19860108 Ver 1_COMPLETE FILE_19860101

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DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
Comments concerning an application for State Federal CAMA Permit(s) from
A. PERMIT:
This office cannot comment on this project until after the close of the Section
401 Certification Public Comments Period.
This office has no objection to the issuance of the permit(s) for the proposed
`project with the following conditions:
B.
That the activity be conducted in such a manner as to prevent significant
increases in turbidity outside the area of construction or construction-
related discharge (increases of 25 NTU's or less are not considered
significant).
That the instream turbidity not be increased by more than 50 NTU's as a
result of he proposed aeti-vity, afte ..g.
zeescBSa4le tibr? and mixture.
That turbidity levels in shall not be increased
by more than 10 NTU's as,-a result of .the `proposed activity after a reason-
able opportunity for dilution.and mixture.
CERTIFICATION STATUS:
Certification is not required.
for this project.
No. 1431 issued on October 16,
1980, for boat ramp construction.
B) No. 1272 issued on November 10, E) No. 1664 issued on September 8,
1978, for bulkhead construction. 1983, for Rip-Rap Placement.
C) No. 1273 issued on November 10, F) No. 1665 issued on September 19,
1978, for discharges of liquid 1983, for incidental bridge
effluent from diked upland disposal construction.
areas.
d -6
WATER QUALITY SECTIO '
DIVISION OF ENVIRONMENTA MANAGEMENT
Certification is required for
this project. Such action to
process the certification has
been initiated. Proposed
Certification will be acted on
or after
The proposed project is.certified
under General Certification
A) No. 1179 issued on January 25, D)
1977, for sewer line construction
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
Comments concerning an application for State Federal CAMA Permit(s) fron
A. PERMIT:
This office cannot comment on this Project until. after the close of the Section
401 Certification Public Comments Period.
This office has no objection to.the issuance of.the,permit(s) for the proposed
project with the following conditions::
That the activity be conducted in such a manner as to prevent significant
increases in'turbidity outside the area of construction or construction-
related discharge..(increases.of 25 NTU's.or less are not considered
significant).
That the - n6tream turbidity not be increased by more than 50ass :.
rte, .it..lt of° hq ;:kan
s? .__- ?-- x
o` ' d 1'tioi?'?a?ird?if?..;Y
?' It ?
" ?'4:7 .?tkCww" cul?.etY^v try ?d L,ICL ava vnT ,:;:?,.
„ ? ,_,?..?,. ?. ? ,;;??;. z
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B. CERTIFICATION STATUS:
Certification is note required'
for this project.
Certification:is required for
this project. Such action to,
process the certification has "
been initiated. Proposed
Certification will be acted on
or after
The proposed,.project is certified
under General;,Certification
A) No. 1179 issued on January 25,E D) No 1431 issued on October 16,
1977, for ;sewer line construction 1980, for boat ramp construction.
B) No. 1272 issued on'November 10, E) No. 1664 issued on September 8,
1978, for bulkhead' construction. 1983, for Rip-Rap Placement.
C) No.'1273 issued on November 10, F) No. 1665 issued on September 15,
1978, for discharges of liquid 1983, for incidental bridge
effluent from diked upland disposal construction.
areas.

WATER QUALITY SECTIO ..,
DIVISION OF ENVIRONMENTAL` °MANAGEMENT
Apr-
. Ir
February 4, 1986
MEMO TO: Bill Mills
Operations Branch
FROM: Michael F. Williams
Wilmington Region Office
THRU: A. Preston Howard, Jr.
Wilmington Regional Office
SUBJECT: Regional Office Review and Recommendations
Application for Permit for Escavation and/or Fill
Lynn Eury, Taylors Creek
Carteret County
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,?4 19
"I''?.rioglij? . `'86
MS?Rq? T/O?
The applicant proposes to construct a "T-Head" pier extension beyond a
commercial property located adjacent to Taylors Creek in Beaufort, NC,
classified SC.
The project has been reviewed to determine impacts to water quality.
