20050738 Ver 1_Complete File_20050503

D5 -01)38
United States Department of the Interior
FISH AND WILDLIFE SERVICE
Raleigh Field Office
Post Office Box 33726
Raleigh, North Carolina 27636-3726
June 10, 2005
Mr. Henry Wicker
U. S. Army Corps of Engineers
Wilmington Regulatory Field Office
P. O. Box 1890
Wilmington, North Carolina 28402-1890
o c??od?D
JUN 2 0 2005
DENR-Wp,TF- nA?Bpoc"
VIS"NiDS At
Subject: Action ID # 200500712, Topsail Island Historical Cultural Arts Council, Topsail Beach,
Pender County, NC
Dear Mr. Wicker:
This letter provides the comments of the U. S. Fish and Wildlife Service (Service) on the subject
Public Notice (PN), dated May 5, 2005. The applicant, the Topsail Island Historical Cultural
Arts Council (TIHCAC), has applied for a Department of the Army (DA) permit to enlarge an
existing floating dock. The proposed work is being considered under Regional General Permit
#198000291, a permit/processing agreement for work that has been approved pursuant to the
North Carolina Coastal Area Management Act (CAMA). These comments are submitted in
accordance with the Fish and Wildlife Coordination Act (FWCA) (48 Stat. 401, as amended; 16
U.S.C. 661-667d). Comments related to the FWCA are to be used in your determination of
compliance with 404(b)(1) guidelines (40 CFR 230) and in your public interest review (33 CFR
320.4) in relation to the protection of fish and wildlife resources. Additional comments are
provided regarding the District Engineer's determination of project impacts pursuant to section 7
of the Endangered Species Act (ESA) of 1973, as amended (16 U.S.C. 1531-1543).
Proposed Actions and Anticipated Impacts
The project area, proposed work, and anticipated impacts are described the Field Investigation
Report (FIR), dated March 14, 2005, of the North Carolina Division of Coastal Management
(NCDCM). The project site is on the sound side of Topsail Island adjacent to Banks
Channel/Topsail Sound. The shoreline of the property has a bulkhead. There is an existing dock
and pier. A ramp connects the pier to a floating dock (six feet wide by 72 feet long) that extends
parallel to the bulkhead. The FIR states that there are no coastal wetlands in the project site.
The area is not designated as a primary nursery area and is currently open to shellfish harvesting.
The applicant proposes replaces the existing dock with a longer structure. The new dock would
be 125 feet long with the northern 30 feet being ten feet wide and the remainder being six feet
wide. Six, 3-piling clusters and one single mooring piling would be installed for mooring. The
2
cross-sectional diagram shows the new dock would be in waters approximately six feet deep at
mean low water (MLW) with the dolphins (piling clusters) in waters approximately seven to nine
feet deep at MLW. The FIR states that project impacts would be limited to the additional
incorporation of 2,482 square feet of estuarine waters and public trust area.
Federally Protected Species
The Service has reviewed available information on federally-threatened or endangered species
known to occur in Onslow County. We have also reviewed information from the North Carolina
Natural Heritage Program (NCNHP) database which contains excellent data on the special status
species, both federal and state. This database can be accessed by topographic quadrangle (quad)
of the U. S. Geological Survey (USGS). Data from USGS quads provide the most project-
specific information on species which should be considered in permitting this project. The
project area is in the Hampstead quad. The occurrence data of special status species within this
quad can be obtained on the internet at < http://www.ncnlip.org/Pages/heritagedata.html >.
The only listed species likely to occur in the project area is the West Indian manatee (Trichechus
manatus), a federally-endangered mammal. The species has been reported from Pender County,
but there are no current records within the Hampstead quad. Manatees move along the Atlantic
Coast during summer months and are seasonal transients in North Carolina, primarily from June
through October. Manatees may occupy waters one to two meters (3.3 -6.6 feet) deep. The
species moves extensively when in North Carolina waters and past occurrence records cannot be
used to precisely determine the likelihood that it will be presence at a particular construction site.
