19880345 Ver 1_COMPLETE FILE_19880101

44&4 _ V
DIVISION OF ENVIRONMENTAL MANAGEMENT
WATER QUALITY SECTION
Comments concerning an application,for Sate Fed ral CA Pew( tt(s)N fro 4?%G
A. ???i??,?'"
A. PERMIT:
This office cannot comment on this project until after the close of the Section
401 Certification Public Comments Period.
is office has no objection to the issuance of the permit(s) for the proposed
project with the following conditions:
7That 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
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.
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

NI<I7A T A tiFf't:rt'ii'it'•s,'40i R#:::t' z}A°t'#::: 06!`0::'8,13
ACTION ADD ,
FFILE .t?1??t::t°Siit`r•=!;)•i #' Gdli r FORMAT , .? ... NEXT
.r it#?::ti#??•t:i?rt?'ii•?r RCZ7 00423
ACTION = ADD. ENTER DATA, RI:::t:: r ADDED IS 0042i FRTi DATA
I°'Rt:3:.! O: 00422 PRt:T:.t : ,i:isMR
.L.. , DAVID
E::I.. COUNTY: P#:::RQU:#:MAN::' REGION: 07
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J
ASSIGNED T!1: tau:.#!M JOIN T NOTICE: ti
TYPE CERTIFICATION RECOMMEN D D A 1 #:.:' Y 3 S"t l"# i. D
404 I" y :. 401 RED: ISSUE: Y RECEIVED: 880531
t.,AMA ONLY: GC: BUi...3:Hl:'.A}.1E DENY: INITIAL REPORT:
azF t:: t'°rt" A Y SECP: SE.1i°'REQ : N #..#_:±#...T. : f:' l N ;:i#... #:=:iii: P 0 #' T : T:; t:>> ?6
RECEIVING STREAM: t•"T.... t..7 i...BE:. i'"I Ai i...: '. SOUND CLA SS: i..,[ BASIN: PAE
COMMENTS:
SITE LOCATED AT HOLIDAY ISLAND SUBDIVISION NEAR HERT FORD
PROPOSED 40 LF OF WOODEN BULKHEAl)
( OcatE:: At::EtiE:. DEVELOPED
COPIES: to6:rRO t::I::.;< r Rt••SI.......MII...#...,;:....DCM

7 C88
i
a ti
MEMORANDUM
°2 c"
TO, Bill Moore
FROM: Robert Abernethy
SUBJECT: APPLICATION FOR CAMA MAJOR PERMIT AND/OR
DREDGE AND FILL -PERMIT
DATE: May 27, 1988
Attached is an application by DAVID T. SUMRELL, JR.
which was received by me on 5/12/88 I am considering
this Application complete, have acknowledged receipt, and have begun
processing.
If you have any questions, do not hesitate to contact me.
/ylI

MEMORANDUM
T0: Bill Moore
FROM: Robert Abernethy
SUBJECT: APPLICATION FOR CAMA MAJOR PERMIT AND/OR
DREDGE AND FILL PERMIT
DATE: May 27, 1988
v
s
2 fi
0
°.1
Attached is an application by DAVID T. SUMRELL, JR.
which was received by me on 5/12/88 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
e r
OFFICE OF COASTAL MAVAUMEMT # Lat. 36 ° 051 1211
FIELD INVESTIGATION REPORT
1. Applicant's name DAVID T. SUMRELL Long. 76° 24' 06
2. Location of project site Lot H-36 Explorer Arch, Holiday Island
Per ima s n man-made canal aff-Albemarlp So nd
3. Investigation type: Dredge b Fill X CAMA X
4. Investigative procedure: (A) Dates of site visit 5/6/8.3
(B) Was applicant present n n
5. Processing procedure: Application received r,_/ 21 RA Office F1 J7 r i +.,
6. Site description: (A) 'Local Land Use Plea p P rn„ i m'a n c r n 1_1 Qt Al
.'Land classification from LUP
Development constraints Identified in LUP
no-
ne
(B) AEC(s) involved: Ocean Hazard Estuarine shoreline )(
Coastal wetlands Public trust waters X
Estuarine waters Other
(C) Water dependent: Yee No X Other
(D) Intended use: Public Pr{vnte X Conn,ereial
(E) Type of waste water treatment: Existing none
Planned n o n e
(F) Type of structures: Existing travel trailer and shed
Planned n o n e ,
(C) Estimated annual rate of erosion less than P source_ applicant
?.
7. ••Rsbitat description: AREA
(A) Vegetated wetlands: Dredged Filled Other
Juncus sp. 4'04-marsh' 80 sq. ft.
(B) Non-vegetated wetlands:
Shallow-water h, ita-t 80 sq. ft.
(C) Other:
(D) Total area disturbed: 160 sq. ft.
8. Project summary Applicant proposes to bulkhead and backfi l l 40 ft.
of estuarine shoreline along a man-ma,de canal off Albemarle Sound,
Holiday Island, Perquimans County..

