19960258 Ver 1_COMPLETE FILE_19960313

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

May 8, 1996
Washington County
DEM Project # 960258

APPROVAL of 401 Water Quality Certification

Mr. James E. Owens
1855 Albemarle Beach Road
Roper, NC 27970

Dear Mr. Owens:

You have our approval to place fill material in 25 square feet of waters for the purpose of
constructing a jetty at SR 1343, as you described in your application dated 13 March 1996. After
reviewing your application, we have decided that this fill is covered by General Water Quality
Certification Number 3025.
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. 27611-7447. 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,

I'~
/,
I

, lA...--- ,

How 'Jr.~

cc: Wilmington District Corps of Engineers
Corps of Engineers Washington Field Office
Washington DEM Regional Office
Mr. John Dorney
Central Files
John Parkee; DCM

960258.ltr

Environmental Sciences Branch, 4401 Reedy Creek Rd., Raleigh, NC 27607 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer. 50% recycledl10% post consumer 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

12 March 1996

RECENEO
MlR , 4 \996
t-J,EN1 AL scIENCES
ENVIRON _ ~ .. .".. _

\ r,:;-, ,~

MEMORANDUM

TO:

Mr. A. Preston Howard, P.E., Director
Division of Environmental Management

MAR 1 3 1~:J6

FROM:

John R. Parker, Jr.
Major Permits Processing Coordinator

D. E. M.

SUBJECT:

CAMA/Dredge and Fill Permit Application Review

Applicant:

James E. Owens

Project Location:

On SR 1343 at Albemarle Beach on Albemarle Sound near Roper,
Washington County, North Carolina

Proposed Project:

The addition of a roof over an existing boatlift and construct a wooden
groin adjacent an existing pier.

Please indicate below your position or viewpoint on the proposed project and return this form
by 2 April 1996. If you have any questions regarding the proposed project, please contact David
Moye at 946-6481, Ext 298. When appropriate, in-depth comments with supporting data is
requested.

REPLY

\(

This office has no objection to the project as proposed.

This office has no comment on the proposed project.

This office approves of the project only if the recommended
changes are incorporated. See attached.

Signed

This office objects to the project for reasons described in the
attached comments.

Date

5-/0 / r; ~

1424 Ccroina Avenue, Washington, North Carolina 27889
An Equal Opportunity Affirmative Action Employer

Telephone [phone] FAX [phone]
50% recycled/lO% post-consumer paper

DEHNR

Fax:[phone]

Ma~ 2 '96 14:04

P.02/05

To: John Dorney
Planning Branch

I,)IVISION 01' ENVIRONHEN'W. HANAGEKENT
CAHAjCOE PXRl1:IT AP.PLICATI:ON REVIEW

WaRn PROJECT , 9' -It) ~ - e:..--
REVIEWER; SAWYER

WQ SUPElVISOR:
DATE:

~~-'

WETLAND INJ'ORKATION FOR CENTRAl. OFFICE TRACKDI; L _ I ~
PERKIT YR: 9Z ~HO.: COUNTY': t{)~
PRo..mt'T NAMR~ \. __ ~ _
PROJECT TYPE:\1tU~ . PERMIT TYPE: ~COE
COX #: DOT I: J I
RCD Y.RCM CDA: @ DATE nOM CDA: 31ta11~
REG OUICK: WaRO JqyKR AND SUB J!ASIN....I: piJSs-o
STREAM ~JACENT WATER BODY: N(6~7e ~
CLASs: ~ STlUWf INDEX #: '30
OPEN OR .
WI. OOACT: WI. TYPE:
WI. lU:QUES'l'ED: "L ACR EST:
HYDRO CNEGT?: WI. SCORE:
MITIGATION: MITIGATION rux:
KITIGATIOH SIZE ~ .. -.- ..~ SHEET ATtACHED?
RKC(HOOIDATION: CI~ ISSUE/CONn Dim' HOLD .

