19950617 Ver 1_COMPLETE FILE_19950620

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B, Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr„ P.E., Director
APPROVAL of 401 Water Qualitv Certification
Ms. Lucita Mooney
221 Bayview Drive
Harkers Island, N.C. 28531
Dear Mr. Mooney:
Al I FA
9K 'M
ED F= F1
July 14, 1995
Carteret County
DEM Project # 95617
FlIE COPY
You have our approval to place fill material in 885 square feet of wetlands or waters for the
purpose of constructing a bulkhead at 221 Bayview Drive, Harkers Island, as you described in your
application dated 19 June 1995. After reviewing your application, we have decided that this fill is
covered by General Water Quality Certification Number 2665. This certification allows you to use
Nationwide Permit Number 13 or its equivalent when it is issued by the Corps of Engineers.
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 and you may be required to send us a new application.
For this approval to be valid, you must follow the conditions listed in the attached certification. In
addition, you should get any other federal, state or local permits before you go ahead with your
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 which conforms to Chapter 150B of the North Carolina General Statutes to the
Office of Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 276 1 1-7447. This certification and
its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Environmental Management under Section 401
of the Clean Water Act. If you have any questions, please telephone John Dorney at 919-733-1786.
Attachment
Sincerely,
eston loo ward, Jr. P. .
cc: Wilmington District Corps of Engineers
Corps of Engineers Wilmington Field Office
Wilmington DEM Regional Office
Mr. John Domey
Central Files
John Parker; DCM
95617.1tr
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post-consumer paper
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DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Ms. Lucita Mooney
2. LOCATION OF PROJECT SITE: at 221 Bayview Drive and adjacent to a man-made boat basin off
Westmouth Bay, in the community of Harkers Island, Carteret County
Photo Index - 1989: 156-5 K-17 1984: 38 1213 L-12
State Plane Coordinates - X: 2735100 Y: 353000
3. INVESTIGATION TYPE: CAMA & Dredge & Fill
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - May 24, 1995
Was Applicant Present - yes
5. PROCESSING PROCEDURE: Application Received - May 24, 1995
Office - Morehead City
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Carteret County
Land Classification From LUP - Limited Transition, Conservation
(B) AEC(s) Involved: PT, EW, ES
(C) Water Dependent: yes
(D) Intended Use: Commercial
(E) Wastewater Treatment: Existing - Septic tank
Planned - None
(F) Type of Structures: Existing - Single family residence, storage building, pier
Planned - Dock, finger piers, mooring pilings, bulkhead
(G) Estimated Annual Rate of Erosion: Slight
Source - personal observation
4 /6 ??
??? o
o,' .9
F,
7. HABITAT DESCRIPTION: [AREA]
DREDGED FILLED OTHER
(A) Vegetated Wetlands
none
(B) Non-Vegetated Wetlands 885 sq.ft. 10,170 sq. ft
shallow bottom (bulkhead) pier (footprint)
open water
(C) Other
(D) Total Area Disturbed: 11,055 sq. ft
(E) Primary Nursery Area: No
(F) Water Classification: SA Open: No
8. PROJECT SUMMARY: The applicant proposes to bulkhead and construct a docking facility to
accommodate up to 11 boats.

FIELD INVESTIGATION REPORT:
Ms. Lucita Mooney/ Carteret County
PAGE #2
9. NARRATIVE DESCRIPTION: The applicant's property is located at 221 Bayview
Drive in the community of Harkers Island, Carteret County. The property adjoins
Westmouth Bay and has been developed with a residence. A previous land owner
received a Dredge and Fill Permit (#170-73) and excavated a boat basin and access
channel through wetlands into Westmouth Bay. The original tract of land was
subdivided with the applicant's property split from the original tract along the
centerline of the access channel and boat basin. The portion of the boat basin on the
applicant's property was originally bulkheaded and piers were built along the shoreline
to accommodate several boats. The bulkhead and piers deteriorated over the years and
after purchasing the property a few years ago, the applicant removed the bulkhead and
all the piers except one small platform. The shoreline bank has continued to erode into
the applicant's yard. The adjoining property owner on the eastern side of the basin
(Calvin Rose Boat Dockage) has developed his property into a small marina which
accommodates approx. 22 boats. A General Permit (#C13919) was recently issued to
the property owner to perform maintenance excavation to a portion of the access
channel leading into the basin. The spoils material from this operation was placed on
Ms. Mooney's property to be used as backfill material a proposed bulkhead. Waters at
the project site have been classified as SA by and are closed to the harvesting of
shellfish. The closure of shellfish waters extends beyond the existing docking
facilities of Calvin Rose Boat Dockage for a distance of 200'.