Manatees could occur in the project area. Pile driving could pose a risk to manatees during
construction. To protect manatees in North Carolina, the Service developed guidelines entitled
"Precautions for General Construction in Areas Which May Be Used by the West Indian
Manatee in North Carolina." These guidelines address all types of in-water construction, except
blasting, and should produce little, if any, additional expense. The guidelines are intended
mainly to ensure that construction personnel are informed that manatees may occur in the work
area, that work should cease if a manatee approaches the work area, work should not resume
until the manatee leaves the work area, and procedures for reporting the death or injury of a
manatee. These guidelines are available on our web site at < http://nc-
es.fws.aov/mammal/manatee guidelines.pdf>. The risk to manatees could be reduced to an
acceptable level by the implementation of the Service's guidelines. The risk would be further
reduced by performing the work during the period of November through May.
With the inclusion of our manatee guidelines, the Service would concur with a determination by
the District Engineer that the action is not likely to adversely affect species designated as
threatened, endangered, or their designated critical habitat. However, the requirement of section
7 would need to be reconsidered if. (1) new information reveals impacts of this identified action
that may affect listed species or critical habitat in a manner not previously considered; (2) this
action is subsequently modified in a manner that was not considered in this review; or, (3) a new
species is listed or critical habitat determined that may be affected by the identified action.

3
With simple measures to protect the manatee, we do not believe the activities described in the
PN and FIR would have significant adverse and/or irreversible effects on fish and wildlife
resources. Therefore, the Service has no objection, from the standpoint of fish and wildlife
under our jurisdiction, to the issuance of a DA permit for the proposed activities.
The Service appreciates the opportunity to provide these comments on this project. If you have
questions regarding these comments, please contact Howard Hall at 919-856-4520, ext. 27, at the
address above, or by e-mail at < howard hall(a)fws.,gov >.
Sin
Pete ejamin
Ecological Services Supervisor
cc:
John Dorney, NC Division of Water Quality, Raleigh, NC
Jim Gregson, NC Division of Coastal Management, Wilmington, NC
DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON. NORTH CAROLINA 28402-1890
REPLY TO
ATTENTION OF:
Regulatory Division
Action ID No. 200500712
May 31, 2005 O 5 -013%
Mr. Doug Huggett 'ZQ<<
Division of Coastal Management lU
North Natural Rensourcesent of Environment
and
400 Commerce Avenue
Morehead City, North Carolina 28557-3421
Dear Mr. Huggett:
Reference the application of Topsail Island Historical Cultural Arts Council for a
Department of the Army permit to extend the existing dock waterward 9', expand the existing
floating dock to a 6' x 125' floating dock, the northern 25' section of the floating dock will be
10' wide, construct six 3-piling clusters for mooring and one single mooring piling at 720
Channel Boulevard, adjacent to Banks Channel/Topsail Sound, in Topsail Beach, Pender County,
North Carolina.
The Federal agencies have completed review of the proposal as presented by the
application and your field investigation report.
We recommend that the following conditions be included in the State authorization:
1. All work authorized by this permit must be performed in strict compliance with the
attached plans, which are a part of this permit. Any modification to these plans must be approved
by the US Army Corps of Engineers (USACE) prior to implementation.
2. The permittee understands and agrees that, if future operations by the United States
require the removal, relocation, or other alteration, of the structure or work herein authorized, or
if, in the opinion of the Secretary of the Army or his authorized representative, said structure or
work shall cause unreasonable obstruction to the free navigation of the navigable waters, the
permittee will be required, upon due notice from the U.S. Army Corps of Engineers, to remove,
relocate, or alter the structural work or obstructions caused thereby, without expense to the
United States. No claim shall be made against the United States on account of any such removal,
relocation, or alteration. The permittee shall notify NOAA/NATIONAL OCEAN SERVICE
Chief Source Data Unit N CS261, 1315 E West HWY- RM 7316, Silver Spring, MD 20910-
3282 at least two weeks prior to beginning work and upon completion of work.
3. Except as specified in the plans attached to this permit, no excavation, fill or
mechanized land-clearing activities shall take place at any time in the construction or
maintenance of this project, in such a manner as to impair normal flows and circulation patterns
within waters or wetlands or to reduce the reach of waters or wetlands.
