20040076 Ver 1_COMPLETE FILE_20040115

f
APPLICATION RECEIVED
DEC 2 2 21103
(To be completed by all applicants)
COASTAL t14ANAGEMENT
ELIZABETH CITY
1. APPLICANT
c. Street address or secondary road number
57571 NC 12 Hwy hatteras.
a. Landowner:
Name Karen Robert
Address PO Box 216
City Hatteras State NC
Zip 27943 Day Phone [phone]
d. Is proposed work within city limits or planning
jurisdiction?
X Yes No
e. Name of body of water nearest project (e.g. river,
creek, sound, bay) The Slash, Pamilco Sound
Fax N/A
b. Authorized Agent:
Name Ouible & Associates P.C.
Address PO Drawer 870
City Kitty Hawk State NC
Zip 27949 Day Phone [phone]
Fax [phone]
c. Project name (if any) Island Club Grill CAMA Major
NOTE: Permit will be issued in name of landowner(s), and/or
project name.
2. LOCATION OF PROPOSED
PROJECT
a. County Dare
b. City, town, community or landmark
Hatteras Village formerly The Channel Bass
Restaurant At the base of the bridge entering hatteras
Village
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/or filling activities.
Construction of a 800 sf gazebo and 113 linear feet of
walkway in front of the existing restaurant.
b. Is the proposed activity maintenance of an existing
project, new work, or both? New work
c. Will the project be for public, private or commercial
use? Commercial
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. The purpose of the proposed project will be to
provide outside waiting area for guests of the restaurant.
The proposed walkway and gazebo will be wooden pile
supported structures
Revised 03/95
RECEIVED
' Form DCM-MP-1
4
• 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 Hatteras Island Club, Inc. c/o Alex Wilkens
Address PO Box 948, Avon, NC 27915
Phone
Name
Address
Phone
Diane O'Neal Owens
PO Box 237, Hatteras. NC 27943
Name NCDOT Gretchen Byrum, District Eneineer
Address 1929-North Road St. Elizabeth City, NC 27909
Phone
• A list of previous state or federal permits issued for
work on the project tract. Include permit numbers,
permittee, and issuing dates.
None
• A check for $250 made payable to the Department of
Environment, Health, andNatural 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 Act (N.C.G.S.113A -1 to 10)
If the project involves the expenditure of public funds
or use of public lands, attach a statement documenting
compliance with the North Carolina Environmental
Policy Act.
DEC 2 2 2(?1",
COASTAL kIANAGEIVIENT
ELIZABETH CITY
6. CERTIFICATION AND PERMISSION
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.
This is the 18 day of December_, 2003.
Print Name Brian Rubino, Ouible & Associates
Signature -1?'
Landowner or Authorized Agent
Please indicate attachments pertaining to your proposed
project.
DCM MP-2 Excavation and Fill Information
DCM MP-3 Upland Development
X DCM MP-4 Structures 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 form.
Revised 03/95
RECEIVED

DEC 2 2 211(`?
COASTAL IlANAGEMEINT
ELIZABETH CITY
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Acting Director William G. Ross Jr., Secretary
January 13, 2004
MEMORANDUM:
TO: Mr. John R. Dorney
Environmental Biological Supervisor
Division of Water Quality
FROM: Doug Huggett
Major Permits Processing Coordinator
SUBJECT: CAMA/DREDGE & FILL Permit Application Review
Applicant: Karen Robert
Project Location: Island Club Grill, 57571 HWY 12, Hatteras, NC
Proposed Project: Construction of Gazebo and Walkway in front of Restaurant
VVFTLAA1p,3 1401 OROU
JAN .7 -5. 2004
?ECerF0EXrI
Oil!
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by February 3, 2004. If you have any questions regarding the proposed project, please
contact Dennis Hawthorn at [phone]. When appropriate, in-depth comments with
supporting data are 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
1367 U.S.17 South, Elizabeth City, North Carolina 27909
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper
MEMORANDUM
TO: John Dorney
Non-Discharge Branch
Regional Contact: tom steffens
WO Supervisor: Borger Thorpe
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name Karen Robert County Dare
Project Number 04 0076 County2
Recvd From DCM Region Washington
Received Date 1115104 Recvd By Region
Project Type gazebo and walkway
Certificates Stream Stream Impacts (ft.)