STORMWATER PLAN ;;;D: ? IF YES. DATE APPROVED: ~tk(('....-;

~40~, ~u.>-t2.-~ ~~~ ___
~~'~~~~

WATER QUALITY CXR~. (in _ .
CEET. REQ D: .....,.. /J.. :::r~ ..L1-~
IF YES, TYPE, ~ ~ ~
SEWAGE DISPOSAL
TYPE OF DISPOSAL-FRGEQSED: .
([liXIS~J PROPOSED, S~i)ETC.)
TO BE PERMITI'ED BY: __--~-_J
(DEM, DH~
IF BY DEM, IS SITE AVAILABLE AND PERMIT ISSUANCE PROEABLE;
WATER/WETLAND 'ILL ~/~"2.-
AREA OF FILL: WATER: :r ..2J"rll
IS FILL ELIMINATING A SIGNIFICANT USE?
DRlIDGING . I
AREA TO BE DREDGED; N ~
IS DREDGING ACTIVITY EXPECTED To CAUSE A SIGNIFICANT LOSS OF
RESOURCE?
IS SPOIL DISPOSAL ADEQUATELY ADDRESSED?

MARINA ARE 'l'HE FOLLOWING ADEQUATELY ADDRESSED? N *
SEWACE DISPOSAL; MARINA SERVICES;
OXYGEN IN BASIN: CLOSURE OF SHELLFISHING WATERS:

WETLAND: - () --

cc: Wa.~O; Central Files; DCM Field Offit;;:esi mE Washington Office

DEHNR

Fax:[phone]

Ma~ 2 '96 14:05

P.03/05

DIVISION OF ENVIRONMENTAL MANAGEMENT

.KEMORABDOII

To:

Bill Moore, Environmental Engineer
Water Quality section, WaRO

From:

Deboran sawyer, Environmental Technician
Water Quality section, WaRO

Date:
SUbject: Request for Stormwater Review of Section 401 Applications

PROJECT

}lAHE!~.oA ~ 61,-....0-
q t ~/{)g -~
.3 t~ /'1~
d~,

PROJECT NUMBER:

DATE RECEIVED;

DATE FINAL COMMENT:

NOTE: See attached description of project

COMMENTS:

\

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT

1. APPLICANT'S NAME: James E. Owens

2. LOCATION OF PROJECT SITE: Washington County on SR 1343 at Albemarle Beach on Albemarle
Sound near Roper, North Carolina
Photo Index - 1989: 1-64-7; Q-8 1984: 102-926; F-5
State Plane Coordinates -,X: 2,699,500 Y: 803,900
Westover Quad. (upper right corner)
3. INVESTIGATION TYPE: CAMA

4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 3/12/96
Was Applicant Present - NO

5. PROCESSING PROCEDURE: Application Received - 3/7/96
Office - Washington
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Washington County
Land Classification From LUP - Conservation
(B) AEC(s) Involved: PTA,EW
(C) Water Dependent: YES
(D) Intended Use: Private
(E) Wastewater Treatment: Existing - Septic tank and drain field
Planned - N / A
(F) Type of Structures: Existing - House, bulkhead, pier, boathouse, boatlift
Planned - boathouse and wooden groin
(G) Estimated Annual Rate of Erosion: Zero
Source - Applicant
7. HABITAT DESCRIPTION: [AREA]
DREDGED FILLED OTHER

(A) Vegetated Wetlands
(B) Non-Vegetated Wetlands :i:25 ft2 jetty :i:216 ft2
Sound bottom boathouse
shaded
(C) Other

(D) Total Area Disturbed: :i:0.006 acres
(E) Primary Nursery Area: NO
(F) Water Classification: SB Open: NO

8. PROJECT SUMMARY: The applicant proposes the addition of a roof over an existing boatlift and
construct a wooden groin adjacent his existing pier..

