPLICATION for
Major Development Permit
(last revised 12/27/06)
�w
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary' A'pplicant/'Landowner' Mformatiom,;
3 "
Business Name
M
Business Name
Project Name (if applicable)
Environmental Corporation Of America
American Towers Llc
273437 (Hibbs Rd NC)
Applicant 1 First Name
MI
Last Name
Last Name
Brittney
Ben
Vander Heiden
Applicant 2 First Name
MI
Last Name
MI
If additional applicants, please attach an additional page(s) with names listed
Last Name
Mailing Address
PO Box
City
State
10 Presidential Way
State
Woburn
MA
ZIP
Country
Phone No
ZIP
FAX No
01801
USA
781 - 926 -
4152 ext
28806
Street Address (if different from above)
City
State
ZIP
Email
Contractor #
enviro services @americantower com
828 505 0959
2. Agent/Contractor Informa'tion'',
Business Name
Environmental Corporation Of America
Agent/ Contractor 1 First Name
MI
Last Name
Ben
Salter
Agent/ Contractor 2 First Name
MI
Last Name
Mailing Address
PO Box
City
State
1340 Patton Avenue, Suite K
Asheville
NC
ZIP
Phone No 1
Phone No 2
28806
828 - 505 -
0755 ext
828 — 226 - 0056 ext
FAX No
Contractor #
828 505 0959
Street Address (if different from above)
City
State
ZIP
Email
ben salter @eca -usa com
<Form continues on back>
252 - 808 -2808 .. 1- 888- 4RCOAST .. www.nccoastalmanagement net
Form DCM MP -1 (Page 2 of 5)
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address
State Rd #
Carteret
5899 US Highway 70
c Size of individual lot(s)
Subdivision Name
City
State
Zip
18 -28 feet ❑NHW or ®NWL
Newport
NC
28570-
Phone No
Lot No (s) (if many, attach additional page with list)
- - ext
6347 03 32 3534000, 1 1 ,
a In which NC river basin is the project located?
b Name of body of water nearest to proposed project
Bogue -Core Sounds
Hull Swamp
c Is the water body identified in (b) above, natural or manmade?
d Name the closest major water body to the proposed project site
®Natural ❑Manmade ❑Unknown
Newport River
e Is proposed work within city limits or planning jurisdiction?
f If applicable, list the planning jurisdiction or city limit the proposed
®Yes ❑No
work falls within
Town of Newport, NC
4. Site Description
a Total length of shoreline on the tract (ft )
b Size of entire tract (sq ft )
NA
3364
c Size of individual lot(s)
d Approximate elevation of tract above NHW (normal high water) or
3364, , 1
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
18 -28 feet ❑NHW or ®NWL
e Vegetation on tract
Clear cut, successional vegetation including blueberry, inkberry, bay, young pines, blackberry, hardwood saplings
f Man -made features and uses now on tract
Tract is early successional clear cut and undeveloped, grassed lawn present near Highway 70
g Identify and describe the existing land uses adiacent to the proposed project site
Adjacent land uses are wooded /clear cut with exception of the property to the north of a majority of the tract which is
occupied by an auto salvage yard, metal recycling business, and landscape equipment retailer
h How does local government zone the tract?
i Is the proposed project consistent with the applicable zoning?
Industrial Warehouse /Commercial Highway
(Attach zoning compliance certificate, if applicable)
®Yes ❑No ❑NA
I is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes ®No
k Hasa professional archaeological assessment been done for the tract? If yes, attach a copy ®Yes ❑No ❑NA
If yes, by whom? Dawn Reid, Archaeological
Consultants of the Carolinas, Inc
I Is the proposed project located in a National Registered Historic District or does it involve a []Yes ®No ❑NA
National Register listed or eligible property?
<Form continues on next page>
252- 808 -2808 .. 1- 888- 4RCOA5T .. www nccoastalmanagement net
Form DCM MP -1 (Page 3 of 5)
APPLICATION for
Major Development Permit
m (i) Are there wetlands on the sites ®Yes [—]No
(i) Are there coastal wetlands on the site? ❑Yes ®No
(iii) If yes to either (i) or (n) above, has a delineation been conducted? ®Yes ❑No
(Attach documentation, if available)
n Describe existing wastewater treatment facilities
The tract is undeveloped, there is currently no wastewater generated
o Describe existing drinking water supply source
The tract is undeveloped, there is currently no water supply on the tract although municipal water supply is available along
Highway 70
p Describe existing storm water management or treatment systems
The tract is undeveloped and forested, a man -made ditch is located along northern property boudary and to the east of the
proposed lease area
h
5. Activities and, Impacts 4' -
a Will the project be for commercial, public, or private use? ❑Commercial ❑Public/Government
®Private /Community
b Give a brief description of purpose, use, and daily operations of the project when complete
The purpose of the project when complete will be to provide infrastructure for the support and placement of wireless
telecommunications antennas and equipment, the facility would be an unmanned wireless telecommunications facility
consisting of an access road and a 80' by 80' fenced compound located within a 100 -foot by 100 -foot lease area that would
be occupied by a 250 -foot self - supporting lattice telecommunications tower and ground -level support equipment, the facility
would require periodic equipment maintenance
c Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored
The facility would be constructed utilizing motorized clearing /grading equipment including dozers, backhoes, and soil
compactors, a cement mixer, low boy tractor trailer, and a crane would be used in construction of the site, the proposed
access and compound area would be cleared of vegetation and covered with a crushed gravel surfacing material, equipment
would be stored within the project area during clearing, surfacing, and construction activities
d List all development activities you propose
American Towers, LLC proposes to construct a 4,469' long by 12' wide access drive within a 20' wide access /utility
easement The 12' wide drive would be covered with #57 stone over geotextde fabric and a compacted subgrade, the entire
20' easement would be cleared of vegetation, a 80' by 80' gravel- covered, fenced compound would be constructed within the
100' by 100' lease area along with a 250' tall self - supporting lattice tower and a 20' by 11' 5" equipment building, the entire
100' by 100' lease area would be cleared of vegetation, the remaining space within the compound would be reserved for the
equipment of future telecommunications carriers
e Are the proposed activities maintenance of an existing project, new work, or both? New work
f What is the approximate total disturbed land area resulting from the proposed project? 33 ❑Sq Ft or ®Acres
g Will the proposed project encroach on any public easement, public accessway or other area ❑Yes ®No ❑NA
that the public has established use of?
h Describe location and type of existing and proposed discharges to waters of the state
0 70 acres of jurisdictional wetlands have been identified within portions of the proposed access /utility easement Gravel fill
material would be placed over approximately 0 42 acres of clear cut wetland This includes the proposed 12 -foot wide
access drive The limits of clearing would extend to the boundaries of the 20' wide easement Thus the project will result in a
total of 0 70 acres of regulated mechanized land clearing of forested wetlands An 18" diameter by 30' long culvert would be
placed within a ditch that has been identified as jurisdictional relatively permanent waters Impacts would total 30 linear feet
(90 square feet) This feature would not be considered State Waters per Joanne Steenhuis of NCDWQ
i Will wastewater or stormwater be discharged into a wetland? ®Yes ❑No ❑NA
If yes, will this discharged water be of the same salinity as the receiving water? ®Yes ❑No ❑NA
252- 808 -2808 -- 1- 888- 4RCOAST .. www.nccoastalmanagement net
Form DCM MP -1 (Page 4 of 5)
APPLICATION for
Major Development Permit
I Is [here any mitigation proposed? ®Yes ❑No ❑NA
If yes, attach a mitigation proposal
<Form continues on back>
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parka` ge�to, be�complate (Itemsn(a)'(Qa`revehvays app{katile torany�or ilavr lopment ;appNcatlor7P(easeconsuif3tlie appll�cation'jq
flnstnrcfkn,bookletaonhowto erl re arethere ulredlte sbelow
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a A project narrative
b An accurate, dated work plat (including plan view and cross - sectional drawings) drawn to scale Please give the present status of the
proposed project Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed
c A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site
d A copy of the deed (with slate application only) or other instrument under which the applicant claims title to the affected properties
e The appropriate application fee Check or money order made payable to DENR
f 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 project to the Division of Coastal Management
Ni' lntA endlii�E'of;a Ii'catlon" package ':`z "h "�? "a " >,�r" ` '' §Pfione No`s" "" �` I'rc'
7d `'i xhx F m'# ari,tMpP{ ,,a Pp f fi't'ayR ,st' } ",,1; *u+.s�.,.ka, , d .,
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Name Phone No
Address
'Name,, "i 6+ .,.',`�„�ry„`.�fi�',+,i �, . ;.,r�tF+n�ta,ft :, „r; .t,,� ",4 pE%` "l,c a',aSq, 'y' r,e ` >(,;lr�.`sL`k�h`. tf�'✓ `I�'SfF''i,;, _.y.,, l;r„
. -, sg+� �., ;� ti ��? ,°'ti 4 t .?- =i ;�^,�4i�: ,�,, �SS.''��,,, ° "'ter. `> �, ,r �,,. s , � =f?tiorie•Nb:tn�' .'S�`,�
1;it+�t a}
�i.tk.Y` Vii% i<' 7�ft: ,r.���'1ih'�rri�S�r1#'i'�I�.�i R�J�tu9,s�X Za7n' -h�.: G12i ✓�y,�w }�.,'�,li {>y �el/'i•x,��'' {'�n�.f�ii.��'i F�iil�.��.�<,',�,i''hr`nj. ii,'e
g A list of previous state or federal permits issued for work on the project tract Include permit numbers, permittee, and issuing dates
USACE Jurisdictional Determination, SAW - 2010- 01235,
11/29/10
NCDWQ Stormwaler Permit (initial site layout), SW8 110419,
12/16/11
h Signed consultant or agent authorization form, if applicable
i Wetland delineation, if necessary
j A signed AEC hazard notice for projects in oceanfront and inlet areas (Must be signed by property owner)
k A statement of compliance with the N C Environmental Policy Act (N C G S 113A 1 -10), if necessary If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act
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 the conditions and restrictions contained In the permit
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 truthfu to the best of my knowledge
Date I,I(-All(- ` Print Name N ( is '?-H t ) '
Signature
Please Indicate application attachments pertaining to your proposed project
252- 808 -2808 ,. 1- 888- 4RCOAST .. www.nccoastalmanapement.not
Form DCM MP -1 (Page 5 of 5)
®DCM MP -2 Excavation and Fill Information
®DCM MP -3 Upland Development
❑DCM MP -4 Structures Information
®DCM MP -5 Bridges and Culverts
APPLICATION for
Mayor Development Permit
252 -808 -2808 .. 1- 888- 4RCOAST . www.nccoastalmanagement net
Form DCM MP -2
EXCAVATION and FILL
(Except for 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 Please include all supplemental information
Describe below the purpose of proposed excavation and /or fill activities All values should be given in feet
1: EXCAVATION,
Access
a Amount of material to be excavated from below NHW or NWL in
b Type of material to be excavated
cubic yards
c (i) Does the area to be excavated include coastal wetlands /marsh
Other
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
Channel
(NLW or
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
Breakwater
(excluding
shoreline
❑WL ❑None
NWL )
(n) Describe the purpose of the excavation in these areas
2 ,1" DISPOSAL OF,EXCAVA`TED MATERIAL ' `,
; " � �r' �� ", 0Thissechon nottiapplica "bleu`
stabilization
Length
b Dimensions of disposal area
c (i) Do you claim title to disposal area?
d (i) Will a disposal area be available for future maintenance?
❑Yes ❑No ❑NA
❑Yes ❑No ❑NA
(n) If no, attach a letter granting permission from the owner
4,469
Width
f (i) Does the disposal include any area in the water?
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
❑Yes ❑No ❑NA
or other wetlands (WL)? If any boxes are checked, provide the
(u) If yes, how much water area is affected
number of square feet affected
12
Avg Existing
❑WL ❑None
(n) Describe the purpose of disposal in these areas
NA ,,;,.
" ;7, ,NA
NA
Depth
Final Project
NA
NA
0 5
Depth
1: EXCAVATION,
� ' _ ®This section not applicable
a Amount of material to be excavated from below NHW or NWL in
b Type of material to be excavated
cubic yards
c (i) Does the area to be excavated include coastal wetlands /marsh
d High- ground excavation in cubic yards
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)9 If any boxes are checked, provide the
number of square feet affected
❑CW ❑SAV ❑SB
❑WL ❑None
(n) Describe the purpose of the excavation in these areas
2 ,1" DISPOSAL OF,EXCAVA`TED MATERIAL ' `,
; " � �r' �� ", 0Thissechon nottiapplica "bleu`
a „�
a Location of disposal area
b Dimensions of disposal area
c (i) Do you claim title to disposal area?
d (i) Will a disposal area be available for future maintenance?
