20030553 Ver 1_COMPLETE FILE_20030506

MEMORANDUM
TO: John Dorney
Non-Discharge Branch
Regional Contact: Noelle Lutheran
WQ Supervisor: Rick Shiver
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility, Name Vacation Village
Project Number 03 0553
Recvd From APP
Received Date 5/6/03 Recvd By Region
Project Type commercial fill
County Carteret
County2
Region Wilmington
Certificates Stream Stream Impacts (ft.)
Permit Wetland Wetland Wetland Stream Class Acres Feet
Type Type Impact Score Index Prim. Supp. Basin Req. Req. ME
-
39 OTH O Y O N F- F 20-31 SA HQW 30,501. 5.22F
F_ F_
-------- Y - 20-36-(8.5) sA HQW 30,503. F- ? F------ - -F-
i
'
r
I -7Y 0N F_F__I-I -F__F_F_ I -I r-
Mitigation Wetland
MitigationType Type Acres Feet

Is Wetland Rating Sheet Attached? 0 Y 0 N Did you request more info? 0 Y OQ N
Have Project Changes/Conditions Been Discussed With Applicant? 0 Y 0 N
Is Mitigation required? 0 Y (0 N Recommendation: 0 Issue 0 Issue/Cond 0 Deny
Provided by Region: Latitude (ddmmss) Longitude (ddmmss)
Comments:
Less than 1/3 acres of 404 Wetlands are imposed to be filled under a NW 39 from the QQF;
therefore, written concurrence from DWQ is not required provided that all of the conditions of
General Water Ouality Certification #3402 are met.
Entered by Bev Rivenbark 7/17/2003
cc: Regional Office
Central Office Page Number 1
Vacation Village Mobile Nome Park
1204 Cedar Point Boulevard, Cedar Point, North Carolina 28584
Phone/Fax [phone] Email bennett@ ec.rr.com
June 11, 2003
N. C. Division of Water Quality NET' A. NOR 1401 rAOUF
401 Wetlands Certification Unit
% Ms. Cyndi Kaorly ???
1650 Mail Service Center ?ATC.RQU
Raleigh, North Carolina 27699-1650 IC17 ALITYSE^TIQN
Dear Ms. Kaorly: l/
Please find attached copy of my recent letter to Ms. Noelle Lutheran of DWQ's Wilmington
Division. I applied for a NWP #39 permit in early May. I submitted my application with the required 7
copies to your Raleigh office. I received the attached letter from Mr. John Dorney requesting more
information pertinent to buildings and impervious area. I have no immediate building plans so therefore
didn't elaborate those issues in my original application. As you will learn in the attached letter to Ms.
Lutheran, I have sought the services of a local engineer to help me formulate a "conceptual" plan which
would provide DWQ with enough information to proceed with the process. Mr. John McLean, my
engineer, spoke with Todd from your office who has henceforth sent my file to Ms. Lutheran in the
Wilmington Office. Per Ms. Lutheran's request I am writing you as a courtesy to bring you on board with
the process and where it is to date. If you have any questions please feel free to contact me by phone
or email. I'm certain that Ms. Lutheran could enlighten you as well as she has now taken charge of my
file.
Sincerely,
Vacation Village, Inc.
W. B. Ennett, Vice-President
cc: Noelle Lutheran, DWQ Wilmington
John McLean, Engineer P. E.
Vacations Village Mobile Homo park
1204 Cedar Point Boulevard, Cedar Point, North Carolina 28584
Phone/Fax [phone]- Email bennett@ ec.rr.com
June 11, 2003
Division of Water Quality-Wilimington Branch
% DENR-DWQ (Ms, Noelle Lutheran)
127 Cardinal Dr. Extension
Wilmington, North Carolina 28405
Dear Ms. Lutheran:
Please find attached letter from Mr. John Dorney, DWQ in Raleigh. Per Mr. John Dorney's request
for an overlay of the building placements on the property and a compilation of the total impervious
surface, I have procured Mr. John McLean, P.E., to assist me in establishing a "conceptual plan" for the
commercial area of the property in question. Mr. McLean has "pasted" a conceptual building scenario on
a plat as well as computing the amount of impervious surface. It is my understanding that Mr. McLean
has emailed you in reference to this permit process and Raleigh has sent you our file. I formerly made
application to the Raleigh Division along with payment of $200.00 for my application fee around the 1 st
of May. I have attached for your files a plat prepared by Mr. McLean in an attempt to depict the property
in question, building placement, and impervious surface area. This information is on the plat itself for
your convenience. I'm not real clear on where we go from here, but have copied Ms. Cyndi Kaorly per
your recommendation. As I understand it, your division will now be in charge of the permit process and
will coordinate with Mr. Mickey Sugg, USACE Wilmington Division, to formulate a response. I'm well
aware that the permit guidelines call for 7 copies of the application, but am now a little confused as to
how to proceed with the additional plats, or if I even need to. I would appreciate your take on the matter
along with any guidance you could offer. In the interest of time, please feel free to communicate to me
via my email address above-
I believe Mr. McLean has explained to you that my original request was merely to satisfy a
"condition" to a real estate exchange between my neighbor and I. All future plans regarding commercial
development are pending the satisfaction of the "conditions" for the exchange. The plan that we've
submitted is "conceptual", but would come near to the maximum use of said property as we now know
it.
Thank you for any consideration that you can give this matter.
Xce
-Z' 441
Michael F. Easley, Governor
William G. Ross Jr., Secretary
p ? r- -.I North Carolina Department of Environment and Natural Resources
Alan Klimek, P.E., Director Division of Water Quality
May 15, 2003
I?WQ # 03-0553
CERTIFIED MAIL - RETURN RECEIPT REQUESTED Carteret County
Vacation Village Mobil Home Park
Attn: W. B. Ennett
1204 Cedar Point Boulevard
Cedar Point, NC 28584
Dear Mr. Ennett:
On May 6, 2003 the Division of Water Quality (DWQ) was notified by receipt of your
application regarding your plan to fill waters for the purpose of commercial fill in Carteret County.
Approval from DWQ is required to disturb these areas. Please provide 7 copies of the following
information and refer to the DWQ # listed above in your reply. Please show these on maps of suitable
scale (for instance I" - 100 feet) so we can begin to determine your projects' compliance with 15A
NCAC 2H.0500.
l . Please indicate proposed lot layout as overlays on the site plan.
2. Please specify the percent of project imperviousness area based on the estimated built-out
conditions.
Please telephone Cyndi Karoly at 919-733-9721 if you have any questions or would require
copies of our rules or procedural materials. This project will remain on hold as incomplete in
accordance with 15A NCAC 2H .0505(c). The processing time for this application will begin when this
information is received. If we do not hear from you by writing within three (3) weeks we will assume
you no longer want to pursue the project and will consider it withdrawn.
.IRD/bs
cc: Wilmington DWQ Regional Office
Wilmington Corps of Engineers
Central Files
File Copy
Sincerely,
hn R. Dorney l
4 I Water Qualitertification Program
a f
' J
N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-165Q (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (http://h2o.enr.state.nc.us/ncwetiands
DWQ #030553
Subject: DWQ #030553
Date: Mon, 09 Jun 2003 11:30:53 -0400
From: Noelle Lutheran <[e-mail]>
To: Cyndi Karoly <[e-mail]>
Cyndi,
Just wanted you to know that Todd forwarded me this project after John
put it on hold. I will handle it, but I have asked them to send you a
copy of the new plans for your file.
I am also waiting on DCM to let me know if DWQ # 030505 is located
within the 575' ORW. If so they need to apply through CAMA. I may just
put it hold today if I don't get an answer. I have spoke to the
applicant and he is aware of what is going on.
Any thoughts on DWQ #030312 (Donnie Lewis Project). Do we need to
officially deny the project?
Thanks, Noelle
NLutheran <[e-mail]>
I O N 6/10/03 10:24 AM
Triage Check List
late:
4 r_J Project Name: ?C a
DWQ#: C) S3
County: r ?' f
To: ? ARO Mike Parker ? WaRO Tom Steffens
? FRO Ken Averitte. f WiRO Noelle Lutheran
? MRO Alan Johnson ? WSRO Cyndi Karoly (Central Office)
? RRO Steve Mitchell
From: Telephone : (919)

