20001321 Ver 1_COMPLETE FILE_20001016

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
4 • •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
October 19, 2000
Brunswick County
DWQ Project # 001321
APPROVAL of 401 Water Quality Certification
Dave Shadday
32 Horsemint Trail
Bald Head Island, NC 28461
Dear Mr. Shadday:
You have our approval, in accordance with the attached conditions and those listed below, to fill 0.1 acres of
wetlands in Brunswick County for the purpose of residential construction as you described in your application
received by the Division of Water Quality on October 16, 2000. After reviewing your application, we have decided
that this fill is covered by General Water Quality Certification Number 3106. 'This certification allows you to use
Nationwide Permit Number 18 when the Corps of Engineers issues it. In addition, you should get any other federal,
state or local permits before you go ahead with your project including (but not limited to) Sediment and Erosion
Control, Coastal Stormwater, Non-Discharge and Water Supply Water shed regulations. This approval will expire
when the accompanying 404 or CAMA permit expires unless otherwise specified in the General Certification.
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. 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 wetland fills for this project (now or in the future) exceed one acre, compensatory
mitigation may be required as described in 15A NCAC 2H .0506 (h) (6) and (7). For this approval to be valid, you
must follow the conditions listed in the attached certification.
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 Water Quality under Section 401 of the Clean Water Act. If
you have any questions, please telephone John Dorney at 919-733-9646.
Sincerely, (I
?1
Kerr T. Stevens
U
Attachment
cc: Corps of Engineers Wilmington Field Office
Wilmington DWQ Regional Office
Land Management Group, PO Box 2522, Wilmington, NC 28402
File Copy
Central Files 001321
Division of Water Quality - Non-Discharge Branch
1621 Mail Service Center, Raleigh, NC 27699-1621 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer - 50% recycled/10% post consumer paper
http://h2o.enr.state.nc.us/wetlandc.htmi
DWQ ID: ®O 13 2 t CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT 18
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITS THAT REQUIRE: %01 111SUFD,
1. NOTIFICATION TO THE CORPS OF ENGINEERS
2. APPLICATION FOR SECTION 401 CERTIFICATION
3. COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE FIELD OFFICE OF THE CORPS
OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
WATER QUALITY-ISEE AGENCY ADDRESSES SHEET). PLEASE PRINT,
1. OWNERS NAME Dave Shaddav
2. MAILING ADDRESS: 32 Horsemint Trail
Bald Head Island. N.C. 28461
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING
ADDRESS ABOVE): Lot 82. Indigo Plantation. Southport. N.C. 28461
3. TELEPHONE NUMBER (HOME): 910-457-5598 (WORK): N/A
4. IF APPLICABLE: AGENTS NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER:
Land Management Group, inc. n
MAILING ADDRESS: PHYSICAL ADDRESS: TELEPHONE: M H?:
P.O. Box 2522 3805 Wrightsville Ave., #14 office [phone] Q M
Wilmington, N.C. 28402 Wilmington, N.C. 28403 fax [phone]
Statement of Authorization:
I hereby authorize Land Management Group, Inc. to act in my behalf as my agent in the processing of this
application and to furnish, upon request, supplemental information in support of this permit application.
APPlicant 9-" A' Date 11/117
5. LOCATION OF WORK (PROVIDE A MAP, PR FERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL
PHOTOGRAPHY WITH SCALE):
COUNTY: Brunswick NEAREST TOWN OR CITY: Southport. N.C.
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
Lot 82 on Cottage Creek Road between Marsh Grass Court and Spartina Court in Indigo Plantation
subdivision.
6. IMPACTED OR NEAREST STREAM/RIVER: Cottage Creek (Nearest) RIVER BASIN: Cape Fear
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA), HIGH QUALITY
WATERS (HQW), OUTSTANDING RESOURCE WATERS (OR", WATER SUPPLY (WS-I OR WS-11) ?