❑Yes ❑No ❑NA
❑Yes ❑No ❑NA
(n) If no, attach a letter granting permission from the owner
(n) If yes, where?
e (i) Does the disposal area include any coastal wetlands /marsh
f (i) Does the disposal include any area in the water?
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
❑Yes ❑No ❑NA
or other wetlands (WL)? If any boxes are checked, provide the
(u) If yes, how much water area is affected
number of square feet affected
❑CW ❑SAV ❑SB
❑WL ❑None
(n) Describe the purpose of disposal in these areas
252 - 808 -2808 -- 1- 888- 4RCOAST :: www.nccoastalmanagement.net revised: 12126/06
Form DCM MP -2 (Excavation and Fill, Page 2 of 3)
3. SHORELINE.S'TABILIZATION section' not, applicable,
(If development is`a wood groin, use "MP -4 , Structures)
a Type of shoreline stabilization b Length
❑Bulkhead ❑Riprap ❑Breakwater /Sill ❑Other Width
c Average distance waterward of NHW or NWL d Maximum distance waterward of NHW or NWL
e Type of stabilization material
g Number of square feet of fill to be placed below water level
Bulkhead backfill Riprap
Breakwater /Sill Other
I Source of fill material
f (i) Has there been shoreline erosion during preceding 12
months?
[-]Yes ❑No ❑NA
(i) If yes, state amount of erosion and source of erosion amount
information
h Type of fill material
4, OTHER FILL ACTIVITIES ❑This section not applicable
(Excluding Shoreline Stabdbzadon),
a (i) Will fill material be brought to the site? ®Yes ❑No ❑NA b (i) Will fill material be placed in coastal wetlands /marsh (CW),
If yes,
(u) Amount of material to be placed in the water 18.448 cf in
wetland
(m) Dimensions of fill area 61.855 sf (total wetland and
u land
(iv) Purpose of fill
Construction of access road and equipment compound for
telecommunications facility
submerged aquatic vegetation (SAV), shell bottom (SB), or
other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected
❑CW ❑SAV ❑SB
®WL 18.295 sf [-]None
(ii) Describe the purpose of the fill in these areas
Construction of access road into proposed telecommunications
facility
5. GENERAL
a How will excavated or fill material be kept on site and erosion b What type of construction equipment will be used (e g , dragline,
controlled? backhoe, or hydraulic dredge)?
fill material will be packed gravel, silt fencing will be installed dozer to be used for clearing and any minor grading required,
around protect boundaries during construction gravel to be delivered in dump trucks and spread /compacted
with dozer
c (i) Will navigational aids be required as a result of the project? d (i) Will wetlands be crossed in transporting equipment to protect
❑Yes ❑No ®NA site? ®Yes ❑No ❑NA
(n) If yes, explain what type and how they will be implemented (n) If yes, explain steps that will be taken to avoid or minimize
environmental impacts
Wetlands will be impacted as part of project, 404/401 permitting
to be conducted, mitigation to be provided
252 -808 -2808 :: 1- 888- 4RCOAST :: www.nccoastaimanagement.net revised: 12/26/06
Form DCM MP -2 (Excavation and Fill, Pago 3 of 3)
252.800 -2808 :: 1.808.4RCOAST -: www.nccoastalmana0ement.net revised: 12126106
Form DCM MP -3
UPLAND DEVELOPMENT
(Construction and /or land disturbing activities)
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 Please include all supplemental information
a Type and number of buildings, facilities, units or structures
proposed
1 - 258 -foot tall self - supporting lattice telecommunications
tower, 1 - 12 -foot by 20 -foot pre -fab equipment building
c Density (give the number of residential units and the units per
acre)
NA
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
(i) If applicable, has a sedimentation and erosion control plan been
submitted to the Division of Land Resources?
®Yes ❑No ❑NA
(ii) If yes, list the dale submitted Approved stormwater permit
(SW8 110419) dated December 16, 2011 for initially
proposed site layout, currently preparing application for
revised (reduced) project footprint
g Give the percentage of the tract within the coastal shoreline AEC to
be covered by impervious and /or built -upon surfaces, such as
pavement, building, rooftops, or to be used for vehicular driveways
or parking
0%
i Give the percentage of the entire tract to be covered by impervious
and /or built -upon surfaces, such as pavement, building, rooftops,
or to be used for vehicular driveways or parking
42%
I Describe proposed method of sewage disposal
Not applicable - unmanned facility
b Number of lots or parcels
d Size of area to be graded, filled, or disturbed including roads,
ditches, etc
99,380 sf
f List the materials (such as marl, paver stone, asphalt, or concrete)
to be used for impervious surfaces
concrete and gravel
h Projects that require a CAMA Major Development Permit may also
require a Stormwater Certification
(i) Has a site development plan been submitted to the Division of
Water Quality for review?
®Yes ❑No ❑NA
(ii) If yes, list the date submitted Approved stormwater permit
(SW8 110419) dated December 16, 2011 for initially
proposed site layout, currently preparing application for
revised (reduced) project footprint
k Have the facilities described in Item (i) received state or local
approval?
®Yes ❑No ❑NA
If yes, attach appropriate documentation
I Describe location and type of proposed discharges to waters of the m Does the proposed project include an innovative stormwater
state (e g , surface runoff, sanitary wastewater, industrial/ design?
commercial effluent, 'Wash down" and residential discharges) ❑Yes ❑No NNA
stormwater discharge is only from sheet Flow, no other If yes, attach appropriate documentation
discharge is proposed
252 -808- 28082 •. 1- 888.4RCOAST :: www- 11ccoastalmana>7o111ont.net revrsod: 12126106
Form DCM MP -3 (Upland Development, Page 2 of 2)
m Describe proposed drinking water supply source (e g , well,
community, public system, etc )
Not applicable - unmanned facility
o When was the lot(s) platted and recorded?
Current owner purchased in 2006
n (i) Will water be impounded? ❑Yes ®No ❑NA
(ii) If yes, how many acres?
p If proposed development is a subdivision, will additional utilities be
installed for this upland development?
❑Yes ❑No ®NA
252. 808.2808 :: 1.888.4RCOAST .: www.nccoast_ilm : ina0ement.not revised: 12126106
Form DCM MP -5
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 Please include all supplemental Information
a Is the proposed bridge
❑Commercial ❑Publlc/Governmenl ❑Private /Community
c Type of bridge (construction material)
e (p Will proposed bridge replace an existing bridge? []Yes ❑No
If yes,
(u) Length of existing bridge
(iii) Width of existing bridge
Irv) Navigation clearance underneath existing bridge
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
b Water body to be crossed by bridge
d Water depth at the proposed crossing at NLW or NWL
f (i) Will proposed bridge replace an existing culvert? ❑Yes ❑No
If yes,
(u) Length of existing culvert
(iii) Width of existing culvert
(iv) Height of the top of the existing culvert above the NHW or
NWL
(v) Will all, or a part of, the existing culvert be removed?
(Explain)
g Length of proposed bridge In Width of proposed bridge
i Will the proposed bridge affect existing water flow? ❑Yes ❑No j Will the proposed bridge affect navigation by reducing or
If yes, explain Increasing the existing navigable opening? ❑Yes ❑No
If yes, explain
k Navigation clearance underneath proposed bridge
m Will the proposed bridge cross wetlands containing no navigable
waters? ❑Yes ❑No
If yes, explain
I Have you contacted the U S Coast Guard concerning their
approval? ❑Yes []No
If yes, explain
n Height of proposed bridge above wetlands
N ,�`.. it'1�,,,A��n.r y.,,�.. r'2Y i Set; , i <<«� ' i "k,W� �$ {^ .N•.,�'. - i "4�ai" y:f "' ^} n•• t < j'r f yf i�tvl N
�. `CULVERTS .; ;, ' : ;} r Y r, i ;',,;: .x,<,.,,,g , This "s'echoq;n
ria; ti , ^� ` t': ; , ' �;❑ otxapp0oable
•ar r i•, ,, •r: '�_l
�r��>t
a Number of culverts proposed 2
b Water body in which the culvert is to be placed
Culvert A- non - jurisdictional ditch, Culvert B- Unnamed RPW
(ditch)
252 - 808.2808 :: 1- 888- 4RCOAST :: www.nccoastaimanattement.not revised. 10/26106
Form DCM MP -5 (Bridges and Culverts, Page 2 of 4)
< Form continues on back>
c Type of culvert (construction material)
RCP
d (i) Will proposed culvert replace an existing bridge? a (i) Will proposed culvert replace an existing culvert?
❑Yes ®No ❑Yes ®No
If yes,
(u) Length of existing bridge
(iii) Width of existing bridge
(iv) Navigation clearance underneath existing bridge
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
f Length of proposed culvert A40'. B -30'
h Height of the top of the proposed culvert above the NHW or NWL
B -13"
I Will the proposed culvert affect navigation by reducing or
increasing the existing navigable opening? ❑Yes ®No
If yes, explain
If yes,
(u) Length of existing culvert(s)
(iii) Width of existing culvert(s)
(iv) Height of the top of the existing culvert above the NHW or
NWL
(v) Will all, or a part of, the existing culvert be removed?
(Explain)
g Width of proposed culvert A -38 ". B- 18"
i Depth of culvert to be buried below existing bottom contour
A -9 5 ". B -5"
k Will the proposed culvert affect existing water flow?
❑Yes ®No
If yes, explain
,R,� ;f++��r�1',',d �A.t;,(Sxyy,�J�� ;�, ci2+;ir ,� 7 yJ`�1' 3nrj r�,�i2`I'h, �V' f 4.n f�r .Y ,r -jr+ c� 3,i;,s'J�. �1;;i ,.�`, �J�� . .i(.�•.t �Sr kr t °r'l Kfrl .it �7"���r
37 :� N'�V �1 Rl$r -{ �: �,� ,F e.'tX i�31'�., -i ,�y� i+•t4e '' Y'f'�� }`' , �� a Y�- + iw `i`' '�tnr'�: .,.f t+5: p +>
���EXCA;V,,A. �T/ON��a'ncl�!FIL�L);,��� _� �r:y },,� �,i�4ti,,�A;�,,,,,�� �U�. j �� ,� a�.'�u �'� �lr A ��t•�� �� 3,•�;, i� � t;�,;� � Thls;sectlo` a
r ,�,,�, °.3.� 4,•� kN, `.)" s -�" t'r.y r,�s�; r,M1�,S. ❑, n,nof''aPphceble
3s•rV,+ , i 34U x� r +'4�- �' ,4 `y� �;i+��f tTrthre i,�yi _,t- d,+�.'`,q R ) a✓° - xi r.t rnV T7.} v i°
•ibu r�'Y, S' Y �`h r„ .rf�f'.t a. i, d..:vuY. '*' J Jve 1t rM, ,rr .� i, risP.'rii ,Ik, "4ytU�r',r'
a (i) Will the placement of the proposed bridge or culvert require any b (i) Will the placement of the proposed bridge or culvert require any
excavation below the NHW or NWL? ®Yes ❑No excavation within coastal wetlands /marsh (CW), submerged
If yes, aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(u) Avg length of area to be excavated B -30' feet affected boxes are checked, provide the number of square
(m)-Avg-wdth -of area -to be- excavated -B =18" ❑CW ❑SAV CISB -
(w) Avg depth of area to be excavated BB =5'r OWL B -45s f ®None
(v) Amount of material to be excavated in cubic yards B- 45cy
(ii) Describe the purpose of the excavation in these areas
Installation of a culvert within a RPW ditch
C (i) Will the placement of the proposed bridge or culvert require any
high- ground excavation? ❑Yes ®No
If yes,
(ii) Avg length of area to be excavated
(iii) Avg width of area to be excavated
(iv) Avg depth of area to be excavated
(v) Amount of material to be excavated in cubic yards
252.808.2808 :: 1- 888.4RCOAST :- www nccoastal inn nagemont not revised. 10126106
Form DCM MP -5 (Bridges and Culverts, Pago 3 of 4)
d
e
9
If the placement of the bridge or culvert involves any excavation please complete the following
(i) Location of the spoil disposal area spread out in uplands within project area
(ii) Dimensions of the spoil disposal area 100' x 20'
(iii) Do you claim title to the disposal area? ®Yes ❑No (If no, attach a letter granting permission from the owner)
(iv) Will the disposal area be available for future maintenance? ®Yes ❑No
(v) Does the disposal area include any coastal wetlands /marsh (CW), submerged aquatic vegetation (SAVs), other wetlands (WL), or shell
bottom (SB)?
