19920045 Ver 1_COMPLETE FILE_19920101

To: John Dorney L
Plann
ing Branch DIVISION OF ENVIRONMENTAL MANAGEMENT ????
CAMA MAJOR PERMIT APPLICATION REVIEW
WaRO PROJECT # 90? "' 6WULA`'I r'
REVIEWER: SAWYER WATER ?.t `.': ;
WQ SUPERVISOR: THORPE
DATE: Q? $1, Z .
WETLAND INFORMATION FOR CENTRAL OFFICE TRACKING 0
PERMIT YR: 92 PERMIT O.: COUNTY: &a.1p
PROJECT NAME : a 5lFw 5: A U4*?-? IZ-,? ww R-
PROJECT TYPE: ,mk?'? P' ?.' .?R••
???ERMIT TYPE: CAMA CO
COE #:I ggoZDD1% d DOT#:
RCD FROM CDA: DCM DATE FROM CDA: Z
REG OFFICE: WaRO RIVER AND SUP BAS N#:?sr
*STREAM OR ADJACENT WATER BODY: ?aa?w?t••?.
CLASS: SGJ-d ISA- STREAM INDEX #: 30??.. CZ
*OPEN OR CLOSE
WL IMPACT : I ' J &a.• WL TYPE :
WL REQUESTED: 1.5'74e- WL ACR EST:
HYDRO CNECT?:` WL SCORE:
MITIGATION: MITIGATION TYPE:
MITIGATION SIZE:- RATING SHEET ATTACHED?:
RECOMMENDATION:SSUE ISSUE/COND DENY
STORMWATER PLAN REQ'D:
IF YES, DATE APPROVED:
PROJECT 3
PROJECT S?CRIPTION:
WATER QUALITY CERT. 4011
CERT. REQ'D:?
IF YES, TY E:,,Te„
SEWAGE DISPOSAL
TYPE OF DISPOSAL PROPOSED:
(EXISTING, PROPOSED, SEPTI TC.)
TO BE PERMITTED BY:
(DEM, DHS, COUNTY)
IF BY DEM, IS SITE AVAILABLE AND PERMIT ISSUANCE PROBABLE:
WATER/WETLAND FILL
AREA OF FILL: WATER: WETLAND: A
IS FILL ELIMINATING A SIGNIFICANT USE?
DREDGING
IS DREDGING ACTIVITY EXPECTED TO A S IGNIFICANT LOSS
OF RESOURCE?
IS SPOIL DISPOSAL ADEQUATELY AD RE S D?
MARINA
ARE THE FOLLOWING ADEQUATELY ADDRESS
SEWAGE DISPOSAL: MARINA SERVIC
OXYGENINBASIN: CLOSURE OF SHELL S I G WATERS:
a Page Two
7?_o?f2 1
RECOMMENDED CONDITIONS OR PERMIT RESTRICTIONS:
"kA
cc: Central Files
Washington Regional Office Files
DCM-John Parker
Elizabeth City
Morehead City
Washington
COE:Washington Field office
N
yytt,C s,,.5tA7E°
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27604
James G. Martin, Governor
William W. Cobey, Jr., Secretary
April 20, 1992
George T. Everett, Ph.D.
Director
Mr, aim Johnson, Refuge Manager
U.S. Department of Interior
U.S. Fish and Wildlife Service
Alligator River National Wildlife Refuge
Post Office Box 1969
Manteo, North Carolina 27954
Dear Mr. Johnson:
Subject: Certification Pursuant to Section 401 of the Federal
Clean Water Act,
Proposed 38 Culvert/Flash Board Rivers
Project # 92045, COE# 199200860
Dare County
Attached hereto is a. copy of Certification No. 2723 issued
to U.S. Fish and Wildlife Service dated April 20, 1992.
If we can be of further assistance, do not hesitate to
::ontact us.
Sincerely,
J 0?
o ge T. Everett
1 ?,
Attachments
cc: Wilmington District Corps of Engineers
Corps of Engineers Washington Regional Office
Washington DEM Regional Office
Mr. John Dorney
Mr. John Parker
Central Files
REGIONAL. OFFICES
AShcville Invctwollc Nloorcwille Raleigh V/a'hington Wilmingt.,n V'intiton-Salem
704/251-6208 919/48(1-1541 704/663-1699 919/,571--17(X) 919/9400481 919139 3O(X) 919/}{9(,7(X)7
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27620-0535 -1dephonc 919-73 3 701 5
Nb.
NORTH CAROLINA
Dare 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 U.S. Fish and Wildlife Service pursuant to an application
filed on the 5 day of February, 1992 to install 38 culvert/flash
board rivers at Alligator National Wildlife Refuge.
The Application provides adequate assurance that the
discharge of fill material into the waters of. Alligator River
tributaries in conjunction with the proposed culverts/flash
board risers in Dare 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).
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 20 day of April, 1992.
DIVISION OF ENVIRONMENTAL MANAGEMENT
?U?orge T. Everett, Director
.f
WQC# 2723
\eiaSTAlFo
o? 4
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Coastal Management
225 North McDowell Street • Raleigh, North Carolina 27602
James G. Martin, Governor Roger N. Schecter
William W. Cobey, Jr., Secretary Director
02/19/92
Mr. Jim Mulligan
NC DEN&NR
Div. Environmental Management
P.O. Box 1507
Washington, NC 27889
REFERENCE: ACTID-92-0860
Applicant/Sponsor: U.S. Fish and Wildlife Service
Installation of 38 Culvert/Flash Board Risers, Alligator River NWR
Dear Mr. Mulligan:
The attached U.S. Army Corps of Engineers Public Notice, dated
01/23/92 describing a federal project or permit is being circulated
to interested State agencies for comments concerning the proposal's
consistency with the North Carolina Coastal Management Program.
Please indicate your viewpoint on the proposal and return this
form to me before 03/02/92.
" Si rely
Ste en B. Benton
Consistency Coordinator
REPLY This office objects to the project as proposed.
_ /Comments on this project are attached.
C./
_ This office s e? the project proposal.
1
No Comment.
Signed
"???/? -
Date
Agency
??"/? r \ l •(?
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer
" '? Kti:??vcu
WASHINGTON OFFICE
•? ?• FEB 2 4 1992
State of North Carolina V1.a 14
Department of Environment, Health, and N f ural Reso"Scef
Division of Coastal Management ?j
225 North McDowell Street • Raleigh, North Carolina
James G. Martin, Governor Fit App ?9?che.
William W. Cobe Secretary
Jr.,
u, Director
'^rriLFP t??
02/19/92 lad c;t W
Mr. Jim Mulligan
NC DEN&NR
Div. Environmental Management
P.O. Box 1507
Washington, NC 27889
REFERENCE: ACTID-92-0860
Applicant/Sponsor: U.S. Fish and Wildlife Service
Installation of 38 Culvert/Flash Board Risers, Alligator River NWR
Dear Mr. Mulligan:
The attached U.S. Army Corps of Engineers Public Notice, dated
01/23/92 describing a federal project or permit is being circulated
to interested State agencies for comments concerning the proposal's
consistency with the North Carolina Coastal Management Program.
Please indicate your viewpoint on the proposal and return this
form to me before 03/02/92.
Sir/rely,
Ste en B. Benton
Consistency Coordinator
REPLY This office objects to the project as proposed.
Comments on this project are attached.
This office =:Us the project proposal.
No Comment.
signed "...,e, A-
Date
Agency A-171 '4C,)
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer
DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, NORTH CAROLINA 28402-1890
IN REPLY REFER TO
Regulatory Branch
January 22,
Action ID. 199200860 Alligator River
Mr. John Dorney
Water Quality Section
Division of Environmental Management
North Carolina Department of Environment,
Health, and Natural Resources
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Dear Mr. Dorney:
,S
Enclosed is the application of the United States Department of the
Interior, Fish and Wildlife Service, Alligator River National Wildlife Refuge,
requesting Department of the Army permit authorization, and a State Water
Quality Certification, to place fill material within existing drainage canals
and adjacent wetlands associated with the installation of 38 culverts/flash
board risers, some of which will replace deteriorated wooden bridges, and to
provide water level control for over 50,000 acres of altered wetlands. All
proposed work will take place within the Alligator River National Wildlife
Refuge located near the Community of East Lake, in Dare 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 authorization of 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 repel
of a request for certification is considered a reasonable time for Sta/e
action. Therefore, if your office has not acted on the request by Mar h 23,/
1992, the District Engineer will deem that waiver has occurred.
Thank you for your time and cooperation. Questions or comments may be
addressed to Mr. Raleigh Bland, Washington Regulatory Field Office, telephone
[phone].
Sincerely,
e Wrig
hief, Regulat ry Branch
C?
DEPARTMENT OF THE A
Wilmington District, Corps $ n?
Post office Bo 0
Wilmington, North Caro ZtP 890
}? q
ACTION ID: 199200860 .y r. ' anuary 23, 1992
PUBLIC NOTICE` ? au
THE UNITED STATES DEPARTMENT OF THE INTERIOR, FISH AND WILDLIFE SERVICE,
ALLIGATOR RIVER NATIONAL WILDLIFE REFUGE, POST OFFICE BOX 1969, Manteo, North
Carolina 27954, telephone [phone], has applied for a Department of the
Army permit (DA)TO PLACE FILL MATERIAL WITHIN EXISTING DRAINAGE CANALS AND
ADJACENT WETLANDS ASSOCIATED WITH THE INSTALLATION OF 38 CULVERT/FLASH BOARD
RISERS, SOME OF WHICH WILL REPLACE DETERIORATED WOODEN BRIDGES, AND TO PROVIDE
WATER LEVEL CONTROL FOR OVER 50,000 ACRES OF ALTERED WETLANDS. ALL PROPOSED
WORK WILL TARE PLACE WITHIN THE ALLIGATOR RIVER NATIONAL WILDLIFE REFUGE
LOCATED near the Community of East Lake, Dare County, North Carolina.
The following description of the work is taken from data provided by the
applicant. Installation of the proposed structures will allow the refuge to
restore, or partially restore, over 50,000 acres of altered wetlands. The post
project water level will more closely approximate the natural hydrology of
forested and scrub/shrub wetlands. This project will improve water quality
enhancement and runoff retention functions of these wetlands, and improve
their wildlife habitat quality. The existing bridges are unsafe for
transporting heavy equipment. The N.C. Forest Service, who is under contract
for fire suppression, has requested the refuge to upgrade and/or replace the
bridges to insure safe movement of fire fighting equipment to required areas.
The proposed water control structure fill will replace the wooded bridge and
be utilized as the crossing. In addition, the water level control that these
structures provide.will also allow holding a higher water level in the area
while insuring that the level is not so high as to inundate the road system.
This will reduce wildfire risk in the areas that are presently drained by the
canals, provide better prescribed fire management capability, and provide a
better supply of water for fire suppression.
Installation of each culvert/riser will require an average of
approximately 450 cubic yards of fill material to be placed below the normal
water level contour at each existing canal site, and the placement of
approximately 1,800 square feet of excavated material within adjacent wetlands
associated with site preparation work. Total impacts to wetlands associated
with this project equals approximately 68,400 square feet (1.57 AC). Total
fill material to be placed below the normal water level contour within the
existing drainage.canals equals approximately 17,100 cubic yards. Fill
material for culvert/riser installation will be obtained from existing
commercial borrow pits in the area and/or permitted sites on the refuge. The
aluminum culverts will be 40 feet long by 48 inches in diameter. The risers
will be 54 inches wide and 9 feet high. This project is proposed to be
accomplished within a 5 year period. Plans showing the work are included with
this public notice.
It