4. Except as authorized by this permit or any USACE approved modification to this
permit, no excavation, fill or mechanized land-clearing activities shall take place at any time in
the construction or maintenance of this project, within waters or wetlands. This permit does not
authorize temporary placement or double handling of excavated or fill material within waters or
wetlands outside the permitted area. This prohibition applies to all borrow and fill activities
connected with this project.
5. All mechanized equipment will be regularly inspected and maintained to prevent
contamination of waters and wetlands from fuels, lubricants, hydraulic fluids, or other toxic
materials. In the event of a spill of petroleum products or any other hazardous waste, the
permittee shall immediately report it to the N.C. Division of Water Quality at [phone],
Ext. 526 or [phone] and provisions of the North Carolina Oil Pollution and Hazardous
Substances Control Act will be followed.
6. The authorized structure and associated activity must not interfere with the public's
right to free navigation on all navigable waters of the United States. No attempt will be made by
the permittee to prevent the full and free use by the public of all navigable waters at or adjacent
to the authorized work for reason other than safety.
7. The permittee must install and maintain, at his expense, any signal lights and signals
prescribed by the U.S. Coast Guard, through regulations or otherwise, on authorized facilities.
For further information, the permittee should contact the U.S. Coast Guard Marine Safety Office
at [phone].
8. If the permittee discovers any previously unknown historic or archeological remains
while accomplishing the authorized work, he will immediately notify the Wilmington District
Engineer who will initiate the required coordination procedures.
9. The Permittee will maintain the authorized work in good condition and in conformance
with the terms and conditions of this permit. The Permittee is not relieved of this requirement if
he abandons the permitted activity without having it transferred to a third party.
2
10. Approval of the structure was based on determinations that there would be no
obstruction to navigation. The structure may be damaged by wave wash from passing vessels.
Issuance of this permit should not be construed, as relieving the permittee of taking proper steps
to insure the structure and moored boats will not be damaged by wave wash.
11. The permittee shall advise the Corps in writing at least two weeks prior to beginning
the work authorized by this permit and again upon completion of the work authorized by this
permit.
12. The permittee shall require its contractors and/or agents to comply with the terms and
conditions of this permit in the construction and maintenance of this project, and shall provide
each of its contractors and/or agents associated with the construction or maintenance of this
project with a copy of this permit. A copy of this permit, including all conditions, shall be
available at the project site during construction and maintenance of this project.
13. The permittee shall employ all sedimentation and erosion control measures necessary to
prevent an increase in sedimentation or turbidity within waters and wetlands outside the permit
area. This shall include, but is not limited to, the immediate installation of silt fencing or similar
appropriate devices around all areas subject to soil disturbance or the movement of earthen fill,
and the immediate stabilization of all disturbed areas. Additionally, the project must remain in
full compliance with all aspects of the Sedimentation Pollution Control Act of 1973 (North
Carolina General Statutes Chapter 113A Article 4).
14. The activity will be conducted in such a manner as to prevent a significant increase in
turbidity outside the area of construction or construction-related discharge. Increases such that
the turbidity in the waterbody is 50 NTU's or less in all rivers not designated as trout waters by
the North Carolina Division of Environmental Management (NCDEM), 25 NTU's or less in all
saltwater classes and in all lakes and reservoirs, and 10 NTU's or less in trout waters, are not
considered significant.
15. The permittee, upon receipt of a notice of revocation of this permit or upon its
expiration before completion of the work will, without expense to the United States and in such
time and manner as the Secretary of the Army or his authorized representative may direct, restore
the water or wetland to its pre-project condition.
16. Violations of these conditions or violations of Section 404 of the Clean Water Act or
Section 10 of the Rivers and Harbors Act must be reported in writing to the Wilmington District
U.S. Army Corps of Engineers within 24 hours of the permittee's discovery of the violation.
17. The West Indian manatee (Trichechus rntanatus), which is listed as a federally
endangered species, has been reported in the waters in Pender County. In order to protect the
West Indian manatee all work should be done during the period from November 1 to May 31. If
3
work must be done during the period from June through October the enclosed guidelines, entitled
"Precautions for General Construction in Areas Which May Be Used by the West Indian
Manatee in North Carolina" must be followed.
