19870113 Ver 1_COMPLETE FILE_19871112

Permit Class
New
'? - °??'Department

Permit Number
220-87
Issued to Joe Gwaltney, P. 0. Box 329, Oriental, NC 28571
--- -authorizing-developmentin- --•--PamlJCO__-._-..-___.-._._.__.__County at Hog Pen Creek (off of Greens _r k)
near Oriental as requested in the permittee's application dated 8/26/87 including
attached. p,latsy 2?rplsn-view:and-location='dated received 8/27/87 =
This permit, issued on 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 conducted in strict accordance with the approved work
plats.
(2) A "no sewage discharge" policy shall be enforced by the permittee for boats
using his dock. j
(3) The activity will be conducted in such a manner as to prevent significant
increase in turbidity outside the area of construction or construction-related
discharge.
NOTE: Any further additions to the project will require permit modifications.
This permit action may be appealed by the permittee Signed by the authority of the Secretary of DNRCD and
or other qualified persons within twenty (20) days of the the Chairman of the Coastal Resources Commission.
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.
David W. Owens, Director
- -` '-M" `"- `T""Any"maintenance work"' or 'pioject"'"iriodificafion "`
not covered hereunder requires further Departmental Division of Coastal Management
approval.
All work must cease when the permit expires on This permit and its conditions are hereby accepted.
December 31. 1920
In issuing this permit; :the State of North Carolina
agrees that your project is consistent with the North
Carolina Coastal Management Program. Signature of Permittee
STATE OF NORTH CAROLINA

V
F 9 19 87
State of North Carolina
Department of Natural Resources and 'Community Development
Division of Coastal Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor David W. Owens
S. Thomas Rhodes, Secretary Director ,
October 6, 1987
Mr. Stephen G. Conrad, Director
Division of Land Resources
Raleigh, North Carolina 27611
Dear Mr. Conrad:
The attached copy of an application submitted by:
JOE GWALTNEY
Applicant's Name
Oriental Pamlico
Location of Project County
for a State permit to perform excavation and/or fill
work in coastal North Carolina and for a CAMA major
development permit...
X_ for a CAMA major development permit (only) ...
is being circulated to State and Federal agencies having jurisdiction
over the subject matter which might be affected by the project.
Please indicate on the reverse side of this form your viewpoint on
the proposed work and return it to me not later than
Sincerely, J 7
h R Parker, Jr., ief
?iaNu"?-
Major Permits Processing Section
JRP:ap:2480
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

