20040805 Ver 1_Complete File_20080825

Certificate of Completion
DWQ Project No.: O `Y " 0 ,?06-
Applicant:
/VC
County: 79 Qf2C
Re5omu4 Cvmmi`ssi o--, - I a
Project Name: Ro LY%OKL ?-51aA.b MAr-1 ?e1`V?-i,? /10M
Date of Issuance of 401 Water Quality Certification: -7 3 206{
Upon completion of all work approved within the 401 Water Quality Certification and Buffer Rules, and any
subsequent modifications, the applicant-is-required to return this certificate to the 401/Wetlands Unit,-North
Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form may be
returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not
necessary to send certificates from all of these.
Applicant's Certification
I, lomAt i ?Mk S hereby state that, to the best of my abilities, due care and
diligence was used'fn the observation of the construction such that the construction was observed to be built
within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials:
Signature: ?' Date:
D
Agent's Certification /1UG X4[15
I, , hereby state that, to the best of my I iM?k"',dUtTaaw!??d
diligence was used in the observation of the construction such that the construction was observed to be built
within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signature:
Date:
If this project was designed by a Certified Professional
I, , as a duly registered Professional (i.e.,
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to
observe (periodically, weekly, full time) the construction of the project, for the Permittee hereby state that,
to the best of my abilities, due care and diligence was used in the observation of the construction such that
the construction was observed to be built within substantial compliance and intent of the 401 Water Quality
Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature: Registration No.: Date:
ly
IN REPLY REFER TO
Regulatory Division
Action ID No. 200411464
DEPARTMENT OF THE ARMY
WILMINGTON DISTRICT, CORPS OF ENGINEERS
Washington negulatory Fuld Office
P.O. Box 1000
Washington, North Carolina 27889-1000
July 13, 2004
Mr. Doug Huggett
Division of Coastal Management
North Carolina Department of Environment
And Natural Resources
1638 Mail Service Center
Raleigh, North Carolina 27699-1638
Dear Mr. Huggett:
0Y-o-3©s'
Reference the application of the NC Wildlife Resources Commission for a Department of
the Anny permit to rehabilitate an existing waterfowl management area and construct
observation platforms, on property located off ITC Highway 345, adjacent to the Roanoke Sound,
near Manteo, in Dare County, North Carolina.
The Federal agencies have completed review of the proposal as presented by the
application and your field investigation report.
We recommend that the following conditions be included in the State authorization:
All work authorized by this permit must be performed in strict compliance with the
permit plans, which are a part of this permit.
2. No vegetated wetlands will be excavated or filled outside of the authorized area.
3. The temporary placement or double handling of excavated or fill materials within waters
or vegetated wetlands are not authorized.
4. The fill material will be clean and free of any pollutants except in trace quantities. Metal
products, organic materials, or unsightly debris will not be used.
5. No excavated or fill material will be placed in any location or in any manner so as to
impair surface water flow into or out of any wetland area.
6. The permittee will maintain the authorized work in good condition and in conformance
I'
-2-
with the terms and conditions of this permit. The perrnittee is not relieved of this
requirement if he abandons the pennitted activity without having it transferred to a third party.
7. The activity will be conducted in such a manner as to prevent a significant increase in
turbidity outside the area of construction or construction-related discharge. Increases such that
the turbidity in the waterbody is 50 NTU's or less in all rivers not designated as trout waters by
the North Carolina Division of Environmental Management (NCDEM), 25 NTU's or less in all
saltwater classes and in all lakes and reservoirs, and 10 NTU's or less in trout waters, are not
considered significant.
8. In order to prevent the entraimnent of aquatic species at the pump intake site, adequate
screening devices should be implemented.
Questions or comments may be addressed to Mr. Raleigh Bland, Washington Field Office,
Regulatory Division, telephone [phone], extension 23.
Sincerely,
t
Raleigh Bland, P.W.S.
Regulatory Project Manager
Copies Furnished:
Mr. John Dorney
Water Quality Section
Division of Environmental Management
North Carolina Department of Environment
And Natural Resources
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
Mr. Garland B. Pardue
U.S. Fish and Wildlife Service
Fish and Wildlife Enhancement
Post Office Box 33726
Raleigh, North Carolina 27636-3726
4
-3-
Mr. Ron Sechler
National Marine Fisheries Service
Habitat Conservation Service
Pivers Island
Beaufort, North Carolina 28516
Mr. David Rackley
NMFS, Habitat Conservation Division
219 Fort Johnson Road
Charleston, South Carolina 29412-9110
Mr. Ronald J. Mikulak, Chief
Wetlands Regulatory Section
Water Management Division
U.S. Environmental Protection Agency
61 Forsyth Street, SW
Atlanta, Georgia 30303
Mr. Ted Sampson, District Manager
Elizabeth City Regional Office
North Carolina Division of Coastal Management
1367 US 17 South
Elizabeth City, North Carolina 27909
V
(0? WAT?9pG
> D W r
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Alan W. Klimek, PE, Director
Division of Water Quality
Coleen Sullins, Deputy Director
Division of Water Quality
July 13, 2004
DWQ Project # 04-0805
Dare County
Page 1 of 3
Mr. Tommy K. Hughes
NC Wildlife Resources Commission
1722 Mail Service Center
Raleigh, NC, 27699-1722
Subject Property: Roanoke Island Marshes Conservation Project
Approval of 401 Water Quality Certification (GC3351) with Additional Conditions
Dear Mr. Hughes:
You have our approval, in accordance with the attached conditions, to place fill in or otherwise
impact 6.56 acres of wetlands, shoreline and waters to improve an existing waterfowl
impoundment located near SKYCO, on Roanoke Island and on the Roanoke Sound as described
in your application received by the Division of Water Quality (DWQ) Wetlands/401 Unit on
May 18, 2004. After reviewing your application, we have determined that the Division of Water
Quality (DWQ) General Water Quality Certification Number 3351 covers these water impacts.
