19880327 Ver 1_COMPLETE FILE_19880101

a
IN REPLY REFER TO
Regulatory Branch
DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON. NORTH CAROLINA 28402.1890
May 20, 1988
SUBJECT: File No. SAWC088-N-027-0340
Mr. William Mills
Water Quality Section
Division of Environmental Management
North Carolina Department of Natural
Resources and Community Development
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Dear Mr. Mills:

N"i Av 2 4 i` ?9?

Enclosed is the application of Ms. Ida Slack for Department of
the Army authorization and a State Water Quality Certification to
construct and backfill a bulkhead on Knotts Island Bay, Knotts
Island, Currituck County, North Carolina. Your receipt of this
letter verifies your acceptance of a valid request for
certification in accordance with Section 325.2(b)(ii) of our
administrative regulations.
We are considering authorizing the prop.osed-activity pursuant
to Section 404 of the Clean_Water-Act, and we have determined that
a water quality certification may be required under the provisions
of.--Sect16ii 401 of the same law. A Department of the Army permit
will not be granted until the certification has been obtained or
waived.
In accordance with our administrative regulations, 60 days
after receipt of a request for certification is a reasonable time
for State action. Therefore, if you have not acted on the request
by July 20, 1988, the District Engineer will deem that waiver has
occurred.
Questions or comments may be addressed to Ms. Alison Arnold,
Regulatory Branch, telephone [phone].
Sincerely, ,
*aW. Holl s
C , egulatory Branch
Enclosure
ew.40r+
-2-
Copies Furnished (without enclosure):
Mr. John Parker
Division of Coastal Management.
North Carolina Department of
Natural Resources and
Community Development
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Mr. David Griffin
Elizabeth City Regional Office
North Carolina Division of
Coastal Management
108 South Water Street
Elizabeth City, North Carolina 27909

(bJ

Please type or print. Carefully describe all 29" d. Describe the planned use of the project.
ticipated development activities, including o c-
tion, excavation, filling, paving, land cleari g, 40 M __1?0 S77W !' W bN P ?OPc /C7
stormwater control. If the requested inform _
not relevant to your project, write N/A'(no
plicable). Items 1-4 and 8-9 must be comKl IVED s ti r,1 Llt?1_1?1
all projects. 1 88 BRANC?{a. Size of entire tractD
EGuukym
a. Name S Size of individual lot(s) D jf?Z D'
Address / C /, - - c. Elevation of tract above mean sea level or Na
City ?FO//G State tional Geodetic- Vertical Datum -..7'
Zip Day phone D - d. Soil types a rd t xture(s) of tract
,V 3 563 597- q-93V
SAN1 r- A,4
Landowner or Authorized agent e. Ve e
tation on trac - ss
b. Project name (if any) og t'eS C v L ..
c. If the applicant is not the landowne also give f. Man=made fe tures now on tract `
the own is nat?? and address. Tz?? R
re T g. What- is the CAMA Land Use Plan Classifica-
R tion of the site? (Consult the local land use
a
/kovl-,-T-t. ; t Is.A A, -7 4 c-A Plan,)
.N
b. City, town
1-1 - U! -1 a t L.
c. County [ 1 (? l TyC !?.
d. Is proposed wor?? hin city limits,or planning
jurisdiction?
e. Name of body of-=ter ne' t project
s
L_ AV,
.3 DESCIt
r USE UFO i
a. Describe all development activities you propose
(for example, building a home, motel, marina,
bulkhead, or ier).
s U e 1: 2 v I'C e 4
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?
1 D
c. Will the project be for community, private, or
Commercial e?
Conservation Transitional
Developed Community
Rural ' Other
h. ° Ho ' the" act zoned by local:government?
E's?dP 9hL- "
i. How are adjacent waters classified?:
j. Has a professional archaeological survey been
If so, by whom?
Complete this section if the project includes any
upland development.
a. Type and number of buildings, facilities, or
structures proposed
b. Number of lots or parcels
c. Density (Give the number of residential units
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, b. Amount of material to be excavated from
asphalt, or concrete, to be used for paved below water level in cubic yards
surfaces.'- c. Type of material
d. Does the area to be excavated include marsh-
h. If applicable,, has a stormwater management land, swamps, or other wetlands? _
plan been submitted to the Division of En- e. High ground excavation, in cubic yards
vironmental Management? f. " Dimensions of spoil disposal area
i. Describe proposed sewage disposal and/or waste g. Location of spoil disposal area
water treatment facilities.
h. Do you claim title to the disposal area?
j. Have these facilities received state or local If not, attach a letter granting permission from
approval? the owner.
k. Describe existing treatment facilities. i. Will a" disposal area be available for future
maintenance?/
If so where?
_ j. Does the disposal area include any marshland,
1. Describe location and type of dis; barges to swamplland,lor water areas? -
waters of the state (for example surface runoff, k. Will the fill material be placed below mean
sanitary wastewater, industrial/commercial high water?
effluent, or "wash down"). 1. Amount of fill in cubic yards
m. Type of fill material
n. Source of fill material
m. Water supply source o. Will fill material be placed on marsh or other
n. If the project is oceanfront development, wetlands?
describe the steps that will be taken to main- p. Dimensions of the wetland to be filled
tain established public beach accessways or pro- q. How will excavated or fill material be kept on
vide new access. site and erosion controlled?
o. If the project ifon the'ocearifront, what will
be the elevation above mean. sea level of the
first habitable floor?
? y
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 (NVY'Q
Boat basin
Other (break-
water, pier,
boat ramp,
rock jetty)
Fill placed in
wetland or below
MHW
Upland fill
areas
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.
M y? 4 `t } YT I E L ?
.?? . ?,.
a. Length of bulkhead or riprap o
b. Average distance waterward of mean high water
or normal water level :2/
c. Shoreline erosion during preceding 12 months,
in feet 31 -
d. Type of bulkhead material ?m i3 c2
e. Amount of fill, in cubic yards to be placed
below mean high water
f. Type of fill material _Sq N ZC /a
Jr r

