20031201 Ver 1_COMPLETE FILE_20030929

Mr. Wilkes Property
Subject: Mr. Wilkes Property
Date: Mon, 29 Sep 2003 15:31:51 -0400
From: Mike Horan <[e-mail]>
Organization: NC DENR DWQ
To: [e-mail]
please send application fee for NW 14 impacts ($200.00)
DWQ# 03-1201
1 of 1 9/29/2003 3:36 PM

Office Use Only:
USACE Action ID No.
DWQ Pig__ st-p
If any particular item is not applicable to this project, please enter "
leaving the space blank.
1. Processing
Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
608'20
' t Vcrsion April 2001
"N/A" rather than
2. Nationwide, Regional or General Permit Number(s) Requested: N%VP 14
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 (see section VIII - Mitigation), check here:
11. Applicant Information
4
1. Owner/Applicant Information
Name: Bucaneer Country Club, Mr. Wilkes
Mailing Address: 100 East Wilmington Street
Burgaw, NC
Telephone Number: Fax Number:
E-mail Address:
2. Agent 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: Jennifer Burbank
Company Affiliation: Mitchell & Associates, Inc.
Mailing Address: 3973 B Market Street
Wilmington, NC 28403
Telephone Number: 910.254.0602 Fax Number: 910.254.0603
E-mail Address: Jpburbank(a-) in itch ell--associates.oEg
D.,,.o t ,.f )A
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: Coastal Carolina Country Club -
2. T.I.P. Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):
4. Location
County: Pender Nearest Town: Burgaw
Subdivision name (include phase/lot number): Coastal Carolina Country Club Phase II
Directions to site (include road numbers, landmarks, etc.): US Hwy 117 north towards
Burgaw site located east of Hwy 117, west of I-40 south of East Wilmington Street
Extension Burgaw NC
5. Site coordinates, if available (UTM or Lat/L.ong): 18 233107E 3827128N
(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. Describe the existing land use or condition of the site at the time of this application:
Rural cleared adjacent to ©lf course
7. Property size (acres): 337.23 total project
8. Nearest body of water (stream/river/sound/ocean/lake): unknown tributary of Burgaw
9. River Basin: Cape Fear-
i
D-1 n4' I A:-`
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at httQ://h?o.enr.state.nc.us/admin/maps/.)
IV.
V.
Vl.
10. Describe the purpose of the proposed work: To build linear transportation crossings to
cross steam and wetland areas to enable development of subdivision by accessing upland
areas
11. List the type of equipment to be used to construct the project- Backhoes, dumptrucks
12. Describe the land use in the vicinity of this project: residential / golf course
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.
No previous permits have been obtained
Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application- no
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 wat=;,•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
..rll,
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.
1. Wetland Impacts
Wetland Impact
Site Number

indicate on ma)
T}pc of Impact* Area of
Impact

(acres) Located within
100-year Floodplain**

(yes/no) Distance to
Nearest Stream

inear feet)

T}pc of Wetland***
3 fill 261 no adjacent Floodplain, bottomland

' 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 tloodplain maps. Maps are available through the FEMA Map Service Center at 1-500-358-9616, or
online at hltn:Uwww,fem&Ro .
List a wetland type that best describes wetland to be impacted (e.g., fresh%ater/saltwater marsh, forested % e tland, beaver pond,
Carolina Ray, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 3 acres approximately
Total area of wetland impact proposed: .261
2. Stream Impacts, including all intermittent and perennial streams
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?
lease specify)
1 pipe 72 UT Burgaw Creek 20 feet/20 feet perennial
2 pipe 60 Ditch, connecting to 12 feet/ 12 feet intermittent

' 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 strum 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 topogrsplik maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flow., USGS-maps are available through the USGS at 1-800-358-9616, or online at
wwwuses.Qov. Several interact sites also allow direct download ano printing of USGS maps (e.g., w-rtiv.topMne.com,
www.mapqucst.com, etc.).
-'?
D- A ..o ]A
Cumulative impacts (linear distance in feet) to all streams on site: 132
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S. N/A
Open Water Impact
Site Number
indicate on ma)
Type of Impact* Area of
Impact
(acres) Name of Waterbody
(if applicable) Type of Waterbody
pake, pond, estuan•, sound
bay, ocean, etc.

t,ist eacn impact separately and identity temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation N/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.):
N
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.
All efforts were undertaken to impact the least amount of wetlands/ streams on project site
Previous desired project plans had more impacts (see map) so roadway was moved to provide
less impacts The present plan minimizes impacts to the least possible while still allowing for
development to be feasible and financially possible
' ? J
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,
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/ncwetlands/stnnizide.html.
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) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at httpl/h2o.enr.state.nc.us/wrgrindex.hun. 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): 132
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres): .261
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
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 Impacts on Riparian and Watershed Buffers (DWQ Only)
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. -
i
D- 7 ..r to ....
Will the project impact protected ripariap buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply 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
(Kuare feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
zone i emenas out w feet perpenawwar trom near bank of channel; Lone 2 extends an
additional 20 feet from the edge of Zone 1.

