19930923 Ver 1_COMPLETE FILE_19930902

MEMO
DATE:
TO:

SUBJECT:

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North Carolina Department of Environment,
Health, and Natural Resources 4 Printed on Recycled Paper
State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Coastal Management
James B. Hunt, Jr., Governor
Jonathan B, Howes, Secretary
Roger N, Schecter, Director
?EHNR
V% i INGTON OFFICF

po r: M4
October 11, 1993
MEMORANDUM
TO: Mr. A. Preston Howard, Director
Division of Environmental Management
FROM: John R. Parker, Jr.
Major Permits Processing Coordinator
SUBJECT: CAMA/DREDGE & FILL Permit Application Review
Applicant: Ross W. & Faye L. Lampe (Ample Storage Center)
Project Location: 2214 Lark Street, Nags Head, Dare County, Fresh Pond AEC
Proposed Project: Construct a 31,300 sq. ft. mini-storage warehouse facility with 2
one-story metal buildings, 1000 sq. ft. office, and parking.
Please indicate below your agency's position or viewpoint on the proposed project and
return this form by November 1, 1993. If you have any questions regarding the proposed
project, please contact Peter B. Colwell at [phone]. When appropriate, in-depth
comments with supporting data is requested.
REPLY V 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 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper

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1. ?
To: John Dorney "
Planning Branch WETLANDS GROUP
WATER UALITY SECTION
• DIVISION OF ENVIRONMENTAL MANAGEMENT °--
CAMA/COE PERMIT APPLICATION REVIEW
WaRO PROJECT # '3,3-09/ - WQ SUPERVISOR: THO)M
REVIEWER: SAWYER DATE: j// ?L 21/ 53

WETLAND INFORMATION FOR CENTRAL OFFICE TRACKING -nn
PERMIT YR: 92fDl PERMIT NO.: COUNTY: lSl?
PROJECT NAME: ??COE
PROJECT TYPE : (,?-P ERIQ'r
COE #: V DOT
RCD FROM CDA: -- DATE FROM CDA: /01/ /g-3
REG OFFICE: WaRO RIVER AND SUB BASIN
STREAM OR A,IACENT WATER BODY: ??o+•,?.0/?b
CLASS: PF-`L STREAM INDEX
OPEN OR CLOSED:
WL IMPACT: WL TYPE:
WL REQUESTED: WL ACR EST:
HYDRO CNECT?: WL SCORE:
MITIGATION: MITIGATION TYPE:
MITIGATION SIZE: -ARATING SHEET ATTACHED?
RECOMMENDATION: SS ISSUE/COND DENY
STORMWb 'ER PLAN REQ'D: IF YES, DATE
PROJECT DESCRIPTION: Y
WATER QUALITY CERT. 401
CERT. REQ'D:
IF YES, TYPE:
SEWAGE DISPOSAL
BOLD
APPS /g-, /1cc.ae.?
TYPE OF DISPOSAL PROPOSED: /Yft
(EXISTING, PROPOSED, SEPTIC TANK ETC.)
TO BE PERMITTED BY:
(DEM, DHS, COUNTY)
IF BY DEM, IS SITE AVAILABLE AND PERMIT ISSUANCE PROBABLE:
WATER/WETLAND FILL
AREA OF FILL: WATER: - D ! WETLAND: 6 _
IS FILL ELIMINATING A SIGNIFICANT USE?
DREDGING
AREA TO BE DREDGED : fo 0--r-
IS DREDGING ACTIVITY EXPECTED TO CAUSE A SIGNIFICANT LOSS OF
RESOURCE?
IS SPOIL DISPOSAL ADEQUATELY ADDRESSED?
MARINA
ARE THE FOLLOWING ADEQUATELY ADDRESSED? / I
SEWAGE DISPOSAL: MARINA SERVICES:
OXYGEN IN BASIN: CLOSURE OF SHELLFISHING WATERS:
CC: WaRO; Central Files; DCM Field Offices; COE Washington office

DIVISION OF ENV ONME TAL MANAGEMENT
? z
MEMORANDUM
• TO: Bill Moore, Environmental Engineer
Water Quality Section, WaRO
FROM: Deborah Sawyer, Environmental Technician
Water Quality Section, WaRO
SUBJECT: Dredge and Fill Reviews for Stormwater Review
Project: _ "-:::?-4 4- a
01 V
Project No.: g -:z -v StI - '?
