19951177 Ver 1_COMPLETE FILE_19950110

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
RECENEID
OV p 6 05
E??pVMENTAt SCIENCES
October 27, 1995
951177
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E VED _FON OFFICE
NO V 0 2 1905
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: Pasquotank Harbor Associates
E16 F_ N1.
"'n
NOV
Project Location: 700 E. Main St., Elizabeth City, Pasquotank County, Pasquotank River
Proposed Project: Restore, for condominiums, an old buildinc and construct a 6' x 80'
dock and 5 boat slips extending 12' into the river. An existing
dock and pilings are to be removed and also dredge bottom to a -5
ft. depth.
Please indicate below your agency's position or viewpoint on the proposed project and
return this form by November 17, 1995. If you have any questions regarding the
proposed project, please contact Frank A. Jennings, III at [phone]. When
appropriate, in-depth comments with supporting data is requested.
REPLY This agency has no objection to the project as proposed.
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the
Signed
Date 1

1367 U.S. 17 South, Elizabeth City, North Carollna 27909 Telephone [phone] FAX [phone]
An Equal Opportunity Afflrmatlve Action Employer 50% recycled/ 10% post-consumer paper
DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
APPLICANT'S NAME: Pasquotank Harbor Associates
2. LOCATION OF PROJECT SITE: 700 E. Main St., Elizabeth City, Pasquotank County
Photo Index - 1989: 11 (M9) 1984: N/A
State Piane Coordinates - X: 2819600 Y: 939400
3. INVESTIGATION TYPE: CAMA/D&F
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 07/12/95
Was Applicant Present - No
5. PROCESSING PROCEDURE: Application Received - 10/27/95
Office - Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Elizabeth City LUP
Land Classification From LUP - Developed, Conservation
(B) AEC(s) Involved: PT, EW, ES
(C) Water Dependent: Yes
(D) Intended Use: Residential/Private
(E) Wastewater Treatment: Existing - City sewage
Planned - No change
(F) Type of Structures: Existing - Brick commercial building, dock
Planned - Refurbish structure for condos, dock, mooring pilings
(G) Estimated Annual Rate of Erosion: 0'
Source - Observation, Shore Bulkheaded
7. HABITAT DESCRIPTION: [AREA]
DREDGED FILLED OTHER
(A) Vegetated Wetlands
(B) Non-Vegetated Wetlands
(C) Other
Public Trust & Estuarine Shaded 480 sq. ft.
Waters Captured 960 sq.ft.
(D) Total Area Disturbed: 1,440 square feet ((0.03 acre)
(E) Primary Nursery Area: No
(F) Water Classification: SC Open: N/A
8. PROJECT SUMMARY: The applicant proposes to restore, for condominiums, an old building
located in Elizabeth City on the Pasquotank River and construct a 6' x 80' dock and five boat slips
extending 12 feet into the river. An existing dock and pilings are to be removed. The applicant also
proposes to dredge bottom to a -5 foot depth.
Pasquotank Harbor Associates
Bio Report
Page Two
SITE DESCRIPTION
The applicant has a contract to purchase an 80' x 176.9' lot, with building, located at
700 East Main Street, Elizabeth City. The lot is located at the corner of Water Street and
Main Street on the Pasquotank River. A three story building, approximately 80' x 146'
occupies most of the urban lot and is currently unused. In previous times it has served as a
car dealership, tire dealership and most recently, a church. The lot is entirely covered with
impervious surfaces (roof and concrete) with broadleaf weeds and yards of grasses growing
in the cracks of the concrete. A dilapidated and abandoned 8' x 60' dock exists over the
Pasquotank River. The shoreline has a concrete bulkhead and is 4 feet above normal water
level (NWL). The observed water depth at the dock varies from -13' to -18'. Immediately
adjacent to the dock are several pieces of brick rubble, lying in approximately -3' of water.
These pieces are lying on the remnants of the old dock foundation.