James E. Owens
Albemarle Beach
Washington County

Project setting

The project site is located on SR 1343 at Albemarle Beach on Albemarle Sound near Roper,
North Carolina. The property is bordered on both sides by developed and bulkheaded lots and is part
of Albemarle Beach subdivision. The property measures ::1:255' along the shoreline and is
bulkheaded along the entire length. An existing home and garage are present on the site. Centered
on the property is a pier, T-head and deck, an ::1:369 ft2 boathouse, and an ::1:216 ft2 uncovered boatlift.
Approximately 25' east (downstream) of the pier is a wooden boatramp. The area is vegetated with
lawn grass, pines, hardwood trees, and various landscape shrubs adjacent the dwelling. Numerous
cypress trees are present in the shallow water near shore area. The project site is ::1:5' above the
normal water level.
Albemarle Sound is classified as SB by the Environmental Management Commission at the
project site. Albemarle Sound at the project site is coastal water but is not open to shell fishing.

Project description

The applicant proposes to construct an ::1:12' by ::1:18' flat roof over the existing boatlift which
when added to the existing boathouse will give a total square footage of ::1:585. One 25' long wooden
groin is also proposed to run parallel to the existing pier and use the existing pier pilings. The
wooden groin will project above the normal water level approximately 1'.

Anticipated impacts

The project as proposed will result in the filling if ::1:25 ft2 of sound bottom associated with
the installation of the wooden groin and the shading of ::1:216 ft2 of sound bottom from the installation
of a flat roof on the existing uncovered boatlift. The project as proposed will result in localized
turbidity as a result of the construction activities.

David W. Moye - 12 March 1996

March 4, 1996

Attention: Mr. David Moye
N. C. Dept. of Environment, Health & Natural Resources
Washington Regional Office
1424 Carolina Avenue
Washington, NC 27889

Dear Mr. Moye:

I am applying for a CAMA Major Permit in order to construct
a roof on my second boat lift, and also to get permission
to build a 25 foot groin at my home at Albemarle Beach.
I built the second boat lift last year not realizing there
was a,500 square foot limit per family. This second boat
lift will bring me over the 500 square foot allowed.
The groin is needed, hopefully, to bring back the sand that
I have lost in front of my house.

I appreciate your help on this application. Hopefully,
everything will be in order this time.

s~:'~

JAMES E. OWENS
1855 Albemarle Beach Rd.
Roper, NC 27970
793-4518

Form DCM-MP-l

PI

'''0;

",' ~ ..~"

;- :,1

APPLICATION

(To be completed by all applicants)

1. APPLICANT

a. Landowner:

Name {l4m FS E OWEflS
Address / f5~ r /1/ !-.J/T7JAJ' IE /JEAJ IU
. e.
City d1J J?fJ/JE"f State 17 ~L ,
Zip ..2 7 f 7u Day Phone 9/'/-793- fjJ/~
SAm 5

Fax

b. Authorized Agent:

Name

Address

City

State

Zip

Day Phone

Fax

c. Project name (if any)

/l//4
, '/

NOTE: Permit will be issued in name oflandowner(sj, and/or
project name.

2. LOCATION OF PROPOSED
PROJECT

il1/A.5A if1q,IoTL
"

a. County

b. City, toWJ7_ community or landmark
&2J2-E~

c. Street a9~ess or s~ndary r~ n~ber / ;:J J
_ La /;6 al?~4~Z!.L !!k.#t /(~/

d. Is proposed work within city limits or planning
jurisdiction? Yes ----.JL... No

Name of body of wa~er nearest Jlroj~ ,~e.g'jriver,
creek, sound, bay) A/t.h:ntft-.L.t 3~

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~fi)li g activities. ..J J .hI,
/1- / X / e!... tJ./} ~ 07! !~/.btL
2-r/ M u-;~

b. Is the proposed activity maintenance of an existing
project, new work, or both? II r L,{;

c. Will the project be for pub ie, private or commercial
,
use? 1ft.

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 ages
~
I, / '/
/
~

Form DCM-MP-l

4. LAND AND WATER
CHARACTERISTICS

a. Size of entire tract

1... ~.
/u/

b. Size of individuallot(s)

c. Approximate elevation of tract above MHW or
NWL 5' '

d. Soil type(s) and texture(s) of tract SA IJ cL

e. Vegetation o}l tract {i- r!./f-:P--<V /'/n E r-s r::f-'
~5"/~~ '

g. What is the CAMA Land Use Plan land
classification of the site? (Consulr the local land use plan.)

j/ Conservation _ Transitional
_ Developed _ Community
Rural _ Other

h. How is the tract zoned by local government?
/JL' ~.A'~~
c:/
i. Is the proposed project consistent with the applicable
zoning? _ Yes _ No
(Anadz zoning compliance certificate, if appliaJble)

J.

