19880201 Ver 1_COMPLETE FILE_19880101

s*a+? SSA1I o?
State of North Carolina
Department of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor December. 2, 1988 R. Paul Wilms
S. Thomas Rhodes, Secretary Director
Mr. Richard M. Holbrook, Director
N.C. Baptist Assembly
100 Caswell Beach Road
Southport, NC 28461
Subject: Certification Pursuant to Section
401 of the Federal Clean Water Act,
Proposed Boat Ramp, Pier, and
Bulkhead Construction
N.C. Baptist Assembly
Cape Fear River
Brunswick County
Dear Mr. Holbrook:
Attached hereto are two (2) copies of Certification No. 2299
issued to N.C. Baptist Assembly dated December 2, 1988.
If we can be of further assistance, do not hesitate to contact us.
Sincerely yours,
%R. Paul Wilms
cc: Wilmington District Corps of Engineers
Wilmington Regional Office
. ? l.liam ..Mills
Mr. David Owens
Pollution Prevention Pacs
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer
v s
NORTH CAROLINA
Brunswick County
CERTIFICATION
THIS CERTIFICATION is issued in conformity with the requirements of
Section 401 Public Laws 92-500 and 95-217 of the United States and
subject to the North Carolina Division of Environmental Management
Regulations in 15 NCAC 2H, Section .0500 to N.C. Baptist Assembly
pursuant to an application filed on the 10th day of October, 1988 to
re-establish a bulkhead, repair a pier, construct a boat ramp, and
maintenance.
The Application provides adequate assurance that the discharge of
fill material into the waters of Cape Fear River in conjunction with the
proposed improvement activities in Brunswick County will not result in a
violation of applicable Water Quality Standards and discharge
guidelines. Therefore, the State of North Carolina certifies that this
activity will not violate Sections 301, 302, 303, 306, 307 of PL 92-500
and PL 95-217 if conducted in accordance with the application and
conditions hereinafter set forth.
Condition(s) of Certification:
1. That the activity be conducted in. such a manner
as to prevent significant increase in turbidity
outside the area of construction or construction-
related discharge (increases such that the
turbidity in the Stream is 25 NTU's or less
are not considered significant).
2. That all wet concrete placed below MHW be placed
at low tide and that the forms be completely
dewatered. No wet concrete shall be placed in the
surface waters.
Violations of any condition herein set forth shall result in
revocation of this Certification.
This Certification shall become null and void unless the above
conditions are made conditions of the Federal Permit.
This the 2nd day of December, 1988.
DIVISION OF ENVIRONMENTAL MANAGEMENT
Paul Wilms, Director
WQC# 2299 (/
STAB
State of North Carolina
Department of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor R. Paul Wilms
December. ?.., 1988 Director
S. Thomas Rhodes, Secretary Mr. Richard M. Holbrook, Director
N.C. Baptist Assembly
100 Caswell Beach Road
Southport, NC 28461
Dear Mr. Holbrook:
Subject: Certification Pursuant to Section
401 of the Federal Clean Water Act,
Proposed Boat Ramp, Pier, and
Bulkhead Construction
N.C. Baptist Assembly
Cape Fear River
Brunswick County
Attached hereto are two (2) copies of Certification No. 2299
issued to N.C. Baptist Assembly dated December 2, 1988.
If we can be of further assistance, do not hesitate to contact us.
Sincerely yours,
%R. Paul Wilms
cc: Wilmington District Corps of Engineers
Wilmington Regional Office
Mr. William Mills
Mr. David Owens
Pollution Prevention Pa4s
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Eaual Oovorcunity Affirmative Action Employer
-Vr

NORTH CAROLINA
Brunswick County
CERTIFICATION
THIS CERTIFICATION is issued in conformity with the requirements of
Section 401 Public Laws 92-500 and 95-217 of the United States and
subject to the North Carolina Division of Environmental Management
Regulations in 15 NCAC 2H, Section .0500 to N.C. Baptist Assembly
pursuant to an application filed on the 10th day of October, 1988 to
re-establish a bulkhead, repair a pier, construct a boat ramp, and
maintenance.