This Certification allows you to General Permit No. 198000291 when issued by the US Army
Corps of Engineers (USACE). In addition, you should get or otherwise comply with any other
federal, state and local requirements before you go ahead with your project including (but not
limited to) erosion and sediment control regulations and LAMA. Also, this approval to
proceed with your proposed impacts or to conduct impacts to waters as depicted in your
application shall expire upon expiration of the 404 or CAMA Permit.
This approval is 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. If the
property is sold, the new owner must be given a copy of this Certification and approval letter and
is thereby responsible for complying with all conditions. If total fills for this project (now or in
the future) exceed one acre of wetland or 150 linear feet of stream, compensatory mitigation may
be required as described in 15A NCAC 2H.0506 (h). This approval requires you to follow the
conditions listed in the attached certification and any additional conditions listed below.
The Additional Conditions of the Certification are:
N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (http://h2o.enr.state.nc.us/ncwetlands)
NWENH
V
Applicant
Page 2 of 3
Date
1. Impacts Approved
The following impacts are hereby approved as long as all of the other specific and
general conditions of this Certification (or Isolated Wetland Permit) are met. No other
impacts are approved including incidental impacts:
Amount Approved
(Units) Plan Location or Reference
Stream N/a (feet)
404/LAMA Wetlands 6.56 (acres) CAMA field report
Waters N/a (acres)
Buffers N/a (square ft.)
2. Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or
applicable Buffer Rules, and any subsequent modifications, the applicant is required to
return the attached certificate of completion to the 401/Wetlands Unit, North Carolina
Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650.
3. Water Quality Certification
The proposed project must comply with all of the conditions of General Water Quality
Certification (GC) 3351.
Violations of any condition herein set forth may result in revocation of this Certification and may
result in criminal and/or civil penalties. The authorization to proceed with your proposed
impacts or to conduct impacts to waters as depicted in your application and as authorized by this
Certification, shall expire upon expiration of the 404 or CAMA Permit.
If you do not accept any of the conditions of this Certification (associated with the approved
water impacts), 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,
6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its conditions are
final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean
Water Act. If you have any questions, please telephone Cyndi Karoly in the Central Office in
Raleigh at 919-733-9721 or Tom Steffens in the DWQ Washington Regional Office at 252-946-
6481.
Sincerely,
6/V?4 .ra
Alan W. Klimek, P.E.
Applicant
Page 3 of 3
Date
AW Klcbk
Enclosures: GC 3351
Certification of Completion
cc: Tommy K. Hughes, 951 Perrytown Road, New Bern, NC, 28562
Doug Huggett, DCM
USACE Washington Regulatory Field Office
DWQ Washington Regional Office
File Copy
Central Files
Filename: 040805NCWRC(Dare)401
A ,-? ?...?..v •
®VCER
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
May 14, 2004
MEMORANDUM:
TO: Mr. John R. Dorney WETLANDS/ `tad c,,RoUp
Environmental Biological Supervisor
Division of Water Quality'???? I a 2004
PROM: Doug Huggett WATER QUALI (SECT10N,
Major Permits Processing Coordinator
SUBJECT: CAMA/DREDGE & FILL Permit Application Review
Applicant: NC Wildlife Resources Commission
Project Location: South of US 64/264 and East of NC 345, SKYCO area, Roanoke Island
Proposed Project: Roanoke Island Marshes Conservation Project
Improvements to Waterfowl Impoundment
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by June 4, 2004. If you have any questions regarding the proposed project, please contact
Frank Jennings at [phone]. When appropriate, in-depth comments with supporting data are
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 attached
comments.
SIGNED
DATE
1367 U.S. 17 South, Elizabeth City, North Carolina 27909
Phone: [phone] FAX: [phone] Internet: vvnv.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer - 30% Recycled by Fiber Weight
DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
APPLICANT'S NAME: NCWRC, Roanoke Island Marshes Conservation Project
LOCATION OF PROJECT SITE: South of US 64/264 and East of NC 345, SKYCO area, Roanoke Island, off
Roanoke Sound
Photo Index - 2000: 182-2157 (T,15) (U-X,15-23) 1995:182-1879 (S,2-10) (T,3-10) (U,4-10) (V,4-9) (W,4-7)
1985: 141-1568 (0,11-19) (P,11-19) (Q,12-19) (R,14-18) (S,14-15) 1989:152-9 (0,12-13) (P,10-14)
(Q,9-15) (R,9-16) (S,9-17)
State Plane Coordinates - X: 2991400 Y:793200
INVESTIGATION TYPE: CAMA/D&F
INVESTIGATIVE PROCEDURE: Dates of Site Visit- 04/23/04
Was Applicant Present - YES f-'
:. ?.;
5. PROCESSING PROCEDURE: Application Received Complete - 04/23/04
Office - Elizabeth City
3. SITE DESCRIPTION:
(A) Local Land Use Plan - Dare County
Land Classification From LUP - Conservation
(B) AEC(s) Involved: ES, PTA, EW, CW
(C) Water Dependent: YES
(D) Intended Use: Public
(E) Wastewater Treatment: Existing - N/A
Planned - N/A
(F) Type of Structures: Existing - Wildfowl Impoundment
Planned - Parking, Viewing Platforms, Improve Impoundment
(G) Estimated Annual Rate of Erosion: N/A
Source - N/A
7. HABITAT DESCRIPTION: [AREA]
DREDGED FILLED OTHER
(A) Coastal Wetlands 2400 s.f. ditch

(B) Estuarine Shoreline 4 000 sf trail ,
22',400 V. service
512 s.f. shaded
w
l
24 s.f.