Has a professional archaeological assessment been
done for the tract? _ Yes l. No
If yes, by whom?

k. Is the project located in a National Registered
Historic District or does it involve a National
Register listed or eligible property?
_Yes LNo

,
1. Are there wetlands on the site? _ Yes X No
Coastal (marsh) Other
If yes, has a delineation been conducted?
(Anadz doClUnDllation, if available)

IL

m. Describe existing wastewater treatment facilities.
, (1<,;t~.J -1-...4 r k
/

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 djscharges.) .
JA/t/rfvJ /'.4~1--'
t/ I "

o. Describe eXisti~~ w~~IY source.
v

S. ADDITIONAL INFORMATION

In addition to the completed application form, the
following items must be submitted:

· A copy or 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 cross-sectional drawings) drawn to scale in black
ink on an 8 112- by 11- white paper. (Refer to
Coastal Resources C{\mmission 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 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

Form DCM-MP-l

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 such notice has been provided.

Name<h'1n Mih
Address I f." if 9 /n1~ g'p~ ;fJj
Phone /P 0/' 17;; j) L. ?/7 q 70
5: ;//' -7'1 J ;l/" '1.L
, /:,~o fJ;;;1l::J (f; {-~:
l' 11-:?.J&"-7} /)'

Name
Address
Phone

Name
Address
Phone

· 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
(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.

rj

6. CERTIFICATION AND PERMISSION
TO ENTER ON LAND

I understand that any permit issued in response to this
application will allow only the development described in
the application. The project will be subject to conditions
and restrictions contained i'l 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

Print Name

Please indicate attachments pertaining to your proposed
project.

_ DCM MP-2 Excavation and Fill Information
_ DCM MP-3 Upland Development
.JC DCM MP-4 Structures Information
_ DCM MP-5 Bridges and Culverts
_ DCM MP~ Marina Development

NOTE: Please sign and date each attachment in the
space provided at the bottom of each form.

Form DCM-MP-4

STRUCTURES

(Construction within Public Trust Areas)

Attach this form to Joint Application for CAMA Major
Permit, Form DCM-MP-l. 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 _Community _ Private
(2) Number
(3) Length
(4) Width
(5) Finger Piers Yes No
(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
(10) Water depth at waterward end of pier at
MLW or NWL

b. Boathouse (including covered lifts) . /
(1) Commercial!/ Private
(2) Length / ~ /
(3) Width /.J- /

c. Groin (e.g. wood, sheetpile, etc.)
(1) Number /
(2) Length(s) 2- {( /

d. Breakwater (e.g. wood, sheetpile, etc.)
(1) Length
(2) Average distance from MHW, NWL or
wetlands
(3) Maximum distance beyond MHW, NWL or
wetlands

jJfJ-

e. Mooring buoys
(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

f. Mooring structure (boatlift, mooring pilings, etc.)
(1) _ Commercial_Community _ Private
(2) Number
(3) Length
(4) Width

g. Other (Give L description) / 10

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RECEIVED

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT

MAR 2 6 1996

ENV!RCNMENiAL SCIENCeS

--t "''''U I

1.

APPLICANT'S NAME: James E. Owens

c&'O/56

2. LOCATION OF PROJECT SITE: Washington County on SR 1343 at Albemarle Beach on Albemarle
Sound near Roper, North Carolina
Photo Index - 1989: 1-64-7; Q-8 1984: 102-926; F-5
State Plane Coordinates - X: 2,699,500 Y: 803,900
Westover Quad. (upper right comer)
3. INVESTIGATION TYPE: CAMA