The following comments are provided:
1. The project will not require 401 Certification.
2. This office has no objection to the project as proposed.
;?AL Mti[Vi?l1•;1;L1v1. :..,, ? _._ _. .:
P'.ast Track FIP.LD INVESTIGATION Rl'P01:T Long. 76 39 45
LYNN IEURY
1. Applicant's name
2. Location of project site 703 front Street, Beaufox•t,?y?r?`artnr?}
3, Investigation type: Dredge & Fill CAMA X
4. Investigative procedure: (A) Dates of site visit 11
(13) Was applicant present
5. Processing procedure: Application received 1 -2-8r Office- D48;_.t^t??-C-j-J??7
6. Site description: (A) Local Land Use Plan Beaufort
Land classification from LUP
Development constraints identified in LU -i?oa a:s??#€ t^---
(Ii) AEC(s) involved: Ocean Hazard Estuarine shoreline
Coastal wetlands X Public trust waters X
Estuarine waters X Other
(C) Water dependent: Yes No Other _
(D) Intended use: Public Pr{vate Commercial
(E) Type of waste water treatment: Existing-___D
Planned none
(F) Type of structures: Existing (-rp _
Planned none
(G) Estimated annual rate of erosion_ N ?Z1_ Source--.,,,/,,,- _
7. Habitat description: AREA
(A) Vegetated wetlands: Dredged Filled Other
(13) Non-vegetated wetlands:
(C) Other:
Deck. (over water)
(D) Total area disturbed:

8. Project sUm!Il.il'y-?111I?1.] Cit7'1t- ?? f?F?-? <) 'i:?}1 Tr> ti- C'C C'?:"-?ti}'1 3Z.1 p.t ..?.:'S-('T?:Illlii:l.
property ?,t 700 131ocl P?'ont St1700t,
Narrative description
F The applicant's propcr.ty is a 1/4 acre tract located on the water
side of Front Street in the 700 block adjacent to Taylors Crc(-,k in
t The ropcrty appears to be an area that was filled
Carteret Coun } . p
prior to permit requirements; it is bulkhead.ed, and currently has no
structures other than rental piers attached to the bulkhead. At the
present time the applicant has eight slips at the site.
The applicant is proposing to construct a small deck on the southeast
side of the pruper_ty to be attached to one of the existing piers and
to the bulkhead. The deck will be. about 12' x 12' square and will be
constructed out of wood.
10. Anticipated impacts
Construction of this deck as proposed
mately 144 sq.ft. of intertidal area.
SC according to DEM and is presently
will involve cot%ering appr_oxi-
Taylors Creek is classified as
closed to the taking of shellfish.
Submitted ID), _ _Nc]-son P<lu1^-- --;--
Date 1981)
t'lJtt i?c7 - 1
PERMIT TO EXCAVATE ANDJOR F11_L WAT17 R QUALITY CERTIFICATION
EASEMENT rFRI_U BY WATER CAMA PERMIT FOR MAJOR DEVEI',OI'N1ENEASEMENT IN LANDS COQ
r(tiy
Department of Administration state of Notth Carolina Depar nS4ntl of .."-: tllc A
(mss 146-12) Department of Natural RcsourLcs and Community Development Corps '1` h.ny,tnccrs, 19ilminKtun e)ititrjcl,.?,
(GS 113-229,143-215.3(1)(1), 143-215.3(c), 113A•1.18 (33 CFR ZU`.t:32ti:ng)__'•
Please type or print and fill in all blanks. If information is not applicable, so indicate by placing N/A in blank.
1. Applicant Information r
A. Name Middle
Last First
B. Address --
Street, 11. O. Box or Route i
City or Town State Zip Code Phone
11. Location of Proposed Project:, '
A. County
B. 1. City, town, community or landmark
2. Is proposed work within city limits? Yes t? No
C. Creel;, river, sound ur bay upon which project is located or nearest named body of water to project
Ill. Description of Project
A. 1. Maintenance of existing project 2. New work
6. Purpose of c>:ca.ati:;n or fill
1. Access channel. !.__Iength width depth -- - -
2. Boat basin length width depth ---
3. Fill area length width depth
4. Other length width- depth
C. 1. Bulkhead length Average distance waterward of MHW (shoreline)
2. Type of bulkhead construction (material)
D. Excavated material (total for project) .
.1. Cubic yards __2. Type of material
E. Fill material to be placed below h11AV (set: also VI. Al
1. Cubic yards- _ 2. Type of material
IV. Land Type, Disposal Area, and Construction Equipment:
A. Does the .rrea to be excavated include any marshland, ,wamps or otter wetland? Yes _ No
B. Does the disposal area include any marshland, swarnf:s or other well: rtd? Yes __No
C. Disposal Area
1, Location
2• Do )'Oil claim title to disposal arc.t?