The applicant is proposing to bulkhead the shoreline of the existing boat basin within
her property boundary. The bulkhead would follow the Mean High Water (MHW) line
except at one area located on the South side of the basin where erosion has cut into the
bank approximately 8'. The spoils material from the recent excavation operation
would be used as backfill behind the proposed new bulkhead. Also proposed is a
parallel dock with 5 finger piers which would accommodate up to 11 boats. The dock
would be approximately 360' long x 6' wide with the finger piers approximately 15'
long x 3' wide. A 22' long x 5' wide concrete access ramp is proposed at the
southwest coroner of the basin to provide wheelchair access to the proposed pier.
Approximately 360' of bulkhead would be placed along the shoreline.
10. ANTICIPATED IMPACTS: The applicant proposes to bulkhead approximately 360'
of shoreline in a man made basin. Approximately 285' of the bulkhead would be
positioned at the MHW line. Approximately 75' of the bulkhead would be placed at a
maximum distance of 8' beyond the MHW line in order to have a straight bulkhead
alignment. This would result in approximately 400 sq. ft. of shallow water habitat
area being filled with approx. 22 cubic yards of material being placed below the MHW
line. A 360' long x 6' wide dock would be constructed parallel to the bulkhead will
provide five finger piers and adjacent mooring pilings to accommodate up to 11 boats.
Approximately 10,000 sq. ft. of Estuarine Waters would be shaded by the proposed
docking facility. The proposed pier would be built right to the property line on the
east side. This riparian property owner has waived the 15' setback requirement.
FIELD INVESTIGATION REPORT:
Ms. Lucita Mooney\Carteret County
Page 3
The 11 proposed new slips and the 22 existing slips of the adjoining property owner
would bring the total number of slips in the boat basin to 33. The Shellfish Sanitation
Section of the Division of Environmental Health has indicated that the additional slips
may cause an increase in the shellfish closure area within the existing access channel.
PREPARED BY: Charles O. Pigott
DATE: May 31, 1995
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 1-4 and 8-9
must be completed for all projects.
1 APPLICANT
a. Name
Address
City`?la State
Zip12,_ 5 J r Day phone 4/0 7aS°/9[(0
// Landowneror Authorized agent
b. Project name (if any) O
If the applicant is not the landowner, also give the
owner's name and address.
Q
ttJ
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?
b4,*,
c. Will the project be for community, private, or
commercial use?
C onnnA?_: Rc.\ rN L
d. Describe the planned use of the project.
Qe-,A- SINS ?er ra..? ?
a.11?Ck Gf4 Y Aw, o -?e\e
? ti U ? V ? ?y 4
4 LAND AND WATFR
a.
2 LOCATION OF PROPOSED
PROJECT
a. Street address or secondary road number
r31?d-
b. City, town, community, or landmark
?4a?ka.s 1 51A.,d
C. County Cart Y
d. Is proposed work within city limits or planning
jurisdiction? N o
e. Name of body of water nearest project
WEST Mou -t%A 6 0? \1
3 DESCRIPTION AND PLANNED USE
OF PROPOSED PROJECT
C.
CHARACTERISTICS
Size of entire tract _ A- Y%. C_ . n >
Size of individual lot(s) a- n, <Y % s
Elevation of tract above mean sea level or
National Geodetic Vertical Datum
4-- s F+ -
d. Soil type(s) and texture(s) of tract
SANS"/
e. Vegetation on tract G r a e, -, s w.. \ I -?? ¢ ?Z s
f. Man-made features now on tract _V?uks*. k 6 U T Min..
g. What is the CAMA Land Use Plan Classification of
the site? (Consult the local land use plan.)
Conservation Transitional
Developed Community
Rural Other
h. How is the tract zoned by local government?
(A NZbW.) rtb
I i. How are adjacent waters classified?
a. Describe all development activities you propose (for
example, building a home, motel, marina, bulkhead,
or pier). 6ulk?.Q0.d , (?; er b oe?sltps
3/91

Has a professional archaeological survey been
carried out for the tract? N o If so, by whom?