The Application provides adequate assurance that the discharge of
fill material into the waters of Cape Fear River in conjunction with the
proposed improvement activities in Brunswick County will not result in a
violation of applicable Water Quality Standards and discharge
guidelines. Therefore, the State of North Carolina certifies that this
activity will not violate Sections 301, 302, 303, 306, 307 of PL 92-500
and PL 95-217 if conducted in accordance with the application and
conditions hereinafter set forth.
Condition(s) of Certification:
1. That the activity be conducted in such a manner
as to prevent significant increase in turbidity
outside the area of construction or construction-
related discharge (increases such that the
turbidity in the Stream is 25 NTU's or less
are not considered significant).
2. That all wet concrete placed below MHW be placed
at low tide and that the forms be completely
dewatered. No wet concrete shall be placed in the
surface waters.
Violations of any condition herein set forth shall result in
revocation of this Certification.
This Certification shall become null and void unless the above
conditions are made conditions of the Federal Permit.
This the 2nd day of December, 1988.
DIVISION OF ENVIRONMENTAL MANAGEMENT
?Paul Wilms, Director
WQC# 2299
Q
NOTICE OF FILING OF
APPLICATION FOR CAMA MAJOR DEVELOPMENT
PERMIT AND WATER QUALITY CERTIFICATION
The Department of Natural Resources and Community Development hereby gives
public notice as required by NCGS 113A-119(b) and 143-215 3(a)(1)(c) that
NC Baptist Assembly of Southport
filed an application on September 30, 1988 for a permit from
the Division of Coastal Management to develop in an Area of Environmental Concern
and for certification from the Division of Environmental Management that a discharge
of fill material in project wetlands will not violate applicable water quality standards.
According to said application the applicants propose to re-establish the
existing bulkhead on a portion of t e property, to repair the existing pier, to
contruct a new oating dock, to construct a boat ramp and to carry out maintenance
excavation o a portion o t e existing basin an access channel.
A copy of the entire application and additional information may be examined (or
copies furnished upon request and payment of reproduction costs) during normal
business hours of the Division of Coastal Management and/or the Division of
Environmental Management, Regional Office 7225 Wrightsville Avenue, Wilmington,
North Carolina 28403.
The Division of Environmental Management proposes to take final action on this
water quality certification on or before November 14, 1988
The issuance of the CAMA Major Development Permit and the Section 401 Certification
may deviate from this projected date depending upon the nature of the comments
submitted and subsequent hearings that may arise.
All persons desiring to make comments should do so in writing to Mr. David
Owens, Director, Division of Coastal Management, P.O. Box 27687, Raleigh, North
Carolina 27611 prior to November 8, 1988 for
consideration in the CAMA permit decision, and to Mr. Bill Mills, Division of
Environmental Management, P.O. Box 27687, Raleigh, North Carolina 27611 prior to
November 8, 1988 for consideration in the water quality
certification decision. Later comments on the CAMA application will be accepted and
considered up to the time of permit decision. Project modifications may occur based
on review and comment by the public and state and federal agencies. Notice of the
permit decision in this matter will be provided upon written request.
Publish on October 19, 1988
COASTAL RESOURCES COMM.
OCS 13 1988
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
Comments concerwing an application for State Federal CAMA P
A. PERMIT:
t s f rom `"'`
A is office cannot comment on this project until after the close of the Section
l 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
Certificat n will be acted on
or after
J'. T1
The propose project is certified
under General Certification
A) No. 1179 issued on January 25,.
1977, for sewer line construction
B) No. 1272 issued on November 10,
1978, for bulkhead construction.
C) No. 1273 issued on November 10,
1978, for discharges of liquid
effluent from diked upland disposal
areas.
D) No. 1431 issued on October 16,
1980, for boat ramp construction.