-2-
The applicant has determined that the proposed work is consistent with the
North Carolina Coastal Zone Management Plan and has submitted this
determination to the North Carolina Division of Coastal Management (NCDCM'? for
their review and concurrence. This proposal shall be reviewed for the
applicability of other actions by North Carolina agencies which may include:
a. The issuance of a Water Quality Certification under Section 401 of the
Clean Water Act by the North Carolina Division of Environmental Management.
(DEM)
b. The issuance of a permit to dredge and/or fill under North Carolina
General Statute 113-229 by the NCDCM.
c. The issuance of a permit under the North Carolina Coastal Area
Management Act (CAMA) by the NCDCM or their delegates.
d. The issuance of an easement to fill or otherwise occupy State-owned
submerged land under North Carolina General Statute 143-341(4), 146-6, 145-11,
and 146-12 by the North Carolina Department of Administration and the North
Carolina Council of State.
e. The approval of an Erosion and Sedimentation Control Plan by the :Land
Quality Section, North Carolina Division of Land Resources, pursuant to the
State Sedimentation Pollution Control Act of 1973 (NC G.S. 113 A-50-66).
The requested DA permit will be denied if any required State or local
authorization and/or certification is denied. No DA permit will be issued
until a State coordinated viewpoint is received and reviewed by this agency.
Recipients of this notice are encouraged to furnish comments on factors of
concern represented by the above agencies directly to the respective agency,
with a copy furnished to the Corps of Engineers.
This application is being considered pursuant to Section 404(b) of the
Clean Water Act (33 U.S.C. 1344). Any person may request, in writing within
the comment period specified in the notice, that a public hearing be held to
consider this application. Requests for public hearing shall state, with
particularity, the reasons for holding a public hearing.
The District Engineer has consulted the latest published version of the
National Register of Historic Places for the presence or absence of registered
properties, or properties listed as being eligible for inclusion therein, and
this worksite is not registered property or property listed as being eligible
for inclusion in the Register. Consultation of the National Register