DAVID SUMRELL
BIO REPORT
PAGE 2
SITE REPORT
Applicant currently owns lot H-36, Holiday Island,
Perquimans County. The lot has been cleared and is vegetated by
lawn grasses. At the water's edge, there is a lush border
approximately 2' wide and 40' long of Juncus effusus.
Applicant proposes to bulkhead and backfill 3' waterward of
normal water level connecting to existing bulkheads on either
side and in the same alignment as an old bulkhead.
ANTICIPATED IMPACTS
This project will result in the loss of approximately 80 sq.
ft. of Juncus effusus 11404" jurisdictional wetlands and 80 sq.
ft. of shallow water habitat.
CAMA REVIEW
This project is consistent with the community classification
of the Perquimans County LUP.
Submitted by: Robert Abernethy
Date: May 27, 1988
r fl?lr I Y? LO
Please type or print. Carefully describe all a 0'$7 d. Describe the planned use of the project.
ticipated development activities, including c nst??j,'? cc
Ex;.51 ; aLT L ('ro?cl
_ 2_ LF b -r-AE
tion, excavation, filling, paving, land cleari a Feo M W AS N . v-16 irJ-b J-RE c-RNA t. .
stormwater control. If the requested infocma - `„ ""' ?PoT?GTeorJ t=KoM hoRT TP--F?FF?c
not relevant to your project, write N/A (not ap-
plicable). Items 1-4 and 8-9 must be completed for 4 LAND AND WATER
all projects.
CHARACTERISTICS
I `APPLICANT
a. Size of entire tract.
Name D&64 T , `a LknRG i.._ L
a b. Size of individual lot(s) 4e) FT x 7o FT.
.
Address 2-1 Rv?bu Cc,v
PC . c. Elevation of tract above mean sea level or Na-
"
-
SA jDr"E State Von-
City c'A tional Geodetic Vertical Datum Ft
.
o r
Zip ,Q 33 a IDay phone $o4-4ql- rr d. Soil type(s) and teLxt r of tract
-y Landowner or Authorized agent e. Ve etation on tract c

b. Project name (if any)?v_IK AU-POAi NCB _
?owG

1 R tJd? t.1 C .
aT 3<0 ITT, FN61..,A?
f.
Man-made features now on tract i it ' ?l fE
c. If the applicant is not the landowner, also give E 1Zoo M