In addition to the completed application form,
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 plar: view and
cross sectional drawings) drawn to scale in black
ink on 8 Vz x 11 white paper. (Refer to Coastal
Resources Commission Rule 7J.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_s.ite._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.
C'j ! isi??
• VF'
` ' = -f° ist of previous state or federal permits issued
for work on the project tract. Include permit
bers, permittee, and issuing dates.
tic '
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).
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.
A list of the names and complete addresses of the I further certify'that I am authorized to grant, and
adjacent waterfront (riparian) landowners. These do in fact, grant permission to representatives of
individuals have 30 days in which to submit com- state and federal review agencies to enter on the
ments on the proposed project to the Division of aforementioned lands in connection with
Coastal Management. The applicant must advise evaluating information related to this permit ap-
the adjacent landowners of this opportunity by sen-
ding a copy of the permit application to them by placation and follow-up monitoring of project.
registered or certified mail. This notification is re-
This the Of" day of
quired by G.S. 113-229(d). 19
Name A ,j N no A v.1 X
Address ie 0 R0 n Landowner or Authorized gent
Name ? e h N k i;: Send the completed application materials to the
Address o S Division of Coastal Management Office nearest you
< e 9 and the U.S. Army Corps of Engineers. See the
Name map on the inside front cover for the appropriate
Address DCM office and addresses and phone number.
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DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
/ WILMINGTON, NORTH CAROLINA 28402.1890
May 20, 1988
IN REPLY REFER TO
Regulatory Branch
SUBJECT: File No. SAWC088-N-027-0340
Ms. Ida Slack
1425 Bayville Street
Norfolk, Virginia 23503
Dear Ms. Slack:
On February 6, 1986, we renewed general permit No. SAWC080-N-
000-0291 (copy enclosed), which provides Federal authorization for
construction activities that receive authorization from the State
of North Carolina.
A review of your application received May 17, 1988, for
Department of the Army authorization to construct and backfill a
bulkhead on Knotts Island Bay, Knotts Island, Currituck County,
North Carolina, indicates it to be a candidate for Federal
authorization under this general permit. Accordingly, the
administrative IS frig of-your" application by the North Carolina Division of Coastal Management. Comments
from Federal review agencies will be furnished to the State.
If your application must be withdrawn from this general permit
process for any reason, you will be informed regarding its further
management. If there are no unresolved differences in State-
Federal positions or policies, the final action taken on your
application by the State will result in your receiving written
notice from us that your application is consistent with the
general permit and you may commence your activity. Only after
receiving such confirmation should you begin work.
Your application, pursuant to Section 10 of the River and
Harbor Act and Section 404 of the Clean Water Act, has been
assigned No. SAWCO88-N-027-0340 and will be coordinated by
Ms. Alison Arnold., She is available at telephone [phone].
Sincerely,
Charles W. Hollis
Chief, Regulatory Branch
Enclosure

