20061411 Ver 1_COMPLETE FILE_20060829

Permit Class
NEW
NOV 9 2006
OENR - WATER QUALITY
WETLANDS AND STORMWATER BRANCH
Permit Number
170-06
STATE, OF NORTH CAROLINA
Department of Environment and Natural Resources
and Q-T F
Coastal Resources Commission
lqll
'Vermft ?Od
for
X Major Development in an Area of Environmental Concern
pursuant to NCGS 113A-118
X Excavation and/or filling pursuant to NCGS 113-229
Issued to Bob Tillman, 58 Pelican Dr., Wrightsville Beach, NC 28480
Authorizing development in New I-Ianover County at Lee's Cut 78 Pelican Dr. Wrightsville
Beach as requested in the permittee's application dated 7/26/06, including the
attached workplan drawings (3) all three dated "received" 8/30/06.
This permit, issued on November 7 2006 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
be subject to fines, imprisonment or civil action; or may cause the permit to be null and void.
Shoreline Stabilization
1) The alignment of the authorized bulkhead shall not extend waterward more than I ft. from the existing
bulkhead.
2) The bulkhead shall be constructed prior to any backfilling activities.
3) The bulkhead shall be structurally tight so as to prevent seepage of backfill materials through the
structure.
(See attached sheet for Additional Conditions)
This permit action may be appealed by the permittee or
other qualified persons within twenty (20) days of the issuing
date. An appeal requires resolution prior to work initiation or
continuance as the case may be.
This permit shall be accessible on-site to Department
personnel when the project is inspected for compliance.
Any maintenance work or project modification not covered
hereunder requires further Division approval.
All work shall cease when the permit expires on
December 31, 2009
In issuing this permit, the State of North Carolina agrees
that your project is consistent with the North Carolina Coastal
Management Program.
Signed by the authority of the Secretary of DENR and the
Chairman of the Coastal Resources Commission.
Ch rles S. Jones, Director
ivision of Coastal Management
This permit and its conditions are hereby accepted.
Signature of Permittee
Bob Tillman
ADDITIONAL CONDITIONS
Permit ## 170-06
Page 2 of 2
4) The bulkhead shall be solid and constructed of treated wood, concrete slabs, metal sheet piles or other
suitable materials approved by department personnel. No excavation or other land disturbing activities
is permitted except for that which may be required for the construction of the bulkhead wall, deadmen
cables, etc. This permit does not authorize any excavation waterward of the approved alignment.
5) The backfill material shall be clean and free of any pollutants except in trace quantities.
6) All backfill material shall be obtained from a high ground source and confined behind the permitted
bulkhead.
7) No backfill material is to be placed within 30 feet of the normal high water line, except that which shall
be used to backfill the area behind the permitted bulkhead.
Sedimentation and Erosion Control
8) Appropriate sedimentation and erosion control devices, measures or structures shall be implemented to
ensure that eroded materials do not enter adjacent wetlands, watercourses and property (e.g. silt fence,
diversion swales or berms, etc.). At a minimum, a silt fence shall be properly installed immediately
landward of the bulkhead cap immediately following completion of backfilling activities.
9) All disturbed areas shall be properly graded and provided a ground cover sufficient to restrain erosion
within thirty days of project completion.
General
10) No vegetated wetlands shall be filled outside of the areas indicated on the attached workplan drawings.
11) The temporary placement or double handling of excavated or fill materials within waters or vegetated
wetlands are not authorized.
NOTE: This permit does not eliminate the need to obtain any additional state, federal or local permits,
approvals or authorizations that may be required.
NOTE: Future development of the permittee's property may require a modification of this permit.
Contact a representative of the Division at [phone] prior to the commencement of any
such activity for this determination. The permittee is further advised that many non-water
dependent activities are not authorized within 30 feet of the normal high water level.
NOTE: The N.C. Division of Water Quality has authorized the proposed project under General Water
Quality Certification No. 3494 (DWQ Project No. 061411), which was issued on 9/25/06.
NOTE: The U.S. Army Corps of Engineers authorized the proposed project under General Permit No.
197800056 (COE ORM. No. SAW-2006-40639-065) which was issued on 9/18/06.
o?o? w A rf?qQ?