Questions or comments may be addressed to Mr. Henry Wicker, Wilmington Field Office,
Regulatory Division, telephone [phone].
Sincerely, 1 1
W
Henry icker
Regulatory Project Manager
Enclosure
Copies Furnished (without enclosure):
Ms. Cyndi Karoly
Division of Water Quality
North Carolina Department of Environment
and Natural Resources
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
Mr. Pete Benjamin
U.S. Fish and Wildlife Service
Fish and Wildlife Enhancement
Post Office Box 33726
Raleigh, North Carolina 27636-3726
Mr. Ron Sechler
National Marine Fisheries Service
Habitat Conservation Service
Pivers Island
Beaufort, North Carolina 28516
Mr. Ronald J. Mikulak, Chief
Wetlands Regulatory Section
Water Management Division
U.S. Environmental Protection Agency
61 Forsyth Street, SW
Atlanta, Georgia 30303
Mr. Jim Gregson, District Manager
Wilmington Regional Office
North Carolina Division of Coastal
Management
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
Commanding Officer
U.S. Coast Guard Marine Safety Office
721 Medical Center Drive, Suite 100
Wilmington, North Carolina 28401-4895
Mr. David Rackley
NMFS, Habitat Conservation Division
219 Fort Johnson Road
Charleston, South Carolina 29412-9110
4
401 Pernuts
Subject: 401 Permits
From: Patricia Collins <[e-mail]>
Date: Tue, 10 May 2005 14:18:55 -0400
To: Cyndi Karoly <[e-mail]>, Henry. [e-mail]1, Doug
Huggett <[e-mail]>
The following permit does not require a 401 as proposed:
Topsail Island Historical Cultural Arts Council DWQ project 4 05 0738 in Pender
County.
Thanks!
1 of 1 5/16/2005 12:34 PM
MEMORANDUM
TO: John Dorney
Non-Discharge Branch
Regional Contact: J. STeenhuis
WQ Supervisor: Fd BPrk
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name Topsail Island Historical Cultural Arts Council
Project Number 05 0738
Recvd From DCNI
Received Date 5/3/05 Recvd By Region
Project Type Dock
County Pender
County2
Region Wilmington
Certificates Stream
Permit Wetland Wetland Wetland Stream Class Acres Feet
Type Type Impact Score Index Prim. Supp. Basin Req. Req.
CAMA F--O ti' O N F-- 18-87-10-1 SA HQW 30,624. F-
( P-770 N F--rF-F-rF--
Mitigation Wetland
MitigationType Type Acres Feet
Is Wetland Rating Sheet Attached? O Y ON Did you request more info? O Y ON
Have Project Changes/Conditions Been Discussed With Applicant? O Y O N
Is Mitigation required? O Y O N Recommendation: Q Issue O Issue/Coed O Deny
Provided by Region: Latitude (ddmmss) 342202 Longitude (ddmmss) 773744
Comments:
No 401 Water Quality Certification is required for the ILJ .ect as imposed. 05/00/2005 JHS
cc: Regional Office
Central Office Page Number 1
-MAY-03-2005 TUE 07:52 AM FAX NO, P. 01
State of North Carolina
Department of Environment and Natural Resources
Wilmington Regional Office
Michael F. Easley, Governor William G. Ross Jr., Secretary
FAX COVER SHEET
Date:
No. Of Pages;
To ,? jj? From;
CO: CO: IV Cr
'D .9
FAX #: / q 9 3 3 x'9`3 FAX#: 910-350,2004
REMARKS:
117 Cardinal Drive Eitension, Wllmin6tun, N.C. 28405-3845 Telephone [phone] Faz (910) 350-100;
An Equal Opportunity Affirmative Action Employer
MAY-3-2005 TUE 07:23 TEL:[phone] NAME:DWQ-IIETLANDS P. 1
MAY-03-2005 TUE 07:52 AM FAX NO. P. 02
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
M.chael F. Easley. Governor Charles S. Jones, Director William G Ross Jr., Se:re,ary
April 11, 2005
MEMORANDUM:
AFRj:?