The applicant proposes to restore the building to its original size, 80' x 176.9' and
convert the building into seven condominiums with some commercial/ retail space. A 30'
extension would be added to the existing building to accomplish this. This construction
would be immediately adjacent to the Pasquotank River. The proposal includes constructing
an 80' x 6' dock with five boat slips, each being 12' x 16' and totaling 12' x 80', and
dredging the bottom to a depth of -5 feet. The dock and boat slips are to provide water
access for the perspective condominium owners. There will be no fueling and pumpout
facilities provided and no live aboards allowed. The Pasquotank River is approximately 500
feet wide at this site and has a marked and maintained channel located near the center.
Water depth varies from -3 feet to more than -20 feet in the channel.
Drainage for the building is handled by the city gutter and storm drainage system.
ANTICIPATED IMPACTS
The removal of the existing 8' x 60' dock and the construction of a 6' x 80' dock will
result in no net gain or loss of public trust or estuarine waters. Construction of the boat slips
will result in the loss of 960 square feet of public trust and estuarine waters. Increased water
turbidity will occur during construction and no submerged aquatic vegetation is within the
project area. No apparent increase in storm water runoff is anticipated. No dredging is
anticipated to be needed, water depths currently exceed -5'. The demolition of the old dock
and its removal along with the removal of the brick rubble can be accomplished without
digging in the bottom of the river.
Pasquotank Harbor Associates
Bio Report
Page Three
CAMA REVIEW
The proposed project is located within the Elizabeth City Historical District.
The geological uniqueness of this site is its immediate proximity to deep water. The
project is within CAMA's Public Trust, Estuarine Waters and Estuarine Shoreline Areas of
Environmental Concern. The development will require 18 sq. ft. of public trust area per
linear foot of shoreline.
An Elizabeth City Land Use Plan review will be mailed out under a separate
letterhead.
Submitted by: Frank A. Jennings, III
Date: October 27, 1995
Form DCM-MP-1
1. APPLICANT
APPLICATION,,
(To be completed by all applicants)
a. Landowner:
b. City, town, community or Ian mark
G,
c. Street adM
s o
r secondary road number
_ I?,?r M/41N
Name ?AS?yoTf'?rNIG I??4??2tJ'SSoe?sd. Is proposed work w' n city limits or planning
` ?/?? jurisdiction? Yes No
Address / ?' 1/?(.N S?
e. Name of body of w(ter nearest project (e.gj? ive?r,
C';tv CJ-7 State creek, sound, bay) t'/45Q?,2CI?4nJ IL u.-la 4
Zip Day Phone qL ll
Fax q( 'G 2 ce t 4??
b. Authorized Agent:
Name L- 9 /
Address P G & -,( ( 3 :?Z¢-
City kc, State A)C
Zip Day Phone 'l(q Z6 ( (!4571
Fax Cf ( - 2 (45 (- 45' ?
c. Project name (if any) ( yeYL_. PI-C2
ro V\A0 n) i n I v w..5
NOTE: Permit will be issued in name of landowner(s), and/or
project name.
2. LOCATION OF PROPOSED
PROJECT
County ?tqs rs?'V G T"9.v /C
Revised 03/95
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 acti ities.
qerv%6VJkNc A'e r'F, M of t Q
'(r?ed?
GQo1,r:c aX- ii,o kn av\ he w old aac'
TD GL _ r
b. Is the proposed activity maintenance of an existing
project, new work, or both? Q n`
c. Will the project be for public, private or commercial
ese? _jp?Z l V ATC
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. ? Cry
G In •P t ?"t?o /' S
? S ?? t ?,61nc1 G,??l C????^? `?. ? 11 1115
cu rr-eri-?1-??c??yez,?er?o?r
ao?k prl, ny ??w-We Wed ?iF i'! e?`D•
Form DCM-MP-1
4. LAND AND WATER
CHARACTERISTICS
a. Size of entire tract
F G -C AGO
b. Size of individual lot(s) - 2GGG SV T,, t cotAs
c. Approximate elevation of tract above MHW or
NWL
d. So'1 type(s) and texture(s) of tract e. Vegetation on tract V1U 1^2,
1
f. Man-m de features now on tract r etnT
S l?? L?L h„ tla, LAS
g. What is the CAMA Land Use Plan land
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?