The file attached is being forwarded to your for your evaluation.
Please call if you need assistance.
? Stream length impacted
? Stream determination
? Wetland determination and distance .to blue-line surface waters on USFW topo maps
lion avoidance issues
? Buffer Rules (Meuse,l'ar-Pamlico, Catawba, Randleman)
? Pond fill
? Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
? Is the application consistent with pre-application meetings?
? Cumulative impact cone
s
:omments:
1VOe?le
--
L4 wv,
Coa el (Al
Gt ?Y v v1.tid IV6 ?Vl G7 GL?C C?? 9Pi?it.?
?j G n I
n nlCfo [ .. Q cam., ..
? dlvtd gt's W-a, it,e bra
OF vvn micnaei r. tasiey, vovernor
Q William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
j r- Alan Klimek, P.E., Director Division of Water Quality
-i
May 15, 2003
DWQ # 03-0553
Carteret County
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
Vacation Village Mobil Home Park
Attn: W. B. Ennett
1204 Cedar Point Boulevard
Cedar Point, NC 28584
Dear Mr. Ennett:
On May 6, 2003 the Division of Water Quality (DWQ) was notified by receipt of your
application regarding your plan to fill waters for the purpose of commercial fill in Carteret County.
Approval from DWQ is required to disturb these areas. Please provide 7 copies of the following
information and refer to the DWQ # listed above in your reply. Please show these on maps of suitable
scale (for instance 1" = 100 feet) so we can begin to determine your projects' compliance with 15A
NCAC 2H.0500.
1. Please indicate proposed lot layout as overlays on the site plan.
2. Please specify the percent of project imperviousness area based on the estimated built-out
conditions.
Please telephone Cyndi Karoly at 919-733-9721 if you have any questions or would require
copies of our rules or procedural materials. This project will remain on hold as incomplete in
accordance with 15A NCAC 2H .0505(c). The processing time for this application will begin when this
information is received. If we do not hear from you by writing within three (3) weeks we will assume
you no longer want to pursue the project and will consider it withdrawn.
Sincerely,
hn . Dorney
I Water Quali ertification Program
JRD/bs
cc: Wilmington DWQ Regional Office
Wilmington Corps of Engineers
Central Files
File Copy

Division of Water Quality, 401 Wetlands Certification Unit,
Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
•abtree Blvd., Raleigh, NC 27604-2260 (Location)
1-1786 (phone), 919-733-6893 (fax), (http://h2o.enr.state.nc.us/ncwetlands
Vacation Village Mobile Nome Park
1204 Cedar Point Boulevard, Cedar Point, North Carolina 28584
Phone/Fax [phone] Email bennett@ ec.rr.com

Division of Water Quality
401 /Wetlands Unit
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
To Division of Water Quality:
May 05, 2003 WLANDS1401 GROUP
MAY 6 ;'ilil,
WERQUOY
SECTIGIy?
Please find attached check in the amount of $200.00 per your requirements for written approval
for a 401 Certification. I have provided as much information as I have available at this time and
hope it will suffice for your assessment. Should you have need further information or
explanation please feel free to contact me at your convenience.
Sincerely,
W. B. Ennett, V. P.
Vacation Village, Inc.
Office Use Only: Form Version May 2002 U3 0653 USACE Action ID No. _ DWQ No.
(If any partimlar item is not applicable to this pmject, please eater "Not Applicable" or "MA".)
1. Processing
1. Check all of the approval(s) requested for this pro"oct:
Section 404 Permit Riparian or Watershed Buffer Rules
Section 10 Permit Isolated Wetland Permit from DWQ
401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested 'N W h'- 3`3
I If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Inforinsdon
1.
Telephone Number (ZS? )nA-$12d Fax Number: 42L&Z1A94-q 123
E-mail Address:_ kW. olugg -i k d'1 ma_ 9V-. e-ow%
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
trust be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-nail Address:
Pale 5 of 12
WETLANDS/401 GROUP
MAY V 6 ?00f

III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than I I by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: ??
2"9J ?Ro `?- IU Aran ' ? V sg_V,U Ze t3 V• % 1'4Vj.:y
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): `$.. 4E?3 "14 1ZENAU6 . app
4. Location
County: 8et jar- t Nearest Town:_ f n:> t;gt& T -?.
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.):
_Q? ?wr.?s Itiar?
5. Site coordinates, if available (UTM or LaVtong):
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres):
7. Nearest body of water (stream/river/sound/ocean/lake):wQL-i,ye
8. River Basin: L%I,Tg QwSG. ??a
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.ne.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application:. Q@Ni C"

M.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be
,\t,
11. Explain the purpose of the

IV. Prior Project History
V.
Vi.
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
d C
Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 7of12
1. Provide a written description of th roposed impacts: OC.OLOAFN. Z26r_k _
1IDA=-_ 1
2. Individually list wetland impacts below:
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no Distance to
Nearest Stream
linear feet
Type of Wetland***
61 --- V6?10
or- 61

*
List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http;//www.fcina.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: . Z.Z
Total area of wetland impact proposed: . 24n
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
indicate on map)
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
leasespecify)
/A

*
List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, fist as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usus.eov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mapquest.(;om etc.).
Cumulative impacts (linear distance in feet) to all streams on site:
QC
Lea
Page 8 of 12
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
Open Water Impact
Site Number

indicate on map)
Type of Impact* Area of
Impact

acres
(if Name p Waterbody
applicable) Type of Waterbody

(lake, pond, estuary, sound,
bay, ocean, etc.

Lisp otwu unpaci sepamicry and identity temporary impacts. impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. Pond Creation /tS-/A
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands (stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
hiip://h2o.enr.state.nc.us/ncwetiands/strmgidc.httnl.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more snare is needed.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.enr,state.nc.us/wrv/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):`
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federaUstate) funds or the use of public
(federal/state) land?
Yes ? No [-?
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
X. Proposed In pacts on Riparian and Watershed Buffers (required by DWQ)
/V /A
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 213 .0233
(Meuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and
Water Suppl Buffer Requirements), or other (please identify )?
Yes] No ? If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* lmpact
(square feet Multiplier Required
Mitigation
1 3
2 1.5
Total
• Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 11 of 12
ff buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Eascmem, Riparian Butler Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
XI. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss Stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
ftn
X11• Smrrwage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater encratod from the proposed project, or available cVacity of the subject facility. `
X1II. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No a
Is this an after-the-fact permit application?
Yes ? No ?
XIV. Other Circumstances (optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Page 12 of 12
A ent's signature is valid only if an authorization letter from the applicant is provided.)