O <
Michael F. Fasley, Governor
William G. Ross Jr, Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Watcr Quality
DWQ Project # 061411
New Hanover County
Mr. Bob Tillman
58 Pelican Drive
Wrightsville Beach, NC 28480
September 25, 2006
Subject: General 401 Water Quality Certification #3494
Bob Tillman Bulkhead
Dear Mr. Tillman:
The Wilmington Regional Office received your application for a CAMA Major Permit from the Division of
Coastal Management on August 25, 2006 to construct a new fiberglass bulkhead V waterward of the existing
bulkhead. Construction of the new bulkhead will result in the filling of 69 square feet of Coastal Wetlands. You
are authorized to proceed with your project as proposed under General Water Quality Certification (WQC) # 3494
(enclosed). This Certification allows you to use the CAMA Major Permit when the Division of Coastal
Management issues it. Written concurrence from the Division of Water Quality (DWQ) is not required provided
that you can meet all of the conditions of the General Water Quality Certification.
If at anytime during construction of your project you determine that you cannot meet these conditions or if there
are any additional impacts to wetlands or water quality not described in your application, you must contact
this office immediately.
If you have any questions concerning this matter, please do not hesitate to call me at (910)-796-7215.
Sincerely,
Noelle Lutheran
Environmental Specialist III
cc: Stephen B. Conway, Agent
Dave Timpy, USACE Wilmington
Robb Mairs, DCM Wilmington r=
Doug Huggett, DCM Morehead City
? ? DIN r=
Ian McMillan, DWQ 401 Oversight Unit
Central Files O C T 2 2006
WiRO
UENR - WATER ULIALITY
WETLANDS AND STORMWATER BRANCH
North Carolina Division of Water Quality 127 Cardinal Drive Extension Phone [phone] Customer Service1-877-623-6748
Wilmington Regional Office Wilmington, NC 28405-3845 FAX [phone] Internet: www.ncwatergi1ality,0rg One
An Equal Opportunity/Affirmative Action Employer - 50% Recycled110% Post Consumer Paper NorthCarolina
Naturalll
WQC #3494
GENERAL CERTIFICATION FOR PROJECTS ELIGIBLE FOR CORPS OF ENGINEERS
NATIONWIDE PERMIT NUMBERS 3 (MAINTENANCE),
4 (FISH AND WILDLIFE HARVESTING DEVICES AND ACTIVITIES),
5 (SCIENTIFIC MEASUREMENT DEVICES), 6 (SURVEY ACTIVITIES),
7 (OUTFALL STRUCTURES), 19 (25 CUBIC YARDS OF FILL), 20 (OIL SPILL CLEANUP), 22
(REMOVAL OF VESSELS), 25 (STRUCTURAL DISCHARGE),
30( MOIST SOIL MANAGEMENT FOR WILDLIFE), 32 (COMPLETED ENFORCEMENT
ACTIONS), 36 (BOAT RAMPS IIN NONWETLAND SITESI), REGIONAL PERMIT 197800056
(PIERS, DOCKS AND BOATHOUSES) AND REGIONAL PERMIT 197800125 (BOAT RAMPS)
AND RIPARIAN AREA PROTECTION RULES (BUFFER RULES)
This General 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 Water Quality (DWQ)
Regulations in 15 NCAC 2H, Section .0500 and 15 NCAC 213 .0200 for the discharge of fill material to
waters and wetland areas which are waters of the United States as described in 33 CFR 330 Appendix A
(B) (3, 4, 5, 6, 7, 19, 20, 22, 25, 30, 32, and 36) of the Corps of Engineers regulations and Regional Permits
197800056 and 19780125 and for the Riparian Area Protection Rules (Buffer Rules) in 15A NCAC 2B
.0200. This Certification replaces Water Quality Certification Number 3376 issued on March 18, 2002.
This WQC is rescinded when the Corps of Engineers re-authorizes any of these Nationwide or Regional
Permits or when deemed appropriate by the Director of the Division of Water Quality.
The State of North Carolina certifies that the specified category of activity will not violate applicable
portions of Sections 301, 302, 303, 306 and 307 of the Public Laws 92-500 and 95-217 if conducted in
accordance with the conditions hereinafter set forth.