TO: Cyndi Karoly
Supervisor
101 Oversight and Express Permits Unit
Division of Water Quality-Surface Water Protection
FROM: Doug Huggett
Major Permit Coordinator
SUBJECT: CAMA Permit Application Review
Applicant: Topsail Island Historical Cultural Arts Council
Project Location: 720 Carolina Blvd., adjacent to Banks Channel/Topsail Sound, in Topsail Beach, Pender
Co.
Proposed Project: The Applicant proposes to extend existing dock watemard 9' and exptuid dock to a 6'x
125' floating dock, the northern 25' section of the floating dock would be 10' wide, six 3-
piling clusters for mooring, and one single mooring piling. The Applieiutt is proposing
Please indicate below your agency's position or viewpoint on the proposed project and return this form
by May 4, 2005. If you have any questions regarding the proposed project, please contact Jon Giles 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.
Tbiis agency objects to the project for reasons described in the attached comments.
SIGNED
DATE
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX [phone] Internet, www.nccoastalmanagement net
tin .^y,lil Gtp)ttunty 1 A`ti'rt13(i'e iCJu(1 Err1;,'0/Et 500 .?g?yCk? 1 10"c Past COf S',:net FapE!
MAY-3-2005 TUE 07:23 TEL:[phone] t1Ah1E:DWQ-WETLAtJDS P. 2
`1AY-03-2005 TUE 07:53 AM FAX NO. P. 03
DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Topsail Offshore
2. LOCATION OF PROJECT SITE: The property is located at 720 Carolina Blvd, adjacent to Banks Channel;
Topsail Sound, in Topsail Beach, Pender County.
Photo Index - 2000: 25-324: L,Nl-(5) 1998: 13-290: L-(21) 1995: 25-307: K,i_-(16)
State Plane Coordinates -X: 2,413,488 Y:227,631 GPS File: P-030914A
3, INVESTIGATION TAT'E: CAM1k
4. ]INVESTIGATIVE PROCEDURE: Dates of Site Visit - 03/09105
Was Applicant Present -No
5. PROCESSM PROCEDURE: Application Received -Complete on 03/10/05 Oflice - Wilmington
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Topsai I Beach
Classification From LUP - Developed
(B) AEC(s) Involved: EW, PT
(C) Water Dependent: Yes
(D) Intended Use: Private/ Commercial
(E) Wastewater Treatment: Existing - Septic System
Planned - None
(F) Type of Structures: Existing --Dock, Bulkhead, Commercial Structure and gravel parking
lot (highground)
Planned - Extend existing dock waterward 9' and expand dock to 6' x 125' with a
4' x 25' finger pier and six 3-piling clusters for ?ncoring and one single
mooring piling.
(G) Estimated Annual Rate of Erosion: N/A Source - N/A
7. HABITAT DESCRIPTION:
8.
[AREA]
DREDGED FILLET) i iTFIFR
(A) Vegetated Wetlands
Incorporation
(B) Non-Vegetated Wetlands - o en water
_
2.452 ft.2
(C) Other
(D) Total Area Disturbed: 2,482 ft.2
(E) Primary Nursery Area: NO
(F) Water Classification: SA Open: Yes
PROJECT SU:YIli MRY: The applicant proposes to extend existing dock waterward 9' and expand dock to a 6' x
125' floating dock, the northern 25' section of the floating dock would be 10' wide, six 3- piling clusters for
mooring, and one single mooring piling. The applicant is proposing, 7 slips associated with this dock.
MAY-3-2005 TUE 07:23 TEL:919733G993 NAr1E:DWQ4JETLAr1DS P. 3
1AY-03-2005 TUE 07 ; 53 AM FAX NO. P. 04
Topsail Offshore
Page Two
9. PROJECT DESCRIPTION:
The project site is located at 720 Channel Blvd., adjacent to Banks Channel / Topsail Sound; in Topsail Beach, Pender
County. According to the permit application this property is 200' x 138' or 27,600 sF'. There is an existing
commercial structure on this property, know as the Assembly Building, with a 7,200 sf.'gravel parking lot.