OFFICE OF COASTAL MANAGEMENT Lat: 350119
FIELD INVESTIGATION REPORT Long: 764253
1. Applicant's Name Joe Gwaltney (David Simpson Construction Co.)
2. Location of project site
nWr%"W% y"T%"%r
3. Investigation type: Dredge & Fill
in 4Z=i1 T.nf4- Cn1hAivicn-ir,r,
4. investigative procedure:
(A) Dates of site visit 9/23/87
(B) Was applicant present
(F) Type of structures: Existing house-pier with one (1) boat-
house and one (1) finger pier
Planned one (1) additional finger pier
personal
(G) Estimated annual rate of erosion NONE Source estimate
5. Processing procedure: Application received August 27, 1987
Office Morehead City
6. Site description: (A) Local Land Use Plan Oriental
Land classification from LUP Transitional
Development constraints identified in LUP NONE
(B) AEC(s) involved: Ocean Hazard Estuarine shoreline
Coastal wetlands Public trust waters
Estuarine waters X Other
(C) Water dependent: Yes X No Other
(D) Intended use: Public Private X Commercial
(E) Type of waste water treatment: Existing Town of Oriental
Planned
7. Habitat description:
AREA
(A) Vegetated Wetlands Dredged Filled Other
(B) Non-vegetated wetlands:
(C) Other:
Pier
(open water)
20 sq. ft.
(D) Total area disturbed: 20 sq. ft.
CAMA X
8. Project summary: Applicant proposes to add 10' finger pier and
three (3) tie pilings to existing docks.
4
9. NARRATIVE DESCRIPTION: The applicant's project is located
at Ketch Court on Hog Pen Creek off Green's Creek in Sail
Loft Subdivision about one (1) mile west of the oriental
high-rise bridge in Pamlico County.
The proposed project is at a single family home and consists
of the addition of a 10' finger pier and three (3) tie
pilings. Existing structures along the shoreline include a
bulkhead and a 165' x 6' dock parallel to the bank. There
is also an existing 22' x 5' finger pier and a 24' x 15'
finger pier and boat house.
The permit application is required [7K .0203(c)(4)] because
the applicant currently has the capability to tie up four
(4) boats at his property. The applicant wishes to obtain
the additional finger pier and pilings to allow guests to
utilize the new dock spaces.
These additional "slips" will allow the docking of more than
four (4) boats and thus the application must be reviewed
through the major permit process.
10. ANTICIPATED IMPACTS: The proposed project is on Hog Pen
Creek which is classified as "SA" by the Division of
Environmental Management, categorized as closed to
shellfishing by the Division of Health Services, and
designated as a permanent secondary nursery area by the
Division of Marine Fisheries.
Approximately 20 sq. ft. of open water will be occupied by
additional docks.
The overall anticipated impact of the proposed project is
minimal. The slips located at this site will be used .
primarily by guests on the weekends. The project will not
be operated as a marina, nor will the slips be available for
rental. The site is the location of the applicant's primary
residence in a well established subdivision. The proposed
slips will be non-commercial.
PREPARED BY: W. DAVID NOBLE
DATE: OCTOBER 6, 1987
i
AUG 2 7
Pl
C .4987; 1
ease type or print.
arefully des a all an- I I( escribe the planned use of the project.
ticipated development activities, i TO TIE Ufa BoATS 'BUQWGtQG To oWA AR
tioni, excavation, filling, paving, land _cle_ejin d,=---?•?.... AND HAS GUESTS
stormwater control. If the requested informatir;nFis
not relevant to your project, write N/A (not ap-
plicable). Items 14 and 8-9 must be completed for
ll
D°
a
projects. ,
;P?_jPA?N'?
Yf! 1 ;
.
s °-'
a. Size of entire tract 040 ACRE
a. Name 12 VID 4I92SOM WQST1&C-T1W ?D. b• Size of individual lot(s) I LOT
Address RoUTE &S WA ' P64 c. Elevation of tract above mean sea level or Na-
City ARAPAHOS State WC tional Geodetic Vertical Datum 5-5
Zip _2,610 Day phone [ - 241-1361 d. Soil type(s) and texture(s) of tract

Landowner or Authorized agent
b. Project name (if any) SANDY
e. Vegetation on tract HOSTLY GRASS LAwNO
A FEW TREES
c. If the applicant is not the landowner
also give f. Man-made features now on tract OPE STORY
,
the owner's name and address FRAME Mug., SULICHEAD, Poor- BOATHOcAE -SEE DRAwtOG
.
loE GW
6,WA T Y
,JOE g. What is the CAMA Land Use Plan Classifica-

329
0, ZbX
tion of the site? (Consult the local land use
0 iEQTALI N.C. Ier-1I plan.)
Conservation Transitional

`z?IOCATION OF I'ROPOSF Developed Community
Rural Other
. h. How is the tract zoned by local governmentl

a. Street address or secondary road number i. How are adjacent waters classified?
KETCH URT Al SAIQLoFT 5ut3D%VtStoQ j• Has a professional archaeological survey been
b. City, town, community, or landmark
Of?lI:.IJTAL carried out for the tract? QO
If so, by whom?
c. County aBLICO

d. Is proposed work within city limits or lannin
`

5 'UPLAND f lEITEL
I
t
-
'
jurisdiction? fro tiE
' r
e
?'
e. ame o y of water nearest project
?OG 'PEW C>?EE _ ©FF C 2EE C2EEK Complete this section if the project includes any
upland development.
k , : - 1 11 1— _ a. Type and number of buildings, facilities, or
r3 DESCRIPTION -AND PLANNEID'. structures proposed
USE OF PROPOSED PROJECT 4
.

a. Describe all development activities you propose b. Number of lots or parcels
c. Density (Give the number of residential units
(for example, building a home, motel, marina, and the units per acre.)
bulkhead, or pier).
_ J tiJSTA I _ 3 ?11_ WGS / tJD 1 F I tJGE?Z
PIER. d. Size of area to be graded or disturbed
e. If the proposed project will disturb more than