a
3,305 s.. par ing 144 s.f. shaded
(C) PTA, EW 450 s.f. 60 s.f. shaded
(D) Uplands 105;600 s f su
d c? 512 s.f. shaded
r
10,000 s.f. trail
(E) Non-Vegetated Wetlands 125,000 f.
t 6,000 s.f. riprap
impoundmen
FIELD INVESTIGATION REPORT: NCWRC, Roanoke Island Marshes Conservation Project
PAGE 2
(F) Total Area Disturbed: 282,718 square feet (6.56 acres)
(G) Primary Nursery Area: N/A
(H) Water Classification: Roanoke Sound - SA, Shallowbag Bay - SC; Open: NO
8. PROJECT SUMMARY: The applicant proposes to make improvements to an existing waterfowl impoundment
located near SKYCO, on Roanoke Island, Dare County and on the Roanoke Sound.
PROJECT SETTING
The project is located on a 3,000-acre tract located south of US 64/264 and east of NC 345 in the SKYCO area of Roanoke
Island, Dare County. Nearly all the property is a Coastal Wetland marsh vegetated mostly with Juncus roemerianus with
areas-of-CladumZeeTal manmade-mosqu itGhe&agd-caeals-w+th--water-dept#s-of-2-and-3 feet-are-iesated-ea-the
property that connects to Shallowbag Bay and Roanoke Sound. Old spoil piles located adjacent to the canals and ditches
and an existing hummock located on the north side of the impound are vegetated with pines. Other manmade features on
the property consist of a waterfowl impoundment area that includes a diked impoundment pond, a surface water pump, an
electrical service, a soil service road which has an existing culvert crossing of a canal, and approximately 600 feet of riprap
along the north side of the dike.
The adjacent property to the south is a continuation of the marsh, and US Highway 64/264 is located on the north side.
The waters of Shallowbag Bay are classified as SC by the Division of Environmental Management and are closed to
shellfish taking. The waters of Roanoke Sound in this area are classified as SA by the Division of Environmental
Management and are closed to shellfish taking.
DEVELOPMENT PROPOSAL
In order to provide public access and improve the impoundment area, the applicant proposes the following improvements to
the property:
1) Construct a 60 feet by 80 feet parking area with two, 15 feet wide access driveways to NC 345. The parking area
surface will be crushed stone.
2) Construct a walking trail from the parking area, across an adjacent ditch by means of a new footbridge 6 feet wide
and 34 feet long, to the existing service road.
3) Rehabilitate and improve the existing service road by covering with a 6-inch layer of reject aggregate approximately
15 feet wide. The existing dike serves as the roadbed around the impoundment.
4) Rehabilitation of the existing dike by adding fill material to increase the height of the dike approximately one foot.
The applicant proposes to excavate a borrow ditch along the inside of the impoundment as a source of fill material.
FIELD INVESTIGATION REPORT: NCWRC, Roanoke Island Marshes Conservation Project
PAGE 3
5) Install a new electrical service, water pump, supply culvert (pipe) 12-inch diameter and 40 feet long, with two, 15 feet
long bulkhead portals to protect the pipe. Approximately 450 square feet of the existing canal bottom will be
covered with a 12-inch layer of Class B stone riprap at the intake, and approximately 300 square feet of the
impoundment bottom will be covered with stone in a like manner.
6) Install a new 24-inch diameter water control structure with an armored spillway on the southeast dike side to drain
into the existing perimeter ditch.
7) Excavate a new 300 feet long, 8 feet wide, -2 feet deep ditch to connect the existing canal system, which is the side
of the proposed water supply pump to the existing perimeter ditch. The existing perimeter ditch is not connected to
any water body, and the applicant is proposing to connect the ditch to the nearby canal and mosquito ditch system
to improve circulation.
8) Refurbish 600 feet of existing riprap along the inside of the impoundment area to aid with stabilizing the dike as
needed. This material will be removed and salvaged and replaced after the dike has been rehabilitated.
9) Construct approximately 1,300 feet of 6 feet wide walking trail and two, 12 feet by 16 feet elevated wildfowl
observation platforms.
ANTICIPATED IMPACTS
The development proposal will result in the following impacts:
1) Parking area will result in covering approximately 3,300 square feet of Estuarine Shoreline (ES) Area of
Environmental Concern (AEC) with crushed stone. Approximately 2,100 square feet of coverage with stone will be
located outside of the AEC.
2) Construction of the trail and bridge from the parking area to the service road will result in 240 square feet of ES
covered with stone, 144 square feet of ES Shaded, and 60 square feet of Public Trust Area and Estuarine Waters
AEC's being shaded.
3) The rehabilitation of the service road and dike will result in the coverage of approximately 22,400 square feet of ES
and 105,600 square feet of dike located outside any AEC.
4) Approximately 125,000 square feet of the impoundment bottom will be disturbed during excavation of the fill
material.