❑CW ❑SAV ❑WL ❑SB ®None
If any boxes are checked, give dimensions if different from (ii) above
(vi) Does the disposal area include any area below the NHW or NWL? ? []Yes ONO
If yes, give dimensions if different from (n) above
(i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed below NHW or NWL? ®Yes []No
If yes,
(ii) Avg length of area to be filled B -30'
(iii) Avg width of area to be filled B -18"
(iv) Purpose of fill Culvert bedding
(i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed on high- ground? ®Yes ❑No
If yes,
(ii) Avg length of area to be filled 100'
(iii) Avg width of area to be filled 20'
(iv) Purpose of fill to dispose of fill it will be spread out
within upland areas of proposed access drive
a Will the proposed project require the relocation of any existing
utility lines? ❑Yes ®No
If yes, explain
If this portion of the proposed project has already received
approval from local authorities, please attach a copy of the
approval or certification
(i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed within coastal wetlandstmarsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(WL)? If any boxes are checked, provide the number of square
feet affected
❑CW ❑SAV ❑SB
®WL B -45sf ❑None
(ii) Describe the purpose of the excavation in these areas
Fill material associated with culvert bedding will be
placed within a jurisdictional RPW (ditch)
b Will the proposed project require the construction of any temporary
detour structures? ❑Yes ONO
If yes, explain
< Form continues on back>
252 - 808.2808 :: 1- 888.4RCOAST :: www.riccoastahnanagemo!"et
revised: 10126106
Form DCM MP -5 (Bridges and Culverts, Page 4 of 4)
c Will the proposed project require any work channels? d How will excavated or fill material be kept on site and erosion
❑Yes ®No controlled?
If yes, complete Form DCM -MP -2 Per sediment and erosion control plan
e What type of construction equipment will be used (for example
dragline, backhoe, or hydraulic dredge)?
Excavators, dozers, and trucks
g Will the placement of the proposed bridge or culvert require any
shoreline stabilization? ❑Yes ®No
If yes, complete form MP -2, Section 3 for Shoreline
Stabilization only
f Will wetlands be crossed in transporting equipment to project site?
®Yes ❑No
If yes, explain steps that will be taken to avoid or minimize
environmental Impacts
Equipment will be kept in good working order, all fueling
and maintenance will be conducted outside wetland
areas
252. 808.2808 : 1- 888- 4RCOAST :: www.nccoastalrtnanagoment net revised: 10126106
APPENDIX D
AUTHORIZATIONS AND PROPERTY INFORMATION
CN�,IRONMINIALCORPORAHON OF AMERICA
Atlanta, GA I Asheville, NC I Chicago, IL I Nashville, TN I West Palm Beach, FL I www eca -usa com 1 1770} 667 -2040
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date nP ti
Name of Property Owner Applying for Permit:
Address changed
American Towers, Inc (lessee) to 5899 due to
E -911 address
Mailing Address: assignment
10 Presidential Way
Woburn, MA 01801
I certify that I have authorized (agent) Ben Sifter, Environmental Corp of America to act on my
behalf, for the purpose of applying for af(d obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property at)
munications facility
US Hwy 70, Newport, NC
This certification is valid thru (date)
Margaret Robinson
Senior Counsel
Property Owner Signature
'10d t U
Date
�Q 3
zo
Building Permit No. Type of Structure S rest Nams
Contractor or Owner Lot Block
01I11 n1kir =1 PC%TQIP_el PI HIVIRING MECHANICAL
THIS BUILC)ING IS TO BE ERECTED IN ACCORDANCE WITH THE ORDINANCES OF THE TOWN
OF NEWPORT AND THE GENERAL BUILDING LAWS OF THE STATE
UNDER SLAB
TIME DATE
INSPECTOR
ROUGH
TIME DATE
FOOTING GRADE BEAM
TIME DATE
SLAB COVER -UP
TIME DATE
INSPECTOR
INSPECTOR
INSPECTOR
SLAB
TIME DATE
ROUGH
TIME DATE
ROUGH-IN TOP -OUT
TIME DATE
PRESSURE TEST
TIME DATE
INSPECTOR
INSPECTOR
INSPECTOR
INSPECTOR
LINTEL BOND BEAM
TIME DATE
INSPECTOR
ROUGH
TIME DATE
SEWER
TIME DATE
TIME DATE
INSPECTOR
INSPECTOR
INSPECTOR
FRAMING
TIME DATE
INSPECTOR
TIME DATE
WATER SERVICE
TIME DATE
TIME DATE
INSPECTOR
INSPECTOR
INSPECTOR
INSULATION
TIME DATE
FINAL
TIME DATE
INSPECTOR
FINAL
TIME DATE
FINAL
TIME DATE
INSPECTOR
INSPECTOR
INSPECTOR
FINAL
TIME DATE
INSPECTOR
TIME DATE
TIME DATE
TIME DATE
INSPECTOR
INSPECTOR
INSPECTOR
THIS BUILC)ING IS TO BE ERECTED IN ACCORDANCE WITH THE ORDINANCES OF THE TOWN
OF NEWPORT AND THE GENERAL BUILDING LAWS OF THE STATE
Jun 10 10 12:29p HC
223 -4976 p.1
Town Of Newport
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Jun 02 10 06:16a
SP- 2012=01
BC
'223 -4976
Town of Newport,
200 Howard Blvd,
Ncwvport; North Carolina
ZONING
'SPECIAL USE PERMIT
06 May 25 20 10 l'be-Board ofAdlustment for thc'Ic)wn i ffI�Tewp<)rt, Carteret County„
North Carolina met -and conducted a duly adverttscd pulhliu;hcaring on the f6flo'wing application
Applicant. P'QV J)evc'lbpmcnt representing Amerleati Tower Corporation
Property Location, 5899 Hwy 70, Newport, Nt >rtlt Carolina
TFx Map Vin No: 6347033":)534000'
l he Ncw'port Zoning Ordina]7a,C Sect16n 9-7, rcduires,a Sr) ictal d isc Perm iCto eon struct% nd
operate a telecommunications tovtcr in the coning luritidictit)h,
The Board of Adjutitrrtent alter heard ihe•apph1,aitotl a11d,evi&r)ce_tn support ol'the SpcGial Use
,Permit has determined that,the application was complete. The hoard,movctl' fo,#prove'thc
'application and tnaidc the following; !acts of linding
1. That laic applic ition is.corltplete and,ali�toved,as presented'.
2 ARer'hearing arguments liar the Telccontmunicjtaons, tower; lhere was rW credible
ub)cC,ti'An
3, That the existing egress from US 70 he relocated on the North property I,nc, and be
~hared by others.
4 1'j,1'zt ias to the hest interest of*,Utc community to grunt the Special -Usc Permit In
acrrdanc-yu41 it - application tiuboiiued,
Ferny \ hiss, Secretary, Board ofAd)ustment
! , ,1 I'uwn
(;Icrk vt tl� 'Down uflVewpurt, North
l Amltntt, do herehy cvrufy.that the
foregatng / I pagCS(s) is i true
Copy ul tho, anee its pct 011t in
the tut,nu} A� boo It the
't nw� fTlc 0
Town Clerk
p.,1
Address changed
to 5899 due to
E -911 address
assignment
July 6, 2010
Subject: Perm i Dion /Access to Private Land for Inspection Purposes and
Desig i tion of Primary Contact for Agency Coordination
Am e ican Tower Corporation — 273437 (Hibbs Rd NC)
elecommunications Tower Site
Ts�' Parcel ID # 6347.03.32.3534000
5851 US Highway 70
Newport, Carteret County, North Carolina
To Whom It May Concern:
As the lease holder of the above mentioned property, as allowed per the lease agreement
between American Tower Corporation (lease holder) and Jean R. Wellons (property
owner), I grant permission for the State of North Carolina, US Army Corps of Engineers,
and American Tower Corporation, its employees, agents and independent contractors to
enter upon the Property to conduct and perform some or all of the following activities:
surveys, geotechnical soil borings and analyses, Phase I environmental audits, boundary
surveys, radio propagation studies, and such other tests and inspections of the Property
which above organizations may deem necessary or advisable. American Tower
Corporation will be responsible for any and all costs related to the Permitted Activities,
including installation on the Property as well as operation and removal of equipment on
the Property. Per the referenced lease agreement, American Tower Corporation may
obtain the necessary local, state, and federal permits required to construct and operate the
proposed telecommunications facility and may serve as the primary point of contact with
local, state, and federal agencies regarding development of the lease site.
Sincerely,
Name-
Lease Holder
Signature:
Site Name: Hibbs Road
Site Number: 273437
OPTION AND LEASE AGREEMENT
THIS OPTION AND LEASE AGREEMENT ("Agreement") is made effective as of the
date of the latter signature hereof (the "Execution Date'l and is by and between Optionee/Tenant and
Optionor /Landlord.
RECITALS
A. WHEREAS, Optionor is the owner of that certain parcel of land (the "Property's located in the
County of Carteret, State of North Carolina, as more particularly described on Exhibit A; and
B. WHEREAS, Optionor desires to grant to Optionee an option to lease from Optionor a portion of
the Property (the "Premises "), together with easements for ingress and egress and the installation
and maintenance of utilities (the "Easement") both being approximately located as shown on
Exhibit B (the Premises and the Easement will collectively be referred to herein as the "Site ").
NOW, THEREFORE, in consideration of the sum of $10.00, the mutual covenants and
agreements herein contained, and other good and valuable consideration, the receipt, adequacy
and sufficiency of all of which are hereby acknowledged, the parties hereto hereby agree as
follows:
1. Ousiness Leans. For the purposes of this Agreement, the following capitalized terms have the
meanings set forth in this paragraph 1.
(a) Optionee/Tenant: American Towers, Inc., a Delaware corporation.
(b) Optionee'vTenant's Notice Address: American Towers, Inc.
c/o American Tower Corporation
10 President Way
Woburn, MA 01810
Attn; Land Management
with a copy to:American Towers, Inc.
c/o American Tower Corporation
116 Huntington Ave.
Boston, MA 02116
Attn: Law Department
(c) Optionor/Landlord. Jean R. Wellons, a widow; Joe C. Beam, and wife, Janice Lewis Beam
(d) Qptionor's/Landlord's Address. RRellons Enterprises, Inc.
3025 Bridges Street, Suite 9
Morehead City, NC 28557
//A)
Site Name: Hibbs Road
Site Number: 273437
Attn: Gaye Wellons Mashburn
(e) Option Commencement Date: The Execution Date.
(f) Option Consideration (Initial Option Term). $1,000 00
(g) Option Extension Consideration (Renewal Option Term): $$1,000.00
(h) Initial Option Term: 12 months
(i) Renewal Option Term(s): one period of 12 months.
0) Commencement Date: The date specified in the written notice by Optionee to Optionor
exercising the Option constitutes the Commencement Date of the Lease.
(k) Rent. The monthly amount of $1,000.00, increased as further provided for in paragraph
14(b) and 1(n) hereof.
(1) Initial Base Rent: Rent due to Landlord from Tenant first Lease Year.
(m) Lease Pear. The first Lease Year will be the period commencing on the Commencement
Date and ending on the date immediately preceding the one -year anniversary of the Commencement Date.
Each Lease Year thereafter will be a 12 successive calendar month period.
(n) Rent Increase: Rent will increase at the commencement of each Renewal Term by an
amount equal to 10% of Rent for the previous 5 year period, as further described in Section 14 below.
(o) Initial Term. 5 years, commencing on the Commencement Date (as defined in paragraph
10) hereof) and continuing until midnight of the day immediately prior to the 5h anniversary of the
Commencement Date.
(p) Renewal Terns: Subject to paragraph 13(b) hereof, each of the four (4) successive periods of
five (5) years each, with the first Renewal Term commencing upon the expiration of the Initial Term and each
subsequent Renewal Term commencing upon the expiration of the immediately preceding Renewal Term.