YES [ ] NO [ j IF YES EXPLAIN: Near Cottage Creek which is classified as SC, Sw
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA
OF ENVIRONMENTAL CONCERN (AEC)? YES [ ] NO [ x I
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY, WHAT IS THE LAND USE PLAN (LUP)
DESIGNATION? Developed. Municipal
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY? YES
[I NO [x] IF YES, PROVIDE ACTION ID NUMBER OF PREVIOUS PERMIT AND ADDITIONAL
INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE? YES [ ]
NO [ x ] IF YES, DESCRIBE ANTICIPATED WORK: N/A
9a ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND .548 acres
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:-.525 acres
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: .095 acres EXCAVATION: N/A
FLOODING: NIA OTHER: N/A
DRAINAGE: N/A TOTAL ACRES TO BE IMPACTED:.095
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE
DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE N/A FT. AFTER: N/A FT.
WIDTH BEFORE (based on normal high water contours): NIA FT.
AVG DEPTH BEFORE: N/A FT. AFTER: N.A FT.
(2) STREAM CHANNEL IMPACT WILL RESULT FROM:(CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: N/A PLACEMENT OF PIPE IN CHANNEL: N/A
CHANNEL EXCAVATION: N/A CONSTRUCTION OF A DAM: N/A
FLOODING: N/A OTHER: N/A
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAINING
TO THE POND? N/A
WHAT IS THE EXPECTED POND SURFACE AREA? N/A
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED (ATTACHED PLANS: 8 1/2" X 11" DRAWINGS ONLY):
Earthen fill to be placed within the shown fill area for the construction of a homesite on the lot Equipment to
include backhoe, dozer, trucks.
13. PURPOSE OF PROPOSED WORK: Single family residential home construction
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS.
(INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
Lot is 96% wetland. Avoidance of wetland impact for home construction not possible Minimization of impacts
related to extremely limited fill area to accomodate residence Reauested fill area based on house plan and
subdivision lot setbacks.
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE (USFWS) AND/OR NATIONAL
MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE
OF ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES
OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: No longer contact per their request
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE
AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT
AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: No longer contact per their request
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC (STATE)
LAND?
YES [ ] NO [X] (IF NO, GO TO 18)
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY
INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES AND PONDS ON THE
PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29 AND 38). ALL STREAMS
(INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE MAP. MAP
SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR 1 INCH EQUALS 100 FEET OR THEIR
EQUIVALENT.
b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY PROJECT.
c. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS RELEVANT
TO THE PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY? Residential subdivision
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? Municipal sewer system
g. SIGNED AND DATED AGENT AUTHORIZATION STATEMENT, IF APPLICABLE.
*NOTE: WETLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
1. ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2. EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY CERTIFICATION, AND,
3. (IN THE TWENTY COASTAL COUNTIES ON0), A LETTER FROM THE NORTH CAROLINA DIVISION
OF COASTAL MANAGEMENT STATING THE PROPOSED ACTIVITY IS CONSISTENT WITH THE NORTH
CAROLINA COASTAL MANAGEMENT PROGRAM.
a I?YiX6
LMJ?J
OWNER'S/AG NT'S IGNATURE ,
m 1 O61
DAT
(AGENTS SIGNATURE VALID ONLY IF
AUTHORIZATION STATEMENT IS SIGNED ABOVE)
HFiUPUSED WETLAND FILL
E , RO
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FRONT SETBACK
36
DRIVEWAY FILL
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WETLAND
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TOTAL FILL AREA = 4,150 SQ.FT. (.095 ACRES)
SCALE: lot = 30'
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404 WETLAND DELINEATION
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!UPLAND DETERMINATION
COORDINATOR: C til v_ TINE. Cl,, DATE. L/ ) `)COUNTY; ; ,...
NEAREST TOWN. WATERWAY: ?• !. I rI,f
QUAD: LOCATIONS 5-&/ n c ?drT /a :.._ a w,.,
PROPERTY OWNER (NAME/ADDRESS) PARTY D ?.HORX: NAME /ADDRESS)
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PHONE:( ) -
PHONE: era )4S) -?-,?,!
OTHER. INDIVIDUALS PRESENT: n r.J '7 .
IS PROPERTY UNIFORM V, OR SEPARATE DISCRETE VEGETATIVE UNITS.