E) No. 1664 issued on September 8,
1983, for Rip-Rap Placement.
F) No. 1665 issued on September 19,
1983, for incidental bridge
construction.
WATER QUALITY TION T
DIVISION OF ENVIRONMENTAL MANAGEMENT
MEMORANDUM
DATE:
TO:
FROM:
THROUGH:
DIVISION OF ENVIRONMENTAL MANAGEMENT
October 19, 1988
Bill Mills
Operations Branch
James H. Gregson°
Wilmington R ibnal Office
Donald Safrit
Wilmington Regional Office

r
SUBJECT: Regional Office Review & Recommendations
Application for Permit for Excavation and/or Fill
N.C. Baptist Assembly (Richard Holbrook, Director)
Brunswick County
PROJECT DESCRIPTION: The applicants propose to re-establish an
existing bulkhead, repair an existing
pier, build a new pier with a floating
dock and 9 slips, construct a boat ramp
with 600 sq. ft. below MHW, and to carry
out maintenance excavation of part of the
existing basin and access channel.
ADJACENT WATER BODY:
CLASSIFICATION:
Cape Fear River
SA
STATUS: Closed
The project has been reviewed to determine impacts to water quality.
The following comments are provided.
The project will require a 401 certification and should include the
following requirements for the construction of the boat ramp.
a. That the construction be done in such a manner that turbidity
increases not exceed 25 NTU's.
b. That all wet concrete poured below MHW be poured at low tide
and that the forms be completely dewatered. No wet concrete
shall be placed in the surface waters.
The project should meet the requirements of the General 401
Certification #1272 for bulkhead construction, and #1273 for the
discharge of liquid effluent from a diked disposal area.
This office has no objection to the project as proposed provided
the above condition are adhered to.
JHG:mab
cc: DMC - Robert Stroud, Jr.
CF, WiRO
DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. Applicant's name NC Baptist Assembly (Richard Holbrook, Director)
2. Location of project site East end of Oak Island - within private compound -
Brunswick County - New Photo 1 11 107 Grids C-J, 1-7
3. Investigation type: Dredge & Fill X CAMA x
4. Investigative procedure: (A) Dates of site visit 8-19-88
(B) Was applicant present yes
5
6.
7.
8
Processing procedure:
Site description:
(B) AEC(s) involved:
(C) Other:
(end of ramp)
Access Channel Appx 38,500 sf
Application received 9-30-88 cc
8-24-88
no
Office Wilmington
(A) Local Land Use Plan Conservation
Land Classification from LUP Brunswick County
Development constraints identified in LUP None
Ocean Hazard X
Coastal Wetlands x
Estuarine Waters x
Estuarine Shoreline X
Public Trust Waters X
Other
(C) Water dependent: Yes No Other Both
(D) Intended use: Public Private X Commercial
(E) Type of waste water treatment: Existing Septic tanks
Planned N/A
(F) Type of structures: Existing Buildings for recreational use-failing pier
Planned Pier repair, bulkhead, boat ramp
(G) Estimated annual rate of erosion N/A Source --
Habitat description: AREA
Dredged Filled Other
(A) Vegetated wetlands:
High marsh (bulkhead) Appx 2500 sf*
Spartina alterniflora Appx 264 sf*
(boat ramp)
High marsh,(spoil area) Appx 16,000 sf*
*as proposed
(B) Non-vegetated wetlands:
Shallow Open Water Appx 45,000 sf
(basin)
Shallow Open Water Appx 1,596 sf
Spoil Area Appx 106,000 sf
(D) Total Area Disturbed: Appx 85,096 Appx 18,764 sf 'Appx. 106,000 sf
(2 acres) (.4 acres) (2.4 acres)
Project Summary The applicants propose to re-establish the existing bulkhead
on a portion of the property, to repair the existing pier, to construct a
new floating dock, to construct a boat ramp and to carry out maintenance
excavation of a portion of the existing basin and access channel.