5) The new water supply pump structure and water control structure will result in the filling of approximately 450 square
feet of PTA, EW, AEC and 300 square feet of impoundment bottom.
6) The proposed connecting ditch will result in 2,400 square feet of Coastal Wetlands AEC being excavated and
approximately 177 cubic yards of marsh material being excavated. The excavated material will be used for dike
rehabilitation.
FIELD INVESTIGATION REPORT: NCWRC, Roanoke Island Marshes Conservation Project
PAGE 4
7) The placement of the riprap along the inside of the impoundment will result in the filling of 6,000 square feet of
impoundment area.
8) The walking trail will result in approximately 4,000 square feet of coverage of ES AEC and 10,000 square feet of
upland area with crushed stone. The observation platform will shade 512 square feet of uplands and 512 square
feet of ES AEC.
9) Temporary water turbidity will occur during construction. The project will allow public access to this site.
Sub-rnitti-d by- Frank A. Jennings, III
Date: May 7, 2004
r
Form DCM-MP-1 UECIVED
MAR 3 0 2004
A??`? COASTAL ANA
APPLICCEMENT
CEMENT
ELIZABETH CITY
(To be completed by all applicants)
b. City, town, community or landmark
YYlavv?-I- e o
1. APPLICANT
c. Street address or secondary road number
_ N C 3L\ C'
a. Landowner:
W ?a1' Res • t?,??,??, d. Is proposed work within city limits or planning
Name t?lorikA Co ko na jurisdiction? ,Z-•,•-- Yes No
Address 022, PVC,Lfirr- l csLCNI
City a e ' State
Zip 9 -1 ZDay Phone gtq 733-72G1
FaxciI9-133- 1?l
b. Authorized Agent:
Name --o??Y?? K. ?ua hey
Address L I Perry -nvJ h
City New -8er-n State tN.C_
Zip $ 5(? ?. Day Phone ? sa- QLl -117 38
Fax q'?
c. Project name (if any) & ono Ike rs? om
?;Kl?e ? C.'an5 et`V?-'11b,n Tito Kc-?
NOTE; Pem* will be urued in name of landowrer(r), and/or
project rank.
e. Name of body of water nearest project (e.g. river,
creek, sound, bay) 1R' oanneKe 5ouysA
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 activities. ,?
IC;,n Aqua N +UAI r,-% um
Wal?' r -I 5kv\k c DI
PC a ; IT+.2-4 01n, $ e L? 'P'o rr?
r of c :"2440y-\
b. Is the proposed activity maintenance of an existing
project, new work, or both? -?o+VN
c. Will the roject be for public, private or commercial
useuA l11 e WaVc{,?ble ?'IaI; l:e eta
d. Give a brief description of purpose, use, methods of
construction and daily operations of proposed
nroioct. If more space is needed, please attach
2. LOCATION OF PROPOSED
PROJECT
a. County _DSre-
Revised 03/45
Form DCM-MP-1
4. LAND AND WATER
CHARACTERISTICS
a. Size of entire tract Ac±
b. Size of individual lot(s) /A
c. Approximate elevation of tract above MHW or
NWL I ' 't-
d. Soilge(s) and texture(s) of tract
d bOnr??
m. Describe existing wastewater treatment facilities.
n oY12
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. ) fit i
I r` i 0. 2
o. Describe existing drinking water supply source.
(1 arm
-p p- lac-
Vege Lion on tract o d , K
nuale- A-Usk vJ SA-IL el, YN, 'h DA)
f. Man-made features now can tra i
?1;1? DkAmp_; ['L V'PA
g. What is the CAMA Land Use Plan land
classification of the site? (con.tutt the load land we plan.)
Conservation
Developed
Rural
Transitional
Community
Other
h. How is the tract zoned by local government?
i. Is the proposed project consistent with the applicable
zoning? ,..Y Yes No
(Attach toning compliance cemficate, if appiicable)
j•
Has a professional
done for the tract?
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 _ X No
1. Are there wetlands on the site? _?L Yes _ No
Coastal (marsh) T- Other
If yes, has a delineation been conducted? .-_
(Attach doaumtnlation, if amadabk)
archaeological assessment been
XYes No
S. ADDITIONAL INFORMATION
In addition to the completed application form, the
following items must be submitted:
O 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.
a An accurate, dated work plat (including plan view
and cross-sectional drawings) drawn to scale in black
ink on an 8 1/2' by 11" white paper. (Refer to
Coastal Resources Commission Rule 71.0203 for a
detailed description.)
Phase 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
Revbed 03195
CELLED
Form DCM-MP-1
site. Include highway or secondary road (SR)
numbers, landmarks, and the like.
0 A Stormwater Certification, if one is necessary.
0 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 5C--
Address _Ow?v?5ln1P /v'^a?
Phone
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.
4CO
® A check for made payable to the Department of
Environment, Health, and Natural Resources
(DEHNR) to cover the costs of processing the
application.
O A signed AEC hazard notice for projects in
oceanfront and inlet areas.
O 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.
MAR 3 0 2004
COASTAL NIANAGEMENT
ELIZABETH QTv
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 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.
?a Gl
This is the ?G day of
Print Name '-;1 4 . /
Signature
Landowner or Awhorized Agcnt
Please indicate attachments pertaining to your proposed
project.
? DCM MP-2 Excavation and Fill Information
\--1 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.
