19940141 Ver 1_COMPLETE FILE_19940203

I- WR-U`,-' 1J4 I UL 11-':L1 1 ll : L) I U OF CL11 i', l IAL t•1UI ILL li (iii Y3-,'-14`i._ WDLU I
State of North Carolina i _
Department of Environment, `11
Health
of End vlNontmeantal MonaCeme ti x
Division
James B. Hunt, Jr., Covernor
??'Fyl
Jonathan B. Howes. Secretary
A, Proston Howard, Jr., N.E., Director
March 9, 1999
MEMO
TO: John Parker 4LW01?
FROM: John Dorn
RE: Town of Morehead City
Utility line
[r4tWo*A=HNR
DEM has no objection to issuance of a CAMA perrnit for this,
pr,-)jrct. As you can tell, no "buck" sheet wds included with this
peinrit .
Please call me at 733-1786 if you have a quesLion.
91191 me
CC: ('entral Files
Wilmington DEM kegional Office
Post-It brand fax transmittal memo 7671 nor pages ?
froM
nept. Phone a
IV _1. /? 4 'v --Trar«
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opporfuntty Affirmative Action Employer 50% recycled/ 1096 post-consurner poll
To: John Dorney
Planning Branch
DIVISION OF ENVIRONMENTAL MANAGEMENT
CAMA MAJOR PERMIT APPLICATION REVIEW
REVIEWER:
WQ SUPERVISOR: ADKINS
DATE: February 24, P
WETLAND INFORMATION FOR CENTRAL OFFICE TRACKING
PERMIT YR: 94 PERMIT NO.: 94141 COUNTY: Carteret
PROJECT NAME: Town of Morehead City
PROJECT TYPE: Utility Line PERMIT TYPE: CAMA
COE #: N/A DOT#: N/A
RCD FROM CDA: DCM DATE FROM CDA: February 14, 1994
REG OFFICE: WiRO RIVER AND SUB BASIN#: 030503
*STREAM OR ADJACENT WATER BODY: Bogue Sound
CLASS: SA STREAM INDEX #: 20-36-8.5
*OPEN OR CLOSED: Closed
WL IMPACT: Yes WL TYPE: SM
WL REQUESTED: 0.00057 WL ACR EST: Yes
WL SCORE: N/A
MITIGATION: N/A MITIGATION TYPE: N/A
MITIGATION SIZE: N/A RATING SHEET ATTACHED?: N/A
RECOMMENDATION: ISSUE
STORMWATER PLAN REQ'D: No
IF YES, DATE APPROVED:
PROJECT DESCRIPTION: The applicant proposes to extend a existing stormwater outfall pipe by
25 feet.
WATER QUALITY CERT. (401)
CERT. REQ'D: No
IF YES, TYPE:
SEWAGE DISPOSAL
TYPE OF DISPOSAL PROPOSED: N/A
TO BE PERMITTED BY: N/A
IF BY DEM, IS SITE AVAILABLE AND PERMIT ISSUANCE PROBABLE: N/A
WATER/WETLAND FILL
AREA OF FILL - WATER: 7 sq. ft. WETLAND: 25 sq. ft.
IS FILL ELIMINATING A SIGNIFICANT USE? No
DREDGING
IS DREDGING ACTIVITY EXPECTED TO CAUSE A SIGNIFICANT LOSS
OF RESOURCE? No
IS SPOIL DISPOSAL ADEQUATELY ADDRESSED? Yes
94141.Feb
Page Two
MARINA
ARE THE FOLLOWING ADEQUATELY ADDRESSED?
SEWAGE DISPOSAL: N/A MARINA SERVICES: N/A
OXYGEN IN BASIN: N/A CLOSURE OF SHELLFISHING WATERS: N/A
(ATTACH A MARINA USE ATTAINABILITY EVAL.)