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U.S. ARMY CoRps of ENGMERRS
Wrihaington District
Action Id.199 ma
County
Notification of Juris Quad
dictionat Deterniinabon
Prop" "WIAothorized
TelephprK
Zone:
UMf or LATq oN _
Size a G: North: East:
and Location °f Pl'OP?Y(watert>o?y Al
' my n?number. town, etc.):
lndicata which oft)m foilowin e
X Theft aretlart g apply: N
?r
Property, etland listen lusabe v,erified?be d?l? Pfoperty whieh we size o f your p?pc -? std beta the Cc wi
um of tlhe The surh eyed
ll nuke a uvisdlctionat dried.
cilnow be acm4pUshed in a tirr?el nd our Present' workJead, our ' tnat;on orb your
delineation of Y mattner• you IRg MntifcAdva and delineation of
'4 and, if it is the weda'hds. 0" yo„r consultant lobs 0 y wish to tmplay a consultant Co ? your wetlauda
- Capp will afturao,. strongly ramininew ° wetland line on the faith a more titnel
X The WW N e a 6wd jurisdictions! i?)'ou heave the lip avrYeyed for ? , Corps staff V411 review
t
arWs On Your lot. have been de dote on oft your pry without an `°Vai by ts• mss: The
UAIM h" IS a change in the law or '?, and the limits of Co aPPnved sttney
weed fn+a y? ?n
not to our polished ^eit+letiona, this dJurisdiction have been explei
Tim" am ction Q. W
e Prusmt on ? ?Q IlOdfation. r,
Se
nation m?? mum upon for a tperiod'
of the clun
this delero,iamioa star Act (33 USC 1344), t jn r aro 04M to the
"W e relied Upon
X The Protect Is located in' for a period not to ex ?OlUMP 1G the or PPubi rid reg na of
one of the ZA Coastal Counties. Years from the date Published nifitlado
ns,
emenl to determine tbe}r r?pquirp this no (rice n.
Plac?rr„ant ?•d You should con the narr,?st Shag Coe of Coaatat
Most mdgad or fi!1 mater`et in
wntl
on the COS
proea a violation ofSedon 301 of the Cl
p, ?
a ean°Wg p?la without a NPArtment of the
Engineers regulatr?? entirely to? rRB ger Act (33 USC 1311). A Anny Pmrlit is in
or3'
Program, Please M h4h Bround. If you i?ve any qua t not required for work
Propcq owner/Autho ' .' ay T Sugg at (910) 2514811, regarding the Corps of
. lmd agent Signature •
Project manager Signature
---../ )N
date _ - ,
? V PL ok OR ?.D 'Expiration Due
A.TI(jiF DOS
UrRM MUST BE A7'TACUED To 7M ED PRC)PF, RTy Am
FILE COPY OF 'THIS FORA, TIE ?"TI.ANp
z

Bogue Sound
S ?
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w
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? .,av 24 & 58
R

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OR 0.68 ACRES
5g?, 1
.p
O
VACATION VILLAGE
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224.93'
, -1
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10.48 ACRES
1
1 ?
1 ?
1 Q
MAGENS BAY,
110,552 SR. FT. ° _ J 53 ,43
OR 2.54 ACRES ?- 93.06
90.22
? 35.95
W
m
-" 1 379.36'
I
1 1
1 1
1 1
1 1
1 I
1 1
1 1
1 1
1 1
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1 1
1 1
1
1
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1 1
1 1
I 1
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b-
300 0 300 600 900
GRAPHIC SCALE - FEET
LAYERS: 62, 63, 70
1-284.4 892.8 So. F r

NI rORING WE
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26.4, 5,
Office Use Only: Form Version May 2002
USACE Action ID No. DWQ N&
(If any particular item is not applicable to this project, please enter "Not Applicable" or
1. Processing
1. rssc: all of the approval(s) requested for this pro ect:
ction 404 Permit Riparian or Watershed Buffer Rules
tion 10Permit ? Isolated Wetland Permit from DWQ
Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: ASU_)?-4,M
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: VAeAm _ V,11
Mailing Address: i neut. ce
Telephone Number(, L 4 5'r17-9' Fax Number:
E-mail Address: CEZ_,%?? ,cb"
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Page 5 of 12
Fax Number:
WETLANDS/ 401 GROUP
MAY 0 6' 7003
WER QUALITY SECTION
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided. _
1. Name of project: ?aQ? _ig& ? y s1v
U
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):1?`tr,?? --.. 14 129
4. Location
Count y:_ e9l rw,t'Fr= Nearest Town: i PC> ew tslk.
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.):
A- ?3?3 i I l3 AOR
?, ? ?.c..s (tie-in
5. Site coordinates, if available (UTM or Lat/Long):
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres): 16. 4qr
7. Nearest body of water (stream/river/sound/ocean/lake): --
Ccz.wvc,
8. River Basin:
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at hqp://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application:_ pe?,eT" d4ag# . ?sv?c???i= le[a? opi v(ly
, _ - -A _ r. - - _ n .-. .-- -r+-r
V???crM
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be
M.
11. Explain the purpose of the proposed work:

IV. Prior Project History
V.
V1.
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
d C
Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
C)
Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 7 of 12
1. Provide a written description of th roposed impacts:
2. Individually list wetland impacts below:
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no Distance to
Nearest Stream
linear feet
Type of Wetland***

l es

* L' h
rst eac impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fcma.ggv_.
*"* List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: _
Total area of wetland impact proposed: . 29n
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
indicate on map)
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before lmvact Perennial or
Intermittent?
lease specify)

1.15L caau uupacc separatery and rdenury temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usus.eov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.coni,
www.maRyuest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site:'
Page 8 of 12
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres
Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.

List cacn impact sepatatety and identity temporary impacts. impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. Pond Creation /r/A
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands stream ? wetlands
Describe the method of construction (e.g., darn/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
bZ://h2o.enr.state.ne.us/ncwetlands/Wmide.htmi.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more snaee is needed-
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federaUstate) funds or the use of public
(federal/state) land?
Yes ? No
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
X. Proposed pacts on Riparian and Watershed Buffers (required by DWQ)
I VIA
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 213 .0233
(Neuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and
Water Suppl Buffer Requirements), or other (please identify )?
Yes] No ? If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet Multiplier Required
Mitigation
1 3
2 1,5
Total
Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 11 of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
XI. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property. Rawk
XII. ewage Digmal (required by DWQ)
Clearly detail the Ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater enerated from the proposed project, or available capac of the bject facility.
MIL Vloladons (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No a
Is this an after-the-fact permit application?
Yes [] No []
XIV. Other Circumatences (Optional);
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing tune for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Page 12 of 12
Y""w
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