Date Received: 1 U/ / / 3 [ 5' 3 .
F' nA Date Comment : /l z 2./57
3
i
Description of Project: Sea- IQ#-&dJ-%-L0J
Comments:
I

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Ross W. and Faye L. Lampe (Ample Storage Center)
2. LOCATION OF PROJECT SITE: 2214 Lark Street, Nags Head, Dare County, Fresh Pond AEC
Photo Index - 1989: 42-341 15-G,H,I 1984: 138-451, 17-M,N,O
State Plane Coordinates - X: 2990000 Y: 831700
3. INVESTIGATION TYPE: CAMA
) j F' '
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 10/07/93
Was Applicant Present - No D. r. t,N..
5. PROCESSING PROCEDURE: Application Received - 10/05/93
Office - Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Nags Head
Land Classification From LUP - Conservation
(B) AEC(s) Involved: Public Water Supplies
(C) Water Dependent: No
(D) Intended Use: Commercial
(E) Wastewater Treatment: Existing - None
Planned - Septic tank gravity system
(F) Type of Structures: Existing - None
Planned - 2 one story metal mini-storage buildings, with office,
and parking
(G) Estimated Annual Rate of Erosion: N/A
Source - N/A
7. HABITAT DESCRIPTION:
[AREA]
8. PROJECT SUMMARY: Applicants propose to construct a 31,300 sq.ft. mini-storage warehouse
facility with 2 one-story metal buildings, 1000 sq.ft. office, and parking.
(D) Total Area Disturbed: 103,832 sq.ft. (2.3 acres)
(E) Primary Nursery Area: No
(F) Water Classification: N/A Open: N/A
Ross W. and Faye L. Lampe
Bio Report
Page Two
Site Description
The Lampes own a 2.38 acre undeveloped tract on the west side of Lark Street in Nags Head, Dare
County. The 170 ft. x 600 ft. tract lies within the Fresh Pond Public Water Supply AEC. The 500 ft.
sewage system setback line bisects the property.
The vegetation on the tract is dominated by a loblolly pine (Pinus taeda) forest with widely scattered
live oaks ( uerc virginiana), and red maple (Am rubrum). Wax myrtle (Myric? erif ) dominates the
sparse understory. There are no wetland areas on the property. There are signs to indicate that the tract is
used fairly heavily by white tailed deer and raccoons. To the west, the property backs up to a 25 ft. wide
by 6 ft. deep drainage ditch. A large stormwater retention pond is located on the east side of Lark Street.
The applicants propose to construct a 31,300 sq.ft. mini-storage warehouse facility with office and
associated parking areas. The facility will consist of 2 one story metal buildings on concrete slabs.
Building X11 will be 10,000 sq. ft. (400' x 25') and building #2 will be 21,300 sq. ft. (426' x 50') with a
1000 sq. ft. (50' x 20') office at the eastern end near Lark Street. The office will contain a private
bathroom and the associated septic system will be located between the storage buildings and Lark Street. A
concrete driveway and a 5 space parking area will be located in the southeast corner of the property off
Lark Street. Turfstone paving blocks will be used between and on the sides of the buildings to reduce
stormwater runoff. Concrete will be used at the ends of the buildings. Stormwater from the site will be
gathered in 5 and 10 ft. wide swales on the north, west, and south sides of the development and then
conveyed under Lark Street to the subdivision stormwater retention basin on the east side of Lark Street.
The western 80 ft. of the property is to be left relatively undisturbed with a vegetated buffer near the
drainage ditch.
Anticipated Impacts
Most of the 2.38 acre tract will be cleared and developed eliminating one of the last wooded areas
east of Fresh Pond. The stormwater runoff from the project will be collected in swales and directed away
from Fresh Pond. Approximately 41,364 sq. ft. of impervious surfaces and 33,415 sq. ft. of semi-pervious
surface will be located within the AEC. The 1000 gallon septic system for the office bathroom will be
located at the eastern end of the property 760 ft. from Fresh Pond and should not impact the water quality
in the pond.