-2-
Copies Furnished (without enclosure):
Mr. John Parker
Division of Coastal Management
North Carolina Department of
-Natural Resources and
Community Development
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Mr. William Mills
Water Quality Section
Division of Environmental
Management
North Carolina Department of
Natural Resources and
Community Development
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Ms. L. R. (Mike) Gantt
U.S. Fish and Wildlife Service
Post Office Box 25039
Raleigh. North Carolina 27611-5039
Mr. Randy Cheek
National Marine Fisheries Service
Habitat Conservation Division
Pivers Island
Beaufort, North Carolina 28516
Ms. Beverly Etheridge, Chief
Wetlands Section
Marine and Estuarine Branch
Region IV
U.S. Environmental Protection Agency
345 Courtland Street
Atlanta, Georgia 30365
Mr. David Griffin
Elizabeth City Regional Office
North Carolina Divisio,i of
Coastal Management
108 South Water Street
Elizabeth City, North Carolina 27909

DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
Comments concernYng an application.for State Federal CAMA Pe t(s) from
i
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.
y --------
bmore 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
k
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

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.
wv,
WATER QUALITY SECTION
DIVISION OF ENVIRONMENTAL MANAGEMENT

W#t:Dri t f) tf#":' Cs'•#MA:'401 i:EtP DATE 05 24 '8r:
ACTION ? ADD FILE ? D#"t.: r••xi°iA'-f01 P':`WD FORMAT ? t•-1RDs°'=::;AMA N#:::;-T Ri_l.. 00414
ACTION ADD. ENTER DATA. RE C. ADDE D IS {)002 F RD DATA
#"=Rl.lJ5i : '? 41 #"'#'.O& SLACK. :#:4`1A COUNTY! t:;#.## f?ITUf: K REGION : 07
ASSIGNED TO: WJMAN10 JOINT NOTICE: N
TYPE CERTIFICATION RECOMMEND DA ,:,',..'•yD
404 PN: 401 REG: ISSUE: Y RECEIVED: 88051?13
CAMA ONLY: GC: BULKHEAD DENY: INITIAL REPORT:
DF/CAMA: Y SECP: SWPREQ: N 1-101 D: FINAL REPORT: 880524
RECEIVING STREAM: KNOTTS ISLAND BAY CLASS: SC BASIN, PAS
COMMENTS:
SITE LOCATED ON KNOTTS ISLAND O FF HWY 61!!-,'
PROPOSAL TO CONSTRUCT 80 LF OF WOODEN BULKHEAD
4 ONE ACRE DEVELOPED
CO._