Reriwd 03M
Form DCM-MP 2
.H:JAUAVV AT HON
?q??y? ;<, t1 2004
AND FILL ,A vj NAGEl1E11T 1
®AS TH C1TY
..A
(Except bridges and culverts) Et
Attach this form to Joint Application for CAMA Major
Permit, Form DCM-MP-1. Be sure to complete all 1. EXCAVATION
other sections of the Joint Application that relate to this
proposed project.
a. Amount of material to be excavated from below
Describe below the purpose of proposed excavation or MHW or NWL in cubic yards -':3 -, yR? _
fill activities. All values to be given in
f- b. Type of material to be excavated
n'1 i ??,t1?2. ? Sol S
Arerrge FUJ-
Exittln3 Project
r .natl. UrAth Denth Deoth
Access
channel
(MLW) or (NWL)
Canal
Boat
basin
Boat
ramp
Rock
groin
Rock
breakwater
Other
(Excluding
shoreline
stabilization)

t rR ?'
l
14
?k5 ,+ s,
Y
<K

c. Does the area to be excavated include coastal
wetlands (marsh), submerged aquatic vegetation
(SAVs) or other wetlands? X Yes No
d. Highground excavation in cubic yards N/T
2. DISPOSAL OF EXCAVATED
MATERIAL
a. Location of disposal area EXi S-- v?r4 411 K-
A "At-
b. b. Dimensions of disposal area 'A?l X tip 69q I t
c. Do you claim title to disposal area?
_)( - Yes No
If no, attach a letter granting permission from the
owner.
d. Will a disposal area be available for future
maintenance? X Yes No
If yes, where? 511 de 5 I o pe5 Anc 4c- 61F
Reh40', V;-??-e ; Ke-
Revised 03195

Form DCM-MP 2
???A?7AT1Ol?T
AND IPILL
(Except bridges and culverts)
Attach this form to Joint Application for CAMA Major
Permit, Form DCM-MP-I. Be sure to complete all
other sections of the Joint Application that relate to this
APR 23x1
COASTAL A4ANAGEMENT
ELIZABETH CITY
1. EXCAVATION
proposed project.
a. Amount of material to be excavated from below
, RR ?y
Describe below the purpose o props avatiolr or MHW-or-NWT. in cuhlc-yxds 3
C << - „-,
r it,
1.7
fill activities. All values to be given in feet. /&5 C /cam °.. '
b. Type of material to be excavated
rn„rw?a1 sods /'.:.,,? ,,,, .;:, ?•e' ? ?°?.?
Average F1W
Ensft Project c. Does the area to be excavated include coastal
Length Width Depth Depth b tic ve etation
Access
channel
(MLW) or (KWL)
Canal
Boat
basin
Boat
ramp
Rock
groin
Rock
breakwater
Other
(Excluding
shorcrinc
stabilization)
wetlands (marsh), su merg aqua g
(SAVs) or other wetlands? x Yes No
d. Highground excavation in cubic yards M I Ps -
2. DISPOSAL OF EXCAVATED
MATERIAL
a. Location of disposal area _
Al { GM ??T??: 3 . -5, ?n fr e%, r?C? l
b. Di en0o f disposal area ' X (01 69q 1 ±-
c. Do you claim title to disposal area?
Y -_ Yes No
If no, attach a letter granting permission from the
owner.

O -J
/

2-

d. Will a disposal area be available for future
maintenance? -.'2L Yes No
If yes, where? 5 ; e e 40o 2 o?
Rel?alo' 1 -1-An ? Ke
Revised 03M
1. 4-
Form DCM-NIP-2
e. Does the disposal area include any coastal wetlands
(marsh), SAVs or other wetlands?
Yes X_ No
f. Does the disposal include any area In the water?
Yes ,_ No
MAR 3 0 2004
If yes, COASTAL 4ANAGEMENT
(1) Amount of mateFfdggq? PlYed in the
water N or&_
(2) Dimensions of fill area
(3) Purpose of fill IJ?,aynz_ "T'ra? 1
g,AA-?'acQ
--- b. Will fill material be placed in coastal wetlands
3. SHORELINE STABILIZATION ;X (marsh), SAVs or other wetlands?
Yes _X No
a. Type of shoreline stabil' ti on //,;,;/tl&
Bulkhead Riprap
Dimensions of fill area
(2) Purpose of fill
^, 74 _n
b-Lengtit : -
c. Average distance waterward of 1M p°-q o r+?N 7-
1 ? lJAt'C? LGVeL'
?4 EIVEI
d. Maximum distance waterward of ;AP,11-o mu r."r
o' t k.761rTG`Q LCVGI-
e. Shoreline erosion during preceding 12 months
1< )A
(Source of information)
f. Type of bulkhead or ri rap material
QolnUU4-e, r'ubIe-
g•
Amount of fill in cubic yards to be placed below
water level
(1) Riprap (o oZ Q- d g
(2) Bulkhead backfill
h. Type of fill material 0nn A0 a-e ry.\A\e.
R1 p a 2
L Source of fill mate *al
CM U2.k Rabb ? ' Q ra
S. GENERAL
a. How will excavated or fill material be kept on site
and erosion controlled? F'11 ?a
.11 e orvt a e e e-?
rrn,\ &A A
b. What type of construction equipment will be used
(for example, dragline, backhoe, or hydraulic
dredge)?
c. Will wetlands be cr3ssed in transporting equipment
to project site? Yes _?L_ No
If yes, explain steps that will be taken to lessen
environmental impacts.