VEGETATION: (IN ORDE$ OF DOMINANCE, DRAW LINE ABOVE NON-DOMINANT SPECIES)
TREES. SPECIES---% COVER--•INDICATOR GROUND COVER: SPECIES-% COVER-INDICATOR
1. I-Al0llX P;N.A- -6o a T. t-77 r
3. 'L )` vav c? c? R K - / o ? - 2. (3. c K).' - FE 1
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SAPLINGS/SHRUBSs ?G 7o 6. ?? P+x }+ s h
1. ! c?wQo w - 7.
3. 1avr_ On(. 0_S) ° 8.
4, ;)e l`" to y -- /v ?1< ' WOODY VINES:
X 08 DO?INA41T SPECIES fOBL. FAG.)OTHER INDICATORS:
HYDROPHY:IC VEGETATIONS YES NO X BASISs / r.L + :ra
TYPICALsIZ(COMPLETE BELOW) ATYPICAL: (COMPLETE BACK)
SOIL:
SERIES: fora 5rlY, ?r f Z4--? > ON HYDRIC SOILS LIST: YES NOX
HOTTLEDs YES? NO MATRIX COLOR: j Z A/L?-'HYDRIC SOILS. YES N57
BASIS& To S t ? l? C
HYDROLOGY:
INUNDATES'. YES NO_?L DEPTH OF WATER. ?K
SATURATED SOILSs YES NO DEPTH TO SATURATIONJWATER TABLE =t, ,--3-
OTHER INDICATORS:
WETLAND HYDROLOGY: YES_NO .k BASIS.- 1 77 .f,. e
ATYPICAL SITUATION: YES NO X; NORMAL CONDITIONS: YES'X NO /
WETLAND DEIERMINATIONs WSY i-0 ? NON-WETLANDS T
PHOTOS TAKENt' YES NO ><- AUTHORITYs 10 404 10/404 NONE
JURISDICTIONS ABOVE llEADWATERS_ ISOLATED ADJACENT NGp
Comments:
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WETLAND DETERMINATION
COORDINATOR: 1". = -3, : Pn DATE:
NEAREST TOWN; >? ,1_-t. nA r? WATERWAY:
QUAD: Sr ,_:°! P. `J ,? LOCATION: Gm AE'- ? C c..°%A-• r: n. T -% r . ?_ Gov
PROPERTY OWNER•(NAME/ADDRESS) PARTY DOING WORK: NAME/ADDRESS
PHONE: ( ) - PHONE: =o <-_,- ,,-nOTHER, INDIVIDUALS' PRESENT: n rr Q -74_774-
is PROPERTY UNIFORM X OR SEPARATE DISCRETE - VEGETATIVE UNITS,
VEGETATION: M -ORDER OF DOMINANCE , DRAW LINE ABOVE NON-DOMINANT SPECIES)
TREES: SPECIES---X COVER--INDICATOR GROUND COVER: SPECIES-Y COVER-INDICATOR
1.
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HYDROPHYTZC VEGETATION. YES V NO BASIS;

TYPICAL:_?(COMPLETE BELOW) ATYPICAL:,(COMPLETE BACK)
SOIL:
SERIFS: Leo ('-ON HYDRIC SOILS LIST: YES X NO
MOTTLED:.YES-NO- •MATRIX COLOR;
BASIS: /Ovy t HYDRICy,SOILS: YES?NO

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HYDROLOCY-
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NUNDATED: YES.2_NO `DEPTH OP WATER:
SATURATED SOILSt YES NO DEPTH TO SATURATION/WATER TABLE 6_f
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OTHER INDICATORS:
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ATYPICAL SITUATION: YES NO X- NORMAL CONDITIONS: YES X NO
WETLAND DETERMINATION. WETLANNON-WETLAND: -?
PHOTOS TAKEN:' YES NO X AUTHORITY: 10' 404 10/404 X NONE
JURISDICTION: ABOVE NEADWATERS_ ISOLATED` ADJACDNT, NV-PT -?
Comments: e , 5a(_y. 1 cj z7? ?J
G-f2c, c{c Sc ri (a c? ?? nil +04(
Prepared By:
540MA, inc.