p Ay 2 13 r, a

MEMORANDUM
TO. Bill Moore
FROM: Robert Abernethy
SUDJECT: APPLICATION FOR CAMA MAJOR PERMIT AND/OR
DREDGE AND FILL PERMIT
DATE: May 16, 1988
tt
yc
Attached is an application by IDA SLACK
which was received by me on 4/29/88 I am considering
this application complete, have acknowledged receipt, and have begun
processing.
If you have any questions, do not hesitate to contact me.
/yl1
,* .
MEMORANDUM
r?
yI ?..
hvp tf ?'?
V ^
TO, Bi11 Moore
FROM: Robert Abernethy -
SUBJECT: APPLICATION FOR CAMA MAJOR PERMIT AND/OR
DREDGE AND FILL PERMIT
DATE:
May 16, 1988
Attached is an application by IDA SLACK
which was received by me on 4/9/8$I am considering
this application complete, have acknowledged receipt, and have begun
processing.
If you have any.questions, do not hesitate to contact me.
-------- ---_ --- - _
./yl1
n
OFFICE or COASTAL MAVAGL••MGN'1 Lat. 360 30 45
PIELD INVESTIGATION REPORT d- o n g. 7 5 5 4' 4 5
1. Applicant' N "am I D A SLACK
2. location of project Nita Route 615-9-1/2 mile east of Knotts Island School
behind Martins Farm no s s an ay, urri u
Investigation type: Dredge b Fill, X
CAMA X 130-645-1-17
4. Investigative procedure: (A) bates of site visit 5/f/88
(B) was applicant present yes Ted' .1 pagan- ge'?it'T
S. Processing procedure: Application received 4/29/88'-
OfficeEl i z. City
6. Site description: (A) tocal tend Use Plan Cur.ri tuck
Land classification from LUP commune y.
Development eonstr4ints Identified in LUP none
(g) AEC(N) involved: beean Nezard Estuarine shoreline x
Coastal wetlands Public trust waters
Estuarine waterer. X Other
(0 Vatt r dependent: Yes No, x Other
(D) Intended use: itublc Private X _ Commercial
(E) type of waste water treatment: Lxisting none
Platrned • none r
. (l') Type of structures: Existing none
Planned none
(0) Estimated annual rate of erosiou3' Source__App1 cant ?.
I. Nabitet description: ,
(A) Vogetatbd wetland,' Dredged Filled Other