CAMA Review
follow.
Submitted by: Peter B. Colwell
Date: October 8, 1993
The Nags Head LUP classifies the property as Conservation. A full LUP consistency review will

Please type or print. Carefully describe all anticipated
development activities, including construction, excava-
tion, tilling, paving, land clearing, and stormwater con-
trol. If the requested information is not relevant to your
project, write N/A (not applicable). Items 1-4 and 8-9
mast be completed for all projects.
1 APPLICANT
a. Name Environmental Professionals, Inc.
Address 122 Sir Walter Raleigh Dr.
City Kill Devil Hills State NC
Zip 279413 bay phone [phone]
Landowner or ? - Authorized agent
If you plan to build a marina, also complete and
attach Form DCM-MP-2.
b. Is the proposed activity maintenance of an
existing project, new work, or both?
new
c. Will the project he for community, private, or
commercial use?
commercial
d. Describe the planned use of the project.
storage units
-- - - ---------
b. Project name (if any) Ample Storage Center
c. If the applicant is not the landowner, also give the
owner's name and address.
Ross W. & Fava L. Lamm
P. 0. BOX 6 0 8
Srni'ulfiel-d, NC 27577 --
4 LAND AND WATER
CHARACTERISTICS
a. Size of entire tract 2.38 cres
b. Size of individual lot(s) N/A
2 LOCATION OF PROPOSED
c. Elevation of tract above mean sea level or
National Geodetic Vertical Datum
t 12'MSL
PROJECT d. Soil type(s) and texture(s) of tract
a. Street address or secondary mad number
U- ir:: St, e. Vegetation on tract Pine, Oak
b. City, town, community, or landmark
__ Migs Head f. Man-made features now on tract 140113
c. County Dare _
d. Is proposed work within city limits or planning
jurisdiction? Yes
e. Name of body of water nearest project
Atlan t is Ocean
3 DESCRIPTION AND PLANNED USE
OF PROPOSED PROJECT
a. Describe all development activities you propose (for
example, building a home, motel, marina, bulkhead,
or pier). Mi-Fri- is _orag facilif_y anc3 -
--as aQciated, 1;i na , ---
g. What is the CAMA Land Use Plan Classification of
the site? (Consult the local land use plan.)
Conservation 't'ransitional
_ Developed Community
Rural Other
It. flow is the tract zoned by local government?
i. Ilow are adjacent waters classified'?
j. liar a professional archaeological sutvcy been
carried out for the tract? No-__ If so, by whom?
12/89
5 UPLAND DEVELOPMENT
Complete this section if the project includes any land
development.
a. Type and number of buildings, facilities, or
stntcturesproposed 2-1 story metal bldg.
b. Number of lots or parcels N/A
c. Density (Give the number of residential units and the
units per acre.) N/A _
d. Size of area to be graded or disturbed
103,332.6 S.F.
e. If the proposed project will disturb more than one
acre of land, the Division of Land Resources must
receive an erosion and sedimentation control plan at
least 30 days before land disturbing activity begins.
If applicable, has a sedimentation and erosion
control plan been submitted to die Division of Land
Resources? yes
f. Give the percentage of the tract within 75 feet of
mean high water to be covered by impermeable
surfaces, such as pavement, buildings, rooftops.
N/A
g. List the materials, such as marl, paver stone, asphalt,
or concrete, to be used for paved surfaces.
1I.irf_stona Pavinct Blocks
h. If applicable, has a stormwater management plan
been submitted to the Division of Environmental
Management? yes
1. Describe proposed sewage disposal and/or waste
water treatment facilities.
Gravitv Svstrm
in. Water supply source Municipal 04
n. If the project is oceanfront development, describe
the steps that will be taken to maintain established
public beach accessways or provide new access.
o. If the project is on the oceanfront, what will be the
elevation above mean sea level of the first habitable
floor? N/A
6 EXCAVATION AND FILL
INFORMATION
a. Describe below the purpose of proposed excavation
or fill activities (excluding bulkheads, which are
covered in Section 7). N/A
Access channel
(MLW) or (NWL)
Boat basin
Other (break-
water, pier,
boat ramp,
rock jetty)
Fill placed in
wetland or below
M11W
Length Width Depth
j. Ilave these facilities received state or local approval? Upland till
Provisional suitable areas
k. Describe existing treatment facilities.