5 UPLAND DEVELOPMENT
Complete this section if the project includes any land
development.
a. Type and number of buildings, facilities, or m. Water supply source
structures proposed
n. If the project is oceanfront development, describe
the steps that will be taken to maintain established
b. Number of lots or parcels public beach accessways or provide new access.
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 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 stonnwater 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").
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
(MLW) or (i?'WL)
Boat basin
Other (break-
water, pier,
boat ramp,
rock jetty)
Fill placed in
wetland or below
MHW
Upland fill
areas
b. Amount of material to be excavated from below
water level in cubic yards
c. Type of material
d. Does the area to be excavated include marshland,
swamps, or other wetlands?
e. High ground excavation, in cubic yards
2 3/91
f. Dimensions of spoil disposal area
g. Location of spoil disposal area
h. Do you claim title to the disposal area?
If not, attach a letter granting permission from the
owner.
Will a disposal area be available for future
maintenance?
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?
1. Amount of fill in cubic yards
m. Type of fill material
n. Source of fill material
o. Will fill material be placed on_marsh or other
wetlands?
p. Dimensions of the wetland to be filled
q. How 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
dredge)?
s. Will wetlands be crossed in transporting equipment
to project site? If yes, explain steps that will
be taken to lessen environmental impacts.
7 SHORELINE STABILIZATION
a. Length of bulkhead or riprap 3 6 b 1- _
b. Average distance waterward of mean high water or
normal water level c7
c. Shoreline erosion during preceding 12 months, in
feet o
d. Type of bulkhead material w a a0
e. Amount of fill, in cubic yards, to be placed below
mean high water C-13 . .
f. Type of fill material _ - -J \ 'P,
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 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 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 persomiel 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.
Ll
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 d should be advised by the applicant of
that opportune ,. 0'
3/91
Name s f ot-i w N%cHt\rk
Address -1e4 6P.G-GRG-rc CLD
M`f?D\SOt?I N C. 2.'? o2S
Tame ewt-.vXr,?- t2osg
Address S't a Rt . % 0 ??, 63 t,
.c.-
z$53?
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 5250 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).
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-
p.oved Coastal Management Pro= ram 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 2{L_ day of , 19
Landowner or Authorized agent
3/91
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DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
P.O. BOX 1890
WILMINGTON, NORTH CAROLINA 28402-1890
REPLY TO
ATTENTION OF June 15, 1995
Regulatory Branch
Action ID No. 199503779
Mr. John Dorney
Division of Environmental Management
North Carolina Department of
Environment, Health and
Natural Resources
4401 Reedy Creek Road
Raleigh, North Carolina 27607
Dear Mr. Dorney:
0%?'( 6199,
-;c
`cr
Enclosed is the application of Ms. Lucita L. Mooney for Department of the
Army (DA) authorization and a State Water Quality Certification to construct
dockage and construct and backf ill a bulkhead on a manmade basin off Westmouth
Bay, Harkers Island, Carteret County, North Carolina. Your receipt of this
letter verifies your acceptance of a valid request for certification by
Section 325.2(b)(ii) of our administrative regulations.
We are considering authorizing the proposed activity pursuant to Section
404 of the Clean Water Act, and we have determined that a water quality
certification is required under the provisions of section 401 of the same law.
A Department of the Army permit will not be granted until the certification
has been obtained or waived.
According to our administrative regulations, 60 days is reasonable for
State action. Therefore, if you have not acted on the request, or asked for an
extension of time, by August 14, 1995, the District Engineer will deem that
waiver has occurred.
Questions or comments may be addressed to Mr. Jeff Richter, Wilmington
Field Office, Regulatory Branch, telephone [phone].