I.OPTION
2. Grant of Option. Optionor hereby gives and grants unto Optionee and its assigns, an
exclusive and irrevocable option to lease the Premises and use the Easement pursuant to the
terms of this Agreement (the "Option "). Optionor agrees and acknowledges that Optionee may,
at Optionee's sole cost, have a metes and bounds survey of the Site survey prepared and that the
legal description of the Site as shown on such survey will thereafter become the legal description
of the Site.
3. Initial Option Term. The Initial Option Term is as set forth in paragraph 1(h).
4. Extension of Option. This Option will automatically be extended for each Renewal
Option Term unless Optionee provides Optionor written notice of its intent not to extend the
Option. Optionee will pay Optionor the Option Extension Consideration within thirty (30) days
of the commencement of the Renewal Option Term. Option Extension Consideration paid by
Optionee will be credited in full to the first years Rent due Optionor if this Option is exercised by
S 919
M,
Site Name. Hibbs Road
Site Number: 273437
Optionee.
5. Consideration for Option. Option Consideration is due and payable in full within thirty
(30) days of the Option Commencement Date. payment of the Option Consideration by Optionee
to Optionor will be credited in full to the first year's Rent due Optionor if this Option is
exercised by Optionee.
6. Optionor's Representations and Warranties. As an inducement for Optionee to enter
into and be bound by the terms of this Option, Optionor represents and warrants to Optionee and
Optionee's successors and assigns that:
(a) Optionor has good and marketable title to the Property free and clear of all
liens and encumbrances. Optionee may at Optionee's sole cost and expense procure an abstract
of title or a commitment to issue a policy of title insurance (collectively "Title") on the Property.
In the event that Optionee objects to any defect or cloud on Title, Optionee may declare this
Option to be void and of no further force or effect whereupon this Option will terminate and
there will be no further liability of Optionee to Optionor accruing hereunder;
(b) Optionor has the authority to enter into and be bound by the terms of this
Option;
(c) There are no pending or threatened administrative actions including
bankruptcy or insolvency proceedings under state or federal law, suits, claims or causes of action
against Optionor or which may otherwise affect the Property; and
(d) The Property is not presently subject to an option, lease or other contract
which may adversely affect Optionor's ability to fulfill its obligations under this Option and
Optionor covenants that it will not grant an option or enter into any contract which will affect the
Property or the Site until this Option expires or is terminated by Optionee.
These representations and warranties of Optionor survive the exercise of the
Option and the termination or expiration of the term of this Agreement.
7. Taxes. Optionor will pay any ad valorem taxes or other special assessment taxes
attributable to the Property and the Easement during the Initial Option Term and any Renewal
Option Term of this Option.
S. Liquidated Damages. American Tower is not obligated to exercise this Option. in the
event the Option is not exercised, Optionor's sole compensation and damages will be fixed and
liquidated to the sums paid by Optionee to Optionor as consideration for this Option.
Furthermore, Optionor hereby expressly waives any other remedies it may have for a breach of
this Option by Optionee including specific performance and damages for breach of contract
9. Inspections and Investigations. Optionor hereby grants to Optionee, its officers, agents,
employees and independent contractors the right and privilege to enter upon the Property at any
time after the date of this Option, to perform or cause to be performed test borings of the soil,
Z�e
Site Name: Hibbs Road
Site Number: 273437
environmental audits, engineering studies and to conduct a survey of the Property and/or the Site.
Optionor will provide Optionee with any necessary keys or access codes to the Property if
needed for ingress and egress, and Optionee will not unreasonably interfere with Optionor's use
of the Property in conducting these activities.
10. Further Acts. Optionor will cooperate with Optionee in executing any documents
necessary to protect Optionee's rights under this Option or Optionee's use of the Site, including
the execution and delivery of a Memorandum of Option and Lease in a form acceptable to
Optionee, and to take such action as Optionee may reasonably require to effect the intent of this
Option. Optionor hereby irrevocably appoints Optionee or Optionee's agent as Optionor's agent
to file applications on behalf of Optionor with federal, state and local governmental authorities
which applications relate to Optionee's Intended Use (as defined in paragraph 12 of this
Agreement) of the Site including but not limited to land use and zoning applications.
11. Exercise of Option. Upon the tender of written notice of Optionee's intent to exercise
the Option, the terms and conditions of the Agreement applying to the leasing of the Premises
and use of the Easement governs the relationship of the parties, and this Agreement will
thereafter be referred to as the "Lease ", Optionor will thereafter be referred to as "Landlord' and
Optionee will thereafter be referred to as "Tenant'.
H. GROUND LEASE
12. Ise.
(a) Tenant shall be permitted to use the Site for the purpose of constructing,
maintaining, securing and operating a communications facility, including, but not limited to, the
construction or installation and maintenance of towers, structural tower base(s), communications
equipment, one or more buildings or equipment cabinets, radio transmitting and receiving
antennas, and related facilities on the Premises (collectively, the "Tower Facilities'), to facilitate
the use of the Site as a site for the transmission and receipt of wireless communication signals
including, but not limited to, voice, data and internet transmissions and for any other uses which
are incidental thereto (the "Intended Use"). Tenant may, at its sole expense, use any and all
appropriate means of restricting access to the Premises or the Tower Facilities, including,
without limitation, construction of a fence. Tenant may, at Tenant's sole expense, construct
Tenant's Tower Facilities on the Site to meet Tenant's needs and Tenant shall maintain the
Premises in a reasonable condition throughout the Initial Term and any Renewal Terms,
reasonable wear and tear and damage from casualty and condemnation excepted. Landlord shall
cooperate with Tenant in executing any documents necessary to protect Tenant's rights under
this Lease or facilitate Tenant's and Tenant's sublessee's and licensee's use of the Site and will
take such further action as Tenant may reasonably require to effect the intent of this Lease.
(b) Tenant's obligations hereunder are expressly conditioned upon Tenant's ability to
obtain, maintain, renew and reinstate all of the certificates, permits, licenses, zoning, variances
and other approvals which may be required from any federal, state or local authority as well as
any necessary easements (collectively, the "Approvals'). Landlord shall cooperate with Tenant,
at no out -of- pocket expense to Landlord, in its efforts to obtain the Approvals, and Landlord
shall take no action which would adversely affect the status of the Site with respect to Tenant's
Site Name: Hibbs Road
Site Number: 273437
Intended Use thereof. If (i) any application by Tenant for any one of the Approvals is finally
denied or rejected, or is otherwise withdrawn or terminated or (ii) if any matters exist affecting
Landlord's title to the Site which prevent Tenant from using the Site for Tenant`s Intended Use, then
Tenant shall have the right to terminate this Lease upon written notice to Landlord and Landlord, within
30 days of such termination, shall refund to Tenant any Rent paid by Tenant applicable to the period
subsequent to such termination.
(c) Landlord agrees to execute within 10 business days after receipt of a written request from
Tenant any and all documents necessary in Tenant's reasonable judgment to protect Tenant's rights or the
rights of Tenant's sublessees or licensees under this Lease, to facilitate Tenant's use of the Site as
contemplated under this Lease, or to allow Tenant to obtain, maintain, renew or reinstate the Approvals.
Tenant will provide all documents for execution on Tenant's standard forms or, in the case of zoning
applications or other situations regulated by governmental bodies, on forms specified by such
govemmental body. Documents provided for execution may include without limitation, affidavits
relating to title curative measures, non - disturbance agreements, memorandums of lease, memorandums of
amendment, and zoning applications and other related documents required to obtain zoning approval.
13. Term.
(a) Initial Term. The Initial Term of this Lease is set forth in paragraph i(o).
(b) Renewal Terms. Tenant shall have the right to extend this Lease for each of the Renewal
Terms. Each Renewal Term will be on the same terms and conditions set forth in this Lease except that
Rent will escalate as provided in paragraph 14(b). This Lease will automatically be renewed for each
successive Renewal Term unless Tenant notifies Landlord in writing of Tenant's intention not to renew
the Lease at any time prior to the expiration of the Initial Term or the Renewal Term which is then in
effect
(c) The Initial Term and Renewal Terms are collectively referred to herein as the "Term ".
14. Consideration.
(a) Tenant shall pay its first installment of Rent within fifteen (15) business days of the
Commencement Date. Thereafter, Rent is due and payable in advance on the first day of each calendar
month to Landlord at Landlord's Address. Rent will be prorated for any partial months, including,
without limitation, the month in which the Commencement Date occurs.
(b) Rent will be increased at the commencement of each Renewal Term (the
"Increase Date ") by an amount equal to 2% of Rent for the previous year.
(c) If this Lease is terminated at a time other than on the day immediately preceding the
anniversary of the Commencement Date, Rent will be prorated as of the effective date of such termination
(the "Termination Date"). If this Lease is terminated for any reason other than nonpayment of Rent, all
Rent paid in advance for the period after the Termination Date will be refunded to Tenant by Landlord
within 30 days of the Termination Date.
(d) In the event Tenant makes an overpayment of Rent or any other fees or charges to
Landlord during the Term of this Lease, Tenant may, but shall not be required, to treat any such
overpayment amount as prepaid Rent and apply such amount as a credit against future Rent due to
Landlord.
Site Name: Hibbs Road
Site Number- 273437
(e) In no event will Tenant be required to remit the payment of Rent to more than two
recipients at any given time
15. Landlord's Representations and Warranties. Landlord represents and warrants that
(i) Tenant's Intended Use of the Site is not prohibited by any covenants, restrictions, reciprocal easements,
servitudes, or subdivision rules or regulations; (ii) there are no easements, licenses, rights of use or other
encumbrances on the Site or the Property which will interfere with or constructively prohibit Tenant's
Intended Use of the Site; and (iii) the execution of this Lease by Landlord will not cause a breach or an
event of default of any other agreement to which Landlord is a party.
16. Conditions Subsequent. If Tenant's Intended Use of the Site is actually or constructively
prohibited through no fault of Tenant, then without limiting any other remedy in law or equity, Tenant
shall have the option to terminate this Lease upon written notice to Landlord.
17. InteftenSg. Landlord shall not use, nor shall Landlord permit its tenants, licensees, invitees or
agents to use any portion of the Property in any way which interferes with Tenant's Intended Use of the
Site. Such interference will be deemed a material breach of this Lease by Landlord and Landlord shall
have the responsibility to terminate said interference immediately upon written notice from Tenant.
Anything to the contrary in this Lease notwithstanding, the cure periods provided for in paragraph 19
hereof will not be applicable to failure by Landlord to fulfill its obligations under this paragraph 17. If
any such interference does not cease or is not rectified as soon as possible, but in no event longer than 24
hours after Tenant's written notice to Landlord, Landlord acknowledges that continuing interference will
cause irreparable injury to Tenant, and Tenant shall have the right, in addition to any other rights that it
may have at law or in equity, to bring action to enjoin such interference or to terminate this Lease
immediately upon notice to Landlord.
18. Improvements, Utilities, and Access.
(a) Tenant shall have the right, at Tenant's sole cost and expense, to erect and maintain on
the Site improvements, personal property and facilities, including without limitation, the Tower Facilities
and other related facilities. The Tower Facilities are the exclusive property of the Tenant throughout the
term as well as upon the expiration or termination of this Lease. Tenant shall remove all of the above-
ground portions of the Tower Facilities within one hundred eighty (180) days following the expiration or
termination of this Lease. Landlord grants Tenant the right to clear all trees, undergrowth, or other
obstructions and to trim, cut, and keep trimmed all tree limbs which may interfere with or fall upon the
Tower Facilities or the Site. Landlord grants Tenant a non - exclusive easement in, over, across and
through the Property and other real property owned by Landlord as may be reasonably required for
construction, installation, maintenance, and operation of the Tower Facilities. If the tower to be
constructed by Tenant on the Premises is a guyed tower, Landlord also grants Tenant an easement in,
over, across and through the Property or any other real property owned by Landlord as may be necessary
to Tenant during the Initial Term and any Renewal Terms of this Lease for the installation and
maintenance and removal of and reasonable access to guy wires and guy wire anchors which may be
located outside of the Site
(b) Tenant shall have the right to install utilities, at Tenant's expense, and to improve present
utilities on the Property and the Site. Tenant shall have the right to permanently place utilities on (or to
bring utilities across or under) the Site to service the Site and the Tower Facilities. Tenant and Tenant's
licensee(s) or sublessee(s) have the right to install backup generator(s) on the Site. If utilities necessary to
serve the equipment of Tenant or the equipment of Tenant's licensee(s) or sublessee(s) cannot be located
within the Site, Landlord agrees to cooperate with Tenant and to act reasonably in allowing the location of
utilities on the Property or other real property owned by Landlord without requiring additional
compensation from Tenant or Tenant's licensee(s) or sublessee(s). Landlord shall, upon Tenant's request,
A)
Site Name. Hibbs Road
Site Number: 273437
execute a separate recordable written easement or lease to the utility company providing such service
evidencing this right.