(8) Noet-vegetated wetlands:
Shall nw -wa.ta.r ha.h; tat . 2280 sq, ft.
(C) Other:
(i)) Total area disturbed: 2280 sq, ft.
A. Project eumary Appl i cant proposes to bulkhead and backfi l l 80' of
shoreline an average of 21' and a maximum of 36' waterward of normal
water level along Knotts Island Bay, Currituck County.'
. IDA SLACK
BIO REPORT
PAGE 2
SITE REPORT
The applicant currently owns a .4 acre lot on Knotts Island
Bay, Currituck County, N.C. The property is completely upland
dominated by loblolly pine, Pinus taeda, Smilax spp., Honeysuckle
Lonicera Japonica, Virginia creeper, Parthenocissus quinquefolia,
Hibiscus spp., and lawn grasses. All surrounding-lots have been
bulkheaded in excess of 15 years except this lot. Remnants,
(uprights and whalers) are still visible in a straight alignment
with the southern bulkhead. The southern half of the property
supports two large loblolly pines which have slowed erosion..
This portion of the property has eroded 12 feet while the
northern portion with only grasses has eroded 36 feet.
Applicant's property which is the only unbulkheaded section also
traps and holds logs, dead grasses, dead fish and dead-birds.
Neighbors have complained of the smell.
To alleviate this problem and to even out the shoreline,
applicant proposes to bulkhead and backfill 80 feet of estuarine
shoreline an average of 20. feet and'a maximum of 36 feet
waterward of NWL. Applicant estimates 133 cubic yards of fill
will be needed.
ANTICIPATED IMPACTS
With the placement of
backfilling, approximately 2280
will be lost. Some localized,
from constructing the bulkhead.
this project.
the bulkhead and subsequent
sq.. ft. of shallow water habitat
short-term turbidity will result
No coastal marsh is.impacted by
CAMA REVIEW
The proposal is consistent with the community classification
as identified in the Currituck LUP.
Submitted by:. Robert Abernethy
Date: May 12, 1988
y
1
Please type or print. Carefully describe all
ticipated development activities, including o u?c-
tion, excavation, filling, paving, land cleari g, 40 _ M
stormwater control. If the requested inform
not relevant to your project, write N/A'(no
up-
plicable). Items 1-4 and 8-9 must be completed for
all projects.
.. t APPLICANT
a. Name S:?Ll A A C K
Address / Y,2,5 1eAVII, C 511-1
City FO/K State J
Zip 93 503 I Day phone D
Landowner or Authorized agent
b. Project name (if any) 4
c. if the applicant is not the landowne also give
the own is na-TV and address. vN . 5 i iz
R
A r .. cv
d. Describe the planned use of the project.
?'0 STS / ?N RaP??r y
LAND. AND „?'C7VA'?TER
CIIARA:CTtMSTICS -•
a. Size of entire tract D
b. Size of individual lot(s) OX22-4'
c. Elevation of tract above mean sea level or Na-
tional Geodetic Vertical Datum _P • 7'
d. Soil type(s a rd t xture(s) of tract
e. Ve etation on tract = 35
e. s CJ i
f. Man-made features now on tract
g. What is the CAMA Land Use Plan Classifica-
tion of the site? (Consult the local land use
plan.)
r?l_4/2R, 3'3g a
2 LOCATION" OF PROPOSED ;
PROJECT h.
d. Is proposed work within city limits or planning
jurisdiction? /yd
e. Name of body o£yuater ne st_project
?1?2 z _L.!. L 6A V
3 DESCRIPTION AND PLANNED;
USE.OF PROPOSED PROJECT
?4.
a. Describe all development activities you propose
(for example, building a home, motel, marina,
bulkhead, or pier).
s ue- V K ?A? a
a" Fetl
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 projec? new work, or both?
3
C. Will the project be for community, private, or
Commercial e?
V I? ?L
'evi
i.
j•
Conservation Transitional.
Developed Community
Rural Other
Ho"' the gact zoned by local government? .
e s; d et flL
How are adjacent waters classified?
Has a professional archaeological survey been
carried out for the tract?
If so, by whom?
5 UPLAND DEVELOPMENT.
Complete this section if the project includes any
upland development.
a. Type and number of buildings, facilities, or
structures proposed
b. Number of lots or parcels
c. Density (Give the number of residential units
and the units per acre.)
d. Size of area to be graded or disturbed
e. 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. Listthe materials, such as m-a}l; paver stone,
b.
Amount of material to be excavated from
asphalt, or concrete, to be used for paved below water level in cubic yards
surfaces. c. Type of material
d. Does the area to be excavated include marsh-
h. If applicable,, has a stormwater management land, swamps, or other wetlands?
plan been submitted to the Division of En- e. High ground excavation, in cubic yards
vironmental Management? f. Dimensions of spoil disposal area
i. Describe proposed sewage disposal and/or waste g. Location of spoil disposal area
water treatment facilities.
h. Do you claim title to the disposal area?
j. Have these facilities received state or "local if not, attach a letter granting permission from
approval? the owner.
k. Describe existing treatment facilities. i. Will a disposal area be available for future
maintenance?i.
If so, where?
j. Does the disposal area include any marshland,
1. Describe location and type of discharges to swamplland,lor water areas?
waters of the state (for example;, surface runoff, k. Will the fill material be placed below mean
sanitary wastewater, industrial/commercial high water?
effluent, or "wash down"). 1. Amount of fill in cubic yards
m. Type of fill material
A. Source of fill material
m. Water supply source o. Will fill material be placed on marsh or other
n. If the project is oceanfront development, wetlands?
describe the steps that will be taken to main- p. Dimensions of the wetland to be filled
tain established public beach accessways or pro- q. How will excavated or fill "material be kept on
vide new access. site and erosion controlled?
o. If the project is on the oceanfront, what will
be the elevation above mean sea level of the
first habitable floor?
. ?? ??XCA?'ATI?I'? 'AIVI1? F'IIL
r.
.:? YNFC??tMATION 1
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

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.
?` ?,??OR?ELINE STABIL?`LAT?ON .
a. Length' of bulkhead or riprap Yo
b. Average distance waterward of mean high water
or normal water level -:2/ '
c. Shoreline erosion during preceding 12 months,
in feet
d. Type of bulkhead material Fl_. Z L
e. Amount of fill, in cubic yards to be placed
below mean high water ._? - 3J
f. Type of fill matetia1 N
2

In addition to the completed application form,
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 11 white paper. (Refer to Coastal
Resources Commission Rule 7J.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 stcirm?+va?eeti nanageinent 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 o t l N n v l
Address V o
1-e L I f% ON
Name !
Address
Name
Address
Y L .} list of previous state or federal permits issued
ir work on the project tract. Include permit
c ? bets, permittee, and issuing dates.
iW,M-Lc ?J7
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:CVRT1F1CAT1ON.AND?'`PER?1% 5=
'St(?I :T4 :ENTER CAIN Y;AND?
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._.S_tate_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 's the day of
'-C
19 '
X
Landowner or Authorized lb[gent
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.
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