Sincerely,
e hanch
Enclosure
Copies Furnished (without enclosure) :
Mr. John Parker
Division of Coastal Management
North Carolina Department of
Environment, Health and
Natural Resources
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Mr. Charles Jones
Morehead City Regional Office
North Carolina Division
of Coastal Management
Post Office Box 769
Morehead City, North Carolina 28557
Printed on 0 Recycled Paper
•
DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Ms. Lucita Mooney
2. LOCATION OF PROJECT SITE: at 221 Bayview Drive and adjacent to a man-made boat basin off
Westmouth Bay, in the community of Harkers Island, Carteret County
Photo Index - 1989: 156-5 K-17 1984: 38 1213 L-12
State Plane Coordinates - X: 2735100 Y: 353000
145
3. INVESTIGATION TYPE: CAMA & Dredge & Fill
Z?R? RRANrb
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - May 24, 1995G`
Was Applicant Present - yes
5. PROCESSING PROCEDURE: Application Received - May 24, 1995
Office - Morehead City
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Carteret County
Land Classification From LUP - Limited Transition, Conservation
(B) AEC(s) Involved: PT, EW, ES
(C) Water Dependent: yes
(D) Intended Use: Commercial
(E) Wastewater Treatment: Existing - Septic tank
Planned - None
(F) Type of Structures: Existing - Single family residence, storage building, pier
Planned - Dock, finger piers, mooring pilings, bulkhead
(G) Estimated Annual Rate of Erosion: Slight
Source - personal observation
7. HABITAT DESCRIPTION:
[AREA]
DREDGED FILLED OTHER
(A) Vegetated Wetlands -
none
(B) Non-Vegetated Wetlands 885 sq.ft. 10,170 sq. ft
shallow bottom (bulkhead) pier (footprint)
open water
(C) Other
(D) Total Area Disturbed: 11,055 sq. ft
(E) Primary Nursery Area: No
(F) Water Classification: SA Open: No
8.
PROJECT SUMMARY: The applicant proposes to bulkhead and construct a docking facility to
accommodate up to 11 boats.
FIELD INVESTIGATION REPORT:
Ms. Lucita Mooney/ Carteret County
PAGE #2
9. NARRATIVE DESCRIPTION: The applicant's property is located at 221 Bayview
Drive in the community of Harkers Island, Carteret County. The property adjoins
Westmouth Bay and has been developed with a residence. A previous land owner
received a Dredge and Fill Permit (#170-73) and excavated a boat basin and access
channel through wetlands into Westmouth Bay. The original tract of land was
subdivided with the applicant's property split from the original tract along the
centerline of the access channel and boat basin. The portion of the boat basin on the
applicant's property was originally bulkheaded and piers were built along the shoreline
to accommodate several boats. The bulkhead and piers deteriorated over the years and
after purchasing the property a few years ago, the applicant removed the bulkhead and
all the piers except one small platform. The shoreline bank has continued to erode into
the applicant's yard. The adjoining property owner on the eastern side of the basin
(Calvin Rose Boat Dockage) has developed his property into a small marina which
accommodates approx. 22 boats. A General Permit (#C13919) was recently issued to
the property owner to perform maintenance excavation to a portion of the access
channel leading into the basin. The spoils material from this operation was placed on
Ms. Mooney's property to be used as backfill material a proposed bulkhead. Waters at
the project site have been classified as SA by and are closed to the harvesting of
shellfish. The closure of shellfish waters extends beyond the existing docking
facilities of Calvin Rose Boat Dockage for a distance of 200'.
The applicant is proposing to bulkhead the shoreline of the existing boat basin within
her property boundary. The bulkhead would follow the Mean High Water (MHW) line
except at one area located on the South side of the basin where erosion has cut into the
bank approximately 8'. The spoils material from the recent excavation operation
would be used as backfill behind the proposed new bulkhead. Also proposed is a
parallel dock with 5_ finger piers which would accommodate up to 11 boats. The dock
would be approximately 360' long x 6' wide with the fihiger piers approximately 15'
long x 3' wide. A 22' long x 5' wide concrete access ramp is proposed at the
southwest coroner of the basin to provide wheelchair access to the proposed pier.
Approximately 360' of bulkhead would be placed along the shoreline.
10. ANTICIPATED IMPACTS: The applicant proposes to bulkhead approximately 360'
of shoreline in a man made basin. Approximately 285' of the bulkhead would be
positioned at the MHW line. Approximately 75' of the bulkhead would be placed at a
maximum distance of 8' beyond the MHW line in order to have a straight bulkhead
alignment. This would result in approximately 400 sq. ft. of shallow water habitat
area being filled with approx. 22 cubic yards of material being placed below the MHW
line. A 360' long x 6' wide dock would be constructed parallel to the bulkhead will
provide five finger piers and adjacent mooring pilings to accommodate up to 11 boats.
Approximately 10,000 sq. ft. of Estuarine Waters would be shaded by the proposed
docking facility. The proposed pier would be built right to the property line on the
east side. This riparian property owner has waived the 15' setback requirement.