XI.
MI.
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.
Stormwater (DWQ Only)
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.
N/A
Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
Sewer to be connected to the town of Bumaw sanitary sewer system

Ali

D....a9..Ptn

XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
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).

Applicaf?t/Agent's S?
(Agee . signature is
Q'
1
Date
id only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Inedell Mitchell Union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
151 Patton Avenue Buncombe Cleveland Lincoln Rogan Yancey
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell SN ain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin
6508 Falls of the Neusc Road _
Ashe Franklin Nash Surn-
Suite 120 %Cgswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilf9rd Person' Warren

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Mitchell k c: tAsso".Ciates, Inc.
E N V I R 0 N 14 ENTAL,.,?COI;i"? U L T A N T S
3973 B Market Street 0 ' mini ton `N.G 'i8403 0 9'L z 4.o6oz 0 Fax: 9to.z?4.o603
dsyster( )mi'14?ej1-associates.org
TO WHOM IT MAY CONCERN:
'j hereby grant
Mitchell & Associates, Inc. to represent me in any and all
proceedings regarding Federal and State Regulatory matters,
located in the county of city of ?y26 4-?
and state of /JC)/-?7-/
)?i: \'? --- L7 ado z_
Land Owner Date

J
Mitchell 446 Associates, Inc.
ENVIRONMENT4 - CONSULTANTS Sg, 111,
3973 Market Street Building D Suite B Wilmington, N.C. 28403 910.254.0602 Fax: [phone]
mitchell@mitchel"ssociates.org
September 23, 2003
Lillette Grenade
Regulatory Officer
US ACOE
Post Office Box 1890
Wilmington, NC 28402-1890
Dear Mrs. Grenade:
GOP,
SEP ?0r}3
ATERQUALITYSECT
I®IV
This letter is in reference to Mr. Wilkes' property located between Hwy 117 and Interstate 40,
south of Coastal Carolina Country Club, Burgaw, Pender County, North Carolina. Mitchell &
Associates, on behalf of Mr. Wilkes, would like to submit a NWP 14 application for the purpose
of developing a subdivision. W. Wilkes has looked at other alternatives to development,
however this is the only feasible alternative. Other alternatives were not practical, financially
feasible, or involved even greater wetland impacts. All work cdhlducted will be kept in strict
conformance of federal, state, and. local regulations. _Please feel fee to give our office a call if you
have any questions or require additional information.
Sincerely,
Je fer Burba
Biologist

cc: John Dorney, DWQ
Office Use Only:
USACE Action ID No.
DWO N
If any particular item is not applicable to this project, please enter "Not
leaving the space blank.
1. Processing
Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit J)312 U
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
"N/A" rather than
2. Nationwide, Regional or General Permit Number(s) Requested: MVP 14
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 (see section VIII - Mitigation), check here:
II. Applicant Information
Owner/Applicant Information
Name: Bucaneer Country Club, Mr. Wilkes
Mailing Address: 100 East Wilmington Street
Buraaw NC
Telephone Number:
E-mail Address:
Fax Number-.
2. Agent 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: Jennifer Burbank
Company Affiliation: Mitchell & Associates, Inc.
Mailing Address.- 3973 B Market Street
Wilmington, NC 28403
Telephone Number: 910.254.0602 Fax Number: 910.254.0603
E-mail Address: Jpburbanknmitch ell-associates.org
t
A?i Version April 2001
?S' x ?dp
111. 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.
2
1. Name of project: Coastal Carolina Country Club
T.I.P. Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):
Location
County: Pender Nearest Town: Burgaw
Subdivision name (include phase/lot number): Coastal Carolina Country Club Phase 11
Direct ons to site (include road numbers, landmarks, etc.): US Hwy 117 north towards
Burgaw, site located east of Hwy 117, west of I-40 south of East Wilmington Street
aw NC
Extension Burp
5. Site coordinates, if available (UTM or Lat/Long): 18 233107E 3827128N
(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. Describe the existing land use or condition of the site at the time of this application:
Rural cleared adjacent to golf course
7. Property size (acres): 337.23 total project
8. Nearest body of water (stream/river/sound/ocean/lake): unknown tributary of Burgaw
Creek
9. River Basin: Cape Fear"
- - 1
Deno 7 r.f 1 ? 1
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http:LAgo.enr.state.nc.us/admin/maps/.)
10. Describe the purpose of the proposed work: To build linear transportation crossings to
cross steam and wetland areas to enable development of subdivision by accessing upland
areas
11. List the type of equipment to be used to construct the project: Backhoes, dumptrucks
12. Describe the land use in the vicinity of this project: residential / golf course
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.
No previous permits have been obtained
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application: no
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.
1. Wetland Impacts
Wetland Impact
Site Number
indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
inear fees
Type of Wetland***
3 fill .261 no adjacent Floodplain, bottontland