(c) Landlord represents and warrants to Tenant that Tenant shall at all times during this
Lease enjoy ingress, egress, and access from the Site 24 hours a day, 7 days a week, to an open and
improved public road which are adequate to service the Site and the Tower Facilities. If no such public
road exists or ceases to exist in the future, Landlord will grant an appropriate easement to Tenant,
Tenant's licensee(s), sublessee(s) and assigns so that Tenant may, at its own expense, construct a suitable
private access drive to the Site and the Tower Facilities. To the degree such access is across other
property owned by Landlord, Landlord shall execute an easement evidencing this right without requiring
additional compensation from Tenant. Landlord shall maintain access to such easement in a free and
open condition so that no interference is caused to Tenant by other Tenants, licensees, invitees or agents
of Landlord which may utilize the easement. The parties agree that Tenant will gate and lock the
beginning of Tenant's access easement and that Landlord does not intend to use Tenant's access easement
for Landlord's purposes, nor will Landlord grant any third party the right to use the access easement,
unless Tenant requests that such access be granted. To the extent damage (including wear and tear caused
by normal usage) to the Easement or any other route contemplated hereunder intended to provide Tenant
with access to the Site and the Tower Facilities is caused by Landlord or Landlord's tenants, licensees,
invites or agents, Landlord shall repair same at its own expense. In the event Landlord, its employees or
agents impede or deny Tenant's access or that of Tenant's agent(s), licensee(s), or sublessee(s) to the Site,
Tenant shall, without waiving any other rights that it may have at law or in equity, deduct from Rent due
under this Lease an amount equal to Five Hundred and No /100 Dollars ($500.00) per day for each day
that such access is impeded or denied. However, $500.00 per day will not be deducted from Rent if the
impediment to access is caused by factors outside of Landlord's control (including, but not limited to,
storm damage). Tenant will not hold Landlord responsible for damage to the access easement caused by
Tenant's licensee(s), sublessee(s), contractors, or employees.
(d) Landlord grants Tenant (including, without limitation, Tenant's sublessees and licensees)
a license to use such portions of the Landlord's property contiguous to the Site on a temporary basis as
are reasonably required from time to time during the Term of this Lease for the construction, installation
and maintenance of the Tower Facilities, including (i) access to the Site for construction machinery and
equipment, (ii) storage of construction materials and equipment during construction of the Tower
Facilities, and (iii) use of a staging area for construction, installation and removal of equipment.
(e) Tenant shall have the right to install and maintain during the Term of the Lease
identifying signs or other signs required by any governmental authority on or about the Site, including
any access road to the Site.
19. Termination. This Lease may be terminated, without any penalty or further liability upon
written notice as follows:
(a) By either parry upon a default of any covenant or term hereof by the other party which
default is not cured within 60 days of receipt of written notice of default (without, however, limiting any
other rights available to the parties in law or equity); provided, that if the defaulting party commences
efforts to cure the default within such period and diligently pursues such cure, the non - defaulting party
shall no longer be entitled to declare a default;
(b) Upon 30 days' written notice by Tenant to Landlord if Tenant is unable to obtain,
maintain, renew or reinstate any agreement, permit or other Approvals necessary to the construction and
operation of the Tower Facilities or to Tenant's Intended Use; or
Site Name: Hibbs Road
Site Number: 273437
(c) Upon 30 days' written notice from Tenant to Landlord if the Site is or becomes
unsuitable, in Tenant's sole, but reasonable judgment for use as a wireless communications facility by
Tenant or by Tenant's licensees) or sublessee(s).
20. Licenses, Subleases. Tenant at its sole discretion shall have the right, without prior notice or the
consent of Landlord, to license or sublease all or a portion of the Site or the Tower Facilities to other
parties. Tenant shall notify Landlord of any new sublease or license agreement as soon as practicable
after the sublease or license agreement is signed. Tenant's licensee(s) and sublessee(s) shall be entitled to _
modify the Tower Facilities and to erect additional improvements on the Site including but not limited to
antennas, dishes, cabling, additional storage buildings or equipment shelters as are reasonably required for
the operation and maintenance of the communications equipment to be installed on the Site by said
licensee(s) and sublessee(s). Tenant's licensees) and sublessee(s) shall be entitled to all rights of ingress
and egress to the Site and the right to install utilities on the Site as if said licensee(s) or sublessee(s) were
Tenant under this Lease. Landlord will not be held responsible for any damage to the Site or Property
caused by Tenant's sublessee(s) or licensee(s).
21. Taxes. Tenant shall pay any personal property taxes assessed on or attributable to the Tower
Facilities. Landlord shall pay when due all real property taxes and all other fees and assessments
attributable to the Property, Premises and Easement. If Landlord fails to pay when due any taxes
affecting the Property or the Site, Tenant shall have the right, but not the obligation, to pay such taxes and
(i) deduct the full amount of the taxes paid by Tenant on Landlord's behalf from future installments of
Rent, or (ii) collect such taxes by any lawful means.
22. Damage or Destruction. If the Premises, the Easement or the Tower Facilities are destroyed or
damaged so as to hinder the Intended Use of the Tower Facilities in Tenant's sole judgment, Tenant may
elect to terminate this Lease as of the date of the damage or destruction by written notice to Landlord. In
such event, all obligations of Tenant to Landlord shall cease to accrue as of the date of the damage or
destruction and Tenant shall be entitled to the reimbursement of any Rent paid by Tenant applicable to the
period subsequent to such damage or destruction.
23. Condemnation. If a condemning authority takes all of the Site, or a portion sufficient in Tenant's
sole judgment, to render the Site unsuitable for Tenant's Intended Use in Tenant's reasonable discretion,
this Lease will tetminate as of the date the title vests in the condemning authority. Landlord and Tenant
shall share in the condemnation proceeds in proportion to the values of their respective interests in the
Site (which for Tenant includes, where applicable, the value of the Tower Facilities, moving expenses,
prepaid rent and business dislocation expenses). If a condemning authority takes less than all of the Site
such that the Site remains suitable for Tenant's Intended Use, the Rent payable under this Lease will be
reduced automatically by such percentage as the area so condemned bears to the Site as of the date the
title vests in the condemning authority. A sale of all or part of the Site to a purchaser with the power of
eminent domain in the face of the exercise of eminent domain power will be treated as a taking by
condemnation for the purposes of this paragraph.
24. Insurgpeg . Tenant shall purchase and maintain in full force and effect throughout the Initial
Term and any Renewal Term such general liability and property damage policies as Tenant may deem
necessary. Said policy of general liability insurance will at a minimum provide a combined single limit of
$1,000,000.
25. Environmental Compliance. Landlord represents, warrants and covenants (i) that neither
Landlord nor, to Landlord's knowledge, any third party has used, generated, stored or disposed of, or
permitted the use, generation, storage or disposal of, any contaminants, oils, asbestos, PCB's, hazardous
substances or wastes as defined by federal, state or local environmental laws, regulations or
administrative orders or other materials the removal of which is required or the maintenance of which is
Site Name: Hibbs Road
Site Number: 273437
prohibited, regulated or penalized by any federal, state or local government authority having jurisdiction
over the Property ( "Hazardous Materials'D on, under, about or within the Property in violation of any
applicable law or regulation, and (ii) that Landlord will not, and will not permit any third party to use,
generate, store or dispose of any Hazardous Materials on, under, about or within the Property in violation
of any applicable laws, regulations or administrative orders. Tenant agrees that it will not use, generate,
store or dispose of any Hazardous Material on, under, about or within the Site in violation of any
applicable laws, regulations or administrative orders. This Lease will, at the option of Tenant, terminate
upon written notice by Tenant to Landlord if Hazardous Materials are discovered to exist on the Property
after Tenant takes possession of the Premises and Tenant shall be entitled to a refund of all the
consideration paid in advance to Landlord under this Lease.
26. Indemnification.
(a) General. Landlord, its heirs, grantees, successors, and assigns shall exonerate, hold
harmless, indemnify, and defend Tenant from any claims, obligations, liabilities, costs, demands,
damages, expenses, suits or causes of action, including costs and reasonable attorney's fees, which may
arise out of (i) any injury to or death of any person; or (ii) any damage to property, if such injury, death or
damage arises out of or is attributable to or results from the acts or omissions of Landlord, or Landlord's
principals, employees, invitees, agents or independent contractors. Tenant, its grantees, successors, and
assigns shall exonerate, hold harmless, indemnify, and defend Landlord from any claims, obligations,
liabilities, costs, demands, damages, expenses, suits or causes of action, including costs and reasonable
attorney's fees, which may arise out of (i) any injury to or death of any person; or (ii) any damage to
property, if such injury, death or damage arises out of or is attributable to or results from the negligent
acts or omissions of Tenant, or Tenant's employees, agents or independent contractors.
(b) Environmental Matters. Landlord, its heirs, grantees, successors, and assigns shall
indemnify, defend, reimburse and hold harmless Tenant from and against any and all damages arising
from the presence of Hazardous Materials upon, about or beneath the Property or migrating to or from the
Property or arising in any manner whatsoever out of the violation of any applicable laws, regulations or
administrative orders pertaining to the Property and any activities thereon, which conditions exist or
existed prior to or at the time of the execution of this Lease or which may occur at any time in the future
through no fault of Tenant. Tenant, its grantees, successors, and assigns shall indemnify, defend,
reimburse and hold harmless Landlord from and against environmental damages caused by the presence
of Hazardous Materials on the Premises in violation of any applicable laws, regulations or administrative
orders and arising solely as the result of Tenant's activities after the execution of this Lease,
Notwithstanding the obligation of Landlord to indemnify Tenant pursuant to this Lease, Landlord shall,
upon demand of Tenant, and at Landlord's sole cost and expense, promptly take all actions to remediate
the Property which are required by any federal, state or local governmental agency or political subdivision
or which are reasonably necessary to mitigate environmental damages or to allow full economic use of the
Site, which remediation is necessitated from the presence upon, about or beneath the Property of a
Hazardous Material. Such actions include but not be lunited to the investigation of the environmental
condition of the Property, the preparation of any feasibility studies, reports or remedial plans, and the
performance of any cleanup, remediation, containment, operation, maintenance, monitoring or actions
necessary to restore the Property to the condition existing prior to the introduction of such Hazardous
Material upon, about or beneath the Property notwithstanding any lesser standard of remediation
allowable under applicable law or governmental policies.
27. Right of Fiat Refusal; Sale of Premises. During the Initial Term and any Renewal Terms of
this Lease, Landlord shall, prior to selling the Site or any real property of which the Site is a part, notify
Tenant in writing of the sale price and terms offered by a third party, together with a copy of the third
party's offer Tenant shall have the right of first refusal to purchase the real property being sold by
F&J/1-i
Site Name: Hibbs Road
Site Number: 273437
Landlord on the same terms and conditions. Tenant shall give Landlord notice of its intention to purchase
the same within 7 days of receipt of Landlord's notice. If Tenant gives no such notice of its intention to
purchase same, Landlord may sell the real property to the third party on the stated terms and price, as long
as (i) such sale is made subject to the terms of this Lease and (ii) if such sale does not include the
assignment of Landlord's full interest in this Lease, such purchaser covenants, without requiring
compensation from Tenant or Tenant's licensee(s) or sublessee(s) to be paid to such purchaser, to perform
any obligation of the Landlord under this Lease, including Landlord's obligation to cooperate with Tenant
as provided hereunder, which obligation Landlord would no longer have the legal right or ability to
perform following such conveyance.
28. Notices. All notices or demands by or from Tenant to Landlord, or Landlord to Tenant, required
under this Lease will be in writing and sent (United States mail postage pre-paid, certified with return
receipt requested or by reputable national overnight carrier service, transmit prepaid) to the other party at
the addresses set forth in paragraphs 1(b) and 1(d) hereof, as applicable, or to such other addresses as the
parties hereto may, from time to time, designate consistent with this paragraph 28, with such new notice
address being effective 30 days after receipt by the other party. Notices will he deemed to have been
given upon either receipt or rejection.