-3-
constitutes the extent of cultural resource investigations by the District
Engineer, and he is otherwise unaware of the presence of such resources.
Presently, unknown archeological, scientific, prehistorical, or historical
data may be lost or destroyed by work under the requested permit.
The District Engineer has determined, based on a review of data furnished
by the applicant and onsite observations, that the activity will not affect
species, or their critical habitat, designated as endangered or threatened
pursuant to the Endangered Species Act of 1973.
The decision whether to issue a permit will be based on an evaluation of
the probable impacts, including cumulative impacts, of the proposed activity
and its intended use on the public interest. Evaluation of the probable
impacts which the proposed activity may have on the public interest requires a
careful weighing of all those factors which become relevant in each particular
case. The benefits which reasonably may be expected to accrue from the
proposal must be balanced against its reasonably foreseeable detriments. The
decision whether to authorize a proposal, and if so the conditions under which
it will be allowed to occur, are therefore determined by the outcome of the
general balancing process. That decision should reflect the national concern
for both protection and utilization of important resources. All factors which
may be relevant to the proposal must be considered including the cumulative
effects thereof. Among those are conservation, economics, aesthetics, general
environmental concerns, wetlands, cultural values, fish and wildlife values,
flood hazards, flood plain values, land use, navigation, shore erosion and
accretion, recreation, water supply and conservation, water quality, energy
needs, safety, food and fiber production, mineral needs, considerations of
property ownership, and, in general, the needs and welfare of the people. For
activities involving the placement of dredged or fill materials in waters of
the United States, a permit will be denied if the discharge that would be
authorized by such permit would not comply with the Environmental Protection
Agencies, 404(b)(1) guidelines. Subject to the preceding sentence and any
other applicable guidelines or criteria, a permit will be granted unless the
District Engineer determines that it would be contrary to the public interest.
The Corps of Engineers is soliciting comments from the public; Federal,
State and local agencies and officials; Indian Tribes and other interested
parties in order to consider and evaluate the impacts of this proposed
activity. Any comments received will be considered by the Corps of Engineers
to determine whether to issue, modify, condition or deny a permit for this
proposal. To make this decision, comments are used to assess impacts on
endangered species, historic properties, water quality, general environmental
effects and the other public interest factors listed above. Comments are used
in the preparation of an Environmental Assessment and/or an Environmental
Impact Statement pursuant to the National Environmental Policy Act. Comments
are also used to determine the need for a public hearing and to determine the
overall public interest of the proposed activity.
It
-4
Generally, the decision whether to issue this DA permit will not be made
until the DEM issues, denies, or waives State certification required by
Section 401 of the Clean Water Act. The DEM considers whether or not the
proposed activity will comply with Sections 301, 302, 306, and 307 of the
Clean Water Act. The application and this public notice for the DA permit
serves as application to the NCDCM for certification.
Additional information regarding the Clean Water Act certification may be
reviewed at the offices of the Environmental Operations Section, DEM,
Salisbury Street, Archdale Building, Raleigh, North Carolina. Copies of such
materials will be furnished to any person requesting copies upon payment of
reproduction costs.
The DEM plans to take final action in the issuance of the Clean Water Act
certification on or after February 3, 1992.
All persons desiring to make comments regarding the application for Clean
Water Act certification should do so in writing delivered to the DEM, Post
Office Box 27687, Raleigh, North Carolina 27611-7687, on or before February
17, 1992, Attention: Mr. John Dorney.
Written comments pertinent to the proposed work, as outlined above, will
be received in this office, Attention: Mr. Raleigh Bland, until 4,:15 p.m.,
February 24, 1992, or telephone [phone].
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O rp ' EN lyF,y?
N A United States Department of the Interior
° FISH AND WILDLIFE SERVICE
a ALLIICai?. OR RIVER 1% iV'?.1'L ii'1L11LtiL Ymot'liL
P. V. BOX 1969
MANiEV, NORTH CAROLINA 27954
September 27,199
Air. john Dorney
vivision of r.nvi.ronmenzal rianagemen-c
N.C. Department of Environmental Health
& Natural. Kesources
P. O. BOX 27687
Raleigh, Nom. 27611
Dear Mr. Dorney
TAKE?
PRIDE L