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7r FdW 09-COAIOINri
Action Id.IMLQPIU
U .S. A W CORPS OF ENGH
Wilmington District ERS
County Qam
Notification of Jurisdictional Determination
ProP'M oyncr/AmMoriaed
Zone;
ncabft of tha wW , 01me your C ruur. You enay wtsir to ry motion and delineation of Your
uss nd, if it it nrultadt 1
PI y a consultant to obtain a c wstlastds
Corp will pot,curate, we urangly rocottunend tjj4L YO n+Ued a Weiland line on the Wore timely
X a final jurisdictional d.&-,. ion on ef " dig une surveyed Jor finW app Corps staff will reviv "Tile
The tvetlends an Your lot he v-. bW
Inat Unless there is a Nye in.the law or ourna?" and the ILnitspt ?m Mkt an approved survey, thaCo not to axcaftd five J'M fan Published nwwmtion huisdicdon have
• ? this detErmipatjop been upon for explained to you.
Thane are ? m daps of??ofifiQtina. ' be n:h? upon
Section 404 of proem on the a p sriod
this detettRintwon earl Water Act (33 USC 13 ? Property which are subjen to the X The project !s l OW be retied upon for a period not t e them if R change j4 the 4W or our P?mit rWuirarnenta of
MapaBGmettt to in one of the ZO O weed threey9m Gorr, the date our published n8ultttions,
htermine their tenujrp?? Counties. You should co at this notification
U`IM or LAT/Lpr1G• 1,,
Quad
Size and LocWon of Hatt:
''tty(vrate
4..iltai t
rbocby MaInvaY naswnumber, town. etc.):
"UAL
1ndicatc which of du: _
There are w?edandt n8 apply, y o
'roperr tined must be v*r Jed ° dwdbed Properly which wa
Property. our istAff before the Corps $'' *1&W Should be aurvo
mouse of the size of your properly will make a final .Nnadictivnal deform n liThe survoyed
on o
aa ow be a0MOPllahed in a: and our p?csant workload
Placpin?t bftirod nWit the nema S? 0fr of Coastal
Bed or fill material in
most cases a violation of5acpon 301 of thel ? y?,? this
on the prop, r ? ??Perty Without a De &tment of the EnSinears re ?? D rdY to esistin (33 USC 1311) ' Y Ptrntit is in
gulato 8 hugh Sround, if you hate an A permit is not required for work grwt4 :? Pease contact Mickey T. Sugg at [phone],sdon9 regard re the corps work
Properly owner/Authorized agent Sigrgltore
project MsnaBa' Signature
Date
?URvEY PLAT OR '---- boas'
ELIAte
N$,4TION FORM !vi(,l l E TCH OF rstian D
DB,g
ATTACWZ TO T PPLOPERTY
n ?«.. a. L.fi COPY OF Tlas PoAND TjjE
pjq WET(,,4I?Ip
F
Bogue Sound'
r ?

n(

.. i5 Cs •' µ
Win... ?w i.e$'? .
Bogue Sound

e
?i
a
-
4~•

o. R/w)
24 X10
N•C• ? 22?•e
0.16
5<Q
29,801 Sly. FT.
OR 0.68 ACRES
., 1 11
5900, 1
ICI O
°v', VACATION VILLAGE
rTl 1
o I
o 224.93
?1 10.48 ACRES
1
1 I
I ?
I Q
MAGENS BAY w '1 ',
53,83
110,552 SR. FT. ° _ F . j
OR 2.54 ACRES
90.22
I ? 35 g5
w
379.36'
1 1
300 0 300 600 900
GRAPHIC SCALE - FEET
LAYERS: 62, 63, 70
Office Use Only,
USACE Action ID No. DWI o. ,
(If any particular item is not applicable to this project, please enter "Not Applic
1. Processing
Form Version May 2002
or "WA".)
1. Check all of the approval(s) requested for this pro'ect:
t ection 404 Permit Riparian or Watershed Buffer Rules
ection 10 Permit Isolated Wetland Permit from DWQ
01 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 441AI hP'
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: Q
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: []
H. Applicant Information
1.
l
Telephone Number:(= 1 ?W_ ,art" lFax Number.
CtZSA
E-mail Address: b' r?in,w- cmn
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
/401 GROUP
Pap S of 12
Fax Number:
MAY 0 b ?an:?
dVb4TER QUALITY SECTION
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than l l by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
of J. t
Name of project: 1 Si ??te„ ?6 uiomfz,
? Uwe ,e ,,•?
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN).?f -Jk.. Sal Z9iQ7,14L Gpfl
4. Location
County: Nearest Town:--t nC> . e tsn
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): Sm,A ? _!r,,A
;. S`- ?? l? cs ?c+s.? -u'?f?S?' Le8.2' a-, Ma „S
? ?vn-.S (sand
5. Site coordinates, if available (UTM or Lat/Long):
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres): 16. 4*"
7. Nearest body of water (stream/river/sound/ocean/lake):??`?je?(?
C ct?%<,
8. River Basin: (_5V,F-r Cy S-_ R, `,a
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the nroieet
Qt l
rz-.a
Page 6 of 12
V12Q* o 4M 426YV\rn_05 er_,Nvo L,.
10, Describe the overall project in detail, including the type of equipment to be
,%t,
11. Explain the purpose of the proposed work:

IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
d C
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
A,rn
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 7 of 12
I . Provide a written description of th roposed impacts: ! 76e
2. Individually list wetland impacts below:
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no Distance to
Nearest Stream
linear feet
Type of Wetland***

-Joe- 01 ?•

Is
l

rLyo?
%

List caun impact separarciy and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at httV;//www.fcm,%,99_V_-
List List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: , Z2-
Total area of wetland impact proposed: • Z.Z..
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
indicate on map)
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
leasespecify)
/a

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usgvs.goy. Several internet sites also allow direct download and printing of USGS maps (e.g., )5www.topozone.com,
www.rnapguest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site:
Page 8 of 12
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
Open Water Impact
Site Number

indicate on ma
Type of Impact* Area of
Impact

acres
(if Name p Waterbody
applicable) Type of Waterbody

(lake, pond, estuary, sound,
bay, ocean, etc.

List each impact separately and identity temporary impacts. impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
Pond Creation ASIA
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands [stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
h!tp://li2o.enr.state.nc.us/ncwctiands/strm-gide.htrnl.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more snace is needed-
Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at httl2://h2o.enr.state,nc.us/wro/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):_
Amount of Non-riparian wetland mitigation requested (acres
Amount of Coastal wetland mitigation requested (acres):-
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes ? No 3
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
X. Proposed )pacts on Riparian and Watershed Buffers (required by DWQ)
A
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Suppl Buffer Requirements), or other (please identify )?
Yes H No ? If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers. pact Zone* s uare feet Multiplier Required

1 3
2 1.5
Total
Gone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 11 of 12
Lf buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Butler Restoration / Enhancement, preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 1 SA NCAC 2B .0242 or.0260.
XI. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
P act
)OL 5twwaagge Dlgmal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater enerated from the proposed project, or available c.Vacity of the bject acility.
MU. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (I 5A NCAC 2H .0500) or any Buffer Rules?
Yes ? No a
Is this an after-the-fact permit application?
Yes ? No ?
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Page 12 of 12
(Agents signature is valid only if an authorization letter from the applicant is provided.)