If you plan to build a marina, also complete one acre of land, the Division of Land
Resources must receive an erosion and sedimen-
and attach Form DCM-MP-2.
b. Is the proposed activity maintenance of an ex- tation control plan at least 30 days before land

isting project, new work, or both? disturbing activity begins. If applicable, has a
sedimentation and erosion control plan been
NEW
c. Will the project be for community, private, or submitted to the Division of Land Resources?
commercial use? 11121
VAY? f. Give the percentage of the tract within 75 feet
of mean high water to be covered by im-
permeable surfaces, such as pavement,
buildings, or rooftops.
g. List the materials, such as marl, paver stone,
asphalt, or concrete, to be used for paved
surfaces.
h. If applicable, has a stormwater management
plan been submitted to the Division of En-
vironmental Management?
i. Describe proposed sewage disposal and/or waste
water treatment facilities.
j. Have these facilities received state or local
approvall
k. Describe existing treatment facilities.
1. Describe location and type of diwharges to
waters of the state (for examplersurface runoff,
sanitary wastewater, industrial/commercial
effluent, or "wash down").
m. Water supply source
n. If the project is oceanfront development,
describe the steps that will be taken to main-
tain established public beach accessways or pro-
vide new access.
o. If the project is on the oceanfront, what will
be the elevation above mean sea level of the
first habitable floor?
6 ` EXCAVATION AND FILL,
INFORMATION
a. Describe below the purpose of proposed excava-
tion or fill activities (excluding bulkheads,
which are covered in Section 7).
Length Width Depth
Access channel
(MLW) or (NWL)
Boat basin
Other (break-
water, pier,
boat ramp,
rock jetty)
Fill placed in
wetland or below
MHW
Upland fill
areas

b. Amount of material to be excavated from
- below water level in cubic yards.
c. Type of material
d. Does the area to be excavated include marsh-
land, swamps, or other . wetlands?
e. High ground excavation, in cubic yards
f. Dimensions of spoil disposal area
g. Location of spoil disposal area
h. Do you claim title to the disposal area?.
If not, attach a letter granting permission from
the owner.
i. Will a disposal area be available for future
maintenance?i.
If so, where?
j. Does the disposal area include any marshland,
swamplland,lor water areas?
k. Will the fill material be placed below mean
high water?
1. Amount of fill in cubic yards
m. Type of fill material
n. Source of fill material
o. Will fill material be placed on marsh or other
wetlands?
p. Dimensions of the wetland to be filled
q. How will excavated or fill material be kept on
site and erosion controlled?
r. What type of construction equipment will be
used (for example, dragline, backhoe, or
hydraulic dredge)?
s. Will wetlands be crossed in transporting equip-
ment to the project site? If yes, explain
the steps that will be taken to lessen en-
vironmental impacts.
1.7 SHORELL STABILIZA' Z
a. Length of bulkhead or riprap
b. Average distance waterward of mean high water
or normal water level
c. Shoreline erosion during preceding. 12 months,
in feet
d. Type of bulkhead material
e. Amount. of fill, in cubic yards, to be placed
below mean high water
f. Type of fill material