NC Baptist Assembly - (Richard Holbrook)
Page 2
9. Project Description
The project is located on the grounds of a private recreational complex owned
by the NC Baptist Assembly. The site is the location of past military forts
which is now used for church outdoor ministry functions. Several of the
existing buildings are in the process of being,or recently have been,
renovated. There is an existing pier on the property located on the north
eastern portion adjacent to an existing boat basin area. There is a partially
failed buakhead which begins just west of the pier and which extends to the
east to the concrete sea wall adjacent to the waters of the Cape Fear River
(see sheet 2 of 6). Where the old wall has failed, several species of high
marsh have become established landward of the former alignment. These include
Sea-oxeye, Sea lavender, Spike grass to name a few. West of the end of the
existing wall the smooth cordgrass comes almost up to the high ground
interface. This fringe changes to higher marsh species further west until when
the spoil area location is reached Sea-oxeye, Spike grass, Salt wort and Salt
meadow hay are the dominant species. The northern fringes of this area have
been maintained by mowing as part of the lawn area of the complex. However,
fiddler crab holes point out the limits of the biological activity. The basin
area was originally approximately 900' x 600' with an access channel
measuring approximately 200' x 300'. Shoaling has occurred to the point that
the majority of the are is dry at low water. Depths are shown ranging from
0.0' mean low water (mlw) to -4.0' mlw in the proposed channel area and from
-1.0' mlw to -2.0' mlw in the now proposed basin area. The existing pier is
approximately 15' wide across the marsh fringe leading to an "L" which is
approximately 15' wide x 265' long. The structure is unsafe at the present
time. In the area of the proposed boat ramp the smooth cordgrass fringe is
approximately 23' wide. The waters in this area are classified as SA closed
and the area is not classified as primary nursery area.
The applicants propose to rebuild the bulkhead and add a new section, repair a
portion of the existing pier including a gazebo, build a new pier with floating
dock and 9 slips, install a boat ramp and to carry out maintenance excavation
to create a smaller basin and narrower access channel. These facilities will
be utilized by visitors to the Assembly. The alignment of approximately 1020'
of the existing bulkhead is shown to follow what is now there. The new
bulkhead appears to be aligned at or above the mean high water (mhw) contour
and landward of all marsh for approximately 410'. Plans for the maintained
pier are shown on sheet 4 of 6. The existing landward arm of the pier will be
rebuilt and then will turn at the "L" for a distance of approximately 30' to
end in an 20' x 20' gazebo. The pier will then be separated from the remaining
portion of the existing structure (approximately 200'). A new pier
approximately 6' wide will extend waterward just east of the proposed boat
ramp. A ramp will lead from this pier to a 5' x 60' floating dock from which a
5' x 126' "L" will extend to provide 9 slips at 14'. The boat ramp is shown on
sheet 4 of 6 to be 12' wide x 55' long. Plans on sheet 5 of 6 indicated that
the applicants propose to install the ramp as a concrete structure over a rock
base. The applicants are proposing to excavate a 55' x 28' x -5' mlw cut for
the boat ramp. This will connect to a 120' wide x 375' long x -5.0' mlw to
-6.0' mlw deep basin. The basin will connect to the water of the Cape Fear
River by means of an access channel approximately 550' long x
NC Baptist Assembly - (Richard Holbrook)
Page Three
60' to 100' wide x -6.0' mlw to -8.0' mlw deep. Approximately 15,000 cubic
yards of material will be excavated and will be deposited in a high ground
disposal site located to the west of the project area.
10. Anticipated Impacts
As proposed the repaired bulkhead will impact approximately 2500 sf of mixed
high marsh. In order to avoid this loss an alignment should be field staked by
Corps of Engineers and Division of Coastal Management personnel at or above all
wetlands. This also applies to the new portion of the wall to ensure that no
wetlands are impacted. The spoil disposal area is partially within wetlands
(approximately 16,000sf). This loss can be avoided by a field identification
by Corps and CAMA personnel of the high marsh areas and the avoidance of these
areas during the dike construction. The boat ramp would come to be consumed
approximately 264 sf of smooth cordgrass (Spartina alterniflora) marsh. This
loss can be eliminated through the elevation of the ramp across the marsh area.