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d?hl4rL?RM'.'_F??Y
•?, U.S. AR% CORPS of ENCp?1E11:Rs
Wilini'm9ton District
action ld.IWAQWJ
Cmmty
Notification of Julisdiction., Determinabo Quad
Q
PropM oar1ATn4oriaed
Telephon
Zone:
UIM or LAT/L01vt;: Ncrtb: Fact:
Sire and Loq Jon of
P?r'tY(waterbodY, High'y `
Y namJ"um"Or, town, etc.);
Indicate wlTidT of ZJWC*dulods '?A--?Yt+?. $!Qg illy
TtTerr win8 ;apply.
X Are l
on the
wetland lines must be verified ve oe,"be rty which we ?giy suit should be
M.N.Y.
HeccaTUe of tlTe corps will uTake a ?? .u?2d gurvmyed, TITS surveyed
cannot a site of your PraPerrY and our r ic6oaal detertningGon on your
delineation Of °Plisl>ad in a tinkly ma?P esa rv?brWoad, our identiricalion
wedaT Qn r- IDU an
T d dehn.,j,n "our wetlands
ik and if it is c1Q Your consultant has tl °n'pbY a consultant
?? we st Tiny WWI rongly rooaT + had s wetland line
40 obtain a Tnore tiTnely
"Mad dot you
?rpa will not make a 6nn1 ' a t has fl ITa d & line on the property
X The Tveda On Your id. IT?vcd?ctianal d
eGanoiaa6oq on your p m?Yed for Anal apps by star v
ill rayietiv
VAkess there is n char been delia"fed, and the limits without an appt,? sw?e Cacps: The
of Coqx
in. the law
of our T ? Oxcftd five yem t?otn We'daoe of?iPubliahed ?uladona, this tnipw nn hive been explained to you. &m no vw Section 404 of to Pmt on the above dami b?' may be relied upon for A period
tlds delrtati lean water Act (33 USC 1344 Prop" Which
71 x his castor Tmry be robed upon far a Feria! . Unless there is a ohM? in 80im to the the w or Pamit requ?,Tneats of
Project is looted in one of Txed three our published n
'r- y0fts M4naltenoeat to determine Weir the 20 Cow Couatiec. You Should 0 fna t e date of this notifleation?ndona,
?Iwt'e+nents. contact the neatest State Qitice of Coastal
Placement ofdredpd or fill materiel ' .
most cases a vtolatron o fS? ' in ? u? ?propWy ?,ithout a D
Oil thtr pro bOn 3D1 of the Cl eAartmant of the Arm
Engineers reggUlatr?a64 enttr* to, e Xi (33 L1SC 1311). A Per y Permit is in
°ry p%gn". pleas contact rtg high ground you have rot is not roqu -ed for work
Mickey T. Sugg &t (910) 2514y
5 4211. ttons regarding the Corps of
Prop, o"erlAuthori
led Agent Signature
Project MmaBa Signature
Date
URVEY PLAT OR H E*ration Date BOO S
yEi-4ZTaN FARM ED
MUST BE ATTA t TO
TIM t'ROPF„ HTY AM THE
Paz COPY OF 'T'HIS FOR 1t? ?`rLAIVp
Q
Bogue Sound
q?.
x ` H
44,
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s
14,
Emerald Isle
t Wa ? 7?
?igl

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(10 ; ? I o
VACATION VILLAGE
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rtj
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, I
502.74 3S9 'i o
29,801 Sly. FT. 110.40 ACRES
OR 0.68 ACRES
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MA GEMS BAY to
110,552 SR. FT. ° _ '? , j 53 a3
OR 2.54 ACRES '1_ _.?- 93 Og
900,
,- ,/ 35 95
143.33
379.36'
1
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GRAPHIC SCALE - FEET
LAYERS: 62, 63, 70
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office Use Only: 03055, Form veman may 2002
USACE Action ID No. DWQ No.
(If any pm*-Ular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this pro'ect:
Suction 404 Permit Riparian or Watershed Buffer Rules
Section 10 Permit Isolated Wetland Permit from DWQ
401 Water Quality Certification
3`3
2. Nationwide, Regional or General Permit Number(s) Requested: t4 \A/ ,p
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Information
1.
Telephone Number:(, 9Z -) ?9 3. 912- Fax Number. L2&AIARTR 123
E-mail Address: In s -?- - c AV, s aw-
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mat7 Address:
WETLANDS/401 GROUP
Page 5 of 12 MAY 6 i
2003
'M, TER QUALITY SECTION
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than I1 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided. _
1. Name of project: ?r2o, 6%zn tuornf \0 ?E
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): i?Wcr,E4_:?.3 "I4
4. Location
County: _?rr Nearest Town: 1 r.>
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.):_Swu -%,A?Vr. c
?` Sr iZ 33 I t l3 rr??_1.?? --ln1&$?' $2 ar. k??q? ?_7 Y --• d?-
_? ? ?.s (tiar+d
5. Site coordinates, if available (UTM or Lat/Long):
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres): 16. Z+YC
7. Nearest body of water (stream/river/sound/ocean/lake): Tt?. e?`?osa? ,es$l=
8. River Basin: L _ R, ?np`
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/a(imin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the nroiect
Qi(
IZ,
Page 6 of 12

10. Describe the overall project in detail, including the type of equipment to be
M.
11. Explain the purpose of the proposed work:

IV. Prior Project History
V.
VI.
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
d C
Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
AJ,r)
Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 7 of 12
I . Provide a written description of th roposed impacts: '76 k
? ,??'S lam ? ?1 ' 1?
2. Individually list wetland impacts below:
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no Distance to
Nearest Stream
linear feet
Type of Wetland***

l -'

*
List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http;//www.fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: . ?.Z
Total area of wetland impact proposed: . 2-Z-
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
indicate on map)
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
lease specify)

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usus.vov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.topozonc.com,
www.maquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 42gsa'

Page 8 of 12
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
Open Water Impact
Site Number
indicate on ma
T? of Impact* Area of
Impact
acres
(if Name applicable) ) Wate Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.

List each impact separately and identity" temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. Pond Creation /,J-/A
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands [stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
hi!p://h2o.enr.state.nc.us/iicwetlands/ai[Mide.htmi.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wry/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federaUstate) funds or the use of public
(federal/state) land?
Yes ? No a
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
X. Proposed in pacts on Riparian and Watershed Buffers (required by DWQ)
/ A
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Suppl Buffer Requirements), or other (please identify )?
Yes] No ? If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet Multiplier Required
Miti
gation 3
2 I.5
Total
Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 11 of 12
Lf buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
XI. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
P o w?> > t?ovek
MI. Sewage IN"al (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non4scharge or discharge) of
wastewater enemted from the proposed project, or available capacitv,of the jeet facility.
MIT. Violations (required by DWQ)
1s this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No a
Is this an after-the-fact permit application?
Yes [3 No ?
XIV. Other Circumstances (Optlenal);
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. Howaver, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Page 12 of 12
{Agent's signature is valid only if an authorization letter from the applicant is provided.)
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61