There is an existing bulkhead that runs the length of the shoreline at the project site. There is an existing floating
dock and pier located at this site. The pier is 6' x 13' that connects to a ramp which is approximately 12'
cotulecting to a floating dock treasuring approximately 6' x 72' that runs parallel to the bulkhead and terminates
31' into Banks Channel. The normal high water at this site is located at the base of the existing bulkhead.
Banks Channel is approximately 1800' wide at this location. Banks Channel provides access to properties to the
north and south of the project site. The vegetation on the high ground area includes bermuda grass and other
ornamental plants. There are no coastal wetlands located in the project site.
The Topsail Beach Land Use Plan classifies this area as developed. In the project area, the NC Division of
Water Quality classifies the waters of the Banks Channel I AIWW and Topsail Sound, as SA. This area of
Topsail Sound is not designated as primary nursery area by the NC Division of Marine Fisheries and is open to
the harvesting of shellfish.
PROPOSED PROJECT:
The applicant proposes to replace the existing 6' x 72' floating dock with a 125' long floating dock the northern
30' section of the floating dock would be 10' wide. The remaining 95' would be 6' wide with six 3- piling
clusters for mooring, and one single mooring piling. The water depths at the end of the proposed pier would
range from -6' normal low water (NLRD to -8' NLW. There are seven (7) slips proposed with this dock. Banks
Channel is approximately 1800' wide from edge of bulkhead to edge of marsh at this location. The proposed
dock would have two eominercial head boats moored at this location and the remaining slip would be for the
use of the members of the Topsail Island Historical Cultural Arts Council.
10. ANTICIPATED IMPACTS
The proposed development would incorporate 2,482 ft. I of estuarine waters and public trust area. The applicant
is not proposing any new development above NHW.
Submitted by: J. W. Giles Date: March 14, 2005
Office: Wilmington
MAY-3-2005 TUE 07:23 TEL:[phone] [AAME:DWQ-WETLAPJDS P. 4
MAY-03-2005 TUE 07 : 53 AM FAQ{ NO. P. 05
Form D04-NIP-1
I R FEB. 1 k 2

LICATIX-%V'I&T
DIVISION OF ('o be completed by all applicants)
COASTAL NfANAGEMENT
b. City, town, c9cimunity or landm ?.
I S
1. APPLICANT
a. Landowner:
Namz "?31t IS6tcl ? J-Cviczj eul6a.t 4x15
JOuy'
Address aZS'(D
AAcc
City 10ITOSc??t ???^ State
Zip Day Phone . 899 R4
'Fax S.f g - a:?:z
b. Authorized Agent:
Name r
Address +J L??G a?,
r
City State
Ao)
Zip 4445 Day Phan* 5-4
Fax
c. Project name (if any) NOTE: Permit will be Musd in name Of 4W ioM,uro), and/or
project name.
2. LOCATION OF PROPOSED
PROJECT
a. County -Fe),Aec

c. Street address or second road r
m e?y?l
- 290 L' y ," O Y2=
d. Is proposed wor .within city limits or planning
. jurisdiction? (6, Yes No
e. Name of body of water nearest (e.g, riv r,
creek, sound, bay) a ?Sroject
SOc_NOT
3. DFSCRIP'I`IOh 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/or filling activities.
b. 1_s tho proposed activity maintet:ance of an existing
projwt, new work, or both?
c. Will the project be for public, p rivate or commercial
use? Cc3 Vh v'1?1 T
d. Give a brief description of purpose, use, metods of
coMt ucxion attd daily operations of proposeL
project. If more space is needed, please atrach
MAY-3-2005 TUE 07:24 TEL:[phone] HAr1E:DWQ-WETLANDS P. 5
MAY-03-2005 TUE 07:54 AM FAX NO. P. 06
Form DCM-'.MP-1
site. Include highway or secondary
numbers, landmarks, and the like.
TO ENTER ON LAND
0 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 receired it copy or the applicatlon and plats
by certified maul. Such landowners must be advised
that they bave 30 days in wbich to submit comments
on the proposed project to tae Division of Coastal
Management. Upon signing this form, the applicant
further certifies that such notice has been provided.