4. OTHER FILL ACTIVITIES
(Excluding Shoreline Stabilization)
a. Will fill material be brought to site?
Yes No
it yes,
Rocav?oKtz 1-s 1ara C?o.?S?es
?PnUkeL?"-
App?? am
S[gnatlue
Date
Revised 03/95
r .,
Form DCM-MP-3
UPLAND
DIEVELO]P1VIEN T
(Construction and/or land disturbing activities)
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 that relate to this
proposed project.
a. Type and number of buildings, facilities, units or
structures proposed 14/ A
b. Number of lots or parcels N / A
c. Density (give the number of residential units and the
units per acre) N/A
d. Size of area to be graded, filled or disturbed
including roads, ditches, etc. &I A (00 t
e. If the proposed project will disturb more than one
acre of land, the Division of Land Resources must
receive an erosion and sedimentation control plan at
least 30 days before land disturbing activity begins.
If applicable, has a sedimentation and erosion
control plan been submitted to the Division of Land
Resources? Yes No
If yes, date submitted
f. List the materials (such as marl, paver stone,
as halt, or concrete) to be used for paved surfaces.
g. Give the percentage of the tract within 75 feet of
MHW or NWL, or within 575 feet in the case of an
Outstanding Resource Water, to be covered by
impervious and/or built-upon surfaces, such as
pavement, buildings, rooftops, or to be used for
vehicular driveways or parking. Less 40-A 1 °%
AF IVE®
MAR 3 0 2004
COASTAL k4ANAGEMENT
ELIZABETH CITY
h. Projects that require a CAMA Major Development
Permit may also require a Stormwater Certification.
Has a site development plan been submitted to the
Division of Environmental Management for review?
Yes K_ No
If yes, date submitted
i. Describe proposed method of sewage disposal.
N /A
j. Have the facilities described in Item i. above
received state or local approval? N/A
(Anach appropriate documentation)
k. Describe location and type of proposed discharges to
waters of the state (for example, surface runoff,
sanitary wastewater, industrial/commercial effluent,
"wash down" and residenti discharges).
`?un?'o.•CR runno-E'-F rorv? q`??e_1
O o.n K ? Ana AJ?.Qc?.
1. Describe proposed drinking water supply source
(e.g. well, community, public system, etc.)
m. Will water be impounded?
If yes, how many acres? _
n. If the project is a oceanfront development, when
was the lot(s) platted and recorded? N /A
Applicautpf, ect ame
Signature
Date
Yes, No
Revised 03195
Form DCNI-MP-5
B.
L V E'RTIS
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 that relate to this
proposed project.
1. BRIDGES'
a. Public Y - Private
b. Type of bridgSSconstrucMl ater?ia"l)?
?Lo 55v?Q 1 n p MM 4-kA
C. Water body to be crossed by bridge .
Ey,
d. WN after depth at the proposed crossing at MLW or
e. Will proposed brid a replace an existing bridge?
Yes No
If yes,
(1) Length of existing bridge
(2) Width of existing bridge _ /Ul Y}-
(3) Navigation clearance underneath existing
bridge N/ t+
(4) Will all, or a part of, the existing bridge be
removed? (Explain)
f. Will proposed brid a replace an existing culvert(s)?
Yes 1. No
SAAR 3 0 2004
C;UAF-LIZABETH CITY??T
(4) Will all, or a part of, the existing culvert be
removed? (Explain) 1'G4-
g. Length of proposed bridge 3 31 9"
h. Width of proposed bridge ?r
i. Height of proposed bridge above wetlands
13r???e cbns4AAk4j? Q= V.Jonncls
j. Will the proposed bridge affect existing water flow?
Yes No
If yes, explain
k. Navigation clearance underneath proposed bridge
3.25'
1. Will the proposed bridge affect navigation by
roducing or increasing the existing navigable
opening? Yes . X No
If yes, explain
m. Will the proposed bridge cross wetlands containing
no navigable waters? Yes No
If yes, explain
If yes,
(1) Length of existing culvert
(2) Width of existing culvert Nf v1-
(3) Height of the top of the existing culvert above
the MHW or NWL NI a-j'
Have you contacted the U.S. Coast Guard
concerning their approval?
Yes No
If yes, please provide record of their action.
RevL%ed 03195
Form DCM-MP-5
2. CULVERTS
a. Water body in which culvert is to be placed
i c n i O LLN\
b. Number of culverts proposed 2
c. Type of culverts "(construction materialt style)
orr••ga'r?A M Q, '12e- k
5 ST i A e. -
d. Will proposed culvert replace_ an existing bridge?
Yes No
If yes,
(1) Length of existing bridge
(2) Width of existing bridge
(3) Navigation clearance underneath existing
bridge
(4) Will all, or a part of, the existing bridge be
removed? (Explain)
e. Will proposed culvert replace an existing culvert?
X Yes No
If yes,
, 5??
(1) Length of existing culvert
(2) Width of existing culvert ZQ O "
(3) Height of the top of the existing culvert above
the MHW or NWL / / t
(4) Will all, or a part of, the existing culvert be
removed? x lain) // o h?
f. Length of proposed culvert
g. Width of proposed culvert Aa• (5
h.' Height of the top of the proposed culvert above the
MHW or NWL
i. Will the proposed culvert affect existing water flow?
X_ Yes No
If yes, explain i
IeA Q /yJ `On1 ?i 2 P
024
CS e-
.4 a le-
Will the proposed culvert a existing navigadoi
potential? Yes No
If yes, explain
3. EXCAVATION AND FILL
a. Will the placement of the proposed bridge or culvez
req any excavation below the MHW or NWL?