,:, I, }
§1 WiR."IP
In addition to the completed application form, the
following items must be submitted:
/A copy of the deed (with state application only) or
other instrument under which the applicant claims
title to the affected property. If the applicant is not
claiming to be the owner of said property, then for-
ward a copy of the deed or other instrument under
which the owner claims title, plus written permis-
sion from the owner to carry out the project.
/An accurate work plat (including plan view and
cross sectional drawings) drawn to scale in black
ink on 8 'h x 11 white paper. (Refer to Coastal
Resources Commission Rule 7J.0203 fora detailed
description.)
Please note that original drawings are preferred and
only high quality copies will be accepted. Blue-line
prints or other larger plats are acceptable only if 16
high quality copies are provided by the applicant. ,
(Contact the U.S. Army Corps of Engineers 'regard-
ing that agency's use of larger drawings.) A site or
location map is a part of plat requirements and it
must a su iciently detailed to guide agency per-
sonnel unfamiliar with the area to the site. Include
county road (SR) numbers, landmarks, and the like.
A stormwater management plan, if applicable, that
may have been developed in consultation with the
Division of Environmental Management.
A list of the names and complete addresses of the
adjacent waterfront (riparian) landowners. These
individuals have 30 days in which to submit com-
ments on the proposed project to the Division of
Coastal Management. The applicant must advise
the adjacent landowners of this opportunity by sen-
ding a copy of the permit application to them by
registered or certified mail. This notification is re-
quired by G:S. 113-229(d).
Name_I OWALD KNUYSOK
Address "153 I W ELLESL EY PARK
y,ALE1C2H,'J•C -
Name (!??09DOJ KELLER
Address- 1.?T, (n5
AIV, APAH0E 0C 2P)s!0
Name
Address
A list of previous state or federal permits issued
for work on the project tract. Include permit
numbers, permittee, and issuing dates.
C 3255 To JOE CAWALTME' 7- 6- 87
A check for $100 made payable to the Depart-
ment of Natural Resources and Community
Development to cover the costs of processing the
application.
A signed AEC hazard notice for projects in ocean-
front and inlet areas.
A statement on the use of public funds. If the
project involves the expenditure of public funds, at-
tach a statement documenting compliance with the
North Carolina Environmental Policy Act
(N.C.G.S. 113A-1 to 10).
I fCI?R'?'IFICATJ y
SItJN' 'O X11 ??
Any permit issued in response to this application
will allow only the development described in the
application. The project will be subject to condi-
tions and restrictions contained in the permit.
I certify that to the best of my knowledge, the pro-
posed activity complies with the State of North
Carolina's approved Coastal Management Program
and will be conducted in a manner consistent with
such program.
I further certify that I am authorized to grant, and
do in fact, grant permission to representatives of
state and federal review agencies to enter on the
aforementioned lands in connection with
evaluating information related to this permit ap-
plication and follow-up monitoring of project.
This is the ILU 41- day of Avavs+
19 67
X ?,f,1 ?c.e.?-w/
La owner or A orized agent
Send the completed application materials to the
Division of Coastal Management Office nearest you
and the U.S. Army Corps of Engineers. See the
map on the inside front cover for the appropriate
DCM office and addresses and phone number.
_.Coe WW HOMWO Plu"
PE2 PERMIT 'M,55
ExKTu,ka LbCK ? . r ? lV
,bz 41
_ poi Q
PROPOSED PI L1OCo5
TO G(-EATE 2 BOAT SLIPS
!.; \VITH FINGER PIEZ BETWEE0
0

i
i
AUG 2 71987
----------------------
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EOLTNDL)c?E 4 LwACWT PaXV To BE
EWLQR(oEO AND IZEWILT PER
CAM4 &EOaIZAL PEOHIT u 3255
P?oP??TY of JOE G\VA.LTN y
K-ET(-H COURT SAIL/LOFT IWOPIV16i100
PAHLICO GOUTY

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AUG 2 71987
----------------------

EASTINla
DQv
EXISYI?.ICo
/J
I !
FE2 PE2MIT a 3255
Q!
0
6mTHOLIse 14PJLCF-WT Rxk TO W
lruLaR(rED AND 2EBlJILT PER
GAM4 (oRNERAL PERMIT t S255
P?oPE?TY of JOE G\\)oLTO t y
KETcN COWT SAIL/LOFT SIJ$D141,; tJ
PAMLICO coboTy

w ?
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
Comments concernYng an application.for State Federal CAMA Permit(s) f
1. , - c" -0-- _ _L__ . r _

?l -
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 instream turbidity not be increased by more than 50 NTU's as a
result of the proposed activity after a reasonable opportunity for dilu-
tion 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.
B. CERTIFICATION STATUS:
/ Certification is not 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, 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 19,
1978, for discharges of liquid 1983, for incidental bridge
effluent from diked upland disposal construction.
areas. ((?? )