Permit Wetland Wetland Wetland Stream Class Acres Feet
Type Type Impact Score Index Prim. Supp. Basin Req. Req. ME
LAMA waters O1'ON ? 30-22 SA HQW 30,155
F_ . 0.03 F__ ??
;0-„ ;0 1 s:? Ei(,w 30.1;,. F_ r? ? I rr _
Mitigation Wetland
MitigationType Type Acres Feet
Is Wetland Rating Sheet Attached? Q Y O N Did you request more info? Q Y O N
Have Project Changes/Conditions Been Discussed With Applicant? Q Y Q N
Is Mitigation required? Q Y p N Recommendation: Q Issue O Issue/fond O Deny
Provided by Region: Latitude (ddmmss) Longitude (ddmmss)
Comments:
Issue n/c
cc: Regional Office Page Number 1
Central Office
C3
WATF9
QG
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality
February 23, 2004
DWQ# 04-0076
Dare County
Karen Robert
P.O. Box 216
Hatteras, NC, 27943
APPROVAL of 401 Water Quality Certification with Additional Conditions
Dear Ms. Robert:
You have our approval, in accordance with the attached conditions, to shade 0.034 acres of Public Trust/Estuarine
Waters in order to construct a new dockage at the Island Club Grill Dock and Gazebo in Dare County, as described in your
application received by the Division of Water Quality on January 15, 2004. No fill in wetlands or water is involved in this
work. After reviewing your application, we have determined that this fill is covered by General Water Quality Certification
Number 3400, which can be downloaded from our web site at http://h2o.enr.state.nc.us/ncwetlands . This Certification
allows you to use your CAMA Permit when issued by the NC Division of Coastal Management. In addition, you should get
any other federal, state or local permits before you go ahead with your project including (but not limited to) Sediment and
Erosion Control, Non-Discharge, Water Supply Watershed, Coastal Stormwater and U.S. Coast Guard regulations. Also
this approval will expire when the accompanying CAMA Permit expires unless otherwise specified in the General
Certification.
This approval is only valid for the purpose and design that you described in your application. If you change .your
project, you must notify us in writing and you may be required to send us a new applicationfor a new certification. If the
property is sold, the new owner must be given a copy of the Certification and approval letter and.is thereby responsible for
complying with all conditions. If total wetland fills for this project (now or in the future) exceed one acre, compensatory
mitigation may be required as described in 15A NCAC 2H .0506 (h). For this approval to be valid, you must follow the
conditions listed in the attached certification and the additional conditions listed below:
1. You are required to return the attached Certification of Completion form to notify DWQ when all work included in
the 401 Certification has been completed;
2. 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 in order to protect
surface waters standards:
a. The 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. The 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. The reclamation measures and implementation must comply with the reclamation in accordance with the
requirements of the Sedimentation Pollution Control Act.
k-?
INCDEP
N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (http://h2o.enr.state.nc.us/newetiands)
Customer Service #: 1-877-623-6748
Karen Robert
February 23, 2004
Page 2 of 2
3. 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 Preconstruction Notice Application. 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;
4. 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 has released the project;
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must act
within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition conforming to Chapter
150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh,
N.C. 27699-6714. This certification and its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If you
have any questions, please telephone Tom Steffens in our Washington Regional Office at [phone] or Cyndi Karoly in
our Central. Office in Raleigh at [phone].
Sin erely,
0
117-
n Alan W. Klimek, P.E.