4. INVESTIGATIVE PROCEDURE: Dates of Site Visit - 3/12/96
Was Applicant Present - NO

5. PROCESSING PROCEDURE: Application Received - 3/7/96
Office - Washington
6. SITE DESCRIPTION:
(A) Local Land Use Plan - Washington County
Land Classification From LUP - Conservation
(B) AEC(s) Involved: PTA,EW
(C) Water Dependent: YES
(D) Intended Use: Private
(E) Wastewater Treatment: Existing - Septic tank and drain field
Planned - N / A
(F) Type of Structures: Existing - House, bulkhead, pier, boathouse, boatlift
Planned - boathouse and wooden groin
(G) Estimated Annual Rate of Erosion: Zero
Source - Applicant
7. HABITAT DESCRIPTION: [AREA]
DREDGED FILLED OTHER

(A) Vegetated Wetlands
(B) Non-Vegetated Wetlands ::!:25 ft2 jetty ::!:216 ft2
Sound bottom boathouse
shaded
(C) Other

(D) Total Area Disturbed: ::!:0.006 acres
(E) Primary Nursery Area: NO
(F) Water Classification: SB Open: NO

8. PROJECT SUMMARY: The applicant proposes the addition of a roof over an existing boatlift and
construct a wooden groin adjacent his existing pier..

James E. Owens
Albemarle Beach
Washington County

Project setting

The project site is located on SR 1343 at Albemarle Beach on Albemarle Sound near Roper,
North Carolina. The property is bordered on both sides by developed and bulkheaded lots and is part
of Albemarle Beach subdivision. The property measures ::l:255 , along the shoreline and is
bulkheaded along the entire length. An existing home and garage are present on the site. Centered
on the property is a pier, T -head and deck, an ::l:369 ft2 boathouse, and an ::l:216 ft2 uncovered boatlift.
Approximately 25' east (downstream) of the pier is a wooden boatramp. The area is vegetated with
lawn grass, pines, hardwood trees, and various landscape shrubs adjacent the dwelling. Numerous
cypress trees are present in the shallow water near shore area. The project site is ::l:5' above the
normal water level.
Albemarle Sound is classified as SB by the Environmental Management Commission at the
project site. Albemarle Sound at the project site is coastal water but is not open to shell fishing.

Project description

The applicant proposes to construct an ::l: 12' by ::l: 18' flat roof over the existing boatlift which
when added to the existing boathouse will give a total square footage of ::l:585. One 25' long wooden
groin is also proposed to run parallel to the existing pier and use the existing pier pilings. The
wooden groin will project above the normal water level approximately 1'.

Anticipated impacts

The project as proposed will result in the filling if ::l:25 ft2 of sound bottom associated with
the installation of the wooden groin and the shading of ::l:216 ft2 of sound bottom from the installation
of a flat roof on the existing uncovered boatlift. The project as proposed will result in localized
turbidity as a result of the construction activities.

David W. Moye - 12 March 1996

Form DCM-MP-l

PI

APPLICATION

(To be completed by all applicants)

1. APPLICANT

a. Landowner:

Name Cl4 Jfl F.s E Ow L"f/.{
Address / f:;-r /I) 1- .J~A~ IE /JEAJ ;;}(
. e.
City d!J AJqtJE;(' State l7 ,L J
Zip ..2 7; 7u Day Phone Cjj4!-7tJ3. fJiY'
StI17 G'

Fax

b. Authorized Agent:

Name

Address

City

State

Zip

Day Phone

Fax

c. Project name (if any)

/WA

NOTE: Permit wiU be issued in name oflandmvner(s}, and/or
project name.

2. LOCATION OF PROPOSED
PROJECT

111/ A:5) i j7 t:J 10 r-
II

a. County

b. City, to'2r_,commUnity or landmark
LWJ2-ER

c. Street a4<!res,! 2J s~ndary IWKi n~ber / tJ /
_ LJ' ~ :, ait~L'.a~ I:!:!~#t /(#1/

d. Is proposed work within city limits or planning
jurisdiction? Yes V No

Name of body of wa~er nearest,J'roj~ ,~e.gJriver,
creek, sound, bay) AI ~~LiZ ..)~

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~fi1li g activities. I -Jff'jj,
/1./ X I~ ./"!./}~::. l~kfL
2--r / M ~~~

b. Is the proposed activity maintenance of an existing
project, new work, or both? 17 E L,{,I

c. Will the project be for pub ic, private or commercial
use? A' ,

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 ages
~
1/"/ '/"
r/

Form DCM-MP-l

4. LAND AND WATER
CHARACTERISTICS

a. Size of entire tract

2~.
/~

b. Size of individuallot(s)

c. Approximate elevation of tract above MHW or
NWL ,5"

d. Soil type(s) and texture(s) of tract SAil L

e. Vegetation 0)1 tract {i-r~~/fj7EFs d-
~ f" ~'":a-J /

f.