•? U'S' ARMS CORPS OF ENGINEERS
Wilmington District
Action Id,IMLWJ '
Notf'cation of JurisdictionalDtterltninatio
v
Prop" oWMCr/Authorized
Tel p ?t`hu,"'d,.?
Zone:
UTM or LAT I-nwr. N
Quad
Size and I.mtian
PirOpeny(watetbo. Hlginvay ntuarlaumbar, tam
Indicata which oft o
X There 4llowin8 apply; - - .
??? aft +?tland6 on the above .
++ mart be verified by ou d 4ribe staff prom which Ole sVon
property.lin
before the Corps will MnS sun"t should be surnyed.
BThe ?1use of the size o! ?1 jurisdictional d sunroyed
can e not be a your Pro" and our r 'ml nation on your
B
nPlished in a timely P eaeur ?rkload, our ideatillcstion and de"neati
delineation of die w'?lai><k 011M your Manner. You may w?i to am Ploy of
if it is Your canau'rut has !1 ploy i consultant to ob Your wetlands propeny aCCUtape, we sUongly txatn,nenQ ?? a wultland line on t1x fain a snore timely
X Tl tPs will not make a final J adictionsl that you ham die line d for • Corps stag wi11 reXicw
Your fol. have d4errnination on your p Inal approval by iW wetlands On Unless then;g a char been delinestK and the lints rOPMY
?thout an a Prrmxl survey. ?!Ps' The
not to Wftoftd Se in, the law or our published Cow jwisdiction have
Them a pm n O oft eo tbls ttoti5cat
Section adotu, this detmfti ation been explained to you d 404 my 11 n' be relied upon fora cried
of the Clean Water Act (33 U?SC ? described
I'Mp?Y which am Subject to the ' P
this delermintulon nary be t> )- LiNebx share r a y Permit
X The proGat 1s locafod in one of tf e p r a Plod not to exceed three ? in the law or our publish re meats of
M ISemeat eo deter COMW Counties. Y Y front the date of this notificatio?atloas,
mine their ft"ranents. ghoul edws contact the nearest Stutte C1Q5ce of Coastal
Place moo of dredged or fill
Most cases a material in uwWt? on this •
violation of Section 301 of the proper' without a D
on the pt,ppy, restrict can Water Act ePgRment of the ,
Engineers regains 64 entirely toe ' C33 USC 1311). A permit is not r0qu Y d for o in
ay program Please Contact h4h Bmund. If You halle any ng the for s of
Mickey T. Sugg At (910) 2518110.cGorts regarding the Corps of
Property, owner/Authori
zed Agent Signature
p"QJectMBaager Sure
)ate/
?VEl` PLAT OR RIEI D SI?ETCFi OF xpiration Date _ ?oOS
>ELIMATION FORM MUST BE ATTA t?D TO BSCRM PROPLMRTY Am
FILE COPY Op 7VS FORD, TliB WETL'ANp
v
Emerald Isle
Highway ,
r?

Bogue Sound
cfiF
ON P
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M
Bogue Sound
24 (1n
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OR 0.68 ACRES
06.00-11, -,o' "
o VACATION VILLAGE
? Irn?
224.93,
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I
? I
I Q
MAGENS BAY °,,
110, 552 SR. FT. ° _ J 53 a3
OR 2.54 ACRES
0 22
.? 35.g5
43.33'
379.36'
m
W
I
1 1
I 1
1 1
1 1
1 I
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1
1
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I I
I I
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1 1
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I
300 0 300 600 900
GRAPHIC SCALE - FEET
LAYERS: 62, 63, 70
R/W) ' 2844 SQ. Fr
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26.4
Office Use Only:
USAGE Action ID No.
(If any particular
I. Processing
Form Vtrsion May 2002
No.
is not applicable to this project, please tiger "Not Applicable" or 'N/A
1. Check all of the approval(s) requested for this pro'ect:
Section 404 Permit Riparian or Watershed Buffer Rules
Section 10 Permit Isolated Wetland Permit from DWQ
401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: tLW_32
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ?
S. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
IL Applicant Informad on
1.
Telephone Number.(? 1 X9 3-!' 1 ZJ Fax Number: -Aql-.R 12Y
E-mail Address: bjJ,%*, ,)g-r 4- 91
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
1 GROUP
Page 5 of 12 MAY ?) 6 Z003
MTEPQUALITYSECTION
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: ?ct?? ?i??. -?? 1?Ar,?- ??15? Vi1e?'?;e? ?•Ila?
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): w'N4=f d ?!' - IS374 1Z%79-6
4. Location
County: !C Pic Nearest Town:-- t. nJ ?
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.):
_?. ?.•s l?,arad
5. Site coordinates, if available (UTM or Lat/Long):
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres):
7. Nearest body of water (stream/river/sound/ocean/lake):?_!Res• jp?L??•+? -.?,Q„s$?
C
8. River Basin: (s?`.C? Qa{L , •,?
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the nroieet
Qi l
1_.
Page 6 of 12
Mwjggxv? z&W11--C3C L-,.
1 0. Describe the overall project in detail, includin$ the type of equipment to be used:
\t,
11. Explain the purpose of the proposed work:

IV.
V.
Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
d C
Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 7 of 12
1. Provide a written description of th roposed impacts: --a 16
T p??
2. Individually list wetland impacts below:
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no Distance to
Nearest Stream
linear feet
Type of Wetland***

;W 01- ?• l

"R e4,I uupact belmuiciy anu roenttry temporary impacts. impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http;//www.fcma.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property:_ .
Total area of wetland impact proposed: . 2,4
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
indicate on map)
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
leases i
r/-A

List cacn impact separatery ana taenury temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usus.eov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozonc.com,
www,malqj!gst.com etc.).
Cumulative impacts (linear distance in feet) to all streams on site:
?C
r?l
Page 8of12
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
Open Water Impact
Site Number

indicate on map)
Type of Impact*
Yl? Area of
Im
pact
acres
Name of Waterbody
(if applicable) Type of Waterbody

(lake, pond, estuary, sound,
bay, ocean, etc.

List eacn nnpact separamy and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. Pond Creation AlA
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands {stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr,state.nc.us/ncwet]ands/strmgide htrnl.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a senarate sheet if more enace is needed
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.cnr.state.ne.us/wrp/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):_
Amount of Non-riparian wetland mitigation requested (acres
Amount of Coastal wetland mitigation requested (acres):-
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes ? No [-?
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
X. Proposed Inpacts on Riparian and Watershed Buffers (required by DWQ)
/V/,4
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 213 .0233
(Neuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and
Water Suppl Buffer Requirements), or other (please identify )?
Yes] No ? If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet Multiplier Required
Mitigation
1 3
2 1.5
Total
Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 11 of 12
Lf buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within I SA NCAC 2B .0242 or.0260.
XI. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss storrnwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
$kd=V&ft--gA53t3L1N SAC" P"
P o +A?? y R?wvek.
?, r%A?"?
MI. age Dlspoaa l (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater enerated from the proposed project
, or available capacity of the ject facility. 1
eiML.-C, %I.I. Bxj? Kod %Mdb?
MIL Vkdndons (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No a
h this an after-the-fact permit application?
Yes ? No ?
XJV. Other Circumstances (Optional);
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Page 12 of 12
gen s signature is valid only if an authorization letter from the applicant is provided.)