Arre Yes No
If yes,
(1) Length of area to be excavated
(2) Width of area to be excavated I G
(3) Depth of area to be excavated :
(4) Amount of material to be excavated in cubi
yards 137- a?d I -- -
b. Will the placement of the proposed bridge or vulva
r ,quire any excavation within:
Coastal Wetlands _ SAVs _ Other Wetland
If yes,. t
(1) Length of area to be excavated R
(2) Width of area to be excavated
(3) Amount of materi to be excavated in cubi
yards • 50 CSI -6 -

c. Will the placement of the proposed bridge or calve
require any highground excavation?
X- Yes No
If yes,
(1) Length of area to be excavated -? -7 ±
(2) Width of area to be excavated l (fl!
(3J Amount of material to be excavated in cub
yards U c.c.s t
d. If the placement of the bridge or culvert involv
any excavation, please complete the following:
(1) Location o( the s it?di"sposal area
EX\ S}? ?1? _? ? N4
(2) Dimeasionn? 9f 'spoil disposal area
(3) Do you claim title to the disposal urea?
. , Yes No
If no, attach a It= granting permission fro
the owner.
Revised 0305
EG .?E
Form DCM-MP-S I
(4) Will the disposal area be available for future b. WilIW? iosed•p' Tequire the relocation of
maintenance? .XYes No any extsung utility lines? Yes X_ No
(5) Does the disposal area include any coastal If yes, explain in detail
wetlands (marsh), SAVs, or other wetlands?
Yes _X__- No
If yes, give dimensions if different from (2)
above, c. Will the proposed project require the construction of
(6) Does the disposal area include any area below any temporary detour structures?
the MHW or NWL? Yes ,XC . No Yes X No
if yes, give dimension if different from No. 2 If yes, explain in detail
above.
e. Will the placement of the proposed bridge or culvert
result in any fill (other than excavated material d. Will the proposed project require any work
described in Item d. above) to be placed below channels? Yes X_ No
MHW or NWL? Yes No If yes, complete Form DCM-MP-2
If yes,
(1) Length of area to be filled _r)
-
e.
How will excavated or fill material be ke t on site
(2) Width of area to be filled 0 (C' and erosion controlled? `
(3) Purpose of fill c a oi- e-Ans 0 4 fe-eCUA can
(?0l?1'10, f ?O? e uw1 i
f. Will the placement of the proposed bridge or culvert C What type of construction equipment will be used
result in any fill (other than excavated material (for example, drapline, backhoe or - hydraulic
?
described in Item d. above) to be placed within: r, hcc V\oe . bNIl joar-A
dredge)? (fxCz-\JA
_--_ Coastal Wetlands -_ SAVs _ Other Wetlands
If yes,
(1) Length of area to be filled t`1 /A
(2) Width of area to be filled _ Z. Will wetlands be crossed in transporting equipment
(3) Purpose of fill A) /A to project site? Yes X _ No
if yes, explain steps that will be taken to lessen
environmental impacts.
g. Will the placement of the proposed bridge or culvert
result in any fill (other than excavated material
described in Item d. above) to be placed on
highground? '_ Yes No h. Will the placement of the proposed bridge or culvert
If yes, require any shoreline stabilization?
(1) Length of area to be filled vow i z6\e_ Yes Y-,. No
(2) Width of area to be filled \1 O-A i 2b e- If yes, explain in detail
(3) Purpose of fill A o ln; ; l `??n
4. GENERAL
a.
Will the proposed project involve any mitigation?
Yes X No
If yes, explain in detail
IRoamok tZs?a.?a mv.As 1?
COY16er? z,At c7n
Appt;csnt =rCN
Date
Revised 03195
'r'ILQL1r"E ;;ES. Co, N.
"ICE
SEP 19 All 5:02
® North Carolina Wildlife Resources Commission
Charles R. Fullwood, Executive Director
INTEROFFICE MEMORANDUM
DATE: September 10, 2003-
TO: Financial Management
FROM: Wib Owen, Section Manager
Division of Wildlife Management
SUBJECT: CAMA Permit
?,,IAR 3 0 2004
COASTAL Pv,IANAGENIENT
ELIZABETH CITY
Please prepare a check for $400.00 made payable to NCDENR, Division of Coastal
Management, 1638 Mail Service Center, Raleigh, North Carolina 27699-1638. The
check represents payment for CAMA permit attached. Please return check to Wildlife
Management.
The check should be coded as follows:
Account - 532199 Cost Center - 215130823102
County # - 92 Fed. ID # - 56-6000372 BC
0
w
Thanks.
00
•i l l ? I i`

;v
a
CJ
CGS
c?

?t
:Jr
Y I?
r
<. n
i
DIVISION OF WILDLIFE MANAGEMENT
Mailing Address: 1722 Mail Service Center • Raleigh, NC 27699-1722 2176
Office Location: 512 N. Salisbury Street • Raleigh, NC • Telephone: [phone] Fax: (919) 733- `
_?a cam.-?.?;•an ..