t- f
e
i. Is the proposed-project consistent with the applicable
zoning? v_ Yes No
(Attach zoning compliance certificate, if applicable)
j. Has a professional archaeological assessm pt-been
done for the tract? Yes / _ No
If yes, by whom?
k. Is the project located in a National Registered
Historic District or does it involve a National
Registered or eligible property?
_irzyes No
1. Are there wetlands on the site? Yes No
Coastal (marsh) Other
If yes, has a delineation been conducted?
(Attach documentation, if available)
m. Describe exis ing wastewater treatment facilities.
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.) _T NO s
o. Describ existing drinking water supply source.
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
from the owner to carry out the project.
• An accurate, dated work plat (including plan view
and cros6-5;:,t;oaal UJ?a!,; ings) dra vu to scale in black
ink on an 8 1/2" by 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 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
Revised 03/95
Form DCM-MP-1
site. Include highway or secondary road (SR)
numbers, landmarks, and the like.
6. CERTIRCATION..AND . PERNESSION
TO ENTER ON LAND
• 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 !?arss been provided.
Name w
Address o
Phone
g?-SY C„?pEPCErz, PQesS•
Name Lta PLC?- CoalbHn+?,r?.u 5
Address 110 N • t.?r.TS.L S Z 91 ? ?6r G 1? ivC
Phone - 3 S''- 2¢I 2.
r GL ? G u.r pf} TAY LoK
Name ?!4 Ca5 rrrr q Pry ??? 2?c++ D?.?nr??ct
Address 1/6 b(• L.-wT4F5 w, sr, E/?a..9?3sr C4Y,.tic
Phone 9 icy - 33 P, - 2! & 3 3 ? (. 5 -q
• A list of previous state or federal permits issued for
work on the project tract. Include permit numbers,
permittee, and issuing dates.
v/`
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 day of `' `^ _e__ , 19.
Print Name ?sc??c<?4 c Rino-Ac w- ssac vAmr
Signature ? NT
Landowner or Authorized Agent
o A check for $Z'.'50 made payable to the Department of
Environment, Health, and Natural 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.
please in ' dirate attachments pertaining to your proposed
project.
DCM MP-2 Excavation and Fill Information
DCM MP-3 Upland Development
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-NIP4
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) - Commercial _ 4 eom-munity ?rivate
(?) Number ?--
(3) Length
(4) Width
(5) Finger Piers Yes -ZNio
(i) Number
(ii) Length
(iii) Width
(6) Platform(s) Yes No
(i) Number
(ii) Length
(iii) Width
(7) Number of slips proposed
(8) Proximity of structure to adjacent riparian
property lines
(9) Width of water body "6df"r
(10) Water depth at waterward end of ier at
MLW or NWL 6; ,?EC5F
b. Boathouse (including covered lifts) A-
(1) Commercial Private
(2) Lano h
(3) Width
c. Groin (e.g. wood, sheetpile, etc.) A,-1,q,
(1) Number
(2) Length(s)
d. Breakwater (e.g. wood, sheetpile, etc.) N/4
(1) Length
(2) Average distance from MHW, NWL or
wetlands
(3) Maximum distance beyond MHW, NWL or
wetlands
.J.l .? FI 1
e. Mooring buoys /lf /4-
(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
Mooring structure (boatlift, mooring pilin
(1) _ Commercial -Community, r vate
(2) Number
(3) Length
(4) Width
g. Other (Give complete ascription)
,C t,,;o J.rk ( A& ?V S i A t? 12
P rwQ? .