WATER QUALITY SECTION
DIVISION OF ENVIRONMENTAL.MANAGEMENT

NK DAT'A DF/CAMAi 40i REV DATE: i 0i 09 i 8*7
ACTION > ADD F'l:i_E > DF°CAMA40i PSWD > FORMAT > NRDFCAMA NEXT RCD > 00297
ACTION = ADD, ENTER DATA, RE Q ADDED :I: 0029 4 FRD DATA
PROJO : 00296 F'RO J : GWAL..T WEY .J(:IE COUNTY: F'AML I:C O REGION: 0*7
ASSIGNED TO: WJM a? JOINT NOTICE: N
TYPE' CERTIFICATION RECOMMENDATION DATES YYMMDD
404 PN : 401 RE: Q : ISSUE: Y RECEIVED: 80008
LAMA ONLY: Y GC: DENY: INITIAL_ REPORT:
DF /CAMA : GC:: HOLD: F"INAL. REPORT: 80 009
RECEIVING STREAM: HOG PEN CREEK CLASS: SC; BASIN: NEU
COMMENTS:
EXISTING 0.6 ACRE RESIDENTIAL LOT LOCATED NEAP: ORIENTAL
AP'P'LICANT PROPOSES A 10 FT. WOODEN FINGER PIER AND x TIE PILINGS
CONIES WARD-CENTRAL.-MILLS-NOBLE
RECEIV r"
OCT 13 1987
WATER QUALITY L RI N
OPERATIONS P. '?
r t
OFFICE OF COASTAL MANAGEMENT Lat: 350119
FIELD INVESTIGATION REPORT Long: 764253
1. Applicant's Name Joe Gwaltney (David Simpson Construction Co )
2. Location of project site Ketch Court, in Sail Lo
Flog Pen Creek, off of Green's Creek, Oriental, P
PHOTO INDEX #52-1234, D-9 (1984).
3. Investigation type: Dredge & Fill
i.vision
Countv:
CAMA X
4. Investigative procedure: u:
(A) Dates of site visit 9/23/87
(B) Was applicant present cc?
l7 L
5. Processing
g procedure: Application received August 27, 1987
Office Morehead City
6. Site description: (A) Local Land Use Plan Oriental
Land classification from LUP Transitional
Development constraints identified in LUP NONE
(B) AEC(s) involved:
Ocean Hazard Estuarine shoreline_
Coastal wetlands Public trust waters
Estuarine waters X Other
(C) Water dependent: Yes X No Other
(D) Intended use: Public Private X Commercial
(E) Type of waste water treatment: Existing Town of Oriental
Planned
(F) Type of structures: Existing house-pier with one (1) boat-
house and one (1) finger pier
Planned one (1) additional finger pier
personal
(G) Estimated annual rate of erosion NONE Source estimate
7. Habitat description:
AREA
(A) Vegetated Wetlands Dredged Filled Other
(B) Non-vegetated wetlands:
(C) Other:
Pier
(D) Total area disturbed: 20 sq. ft.
(open water)
20 sq. ft.
8. Project summary: Applicant proposes to add 10' finger pier and
three (3) tie pilings to existing docks.
9. NARRATIVE DESCRIPTION: The applicant's project is located
at Ketch Court on Hog Pen Creek off Green's Creek in Sail
Loft Subdivision about one (1) mile west of the oriental
high-rise bridge in Pamlico County.
The proposed project is at a single family home and consists
of the addition of a 10' finger pier and three (3) tie
pilings. Existing structures along the shoreline include a
bulkhead and a 165' x 6' dock parallel to the bank. There
is also an existing 22' x 5' finger pier and a 24' x 15'
finger pier and boat house.
The permit application is required [7K .0203(c)(4)] because
the applicant currently has the capability to tie up four
(4) boats at his property. The applicant wishes to obtain
the additional finger pier and pilings to allow guests to
utilize the new dock spaces.
These additional "slips" will allow the docking of more than
four (4) boats and thus the application must be reviewed
through the major permit process.
10. ANTICIPATED IMPACTS: The proposed project is on Hog Pen
Creek which is classified as "SA" by the Division of
Environmental Management, categorized as closed to
shellfishing by the Division of Health Services, and
designated as a permanent secondary nursery area by the
Division of Marine Fisheries.
Approximately 20 sq. ft. of open water will be occupied by
additional docks.
The overall anticipated impact of the proposed project is
minimal. The slips located at this site will be used
primarily by guests on the weekends. The project will not
be operated as a marina, nor will the slips be available for
rental. The site is the location of the applicant's primary
residence in a well established subdivision. The proposed
slips will be non-commercial.
PREPARED BY: W. DAVID NOBLE
DATE: OCTOBER 6, 1987
P, AUG 2 7.987;
type or print. Carefully all an- escribe the planned use of the project.
ticipated development activities, i _.To nE OP BoATS •B 0WGiN(g To QWQWZ
tion, excavation, filling, paving, IaAd c? ings•?nd.?.. AND WS GUESTS
stotmwater control. If the requested informationiis
not relevant to your project, write N/A (not ap-
plicable). Items 14 and 8.9 must be completed for `
all projects. t 44 LAND ?D •?'?'A+
a. Name DAVID 41MPSON CnJSTIZ 1-TI0N rA
Address ROU &S f3pX S64
City ASAP WOE State 11C
zip 2.8s10 ,Day phone III-249-1361
Landowner or X Authorized agent
b. Project name (if an
y)
c. If the applicant is not the landowner, also give
the owner's name and address.
JOE GWA Tt )EII
ORIENTAL, M.C28511
Z;.'LOCATION OP PROPOSD-Y -;
'PROJECT h.
<.:,,.
a. Street address or secondary road number
-9ETGH nu reT AT SAiLJLOFT sur6Diyisi0O
b. City, town, community, or landmark
OVIWT4L
C. County EA M J C0
d. Is proposed work within city limits or lannin
jurisdiction? 140 yE"
e. ame o ody of water nearest project
OCR T?EIJ C2EEK OFF 62EE 1 C2EEK
0 .DESCRIPTION AND PLANNED
USE OF PROPOSED PROJECT
a. Describe all development activities you propose
(for example, building a home, motel, marina,
bulkhead, or pier).
-LIJSTAI_l- 21LWGS ! J1G J F1Q 1.Z
Pit R.
If you plan to build a marina, also complete
and attach Form DCM-MP-2.
b. Is the proposed activity maintenance of an ex-
isting project, new work, or both?
_ f I'll 110 R r
c. Will the project be for community, private, or
commercial use?
X21 VATE-