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Action id.IMLMU
U.S. A LMV CORPS OF ENG
Wilmington DistrictEEAS
??' tlg
Notification of Jurisdictionai Deteriminatio
n
Prop" owner/AuthodM
Tekphone
Zone:
deleneatioa oTt oved a sandy manner. YOU Y wish our cdenti6cation and delineation
14 and, ? Onoe Your consultant leas ft"ed to employ s consultant to ou of your wetlands
Cow will ant rn?ke Wrongly nsootnrrlprb a wand line on the pr °btain a snote timely
X The t ?Jwisdio..) d you hove the line °Pertj'. CarpF stets will revie,v
Uak$I on Your lot ban been delineated. i?oa on Your propeM wr'thout aannBaP?F? 1 survey.
by t Corps. The
there is a ?+wge in. the and the limits of ?? he
not to etceend tip 111w or our published nigW ? MWictlon
There are ao > s Ban We daft: pl?t s neti&ati ations. this dowmination xplamed to you.
waduds Pft+eat on the eve ia. may be relied upon for a period elty
Simon 404 of
th
The is detertajnatjo c Clan Water Act (33 USC 1344 rop not what m* Subject the X projaot is 1 ?Y n' ?'? n fur a patio to a erne is a chum the yo n Ppubi nqui<etna f
o o
trr?ted in one of the 20 a W mmeed threeyesm AM dW date our Publi shed r+°8ultttins, COUW BCmeat to detarrpine their rsnuirerr ? Mies. You should Wnract of this notitlcation
UTM or LAT/LONQ
Quad
Size and Location rth' Bast:
Pf7*ao*o,y, ?r?ay ?ntcmber
town. ate.).
Indicate which of t le 6olThem are W"?lands on 94
aPPIY: --.
"OdMAd lines above Id bed property which
property must be verified by our stall" I d' C * n+lgest should be ed.
surve3o
Because of the size of your pro °? will ? luriadicteaaa d
o?
hermi The
cannot be aceacgpltshed In WY and our Pnsanr workload
Placement ofdtodg? or Of material in wetWWS on the neautst Stagy CSttia of Coastal
or h cases a violation OfSection 301 oft s property Perrr?t is in
'ay
without a DeP?tment
l?n$iaeers
re'ln ? entirely to exitsti er Act 3 USC 1321). ,41 ttit is no red for
"mil P?R'?+, Phase aontrtc ? Sraund. If You hat'c any questions requtfor work
P 8g At (910) 251-481 I , ?8ardttlg the Corps of
''o?Y owner/Autharized Agent Sigftture
Project Menage' Signature
Date --•---- r
'UP, VF? PLAT ?R
o
>EUMATION FORM' I H OF DESCRMED
ATTA qua S'
CMM TO TmFXE CO R p?TY AND ME 1 TL,gNU
? TIES FOR14

rngnway c4 at ats
nape
R r k?
4

Bogue Sound
, R/w)
24 000
N •C' ?? 22Q'B
18p' ? 81 p?p9' ?_
5p214
29,801 Sly. FT.
OR 0.68 ACRES
3?1 1
1?1 .P
O
?; VACATION VILLAGE
W ,O, U`
,rnl
O I
o i 224.93
1 ?
? I
3S9 11 ? ,
11 10.46 ACRES
1
? I
I Q
MA GEMS BAY Y,
110,552 Sq. FT. ° ? - 53 q3
OR 2.54 ACRES ',1 .? 93 p8
gp.22
? ? 35,g5
W
379.36'
1
300 0 300 600 900
FIT-1141 1111 ?F-
GRAPHIC SCALE - FEET
LAYERS- 62,63,70

/ 284 892 .8 SW. F t

IV/ TpR//?? wE
C /P
'Op N(j30.
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)p 2g. l
NOB 8
lP
tiUB29@
A4GL
NuB 28601
3 c
-01-
26.-34' 26.45,
?iz
office Use Only:
USACE Action ID No.
(If any petticular
I. Processing
_ DWQ No.
not applicable to this project, please enter "Not
Form Version May 2002
or "N/A".)
1. Check all of the approval(s) requested for this project:
Section 404 Permit Riparian or Watershed Buffer Rules
Suction 10 Permit Isolated Wetland Permit from DWQ
401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 1rl VL,??
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ?
5. If your project is located in any of North CarolIna's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
IL Applicant Information
1.
Telephone Number.(2SZ Fax Number.
E-mail Address: h??n3nl!'? -??a.??
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
Ismail Address:
WETLANDS/401 GROUP
Page 5 of 12
MAY o 6 ?on.3
144TERQUALITYSECTION
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
,. . i
1. Name ofproject: j?g??5?-•???--'?"?i? ?Ar??" ?y?E g4gfii?? x.11
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): ?PweEk -Jk_ S-3'74
4. Location
County: Q?. t Nearest Town: __ 1 n:>
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.):
??-.-???3?t 13
Z rnucl.?oG?_u1f:'S?' X8.2' ar-.
S. Site coordinates, if available (UTM or Lat/Long):
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres): 16. A+%-
7. Nearest body of water (stream/river/sound/ocean/lake): 4 L QLh ? &,,,n& +?. -&Y2"e4$E
8. River Basin: R. in,
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this ap2llication:_ ?4 t-?,c ? t v% ?O-- 1„r ) Lci[?p , Ql?, t
V 2wggrev? zcy,?aQ L.,

Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be
.%I.
11. Explain the purpose of the proposed work:

IV.
V.
Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
d C
Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
--- C')
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Page 7 of 12
1. Provide a written description of th roposed impacts: S=4, Vd)e_-k&S
Uri . 25 _ a.M VICE XIIAGZAD.
2. Individually list wetland impacts below:
Wetland Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
es/no Distance to
Nearest Stream
linear feet
Type of Wetland***

?. t

List each impact separately and identity temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at l?ttp://www. fc na.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: . Z.Z
Total area of wetland impact proposed: . Z.Z..
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
indicate on ma
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
leasespecify)
/A

nisi each impact separateiy ana identity temporary impacts. Impacts include, but are not limited to: culverts and associated rip-tap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-tap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usus.uov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mapguQst.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: .12
Page 8 of 12
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
Open Water Impact
Site Number

indicate on map)
Type of Impact* Area of
Impact

acres
Name ofWaterbody
(if applicable) Type of Waterbody

(lake, pond, estuary, sound,
bay, ocean, etc.

List each impact separately and identity temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. Pond Creation //A %
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands [stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
httT)://h2o.enr.state.nc.us/ncwetlands/sMuide.htmi.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed-
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.enr,state.nc.us/wrL)/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federaUstate) funds or the use of public
(federal/state) land?
Yes ? No
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes El No ?
X. Proposed in pacts on Riparian and Watershed Buffers (required by DWQ)
I VIA
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Suppl Buffer Requirements), or other (please identify )?
Yes I No E] If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet Multiplier Required
Mitigation
1 3
2 1.5
Total
Zone t extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 11 of 12
Lf buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
M. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
? o ?a r ?ovek
INS_
Nil. i"Wage%"al (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater enerated from the proposed project, or available city of the bject facility.
4-W 0 as I
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No a
Is this an after-the-fact permit application?
Yes ? No ?
MV. Other Circumstances (Optional);
It is the applicants responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control)-