1
is
- o F
w C
A copy of our application to the Wilmington Corps of engineers fcr
a 404 permit for firebreaks on Alligator River National Wildlife
Refuge is enclosed. Dave Frankiin of the Wilmington oi'fice
informed us that we may qualify for a Nationwide Permit but that we
should send a copy of the permit application to you in order to
start the process for 401 wager quality certification.
If you need additional information, please call. Bob No?'fsinger o'
this office at 919-473-1131.
Sincerei.v,
aim C. Johnson
Refuge Manager
1LNT
F Tom' ?
o. -- United States Department of the Interior ° FISH AND WILDLIFE SERVICE
..r"' ALLIGATOR RIVER NATIONAL WILDLIFE REFUGE
Y.V. Box 1969
M.% NTEO , NORTH CAROLINA 2 1 9 5 4
September 20, 1991
Mr. Warne Wright, Chief Regulatory Functions
Wilmington District Corps Of Engineers
Y.O. Box 1890
Wilmington, NC 28402-189o
Lear Mr. Wright:
Enclosed is an application for placing fill material in pocosin
wetlands on the Alligator River ?rational Wildlife Refuge, in Dare
County, North Carolina. The filling will occur when firebreaks are
created through the wetlands. The vegetation and debris in the
firebreaks will be removed and in this process soli will be
disturbed and the soil, vegetation and debris will be redeposited
in the wetlands. The purpose of the project is to allow a safe
prescribed burn which is needed for habitat management for the
endangered red-cockaded woodpecker (ricoides boreaiis) . The colony
sites at Chip Road and 'whipping Creek Road have a hardwocd
understory developing-which has reached the level of the nesting
cavities. For reasons not completely understood red-cockaded
woodpeckers will often abandon sites where this occurs. Fire
suppression in the area has allowed the-hardwood encroachment at
the sites. The prescribed burn will kill and/or retard the
hardwoods in the sites and improve the quality of the sites for
red-cockaded woodpeckers. The Chip Road site is about 25 acres in
size and the Whipping Creek Road site is about 50 acres in size.
The permit application and the attached excerpts from the burn plan
give more specifics on the project. Basically, about 9,100 feet
of firebreaks (control lines) will need to be created. These will
be 24' wide and will disturb the duff layer (6-12 inches of roots
and poorlS decomposed plant material) and up to 6 inches of soil.
A wide track low ground pressure dozer will be used to create the
firebreaks. An area with a 20' radius, will be hand cleared of all
vegetation around each cavity tree. Each cavity tree will be
sprayed with foam fire retardant. This project has been
coordinated with and approved by the Services Endangered Species
Office in Raleigh.
If you have anz- questions or if additional information is required,
contact Bob Ivoffsinger (phone [phone]) of this office.
Sincerely,
Jim C.-Johnson
-tom r (? Refuge Manager
cc', i V ? S i v n o T 1. o a5J C' I ma V, ,. -e W\ e
CC . M 36ti 0 [for???,
U
APPLICATION
FOR
` PERMIT TO EXCAVATE AND/OR FILL WATER OUALITY CERTIFICATION
EASEMENT IN LANDS COVERED BY WATER CAMA PERMIT FOR MAJOR DEVELOPMENT
Oeputment of Administration State of Nonh Carolina Department of the Army
(GS 146.121 Department of Natural Resources and Community 0eveiopment Corps of Engineers, Wilmington Oistric:
(GS 113-229, 143.215.3(a)(1). 143.215.3(c). 113A-11d (33 CFR 209.320.329)
Please type or print and fill in all blanks. If information is not applicable, so indicate by placing N/A in blank.
1. Applicant Information
A. Name A t477bAA*f - W; Last First Middle
S. Address OY 196M
Street, P. O. Box or Route
itfTiCG WC Z ?957 7
City or Town State Zip Code Phone
11. Location of Proposed Project:
A. County
B. 1. City, town, community or landmark (A) ;OD r..,a Cwt= F l? Zpp L
2. Is proposed work within city limits? Yes.No
C. Creek, river, sound or bay upon which project is located or nearest named body of water to project W A *1 4)) 1 N^t
C n.E?1?
Ill. Description of Project C,Q 1= ATJ N 6 F/?Z/51QE-A I-7 7_o2
A. 1. Maintenance of existing pmiect 2. New work - RAZES,- 2,,.6t 1S z4 2AI
8. Purpuse of excavation or till
I. Access channel lengthwidth ---?depth
2. Bast basin length_._. width -.Jepth
3. Fill area length
?.?.?width---. death
4. Other Z/2F
K length 2100 width -24 death
C. I. Bulkhead length NA Average distance waterward of ,MHW (shoreline) N Q
2. Type of bulkhead construt.tion (material) A/r4
0. Excavated material (total for project)
1. Cubic yards ? SOD 2. Type of material brz:s
E. Fill material to be placed beinw MHW (sec also Vt. A)
I. Cubic yards 'L Do 0 1 Type of material 50/! V e 4& -r^7'/OAS ?C t7r-1
5
IV. Land Type, Disposal Area, and Construction Equipment:
A. Dues the area to be excavated include any marshland, swamps or other wetland? Yes ? No
S. Dues the disposal uca include any marshland, swamps or other wetland? Yes ,k[? N
G Disposal Area
1. Location 7712 1',*AJ f "- [ r
2. Oo you claim title to disposal area??
U. Fill material source if fill is to be trucked in
E. How will excavated material be entrapped and erosion controlled?
I Vpc al equipment to be used fit/

G. Will marshland be crossed in transporting equipment to project site? If Yes. explain -YES.
Ear/re s i 7 C
!G D b ? aS i ti ,•S/ !>f-his