29. Title and Oniet Enjoyment. Landlord warrants and represents that (i) it has the full right,
power, and authority to execute this Lease; and (ii) it has good and marketable fee simple title to the Site
and any other real property across which Landlord may grant Tenant, its sublessees and/or licensees an
easement, free and clear of any liens and encumbrances or mortgages. Landlord covenants that Tenant
shall have the quiet enjoyment of the Premises during the term of this Lease. Landlord shall indemnify
Tenant from and against any loss, cost, expense or damage including attorney's fees associated with a
breach of the foregoing covenant of quiet enjoyment. If Landlord fails to keep the Site free and clear of
any liens and encumbrances, Tenant shall have the right, but not the obligation, to satisfy any such lien or
encumbrance and to deduct the full amount paid by Tenant on Landlord's behalf from future installments
of Rent. If the Site is encumbered by a mortgage or deed of trust, within 30 days of receipt of a written
request from Tenant, Landlord agrees to execute and obtain the execution by its lender of a non -
disturbance and attornment agreement in the form provided by Tenant, to the effect that Tenant and
Tenant's sublessees and licensees will not be disturbed in their occupancy and use of the Site by any
foreclosure. Should a subordination, non - disturbance and attornment agreement be requested by
Landlord or a lender working with Landlord on a loan to be secured by the Property and entered into
subsequent to the Execution Date, Tenant will use good faith efforts to provide Landlord or Landlord's
lender with Tenant's form subordination, non - disturbance and attornment agreement executed by Tenant
within 30 days of such request.
30. Assignment. Any sublease, license or assignment of this Lease that is entered into by Landlord
or Tenant is subject to the provisions of this Lease. Landlord may assign this Lease in its entirety to any
third party in conjunction with a sale of the Property in accordance with paragraph 27 hereof. Landlord
shall not otherwise assign less than Landlord's full interest in this Lease without the prior written consent
of Tenant. Tenant may assign this Lease without prior notice to or the consent of Landlord. Additionally,
Tenant may mortgage or grant a security interest in this Lease and the Tower Facilities, and may assign
this Lease and the Tower Facilities to any such mortgagees or holders of security interests including their
successors and assigns (hereinafter collectively referred to as "Secured Parties "). If requester) by Tenant,
Landlord shall execute such consent to such financing as may reasonably be required by Secured Parties.
In addition, if requested by Tenant, Landlord agrees to notify Tenant and Tenant's Secured Parties
simultaneously of any default by Tenant and to give Secured Parties the same right to cure any default as
Tenant. If a termination, disaflumance or rejection of the Lease by Tenant pursuant to any laws
(including any bankruptcy or insolvency laws) occurs, or if Landlord shall terminate this Lease for any
reason, Landlord will give to Secured Parties prompt notice thereof and Secured Parties shall have the
Site Name: Hibbs Road
Site Number: 273437
right to enter upon the Premises during a 30-day period commencing upon Secured Parties' receipt of
such notice for the purpose of removing any Tower Facilities. Landlord acknowledges that Secured
Parties are third -party beneficiaries of this Lease.
31. Successors and Assigns. This Lease runs with the Property and is binding upon and will inure to
the benefit of the parties, their respective heirs, successors, personal representatives and assigns.
32. Waiver of Landlord's Lien. Landlord hereby waives any and all lien rights it may have,
statutory or otherwise, in and to the Tower Facilities or any portion thereof, regardless of whether or not
same is deemed real or personal property under applicable laws.
33. Waiver of Damages. Neither Landlord nor Tenant shall be responsible or liable to the
other party for any loss or damage arising from any claim to the extent attributable to any acts of
omissions of other licensees or tower users occupying the Tower Facilities or vandalism or for
any structural or power failures or destruction or damage to the Tower Facilities except to the
extent caused by the negligence or willful misconduct of such party. EXCEPT AS
SPECIFICALLY PROVIDED IN THIS AGREEMENT, IN NO EVENT SHALL LANDLORD
OR TENANT BE LIABLE TO THE OTHER FOR, AND TENANT AND LANDLORD EACH
HEREBY WAIVE THE RIGHT TO RECOVER INCIDENTAL, CONSEQUENTIAL
(INCLUDING, BUT NOT LIMITED TO, LOST PROFITS, LOSS OF USE OR LOSS OF
BUSINESS OPPORTUNI'T'Y), PUNITIVE, EXEMPLARY AND SIMILAR DAMAGES,
34. Miscellaneous. The following provisions apply to the Option and, providing Optionee exercises
such Option, to the Lease:
(a) The substantially prevailing party in any litigation arising hereunder is entitled to its
reasonable attorney's fees and court costs, including appeals, if any.
(b) Each party agrees to furnish to the other, within 30 days after request, such estoppel
information as the other may reasonably request.
(c) This Agreement constitutes the entire agreement and understanding of Landlord and
Tenant with respect to the subject matter of this Agreement, and supersedes all offers, negotiations and
other agreements_ There are no representations or understandings of any kind not set forth herein. Any
amendments to said Agreement must be in writing and executed and delivered by Landlord and Tenant.
(d) If either Landlord or Tenant is represented by a real estate broker in this transaction, that
party is fully responsible for any fees due such broker and will hold the other party harmless from any
claims for commission by such broker.
(e) Landlord agrees to cooperate with Tenant in executing any documents necessary to
protect Tenant's rights under this Agreement or Tenant's use of the Premises, including but not limited to
affidavits relating to title curative measures and non disturbance agreements, and to take any further
action which Tenant may reasonably require to effect the intent of the Agreement.
(f) The Agreement will be construed in accordance with the laws of the state in which the
Site is situated.
(g) If any term of the Agreement is found to be void or invalid, such invalidity will not affect
the remaining terms of the Agreement, which will continue in full force and effect.
Site Name: Hibbs Road
Site Number: 273437
(h) Upon request by Tenant, Landlord shall execute and deliver to Tenant a Memorandum of
Option and Lease, which Tenant may record in the county in which the Property is located. If the
information included in the Memorandum of Option and Lease should change or if it becomes clear that
such information is incorrect or incomplete or if the Option or Lease is amended, Landlord agrees to
execute and return to Tenant a recordable Amended Memorandum of Option and Lease in form supplied
by Tenant.
(i) Tenant may obtain title insurance on its interest in the Site, and Landlord shall cooperate
by executing any documentation required by the title insurance company.
0) Landlord hereby irrevocably appoints Tenant or Tenant's agent as Landlord's agent to
file applications on behalf of Landlord with federal, state and local governmental authorities which
applications relate to Tenant's Intended Use of the Site, including, but not limited, to land use and zoning
applications.
(k) This Agreement may be executed in two or more counterparts, all of which are
considered one and the same agreement and become effective when one or more counterparts have been
signed by each of the parties, it being understood that all parties need not sign the same counterpart.
(1) Landlord will not, during the term of this Option and Lease together with any extensions
thereof, enter into any other lease, license, or other agreement for a similar purpose as set forth herein, on
or adjacent to the Property.
(m) Failure or delay on the part of either party to exercise any right, power or privilege
hereunder will not operate as a waiver thereof and waiver of breach of any provision hereof under any
circumstances will not constitute a waiver of any subsequent breach.
(n) The parties agree that irreparable damage would occur if any of the provisions of this
Agreement were not performed in accordance with their specified terms or were otherwise breached.
Therefore, the parties agree the parties will be entitled to an injunction(s) in any court in the state in which
the Site is located to prevent breaches of the provisions of this Agreement and to enforce specifically the
terms and provisions of the Agreement, this being in addition to any other remedy to which the parties are
entitled at law or in equity.
(o) Each party executing this Agreement acknowledges that it has fiill power and authority to
do so and that the person executing on its behalf has the authority to bind the party.
(p) This Agreement is valid and binding only upon Tenant's execution by its duly authorized
representative.
(q) Tenant reserves the right to survey the Property and/or the Site, and the survey of the
Property, Premises and/or Easement will then become Exhibit B -1, which will be attached hereto and
made a part hereof, and will control in the event of discrepancies between Exhibit B -1 and Exhibit A
and/or Exhibit B. Landlord agrees to execute an Amended Memorandum of Option and Lease in
recordable form containing the new legal descriptions of the Premises and the Easement if so requested
by Tenant.
(r) The parties agree that a scanned or electronically reproduced copy or image of this
Agreement will be deemed an original and may be introduced or submitted in any action or proceeding as
competent evidence of the execution, terms and existence hereof notwithstanding the failure or inability
to produce or tender an original, executed counterpart of this Agreement and without the requirement that
the unavailability of such original, executed counterpart of this Agreement first be proven.
Site Name: Hibbs Road
Site Number: 273437
35. Confidendiality. Landlord shall not disclose to any third party the Rent payable by Tenant under
this Lease and shall treat such information as confidential, except that Landlord may disclose such
information to prospective buyers, prospective or existing lenders, Landlord's affiliates and attorneys, or
as may be required by law or as may be necessary for the enforcement of Landlord's rights under the
Lease. Landlord acknowledges that the disclosure of such information to any other parties may cause
Tenant irreparable harm, and in the event of such disclosure, as an additional remedy, Tenant shall have
the right to terminate this Lease upon giving 30 days written notice thereof to Landlord.
[SIGNATURES APPEAR ON NEXT PAGE]
Site Name: Hibbs Road
Site Number: 273437
IN WITNESS WHEREOF, Landlord and Tenant have each executed this Lease as of the
respective dates written below.
LANDLORD:
Jean R. Wello %�
Signature: J� ;
Date: ,3 -
Joe C. Beam
Signature: Aw, e,
Date: -I - ( m
Janice Lewis Beam
Signature: - . a,°vf� .(�
Date: .3 -9- i a
STATE OF NORTH CAROLINA
COUNTY OF C TERET
LUl
Before me, uRi J. cam/ 3 the undersigned, a Notary Public for
the State, personally appeared EA of W6T61 03 15 , personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person whose name is
subscribed to the within instrument and acknowledged to me that he executed the same in
his authorized capacity, and that by his signature on the instrument, the entity upon behalf
of which the person acted, executed the instrument.
SS my hand and official stamp or seal, this o�mc� day of
Notary Public
[AFFIX NOTARY SEAL]
My commission expires: A • / 0 / 0
Site Name: Hibbs Road
Site Number: 273437
STATE OF NORTH CAROLINA
COUNTY OF CARTERET,,p
Before me, L /09 `�' " `us the undersigned, a Notary Public for
the State, personally appeared DoE omm , personally known to me
(or proved to me on the basis of satisfactory evidence) to be the person whose name is
subscribed to the within instrument and acknowledged to me that he executed the same in
his authorized capacity, and that by his signature on the instrument, the entity upon behalf
of which the person acted, executed the instrument.
ESS my hand and official stamp or seal, this Q4 day of
U.iRh f?0 / o j
Notary Public
[AFFIX NOTARY SEAL]
My commission expires: /,D-/0-/D
STATE OF NORTH CAROLINA
COUNTY OF CARTERET �, r
Before me, 01-1kiA J wl << /� e ersigned, a Notary Public for
the State, personally appeared lTA N # c.E cw /sQ Am personally known tome
(or proved to me on the basis of satisfactory evidence) to be the person whose name is
subscribed to the within instrument and acknowledged to me that he executed the same in
his authorized capacity, and that by his signature on the instrument, the entity upon behalf
of which the person acted, executed the instrument.
V,I TfESS my hand and official stamp or seal, this day onf
Notary Public
[AFFIX NOTARY SEAL]
My commission expires: / 4 / u / 0
Site Name: Hibbs Road
Site Number: 273437
TENANT:
American Towers,
Jason D.