Conditions of Certification:
These activities do not require written concurrence from the Division of Water Quality as long as
they comply with all conditions of this General Certification. If any condition in this Certification
cannot be met, application to and written concurrence from DWQ are required. Also, Condition
No. 8 is applicable to all streams in basins with riparian area protection rules;
If the activity is associated with or in response to a Notice of Violation or an enforcement action
initiated by DWQ or the Division of Land Resources, this General Certification requires
application to and prior written concurrence from the Division of Water Quality;
That appropriate sediment and erosion control practices which equal or exceed those outlined in the
most recent version of the "North Carolina Sediment and Erosion Control Planning and Design
Manual" or the "North Carolina Surface Mining Manual" whichever is more appropriate (available
from the Division of Land Resources (DLR) in the DENR Regional or Central Offices) shall be in
full compliance with all specifications governing the proper design, installation and operation and
maintenance of such Best Management Practices in order to assure compliance with the
appropriate turbidity water quality standard;
4. All sediment and erosion control measures placed in wetlands or waters shall be removed and the
natural grade restored within two months after the Division of Land Resources has released the
project;
5. If an environmental document is required, this Certification is not valid until a Finding of No
Significant Impact (FONSI) or Record of Decision (ROD) is issued by the State Clearinghouse;
WQC #3494
6. Measures shall betaken to prevent live or fresh concrete from coming into contact with waters of
the state until the concrete has hardened;
7. Access roads constructed for any of these permits shall be constructed so as to
minimize wetland fill as much as is practicable and shall be restored to grade
immediately after the project is completed. The site shall be re-vegetated with native species
which shall be in place within three months following construction or before initiation of the next
growing season;
8. In accordance with North Carolina General Statute Section 143-215.3D(e), any request for written
concurrence for a 401 Water Quality Certification must include the appropriate fee. If a project
also requires a CAMA Permit, one payment to both agencies shall be submitted and will be the
higher of the two fees;
9. Impacts to any stream length in the Neuse, Tar-Pamlico, Randleman and Catawba River Basins (or
any other river basins with Riparian Area Protection Rules [Buffer Rules] in effect at the time of
application) requires written concurrence from DWQ in accordance with 15A NCAC 2B.0200.
Activities listed as "exempt" from these rules do not need to apply for written concurrence under
this Certification. New development activities located in the protected 50-foot wide riparian areas
(whether jurisdictional wetlands or not) within the Neuse and Tar-Pamlico River Basins shall be
limited to "uses" identified within and constructed in accordance with 15A NCAC 2B.0200. All
new development shall be located, designed, constructed, and maintained to have minimal
disturbance to protect water quality to the maximum extent practicable through the use of best
management practices;
10. Placement of culverts and other structures in waters, streams and wetlands must be placed below
the elevation of the streambed to allow low flow passage of water and aquatic life unless it can be
shown to DWQ that providing passage would be impractical. Design and placement of culverts
and other structures including temporary erosion control measures shall not be conducted in a
manner that may result in dis-equilibrium of wetlands or stream beds or banks, adjacent to or
upstream and down stream of the above structures. The applicant is required to provide evidence
that the equilibrium shall be maintained if requested in writing by DWQ. Additionally, when
roadways, causeways or other fill projects are constructed across FEMA-designated floodways or
wetlands, openings such as culverts or bridges must be provided to maintain the natural hydrology
of the system as well as prevent constriction of the floodway that may result in destabilization of
streams or wetlands. If more than 150 linear feet of additional stream is filled, culverted, rip-
rapped, relocated, excavated or dredged as a result of this permit, then an application to DWQ is
needed and compensatory mitigation may be required;
11. Additional site-specific conditions may be added to projects for which written concurrence is
required or requested under this Certification in order to ensure compliance with all applicable
water quality and effluent standards;
12. Applications for riprap groins proposed in accordance with 15A NCAC 07H .1401 (NC Division of
Coastal Management General Permit for construction of Wooden and Riprap Groins in Estuarine
and Public Trust Waters) must meet all the specific conditions for design and construction
specified in 15A NCAC 07H.1405.
13. Concurrence from DWQ that this Certification applies to an individual project shall expire three
years from the date of the cover letter from DWQ or on the same day as the expiration date of these
corresponding Nationwide and Regional General Permits, whichever is sooner;
14. Projects with any impacts to streams, wetlands, and/or waters that have received a Notice of
Violation from the Division of Land Resources and/or the Division of Water Quality are required
to submit a complete application and receive written concurrence to use this Certification
regardless of the proposed impact amount to streams, wetlands, and waters.