0
AiAa
Olt F•81
7.v t7/-A
tntended Use of Project Area (Describe)
A. 1. Private
Z Commercial
3. Housing Development or Industrial
4. Other f/eel3/LG1'A/f TO A:;.[toc., />.1r'G?n,Q?r ?.. ., _
8. I. Lot size(s)
2. Elevation of lot(s) above mean high water
3. Soil type and texture
4. Type of building facilities or structures AJ A/¢
S. Sewage disposal and/or waste water treatment A. Existing a Planned ti
13. Describe -A//,4-
6. 'Land ClaWlication'(ctrcie one EVELOPED TRANSITIONAL COMMUNITY RURAL
SERVATIO OTHER (See CAM•A Local Land Use Plan Synopsis)
VI. Pertaining to Fill and Water Quality:
A. Does the proposed project involve the placement of fill materials below mean high water? Yes No
B. 1. Will any runoff or discharge enter adjacent waters as a result of project activity or planned use of the
area following project completion? Yes_No.,?_
Z Type of discharge 'N //a-
3. Location of discharge N//?
VU. Present rate of shoreline erosion (if known)- /V 44-
VIIL List Pa.. it numbers and issue dates of previous Department of
Army Corps of Engineers or State permits for
work in project area, if applicable:
IX. Length of time required to complete proiecz: - tze-,t, _
X In addition to the completed application form, the following items must be provided:
A. Attach a copy of the deed (with State application only) or other instrument under which applicant
claims title to the affected property. OR if applicant is not claiming to be the owner of said property.
then forward a copy of the deed orother instrument under which the owner claims title plus written
permission from the owner to carry out the project on his land. _
8. Attach an accurate worts plat drawn to scale on Sh X a 1" white pacer (see instruction booklet for
details). Note: Original drawings preferred - only high quality copies accepted.
C. A copy of the application and plat must be served upon adiaeent riparian landowners by regtsterea or
certified mail or by publication (G.S. 113-229 (d))Enter date served 0G?O-be r- ? 1-') 1 99 )
0. List names and complete addresses of the riparian landowners with property adjoining applicant's.
Such owners have 30 days in which to submit comments to agencies listed below.
e*QY- t1r 0g.).'.+ /A/ X 4--AJ,9
Xl. Certification requirement: I certify that to the best of my knowledge, the proposed activi
with the State of North Carolina's approved coastal tY ' Implies
manner consiKa-1t with such program. management program and will be conducted in a
Xll. Any permit issued pursuant to this application will allow only the development described in this appli. '
cation and plat Applicants should therefore describe in the application and plat all anucipated devel.
opment activities, including construction, excavation, filling and land nearing.
OATS Dc-*o be r`?
? 1L_ '
App nt's Signature
OAF-82
R.v. 10178 SEE REVERSE SIDE FOR MAILING INSTRUCTIONS
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-.. PRA .8r?1tT PLr G ?? C V_TIDF??A??C?VS
Site Preparation: (what, when, how, & who) See attachment I.
Other Safety Hazards: (adjacent lands, visitors
'terrain, etc. and needed actions) Vegetation on sitefacil dense pearl
1IIDenetTabl a _ n; y
Public contacts (Pre-burn Consultation) : NC Forest Service - Stumpy
Point NC Forest Service County Ran eT -East La?ce Dare Cottnro cr,s_: rat _
wU.
Personnel Escape Plan: Crecy members can use control lines
LS CSCanP rn„te_ and black zones
Special Constraints and Considerations: a attachment 2.
Communications and Coordination: Each fire crew member will be provided
with a re 11 a radio monitorin channel I and 2 and will be briefed on the
objectives, procedures, escape routes
and safety zones associated with the burn.
Each crew member will be notified of their specific duties ass
ociated with the burn.
Pre-burn Monitoring:
Visual Inspection:
yes Veg. Transects: possibly
Photo. Documentation: ves
Other: T
Attachment 1
US Fish and Wildlife Service
Prescribed Burning Plan
Alligator River NW'R
Site Preparation: Chip Rd. Unit will be divided into two blocks,
Whipping Creek Rd. Unit will be divided into three blocks.
Vegetation along Chip and Whipping Creek roadsides will be mowed
using a boom axe-type mower. A portable bridge will be installed
at the Chip Rd. Unit to span the adjacent canal. One-half of
each block will be drum-chopped and slash will be cleared from
around colony trees out to a 20' radius. The cavity trees will
then be foamed with a fire retardant material. Control lines
will be double-blade width and will be installed using a D-6
dozer with a KG-type. After cutting the control lines with the
dozer, a hand crew will then police the lines ensuring that they
are functional. The dozer will be walked through the non-drum
chopped vegetation to create strips 150' apart which will be used
to allow the igniters to create a flanking fire. A 20' x 20'
sump will be duff at the intersection of Chip Rd. and Whipping
Creek Rd. using an excavator or backhoe. The sump will create a
reliable water source for pump use.
1
Attachment 2
US Fish and Wildlife Service
Prescribed Burning Plan
Alligator River NWR `
Special Constraints and Considerations: All burning will be done
outside the nesting season for red-cockaded woodpeckers. The
blocks which do not contain cavity trees will be burned first.
Only after successfully burning these blocks will be cavity tree
containing blocks be burned.
Burning in peat soils poses a potential danger. Smoke from the
burns could possible create a hazard on the Air Force Bombing
Range, approximately 1 mile north of the burn units and NC
Highway 264, which is approximately 3 miles southeast of the burn
units.
...
p
i
. Il1tT1'I' PRES
(6 RMm 1?GTR1V.?TG PLAN ? ,
Exhibit 4)
-Chip Rd-Red-cockaded Station: Alligator River *n1R
woodpecker colony :
-Whipping Creek Rd. Red- Sub Station:
Name of Area: cockaded woodpecker colo be p Rd.
fires to Burned 25 _- Chi
Specific. Portion pmile-South of Chip Rd, & T,,i 5? } Creek Rd
Above. - PPing Creek Rd. intersection on Chip R
l east of Chi Rd & WhiDDing Creek Rd. inter-
Legal Description: B section on Whipping Creex a, 18 (s) 2 - i Rd.COUnt
Physical Features: 0 37 24_;,i g Creek Y Dare
Se?nearl_y im enetrable understorvwtallcolony
S n 'Is are redominately Pond pine
shallow or anics (6" to 12 underlain by mineral).
BOHI
areg d n ar roads and ad'acent canals.
Veg. Cover Types: (species, 'height, density, etc.) Tree Pond
' Dine ocosin.
w T ` f rr T
tigh
the, predominant tree species. r ' llberrv. pond nines.
Vegetation Type Acres % Fuel Model
Trza d nLnT--e sin_ 100
4
TOTAL, 75 -100
Primary Resource Objectives: Im rove red-cockaded woo
dDecker colony sites
hV alrarinn the hah4p2t-
t
Specific Objectives Of Burn:
hr b ,nd r o
nn°^ ?+-e ,-ri„nri r},o -Teal ,. t a more
h
s
General Habitat Conditions: Pond nine tree Docosin with dense shrubby
understory. Soil t Des are Dredominately shallow organics.
Crew Briefing Points (communications
sources, escape, etc.) : See' attachment hazards, equipment, water
-------------
Ignition Technique (methods, how, where, who, & sequence) : A backing
:ire will be initiated along the northern southern,* and eastern control lines.
ana northeastern (Chip Rd. Unit) control lines. 5 igniters will ..
roceed southwest into the wind simultaneously 150' apart - 2 flanking i.niters
on the outside control lines and 3 i niters in the middle. Western-most blocks
in each unit will be fired first (see maD).
Holding and Control:
Critical Control Problems: Volatile adiacent fuel types containing
peat soils can resent a control Problem. All, control lines must be as straight
as possible w; ri, 0s..