Describe location and type of discharges to waters of
the state (for example, surface runoff, sanitary
wastewater, industrial/commercial effluent, "wash
down"). None _
b. Amount of material to be excavated from below
water level in cubic yards Ni A _
c. Type of material N/A
d. Does the area to be excavated include marshland,
swamps, or other wetlands?
e. High ground excavation, in cubic yards
12/89
f. Dimensions of spoil disposal area c. Shoreline erosion during preceding 12 months, in
NA - -- -- -- - - feet _ N/A- --- ---- -
g. Location of spoil disposal area
h. Do you claim title to the disposal area? -WA--
If not, attach a letter granting permission from the
owner.
Will a disposal area be available for future
maintenance? N/A _
If so, where? _
d. Type of bulkhead material -ly/A
}?.? t t,?_il
c. Amount of fill, in cubic yards, to be placed bcfow
mean high water i'J/A
f. Type of fill material
8 ADDITIONAL INFORMATION
j. Does the disposal area include any marshland, In addition to the completed application form, the follow-
swamps, or water areas? ing items must be submitted:
Wk-
k. Will the fill taterial be placed below mean high
water? N/A
1. Amount of fill in cubic yards N/A _
m. Type of fill material ` N/A
n. Source of fill material N/A
o. Will till material be placed on marsh or other
wetlands? N/A_
p. Dimensions of the wetland to be filled
wl
q. flow will excavated or fill material be kept on site
and erosion contmlled?
r. What type of construction equipment will be used
(for example, dragline, backhoe, or hydraulic
dredge)?-N/A
s. Will wetlands be crossed in transporting equipment
to project site? No If yes, explain steps that will
be taken to lessen environmental impacts.
7 SHORELINE STABILIZATION
a. Length of bulkhead or riprap NN/
b. Average distance waterward of mean high water or
normal water level N/A
A copy of the deed (with state application only) or other
instrument under which the applicant claims title to the
affected property. If the applicant is not claiming to be
the owner of said property, then forward a copy of the
deed or other instrument under which the owner claims
title, plus written permission from the owner to carry out
the project.
An accurate work plat (including plan view and cross
sectional drawings) drawn in scale in black Ink on an 9
1/2 x I 1 white paper. (Refer to Coastal Resources
Commission Rule 7J.0203 for a detailed description.)
Please note that original drawings are preferred and
only high quality copies will be accepted. Blue-line
prints or other larger plats are acceptable only if 19 high
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 county road (SR) numbers, landmarks, and
the like.
A stormwater managetnent plan, if applicable, that
may have been developed in consultation with the
Division of Environmental Management.
A list of the names and complete addresses of the
arliacent waterfront (riparian) landowners. 'T'hese
individuals have 30 days in which to submit comments
on the proposed project to the Division of Coastal
Management and should be advised by the applicant of
that opportunity.
1289
Name N/11 _
Address --"- 9 CERTIFICATION AND PERMISSION
TO ENTER ON LAND
Name
Address
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.
Name
Address
A list of previous state or federal permits issued for
work on the project tract. Include permit numbers,
pcrmittee, and issuing dates.
_ None ------ -----
A check for $100 made payable to the Department of
Environment, Health 8r. Natural Resources to cover the
costs of processing the application.
A signed AEC hazard notice for projects in oceanfront
and inlet areas.
A staternent on the use of public funds. If the project
involves the expenditure of public funds, attach a state-
ment documenting compliance with the North Carolina
Environmental Policy Act (N.C.G.S. It 3A- I to 10).
1 certify that to the best of my knowledge, the proposed
activity complies with the State of North Carolina's ap-
proved Coastal Management Program and will be con-
ducted in a manner consistent with such program.
I further certify that I am authorized to grant, and do in
fact, grant permission to representatives of state and
federal review agencies to enter on the aforementioned
lands in connection with evaluating information related
to this permit application and follow-up monitoring of
project.
This is the day of 19 ? ?.