AW Wcbk
Attachments
cc: Corps of Engineers Washington Field Office
Washington DWQ Regional Office
Central Files
File Copy
Doug Huggett, DCM
Quible & Associates, P.O. Drawer 870, Kitty Hawk, NC, 27949
040076

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: KAREN ROBERT (Island Club Grill Dock & Gazebo)
2 LOCATION OF PROJECT SITE: NC 12, Hatteras Village, Dare County, The Slash
Creek (bridge), tributary to the Pamlico Sound
Photo Index - 2000: 171-2010, D-12; 1995: 172-1757, E-16
State Plane Coordinates, X: 2898000; Y: 551000 GPS C010617A
3. INVESTIGATION TYPE: CAMA / D & F
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - December 17, 2003 & January 6, 2004
Was Applicant Present - No
5. PROCESSING PROCEDURE: Application Received Complete - December 22, 2003
Office - Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Dare County
Land Classification From LUP - Conservation
(B) AEC(s) Involved: Public Trust Area, Estuarine Waters, Estuarine Shoreline,
(C) Water Dependent: Yes
(D) Intended Use: Private
(E) Wastewater Treatment: Existing - septic; Planned - none at this time
(Fy Type of Structures: Existing - Restaurant along Slash Creek with a bulkhead shoreline and
approximately 120 feet of concrete sidewalk along the shoreline; facility also includes an existing
asphalt & gravel parking area
(G) Estimated Annual Rate of Erosion: NA
Source - Applicant
7. HABITAT IMPACT DESCRIPTION: [AREA]
EXCAVATION FILL SHADING
(A) Wetlands
(B) Public Trust/Estuarine
Waters
(C) Estuarine Shoreline
1,478 sf (0.034 A)
(D) Total Area Disturbed:
(E) Primary Nursery Area
(F) Water Classification:
None, shading only (1,478 sf)
No
SA; closed to shellfish harvest
8. PROJECT SUMMARY: This project involves the construction of new dockage along the water
frontage of an existing restaurant adjacent to the Slash Creek in Hatteras Village, in Dare County. This
project also includes the construction of an 800 square feet gazebo directly adjacent to the shoreline of
this property.
y
FIELD INVESTIGATION REPORT:
KAREN ROBERT (Island Club Grill Dock & Gazebo)
Page 2
Project Setting
The application site is located on the east side of NC 12 at the intersection of this highway and the
Slash Creek in Hatteras Village. The site is the location of the Island Club Grill, formally the
Channel Bass Restaurant. This site is located on the southeast shoreline where the NC 12 Bridge
crosses the Slash Creek. According to the North Carolina General Warranty Deed provided with
this permit application, this parcel is presently owned by KLR, LLC (Karen Robert of Hatteras
Village).
The site is level, and according to the application, is approximately 3.5 feet above the Normal
Water Level (NWL). Approximately two-thirds the 0.9-acre site is currently covered by
impervious surfaces the restaurant and associated parking area. Approximately 2,900 square feet
of this area is within the Coastal Shoreline Buffer Area. Approximately 700 square feet of this
impervious surface consists of an existing concrete sidewalk. The sidewalk is located between the
restaurant building and the bulkhead, and the north side of the building is within 10 feet of the
shoreline.
The entire shoreline of the property measures over 360 linear feet and is stabilized with a
conventional bulkhead structure. The Creek is approximately 120 feet wide at the restaurant/bridge
location. The water depths taken during field observation ranged between 3 and 7 feet immediately
offshore from the restaurant at NWL. Water depths of the Slash Creek channel are reported by
local boaters to be much deeper. Recent scouring from ocean over-wash that occurred during
Hurricane Isabel has resulted in greater water depths in portions of Slash Creek.
The Slash Creek flows through Hatteras Village and connects to the Pamlico Sound both through
Hatteras Harbor (located on the northwest side of the village) and Sandy Bay (located on the
northeast side of Hatteras village). The waters of this creek carry the same water classification as
the Pamlico Sound. The North Carolina Environmental Management Commission has designated
these waters as `SA' waters (suitable for shellfish propagation and harvesting); however, the
waters in the vicinity of the proposed development are closed to the commercial harvest of
shellfish. The North Carolina Marine Fisheries and Wildlife Resources Commissions classify the
waters of the Pamlico Sound as Coastal Waters.
The Coastal Resources Commission (CRC) has also designated these waters as Estuarine Waters
and Public Trust Areas of Environmental Concern (AEC). Also under the designation of the
CRC, a Coastal Shoreline AEC extends in a contour of 75 feet landward of the NWL.
FIELD INVESTIGATION REPORT:
KAREN ROBERT (Island Club Grill Dock & Gazebo)
Page 3
Project Description
This project involves the construction of new dockage along the water frontage of the existing
restaurant adjacent to the Slash Creek. The dock will be placed parallel to the shoreline and will be
6 feet in width. The dock will be aligned with an 83 feet section along the bulkhead running in a
north-south direction. The dock will commence at the north end of this section and will have a 90-
degree turn to the east and a 27.5 feet section along the front of the building and parallel to NC
12. This project also includes the construction of an 800 square feet gazebo adjacent to the 83 feet
dock section and will be oriented near the northeast corner of the restaurant building. The gazebo
will be 40 feet long and 20 feet wide, and will extend approximately 23 feet beyond the 6 feet wide
dock. This will result in the structure extending approximately 29 feet into the Slash Creek
waterway. The water depth at the waterward end of the gazebo is approximately 4.5 feet, at NWL.