Attachment 3
US Fish and Wildlife Service
Prescribed Burning Plan
Alligator River NWR
Crew Briefing Points: Crew members will be notified on the
location of the control lines and the probable location of black
zones. Crew members can use the control lines and black zones as
escape routes to safety zones such as Chip Rd. and Whipping Creek
Rd. The black zones can also be used as safety zones.
Steve Fowler, Jonathan Windley, Stephen Grant, Amy Midgett, and
Edward Zakrajsek will serve as the first igniting crew. Scott
Lanier and Belton Gray will serve as secondary ignitors.
Personnel on both igniting crews will serve on the holding crew
when not igniting.
All personnel involved with the burn will be equipped with a two
channel radio monitoring the Fish and Wildlife Service frequency
163.15 (channel one) and 163.15/164.625 (channel two).
A truck tractor and lowboy trailer with the dozer will be sitting
on Whipping Creek Rd. facing east toward Stomper Rd. Two pumps
for a hose lay will be set up near the sump hole in addition to
two pumper trucks
Crew members will be made aware of the danger of snags and other
previously mentioned safety hazards (see Other Safety Hazards).
All crew members will be aware of the possibility of spot fires
and will be aware of the direction that cinders are traveling.

Jim-
Scot
Jona
Bob
111?C= Rb - ratrot Field Observer Pumper Engine
,ef CO - EcuiDment Operator (Dozer, Truck Tractor, Lowbov, GO-Track)
Ott EO - EouiDment Operator (Dozer. *Truck Tractor, Lowbov), MoD-up Boss
rant - 1° Igniter, 'Holding Crew, Mon-up Crew
tt - 1° I niter, Holdin Crew, MoD-up Crew, Tree Foamer
Crews &.Equipment Assignments (list all personnel and equip.
needed) Steve Fowler, FMO - Prescribed Burn Boss, Lighting Boss
Johnson RM - Patrol Field Observer, Pumper Engine
Lanier. ROS - Holding Crew Boss, 20 Igniter, Hose line and Punt)
pan Windlev3 ROS - 1° Igniter Holding Crew (flaDDer), Hose lira -e!' V--
Rex Ti
Steppe
Amy Mi
Edward
Belton
isek - 1o Igniter, Holdino Cre•j, Mop-up Crew
- Holding Crew, 2° Igniter, Pumper Engine, Moo-uD Crew
Mackay Island NWR will rovide a upper engine and 2 crewmen.
Needed Equipment: Dozer -Cat. D-6 with KG blade
Truck tractor and lowboy
Go-Track track vehicle with pump
2 Pumper engines (Alligator River NWR and Mackay Island NWR)
2 trash-type pumps and associated hose

1'
-?50N14Ei REnUIRcy"TS AND ORGANIZATION --
APPROVING
LINE OFFICER

PRE CRIBE7 FIRE MANAGER
PRESCRIBED- BURR 8055 ? FORECASTER
Steve Fowler, FMO
LtaHTZNG 8055 HOLDING 8055 KP-UP 8055 PATROL
gr-Ira rn't-11 P•. F4o Scott Lanier RPM Tillett,E Jim Johns(
1
LS?T'cR5(S) HOLDING CREW(S)
Conr* T.an4 er Rex Tillett
T. V4 -dlev Amv Midgett
Cro?hPn Grant E. Zakrajsek
}ny 'V doort Stephen Grant
F- 7akr2isek Belton Gray
Ralrnn Grav J. Windlev
-*
i Bruce CreeE
i
j HE1CIIPTE.R PRAT
L (HE TURCH OPERATOR)
Indicate radio assignments by
;iOP-Up CREW(S)
Amy Midgett
E. Zakrajsek
Stephen Grant
Belton Gray
Bob Noffsinger, R
83
HE rPORT MA =2;Z

PUB=C CCBVTACTS CT BtJMN DAY
NC State Forest Service - Stumpy Point Tower 473-2878
Stumpv Point Maintenance 473-2443
- Fairfield 926-3041
Dare County Sheriff's Deot. - 473-3481
Air Force Bombing Rance - 473-2201
Na" Bombing Rancpe - 473-2720
13ational Parli Service - Fort Raleigh 473-2111
- Bodie Island Ranger Station 441-7425
1-janns Harbor Volunteer Fire Dept. - Alvin Ambrose 473-3410
or Dare Central Communications 441-4134

• ....S

I?;?r?-
Contingency. Plan for.Escaped Fires: Anv fire ?rowinc, beyond control
will be dPsicratad an Pc aped fire and the crew will ac,, under h riops
eovernins the 1'ncident Co=_,and Svste*+_ The dispatch plan -,For wiljf,rp will
be initiated. The follovoino will be-notified- NC Forest er7' o a
Fairfield and Stum ny Point: US Air Force and Navy Bombing Ranoes• P g•onal
Fire ManaeaTnant Coordinator (FUS): NC n eracen= i apate-h+ -Carta- a Asheville.
Mop-up and Patrol:
Special. Problems: Potential neat fires could Dose soecial moU-uU
problems. The fire will be continually monitored until all smokes are out.

?u'F• MAl??? .
(6 RM 7 Exhibit 5)
Smoke Management Number:

Distance and Direction from Smoke Sensitive Area (s) : C?? Rd. 'unit
is approximately. 5 miles southwest from the Air Force target area and approximately
4 miles northwest from NC Hwy. 264, Whipping Creek.Rd. Unit is approximately 3 mile!
southwest from the Air Force target area an approximately miles nor-7,H-we-37-7-from
NC Hay. 264 .
Necessary Transport Wind Direction: Any Direction
Visibility Hazard (s) (Roads, Airports, etc.): NC Hwy.l 264, Air
Force Bombing Range Target Area
Actions to Reduce Visibility Hazard(s) (6 RM 7 Exhibit 5 Part 2):
Burning will be done under good smoke dispersal conditions; wind direction
and smoke will be monitored along NC'-Hwy. 264; both burn units are relatively
small (75 acres) - signs will be,posted if wind direction is toward highway.
Residual Smoke Problems? Measures to Reduce Problem (i.e., Rapid
& Complete Mop-up). Specific fuel moistures. Time of day, etc.?
Mop-up will be thorough and complete. The fire will be continually monitored
until all fires and smokes are out.
al ,
w.,

CORTROL

Actual
Planned or Proposed
Scheduling: Approx. Date (s) October
Time of Day mid-morn inQ
Acceptable Prescription Ranee
Weather Parameters: Actual
Low Desired Inch .