--
Land6wner or Authorized agent
Pr-I r,N'TI1
cif ' R " I
1289
01
DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Ross W. and Faye L. Lampe (Ample Storage Center)
2. LOCATION OF PROJECT SITE: 2214 Lark Street, Nags Head, Dare County, Fresh Pond AEC
Photo Index - 1989: 42-34, 15-G,H,I 1984: 138-451, 17-M,N,O
State Plane Coordinates - X: 2990000 Y: 831700
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 10/07/93 ?1Cr 2 5 Jyy
Was Applicant Present - No _ ^n y
5. PROCESSING PROCEDURE: Application Received - 10/05/93
Office - Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Nags Head
Land Classification From LUP - Conservation
(B) AEC(s) Involved: Public Water Supplies
(C) Water Dependent: No
(D) Intended Use: Commercial
(E) Wastewater Treatment: Existing - None
Planned - Septic tank gravity system
(F) Type of Structures: Existing - None
Planned - 2 one story metal mini-storage buildings, with office,
and parking
(G) Estimated Annual Rate of Erosion: N/A
Source - N/A
7. HABITAT DESCRIPTION: [AREA]
_Q _ED FILLED DER
DREE D
(A) Vegetated Wetlands
(B) Non-Vegetated Wetlands
(C) Other 103,832 sq.ft.
Upland Land Disturbance
(D) Total Area Disturbed: 103,832 sq.ft. (2.3 acres)
(E) Primary Nursery Area: No
(F) Water Classification: N/A Open: N/A
8. PROJECT SUMMARY: Applicants propose to construct a 31,300 sq.ft. mini-storage warehouse
facility with 2 one-story metal buildings, 1000 sq.ft. office, and parking.
Ross W. and Faye L. Lampe
Bio Report
Page Two
Site Description
The Lampes own a 2.38 acre undeveloped tract on the west side of Lark Street in Nags Head, Dare
County. The 170 ft, x 600 ft. tract lies within the Fresh Pond Public Water Supply AEC. The 500 ft.
sewage system setback line bisects the property.
The vegetation on the tract is dominated by a loblolly pine (Pinus taeda forest with widely scattered
live oaks ( uercus virginiana), and red maple Acer rubrum). Wax myrtle M rica serif ra) dominates the
sparse understory. There are no wetland areas on the property. There are signs to indicate that the tract is
used fairly heavily by white tailed deer and raccoons. To the west, the property backs up to a 25 ft. wide
by 6 ft. deep drainage ditch. A large stormwater retention pond is located on the east side of Lark Street.
The applicants propose to construct a 31,300 sq.ft. mini-storage warehouse facility with office and
associated parking areas. The facility will consist of 2 one story metal buildings on concrete slabs.
Building #1 will be 10,000 sq. ft. (400' x 25') and building #2 will be 21,300 sq. ft. (426' x 50') with a
1000 sq. ft. (50' x 20') office at the eastern end near Lark Street. The office will contain a private
bathroom and the associated septic system will be located between the storage buildings and Lark Street. A
concrete driveway and a 5 space parking area will be located in the southeast corner of the property off
Lark Street. Turfstone paving blocks will be used between and on the sides of the buildings to reduce
stormwater runoff. Concrete will be used at the ends of the buildings. Stormwater from the site will be
gathered in 5 and 10 ft. wide swales on the north, west, and south sides of the development and then
conveyed under Lark Street to the subdivision stormwater retention basin on the east side of Lark Street.
The western 80 ft. of the property is to be left relatively undisturbed with a vegetated buffer near the
drainage ditch.
Anticipated Impacts
Most of the 2.38 acre tract will be cleared and developed eliminating one of the last wooded areas
east of Fresh Pond. The stormwater runoff from the project will be collected in swales and directed away
from Fresh Pond. Approximately 41,364 sq. ft. of impervious surfaces and 33,415 sq. ft. of semi-pervious
surface will be located within the AEC. The 1000 gallon septic system for the office bathroom will be
located at the eastern end of the property 760 ft. from Fresh Pond and should not impact the water quality
in the pond.
CAMA Review
The Nags Head LUP classifies the property as Conservation. A full LUP consistency review will
follow.