WQC #3494
15. When written concurrence is required, the applicant is required to use the most recent version of
the Certification of Completion form to notify DWQ when all work included in the 401
Certification has been completed;
16. Standard Erosion and Sediment Control Practices:
Erosion and sediment control practices must be in full compliance with all
specifications governing the proper design, installation and operation and
maintenance of such Best Management Practices:
a. Erosion and sediment control measures for the project must be designed, installed, operated,
and maintained in accordance with the most recent version of the North Carolina Sediment
and Erosion Control Planning and Design Manual.
b. Design, installation, operation, and maintenance of the sediment and erosion control
measures must be such that they equal, or exceed, the requirements specified in the most
recent version of the North Carolina Sediment and Erosion Control Manual. The
devices shall be maintained on all construction sites, borrow sites, and waste pile (spoil)
projects, including contractor-owned or leased borrow pits associated with the project.
c. For borrow pit sites, the erosion and sediment control measures must be designed, installed,
operated, and maintained in accordance with the most recent version of the North Carolina
Surface Mining Manual.
d. Reclamation measures and implementation must comply with the reclamation in accordance
with the requirements of the Sedimentation Pollution Control Act.
e. Sufficient materials required for stabilization and/or repair of erosion control measures and
stormwater routing and treatment shall be on site at all times.
17. No Impacts Beyond those in Application
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond
the footprint of the impacts depicted in the Pre-construction Notification. All construction
activities, including the design, installation, operation, and maintenance of sediment and erosion
control Best Management Practices, shall be performed so that no violations of state water quality
standards, statutes, or rules occur.
18. No Sediment and Erosion Control Measures in Wetlands
Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum
extent practicable. If placement of sediment and erosion control devices in wetlands and waters is
unavoidable, they shall be removed and the natural grade restored within six months of the date
that the Division of Land Resources or locally delegated program has released the project.
Non-compliance with or violation of the conditions herein set forth by a specific fill project shall result in
revocation of this Certification for the project and may result in criminal and/or civil penalties.
The Director of the North Carolina Division of Water Quality may require submission of a formal
application for Individual Certification for any project in this category of activity if it is determined that the
project is likely to have a significant adverse effect upon water quality including state or federally listed
endangered or threatened aquatic species or degrade the waters so that existing uses of the wetland or
downstream waters are precluded.
Public hearings may be held for specific applications or group of applications prior to a Certification
decision if deemed in the public's best interest by the Director of the North Carolina Division of Water
Quality.
WQC #3494
Effective date: 31 December 2004
DIVISION OF WATER QUALITY
By
Alan W. Klimek, P.E.
Director
WQC # 3494
Permit
Subject: Permit
From: Kathy Rivera <[e-mail]>
Date: Thu, 28 Sep 2006 08:36:23 -0400
To: [e-mail], doug Huggett <[e-mail]>,
[e-mail]. mil, Rich Weaver <[e-mail]>
Permit issued for 2006 1411, site name: Bob Tillman: Bulkhead on 9-25-06
I of 1 9/29/2006 9:07 AM
lea
NCDENR
North Carolina Department of Environment and Natura
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director
August 24, 2006
MEMORANDUM:
14 rrl, AMR
AUG 2 9 2006
DENR - WATER QUALITY
WETLANDS AND STORMWATER BRANCH
Resources
William G. Ross Jr., Secretary
p. 00gIAiI
TO: Cyndi Karoly, Supervisor
401 Oversight & Express Permits Unit
Division of Water Quality-Surface Water Protection
FROM: Doug Huggett, Major Permits Coordinator
SUBJECT: CAMA / Dredge & Fill Permit Application Review
Applicant: Bob Tillman
Project Location: 78 Pelican Dr., adjacent to Lee's Cut & Greenville Sound, Wrightsville
Beach, in New Hanover County
Proposed Project: Construction of a bulkhead
Please indicate below your agency's position or viewpoint on the proposed project and return
this form by September 18, 2006. If you have any questions regarding the proposed project,
please contact Robb Mairs at [phone], when appropriate, in-depth comments with
supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes are
incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
SIGNED DATE
127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3845
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper
DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Bob Tillman
2. LOCATION OF PROJECT SITE: 78 Pelican Dr. adjacent to Lee's Cut and Greenville Sound, on Wrightsville
Beach, New Hanover County.