(broad range) : 50° 6 0 750
_--. - '-'
Temperature
SOz
%
Relative Humidity: -
Southwest
Wind Direction: ---

Wind speed (20' , forecast) : 3 20
6 - ------------
wind Speed (Mid-flame):
(40% of 20')
., . - Less than 50%
Cloud Cover:
(More or less than 50%)
Environmental Conditions:
High
Soil moisture:
4-127 10 hr. FLi 8-167
1 hr. FM
Fuel Moisture: -
Litter or Duff Moisture:

since at lea
50% - 757
st .5" rain) .
(No. of days
7 57, - 2007
other (Live FM)
Fire Behavior:
L':TP/F1 anlcino Fire
Type of Fire
10-?4 CH/H
Rate of Spread:
iii 1182 BUT/FT/S
IntensitY:
5 t' -t 1 7`
Flame Length:

IGNITION, BURNING, CONTROL
Presuppression Activity Code:
. =S
Planned Actual
Equip & .Labor Total Staff
Supplies Cost Days
Admin.: $$15_0 $220 $370 3

Site Prep.: 700 $600 $1300 15
Ign & Contain: $1500 S2000 3500 39
Total: S2190 $2820 5170 -93

Z '
M•?

i

STATED
State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Coastal Management
225 North McDowell Street • Raleigh, North Carolina 27602
James G. Martin, Governor March 13, 1992
William W. Cobey, Jr., Secretary
Colonel Walter S. Tulloch, District Engine
Wilmington District Army Corps of Engineer
PO Box 1890
Wilmington, NC 28402-1890
REFERENCE: Action ID: 199200860, Installat
Risers, Alligator River National
Dear Colonel Tulloch:

Refuge
Roger N. Schecter
Director
lash Board
The State of North Carolina has completed its federal consistency
review of the above referenced proposal by the USDI Fish and Wildlife
Service. The proposal is described in the Corps Public Notice dated
1/23/92.
Based upon our review we agree with the applicant's determination that
the proposed activity is consistent with the North Carolina Coastal
Management Program provided the conditions listed below are followed. We
have and discussed these conditions with representatives of the USDI Fish
and Wildlife Service (USFWS) at the Alligator River National Wildlife
Refuge and they have agreed to incorporate them into their project
proposal.
1. As mitigation for the loss of 1.57 acres of wetlands resulting from
the construction of the 38 proposed water control structures, the USFWS
will convert a minimum of 1.57 acres of their existing cropland to wetland.
2. In order to preserve traditional Public Trust access use of the canal
adjacent to Point Peter Road, the USFWS agrees to do the necessary
improvements to and maintain Point Peter Road from Highway 264 to a point
east of where the Point Peter Road Canal water control structure is
constructed. This road improvement will preserve vehicle access from
Highway 264 to a boat launching area with access to Croatan Sound.
3. The USFWS agrees to conduct the archaeological survey at sites 31DR45
and 31DR46 at the Beechland Community at the intersection of Milltail,
Beechland, and Possum roads (See attached comment from the NC Division of
Archives and History).
4. A 401 Water Quality Certification is received from the NC Division of
Environmental Management prior to the onset of construction.
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Om)ortunity Affirmative Action Employer
/`
We understand that the water control structure proposed at the Lake
torth Road site will be located to the west of a side canal near Highway
264 which is used by commercial and recreational fishermen as a boat basin
and access to Stumpy Point Bay. Therefore, traditional Public Trust use
and access will not be adversely impacted.
The North Carolina Division of Environmental Health requests that the
USFWS contact the Dare County Mosquito Control Officer, Mr. Kam Reporter,
about appropriate mosquito control measures. Mr. Reporter can be reached
at [phone].
If you have any questions about our position or the conditions,
recommendations, or understandings listed above please contact Mr. Steve
Benton,-Division of Coastal Management,.at [phone].
Sincerely,
,iLsr Roger N. Schecter
Attachment
cc: David Griffin, NC Division of Coastal Management, Elizabeth City
Linda Sewall, NC Division of Environmental Health
Dennis Stewart, NC Wildlife Resources Commission
Jim Mulligan, NC Division of-Environmental Management, Washington
John Dorney, NC Division of Environmental Management, Raleigh
Renee Gledhill Earley, NC Division of Archives and History
Mr. Jim Johnson, Refuge Manager
USDI FWS
Alligator River National Wildlife Refuge
PO Box 1969
Manteo, NC 27954
Ms. Sheila G. Golden, President
Stumpy Point Civic Club
Stumpy Point, NC 27978

EST Os ?y
United States Department of the Interior
N
° FISH AND WILDLIFE SERVICE
'i "I ?ALLIGATOR RIVER NATIONAL WILDLIFE REFUGE
Y.U. BOX 1969
MANTEL, NORTH CAROLINA 2T954
September 20
Mr. Wayne Wright, Chief ReaUlatory I VT
wiimin-uton District Corps Of Engin
gZ250
TAKE?
MME?RIICA