• 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 1-500-358-9616, or
online at httpJ/www.fema.g_ov.
List a wetland type that bet describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested Nvedand, beaver pond,
Carolina Ray, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 3 acres approximately
Total area of wetland impact proposed: .261
2. Stream Impacts, including all intermittent and perennial streams
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)
1 pipe 72 UT Burgaw• Creek 20 feet/20 feet perennial
2 pipe 60 Ditch, connecting to 12 feet/ 12 feet intermittent

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 liner 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 flowvs. USGS-traps are available through the USGS at 1-500-358-9616, or online at
www.usgs.gov. Several internet site also allow direct download anO printing of USGS maps (e-g-, www.toP=ne.com,
www.maRquest.com, etc.). ?I,
Do - A ^r In
Cumulative impacts (linear distance in feet) to all streams on site: 132 feet
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S. N/A
Open Water Impact
Site Number
indicate on ma)
Type of Impact* Area of
Impact
(ate)
Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bar oceanetc.

List eacn impact separateiy ana raentrly temporary Impacts impacts include, but are not llrruted to: fill, etca%mbon, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation N/A
If construction of a pond is proposed, associated wetland and stream impacts should be
included above iri 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.):
11
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.
All efforts were undertaken to impact the least amount of wetlands/ streams on project site
Previous desired project plans had more impacts (see map) so roadway was moved to provide
less impacts. The present plan minimizes impacts to the least possible while still allowing for
development to be feasible and financially possible
Dnnn G nP 1!1
J
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.
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/ncwetlands/stn-nizide.htm].
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.
...1(
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wrg!uidex.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): 132
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres): .261
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes s? 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 Impacts on Riparian and Watershed Buffers (DWQ Only)
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
applicdnt's discretion. -
_r In
Will the project impact protected ripariap buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply 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* Impaft
(square Multiplier Required
1 3
2 1.5
Total
Lone 1 extends out Su feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
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 (DWQ Only)
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.
N/A
XI1. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
Sewer to be connected to the town of Burgaw sanitary sewer system

XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
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).
N

j Q rf 1 rr l .l-
Applicapt/Agent's S?
(Agents signature is
47L4-0
1
ature Date
lid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union
US Army Corps of Engineers Averv Clay Jackson Polk Watauga
151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancev
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Caba rus Graham Madison Stanlev
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulaton• Field Office Alamance Durham Johnston Rockingham Wilson
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin
6508 Falls of the Neuse Road _
Ashe Franklin Nash Sum-
Suite 120 %Coswell Forsyth Northampton Vance
Raleigh, NC 27615 - Chatham Granville ' Orange Wake
Telephone: [phone] Davidson Guilfprd Person: Warren

D- 0 -f In ?-
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'ALS.
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Mitchell aril A ys_bc ia tes Inc.
ENVIRONMENTAL CN', S
U L T A N T S
?
3973 B Market Street mingc i N.C. ?8403 0 9to q.o6oz 0 Fax: [phone]
dsvsterCo)mit hejl-associatesI 9?
TO WHOM IT MAY CONCERN:
I) Li Lk , hereby grant
Mitchell & Associates, Inc. to represent me in any and all
proceedings regarding Federal and State Regulatory matters,
.4
located in the county of , city of By2G'+"_? ,
and state of /Jg -7-?l
Land Owner Date

Office Use Only:
USACE Action ID No.