The existing pier has enough material on its surface that the repaired pier
will not cause additional impacts across the marsh fringe. The excavation of
the basin and channel will result in short term turbidity and siltation
problems and must be timed to avoid periods of peak biological activity.
Submitted by: C. Robert Stroud, Jr. Office: Wilmington Date: 10/6/88

Please type or print. Carefully describe all an. d. Describe the planned se of ie project.
a
w
ticipated development activities, including construc. I.
-
tion, excavation, filling, paving, land clearing, and
stormwater control. If the requested information is Z L-
not relevant to your project, write N/A (not ap- 3. NA7_F_4?_ O R-EFOGS 1Z euC.
plicable). Items 1-4 and 8-9 must be completed for y
4 LAND AND WATER
all projects.
CHARACTERISTI"S r
APPLICANT ?.
Qc" --r-
Size of entire tract 3 60
a. Name Q 1 CtL 4o LB[ZQQL/ (?11Z6GTOiZ? _
a.
b. Size of individual lot(s) I N
Elevation of tract above mean sea level or Na-
c
.
tional. Geodetic Vertical Datum IZ?t'
City ,- OUTNF?O eT State N C.
(s) and texture(s) of tract
d. Soil type
Zip 2B46I I Day phone 27f3-250l ,
r
Landowner or ?S- Authorized agent e. Vegetation on tract ?iC.dTTCQEO ?EC?,
b. Project name (if any I,_.ow --Awe,
f. Man-made features now on tract U
c. If the applicant is not the landowner, also give BCALIT1E5gz, F6L410) 061ZYA[AT0
the owner's name and address.
' What is the CAMA Land Use Plan Classifica-
g'
V. -C
. F_)A ' l?? hF?EMBLY tion of the site? (Consult the local land use
plan.)
Conservation Transitional
Developed Community
2 LOCATION OF PROPOSED Rural Other
PROJECT
. h. " How is the tract zoned by local government?
i. How are adjacent waters classified? S ° ? 5 j,.(
a. Street address or secondary road number j. Has a professional archaeological survey been
carried out for the tract?

landma
. City, town, communi
b
1ClELLor &
1S
MET

If so, by whom?
_
,
c. County S IZU NS 114 (C te_
d. Is proposed work within city limits or planning 5 UPLAND DEVELOPMENT
jurisdiction? NO
e. Name of body of water nearest project Complete this section if the project includes any
CAPE ???? ?1?1?[Z upland development.
a. Type and number of buildings, facilities, or
?, r" ern
DESCRIPTION AND PLANNED;
JECT
OPOSED P
USE OF P
t - structures proposed
RO
R
x
b. Number of lots or parcels
a. Describe all development activities you propose c. Density (Give the number of residential units
(for example, building a home, motel, marina, and the units per acre.)
bu
lkhead, or pier).
uL _&p _ e
P_ V_ V L _4100
d. Size of area to be graded or disturbed
p N1 OG K iE , e T I£ he prgpq§ed project will disturb more than
CA-0 S&ISI N I&M EKr. G1-11?N O?EI.-_ ? r qj,g p,. act ';,of I nd, the Division of Land
If you plan to build a marina, also complete Resourt s§t 3tnu?t receive an erosion and sedimen-
and attach Form DCM-MP-2. tation co4tol plan at least 30 days before land
b. Is the proposed activity maintenance of an ex- F,D disturbing activity begins. If applicable, has a
isting project, new work, or both? ??- sedimentation and erosion control plan been
OFFICE 0'= iv0t'!,%L liru-t dg fo thg Division of Land Resources?
c. Will the project be for community, private, or WILM(i'GTOIN, RF.G!0N)11, 0t r'iOL
commercial use?