Plioto Index - 2000: 22-273, S-18 1995:24-288,D-6 1989: 4-175-25, J,K-14
State Plane Coordinates - X: 2361486 Y: 172404
Lat: 34°13'03.74727"N Long: 77°48'15.60637"W
3. INVESTIGATION TYPE: CAMA/D&F ROVER FILE # - 0-033120A
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 3/31/05
Was Applicant Present - No
5. PROCESSING PROCEDURE: Application Received - 8/04/06
Office - Wilmington
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Town of Wrightsville Beach
Land Classification From LUP - Conservation and community
(B) AEC(s) Involved: CW,ES,EW,PT
(C) Water Dependent: Yes
(D) Intended Use: Private
(E) Wastewater Treatment: Existing - Municipal
Planned - N/A
(F) Type of Structures: Existing - Single family residence, private docking facility and bulkhead
Planned - New fiberglass bulkhead
Source - N/A
7. HABITAT DESCRIPTION: [AREA]
F)PPn( T-n 1711 T Fn n,rur~n
(A) Vegetated Wetlands (Low Marsh) 69 sq. ft.
(B) Non-Vegetated Wetlands
(Open water)
F ) Other (Highground) T-1,380 sq. ft.
(D) Total Area Disturbed: 1,449 sq. ft.
(E) Primary Nursery Area: No
(F) Water Classification: SB# Open: No
8. PROJECT SUMMARY: The applicant proposes to construct a new bulkhead waterward of existing bulkhead.
Bob Tillman
Page 2
9. PROJECT DESCRIPTION:
The project site is located at 78 Pelican Dr., adjacent to Lee's Cut and Greenville Sound, in New Hanover County.
The property located within the Town of Wrightsville Beach. To locate the property travel east approximately I
mile from Military Cut-Off Road (N.C. Highway 17) towards Wrightsville Beach. From the drawbridge, continue
heading east through the stop light on W. Salisbury St. (N.C. Highway 74) and take the immediate left onto Pelican
Dr. Travel east approximately 0.1 mi. and the property of interest would be located on the left. The applicant's
property contains a new single family home. The property is approximately 0.25 acres and averages 6' above mean
sea level. A 69 linear foot wooden bulkhead stabilizes the shoreline. Waterward of the bulkhead is a new private
docking facility into Lee's Cut, which was authorized under CAMA General Permit No. 43389. Upland vegetation
consists of ornamental shrubbery and lawn grass. Just waterward of the western end of the existing bulkhead is an
area of coastal wetlands averaging approximately 5-15 feet in width, which is vegetated primarily with Smooth
Cordgrass (Spartina alterniflora).
The Wrightsville Beach Land Use Plan classifies adjacent waters as Conservation, and the adjacent high Ground
portion of the project area as Developed. The waters of Lee' Cut, which are included in the Wrightsville
Recreational Area, are classified SB# by the Division of Water Quality. They are NOT designated as a Primary
Nursery Area (PNA) by the N.C. Division of Marine Fisheries and they are CLOSED to the harvest of shellfish
PROPOSED PROJECT:
The applicant proposes to construct a new fiberglass bulkhead one foot waterward of the existing bulkhead. The
application states that the existing bulkhead would remain in place and, would be covered with approximately 60 cubic
yards of sand back to original grade.
10. ANTICIPATED IMPACTS:
The proposed new bulkhead would incorporate approximately 69 sq. ft. of Estuarine Waters and Public Trust Area and
would result in the fillingof approximately 69 sq. ft. of Coastal Wetlands, vegetated primarilywith Smooth Cordgrass
(Spartina alterniora). The project would result in the disturbance of approximately 1,380 sq. ft. of highground area as
a result of the bulkhead back fill and installation of the tie-back/anchor system.
Submitted by: Robb Mairs Date: 8/24/06 Office: Wilmington
,r
20061411
Form DCM-MP-1
RECEIVED
/ILM1NGTQ?N, NC
APPLICATION??','.i,'-.', 0 J?c:oG'
(To be completed by all applicants)
1. APPLICANT
a. Landowner:
Name tJ olrl TkAI nA.k&
Address ?T" C- &L ti
city W r l, State_
Zip 2 W Day Phone
Fax
b. Authorized Agent:
1 V.
r
Address
City State N C
Clio
G
Zip Alto 3 Day Phone
?10 cl Q
c. Pro'ect name (if any ob T,11 + A
NOTE. Permit will be issued in name of Imm"ner(s), and/or
proJecl name.
2. LOCATION OF PROPOSED
PROJECT
a. County Net. HA n D 1/•LI?'
b. Cj!2 ,to j or tdLIk
c. Street address or secondary road number
d. Is proposed wort within city limits or planning
jurisdiction? X Yes No
e. Name of body of water neprestJ;roject (e.g. river,
creek, sound, bay) ? -e.e 3 l' o ,l.