D: fill material source if till is to be trucked in
E. Flow will excavated material he entr.tpped and erosion controlled? -
I,,. 'lypc of c(Juil)rnent 1o h:
Will nt•trshl.tnd hr unssrrl in iransrattilw, eyuiprncrtt to;,rojeet site? If ycs, explain _,__ ---- -- -
C r?111
.? to/•ta
3, Ilvusing Development or Industrial
4, Other
8. 1. Lot size (s)
i
2. Elevation of lot(s) above mean high water - - "?
3. Soil type and texture , ' S ------- - r
4. Type of building facilities or structures --
5, Sew. gc disposal and/or waste water trea- n ent A. Existin,, Planned
B. Describe -- '--
6. 'Land Classification (circle one) `_LOPED) TRANSITIONAL C01MhtUNITY -RURAL
CONSERVATION OTHER .(See CAMA Local Land Use Plan Synopsis)
11. Pertaining to Fill and Water Quality:
A. Does the proposed project involve the placement of fiil fnaterials below mean high water? Yes • No
U. 1. Will any runoff or discharge enter adiaccrlt.waters as a reytlt of project actil ity or planned use of the
area following project completion? Yes_.__No
2. Type of discharge --
3. Location of discharge
'II. Present talc of shctcline erosion (if known)::.
li. List permit nurlbcis and issue dates of previous Department of Army Corps of Engineers or State permits for
work in project area, if applicable:
X. Length of tir-le required to complete project:
in addition to the corl;pleted application form, the following iterns must be provid^d:
Attach a copy of the deed (with State application only) or odicr instrunlerlt under which appiicant
1?.
claims title to the affected property. OR if applicant is not claiming to be the owner of said property,
tiler, forward a copy of the deed or other instrument under which the owner claims title plus written
permission from the owner to carry out the project on his land.
1?;eAttach an accurate work plat drawn to scale on S% X 11" white paper (see instruction booklet for
details). Note: Original drawings preferred - only high quality copies accepted.
`C. A copy of the application and plat must be served upon adjacent riparian la
certified mail or by publication (G.S. 113-229 (d))Enter date served
/ registered or
,
D. List names and complete addresses of the riparian landowners with property adjoining applicant's.
Such owners have 30 days in which to submit comments to a, encies listed below. I
XI. CertifiCation rvquirement: I certify that to the best of my knowledl,C, the proposed activity eompIie s
wtt11 the State of North Caro!ina'i :'pprovcd coastal m:,nagcn1cn1 proi,rani and wi:l be eonCILIM'd in a
manner consistent with such pro,,ran1.
,1I. Any pcrrnit issu:-.1 pursuant to this application will allow only the dcvc1opment described in this :Il phi
cation and pl; t. A;,;fllcarits should therelofe descrihe in the ap;fliiatinn Ind pia! II antieip;-ted devel-
opnlent : etivlllci, inJudlnl; Co;v1trllC1;on, CXC.VvV Moll, fillint„ Ild LWd Cleo, illy.
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"F L Track OFFICE 017 CO'AS,TAL ' IANAG! MENT
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` Lat.
Gong. 34
76 42
39 52
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FIELD TC?:1.
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REPORT

blNb3 l,u[ Y
1 Applicant's aame
2. Lccati.on of project: site 703 Yt rontA
3. Invcstigation type. Dr ed,, & Fill CAMA
4. in•uestiga ive procedure: (A Dates of
(B) Was applicant preseat__xr,s
5. Processing procedure: Application received l-Office---,, ?it?`z•el-?i:t?
6. Site description: (A) Local Land Use Plan Beaufort
Land classification from LUPM???
Development constraints identified in LU
(B) AEC(s) involved: Ocean Hazard Estuarine shoreline
Coastal wetlands__X__?____ Public trust waters--,____..._....-._
Estuarine waters X Other^
(C) Water dependent: Yes _ No ? Other
(D)- Intended use: Public Pf??ze Commercial
(E) Type of waste water treatment: Existing_,,_,n
Planned none
(F) Type of.structures: Existing. rS
_
Planned none
(G) Estimated.annual rate of erosion. Source_ //A
7. Habi tat description: AREA
(A) vegetated wetlands: Dredged
Jtl?.t.r
Filled
(B) Non-vegetated wetlands:
(C) Other:
Deck (over wa.ter_
(D) Total area dist:urbe'd:
_ 144 sa ff_ t.?.?