Submitted by: Peter B. Colwell
Date: October 8, 1993

Please type or print. Carefully describe all anticipated
development activities, including construction, excava-
tion, filling, paving, land clearing, and stonnwater con-
trol. If [tic requested information is not relevant to your
project, write N/A (not applicable). Items 1-4 and 8-9
must be completed for all projects.
1 APPLICANT
a. NameEnvironmental Professionals, Dic.
Address 122 Sir Walter Raleiqh Dr.
City Kill Devil Hills State NC_-_ ___ _
Zip_27948 _ Day phone [phone]
Landowner or ? _ Authorized agent
b. Project narne (if any) Ample Storage Center
c. If the applicant is not the landowner, also give the
owner's narne and address.
Ross W. & Fava L. L?tnpa _
P.O. WX 6081'
Srni'uifie.1c1, NC 27577
2 LOCATION OF PROPOSED
PROJECT
a. Street address or secondary mad number
b. City, town, community, or landmark
--
c. County [ r?-------- -- -----
d. Is proposed work within city limits or planning
e. Name of body of water nearest project
Atlantic Ck:?att
3 DESCRIPTION AND PLANNED USE
OF PROPOSED PROJECT
a. Describe all development activities you propose (for
example, building a hone, motel, marina, hulkhcad,
or Pier)._Mi--_t1Ji-sttYQ,r11Cfe-facility-auci --
If you plan to build a marina, also complete and
attach Form DCM-MP-2.
b. Is the proposed activity maintenance of an
existing project, new work, or both?
new
c. Will the project be for community, private, or
commercial use'?
cornmcrcial
d. Describe the planned use of the project.
- storage units - --------- -
4 LAND AND WATER
CHARACTERISTICS
a. Size of entire tract 2.38 acres
b. Size of individual lot(s) ._ N/A
c. Elevation of tract above mean sea level or
National Geodetic Vertical Datum
f 12' MSL
d. Soil type(s) and texture(s) of tract
c. Vegetation on tract Pitia, Oak -
f. Man-made features now on tract N011e
g. What is the CANNA Land Use Platt Classification of
the site? (Consult the local land use plan.)
-Conservation -Transitional
_ Developed Community
Rural Other
h. Ilow is the tract zotled by local govemrnenl'?
C-3
i. I low arc adjacent waters classified'?
J. Has a professional archaeological survey heen
c;micd out for the tract'? -No If so, by whom'?
I ) 1)
1 ? /R ()
5 UPLAND DEVELOPMENT
Complete this section if the project includes any land
development.
a. Type and number of buildings, facilities, or
structures proposed 2-1 story metal Meta.
b. Number of lots or parcels
c. Density (Give the number of residential units and the
units per acre.) 1V/A
d. Size of area to be graded or disturbed
103,332.6 S.F.
e. If the proposed project will disturb more than one
acre of land, the Division of Land Resources must
receive an erosion and sedimentation control plan at
least 30 days before land disturbing activity begins.
If applicable, has a sedimentation and erosion
control plan been submitted to the Division of Land
Resources? yes
f. Give the percentage of the tract within 75 feet of
mean high water to be covered by impermeable
surfaces, such as pavement, buildings, rooftops.
N/A
4
m. Water supply source Municipal
n. If the project is oceanfront development, describe
the steps that will be taken to maintain established
public beach accessways or provide new access.
N/A
o. If the project is on the oceanfront, what will be the
elevation above mean sea level of the first habitable
floor? N/A -_-?
6 EXCAVATION AND FILL
INFORMATION
a. Describe below the pul-pose of proposed excavation
or fill activities (excluding bulkheads, which are
covered in Section 7). R/A
Length Width Depth
g. List the materials, such as marl, paver stone, asphalt, Access channel
or concrete, to be used for paved surfaces. (MLW) or (NWL)
'Dirfstona Paving Bloci;s_
Boat basin
h. If applicable, has a stormwater management plan Other (break-
been submitted to the Division of Environmental water, pier,
Management? yes boat ramp,
rock jetty)
i. Describe proposed sewage disposal and/or waste
water treatment facilities. Fill placed in
Gravity System wetland or below
--- - MHW
j. Have these facilities received state or local approval? Upland fill
Provisional suital-)le areas

b. Amount of material to be excavated from below
k. Describe existing treatment facilities. water level in cubic yards N/ A _ _
-- N A ----- --- - ---- - -
c. Type of material N/A
-- - - -- -- - d. Does the area to be excavated include marshland,
1. Describe location and type of discharges to waters of swamps, or other wetlands"?
____
the state (for example, surface runoff, sanitary .....