P.G. Box 1890 11 1
MAY - 81992
Wilmington.., NC 28402-1890
p;vl 1,
11
I r.Pl I
Dear •ir. Wright:
Enclosed is an application for placing fill material in pocosin
wetlands on the Alligator River National 'wildlife Refuge, in Dare
County, North Carolina. The filling will occur when firebreaks are
created through the wetlands. The vegetation and debris in the
firebreaks will be removed and in this process soil wiiL be
disturbed and the soil, vegetation and debris will be redeposited
in the wetlands. The purpose of the project is to aiiow a safe
prescribed burn which is needed for habitat management for the
endangered red-cockaded woodpecker (Picoides borealis). The coion?-
sites at Chip Road and Whipping Creek Road have a hardwood
understorv developing-which has reached the level of the nestin&
cavities. For reasons not completely understood red-cockaded
woodpeckers will often abandon sites where this occurs. Fire
suppression in the area has allowed the hardwood encroachment at
the sites. The prescribed burn will kill and/or retard the
hardwoods in the sites and improve the quality- of the sites for
red-cockaded woodpeckers. The Chip Road site is about 25 acres in
size and the whipping Creel: Road site is about ?,0 acres in size.
The permit application and the attached excerpts from the burn plan
give more specifics on the project. Basically, about 9,100 feet
of firebreaks (control lines) will need to be created. These will
be 24' wide and will disturb the duff layer (6-12 inches of roots
and poorly decomposed giant material) and up to 6 inches of soil.
c:ide track low around pressure dozer will be used to create the
firebreaks. An area with a 20' radius, will be hand cleared of all
vegetation around each cavity tree. Each cavity tree will be
sprayed with foam fire retardant. This project has been
coordinated with and approved by the Services Endangered Species
Office in Raleigh.
if you have ani- questions or if additional information is required,
contact Bob Noffsinger (phone [phone]) of this office.
NO
WILDLIFE RESOURGOS CCIAMISSION Sincerely,
aim C. Johnson
Refuge Tanager
?.
CC ' C UcS? 1 rvi C
;U'JI Olt .,
1
APPLICATION
FOR
PERMIT TO EXCAVATE AND/OR FILL WATER OUALITY CERTIFICATION
EASEMENT IN LANDS COVERED BY WATER CAMA PERMIT FOR MAJOR DEVELOPMENT
Oeoartment of Administration State of North CaroUna Department of the Army
(GS 14612) Department of Natural Resources and Community Oeveiopment Corps of Engineers, Wilmington Oisthc:
(GS 113-229, 143.215.3(a)(1), 143-215.3(c), 113A-118 (33 CFR 209.320-329)
Please type or print and fill in all blanks. If information is not applicable, so indicate by placing N/A in blank.
1. Applicant Information ^
A. Name L L/ /SA'7`tO4 l V E2 0,4') a,e jot ' N i /1 2 / G S=-` ``7
Last First Middle
S. Address
Street, P. 0. Box or Route
Aic
City or Town State Zip Coac Phone
11. Location of Proposed Project:
A. County 7-44
S. 1. City, town, community or landmark J.t) ;OD,rag ?!?, c K- T2 on
2. Is proposed work within city limits? Yes No
C. Creek, river, sound or bay upon which project is located or nearest named body of water to project ;/2 r tJ
C R- G7 K
I11. Description of Project cj21= ATi N 6 F1 RZ/3&E-AF j-o2 14
A. 1. Maintenance of existing project I New work RW-, Se /a, S = ^ T?stA.Al
B. Purpose of excavation or till
1. Access channel tength width depth
2. Boat basin length width depth
3. Fill arca length width depth
4. Other. /2Fg/LE?fC length '?/04) width :Z` death C
C. 1. Bulkhead length Average distance waterward of MHW (shoreline) ?.4
. 2. Type of bulkhead construt.tion (material) ,t/
U. Exc.tvatcd material (total for project)
1. Cubic yards -,-2-000 2. Type of material 50 t t_ , a b25
E. Fill material to be placed below MHW (scc also VI. A) %
1. Cubic yards -,zoo 2. Type of material 5 0 / . v e , E 'rr-T/o?? , a/e d r-/ 5
IV. Land Type, Disposal Area, and. Construction Equipment:
A. Dees the arca to be excavated include any marshland, swamps or other wetland? Yes ? No
B. Dues the disposal irea include any marshland, swamps or other wetland? Yes kg No
C. Disposal Area
1. Location ,tJ tW l
2, Oo you claim title to disposal area? y17
U. Fill material source if till is to be trucked in
g9 ?x s n, fa:/l
E. How will excavated material be entrapped and erosion controlled? Q rem ?? ??/ Nti ?!c. ire//
I . I vpc Of equipment to be used k--"/d i-° r)/4e-/1C- "tA) G20k-ten
G. Will marshland be crossed in transporting eu ipment to project site? If yes, explain YE S , ?FlJ T/le , i y
03 F-81
o.v f0111
V. Intended Use of Project Area (Describe)
A. 1. Private
Z Commercial
3. Housing Development or Industrial
4. Other =l sZe fj2Cl;?' 70
V1.
/?jL r±~
f2.?"?IJ - c ?r ? 0" ? E!) Gd a adta•e? K"G ,ir
GLN4?G12-?TC2y r?MOU?I C_
8. 1. Lot size(s)_ 1.J 1i. It 9. 0-9 llt_? c -'f-.
2. Elevation of lot(s) above mean high water
3. Soil type and texture
i ?: oe?G 5 r? Z
4. Type of building facilities or structures ?u Aa
S. Sewage disposal and/or wastewater treatment A. Existing _ ?.- Planned ,U le-
8. Describe
6• Land C1assir=tion'(circle one EVELOPED TRANSITIONAL COMMUNITY RURAL
NSERVATIO OTHER
Pertaining to Fill and Water Quality (See CAMA Local Land Use t'tan Synopsis
A. Does the proposed project involve the placernenL of fiat materials below mean high water? Yes No
8. 1. Will any runoff or discharge enter adjacent waters as a result of project activity or planned use of the
area following project completion? Yes__No4l,?_
Z Type of discharge N /xi-
3. Location of discharge_ N/A
VII. Present rate of shoreline erosion (if known):
Vlll. List permit numbers and issue dates of previous Department of Arm Ca
work in ro• Y Corps of Engineers or State permits for
project area, if applicable:
IX. Length of time required to complete project:
X. In addition to the completed application form, the following items must be provided:
A. Attach a copy of the deed (with State application only) or other instrument under which applicant
claims title to the affected property. OR if 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 on his land.
S. Attach an accurate work plat drawn to scale on 8%, X 41" white paper (see instruction booklet for
details). Note: Original drawings preferred - only high quality copies accepted.
C. A coot' of the application and plat must be served upon adjacent riparian landowners by registered or
certified mail or by publication (G.S. 113-229 (d))Enter date served 0?-roh? y- " t? acf
0. List names and complete addresses of the riparian landowners with property adjoining applicant's.
Such owners have 30 days in which to submit comments to agencies listed below.

u rl 7 Z (4
X1. Corti elation requirement: I certify that to the best of ray knowledge, the proposed activit
with the State of North Carolina's approved coastal management pro y ' Implies
manner Consicr.'1t with such program- gram and will be conducted in a
Xll. Any Permit issued pursuant to this application ' in app a the Cation and Plat. Applicants should there ore descr;beoin thelapplica tianoa rtd plat ale ant?Cpattd t devel-
opment activities, including construction, excavation, filling, and land clearing.
DATE D??oher 2?/ 1`I`l?
App ant's Signature
,D
a/Z
!!?i 7,9T -Xt,? N.,a /_ ,;, E AA''% /4-412 o woac
OiF.82
St". 10178 SEE REVERSE SIDE FOR MAILING INSTRUCTIONS
" ?Q?SCk i 82 P Bu-?u s?ES
- =i H1.?.(CQ.?Ta !2 12 k%)462 U.S. HWY. 34 17
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