DWQ
If any particular item is not applicable to this project, please enter
leaving the space blank.
1.
H.
Processing
Check all of the approval(s) requested for this pr
® Section 404 Permit
? Section 10 Permit
Z 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
114,
Fonn Vmion April 2001
9
icab&o? pr "N/A" rather than

2. Nationwide, Regional or General Permit Number(s) Requested: N`VP 14
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 (see section VIII - Mitigation), check here:
Applicant Information
1. Owner/Applicant Information
Name: Bucaneer Country Club, Mr. Wilkes
Mailing Address: 100 East Wilmington Street
Buraaw_ NC
Telephone Number: Fax Number:
E-mail Address:
2. Agent 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: Jennifer Burbank
Company Affiliation:_ Mitchell & Associates. Inc.
Mailing Address: 3973 B Market Street
Wilmington, NC 28403
Telephone Number: 910.254.0602 Fax Number: 910.254.0603
E-mail Address: Jpburbankna,mitch ell-associates.org
i
Al
1
111. 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: Coastal Carolina Country Club
2. T.I.P. Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):
4. Location
County: Pender Nearest Town: Burgaw
Subdivision name (include phase/lot number): Coastal Carolina Country Club Phase 11
Directions to site (include road numbers, landmarks, etc.): US Hw?1 17 north towards
Burgaw, site located east of Hwy 117, west of I40 south of East Wilmington Street
Extension Burgaw NC
5. Site coordinates, if available (UTM or Lat/Long): 18 233107E 3827128N
(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. Describe the existing land use or condition of the site at the time of this application:
Rural cleared adjacent to wolf course
7. Property size (acres): 337.23 total project
8. Nearest body of water (stream/river/sound/ocean/lake): unknown tributary of Burgaw
Creek
9. River"Basin: Cape
Fear- 7 ..C l n^?
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http:LA
10. Describe the purpose of the proposed work: To build linear transportation crossings to
cross steam and wetland areas to enable development of subdivision by accessing upland
areas
11. List the type of equipment to be used to construct the project: Backhoes, dumptrucks
12. Describe the land use in the vicinity of this project: residential / golf course
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.
No previous permits have been obtained
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application: no
Vl. 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 wateris-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
i
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.
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on ma) _
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no Distance to
Nearest Stream
(linear feet
Type of Wetland**•
3 fill .261 no adjacent Floodplain, bottomland

' 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 Fl?MA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at hupJ/www.femagov.
list a wetland type that best describes wetland to be impacted (e.g., freshwater/salt-water marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 3 acres approximately
Total area of wetland impact proposed: .261
2. Stream Impacts, including all intermittent and perennial streams
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)
1 pipe 72 UT Burgaw Creek 20 feet/20 feet perennial
2 pipe 60 Ditch, connecting to 12 feet/ 12 feet intermittent

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),
stabilisation activities (cement wall, rip-rap, crib wa.11, gabions, etc.), excavation, ditching/straightening, etc. If strum relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be include
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 w-ttich it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.uszs.Qov. Several intemet sites also allow direct download ano printing of USGS maps (e.g., wwtiv.toV=ne.com,
www.mapouest.com, etc.).
r n
Cumulative impacts (linear distance in feet) to all streams on site: 132 feet
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S. N/A
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.

Last eacn Impact separatery ana Wennty tempo lalr unpacts. Impacts include, but are not luruted to: till, crcavatton, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation N/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.):
1,
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.
Al l efforts were undertaken to impact the least amount of wetlands/ streams on project site
Previous desired project plans had more impacts see map) so roadway was moved to provide
less impacts The present plan minimizes impacts to the least possible while still allowing for
development to be feasible and financially possible

f ,,
Vill. 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.
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
httl2://h2o.enr.state.nc.us/newetlands/s=izide.htn-d.
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.

D., rto 4 ,.F I A

2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program^(NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at html/h2o.enr.state.nc.us/nTprindex.him. 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): 132
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres): .261
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes 'D 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 Impacts on Riparian and Watershed Buffers (DWQ Only)
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. ;
D- 9 ..r I n ?? .?
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 Supply 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* Impacfeet) t
(square Multiplier Required
1 3
2 1.5
Total
none i extenas out .su ieet perpenaicutar from near bank of channel; Lone 2 extends an
additional 20 feet from the edge of Zone 1.
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 213 .0242 or.0260.
XI. Stormwater (DWQ Only)
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.
N/A
XII. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
Sewer to be connected to the town of Burgaw sanitary sewer system

'- .r
D.,..o 9 ^r in
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
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).