3. DESCRIPTION AND PLANNED USE
OF PROPOSED PROJECT
a. List all development activities you propose (e.g.
building a home, motel, marina, bulkhead, pier, and
excavation and/o filling ctivities.
b. Is the proposed activity maintenance of an existing
project, new work, or both? _t lp' :,rAevyA*Ce,
c. Will the project be for public, private or commercial
use? 0611
d. Give a brief description of purpose, use, methods of
construction and daily operations of proposed
project. If more space is needed, please attach
additional pages. TO 1,1 k1=_Q-

Revised 03/95
Form DCM-MP-1
4. LAND AND WATER
CHARACTERISTICS
a. Size of entire tract 4M
?w
b. Size of individual lot(s)
c. Approximate elevation f tract above NU-1W or
NWL
d. Soil type(s) and texture(s) of tract
e. Vegetation on tract r'AyC,
f. Man-made features now on tract
+ ? 1 T-4=
g. What is the CAMA Land Use Plan land
classification of the site? (Consult Ae local lm+d use plan.)
_-Y-Comervation Transitional
Developed_ Community
Rural Other
h. How i the tract zoned by to al government?
i. Is the proposed roject consistent with the applicable
zoning? Yes No
(Anach zoning compliance certificate, if applicable)
Has a professional archaeological as sment been
done for the tract? Yes No
If yes, by whom?
RECEIVED
D CM WILMINGTON, NC
AUG 0 4 2006
in. Describe existing wastewater treatment facilities.
_ SP (. w/'
n. Describe location and type of discharges to waters
of the state. (For example, surface runoff, sanitary
wastewater, industrial/commercial down" and residential discharges.) IrU?
o. Des yting? g water supply source.
5. 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 properties. If the applicant is not
claiming to be the owner of said property, then
forward a copy of the deed or other instrument under
which the owner claims title, plus written permission
from the owner to carry out the project.
• An accurate, dated work plat (including plan view
and cross-sectional drawings) drawn to scale in black
ink on an 8 I/2' by II" white paper. (Refer to
Coastal Resources Commission Rule 7J.0203 for a
detailed description.)
k. Is the project located in a National Registered Please note that original drawings are preferred and
Historic District or does it involve a National only high quality copies will be accepted. Blue-line
Register listed r ligible property? prints or other larger plats are acceptable only if an
Yes No W?ttrka?? , 4 J adequate number of quality copies are provided by
?.?c I S t ? n3 bu rt+!!?c applicant.
(Contact the U.S. Army Corps of
1. Are there wetlands on the site? _X Yes -,No Engineers regarding that agency's use of larger
Coastal (marsh) Other drawings.) A site or location map is a part of plat
If yes, has a delineation been conducted? requirements and it must be sufficiently detailed to
(Attach doacnnentadon, if amilable) guide agency personnel unfamiliar with the area to the
Revised 03/95
Form DCM-MP-1
RECEIVED
DCM WILMINGTON. NC
4UG 0 4: 2006
site. Include highway or secondary road (SR)
numbers, landmarks, and the like.
6. CERTIFICATION AND PERMISSION
• A Stormwater Certification, if one is necessary
• A list of the names and complete addresses of the
adjacent waterfront (riparian) landowners and
signed return receipts as proof that such owners
have received a copy of the application and plats
by certified mail. Such landowners must be advised
that they have 30 days in which to submit comments
on the proposed project to the Division of Coastal
Management. Upon signing this form, the applicant
further certifies that such notice has been provided.
Name Lot rirt.% W.
Address `
Phone "2- -1- A'?, -
Name ?16 v i 01 S Cn N
Address ?-r
Phone a L,-
Name
Address
Phone
• A list of previous state or federal permits issued for
work on the project tract. Include permit numbers,
permittee, and issuing dates. J r
ecru I, Pt- ry,; t for DI`eY f ?ar
X33 ?q
• A check for $250 made payable to the Department of
Environment, Health, and Natural Resources
(DEHNR) to cover the costs of processing the
application.
• A signed AEC hazard notice for projects in
oceanfront and inlet areas.
• A statement of compliance with the N.C.
Environmental Policy Ad (N.C.G.S. 113A - 1 to
10) If the project involves the expenditure of public
funds or use of public land's, attach a statement
documenting compliance with the North Carolina
Environmental Policy Act.