_ `? a7 4?+a ? i?' W ao
OCP AP DOCUMENT GENERAL INFORMATION DGI
NEXT FUNCTION: ACTION: HISTORY: _ 03/23/2004 12:26:57
PAY ENTITY 17PT VENDOR/EMP NUMBER: 566000372 BC
VEND/EMP SHORT NAME: DENRCOAST DOCUMENT NUMBER 10SEPTEMBER03
DOCUMENT DATE 09/10/2003
CONTROL NUMBER 0444 CONTROL DATE 09/22/2003
DOCUMENT TYPE INVOICE APPLICATION AREA CL
DOCUMENT STATUS PD-FULL DATE ENTERED 09/22/2003
CURRENCY CODE DATE LAST UPDATED: 09/23/2003
GROSS DOC AMOUNT 400.00 PROV ACCTG DATE
AMOUNT PAID 400.00
COUNTY CDE/TRIP NBR: 92
PO REFERENCE
SIGN APPROVAL CODE
DATES APPROVED
REMIT MESSAGE: LAMA PERMIT IfE
MAR 3 0 2004
COASTAL MANAGEMENT
ELIZAF3ETH CITY
OCP AP DOCUMENT PAYMENT GENERAL INFORMATION DPG
NEXT FUNCTION: ACTION: HISTORY: _ 03/23/2004 12:06:47
BROWSE:
PAY ENTITY 17PT VEND/EMP NBR: 566000372 BC
VEND/EMP SHORT NAME: DENRCOAST DOCUMENT NBR: 10SEPTEMBER03
DOCUMENT DATE : 09/10/2003 PAYMENT NBR: 001 PRTL PYMT NBR: 000
IND AMOUNT
SALES TAX/VAT VAT INCLUSIVE N
SALES TAX 2 EXPENSE IND C?, ??/
,•0??
`
`
AX 3 GL EFFECTIVE DATE: \
W (•
09/22/2003
SALES T
FREIGHT EXTRACT DATE
ADDITIONAL COST ACCRUAL CANC DATE:
GROSS INVOICE 400.00 CURRENCY CODE
PAYMENT AMOUNT 400.00 DISCOUNT TYPE NOT TAKEN
AMOUNT PAID ?' U7 C r'C?1 400.00 DISCOUNT TAKEN .00
PAYMENT STATUS PAID
?
PAYMENT TERMS NET PAY IMMEDIATELY PAYMENT REF NBR ?`ry1`JL?r
0000407160 Ciliecu ?
PAYMENT DATE 09/22/2003 PAYMENT TYPE SYSTEM
PAYMENT ROUTE CD HANDLING CODE
FACTOR NUMBER ONE INVC PER PYMT: YES
REASON CODE/DESC BANK ACCT PYMT CD: 17D
Loy
?AR 3 0 2004
COASTALMANAGEMENT
FLIT-ABETH CITY
OCP AP PAYMENT LIST PYL
NEXT FUNCTION: ACTION: 03/23/2004 12:08:05
PAY ENTITY: 17PT VENDOR NBR: 566000372 BC SHORT NAME: DENRCOAST
BAP CODE PAYMENT REFERENCE NUMBER:
BAP PYMT REF -------- ---- PAYMENT -------- CLEARANCE REPLACE
CODE NUMBER AMOUNT DATE TYPE STAT DATE PYMT REF S
17D 0000397018 100.00 02/05/03 S CLEARED 02/24/03 _
17D 0000398564 400.00 03/12/03 S OPEN _
17D 0000400066 100.00 04/14/03 S CLEARED 09/04/03 _
17D 0000401156 100.00 05/07/03 S CLEARED 06/18/03 -
17D 0000404322 475.00 07/16/03 S CANCELLED _
17D 0000405654 400.00 08/18/03 S OPEN _
17D 0000406105 100.00 08/27/03 S CLEARED 09/19/03 _
17D 0000406633 400.00 09/10/03 S CLEARED 10/07/03 _
17D 0000407035 100.00 09/17/03 S CLEARED 12/08/03 _
17D 0000407160 400.00 09/22/03 S OPEN _
17D 0000412341 100.00 01/28/04 S CANCELLED _
STATUS: MORE
?ee?1
kAs 00-
pv
MAR 3 d 20nt.
COArLIZABETH C Ty
?i?? X33 -?aqa xa<<i
ate- ?,k
cK? .

Development Type Fo°_
1. Private, non-commercial
development that does not involve _ 5250
the filling or excavation of any
wetlands or open water areas:
!I. public or commercial development
that does not involve the filling or $400
excavation of any wetlands or open
water areas:
` III. For development that Involves the
filling and/or excavation of up to i =
acre of wetlands and/or open water
areas, determine if A. 0, c, or D
below applies:
III(A), For Private, non•commerclal
development, If General water Quality S250
CerU icat on No.3301 (see attached)
can be applied:
III(B): For public ar commercial
development, If General water Quality $400
Certification No,3301 (see attached)
can be applied:
IU(C). If General Water Quality
CertlfcaUen No. 3301 (sea attached)
could be applied, but DCM staff
determined that additional review and $400
written DWQ concurrence Is needed
because of concerns related to water
Y, quality or aquatic Ufe:
III(D). I I G eneral Water Qualily
catien No. 3301 (see attached)
tif
C 5400 .
i
er
can not be applied:

IV. For development that involves
the filling and/or excavation of more 5475
than one acre of wetlands and/or
open water areas:
.. DCM % DWQ %.
(14300 1601,435100093 1625 6253) (24300 1602 435100095 2341
?A
100% (5250) 0°ia (SO)
100%a (5400)
100%(S250)
100%(S400)
60%(S240)
50%(S240)
60°e (S285)
0% (SO)
0%a (SO)
0% (SO)
40% (5160)
40% (5160)
40% (S1 SO)

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