Vice Pre
Date:
Management
corporation
COMMONWEALTH OF MASSACHUSETTS)
) ss:
COUNTY OF MIDDLESEX )
Then, on the 629 of r' OA Ch- , 20 /0 personally
appeared the said, Jason D. Hirsch of American Towers, Inc. as aforesaid, signer and
sealer of the foregoing instrument, and acknowledged the same to be his/her free act and
deed as Vice President, Land Management of American Towers, Inc. and the free act and
deed of said corporation, before me.
oollll
Expires: 8'e lol 1169
Site Name: Hibbs Road
Site Number: 273437
The following exhibits are attached hereto and incorporated herein:
Exhibit A Description or Depiction of Property
Exhibit B Description or Depiction of Site
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APPENDIX E
ADJACENT PROPERTY OWNERS
FNVIRONM ENTAL CORPORATION Oh A�iMERICA
Atlanta, GA I Asheville, NC I Chicago, IL I Nashville, TN I West Palm Beach, FL I www eca -usa corn 1 (770) 667 -2040
Adjacent Property Owners and Addresses
USDA US Forest Service
Croatan Ranger District
District Ranger. Lee Thornhill
141 E Fisher Avenue
New Bern, NC 28560
Clamdigger, Inc
PO Boa 846
Atlantic Beach, NC 28512
J Copper. Inc
5891 Hwy 70 East
Newport. NC 28570
APPENDIX F
CULTURAL RESOURCES CONSULTATION
ENVIRONMEN FAL CORPORATION OF AMERICA
Atlanta, GA I Asheville, NC I Chicago, IL I Nashville, TN I West Palm Beach, FL I www eca -usa com 1 (770) 667 -2040
DYNAMIC
ENVIRONMENTAL
ASSOCIATES, INC.
k PROTNSSION V. N \\IRONNILNI \L(ONSITI ING 1 IRM
By: Certified Delivery
July 29, 2010
Ms. Renee Gledhill - Earley
North Carolina State Historic Preservation Office
Department of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699 -4617
Re: Section 106 Review
American Tower Corporation
Hibbs Rd NC Site (No. 273437)
Newport, Carteret County, North Carolina
DEA No. 21005008
Dear Ms. Gledhill - Earley
On behalf of American Tower Corporation, Dynamic Environmental Associates, Inc (DEA),
previously requested a review of potential impacts to historical properties that may result from
the construction of a 260' (79 2 m) self- support tower at the above location. This request
included the submission of a Communications Tower Review Form. During the background
research, it was determined that the Office of State Archaeology would require an
archaeological survey of the direct APE due to recently identified sites in the project vicinity.
Subsequently, a survey of the APE was performed and a report submitted for review by the
Office of State Archaeology As indicated in the attached response letter dated July 6, 2010,
the proposed undertaking will have no effect on historic resources.
DEA is submitting for your review the enclosed FCC -Form 620 for the project site Based on
receipt of the July 6, 2010 review letter, we understand that your office has already determined
that the proposed project will not affect historic properties. However, in accordance with the
NPA we will provide 30 days from receipt of this submission for any additional comments to be
made by your office
Very truly yours,
Dynamic Environmental
Associates, Inc.
Virginia i Janssen
Principvesti gator
enc.:
21005008 - SHPO Letter
3850 Lake St►eet, Suite C. Mat oil. Geoff gia 31204 (478) 745 -7740 • Fax (478) 745 -741:5
Be%crly laves Perdue, Go%emor
Linda A. Carlisle, Secretary
Jeffrey J Crow, Deputy Secretary
July 6, 2010
North Carolina Department of Cultural Resources
State Historic Preservation Office
Peter 13 Sandbeck, Administrator
Address changed
to 5899 due to
E -911 address
Virginia M. Janssen assignment
Dynarruc Environmental Associates, Inc
3850 Lake Street
Suite C
Macon, GA 31204
Re: Archaeological survey report, 260' Self- Support Tower, 5
CT 09 -2479
Dear Ms. Janssen:
Office of Arcimc% and History
Division of Histoncsl Resources
David Brook, Director
US Highway, Newport, Carteret County,
Thank you for your e -mail message of June 14, 2010, transmitting the archaeological survey report by Dawn
Reid of Archaeological Consultants of the Carolinas, Inc, for the above project.
During the course of the survey, no sites were located within the project area Ms. Reid has recommended that
no further archaeological investigation be conducted in connection with this project. We concur with this
recommendation since the project will not involve significant archaeological resources.
The above comments are made pursuant to Section 106 of the National Historic Preservation Act and the
Advisory Council on Historic Preservation's Regulations for Compliance with Section 106 codified at 36 CFR
Part 800
Thank you for your cooperation and consideration. If you have questions concerning the above comment,
please contact Renee Gledliill- Earley, environmental review coordinator, at 919/807 -6579 In all future
communication concerning this project, please cite the above referenced tracking number.
Sincerely,
L'_KtiC
eter Sandbeck
cc. Dawn Reid, ACC, Inc.
Location 109 East Jones Striet, Raleigh NC 27601 Mailing Address 4017 Mail SCrVICL Centcr, R:dctgh N(-'27699-4)17 Telephooc /Fax (919) 807- 6570/807 -6599
/0 0- 00(?-
Address changed LPRFS6R " " t� ���� to 5899 du e to 5 2010 LJ E -911 address assignment VATION OFFICE
Comm ; nications Tower Review Form
I. Applicant Information.
Ms. Vlrgini2
Preparer /Company Dynamic Er
Address 3850 Lak
inssen
mental Associates, Inc.
Street, Suite C, Macon, GA 31204
Phone/Fax/E-mail phone' (478) 745 -7740 / fax: (478) 745 -7415
Emai . Sec106 @DVnamicEnvironmental.com
', 4 For North Carolina HPO
=T Use Only
c i Qrl - a4-+cI
II. Tower Informa/IUS (Attach copy of USGS map or photocopy of quad on reverse, include 1 and 2 mile radius around site)
QRaw Land 7 Co- Location Applicant's Identification # DEA No 21005008
Address 5 Highway, New port
County
Carteret County
Tower type and height 260' tall self- support tower
III. Identification of Historic Properties
FCC Registration No pending
Quad Name Newport NC
List sites by site number and status NR = National Register listed, SL = Study List, DOE = Determination of Eligibility,
LD = Local Designation, UA = Unassessed
Archaeology W 11 _>AU (1- ( 1 PC
# of recorded sites in immediate area of tower
31Ch X95 C�,��rt�t' IQ(i,l
vi
IV. Additional Information /Investigation Needed-
V/ Survey
110 Testing of sites
Recommended by /on�'�
(Office of State Archaeology)
V. Recommendations /Final Determination
Recommendations for additional work are shown above
The proposed communication tower will
Renee Gledhill - Earley, Environmental Review Coordinator
cc FCC
Architecture
# of recorded sites withiO�L_mile radius
�Jl o ''iC J' 1 �� ��jJiJr�l_ ? t l "Ict
,
Photo Reconnaissance
Balloon Test
Recommended by /on _
(Survey & Planning Branch)
affect historic properties in the area of potential effect
Date
February, 2001
08/11/2010 11:03 NC STATE HISTORIC PRESERVATION 4 914787457415
Address changed
to 5899 due to
E -911 address
asslanment
Communications Tower Review Farm
1. Applicant Irlformetlon:
L Irgirila M. larlssen
PreparerUmpany. arnlc Envifonrnent:ai Rssodat>es Inc.
Address: 350 lake Street, Suitor C, Macon, GA 31204
Phone/FBWE mall hone: (478) 745 -7740 / tax: (478) 74S -7415
1 mail: Sac1060Dynamict:nvir -o nental .corn
�iaY2 5 ZOiO
�sr°�c���anorro�
For North Carol= HPO
Use Only
crO'i - :IO-1
II. Tower lnformatl n: (AVAM copy of UaOS map or plwtappy orgkiad on reverve; lnd4a I and 2 mia radm around ale)
,9 Raw land New) 0 Co-locatlon Applicants Identification # DEA No. 21005008
Address: � 51 US Highway, Newport
county: Carteret County FCC Reglatratlon No. Rending
Tower typo and height 260' tall self - support tower quad Name: Newport NC
111. Identllicatlon of Hlatoric Propertles
list sites by site number and status: aR = Noll" OM: Si. ■ sway uel; nee • Delern"llon of E% mry.
WD a Local Deftne bn: UA � Unaeeaae80
c W I I s/y r1vb Arrig
# of recorded an In Immedlate area at dower.
31CR35S - UY'1(04 /Gill ��`d 4-60o
14(o lilUnt Io. rh.1t)
IV. Additional Inlormatlonflnvestlgatrt it Needed
✓ syn►a9' ���+F4r�t�
lia Testing of artae ��� �.£,I e T
Recommended bylon: (_6
(Office of State Archaeology)
0 of rtWded WW withlnI,anite radius' jL
00 jvjt-v /ll: ��soUtt.�a uhf � Sly -lwtJJ
1! ?6
Photo Reconnaissance
_ Balloon Test ,/�
Recommended by /on: P-k,
(Survey 6 Planning Branch)
V. RecommendalloneXInal O;at wWriatian:
Racammendadons for addltlonal work pre shown above.
tc::posed conlmunlcallon tawr well y, affect historic properties in the area of polon lal affect. " I — 10 —
Renee Gledhlllfarley, Environmental Review Coordl at Date
0W FCC
Fehr=,. 2m1
,2100500 S-
901
I'
APPENDIX G
PROTECTED SPECIES CONSULTATION
LNVIRONNIEN IA L CORPORAI ION OF AM @RICA
Atlanta, GA I Asheville, NC I Chicago, IL I Nashville, TN I West Palm Beach, FL I www eca -usa com 1 (770? 667 -2040
kNs- United States Department of the Interior
FISH AND WILDLIFE SERVICE
Raleigh Field Office
Post Office Box 33726
Raleigh, North Carolina 27636 -3726
August 11, 2010
Mr Marc Kurz
Dyi amic Environmental Associates, Inc.
3850 Lake Street, Suite C
Mai on, GA 31204
rlE 1 rl �\�C T- n ?7 27-34 -37\ Ai_ %C_ /' ?TC
i\L' i'Ii UJ i`U 1VL t V�1'tr Site (1VV G /.J4.> /f lVt��'i.lVla t..uit:,rl,l L.Vlliiiy, ��\.
Dear Mr. Kurz
Thi;, letter is to inform you of the U S Fish and Wildlife Service's response pursuant to the
Migratory Bird Treaty Act (16 U.S C. 703 et seq.; MBTA) and the Endangered Species Act, as
amended (16 U S.C. 1531 et seq , ESA), to your communication tower project
Wivi regard to your subject pioject we otter the following remarks.
Mi€ ratory Bird Treaty Act
Basi,d on the description of the tower design characteristics, we conclude that the design of the
proposed communications tower does not minimize the potential hazard to avian species
protected by the MBTA.
Ent angered Species Act
Basod on the information provided, we concur with your determination that the proposed
activities are not likely to adversely affect federally - listed threatened and endangered species.
live believe that the iequiiements of section 7(a)(2) of the ESA have been satisfied We remind
you that obligations under section 7 consultation must be reconsicicied if. (I ) new information
revs als impacts of this identified action that may affect listed species of critical habitat in a
manner not previously considered; (2) this action is subsequently modified in a manner that was
not considered in this review, or, (3) a new species is listed or critical habitat determined that
mad be affected by the identified action.
If YOU have any questions or comments. please contact this office as 919- 856 -4520
Sincerely
Pete Benjamin
Field Supervisoi
:>e // () 05002
EWMA
NCNE�IR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
July 30, 2010
Mr Marc Kurz
Dynamic Environmental Associates, Inc.
3850 Lake Street, Suite C
Macon. GA 31204
Subject: Hibbs Road NC Tower Site (No. 273437), Newport, Carteret County, NC
Project DEA No. 21005008
Dear Mr Kurz-
Dee Freeman
Secretary
The Natural Heritage Program has records of rare species, significant natural heritage areas, and
conservation/managed areas adjacent to the project site. The site lies immediately adjacent, to the north
and west of Croatan National Forest, which was not mentioned in the project description In addition,
the Nationally significant Hibbs Road Pine Ridges lies in this part of the national forest, south to the
property line boundary (immediately adjacent to the site) (see enclosure), In addition, there are several
populations of the Federally Endangered rough -leaf loosestrife (Lysi tachia asperulifolia), within 0.15 -
mile of the project site, on this natural area In fact, several locations of this rare plant lie on the natural
area, Theie is also an active cluster of the Federally Endangered red - cockaded woodpecker (Picoides
borealis) on the Croatan land, roughly 0 20 mile north of the project site (see enclosed map)
The project site contains considerable wetlands, and both longleaf pine and pond pine are stated as
occurring on the site Thus, there is the potential for the loosestrife to occur on the site We recommend
a biological inventory of the project site, in particular a search for the loosestrife and the woodpecker It
is also imperative that the U S Forest Service be contacted about this project, as it abuts their property
and has the potential to negatively impact this edge of their land.