RECOMMENDED CONDITIONS OR PERMIT RESTRICTIONS: That the project be
done in such a manner so as to not cause turbidity outside the immediate construction area to
exceed 25 NTU.
cc: Central Files
Wilmington Regional Office Files
DCM-James L. Mercer
John Parker

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Town of Morehead City (11th Street Storm Drain)
2. LOCATION OF PROJECT SITE: South 11th Street, on Bogue Sound, Morehead City, Carteret
County
Photo Index - 1989: Strip #154, Frame 23 Q 20-21 B 1984: N/A
State Plane Coordinates - X: 2640600 Y: 360225
3. INVESTIGATION TYPE: CAMA/D&F
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 2/1-94
Was Applicant Present - NO
5. PROCESSING PROCEDURE: Application Received - January 31, 1994
Office - Morehead City
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Town of Morehead City
Land Classification From LUP - Develop/Conservation
(B) AEC(s) Involved: CW, EW, ES, PT
(C) Water Dependent: NO
(D) Intended Use: Public
(E) Wastewater Treatment: Existing - N/A
Planned - N/A
(F) Type of Structures: Existing - Storm Drain
Planned - Extension of Storm Drain
(G) Estimated Annual Rate of Erosion: F
Source - Observation
7. HABITAT DESCRIPTION: [AREA]
DREDGED FILLED OTHER
(A) Vegetated Wetlands
Saltmarsh Cordgrass 25 sq. ft.
(B) Non-Vegetated Wetlands
Bottomland - Bogue Sound 7 sq. ft.
(C) Other
NONE
(D) Total Area Disturbed: 32 sq. ft.
(E) Primary Nursery Area: NO
(F) Water Classification: 'SA' Open: NO
8. PROJECT SUMMARY: The Town of Morehead City proposes to extend the length of an existing
15" storm drain pipe, an additional 25' by laying the pipe on top of the marsh to a point 3' into
Bogue Sound.
FIELD INVESTIGATION REPORT:
TOWN OF MOREHEAD CITY, CARTERET COUNTY
PAGE #2
9. NARRATIVE DESCRIPTION: The project site is located on Bogue Sound, at the
end of South 11th Street, in Morehead City, Carteret County, NC. The Town of
Morehead City proposes to improve the gravity flow of an existing storm drain by
extending the length of the 15" pipe by approximately 28 In. ft. This activity will
move the terminal end of the pipeline from a sandy enclosed bay on the back side of a
saltmarsh fringe to the open waters of Bogue Sound. The cordgrass fringe measures
about 15' wide. As proposed, the new pipeline will be imbedded on the top of the
marsh and terminated about 3' waterward in Bogue Sound. The storm pipe's new
position should allow for optimal drainage.
10. ANTICIPATED EWPACTS: The Town has estimated that the new pipeline (28' x
1.5') will generate a footprint impact of 32 sq. ft. This includes the displacement of
saltmarsh cordgrass, as well as the sandy bottom of Bogue Sound. Included in this
estimate is a limited amount of excavation (1/2 cu. yd.) that will be necessary to bed
the pipe along the proposed alignment. The spoil material is scheduled to be trucked
off site.
PREPARED BY: JAMES L. MERCER
DATE: February 10, 1994
Please type or print. Carefully describe all anticipated
development activities, including construction. excava-
tion, filling, paving, land clearing, and stormwater con-
trol. If the requested information is not relevant to your
project, write N/A (not applicable). Items 14 and 8-9
must be completed for all projects.
1 APPLICANT
a. Name Town of Morehead City
Address P. O. Drawer M
City Morehead City State
Tip 28557 Day phone
NC
919-726-6848
X Landowner or Authorized agent
b. Project name (if any)
11th Street Storm Drain Extension
c. If the applicant is not the landowner, also give the
owner's name and address.
2 LOCATION OF PROPOSED
PROJECT
a. Street address or secondary road number
11th Street at Bogue Sound
b. City, town, community, or landmark
Town of Morehead City
C. County
Carteret
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?
both
c. Will the project be for community, private, or
commercial use?
community
d. Describe the planned use of the project.