the owner's name and address.
g, .
hat is the CAMA Land Use Plan Classifica-
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?
CCo m mu?-?, 4-V
i. How are adjacent waters classified? hi-Vi c
a. Street address or secondary road number j, Has a professional archaeological survey been
H3(e Ex,n102EPZ F}2cH
b. City, tow community, or landmark
d?
carried out for the tract. \/?' S
If so
by whom? S . 15 m b u? ; 11 ?t m 5
,
c. County Pe 2Qtxi rn m 071..) 5
d. Is proposed work within city limits or planning 5 UPLAND' DEVELOPMENT
jurisdiction? Uo
e. Name of body of water nearest project C omplete this section if the project includes any
?CA•NA-LCFF ?l+ b M F?fZL o?o u..Nc? upland development.
MmN" m Rz) a a. Type and number of buildings, facilities, or
3 DESCRIPTION AND PLANNED structures proposed
USE OF PROPOSED PROJECT
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.)
bulkhead, or pier)
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
If you plan to build a marina, also complete Resources must receive an erosion and sedimen-
and attach Form DCM-MP-2. tation control plan at least 30 days before land
b. Is the proposed activity maintenance of an ex- disturbing activity begins. If applicable, has a
isting project, new work, or both? 3. o-1' k-} sedimentation and erosion control plan been
submitted to the Division of Land Resources?
c. Will the project be for community, private, or
commercial use?
2 • V A t - 5 6-( e f. Give the percentage of the tract within 75 feet
of mean high water to be, covered by im-
FA_PG CR-C-f Tic>0 tS,derQC- 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
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").
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 N o r- E
c. Type of material
d. Does the area to be excavated include marsh-
land, swamps, or other wetlands? 'P-50
e. High ground excavation, in cubic yards N° N G
f. Dimensions of spoil disposal area A
g. Location of spoil disposal areas
h. Do you claim title to the disposal area? N? N
If not, attach a letter granting permission from
the owner.
i. Will a disposal area be available for future
maintenance?? t-s' ?'?
If so, where?
j. Does the disposal area include any marshland,
swamplland,lor water areas? t4l /+
k. Will the fill material be placed below mean
high water? V rS
1. Amount of fill in cubic yards /I
m. Type of fill material :5 P^kl
n. Source of fill material &" he nod Lo -A-7-; o o. Will fill material be placed on marsh or other
wetlands? No
p. Dimensions of the wetland to be filled 1-?o
q. How will excavated or fill material be kept on
site and erosion controlled? rh%N1KRGFic
r. What type of construction equipment will be
used (for example, dragline, backhoe, or
hydraulic dredge)? A i 2ipv,on.? `
l?Ac--K t1n G
s. Will wetlands be crossed in transporting equip-
ment to the project site?,LLe1 If yes, explain
the steps that will be taken to lessen en-
vironmental impacts.
7 SHORELINE STABILIZATION
a. Length of bulkhead or riprap ?o FT.
b. Average distance waterward of mean high water
or normal water level / Ff
c. Shoreline erosion during preceding 12 months,
in feet--3/4 FT.
d. Type of bulkhead material WAod - SR[.T Te.ERT
e. Amount of fill, in cubic yards, to be placed
below mean high water / I V PrI2.65
f. Type of fill material _ ' -:?A-)a
?LAC R"8 ADDITIONAL. INFORMA
I
t
A list of previous state or federal permits issued
for work on the project tract. Include permit
numbers, permittee, and issuing dates.
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.
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.
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 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 M. A. [)E?JI_
Address 4'109 ?E}Ci= Fi Elcl bR-i? 6
_\Jc?_ FAcA, oo, "3465
Name
ML.
Address Lr 72ofki
g a. L 6 Pr Oat- ,
Name
Address
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 CERTIFICATION AND PERMIS-
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 .1 _ day of 5 c?TE(nb c2
1991
X 3,
Landowner or Aut oriz d 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.
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R M
DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
` P.O. BOX 1890
WILMINGTON, NORTH CAROLINA 28402.1890
- ' June 3, 1988
IN REPLY REFER TO
Regulatory Branch
SUBJECT: File No. SAWC088-N-072-0362

Mr. David T. Sumrell,
521 Ruby Court
Chesapeake, Virginia
Jr.
23320

Dear Mr. Sumrell:
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 31, 1988, for
Department of the Army authorization to construct and backfill a
bulkhead on a manmade canal off Albemarle Sound, Holiday Island,
Perquimans County, North Carolina, indicates it to be a candidate
for Federal authorization under this general permit. Accordingly,
the administrative processing of your application will be
accomplished 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-072-0362 and will be coordinated by
Mr. Jeff Richter. He is available at telephone [phone].
Sincerely,
Charles W. Hollis
Chief, Regulatory Branc,i
Enclosure
* it , *
-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
j North Carolina Department of
Natural Resources and
Community Development
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Ms. L. K. (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 Division of
Coastal Management
108 South Water Street
Elizabeth City, North Carolina 27909
IN REPLY REFER TO
Regulatory Branch
DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, NORTH CAROLINA 28402.1890
June 3, 1988
SUBJECT: File No. SAWC088-N-072-0362
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:

i F.r . i!1
Enclosed is the application of Mr. David T. Sumrell for
Department of the Army authorization and a State Water Quality
Certification to construct and backfill a bulkhead on a manmade
canal off Albemarle Sound, Holiday Island, Perquimans 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 proposed 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 Section 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 August 1, 1988, the District Engineer will deem that waiver has
occurred.
Questions or comments may be addressed to Mr. Jeff Richter,
telephone [phone].
Sincerely,
6UU
ar 's W. Hol
hie , Regulatory Branch
Enclosure
..••d^
-2-