a.
b.
C.
d.
e.
f.
g•
Size of entire tract -04P ACRE
Size of individual lot(s) I DoT
Elevation of tract above mean sea level or Na
tional Geodetic. Vertical Datum 5.5
Soil type(s) and texture(s) of tract
SAWD'f
Vegetation on tract HO%TLY GRASS AwW,
A FEW TREES
Man-made features now on tract OyE STORY
FRAME HoucE,suLKH 4D tbcK. RoATNOC?SE SEE DRAw??C?
What is the CAMA Land Use Plan Classifica-
tion of the site? (Consult the local land use
plan.)
Conservation _A Transitional
Developed Community
Rural Other
How is the tract zoned by local government?
MOOF-
How are adjacent waters classified?
Has a professional archaeological survey been
carried out for the tract? W
If so, by whom?
s 5 U
PL.'AND "DEVEL'Wg?
Complete this section if th_ a project includes any
upland development.
a. Type and number of buildings, facilities, or
structures proposed
b.
C.
units
Number of lots or parcels
Density (Give the number of residential
and the units per acre.)
d. Size of area to be graded or disturbed
If the proposed project will disturb more than
one acre of land, the Division of Land
Resources must receive an erosion and sedimen-
tation control plan at least 30 days before land
disturbing activity begins. If applicable, has a
sedimentation and erosion control plan been
submitted to the Division of Land Resources?
f. Give the percentage of the tract within 75 feet
of mean high water to be covered by im-
permeable surfaces, such as pavement,
buildings, or rooftops.
g. List the materials, such as marl, paver stone,
asphalt, or concrete, to be used for paved
surfaces.
h. If applicable, has a stormwater management
plan been submitted to the Division of En-
vironmental Management?
i. Describe proposed sewage disposal and/or waste
water treatment facilities.
j. Have these facilities received state or local
approvall
k. Describe existing treatment facilities.
1. Describe location and type of diwharges to
waters of the state (for example,-surface runoff,
sanitary wastewater, industrial/commercial
effluent, or "wash down").
m. Water supply source
n. If the project is oceanfront development,
describe the steps that will be taken to main-
tain established public beach accessways or pro-
vide new access.
--------------
o. If the project is on the oceanfront, what will
be the elevation above mean sea level of the
first habitable floor!
6 EXCAVATION AND FILL` =A
INFORMATION
a. Describe below the purpose of proposed excava-
tion or fill activities (excluding bulkheads,
which are covered in Section 7).
Length Width Depth
Access channel
(MLW) or (NWL)
Boat basin
Other (break-
water, pier,
boat ramp,
rock jetty)
Fill placed in
wetland or below
MHW
Upland fill
areas

/0 a

b. Amount of material to be excavated from
below water level in dubic yards
c. Type of material
d. Does the area to be excavated include marsh-
land, swamps, or other wetlands?
e. High ground excavation, in cubic yards
f. Dimensions of spoil disposal area
g. Location of spoil disposal area
h. Do you claim title to the disposal areal
If not, attach a letter granting permission from
the owner.
i. Will a disposal area be available for future
maintenancel?
If so, where?
j. Does the disposal area include any marshland,
swampland,lor water areasl
k. Will the fill material be placed below mean
high water?
1. Amount of fill in cubic yards
m. Type of fill material
n. Source of fill material
o. Will fill material be placed on marsh or other
wetlands?
?. Dimensions of the wetland to be filled
a. How will excavated or fill material be kept on
site and erosion controlled?