Improve existing storm drain outlet
into Bogue Sound
4 LAND AND WATER
CHARACTERISTICS
a. Size of entire tract N/A
b. Size of individual lot(s)
N/A
c. Elevation of tract above mean sea level or
National Geodetic Veztical Datum
.5 ft f NGVD
d. Soil type(s) and texture(s) of tract
Sandy Silt
e. Vegetation on tract Approximately 10-15 feet
of marsh grass will be crossed.
f. Man-made features now on tract
RCP drain
g. What is the CAMA Land Use Plan Classification of
the site? (Consult the local land use Dlan.)
d. Is proposed work wittun city units or piannmg
jurisdiction? within City limits
- Lj?, ?Conservation Transitional
e. Name of body owater nearest project Developed -?_ Community
BoVe te Rural Other
3 DESCRIPTION AND PLANNED USE
OF PROPOSED PROJECT
h How is the tractzo ed by local government?
residenti.a?
i. How are adjacent waters classified?
Class SA
a. Describe all development activities you propose (for j.
example, building a home, motel, marina, bulkhead,
or ier). Extend existing 15" RCP storm
d p 1 an aciditionai 28 IT into Bogue and
3/91
Has a professional archaeological survey been
carried out for the tract7 no If so, by whom?
00000*"MON06 a* 0*dWW** we
Q
5 UPLAND DEVELOPMENT
Complete this section if the project includes any land
development. N/A
a. Type and number of buildings, facilities, or
structures proposed
b. Number of lots or parcels
c. Density (Give the number of residential units and the
units per acre.)
d. Size of area to be graded or disturbed
e.
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.
g. List the materials, such as marl, paver stone, asphalt,
or concrete, to be used for paved surfaces.
h. If applicable, has a stormwater management plan
been submitted to the Division of Environmental
Management?
i. Describe proposed sewage disposal and/or waste
water treatment facilities.
j. Have these facilities received state or local approval?
k. Describe existing treatment facilities.
1. Describe location and type of discharges to waters of
the state (for example, surface runoff, sanitary
wastewater, industrial/commercial effluent, "wash
down").
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?
m. Water supply source
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?
6 EXCAVATION AND FILL
INFORMATION
a. Describe below the purpose of proposed excavation
or fill activities (excluding bulkheads, which are
covered in Section 7).
Length Width Depth
Access channel
(MEW) or (NWL)
Boat basin
Other (break-
water, pier, pipe
boat ramp, Laying
rock jetty)
FLU placed in
wetland or below
MHW
Upland fill
areas
b. Amount of material to be excavated from below
water level in cubic yards • 5 Cy
e. Type of material sandy silt
d. Does the area to be excavated include marshland,
swamp, or other wetlands?,
25 ft' of marsh
e. High ground excavation, in cubic yards
None
lay
of
2 3/91

I. - to bloe l=V ori?tivcks
g. Location of spoil disposal area Town Property
h. Do you claim title to the disposal area? Yes
If not, attach a letter granting permission from the
owner.
i. Will a disposal area be available for future
maintenance? not required
If so, where? Town property
j. Does the disposal area include any marshland,
swamps, or water areas?
No
k. Will the fill material be placed below mean high
water? No
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 fill material be placed on marsh or other
wetlands? pipe to be laved over marsh
p. Dimensions of the wetland to $e filled
15' x 1.5' = 22.5 ft
q. How will excavated or fill material be kept on site
and erosion controlled?
excavated materials to be hauled
rcrn si e
r. What type of construction equipment will be used
(for example, dragline, backhoe, or hydraulic
dredge)? backhoe
s. Will wetlands be crossed in transporting equipment
to project site? no If yes, explain steps that will
be taken to lessen n/i rimental impacts.