The purpose of the proposed dock and gazebo will be for a waiting area prior to the seating of
restaurant clientele. No boat slips are associated with this project.
Anticipated Impacts
The impact that can be anticipated by this project is associated with the shading of approximately
1,500 square feet of Public Trust Area and Estuarine Waters by the proposed dock and gazebo
structures. The proposed dock and gazebo will not extend into the Slash Creek beyond the limit
set by the `one-fourth of the width distance' criteria referenced in the Public Trust Use Standards.
The proposed development will not extend into any adjacent riparian setback area, and should not
interfere with any navigation or public trust uses. The proposed platform area will not exceed the
allowable square footage that can be elevated over Public Trust Waters.
Submitted by: Dennis W. Hawthorn
Date: January 12, 2004
Y/ .? cl?b
RCM % DWQ %
Development Type FES (143001601 [phone] 6253) (2.4300 1602 435100095 234
I. Privals, non-commercial 100%(S250) 0% (SO)
development that does not Involve 5250
the filling or excavation of any
wetlands or open water areas:
Ii. Public or eommsreal development 100% (5400) 0%(50)
that does not involve the filling or 5400
excavation of any wetlands or open
water areas:
III. For development that Involves the
filling and/or excavation of up to i
acre of wetands and/or open wale
areas, determine if A, 8, C, or D
below applies:
lll(A). For private, non-commercial ° (SO)
development, If General water Quality 5250 100% ($250) 0/o
Certification No.3301 (see attached)
can be applied:
III(B): For public or commercial 100% ($400) 0% (SO)
development, if Genera( water Quality $400
Certification No.3301 (see attached)
can be appiiad:
III(C). If General Water Quality
Certification No. 3301 (see attached)
could be applied, but DCM staff 60%(S240) 40%(S160)
determined that additicnal review and $400
written DWQ concurrence is needed
because of concems related to water
quality or aquatic life:
III(D), if General Water Quality 5400 60% {5240) 40% (S160)
Certification No. 3301 (see attached)
can not be applied:
IV. For development that involves 60°i° (5285) 40% (5190)
the filling and/or excavation of more 5479
than one acre of wetlands and/or
open water areas:
APPLICATION RECEIVED
(To be completed by all applicants)
COASTAL nOANAGEMENT
ELIZABETH CITY
1. APPLICANT
a. Landowner:
Name Karen Robert
Address PO Box 216
City Hatteras State NC
Zip 27943 Day Phone [phone]
Fax N/A
b. Authorized Agent:
Name Ouible & Associates P.C.
Address PO Drawer 870
City Kitt?Hawk State. NC
Zip 27949 Day Phone [phone]
Fax [phone]
c. Project name (if any) Island Club Grill CAMA Maior
NOTE: Permit will be issued in name of landowner(s), and/or
project name.
2. LOCATION OF PROPOSED
PROJECT
c. Street address or secondary road number
57571 NC 12 Hwy hatteras.
d. Is proposed work within city limits or planning
jurisdiction?
X Yes No
e. Name of body of water nearest project (e.g. river,
creek, sound, bay) The Slash. Pamilco Sound
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/or filling. activities.
Construction of a 800 sf gazebo and 113 linear feet of
walkway in front of the existing restaurant.
b. Is the proposed activity maintenance of an existing
project, new work, or both? New work
c. Will the project be for public, private or commercial
use? Commercial
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. The purpose of the proposed project will be to
provide outside waiting area for guests of the restaurant.
The proposed walkway and gazebo will be wooden pile
supported structures
a. County Dare
b. City, town, community or landmark
Hatteras Village formerly The Channel Bass
Restaurant At the base of the bridge entering hatteras
Village
Revised 03/95
Form DCM-MP-1
t
4. LAND AND WATER
CHARACTERISTICS
a. Size of entire tract 37,764 sf
b. Size of individual lot(s) 37,764 sf
c. Approximate elevation of tract above MHW or NWL
3.4'
d. Soil type(s) and texture(s) of tract
DtA - Duckston fine sand
e. Vegetation on tract Juniperus virginiana, Mvrica
cen fera Juncus roemeranus, Toxicondendron radicans,
Baccharis hamifolia Panicum spp.
f. Man-made features now on tract Restaurant buildings
and gravel parking area. Existing` bulkhead and
concrete walkway.
g. What is the CAMA Land Use Plan land classification
of the site? (Consult the local land use plan)
Conservation Transitional
_X _Developed Community
Rural Other
h. How is the tract zoned by local government?