MBF
P
\4 I(
ITI M f. Give the. percentage of the tract within 75 feet
°'
-
,
,
hU?TE - FDgL of mean high water to be covered by im-
0F `L ITT d _ _ =M BLY permeable surfaces
such as
avement
,
p
,
buildings, or rooftops.
g•
h.
i.
j. Have these facilities received state or local
approval?
k. Describe existing treatment facilities.
1. Describe location and type of discharges to
waters of the state (for example surface runoff,
sanitary wastewater, industrial/commercial
effluent, or "wash down").
List the materials, such as marl, paver stone,
asphalt, or concrete, to be used for paved
surfaces.
i
If applicable, has a stormwater management
plan been submitted to the Division of En-
vironmental Management?
Describe proposed sewage disposal and/or waste
water treatment facilities.
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 elevai•ion 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 1).
Length Width Depth
Access channel
(MLW) or (NWL)
Boat basin
Other (break-
water,
ram --:
rock jetty)
Fill placed in
wetlan or belo
MHW?V-AMP)
1 6,51
550t -r
lam' E
w
51 70

50
lZ? _
--;, o
1
50 ' It

b. Amount of material to be excavated from
below water level in cubic yards ?? Of
c. Type of material 90 01o SAND (©9?a MUD
d. Does the area to be excavated include marsh-
land, swamps, or other wetlands? 1,10
e. High ground excavation, in cubic yards UO???E?
'±X8CP fi
f. Dimensions of spoil disposal area 1
50 -
g. Location of spoil disposal area
,nJ& Ek Tr- TD rz6ADww -z£E m&F,
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?? YEGj
If so, where? 5dM1= I??ZC--(?
j. Does the disposal area include any marshland,
swam0land,'or water areas? 1
k. Will the fill material be placed below mean
high water? N)o
1. Amount of fill in cubic yards
m. Type of fill material ,6,
n. Source of fill material W IL
o. Will fill material be placed on marsh or other
wetlands? `(E-S - Q-&MP 4TZCA_?
p. Dimensions of the wetland to be filled Zl ' X itl'
q. How will excavated or fill material be kept on
site and erosion controlled? 9 d4 ZV_ -1 01 L/C
_/%,MQ 4 i 1Ll_1h1(4 R 1)
P1pEp
TO 1. ?1. G g? C) /?tvp
jZ??S E7
r. What type of construction equipment will be
used (for example, dragline, backhoe, or
hydraulic dredge)? 9-YUIZlMt UC DREOi I
JP-7- o2 21 LE
s. Will wetlands be crossed in transporting equip-
ment to the project site?11 0_ If yes, explain
the steps that will be taken to lessen en-
vironmental impacts.
7 SHORELINE STABILIZATION
a. Length of bulkhead or riprap 1430 t
b. Average distance waterward of mean high water
or normal water level 21 Oy- Levi
C; Shoreline erosion during preceding 12 months,
in feet hJ • A .
d. Type of bulkhead material T?`M D ` dnoD
e. Amount of fill, in cubic yards, to be placed
below mean high water motes
f. Type of fill material l• ?•
Upland fill
areas
N.
i?,ADDITIOM&LINFORMATION.-J,
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 r i x 11 white paper. (Refer to Coastal
Resources Commission Rule 71.0203 for a 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 be sufficiently 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
Address
A.
Name
Address
Name_
Address
A list of previous state or federal permits issued
for work on the project tract. Include permit
numbers, permittee, and issuing dates.
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
tack a statement documenting compliance with the
North Carolina Environmental Policy Act
(N.C.G.S. 113A-1 to 10).
9 CERTIFICATION AND .PER11%iI
SION TO ENTER ON LAND`'
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 _..L!?day of ,
19??. _
X
Landowner o Authorized 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.
d ?
O
C)
D
M 0
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FT
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