7 SHORELINE STABILIZATION
a. Length of bulkhead or riprap
b. Average distance waterward of mean high water or
normal water level
3/91
c. Shoreline erosion during preceding 12 months, in
feet
d. Type of bulkhead material
e. Amount of fill, in cubic yards, to be placed below
mean high water
f. Type of fill material
8 ADDITIONAL INFORMATION
In addition to the completed application form, the follow-
ing 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 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 cant' out
the project:
An accurate work plat (including plan view and cross
sectional drawings) drawn to scale in black ink on an 8
1/2 x 11 white paper. (Refer to Coastal Resources
Commission Rule 7J.0203 for a detailed description.)
Please note that original drawings am preferred and
only high quality copies will be accepted. Blue-line
prints or other larger plats are acceptable only if 18 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 management 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
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.
DUI ? 1 I '

Name Frio- TPCri S
Address 1412 Shackleford Street
ljorehead city, X 28557
Name
Address
Name
Address
Rachel Church
Box
Atlantic Beach, NC 28512
A list of previous state or federal permits issued for
work on the project tract Include permit numbers,
penmittee, and issuing dates.
A check for $250 made payable to the Department of
Environment , Health, and Natural Resources to cover
the costs of processing the application.
A signed AEC hazard notice for projects in oceanfront
and inlet areas.
A statement on the use of public funds. If the project
involves the expenditure of public funds, attach a state-
ment documenting compliance with the North Carolina
Environmental Policy Act (N.C.G.S.113A-1 to 10).
4
9 CERTIFICATION AND PERMISSION
TO ENTER ON LAND
Any permit issued in response to this application will
allow only the development described in the application.
The project will be subject to conditions and restrictions
contained in the permit
I certify that to the best of my knowledge, the proposed
activity complies with the State of North Carolina's ap-
proved Coastal Management Program and will be con-
ducted in a manner consistent with such program.
I further certify that I am authorized to grant, and do in
fact, grant permission to representatives of state and
federal review agencies to enter on the aforementioned
lands in connection with evaluating information relaied
to this permit application and follow-up monitoring of
project
This is the day of 19Y-7
G X I q
3/91
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FEB-1?-1994 08:07 FROM EHAR WILH KEG OFFICE TO 8-919-73?-13,8 P.01
_ Statc of North Carolina
Department of Environment, Health, and Natural Resources
Wiimiucton Rc(,ional Office Bob Ja,nicson
)a;nes Ii. Hunt, Governor n r `? Rcgional Manactr
Jonathan B- Howes, Secrctary Nc
FAX COVER SHEET
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DATA: NO. OF PAGES
CO: CO: -
FAX #: FAX #
REMARKS: ?-
127 CerCmial Drive EatCn410r, VX1lmingtun, N C 29405-',54$ • Tc1cp1l0nc [phone] • Fax (910) 350=:004
An Eq,,,,; opportuntcy Attirrnative Action Em., Loper
--#7 9 Y/v/ TOTHL P. 01

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Town of Morehead City (11th Street Storm Drain)
2. LOCATION OF PROJECT SITE: South 11th Street, on Bogue Sound, Morehead City, Carteret
County
Photo Index - 1989: Strip #154, Frame 23 @ 20-21 B 1984: N/A
State Plane Coordinates - X: 2640600 Y: 360225
3. INVESTIGATION TYPE: CAMA/D&F ?; ii?` I'1 'i-
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 2/1-94 4 1-I' I '
Was Applicant Present - NO
5. PROCESSING PROCEDURE: Application Received - January 31, 1994 WATER t!iiL!f!s ..
Office - Morehead City
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Town of Morehead City
Land Classification From LUP - Develop/Conservation
(B) AEC(s) Involved: CW, EW, ES, PT
(C) Water Dependent: NO
(D) Intended Use: Public
(E) Wastewater Treatment: Existing - N/A
Planned - N/A
(F) Type of Structures: Existing - Storm Drain
Planned - Extension of Storm Drain
(G) Estimated Annual Rate of Erosion: 1'
Source - Observation
7. HABITAT DESCRIPTION: [AREA]
DREDGED FILLED OTHER
(A) Vegetated Wetlands
Saltmarsh Cordgrass 25 sq. ft.