9&&42.46(d
Y... 5r Alder
John Dorney
Division of Water Quality
Wetlands/401 Unit
1621 Mail Service Center
Raleigh, N.C. 27699-1621
RECE??ED GFi
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2---Y A---A IF- 91-A
3805 *160 W& .A mme
VdMnY&A, ?YF8 2UW3
0013 'A-
Re: Nationwide 18/401 Certification application submittal, Lot 82, Indigo Plantation
Dear John,
I have enclosed seven (7) copies of the application materials for a Nationwide 18/401
Certification on behalf of Mr. Dave Shadday for Lot 82 within the Indigo Plantation subdivision in
Southport, N.C. The applicant is requesting a minimal fill area sufficient to place his driveway and
house on the lot with consideration for an area immediately around the house (generally 10' wide
or less) for sloping. A retaining wall will contain the outer edges of the proposed fill. The
subdivision requires that he respect the 35' setback from the road and 15' wide side setbacks for
placement of the house. Based on the house plan and setback distances, the total required wetland
fill area is 4150 square feet or .095 acres.
The shown wetland delineation was performed by our firm and approved by the Corps of
Engineers. Also enclosed is the $200. Certification fee check written to NCDWQ. Please contact
me with any questions you may have regarding this application. Thank you for your assistance.
Sincerely,
Steve Morrison
Environmental Consultant
encl: Seven application packages, $200. fee
cc: Dave Shadday
9W V .vox 2522
WUM& , A WA %itokm 28402
9d. 910-452-0001
r
10/9/00
W iU
DWQ ID: 0 0 j 3 2 1 CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #): 18
PRE-CONSTRUCTION NOTIFICATION APPLICATION
'401 --,,
FOR NATIONWIDE PERMITS THAT REQUIRE: lssvt`p- ? .
1. NOTIFICAT10N TO THE CORPS OF ENGINEERS
2. APPLICATION FOR SECTION 401 CERTIFICATION} ?eu
3. COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE FIELD OFFICE OF THE CORPS
OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. DIVISION OF
WATER QUALITY (SEE AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNERS NAME Dave Shadday
2. MAILING ADDRESS: 32 Horsemint Trail
Bald Head Island N.C. 28461
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING
ADDRESS ABOVE): Lot 82, Indio Plantation Southport, 28461
3. TELEPHONE NUMBER (HOME): 910-457-5598 (WORK): N/A
4. IF APPLICABLE: AGENTS NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER:
Land Management Group, Inc.
MAILING ADDRESS: PHYSICAL ADDRESS: TELEPHONE: n
P.O. Box 2522 3805 Wrightsville Ave., #14 office [phone] rri _RZ
Wilmington, N.C. 28402 Wilmington, N.C. 28403 fax [phone] M z
CJ -?
Statement of Authorization:
I hereby authorize Land Management Group, Inc. to act in my behalf as my agent in the processing of this
application and to furnish, upon request, supplemental information in support of this permit application.
Applicant (/-j i4A % Date // Oil
5. LOCATION OF WORK (PROVIDE A MAP, Pft FERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL
PHOTOGRAPHY WITH SCALE):
COUNTY: Brunswick NEAREST TOWN OR CITY: Southport, N.C.
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
Lot 82 on Cottage Creek Road between Marsh Grass Court and Sgartina Court in Indigo Plantation
subdivision.
6. IMPACTED OR NEAREST STREAM/RIVER: Cottage Creek (Nearest) RIVER BASIN: Cage Fear
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA), HIGH QUALITY
WATERS (HOW), OUTSTANDING RESOURCE WATERS (OR", WATER SUPPLY (WS-1 OR WS-11) ?