C2
Is the proposed project consistent with the applicable
zoning? X Yes No
(Attach zoning compliance certificate, if applicable)
j. Has a professional archaeological assessment been
done for the tract? Yes X No
If yes, by whom?
k. Is the project located in a National Registered Historic
District or does it involve a National Register listed or
eligible property?
Yes X No
Are there wetlands on the site? -Yes X No
Coastal (marsh) Other
If yes, has a delineation been conducted?
(Attach documentation, if available)
m. Describe existing wastewater treatment facilities.
Existing conventional wastewater system
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.) Surface runoff
o. Describe existing drinking water supply source.
Public water supply.
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
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 %z" by 11" white paper. (Refer to Coastal
Resources Commission Rule 710203 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 guide agency personnel
unfamiliar with the area to the site. Include highway or
secondary road (SR) numbers, landmarks, and the like.
Revised 03/95
RECEIVED
' Form DCM-MP-1
S
DEC 2 2 2P1n?
COASTAL WANAGEWENT
ELIZABETH CITY
• 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 Hatteras Island Club, Inc. c/o Alex Wilkens
Address PO Box 948, Avon, NC 27915
Phone
Name
Address
Phone
Diane O'Neal Owens
PO Box 237, Hatteras, NC 27943
Name NCDOT Gretchen Byrum. District Engineer
Address 1924 North Road St. Elizabeth City, NC 27909
Phone
• A list of previous state or federal permits issued for
work on the project tract. Include permit numbers,
permittee, and issuing dates.
None
• A check for $250 made payable to the Department of
Environment, Health, andNatural 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 Act (N.C.G.S.113A -1 to 10)
If the project involves the expenditure of public funds
or use of public lands, attach a statement documenting
compliance with the North Carolina Environmental
Policy Act.
6. CERTIFICATION AND PERMISSION
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. .
This is the 18 day of December , 2003.
Print Name Brian Rubino, Ouible & Associates
Signature '1-? Zf- -
Landowner or Authorized Agent
Please indicate attachments pertaining to your proposed
project.
DCM MP-2 Excavation and Fill Information
DCM MP-3 Upland Development
X DCM MP-4 Structures 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 form.
Revised 03/95
Form DCM-MP-4
STRUCTURES
(Construction within Public Trust Areas)
Attach this form to Joint Application for CAMA Major
Permit, Form DCM-MP-1. Be sure to complete all other
sections of the Joint Application which relate to this
proposed project.
a. Dock(s) and/or Pier(s)
(1) X Commercial -Community _ Private
(2) Number 1
(3) Length 113'
(4) Width 6'
(5) Finger Piers -Yes X No
(i) Number
(ii) Length
(iii) Width
(6) Platform(s) X Yes _ No
(i) Number 1 Gazebo
(ii) Length 20'
(iii) Width 40'
(7) Number of slips proposed N/A
(8) Proximity of structure to adjacent riparian
property lines 15'
(9) Width of water body 120'
(10) Water depth at waterward end of pier at MLW
or NWL 4 5' avg.'
b. Boathouse (including covered lifts) N/A
(1) Commercial Private
(2) Length
(3) Width
c. Groin (e.g. wood, sheetpile, etc.) N/A
(1) Number
(2) Length(s)
d. Breakwater (e.g. wood, sheetpile, etc.)
(1) Length
(2) Average distance from MHW, NWL or
wetlands
(3) Maximum distance beyond MHW, NWL or
wetlands
e. Mooring buoys N/A
(1) _ Commercial -Community - Private
(2) Number
(3) Description of buoy
(Color, inscription, size, anchor, etc.)
(4) Width of water body
(5) Distance buoy(s) to be placed beyond shoreline
' _,
OEC 2 9. 2i!03
COASTAL, i;,f.- IAC;CE wr
ELIL;;t;E"i H CITY
f. Mooring structure (boatlift, mooring pilings, etc.)