r. What type of construction equipment will be
used (for example, dragline, backhoe, or
hydraulic dredge)?
s. Will wetlands be crossed in transporting equip-
ment to the project site? If yes, explain
the steps that will be taken to lessen en-
vironmental impacts.
? SHORELINE ST.ABILAN,
?:? 4 y? ? .ter, if /t
a. Length of bulkhead or riprap
b. Average distance waterward of mean high water
or normal water level
c. Shoreline erosion during preceding. 12 months,
in feet
d. Type of bulkhead material
e. Amount-of fill, in cubic yards, to be placed
below mean high water
f. Type of fill material
4 107,-A
Eli Mt. AIR W_.
In addition to the completed application form, the
following items must be submitted:
/A copy of the deed (with state application only) or
other instrument under which the applicant claims
title to the affected property. If the applicant is not
claiming to be the owner of said property, then for-
ward a copy of the deed or other instrument under
which the owner claims title, plus written permis-
sion from the owner to carry out the project.
/An accurate work plat (including plan view and
cross sectional drawings) drawn to scale in black
ink on 8 V2 x 1I white paper. (Refer to Coastal
Resources Commission Rule 71.0203 fora detailed
description.)
Please note that original drawings are preferred and
only high quality copies will be accepted. Blue-line
prints or other larger plats are acceptable only if 16
high quality copies are provided by the applicant. ,
(Contact the U.S. Army Corps of Engineers regard-
ing that agency's use of larger drawings.) A site or
location map is a part of plat requirements and it
must a su iciently detailed to guide agency per-
sonnel unfamiliar with the area to the site. Include
county road (SR) numbers, landmarks, and the like.
A stormwater management plan, if applicable, that
may have been developed in consultation with the
Division of Environmental Management.
A list of the names and complete addresses of the
adjacent waterfront (riparian) landowners. These
individuals have 30 days in which to submit com-
ments on the proposed project to the Division of
Coastal Management. The applicant must advise
the adjacent landowners of this opportunity by sen-
ding a copy of the permit application to them by
registered or certified mail. This notification is re-
quired by G:S. 113-229(d).
Name -ROW,&LO
Address 1531 11JEu cci Ef pAj,ic c
F,ALEi%? U C
Name__ CaORrn-.l KE(i F2
Address RT, (15
Name
Address
A list of previous state or federal permits issued
for work on the project tract. Include permit
numbers, permittee, and issuing dates.
C '5'7'5S 1o JOE &JJAL TMEY 7- 6- 87
A check for $100 made payable to the Depart-
ment of Natural Resources and Community
Development to cover the costs of processing the
application.
A signed AEC hazard notice for projects in ocean-
front and inlet areas.
A statement on the use of public funds. If the
project involves the expenditure of public funds, at-
tach a statement documenting compliance with the
North Carolina Environmental Policy Act
(N.C.G.S. 113A-1 to 10).
? 9; ,CER?'IFI ATION
$ION TO gNTEWD
yAny permit issued in response to this application
will allow only the development described in the
application. The project will be subject to condi-
tions and restrictions contained in the permit.
I certify that to the best of my knowledge, the pro-
posed activity complies with the State of North
Carolina's approved Coastal Management Program
and will be conducted in a manner consistent with
such program.
I further certify that I am authorized to grant, and
do in fact, grant permission to representatives of
state and federal review agencies to enter on the
aforementioned lands in connection with
evaluating information related to this permit ap-
plication and follow-up monitoring of project.
This is the Ife +(- day of Aly54
19 67
X
.. 1w CLR?
LaOowner or A orized agent
Send the completed application materials to the
Division of Coastal Management Office nearest you
and the U.S. Army Corps of Engineers. See the
map on the inside front cover for the appropriate
DCM office and addresses and phone number.
Ex1sTIr?G ?i.kttCTE
Pe i vcw4Y

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P?oPE?TY of JOE G?\JAL-rJF-Y
LET(-H COOT ,,&IL/LOFT SIJBDIVI Iod
PAHLICO COWTY
.AUG 2 7 1987
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