Y
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
4
RL. Lj ''w L. t.i `
Please type or print. Carefully describe all. a 3 0 187
ticipated development activities, including c tnstr t.c
tion, r_xcavation, filling, paving, land cleari 7 aA'
stormwater control. If the requested informa - ..?._-
not relevant to your project, write NIA (not ap-
plicable). Items 1-4 and 8-9 must be completed for
all projects.
0s
,5`/# Cc1C 6 8 9 -/Q-&) 17,_) - 0 ?; 6J
Describe the planned use of the project.
To K_ 6Eb r
F>? M W A 5 t b ?'? 6r i N-VQ 7LAA C: Gg N Fl L ,
- ?'RoT?cT ioN RDM ?OpPEETIFF,L.
4 LAND AND WATER
. CHARACTERISTICS
I APPLICANT
a. Size of entire tract
a Name DA4, l , :bLkMRELL. ? (? b. Size of individual lot(s) ?o FT, X 76 FT.
. Q't: ?
bv Ca"
X1 R?
Add c. Elevation of tract above mean sea level or Na-
.
_
ress
City eAr-SA PE &> E State Vc -
d. tional Geodetic Vertical Datum Fr
Soil type(s) and t
ture
of tract
Zip ,?33aa IDaphone $o+f-4ql•a?r r
'
`
?
?t/ Landowner or
Authorized agent
e.
Ve etation o tract
b. Project name (if any)) Du.1Le Irk E- AAt KS ., a/owE2s
_l.oT 3(e t-4 A-T, Hdt '.-4 %1 ?s 1 R+3 cl t.1 c , f. M
an-made features non tract U ii?f6?
c. If the applicant is not the landowner, also give t
the owner's name and address. g, hat is the CAMA Land Use Plan Classifica-
tion of the site? (Consult the local land use
plan.)
Conservation Transitional
Developed ? Community
G LOCATION OF PROPOSED Rural Other
PROJECT h. How is the tract zoned by local government?
c-,!5 r,-) Iotxt,3 i-1-V
i. How are adjacent waters classified? - u-b L '
e
a. Street address or secondary road number j. _
Has a professional archaeological survey been

b. H-3(Q ?x?,1o2E2 14 1LcH
- V
City, town, community, or landmark
carried out for the tract? _
If so
by whom? 6, ELM w 11 Am n
[ [dam v 6/An(d ,
c. Count??tki mM A-tJ s
d. Is proposed work within city limits or planning 5 UPLAND DEVELOPMENT
jurisdiction? N) Z>
e. Name of body of water nearest project Co mplete this section if the project includes any
r-? CE}t, FPrL c&F A-L lneM p,(Z_. • F 6o u Na, upland development.
MRN - M Rel e
' a. Type and number of buildings, facilities, or
3 DESCRIPTION AND PLANNED structures proposed
USE OF PROPOSED PROJECT
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.)
bulkhead, or pier)
-i6_ l 6 d. Size of area to be graded or disturbed
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? b-F V4
%Vdl the project be for conunttnit", privatc, ru-
conuncrcial use?
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?
Give the percentage of the tract within 75 feet
of mean high water to he covered by im-
permeable surfaces, such as pavement,
buildings, or rooftops.
IL
List the materials, such as marl,
asphalt, or concrete, to be used
surfaces.&
paver stone,
for paved
h. If applicable, hasa 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
approval?
k. Describe existing treatment facilities.
1. Describe location and type of discharges to.
waters of the state (for example V 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?
b'' 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 belo?k!
MHW
Upland fill
areas
b. Amount of material to be excavated from
below water level in cubic yards N o N E
c. Type of material
d. Does the area to be excavated include marsh-
land, swamps, or other wetlands? 1-50
e. High ground excavation, in cubic yards ss 4
f. Dimensions of spoil disposal area N R _
g. Location of spoil disposal area N Z f+
h. Do you claim title to the disposal area?_ t4/ er
if not, attach a letter granting permission from
the owner.
i. Will a disposal area be available for future
maintenance?/ t sl
if so, where?
j. Does the disposal area include any marshland,
swamplland,[or water areas? _ tJji+
k. Will the fill material be placed below mean
high water? _ t'- 5
1. Amount of fi in cubic yards !/
m. Type of fill material Rnb)
n. Source of fill material u.d l A OJ l-ocFl i ?`o r.?
o. Will fill material be placed on marsh or other
wetlands? No
p. Dimensions of the wetland to be filled "-?o
q. How will excavated or fill material be kept on
site and erosion controlled? B?,.lkl?EAcL
r. What type of construction equipment will be
used (for example, dragline, backhoe, or
hydraulic dredge)? _) i up s
??Ac_K t1o e
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.
7 SHORELINE STABILIZATION
a. Length of bulkhead or riprap 4?D FT.
b. Average distance waterward of mean high water
or normal water level / Fr.
c. Shoreline erosion during preceding 12 months,
in feet.- -3 Z4 F-j
d. Type of bulkhead material
e. Amount of fill, in cubic yards, to be placed
below mean high water _1.1 `? -
1. Type of fill material _ _>r,t??T 1 ? 1
. 8 ADDITIONAL INFORMATION-.-.,
.
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 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 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 -PN_
Address 4'109 -6ti61= Fi Eld Z)R=L? e
-,6 F,-_-a 3 155
Name M ?• ? c-? Ki
Address tT K I?o
Natiie
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-
tach a statement documenting compliance with the
North Carolina Environmental Policy Act
(N.C.G.S. 113A-1 to 10).
9 CERTIFICATION AND PERMIS-
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 14 day of S C VC) IC -DA (50-
19 9-1_.
Landow Aut oriz d 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.
N ? f

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