(1) _ Commercial -Community _ Private
(2) Number N/A
(3) Length
(4) Width
g. Other (Give complete description)
N/A
Brian Rubino. Ouible & Associates
Applicant or Authorized Agent
Signature
December 18. 2003
Date

Revised 03/95

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Y. P?NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Acting Director William G. Ross Jr., Secretary
January 13, 2004
MEMORANDUM:
1/0
TO: Mr. John R. VVETL4411)
Environmental Biological Supervisor 51401(3R0UP
Division of Water Quality
?AA1 2004
FROM: MDoug Huggett ajor Permits Processing Coordinator i`I/ ? l?:
86C TION
SUBJECT: CAMA/DREDGE & FILL Permit Application Review
Applicant: Karen Robert
Project Location: Island Club Grill, 57571 HWY 12, Hatteras, NC
Proposed Project: Construction of Gazebo and Walkway in front of Restaurant
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by February 3, 2004. If you have any questions regarding the proposed project, please
contact Dennis Hawthorn at [phone]. When appropriate, in-depth comments with
supporting data are 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
1367 U.S.17 South, Elizabeth City, North Carolina 27909
Phone: [phone] FAX: [phone] Internet: www.nccoastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper
MEMORANDUM
TO: John Dorney Regional Contact: tom steffens
Non-Discharge Branch WO Supervisor: Borger Thorpe
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name Karen Robert County Dare
Project Number 04 0076 County2
Recvd From DCM Region Washington
Received Date 1115104 Recvd By Region
Project Type gazebo and walkway
Certificates Stream Stream Impacts (ft.)
Permit Wetland Wetland Wetland Stream Class Acres Feet ' - -
Type Type Impact Score Index Prim. Supp. Basin Req. Req.
N 30 22 SA HQW 30,155. 0.03
LAMA waters P7@)
F_O ?? O N 30-?7- 7i-7 S;a HQw 30,155. F F r- ?-
Mitigation Wetland
MitigationType Type Acres Feet
Is Wetland Rating Sheet Attached? 0 Y 0 N Did you request more info? 0 Y 0 N
Have Project Changes/Conditions Been Discussed With Applicant? 0 Y 0 N
Is Mitigation required? 0 Y 0 N Recommendation: 0 Issue 0 Issue/Coed 0 Deny
Provided by Region: Latitude (ddmmss) Longitude (ddmmss)
Comments:
Issue n/c
cc: Regional Office
Central Office Page Number 1
i i
PAl[IdCO SOUND \ ~ i
I ~
I
i I
\ I ~ ~ I
SAxTON CUT I
\ i
KOHLER DRIVE NC 12 \ i
\ th
HATTERAS \ NW.
I
_ ~ i I • \ i I
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SITE h1t
i
THE 5LA5H
i
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VICINITY MAP ~ 1 12D~ I I
N.T.S. 1
~ I
1 83' ; ~ THE SLASH
PROPOSED Z . PROPOSED ~
800 SF GAZEBO loo SF c o I~ ~ , N W . AZEB ~
la i ~ ! ~
x-45' ' ~ U ' ! ri1 ~
1 ~ W ~
~ 2~ 1 2'
I ~
\ ~ 6' 3A' i
~ EXI5TIN6 BULICF~AD Nye.
~ \ . EXISTING GONGR ~ N/F / ..T... F---~ r--------- I LOYD J. STYRON XISTIN6 GONGRETE WAI.KYVAY i i r--------- G//0 KEVIN McG
~ ~ I \ ~ HATTERAS 15LAND GLUE, LNG. ~ I ~ 11- - - - -
- - - ' I ~ ~ EXI5TIN6 RE5 'I EX151TN6 RESIUARAUNT ; i ~
~ ~ ~ ~ ~ '15LAND GLU ~ EXI5TIN6 ~ , I ~ (1=0Rt~RLY THE C 'ISL,4ND GLUE GRILL' ~ i )RN~RLY THE CHANNEL ~A55) ~ ~-?r/F
/ GRA55 ~ ~ - i ~ L --c ~ ; i NGDOT ~ l
~ ~ ~ ~ / ~ X i ~ - ~ ~ i
~ i ~ ~ ~ ~ ~ % ~ LEGEND T~,~ ~ !
i ~ i !