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C, 6 ? Cx& f rvi o1a c k,. 'j L?: 5 i 5 w ?'E ?h a,* K
I (/ mar ?„?r
c-ce
Applica o Project
Signature
Date
Revised 03/95

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DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Pasquotank Harbor Associates
2. LOCATION OF PROJECT SITE: 700 E. Main St., Elizabeth City, Pasquotank County
Photo Index - 1989: 11 (M9) 1984: N/A
State Plane Coordinates - X: 2819600 Y: 939400
3. INVESTIGATION TYPE: CAMA/D&F
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 07/12/95
Was Applicant Present - No
5. PROCESSING PROCEDURE:. Application Received - 10/27/95
Office - Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Elizabeth City LUP
Land Classification From LUP - Developed, Conservation
(B) AEC(s) Involved: PT, EW, ES
(C) Water Dependent: Yes
(D) Intended Use: Residential/Private
(E) Wastewater Treatment: Existing - City sewage
Planned - No chansze
(F) Type of Structures: Existing - Brick commercial building, dock
Planned - Refurbish structure for condos, dock, mooring pilings
(G) Estimated Annual Rate of Erosion: 0'
Source - Observation, Shore Bulkheaded
7. HABITAT DESCRIPTION: [AREA]
DREDGED FILLED
OTHER
(A) Vegetated Wetlands
(B) Non-Vegetated Wetlands
(C) Other
Public Trust & Estuarine Shaded 480 sq.ft.
Waters Captured 960 sq.ft.
(D) Total Area Disturbed: 1,440 square feet ((0.03 acre)
(E) Primary Nursery Area: No
(F) Water Classification: SC Open: N/A
8. PROJECT SUMMARY: The applicant proposes to restore, for condominiums, an old building
located in Elizabeth City on the Pasquotank River and construct a 6' x 80' dock and five boat slips
extending 12 feet into the river. An existing dock and pilings are to be removed. The applicant also
proposes to dredge bottom to a -5 foot depth. I/ o f e, 1?rcv15 ' onlr 7D remove Ire YnH:,,.5 v?
CIE tfr iotot-ed ek-(5t; dac k "d
/Vo Tr,e 0/p Ili /,' 10 ,On05eIf .
?L'N
0
Pasquotank Harbor Associates
Bio Report
Page Two
SITE DESCRIPTION
The applicant has a contract to purchase an 80' x 176.9' lot, with building, located at
700 East Main Street, Elizabeth City. The lot is located at the corner of Water Street and
Main Street on the Pasquotank River. A three story building, approximately 80' x 146'
occupies most of the urban lot and is currently unused. In previous times it has served as a
car dealership, tire dealership and most recently, a church. The lot is entirely covered with
impervious surfaces (roof and concrete) with broadleaf weeds and yards of grasses growing
in the cracks of the concrete. A dilapidated and abandoned 8' x 60' dock exists over the
Pasquotank River. The shoreline has a concrete bulkhead and is 4 feet above normal water
level (NWL). The observed water depth at the dock varies from -13' to -18'. Immediately
adjacent to the dock are several pieces of brick rubble, lying in approximately -3' of water.
These pieces are lying on the remnants of the old dock foundation.
The applicant proposes to restore the building to its original size, 80' x 176.9' and
convert the building into seven condominiums with some commercial/retail space. A 30'
extension would be added to the existing building to accomplish this. This construction
would be immediately adjacent to the Pasquotank River. The proposal includes constructing
an 80' x 6' dock with five boat slips, each being 12' x 16' and totaling 12' x 80', and
dredging the bottom to a depth of -5 feet. The dock and boat slips are to provide water
access for the perspective condominium owners. There will be no fueling and pumpout
facilities provided and no live aboards allowed. The Pasquotank River is approximately 500
feet wide at this site and has a marked and maintained channel located near the center.