You may wish to check the Natural Heritage Program database website at www.ncnhp.org for a listing of
rare plants and animals and significant natural communities in the county and on the quad map Our
Program also has a new website that allows users to obtain information on element occurrences and
significant natural heritage areas within two miles of a given location•
<http / /nhpweb ennstate nc us /nhis /public /gmap75_main.phtml >. The user name is "public" and the
password is "heritage" You may want to click "Help" for more information
NC OneMap now provides digital Natural Heritage data online for free This service provides site
specific information on GIS layers with Natural Heritage Program rare species occurrences and
Significant Natural Heritage Areas The NC OneMap website provides Element Occurrence (EO) ID
numbers (instead of species name), and the data user is then encouraged to contact the Natural Heritage
Program for detailed information. This service allows the user to quickly and efficiently get site specific
NHP data without visiting the NHP workroom or waiting for the Information Request to be answered by
NHP staff For more information about data formats and access, visit <www nconemap.com >_ then click
on " FTP Data Download', and then "nheo.zip" [to the right of "Natural Heritage Element Occurrences'']
You may also e -mail NC OneMap at <datad(a),ncmai1.net> for more information
1601 Mail Service Center, Raleigh, North Carolina 27699 -1601 One /UO�000
Phone 919- 733 -49841 FAX 919 - 715 -3060 Internet www enr state nc us North Carolina
An Equal Opportunity 1 Affirmative Achon Employer - 50% Recycled l 10% Post Consumer Paper Naturallrl
Please do not hesitate to contact me at 919 -715 -8697 if you have questions or need further information.
Sincerely,
Harry E LeGrand, Jr, Zoologists
Natural Heritage Program
Enclosures
cc Rachelle Powell, Croatan National Forest
L4f I ; m a el"A'
AqFA"xC-.I'-&
X�7
it
SITE NAME: Hibbs Road Pine Ridges
SITE NUMBER: CA12 SIZE: about 2200 acres
SITE SIGNIFICANCE: A (National)
LOCATION: West - central portion of Carteret County, in the extreme southern
portion of Croatan National Forest; located west of Hibbs Road (SR 1141) and
east of Nine Foot Road (SR 1124), both north and south of Forest Service Road
154.
QUAD MAPS: Masontown, Newport
SIGNIFICANT FEATURES:
1. The natural area features an excellent example of a linear series of
relict beach ridges and swales.
2. The natural area features a high diversity of plants, with 9 rare
species, several of which are Federal candidate species and one of which --
rough -leaf loosestrife (Lysimachia asperulifolia) -- is a Federally Endangered
species.
3. Two rare bird species -- red- cockaded woodpecker (Picoides borealis)
and Bachman's sparrow (Aimophila aestivalis) -- are present in the natural
area.
GENERAL DESCRIPTION:
The natural area consists of a parallel series of well- defined relict beach
ridges of Pleistocene age. The ridges and the associated swales are aligned
in a west - southwest - east - northeast fashion. Most of the ridges are narrow,
with some being only 100 feet across; most are just 1 - 2 feet higher than the
interlying swales. Some of the ridges are as much as 5 feet above the
adjacent swales. The ridges comprise about 40% of the area and the swales the
remaining 60 %.
Most of the ridges contain a Wet Pine Flatwoods natural community, but the
highest sections contain both Pine /Scrub Oak Sandhill and Xeric Sandhill Scrub
communities. In all cases, the canopy trees are rather young, being no more
than 30 - 40 feet high and 6 - 8 inches in trunk diameter, probably owing to
catastropic fires that killed canopy trees a few decades ago.
The flatwoods feature longleaf pine (Pinus palustris) as the canopy tree.
The shrub layer contains inkberry (Ilex qlabra) and creeping blueberry
(Vaccinium crassifolium) as common components, with wiregrass (Aristida
stricta) typically the dominant herb. Of greatest significance are the
ecotones between the flatwoods and the pocosins, which vegetate the swales.
The vegetation is much more diverse in these ecotones, and most of the rare
plants are found in the extensive, linear ecotones. The scrub oak communities
contain a mix of turkey oak (Quercus laevis) and some bluejack oak (Q< incana)
with the longleaf pine. The pocosins in the swales contain pond pine (P.
serotina) as the main canopy tree. The understory features loblolly -bay
(Gordonia lasianthus), fetterbush (Lyonia lucida), sweet gallberry (Ilex
coriacea), and titi (Cyrilla racemiflora) as common species. Species such as
sheep -kill (Kalmia angustifolia), honey -cup (Zenobia pulverulenta), leatherleaf
(Cassandra calyculata), and yellow pitcherplant (Sarracenia flava) occur in
lower and more open sites in the swales.
The natural area, though not significant in terms of natural communities or
maturity of the communities, contains a remarkable array of herbaceous plants,
203
including 9 rare species. One of the largest known populations of the
Federally Endangered rough -leaf loosestrife (Lysimachia asperulifolia) occurs
in the ecotones. Over 1000 individuals of the Federal Candidate Carolina
asphodel (Tofieldia lg abra) were found in a 1991 survey, perhaps the largest
known population of the species anywhere. Other rare plants are the State
Endangered pinebarrens sandreed (Calamovilfa brevipilis); 5 State Candidate
plants -- branched gerardia (Agalinis virgata), savanna milkweed (Asclepius
pedicellata), Venus' flytrap (Dionaea muscipula), savanna cowbane (Oxypolis
ternata), and Carolina goldenrod (Solidago pulchra); and the "significantly
rare" pinebarrens goober grass (Amphicarpum purshii). Other scarce herbs
include pine barren gentian (Gentiana autumnalis) and Loomis' loosestrife
(Lysimachia loomisii).
A colony of the Endangered red - cockaded woodpecker (Picoides borealis)
occurs adjacent to Hibbs Road, and the Special Concern Bachman's sparrow
(Aimophila aestivalis) also occurs near this road. There is the potential for
other rare animals, including the eastern diamondback rattlesnake (Crotalus
adamanteus), one of which was killed in the fall of 1991 near Newport.
OWNERSHIP: Approximately 90% of the natural area is owned by the U.S. Forest
Service -- Croatan National Forest. The remainder is in private ownership.
PROTECTION STATUS: The Forest Service property is protected according to that
agency's regulations. However, there is no formal protection, such as a
registry agreement, for any of the natural area.
RECOMMENDATIONS FOR MANAGEMENT OR PROTECTION: The primary management
recommendation is for more frequent burning of the site by the Forest Service.
At present, the area appears to have gone many years without a fire. Fire is
needed to maintain the high diversity of herbaceous species, to reduce the
fuel load of hardwood species, and maintain habitat for the red - cockaded
woodpecker. Most of the area is suitable for registry as a N.C. Natural
Heritage Area, and the Natural Heritage Program should work with the Forest
Service to ensure protection. The Forest Service should consider acquisition
of portions of private property, particularly the wedge of land that extends
in a westerly direction along the northern boundary of the natural area.
COMMENTS: A section in the center of the natural area, just south of FSR 154,
has been excluded from the site because it is currently a landfill. Also, a
former landfill is located along the southern boundary. The present landfill
is expected to close soon, perhaps in 1992. John Fussell (pers. comm., 1991)
believes that the current landfill may have destroyed as many as 1000
individuals of rough -leaf loosestrife, based on his finding of considerable
numbers in habitats similar to those destroyed by the landfill. It is clear
from the references listed below that the 2 landfills eliminated much habitat
for rare plants, and that perhaps better locations could have been found for
siting the landfills. It is expected that other rare animals, such as mimic
glass lizard (Ophisaurus mimicus), are present in the natural area. Though
considerable time has been spent surveying the area, many miles of ecotones
are present, and much more field work is needed.
REFERENCES: Wilson (1983), Fussell (1991e)
204
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205
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APPENDIX H
STORMWATER MANAGEMENT PERMIT REVISION FORM
ENVIRONMENT ill, CORPORAL ION OF AMERICA
Atlanta, GA I Asheville, NC I Chicago, IL I Nashville, TN I West Palm Beach, FL i www eca -usa com 1 (770) 667 -2040
DEMLR USE ONLY
Date Received Fee Paid (express only) Permit Number
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT PLAN REVISION APPLICATION FORM
This form may be photocopied far use as an original
I. GENERAL INFORMATION
1. Stormwater Management Permit Number: SW8110419
2. Project Name Hibbs Road Americant Tower Site 273437
3 Permit Holder's name (specify the name of the corporation, individual, etc.):
American Towers LLC
4 Print Owner /Sigmng Official's name and title (person legally responsible for permit).
Till W House (Project Manager, Site Development Services with American Tower CorporatioLi)
5 Mailing Address for person listed in item 2 above.
3500 Regency Parkway Suite 100
City:Cary State :NC Zip:27518 -7723
Phone: (919 466 -5163 Fax: (919 ) 466 -5415
Email:jill.house®americantower.com
II. PLAN REVISION INFORMATION
1 Summarize the plan revision proposed (attach additional pages if needed)-
The proposed developments access drive was reduced from a 20' wide gravel access drive to a
12' wide gravel access drive Clearing Limits and Limits of Disturbance were also reduced.
III. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. The complete
application package should be submitted to the DEMLR Office that issued the permit.
1 Please indicate that you have provided the following required information by mitialing in the space provided
next to each item
Initials
• Original £a 1 copy of the Plan Revision Application Form
• Two (2) copies of revised plans (must be revisions of original approved plan sheet(s))
If applying for Express review (only available in 20 coastal counties)
• Application fee of $500.00 (made payable to NCDENR)
VI. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in General Information, item 3) Ji II W. House
certify that I have authorized these plan revisions and that the information included on this plan revision
application is, to th) best of my knowledge, correct and complete.
Signature: Date: O
Plan Revision Form Rev. Oct. 31, 2013
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NOTES.
1. THIS SITE IS LOCATED IN CARTERET COUNTY AND DRAINS TO
LEGEND SITE DATA MATERIAL A I I :S
THE HULL SWAMP (STREAM CLASSIFICATION: C) WHICH IS
A NON -SA WATER WITHIN THE ,WHITE OAK RIVER BASIN.
+ + + +t EXISTING SITE AREA:
33.64 AC CONCRETE: 580 CUBIC FEET
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W ETLANDS EXISTING IMPERVIOUS AREA: 0.00 AC (0.00 %) STRUCTURAL .FILL: 27,128 CUBIC FEET
E- �
2. RUNOFF FROM IMPERVIOUS SURFACES SHALL BE IN THE FORM
PROPOSED. PROPOSED IMPERVIOUS AREA: 1.42
AC (4.2!) #57 STONE: 30,928 CUBIC FEET"
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OF SHEET FLOW TO THE MAXIMUM EXTENT PRACTICABLE.
WETLAND IMPACTS AREA TO BE CLEARED OF
ASPHALT: 116 CUBIC FEET
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3. THIS PROPERTY IS NOT LOCATED IN A FLOOD ZONE ACCORDING TO
VEGETATION: 2.43 AC (7.27.)
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FEMA COMMUNITY PANEL #3720634700J, DATED JULY 16, 2003.
PROPOSED WETLAND FILL:
0.42 AC
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4. HYDROLOGY OF REMAINING WETLANDS WILL BE MAINTAINED DURING AND
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AFTER CONSTRUCTION.
LAND
LL.
WETLANDS (OUTSIDE FILL AREA)
0.28 AC
MATERIAL QUANTITIES
111
5. PRIOR TO ANY SITE WORK, INCLUDING CLEARING AND GRUBBING, WITHIN
W
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TOTAL PROPOSED WETLAND IMPACT:
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JURISDICTIONAL RPW IMPACT:
30 FEET CONCRETE: 0 CUBIC FEET
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6. SITE WORK WITHIN WETLANDS MUST BE KEPT TO A MINIMUM.
STRUCTURAL FILL: 9,224 CUBIC .FEET.
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7. SELF - INSPECTIONS SHOULD BE COMPLETED ACCORDING TO THE SELF -
#57 STONE: 9;224 CUBIC FEET
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INSPECTION PROGRAM REQUIREMENTS PER NCDENR. ALL SELF-
ASPHALT: O CUBIC FEET
INSPECTION REPORTS SHOULD BE KEPT ON SITE FOR THE DURATION
OF THE PROJECT.
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8. CONACT DLR OFFICE AT (910) 796 -7215 PRIOR TO PRE - CONSTRUCTION
MEETING.
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