FIELD INVESTIGATION REPORT:
Ms. Lucita Mooney\Carteret County
Page 3
The 11 proposed new slips and the 22 existing slips of the adjoining property owner
would bring the total number of slips in the boat basin to 33. The Shellfish Sanitation
Section of the Division of Environmental Health has indicated that the additional slips
may cause an increase in the shellfish closure area within the existing access channel.
PREPARED BY: Charles O. Pigott
DATE: May 31, 1995
Please type or print. Carefully describe all anticipated
devel2pment 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 1-4 and 8-9
must be completed for all projects.
1 APPLICANT
a. Name
Address Q/..W-
City": State
Zip,2 Day phone
i/ Landowneror Authorized agent
b. Project name (if any) N 14
C.
0
9)
If the applicant is not the landowner, also give the
owner's name and address.
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?
C aMMt?.RG\ A ?..
d. Describe the planned use of the project.
1 Qea? SI- ?s O Y r a.1+
f\av.e?i O ?.. o eY
4 LAND AND WATER
CHARACTERISTICS
a.
C.
2 LOCATION OF PROPOSED
PROJECT
a. Street address or secondary road number
8 A y V\ R w g I V
b. City, town, community, or landmark
?ar?Ca.s ? S?w..cl
c. Countv c q r Jf tv
d. Is proposed work within city limits orplanning
jurisdiction? NO
e. Name of body of water nearest project
WEST M a%AT%-{ B+tk N
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). B tk\\a.,d p;«
b•o?'slips
l- rel \ e 1e
3/91 REVISED
DATE
Size of entire tract- 4 y-\ c , ,
Size of individual lot(s) . A-. N c-,. %Q s
Elevation of tract above mean sea level cr
National Geodetic Vertical Datum
4-- - S' f+ -
Soil type(s) and texture(s) of tract
S q ,., t, y
Vegetation on tract G
f. Man-made features now on tract K k e Ur ML-n..
g. What is the CAMA Land Use Plan Classification of
the site? (Consult the local land use plan.)
Conservation Transitional
Developed Community
Rural Other
h. How is the tract zoned by local government?
(?NZb?JED
How are adjacent waters classified?
Has a professional archaeological survey been
carried out for the tract? t-J o If so, by whom?
N I A
R ?? 7 ?a? '

5 UPLAND DEVELOPMENT
Complete this section if the project includes any land
development.
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 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 stotmwater 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").
,2
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
(MLW) or (N'WL)
Boat basin
Other (break-
water, pier,
boat ramp,
rock jetty)
Fill placed in
wetland or below
MHW
Upland fill
areas
b. Amount of material to be excavated from below
water level in cubic yards
Len--th Width Depth

P1`CY
.

r}, k:!!ii .•: iii:::.:
c. Type of material
d. Does the area to be excavated include marshland,
.swamps, or other wetlands?
e. High ground excavation, in cubic yards
3/91
f. Dimensions of spoil disposal area
g. Location of spoil disposal area
h. Do you claim title to the disposal area?
If not, attach a letter granting permission from the
owner.
Will a disposal area be available for future
maintenance?
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?
1. Amount of fill in cubic yards
m. Type of fill material
n. Source of fill material
o. Will fill material be placed on.marsh or other
wetlands?
p. Dimensions of the wetland to be filled
q. How 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
dredge)?
s. Will wetlands be crossed in transporting equipment
to project site? If yes, explain steps that will
be taken to lessen environmental impacts.
7 SHORELINE STABILIZATION
a. Length of bulkhead or riprap 3 ° -
b. Average distance waterward of mean high water or
normal water levee Vfflwrn-. cn
3/91
c. Shoreline erosion during preceding 12 months, in
feet o
d. Type of bulkhead material
w a ao
e. Amount of fill, in cubic yards, to be placed below
mean high water .. cn ' .
f. Type of fill material Q k -P,
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 Nvork 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 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 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 d should be advised by the applicant of
that opportune
f

Tame S Ar%My W %A C.!kRR":4
Address IN ?-? tto .
MYtie??so*? , N C• 2n 07_5_
Name w v 12 0 sL
Address S-% --a- . VA • % 0 k V5
-Ir c.v ko••?s 1s1••?ek,N .L-
Za53i
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 5250 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).
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-
p,oved 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 Zfl- day of
Landowner or Authorized agent
3/91

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APPENDIX A
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