Water depth varies from -3 feet to more than -20 feet in the channel.
Drainage for the building is handled by the city gutter and storm drainage system.
ANTICIPATED IMPACTS
The removal of the existing 8' x 60' dock and the construction of a 6' x 80' dock will
result in no net gain or loss of public trust or estuarine waters. Construction of the boat slips
will result in the loss of 960 square feet of public trust and estuarine waters. Increased water
turbidity will occur during construction and no submerged aquatic vegetation is within the
project area. No apparent increase in storm water runoff is anticipated. No dredging is
anticipated to be needed, water depths currently exceed -5'. The demolition of the old dock
and its removal along with the removal of the brick rubble can be accomplished without
digging in the bottom of the river.
4
Pasquotank Harbor Associates
Bio Report
Page Three
CAMA REVIEW
The proposed project is located within the Elizabeth City Historical District.
The geological uniqueness of this site is its immediate proximity to deep water. The
project is within CAMA's Public Trust, Estuarine Waters and Estuarine Shoreline Areas of
Environmental Concern. The development will require 18 sq. ft. of public trust area per
linear foot of shoreline.
An Elizabeth City Land Use Plan review will be mailed out under a separate
letterhead.
Submitted by: Frank A. Jennings, III
Date: October 27, 1995
Form DCM-MP-I
APPLICATIO
(To be completed by all applicants)
1. APPLICANT
a. Landowner:
v, ?i 7 1?Jn?- ;1?:
Nil
b. City, town, community or langmark
c. Street add ess or secondary road number
Name ?SG&,j o-rl?n1 d. Is proposed work w' n city limits or planning
jurisdiction? Yes No
Address ?iVc.`?-?' ? / ?' II?.N S?
e. Name of body of water nearest project (e.g. fiver,
Oty CJ!7 State /U C creek, sound, bay) PRS G?? oTr4n? Ic- K
Zip Day Phone gdl q 2 (i l 4-5-0,
Fax q?? z w 4??
b. Authorized Agent:
Name L 9 L ?fil
Address PC) City c /7? fig State A)C -1 Acy, Zip , Day Phone 17(q q 4-)"(a c ?ZS Z9

Fax I 4s-Zy
c. Project name (if any) RweYL PL- ce
rn P\C106lihivw-5
NOTE: Permit will be issued in name of landowner(s), and/or
project name.
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 acti ities.
9-P mo v -e r? S oft
d V.?
)1'6I.,r':tc 1, 4? '1? ho w otat dac'
TO c' L - r
b. Is the proposed activity maintenance of an - existing
project, new work, or both? 6
c. Will the project be for public, private or commercial
use? ?? l V At
d. Give a brief description of purpose, use, methods of
construction and daily operations of proposed
project. If mores ace is needed, please attachI
additional pages. ?ca't'S l ?Q S Cry
2. LOCATION OF PROPOSED
PROJECT
a. County V /4S C2 y G 3`J} Ay /C
Revised 03/95
-D ere CA- C? l I. -
Form DCINI-MP-I
4. LAND AND WATER
CHARACTERISTICS
a. Size of entire tract 0 -(, ;_60
b. Size of individual lot(s) -7 - 2,GGG Sf cor4r
v

m. Describe exis ing wastewater treatment facilities.
1 i
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.) TXj rV?
c. Approximate elevation of tract above MHW or
NWL
d. So 'I type(s) and texture(s) of tract, - -
e. Vegetation on tract Vr o t^P?
o. Describ?existing drinking water supply source.
1
f. Man-m de features now on tract (e I^nA. N.T
g. What is the CAMA Land Use Plan land
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?
C- J-'
i. Is the proposed-project consistent with the applicable
zoning? rZ Yes No
(Attach zoning compliance cerrificate, if applicable)
j. Has a professional archaeological assessor een
done for the tract? Yes No
If yes, by whom?
k. Is the project located in a National Registered
Historic District or does it involve a National
Registered or eligible property?