(B) Non-Vegetated Wetlands
Bottomland - Bogue Sound 7 sq. ft.
(C) Other
NONE
(D) Total Area Disturbed: 32 sq. ft.
(E) Primary Nursery Area: NO
(F) Water Classification: 'SA' Open: NO
8. PROJECT SUMMARY: The Town of Morehead City proposes to extend the length of an existing
15" storm drain pipe, an additional 25' by laying the pipe on top of the marsh to a point 3' into
Bogue Sound.
FIELD INVESTIGATION REPORT:
TOWN OF MOREHEAD CITY, CARTERET COUNTY
PAGE #2
9. NARRATIVE DESCRIPTION: The project site is located on Bogue Sound, at the
end of South 11th Street, in Morehead City, Carteret County, NC. The Town of
Morehead City proposes to improve the gravity flow of an existing storm drain by
extending the length of the 15" pipe by approximately 28 In. ft. This activity will
move the terminal end of the pipeline from a sandy enclosed bay on the back side of a
saltmarsh fringe to the open waters of Bogue Sound. The cordgrass fringe measures
about 15' wide. As proposed, the new pipeline will be imbedded on the top of the
marsh and terminated about 3' waterward in Bogue Sound. The storm pipe's new
position should allow for optimal drainage.
10. ANTICIPATED IMPACTS: The Town has estimated that the new pipeline (28' x
1.5') will generate a footprint impact of 32 sq. ft. This includes the displacement of
saltmarsh cordgrass, as well as the sandy bottom of Bogue Sound. Included in this
estimate is a limited amount of excavation (1/2 cu. yd.) that will be necessary to bed
the pipe along the proposed alignment. The spoil material is scheduled to be trucked
off site.
PREPARED BY: JAMES L. MERCER
DATE: February 10, 1994

Please type or print. • Carefully describe all anticipated
development activities, including construction, excava-
tion, filling, paving, land clearing, and stormwater con-
trol. If the requested information is not relevant to your
project, write N/A (not applicable). Items 14 and 8-9
must be completed for all projects.
1 APPLICANT
a. Name Town of Morehead City
Address P. O. Drawer M
City Morehead City State NC
Zip 28557 Day phone
919-726-6848
X Landowner or Authorized agent
b. Project name (if any)
11th Street Storm Drain Extension
c. If the applicant is not the landowner, also give the
owner's name and address.
2 LOCATION OF PROPOSED
PROJECT
a. Street address or secondary road number
11th Street at Boque Sound
b. City, town, community, or landmark
. Town of Morehead Citv
C. Courity Carteret
d. Is proposed work within city limits or planning
jurisdiction? within City limits
e. Name of body of water nearest project
Bogue Sound
3 DESCRIPTION AND PLANNED USE
OF PROPOSED PROJECT
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?
both
c. Will the project be for community, private, or
commercial use?
coIi nunity
d. Describe the planned use of the pro gain
Improve existing storm gain outlet
into Boque Sound
4 LAND AND WATER
CHARACTERISTICS
a. Size of entire tract N/A
b. Size of individual lot(s)
N/A
c. Elevation of tract above mean sea level or
National Geodetic Vertical Datum
-.5 ft t NGVD
d. Soil type(s) and texture(s) of tact
Sandy Silt
e. Vegetation on tract _ Approximately 10-15 feet
of marsh grass will be crossed.
f. Man-made features now on tract RCP drain
g. What is the CAMA Land Use Plan Classification of
the site? (Consult the local land use plan)
Transitional
Com
munity
Rural Other
h. How is the tract.zoled by local government?
residentia
i. How are adjacent waters classified?
Class SA
a. Describe all development activities you propose (for j. Has a professional archaeological survey been
example, building a home, motel, marina, bulkhead, carried out for the tract? no If so, by whom?
or pier). Extend existing 15 RCP storm N/A i"1 n ^ r.K., T
drain an additional " into Bogue Sound Trrt.