0 wWI=Urc Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12

, r
42 X4* no
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it

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U.& ,4 RMV CoyeS 0,V ENGH
Wilmington District ERS
Acton Id. 2t1o
Cotm4y
Notirlcat'on of Jurisdictions! Determinetf
ors
prop" oaneNAutitodw
Zone:
Quad
indicate which ofthe foilowin
X Then; at wWands i may:
++'etlarad lines 'mug on U4 Sbuft described properly which we atron
properly, by our sot!!'t ti>e Corps Will
mala SuSM should be surn
use of die :i2q of your pro if" jurisdictional f'ed' The sur'myw
cAUUM IKn.Y and our determination oil your
delineltWA a?of the wPUslan in a timely .?Prem"t workioad. our identification da. it, and, if it is Onoe yn„r canrultant 1ws may wish to employ a caosant l?eatiou of your wetlands
corps ?xurate, wee Strongly n+?cot N6ed s wetland line on rl r obtain a snore
? timely
x 7`he rAs will am uoNte a goal " yuu have the line Pr CorpF staff
?y? an ytwr lot b urisdicponaJ dmtnatlon on surmw for IIaaJ a wit! review rovW Unless there is a chaps, in , delineated, and the limY6u its ropeny oq without as V%lmed survey, by tii??o?: The
not to 6temod rive tntte law or our Published r?ulatrort f ° lurisdicxlon hamThere Oro ao , We dear of tltia notificau" this de6arminatioA ma, be relbeen
ied u Pon to you.
Secdm 404 of the C Pmsent on the allow deaari Po> for a Period
this determinat?h lean Willer Act (33 USC 1344). (w P?'TY wh.
nmy be relied !as there is a am xubjM to the x Tht p%KrCt is located Upon for a period not to exceed tlrraechange is the 14W OrourParnPubli ,shed rr
red reS nenta of
is one of th
e 20 MBaneat to determine their ? Costal Counties. You Shout des of this notifl guttttions,
ratio
UTM or LAT/WNG; But-
Size and Loc W04
oPe+YY(vrateebody
' envy aladaumber town,
tact near= n.
Placement of dmd0d or 811 State Office of Coastal
most cases a violation of Slion ?? wetlarua on this
on the pro 3Q1 of the CJeao Water Act ?s without aPwtmettt of the
,Ity Engineers r??? entirely to existit:8 USC 1311), g Army PMrttt is in
Y Pro gram, Please NO S und. V you `,o any
Puma is not required for work
pf° Sul
contact M ?, T. Sugg 41t (910) 251.481asGiotts regarding the Corps of
??Y pwner/A,uthorIyad Agent Sigrntture
pl:vecl Meager Signature
Date _ --r-_ G
"VET PLAT oR.D Expiration Date SooS`
D Dmcen?t,? .,
ELINBATION FO'W NCH OF
MUST BE
ATTAR TOCVjB ED pPFRTY 77M AND
fill,B COPY og T?iIS FQgX?E
TAE 1?ETLgNb
a
r
A
n? x j t
Emerald Isle

Cape Carteret
z
Bogue Sound
q6.; PA, Bogue Sound

n,

V?)
o
24 ("o"
N •c' z2Q•
0
16 19,
°
54
29,801 SR. FT.
OR 0.66 ACRES
roo?j 'I I
1 O NP
O
VACATION VILLAGE
IU
, rn i
rn ,oi
224.93'
3S9 ? ? ,
110.48 ACRES
?N3
? Q
MA GEMS BAY
110,552 SR. FT. 533
OR 2.54 ACRES
22.
1 .% 35.95
M
ti
W
? m
-
143.33"
379.36'
1
300 0 300 600 900
1111 1
GRAPHIC SCALE - FEET
LAYERS: 62, 63, 70
R/W)
1284.4 SQ
Nl rpRING wE
_ C 1P
OP 30. C
C IP H?6 C? A4GL
)18, 28_3?
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IP Cn?
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Fr
892.8 So. Fr
'
I 4
?

DWQ# ?y,` d55- Triage On-Hold Letter 2.0 Staff Contact Date _
$$) Plan Detail Incomplete
? Please provide a location map for the project.
? Please show all stream impacts including all fill sloes, dissipators, and bank stabilization on the site plan.
? Please show all wetland impacts including fill slopes on the site plan.
? Please Indicate all buffer impacts on the site plan.
14 Please indicate proposed lot layout as overlays on the site plan.
? Please Indicate the location of the protected buffers as overlays on the site plan.
?. Please locate all isolated or non-isolated wetlands, streams and other waters of the State as overlays on the site plan.
? Please provide cross section details showing the provisions for aquatic life passage.
? Please locate any planned sewer lines on the site plan.
? Please provide the location of any proposed stormwater management practices as required by GC
? Please provide detail for the stormwater management practices as required by GC
L1gic- Please specify the percent of project Imperviousness area based on the estimated bullt-out conditions.
? Please indicate all stormwater outfalls on the site plan.
? Please indicate the diffuse flow provision measures on the site plan.
? Please Indicate whether or not the proposed Impacts already been conducted.
Avoidance and/or Minimization Not Provided
0 The on the plans does not appear to be necessary. Please eliminate the or provide additional Information as to why
It is necessary for this project
? This Office believes that the labeled on the plans as can be moved or reconfigured to avoid the Impacts to the Please
revise the plans to avoid the Impacts..
This Office be that the `lalaoi? on the plans +w can be moved or reconfigured to minimize the Impacts to the Please
revise the plans to minimize the Impacts
? The stormwater discharges at the location on the plans labeled will not provide diffuse flow. through the buffer because . Please
revise the plans and provide calculations to show that diffuse flow will be achieved through the entire buffer. If It is not possible to achieve, diffuse
flow through the entire buffer then, it may be necessary to provide stormwater management practices that remove nutrients before the stormwater
can be discharged through the buffer.
Other
? The application fee was insufficient because over 150 feet of stream and/or over 1 acre of wetland Impact was requested. Please provide $
This additional fee must be received before your application can be reviewed.
? Please complete Section(s) on the application.
D Please provide a signed copy of the application.
? Please provide copies of the application, copies of the site plans and other supporting Informati on.
Mitigation
? of compensatory mitigation is required for this project. Please provide a compensatory mitigation plan. The plan must conform
to the requirements in 15 A NCAC 2H .0500 and must be appropriate to the type of Impacts proposed.
? Please indicate which 404 Permit the USACE would use to authorize this project.
UNITED STATES POSTAL SERVICE

• Sender: Please print your name, address, and ZIP+4 in this box •
0-
NC DENR Division of Water Quality
Wetlands/401 Certification Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
Flrst-Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
A Complete items 1, 2, and 3. Also complete A. Signat E3 item 4 if Restricted Delivery is desired. Agent
III Print your name and address on the reverse X ? Addressf
so that we can return the card to you. eceived by (Printed'N C. e.o Delivei
¦ Attach this card to the back of the mailpiece, /,G
or on the front if space permits.
1. Article Addressed to:
Vacation Village Mobile Home Park
1204 Cedar Point Boulevard
Cedar Point NC 28584
D. Is delivery address different from item, 1? -? Yea
If YES, enter delivery addreT below: ? No
03-0553 - Carteret County, s. s ice7ype
?Ce 'f'ed M it ? M II
2. Article Number
(Transfer from service 1a -
rti i a Tess a
Registered Return pt for Merchandis
Insured Mail ? C O.D.
4: Restricted Delivery? (Extra Fee) ? Yes
.----
7002 3150 0004 9315 3322
orm 3811 , August 2001 Domestic Return Receipt 102595-02, 1