TO ENTER ON LAND
I understand that any permit issued in response to this
application will allow only the development described in
the application. The project will be subject to conditions
and restrictions contained in the permit.
I certify that to the best of my knowledge, the proposed
activity complies with the State of North Carolina's
approved Coastal Management Program and will be
conducted in a manner consistent with such program.
I 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 application and follow-up monitoring of the
project-
I further certify that the information provided in this
application is truthful to the best of my knowledge.
200
This is the (o day of
Print Name /? CC
Signature ?/,
landowner o Authorized Ag
Please indicate attachments pertaining to your proposed
project.
X DCM MP-2 Excavation and Fill Information
_ DCM MP-3 Upland Development
DCM MP4 Strumires Information
DCM MP-5 Bridges and Culverts
DCM MP-6 Marina Development
NOTE Please sign and date each attachment In the
space provided at the bottom of each farm.
Revised 03/95
• Furm DCIlf-'NIPEXCAVATION
AND FILL
(ExCept bridges and culverts)
Attach this form to Joint Application for CAMA Major.
Permit, Form DCM-MP-1. Be sure to complete all
other s=ions of the Joint Application that relate to this
proposed project
Describe below the purpose of proposed excavation or
fill activities. All values to be given in feet.
Access
channel
NL? or (N-V4
Canal
Boat
basin
Boat
ramp
Rock
groin
Rock
breakwater
Qthzr
(=z_Iuoang
shorrlir=
?„
<
?.. EXCAVATION
a. Amount of material to be
excavated from below
MIiW or NWL in cubic yards
b. Type of material to be excavated
c. Does the area to be excavated include cowl
wetlands (marshsubmerD aouatie vegetation
ged (SAVs) or other wetlands?
Yes No
d. High.-round excavation in cubic yards
2. DISPQS_4L OF EXC AVATED
AtkTERUL
2. LOc:atlOn of disposal area
b. Dimensions of disposal area
c. Do you claim title to disposal area?
Yes No
If no, arch a letter gram
owne-, g permission from the.
d. Wi1I a disposal area be available for future
maintenance? - Yes
If yes, where? - No
raised 03!a.-,
Average FuW
Eii?
°Lzn,-,th Width P?njeci
1 -2
Form DCM-mp
e. Does the disposal area include any coastal wetlands
(marsh), SAVs or other wetlands?
Yes No
£ Does the disposal include any area in the water?
Yes _ No
3. SHORELINE STABILIZATION
a. Tyke of shoreline stabilization
or NWL
e. Shoreline erosion during preceding 12 months
I V 01??
(Source of injcr= ion)
f. Type of bulkhead or riprap material Ss
g. Amount of rill in cubic yards to be placed below
water level
(1) Riprap
(?) Bu - ea backnII
h. Type of fill material sonar an _
Bulkhead ; Riprap
_ (r,? ? •
bd. Length
.?(
c. . Ave ?A Maximu? ? Lan stance c wate e rwarterwad rd ofof MEW MEW or NWL
i Source of fill material +n 6- _F4%.CK.4e
tr
If Yes,
(1) Amount of material to be plac in th'e
water
(2) Dimensions of fill area
(3) Purpose of fill
b. Will fill material be placed in coastal wetlands
(marsh), SAVs or other wetlands?
Yes No
If yes,
. (1) Dimensions of fill area
(2) Purpose of fill
5. GENERAL
a. Flow will excavated or fill material be kept on site
and erosion controlled? IV / JC}
b. What type Of Mnstruc-6on eQUiDment will be used
(for emample, dragiine, back]-hoe, or hydraulic
dredge)?
C. Will wetlands be crossed in bans orting equipment
to proje_^t site? Yes lro
If yes, explain steos that will be taken to lessen
environmental, imp a_^ts.
4. OTHER FILL ACTTVITF-'S
(Excluding Shoreline Stabilization)
z Will fill material be brought tc site?
--)Cyes No
RECEIVED
DCM WILMINGTON, NIC
aUG 0 4 2006
A ptiu?nt or Projr N=_. p r 0 vpeG
Samna
DHL-
Revised 03/0.

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LOT :;7, !;FCJION 1 L M1I,IAEL N. UN S M AT WAS
cmt nNkP: A[u!fs 5J©.'\rlO ON DRAWN UNDER MY SURVEY
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SURVEYED ARE SH uD!IC mom
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