8. Project summary Z?,?l.arm--"?a,e__,t-:f?--Ee>itr?c.--ix-clrc)? ?tr7jactrc? ?'-ctsttatr?r?2`l
roPert at 700 Block Front Sl-rcet Ta°1ors Creek Beaufort arks °ttif_ .fz Caf.?.
* ,4
9. Narrative description
The applicant's property is a 1/4 acre tract located on the water
side of Front Street in the 700 block adjacent to Taylors Creek in
Carteret County. The property appears to be an area that was filled
prior to permit requirements; it is bull,-,headed, and currently has no
structures other than rental piers attached to the bulkhead. At the
present time the applicant has eight slips at the site.
The applicant is proposing to construct a small deck on the southeast
side of the property to be attached to one of the existing piers and
to the bulkhead. The deck will be about 12' x 12' square and will be
constructed out of wood.
10. Anticipated impacts
construction of this deck as proposed will involve covering approxi-
mately 144 sq.ft. of intertidal area. Taylors Creel-, is classified as
SC according to DEM and is presently closed to the taking of shellfish.
Submitted by --Nelson Paul Date Jan. 23, 1.986
PERMIT TO EXCAVATE AND/OR-I`ILL
EASEMENT IN LANDS COVERLD BY WATER
FOR ?
-• 1 it ? ?t r
ON ,! Il
WATER QUALITY CERT117161 I ,
L._
ClrMA PERMIT FOR MAJOR DE')EI't OP14jE NY ^• I
D a of tl c Ar ? ;
cf Administration State of North Carolina epu nt 1...-_ m y
Department t"J
(GS 146-12) Department of Natural Resources and Community Development Corps ?. 'iiNmecrs, 1V),- - ton Uissr
(GS 113.229, 143.215.3(a)(1), 143-215.3(c), 113A-1.18 (33 CFA 209'320='3.24)"`
Please type or print and fill in all blanks. If information is not applicable, so indicate by placing N/A in blank.
1. Applicant Information < E )
A. Name _ ____ _ - -. '?---- -- --°
Last First Middle
B. Address
Street, P. O. Box or Route ?
.?...e. 6 ? -- Zip^Code+ Phone ? ?'? • .
State
City or Town J a
11, Location of Proposed Project:.
A. County
B. 1. City, town, community or landmark
2.. Is proposed work within city limits? Yes t.° No
C. Creek, river, sound or bay upon which project is located or nearest named body of water to project _? .. .? ----------
r
III. Description of Project
A. 1. Maintenance of existing project 2. New work _,/----
S. Purpose of excavation or fill
1. Access channel lcn th - -width -depth --• -
2. Boat basinlength width depth
3. Fill area length width depth
4. Other _ length - width. ----depth ??-----------
C. 1. Bulkhead length Average distance waterward of MH4W (shoreline)
2• Type of bulkhead construction (material) - ------T-
D. Excavated material (total for project)
1. Cubic yards ._--.._-2. Type of material -- °-`-`
E. hill material to be placed below h1IRV (we also VI. A)
1. Cubic yards --- ______.2. Type of material -- -- °° -°
IV. Land Type, Disposal Area, and Construction Equipment:
A. Does the area to be excavated include any marshland, swamps or other wetland? Yes .??._ No
B. Does the disposal area include any marshland, swamps or other wetland?. Yes..W_._._.No
C. Disposal Area-
l. Location - -- -----
2, Do you claim title to disposal area? _
D: Fill material source if fill is to be trucked in - -- - `- '
E.; plow will exCavated material be entrapped and erosion controlled?- - -
I,. ,Type of equipment to he used
p g prof
Y -'-
(?. Will marshland be crossrsi in trans >rtin equipment to ect site? . If es, explain MF-B1
Irv In/7R
A, 11.,c?Vivate
2. Commercial
3. Housing DCVCloprnent or Industrial
4. Other -------------- - -
13. 1. Lot site(s) --
,fy ' r
2. Elevation of lot(s) above mean high water"' ---
3. Soil type and texture
.4. Type of building facilities or structures L
5. Sewage disposal and/or waste water treatment A. Existing Planned
B. Describe
6. 'Land Classification' (circle one) kI'EVELOPED `) TRANSITIONAL COMMUNITY -RURAL
CONSERVATION OTHER _.._.(See CAMA Local Land Use Plan Synopsis)
VI. Pertaining to Fill and Water Quality:
A. Does the proposed project involve the placement of fill materials below mean high water? Yes No
L. 1. Will any runoff or discharge enter adjacent waters as a remelt of project activity or planned use of the
area foilowing project completion? Yes____.No -?