Man:made featu~ now on tract
._~-77-~J- ~

g. What is the CAMA Land Use Plan land
classification of the site? (Consult the local land use plan.)

t/ Conservation _ Transitional
_ Developed _ Community
Rural Other

h. How is the tract wned by local government?
)J/, ~~f

i. Is the proposed project consistent with the applicable
wning? _ Yes No
(Artach zoning compliance certificate, if applicable)

J.

Has a professional archaeological assessment been
done for the tract? _ Y es ~ No
If yes, by whom?

k. Is the project located in a National Registered
Historic District or does it involve a National
Register listed or eligible property?
_Yes XNo

1. Are there wetlands on the site? Yes X No
Coastal (marsh) Other
If yes, has a delineation been conducted?
(Attach documenlalion, if available)

r.2

m. Describe existing wastewater treatm1t facilities.
"( J.CJP~.; 1" It r
/

n. Describe location and type of discharges to waters
of the state. (For example, surface runoff, sanitary
wastewater, industrial/commercial effluent, wwash
downw and residen~.al_ ~~arges.) .
~ ./'4~~

o. Describe existin&, drinkiyg water sYJlply source.
(et~ WaU1..
,/

5. ADDmONAL INFORMATION

In addition to the completed application form, the
following items must be submitted:

· A copy or 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 cross-sectional drawings) drawn to scale in black
ink on an 8 lIr by l1w white paper. (Refer to
Coastal Resources CC'mmission 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

Form DCM-MP-l

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 such notice has been provided.

Name ;};J /r', V'~...
Address / 1o.(./J'h~/7
Phone r ql' 17,f' /} L -:J/7 q 70
Name '- .t711-'7'fJ-v ~q.L

Address ,'-'0 J'lI ~
Phone /' /1-1.) f{- 7r' 7)

Name
Address
Phone

· 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
(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 Ad (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.

fJ3

6. CERTIFICATION AND PERMISSION
TO ENTER ON LAND

I understand that any permit issued in response to this
application will allow only the development described in
the application. The project will be subject to conditions
and restrictions contained i"} 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 -2- day of P:.4~ , 19 /I t.

Print Name

r or AUIhorized Agent

Please indicate attachments pertaining to your proposed
project.

_ DCM MP-2 Excavation and Fill Information
_ DCM MP-3 Upland Development
...k: 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.

Form DCM-MP-4

STRUCTURES

(Construction within Public Trust Areas)

Attach this form to loint Application for CAMA Major
Permit, Form DCM-MP-l. Be sure to complete all
other sections of the loint Application which relate to
this proposed project.

a. Dock(s) and/or Pier(s)
(1) _ Commercial_Community _ Private
(2) Number
(3) Length
(4) Width
(5) Finger Piers Yes No
(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
(10) Water depth at waterward end of pier at
MLW or NWL

b. Boathouse (including covered lifts) . /
(1) Commercial V Private
(2) Length / ~ /
(3) Width 1..2- /

c. Groin (e.g. wood, sheetpile, etc.)
(1) Number /
(2) Length(s) 2- 5/

d. Breakwater (e.g. wood, sheetpiIe, etc.)
(1) Length
(2) Average distance from MHW, NWL or
wetlands
(3) Maximum distance beyond MHW, NWL or
wetlands

/If}-

e. Mooring buoys
(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

f. Mooring structure (boatlift, mooring pilings, etc.)
(1) _ Commercial _Community _ Private
(2) Number
(3) Length
(4) Width

g. Other r~Giye co lere description) ,/,0
~~/JW
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