YES [ ] NO [ I IF YES EXPLAIN: Near Cottage Creek which is classified as SC, Sw
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA
OF ENVIRONMENTAL CONCERN (AEC)? YES [ ] NO [ x ]
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY, WHAT IS THE LAND USE PLAN (LUP)
DESIGNATION? Developed, Municipal
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY? YES
[ ] NO [x) IF YES, PROVIDE ACTION ID NUMBER OF PREVIOUS PERMIT AND ADDITIONAL
INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE? YES [
NO [ x ] IF YES, DESCRIBE ANTICIPATED WORK: N/A
98. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND.548 acres
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:.525 acre
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: .095 acres EXCAVATION: N/A
FLOODING: N/A OTHER: NIA
DRAINAGE: N/A TOTAL ACRES TO BE IMPACTED:-.095
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE
DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE N/A FT. AFTER: N/A FT.
WIDTH BEFORE (based on normal high water.contours): N/A FT.
AVG DEPTH BEFORE: N/A FT. AFTER: N.A FT.
(2) STREAM CHANNEL IMPACT WILL RESULT FROM:(CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: N/A PLACEMENT OF PIPE IN CHANNEL: N/A
CHANNEL EXCAVATION: N/A CONSTRUCTION OF A DAM: NIA
FLOODING: N/A OTHER: N/A
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAINING
TO THE POND? NIA
WHAT IS THE EXPECTED POND SURFACE AREA? N/A
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED (ATTACHED PLANS: 81/2" X 11" DRAWINGS ONLY):
Earthen fill to be placed within the shown fill area for the construction of a homesite on the lot Equipment to
include backhoe, dozer. trucks.
13. PURPOSE OF PROPOSED WORK: Single family residential home construction
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS.
(INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
Lot is 96% wetland. Avoidance of wetland impact for home construction not possible Minimization of impacts
related to extremely limited fill area to accomodate residence Reguested fill area based on house plan and
subdivision lot setbacks.
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE (USFWS) AND/OR NATIONAL
MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE
OF ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES
OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: No longer contact per their request
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE
AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT
AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: No longer contact per their request
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC (STATE)
LAND?
YES [ ] NO [X] (IF NO, GO TO 18)
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY
INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES AND PONDS ON THE
PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29 AND 38). ALL STREAMS
(INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE MAP. MAP
SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR 1 INCH EQUALS 100 FEET OR THEIR
EQUIVALENT.
b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY PROJECT.
c. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS RELEVANT
TO THE PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY?. Residential subdivision
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? MuniciPai sewer system
g. SIGNED AND DATED AGENT AUTHORIZATION STATEMENT, IF APPLICABLE.
*NOTE: WETLANDS OR WATERS OF THE US MAY NOT BE IMPACTED PRIOR TO:
1. ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2. EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF WATER QUALITY CERTIFICATION, AND,
3. (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH CAROLINA DIVISION
OF COASTAL MANAGEMENT STATING THE PROPOSED ACTIVITY IS CONSISTENT WITH THE NORTH
CAROLINA COASTAL MANAGEMENT PROGRAM.
c
Q
OWNER'SlAG NT'S IGNATURE
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DAT
(AGENTS SIGNATURE VALID ONLY IF
AUTHORIZATION STATEMENT IS SIGNED ABOVE)
PROPOSED WETLAND FILL
c 077 P??GE
FRONT SETBACK -?,
HOUSE FILL

TOTAL FILL AREA = 4,150 SQ.FT. (.095 ACRES)
SCALE: 1 " = 30'
DRIVEWAY FILL
F
, 0 AID
SIDE SETBACK
UPLAND
13.4
?«1,3 5
RETENTION WALL TO BE
CONSTRUCTED AROUND FILL AREA

WETLAND
404 WETLAND DELINEATION
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.. UPLAND DETERMINATION
COORDINATOR: 71r "l P TIME: t_ : q h, DATE: J.1/ 1 <{ /Z--) COUNTY: 8 (rM <e., . r 'e-
NEAREST TOWN: r•, ?±.{_, (c - T WATERWAY: + ; % r r ,r- r
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QUAD: < y/ T- LOCATION: ",. cr1 n c c 77;:127-77
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PROPERTY OWNER (NAME/ADDRESS) PARTY DOING WORK: NAME/ADDRESS)
PHONE : ( ) ?' PHONE r ?,) 4 ?) 7=-n/ ?