I understand that any permit issued in response to this
application will allow only the development described in
the application. The project wilI be subject to conditions
and restrictions contained ii the permit.
1. 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.
Name PJ'r X ?SUYI 'P_N I certify that I am authorized to grant, and do in far:,
Address © .245 qq,( grant permission to representatives of state and federal
Phone review agencies to enter on the aforementioned lands in
Name
Address
Phone
Name
Address
Phone
FEB 1 4 2005
road6NTALiN .N6fiRTHq0ATION AND PERMISSION
connection with evaluating information related to this
v' g_ n p it application and follow-up monitoring of the
CD, J eft r0)CCt.
I further certify that the information provided in this
application is truthful to the best of my knowledge.
A list of previous state or federal permits issued for
work on the project tract. Include permit numbers,
perrnittee, and issuing dates.
0
O A check for $250 made payable to the Deparmrent of
r
This is the day of f 1.9-,?
?. - -A
Print Name A I G - Y' rY?
Signature
tmidmwwr or 44tharizcd Ac"
Environment, Health, and Natural Resources
(DEHNR) to cover the costs of processing tho
application.
A signed AEC hazard notice for projects in
oceanfront and inlet areas.
o A statement of compliance with the N.C.
Environmental Policy Act (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.
Please indicate attachments pertaining to your proposed
project.
DCM MP-2 Excavation and Fill Information
_ M MP-3 Upland Development
DCM MP4 Structures Information
DCM MP-5 Bridges and Culverts
DCM W-6 Marina Development
NOTE: Please sign and date each attachment in the
space provided at the hot;orn of each form.
MAY-3-2005 TUE 07:24 TEL:[phone] NANE:DWQ-WETLANDS P. 6
MAY-03-2005 TUE 07:54 AM
FAX NO, P. 07
Form D01-INT-1
4. L AND A.ND WATER
CHARACTERISTICS
m. Descry bd ellsLing tewater eatment facilitics.
a. Size of entire tract 2 6V -A I V
b. Size of individual lot(s) n f
c. Approximate elevation of tract above MFiW or
NW L d. Soil type(s) and texture(s) of tract
to /`(i tl Qr
e. Vegetation on tract nOnf-
f. Man-made featuresnow on tract 55e m ,
g. What is the CAMA Land Use flan land
classification of the site? (Consult the lord lmad use plan.)
Conservation Transitional
P-o"'Devel oped Community
Rural Other
h. How is the tract zoned by local Bovernirlent?
G111r11 4cf- k l R -1
i. Is the proposed poject consistent with the applicable
zoning? - Yas No
('batch zonlq cmmpL;nce eernficwe, if applicable)
Has a professional archaeological assessment been
done for the tract? Yes ? No
If yes, by whom? Vf,)q
k. Is the `project located in a National Registered
Historic 'District or does it involve a Nadonal
Regi r listed or eligible property?
Yes No
1. Are there wetlands on the site? - Yes ZNo
Coastal (marsh) Other
If yes, has a delineation been conducted?)
Itp,
(.lnoch doawwm" ion, if amlil le) f
FEB
n., Describe location and type of discharges to waters
of the state. (For example, surface runoff, sanitary
wastewater, industrial /commercial effluent, "wash
down" and residential discharges.
?.lLG ?? CZ r /?
o. Describe existing, drinking water supply source.
c? ?yTrstlh?
S. ADDITIONAL TNFORAIATION
In addition to th5 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 deal or other instrument under
which the owner claims title, plus written permission
from the owner to carry out the project.
© An accurate, doted work plat (including plan view
and cross-sectional drawings) drawn to scale in black
ink on an S 1/2' by 11" white paper. (Refer to
Coastal Resources Commission Rule 7!.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 an
adequate number of quality copies are provided by
applicant. (Contact the U.S. Army Corps of
Engineers regarding 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
e?ge#y: } onnel unfamiliar with the area to the
1 4 2005
OIVISlOn1 OF
COASTAL MA1`1AGENIENT
HAY-3-2005 TUE 07:24 TEL:[phone] NAME:DWQ-LJETLAHDS P. 7
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