3/91
JAN 3 1 1994
1
M?trirwnrrw. ? r??wr•rr???M1A

5 UPLAND DEVELOPMENT
Complete this section if the project includes any land
development. N/A
a. Type and number of buildings, facilities, or
structures proposed
b. Number of lots or parcels
c. Density (Give the number of residential units and the
units per acre.)
d. Size of area to be graded or disturbed
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?
f. Give the percentage of the tact within 75 feet of
mean high water to be covered by impermeable
surfaces, such as pavement, buildings, rooftops.
g. List the materials, such as marl, paver stone, asphalt,
or concrete, to be used for paved surfaces.
h. If applicable, has a stormwater management plan
been submitted to the Division of Environmental
Management?
i. Describe proposed sewage disposal and/or waste
water treatment facilities.
j. Have these facilities received state or local approval?
k. Describe existing treatment facilities.
1. Describe location and type of discharges to waters of
the state (for example, surface runoff, sanitary
wastewater, industrial/commercial effluent, "wash
down").
m. Water supply source
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?
6 EXCAVATION AND FILL
INFORMATION
a- Describe below the purpose of proposed excavation
or fill activities (excluding bulkheads, which are
covered in Section 7).
Access channel
QYILW) or (NWL)
Boat basin
Other (break-
water, pier, pipe
boat ramp, Laying
rock jetty)
Fill placed in
wetland or below
MI-1W
Upland fill
areas
Length Width Depth
b. Amount of material to be excavated from below
water level in cubic yards • 5 CY
c. Type of material sandy silt
d. Does the area to be excavated include marshland,
swamps, or other wetlands?,
Approximately 25 ttof marsh
e. High ground excavation, in cubic yards
None
2 1 , 391
o_
f. Dimerrgonslofas1 disposal area
to e o on tricks
g. Location of spoil disposal area Town property
h- Do you claim title to the disposal area? Yes
If not, attach a letter granting permission from the
owner.
i. Will a disposal area be available for future
maintenance? not required
If so, where? Town property
j. Does the disposal area include any marshland,
swamps, or water areas?
No
k. Will the fill material be placed below mean high
water'? No
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 fill material be placed on marsh or other
wetlands? Pipe to be layed over marsh
p. Dimensions of the wetland to $e filled
15' x 1.5' = 22.5 ft
q. How will excavated or fill material be kept on site
and erosion controlled?
excavated materials to be hauled
rom site
r. What type of construction equipment wr71 be used
(for example, dragline, backhoe, or hydraulic
dredge)? backhoe
s. Will wetlands be crossed in transporting equipment
to project site? no If yes, explain steps that will
be taken to lessen nyi nmental impacts.
7 SHORELINE STABILIZATION
a- Length of bulkhead or riprap
b. Average distance waterward of mean high water or
normal water level
3/91
c. Shoreline erosion during preceding 12 months, in
feet
d. Type of bulkhead material
e. Amount of fill, in cubic yards, to be placed below
mean high water
f. Type of fill material
8 ADDITIONAL INFORMATION
In addition to the completed application form, the follow-
ing 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 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 to scale in black ink on an 8
1/2 x 11 white paper. (Refer to Coastal Resources
Commission Rule 71.0203 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 18 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 detailrd.
to guide agency personnel unfamiliar with the area to the
site. Include county road (SR) numbers, landmarks, and
the like.
A stormwater management 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
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' T
,k?5e. st
? "j ??t

Name
Address 1412 Shackleford Street
Morehead City, NC 28557
Name Rachel Church
Address Box
Atlantic Beach, NC 28512
Name
Address
A list of previous state or federal permits issued for
work on the project tract Include permit numbers,
permittee, and issuing dates.
A check for $250 made payable to the Department of
Environment , Health, and 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 North Carolina
Environmental Policy Act (N.C.G.S. 113A-1 to 10).
4
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 pemmit application and follow-up monitoring of
project
??q
3/91

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