2. Type of discharge
3. Location of discharge - -- -- - `?
'I1. Present rate of shoreline erosion (if known): t / ''°`' -----?-- -- -
Ili. List permit numbers and issue dates of previous Department of Army Corps of Engineers or State permits for
work in project area, if applicable: --
Y. Length of time required to complete project:'''-
X. In addition to the completed application form, the following items must be provided:
.'Attac'h a copy of the deed (with State application only) or other instrurent under which applicant
claims title to the affected property. OR if applicant is not claiming to be the owner of said property,
then forward a copy of the deed or other instrument under which the owner claims title plus written
permission from the owner to carry out the project on his land.
Attach an accurate work plat drawn to scale on 8%z X 11"white paper (see instruction booklet for
details). Note: Original drawings preferred - only high quality copies accepted.
C. A copy of the application and plat must be served upon adjacent riparian lando
certified mail or by publication (G.S. 113-229 (d))Enter date served
registered or
D. List names and complete addresses of the riparian landowners with property adjoining applicant's.
Such owners have 30 days in which to submit comments to agencies listed below.
XI. Certification requirement: I certify that to the best of my knowledge, the proposed activity complies
with the State of North Carolina's approved coastal management program and will be conducted in a
manner consistent with such program.
otl. Any permit issued pursuant to this application will allow only the development described in this appli-
cation and plat. Applicants should therefore describe in the application and plat all anticipated devel-
opment activities, including construction, excavation, filling, and land clearing.
- Applr /P s Signature
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Permit Class
New STATE OF NORTH CAROLINA
Department of Natural mmunity Development
' 1' ` CAw
X Mai 1 "in

`lb_ a,_ 717c
to NCGS 113-229
Issued to Lynn Wade Eury, 4604 Woodridge Drive, Raleigh, NC 27612
Permit Number
37-86
authorizing development in Carteret County at Taylors Creek, 703 Front St.,
Beaufort, NC as requested in the permittee's application dated 1/6/86 including
attached plat dated 12/29/85>>.
This permit, issued on b , is subject to compliance with the application (where consistent
with the permit), all applicable regulations, special conditions and notes set forth below. Any violation of these terms may subject
permittee to a fine, imprisonment or civil action; or may cause the permit to be null and void.
(1) The project will be constructed in strict accordance with the project plans.
(2) The activity will'i be conducted in such a.manner as to prevent significant
increases 'in-turbidity outside the area of construction or construction-related
discharge.
NOTE: Future development on the permittee's property may require a modification
to this permit. Contact the Division of Coastal Management at (919)
726-7021 prior to such action.
This permit action may be appealed by the permittee
or other qualified persons within twenty (20) days of the
issuing date. An appeal requires resolution prior to work
initiation or continuance, as the case may be.
This permit must be accessible on-site to Department
personnel when the project is inspected for compliance.
Any maintenance work or project modification
not covered hereunder requires further Departmental
approval.
All work must cease when the permit expires on
December 31. 1989
In issuing this permit, the State of North Carolina
agrees that your project is consistent with the North
Carolina Coastal Management Program.
Signed by the authority of the Secretary of DNRCD and
the Chairman of the Coastal Resources Commission.
David W. ens, Director
Division of Coastal Management
This permit and its conditions are hereby accepted.
Signature of Permittee
APPLICATION
FOR
Uo
PERMIT TO EXCAVATE AND/OK FILL WATER QUALITY CERTIFI ATIUN..;
` tr
EASEMENT IN LANDS COVERED BY WATER CAMA PERMIT FOR.MAJOR DE PM zlf- Department of Administration State of North Carolina DeP k_49tn (GS 14612) Department of Natural Resources and Community Development Corpgineers, Wilmington Dissrjr,,j,,.,.
(GS 113-229,143-215.3(a)(1), 143-215.3(c), 113A•118 (33 CFA-1169:9'l+ M9)---
Please type or print and fill in all blanks. If information is not applicable, so indicate by placing N/A in blank.