Yes No
1. Are there wetlands on the site? Yes k No
Coastal (marsh) Other
If yes, has a delineation been conducted?
(Attach documentation, if available)
5. ADDITIONAL INFORINUTION
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
from the owner to carry out the project.
• An accurate, dated work plat (including plan view
and crvJJ-ocitiVttai Jiawings) drawn to scale in black
ink on an 8 1/2" by 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 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
Revised 03/95
Form DCM-MP-1
site. Include highway or secondary road (SR)
numbers, landmarks, and the like.
• 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 su-ch notice bars b°wn provided.
Name
Address
Phone
Name
Address
Phone
Name
Address
Phone
w ? ?l-
0 2
PErsY C11IpEP9e2, PrraS•
Lta, Pc. - CONtOKA I V%J V HA S
? J I ? 1 I
6. CERTMCATION..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 1,1 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
i v N. (.-??,rs? . K? r?Err? C? I,,ivC project.
9 1 ? - --7, 3S - 2¢/Q-
D ?1? 2?C t+ ?wnl?KS
C-(t} C4S 1,-ror APT-5.
_ I 1Y • I,? WEE >e, s+', LISA
5iq - 332, -??B 3?4,-ioSr?
• A list of previous state or federal permits issued for
work on the project tract. Include permit numbers,
permittee, and issuing dates.
V[/
a A check for 550 made payable to the Deparmtent of
Environment, Health, and Natural 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.
I further certify that the information provided in this
application is truthful to the best of my knowledge.
T"
This is the day of
Print Name K1sG??o rr4n?tc ssar vA''6r,-
Signature ?"I-IL ,Vlandowner or Authorized Agent
Please indicate attachments pertaining to your proposed
project.
DCM MP-2 Excavation and Fill Information
DCM MP-3 Upland Development
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-MP4
?N
STRUCTURES
(Construction within Public Trust Areas)
Attach this form to Joint Application for CAMA Major e. Mooring buoys
Permit, Form DCM-MP-1. Be sure to complete all (1) _ Commercial -Community - Private
other sections of the Joint Application which relate to (2) Number
this proposed project. (3) Description of buoy
(Color, inscription, size, anchor, etc.)
a. Dock(s) and/or Pier(s)
(1) _ Commercial _ ommunity L""Pri ate
??) Number ?-
(3) Length 0 (4) Width of water body
(4) Width (5) Distance buoy(s) to be placed beyond
(5) Finger Piers Yes ---ZNo shoreline
(i) Number
(ii) Length f. Mooring structure (boatlift, mooring pilin
(iii) Width (1) _ Commercial -Community r vate
(6) Platform(s) Yes No (2) Number
(i) Number (3) Length
(ii) Length (4) Width
(iii) Width
(7) Number of slips proposed g. Other (Give' complete escription)1
(8) Proximity of structure to adjacent riparian Wo.?1 T? S iA
property lines q e Co Crc
(9) Width of water body &00 ,x-45 10 10
(10) Water depth at waterward end of pier at v rcp l
MLW or NWL`?ECST fv ?ec? csT?
Msg. ?/?%
b. Boathouse (including covered lifts) /V/f•}- k"Cr^' ?^t)+ ?S F lG gss ?P arca ,?
(1) Commercial Private a 6 I6^1 C'° ?rPZ
(1) T anath ti4?r ?I?? P srA v0YA N K a?er?o?c ,
(3) Width APPti o Project c. Groin (e.g. wood, sheetpile, etc.) /Vll Signature
(1) Number </ /??--
(2) Length(s) / `
Date
d. Breakwater (e.g. wood, sheetpile, etc.) N/4
(1) Length
(2) Average distance from MHW, NWL or
wetlands
(3) Maximum distance beyond MHW, NWL or
wetlands
Revised 03/95
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can > / ? i 201 ?? 1206
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