\ \ I - - - ~ ~ i EXISTING GRASS AREAS i ~
/ I \ ~ I ~ i i
~ ~ / i i ~
L--- ~ ~ - - - - ~ EXISTING GRA ~ I f ~ , VEL AREA
/ ~ r. ._..-.._..1 I I I ~ I
. ~ / ~ ~ x EXISTING WA lER DEPTHS ~ ~ ~ ~
. _ / ~ ` ~ ~ G EXISTING ~20N PIPE
~ ~ -t ~ ~ ~i~` i 0 IRON PIPE SET
- i i r'•L. X _ _ ~ PK NAIL
~ . 1 - - / i . i ® EXISTING REBAR
EXISTING PARKING AREA i 0 CALCULATED POINT
! ! PROP OSED WATER METER
/ \ \ / ~ i ~
/ \ \ ~ tom' / / \ \ i ' 20'
/ ~ . / ~ \ \ , i
/ DIANE oNEAL oNeJS \ \ ~ - - i i GRAVEL ROAD i
/ ~ ~ EXISTING GRAVEL RC)Al / 6' WIDE WALKWAY ~ ~
/ \ \ i - - - - - - \ i RESTAURANT STORY
/ / ~ ~ / i PROPOSED B00 SF
/ ~ ~ / NOTES• ~ GAZEBO 3' 8,
~ / 1.owN~ EXI5TIN6 GONGRETE ~ / ER. MRS. KAREN ROBERT I ~ 0'
/ P.O. BOX 216 I ~
/ HATTERAS, NC 27943 ~ i
~ 2. ENGINEER: QUIBLE d< ASSOCIATES, P.C. P.C. i ?hL 3~
- P.O. DRAWER 870 KITTY HAWK, NC 27949 i 3' _ 9 ~ EXISTING GONGRi`TE 4.5'
ISLAND CLUB GRILL PARCEL• 3. PIN NUMBER: 06 9565(20) 806574 WALKWAY
EXISTING BULKHEAD EXISTING SHORELINE = 361 LINEAR FEET 4. FlRM ZONE; AE (EL6') i
ALLOWABLE COVERAGE WATERWARD OF 5. PARCEL AREA: TOTAL PARCEL AREA = 0.89 ACRES SHORELINE: 361 x 4 1,444 SF ~ = 0.89 ACRES I ! ~~F"$"
6. RECORDED REFERENCE: D.B. 1488, PG. 130 PROPOSED COVERAGES WAIERWARD OF SHORELINE: 7 130 ~ EXIST ~ ~ ING BULKHEAD-~_
- GAZEBO = 800 SF SEPTIC SYSTEM;
-BOARDWALK WATERWARD OF SHORELINE = 642 SF EXISTING WASTEWATER SYSTEM ~ DEC ry 2 2003
COMBINED COVERAGE WAIERWARD OF SHOR 8. DARE COUNTY ZONE: C-2 (GENERAL COMMERCIAL C ELINE: 1,444 SF _ COMMERCIAL DISTRICT) ! ~ASiALi~ANAGEM~NT
ELIZAEETH CITY i
i . AL~WAY (~0~4 ~t.7i0N DBT e-
~ N.T.S
r• 1 ~ atx new ~ N.T.S.
COPYRIGHT © 2003 Y E
QUIBLE AND ASSOCUTES, INC. t GRAPHIC SCALE ~.-r,
THIS DOCUMENT IS THE PROPERTY OF ~ o is ~0 e0 t20 QUIBLE AND ASSOCIATES, INC., ALL u
N0. DATE DESCRP110N BY RK#il'S ARE RESERVED. ANY RE-
PRODUCTION OF THIS OR POSSESSION WTTHOUi PRIOR PERULSSION OF HATTERAS DARE COUNTY NORTH CAROLINA
c~ewv ex D~ &uC 1l/d/0,7 QU~LE AND ASSOGATES, INC. WILL ( IN FEET) CONSTITUTE VIOUTION OF COPYRIGHT
LAWS. VIOLATI~! WU.L BE SUBJECT I inch = 30 ft, orate n: DOUC wa: PrAT15~5GAllA TO LEGAL ACTION ui e soda es
P03155 .vet 1 0~ 1 ENGINEERING * PLANNING * ENVIRONMENTAL SCIENCES
CERTIFICATION ATION r.o. Drawn 8T0 • HarAc • Rorlh Corolina • Phon.: (2S2) 261-3300 • Fox: [phone] + E-Map: quibNemindtptnq.can