1. Applicant Information
A. Name
vt

-
Last Fir ii, Middle
1 r? ?_"
B. Address 14 )tlr,?lr".Z' I.
/ Street, P. O. Box or Route
MM 7 yy
14
City or Town State Zip Code Phone
11. Location of Proposed Project:
A. County 2'?
B. 1. City, town, community or landmark ' +aVOG 704
2, Is proposed work within city limits? Yes 1000' No
C. Creek, river, sound or bay upon which project is located or nearest named body of water to project
Ill. Description of Project !
?'?:'r?+"
A. 1. Maintenance of existing project 2. New work
B. Purpose of excavation or fill
1. Access channel length - -width depth
2. Boat basin length width depth
3. Fill area length width depth
4. Other length width depth -
C. 1. Bulkhead length Average distance waterward of MHW (shoreline)
2. Type of bulkhead construction (material)
D. Excavated material (total for project)
1. Cubic yards T2. Type of material E. Hill material to be placed below h1H14' (see also VI. A) ,
1. Cubic yards 2. Type of material - -
IV. Land Type, Disposal Area, and Construction Equipment:
A. Does the area tu be excavated include any marshland, swamps or other wetland? Yes No
B. Does the disposal area include any marshland, swamps or other wetland? Yes No
C. Disposal Area
1. Location
2. Do you claim title to disposal area?
D: Fill material source if fill is to be trucked in
E.' How will excavated material be entrapped and erosion controlled?. --
V,. 'I ype of equipment to be used - - -°
4?. Will marshland be crossed in transporting equipment to project site? If yes, explain
D& F-B t
aov Inl7N
v. ?rn,•7n0en use of rrolect Area (Describe)
.,A* 1. Private
2. Commercial / t'!1 &,gg 7t A ?-
3. Housing Development or Industrial
4. Other
B. 1. Lot size(s)
2. Elevation of lot(s) above mean high water'./ as -
3. Soil type and texture
4. Type of building.facil
5. Sewage disposal and/or waste water treatment A. Existing Planned
B. Describe
6. 'Land Classification (circle one) EVELOPE? TRANSITIONAL COMMUNITY RURAL
CONSERVATION THER (See CAMA Local Land Use Plan Synopsis)
VI. Pertaining to Fill and Water QuIlity: l
A. Does the proposed project involve the placement of fill materials below mean high water? Yes No 611
0. 1. Will any runoff or discharge enter adjacent waters as a resylt of project activity or planned use of the
area following project completion? Yes-No ?/
2. Type of discharge
3. Location of discharge
VI1. Present rate of shoreline erosion (if known): AA,14
Vlll. List permit numbers and issue dates of previous Department of Army Corps of Engineers or State permits for
work in project area, if applicable: P
IX. Length of time required to complete project: elpnC 1ixrs
X. In addition to the completed application form, the following items must be provided:
Attach a copy of the deed (with State application only) or other instrument under which applicant
claims title to the affected property. OR if applicant is not claiming to be the owner of said property,
then forward a copy of the deed or other instrument under which the owner claims title plus written
permission from the owner to carry out the project on his land.
s Attach an accurate work plat drawn to scale on 8%2 X 11" white paper (see instruction booklet for
details). Note: Original drawings preferred - only high quality copies accepted.
`ZE A copy of the application and plat must be served upon adjacent riparian lando er registered or
certified mail or by publication (G.S. 113-229 (d))Enter date served
D. List names and complete addresses of the riparian landowners with property adjoining applicant's.
Such owners have 30 days in which to submit comments to agencies listed below.
? /ns . fig-" ra fr as r? G' ?BS?i'?
f!1.- ??f?' ?.?/r?,tens/?? 7.u,? s,? B?a,+,fi.fP. D. ?oY 310 ? 13?a•y>"'.?z /f/. tom, ? 8' ?'' 47
XI. Certification requirement: I certify that to the best of my knowledge, the proposed activity complies
with the State of North Carolina's approved coastal management program and will be conducted in a
manner consistent with such program.
XII. Any permit issued pursuant to this application will allow only the development described in this appli-
cation and plat. Applicants should therefore describe in the application and plat all anticipated devel-
opment activities, including construction, excavation, filling, and land clearing.
?ATE /

Applic s Signature
D&F•812 SI-r. I EVERSE'5I7E FOR MAIL!NC INST: 'JETIOi,,::',
Rev. 10/78

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