OTHER INDIVIDUALS PRESENT: n c.,)
TS PROPERTY UNIFORM OR SEPARATE DISCRETE VEGETATIVE UNITS.
VEGETATIONt (IN-ORDER OF DOMINANCE, DRAW LINE ABOVE NON-DOMINANT SPECIES)
TREES: SPECIEyS—% COVER-'INDICATOR GROUND COVER: SPECIES-x COVER-INDICATOR

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X OF lr&Il IT SPECIES (OBL. FAG. )OTHER INDICATORS:
TYPICAL:•"(COMPLETE BELOW) ATYPICAL:_(COHPLETE BACK)
SOIL:
SERIES:
MOTTLED:
BASIS!
-Loc
ON HYDRIC SOILS LIST: YES NOA
s? HYDRIC SOILS: YES NO x'
HYDROLOGY:
NUUNDAED: YES NO? DEPTH OF WATER: L)
SATURATED SOILS& YES NO DEPTH TO SATURATIO?WATER- -TABLE OTHER INDICATORS: __ ,5c ! S: ?e d( ?'r
WETLAND HYDROLOGY: YES_NO BASIS:
ATYPICAL SITUATION: YES NO )C_ NORMAL CONDITIONSs YES NO /
WETLAND DETERMINATIONS W TLAND:NON-WETLAND: .,.
PHOTOS TAKENS' YES NO >C AUTHORITY, 10 404 10/404 NONE
JURISDICTIONt ABOVE IIEADWATERS_- ISOLATED- ADJACDNT NWT
Comments:
?S ?le,y? ci
(`? Prepared B
- `?itvnr?r,?a? `Po?uu?a4z?a
?Vi,(viti„rr/Iova, ./fra//. %4d.- 28402
999-452-0009
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WETLAND DETERMINATION
COORDINATOR: L,- L,.c TIr?; 3 DATE: I ?,Y `?
?i, 4.,_. ?/ / /2COUNTY: -,It
.,;
NEAREST TOWN: Pd raj G WATERWAY: n_ c°% S 77, 7,
QUAD: _ ?, C . T &"ATION:_ Sm, x r <=na..w-i..
PROPERTY OWNER•(NAME/ADDRESS) PARTY DOING WOR&: NAME/ADDRESS
PHONE : C
OTHER INDIVIDUALS PRESENT: ??..) cr c• -J
IS PROPERTY UNIFORM X OR SEPARATE DISCRETE VEGETATIVE UNITS,
VEGETATION: (IN.ORDE$ OF DOMINANCE, DRAW LINE ABOVE NON-DOMINANT SPECIES)
TREES: SPECIES---2 COVER--INDICATOR GROUND COVER: SPECIES-Y COVER-INDICATOR
- . Ly1. RN 14 _P111. 301 e J ,.-
2. Inds
3. Lol?lot?y r"-? _ q 1? 3.
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SAPLINGS SHRUBS: a ?? J 6.
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X OF DOMINANT SPECIES OBE.: PAC. S4- OTHER INDICATORS:
??HI r7 HYDROPHYTIC VEGETATION: YES V NO ASIS:
TYPICAL:_V(COMPLETE BELOW) ATYPICAL:_(CONPLETE BACK)
SOIL:
SERIES: Lc o ) ?? ??, ?; ? h I?c r c (? ON HYDRIC SOILS LIST: YES X NO
BISED:.YES?NO? MATRIX CO R: ?/? HYD$ZCySOILS: YES?NO
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UruNDATED. YES.V--NO DEPTH OF WATER:
SATURATED SOILS: Y4=NO _ DEPTH TO SATURATION/WATER TABLE ± ?, ?rl
OTHER INDICATORS:
-717-77,-
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ATYPICAL SITUATION: YES NO /"-- NORMAL CONDITIONS: YES X NO
WETLAND DETERMINATION: WETLAND:NON-WETLAND: -?
PHOTOS TAKEN:,-YES NO x AUTHORITY: 10' 404 10/404 X NONE
JURISDICTION: ABOVE 11EADWATERS- ISOLATED = ADJACE_NT.L NWp
Comments: i So(< ?? cv z7?? ?J
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