wastewater, industrial/commercial effluent, "wash
"). t?n?' c. High ground excavation, in cubic yards
down
12/89
2
f. Dimensions of spoil disposal area
g. Location of spoil disposal area _NZ
h. Do you claim title to the disposal area? 1A -
If not, attach a letter granting permission from the
owner.
i. Will a disposal area be available for future
maintenance? N?
If so, where? _----
j. Does the disposal area include any marshland,
swamps, or water areas?
k. Will the fill material be placed below mean high
water? _ N/A - ---------- -
1. Amount of till in cubic yards N/A __-
m. 'hype of All materi al --__ Id/A _-- -
n. Source of fill material
o. Will fill material be placed on marsh or other
p. Dimensions of the wetland to be filled
q. flow will excavated or fill material be kept on site
and erosion controlled'?
r. What type of construction equipment will be used
(for example, dragline, backhoe, or hydraulic
----------
s. Will wetlands be crossed in transporting equipment
to project site'? No- If yes, explain steps that will
be taken to lessen environmental impacts.
c. Shoreline erosion during preceding 12 months, in
d. Type of bulkhead material NLA.__
C. Amount of (ill, in cubic yards, to be placed be ow
mean high water f?/. -
f. Type of till material N/?1_----- --------_- -------
8 ADDITIONAL INFORMATION
Ill addition to the completed application form, the follow-
ing items must be submitted:
A copy of the deed (with state application only) or other
instnrmctrt under which the applicant claims title to the
affected property. If the applicant is not claiming to be
the owner of said property, then forward a copy of the
decd or other instrument under which the owner claims
title, plus written permission from the owner to carry out
the project.
An accurate work plat (including plan view and cross
sectional drawings) drawn to scale in black ink on an 9
1/2 x 11 white paper. (Refer to Coastal Resources
Commission Rule 7J.0203 for a detailed description.)
Please note that original drawings arc preferred and
only high quality copies will be accepted. Flue-line
prints or other larger plats arc acceptable only if 18 high
quality copies are provided by applicant. (Contact tire.
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 lire area to the
site. Include county road (SR) numbers, landmarks, and
the like.
A storniNvater management plan, if applicable, that
may have been developed in consultation with the
-- Division of Fnvironnicntal Management.
7 SHORELINE STABILIZATION
a. Length of bulkhead or riprap N_ /11__
b. Average distance waterward of rmcan high water or
normal watcrlcvcl _??????---_-------- ------------___-----__ -
12/99
A list of the names and complete addresses of the
adjacent waterfront (riparian) landowners. These
individuals have 30 days in which to submit comments
on the proposed project to the Division of Coastal
management and should be advised by the applicant of
that opportunity.
I
Name eJ/A
Address --
Name
Address
Name
Address
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 $100 made payable to the Department of
Environment , Ilealth & Natural Resources to cover the
costs of processing the application.
A signed AEC hazard notice for projects in oceanfront
and inlet areas.
A statement on the use of public funds. If the project
involves the expenditure of public funds, attach a state-
ment documenting compliance with the Norlh Carolina
Environmental Policy Act (N.C.G.S. 113A- I to 10).
9 CERTIFICATION AND PERMISSION
TO ENTER ON LAND
Any permit issued in response to this application will
allow only the development described in the application.
The project will be subject to 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 ap-
proved Coastal Management Program and will be con-
ducted in a manner consistent with such program.
I further certify that I am authorized to grant, and do in
fact, grant permission to representatives of state and
federal review agencies to enter on the aforementioned
lands in connection with evaluating information related
to this permit application and follow-up monitoring of
project.
This is the day of 19 ?.
x
LandOwner or Authorized agent
P,r-(,!--Wt''t
01` f
12199