mil'
Applica'pt/Agent's is nature Date
(Agent' ! signature is??alid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage

Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell
US Army Corps of Engineers Avery Clay Jackson Polk
151 Patton Avenue Buncombe Cleveland Lincoln Ro%van
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office
US Army Corps Of Engineers
6508 Falls of the Neuse Road
Suite 120
Raleigh, NC 27615 _. -
Telephone: [phone]
"I;
Union
Watauga
Yancey
Alamance Durham Johnston Rockingham Wilson
Alleghany_ Edgecombe Lee Stokes Yadkin
Ashe Franklin Nash Sum
tCOSWell Forsyth Northampton Vance
Chatham Granville Orangc Wake
Davidson Guilfgrd Person= Warren

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Mitchell A" "4'? A o fates, Inc.
ENVIRONEN`T;AL, OIN`ULTANTS
3973 B Market Street V mington,v.C ?8403 gto z 4.0602 Fax: 9to.z?.o6o3
dsoyster@mitog elf-associates.o. rg
TO WHOM IT MAY CONCERN:
I) (;;0'C'0A rJ -L)"y t? G.] l kk- S , hereby grant
Mitchell & Associates, Inc. to represent me in any and all
proceedings regarding Federal and State Regulatory matters,
located in the county of 9
??nEY- ,city of
and state of
n-) C)?-,o -
Z-Land Owner Date

Office Use Only:
USACE Action ID No.
DW
If any particular item is not applicable to this project, please enter "N
leaving the space blank.
1. Processing
Check all of the approval(s) requested for this project:
N Section 404 Permit
? Section 10 Permit
N 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
'`ZForm Version April 2001
J?'-o _
le`r` or "N/A" rather than
2. Nationwide, Regional or General Permit Number(s) Requested: MVP 14
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 (see section VIII - Mitigation), check here: N
11. Applicant Information
1. Owner/Applicant Information
Name: Bucaneer Country Club. Mr. Wilkes
Mailing Address: 100 East Wilmington Street
Burgaw NC
Telephone Number: Fax Number:
E-mail Address:
2. Agent 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: Jennifer Burbank
Company Affiliation: Mitchell & Associates, Inc.
Mailing Address: 3973 B Market Street
Wilmington, NC 28403
Telephone Number: 910.254.0602 Fax Number: 910.254.0603
E-mail Address: Jpb6rbank( irD,mitch ell-associates.0rg
t.
.r61
D- I -f )A
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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: Coastal Carolina Country Club
2. T.I.P. Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):
4. Location
County: Pender Nearest Town: Burgaw
Subdivision name (include phase/lot number): Coastal Carolina Country Club Phase 11
Directions to site (include road numbers, landmarks, etc.): US Hwy1 17 north towards
Burgaw, site located east of Hwy 117, west of 1-40 south of East Wilmineton Street
Extension Burgaw NC
5. Site coordinates, if available (UTM or Lat/Long): 18 233107E 3827128N
(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. Describe the existing land use or condition of the site at the time of this application:
Rural cleared adjacent to golf course
7. Property size (acres): 337.23 total project -
8. Nearest body of water (stream/river/sound/ocean/lake): unknown tributary of Burgaw
Creek
9. River'Basin: Cape Fear.
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://It?o.ear.state.nc.us/admin/maps/.)
10. Describe the purpose of the proposed work: To build linear transportation crossings to
cross steam and wetland areas to enable development of subdivision by accessing upland
areas
11. List the type of equipment to be used to construct the project: Backhoes, dumptrucks
12. Describe the land use in the vicinity of this project: residential / golf course
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.
No previous permits have been obtained.
N
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application: no
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;vand all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
i
_dh
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.
1. Wetland Impacts
Wetland Impact
Site Number
indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
inear feet
Type of Wetland***
3 ` fill .261 no adjacent Floodplaim bottontland

• List each impact separately and identity temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, till,
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 (FEW) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEW Map Service Center at 1-500-358-9616, or
online at httpJAvww.fema.gov.
List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, tx)g, etc.)
List the total acreage (estimated) of existing wetlands on the property: 3 acres approximately
Total area of wetland impact proposed: .261
2. Stream Impacts, including all intermittent and perennial streams
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)
1 pipe 72 UT Btrrgaw Creek 20 feet/20 feet perennial
2 pipe 60 Ditch, connecting to 12 feet/ 12 feet intermittent

" 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.),.axcavation, ditching/straightening, etc. If steam 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 xvltich it flow: USGS S-maps are available through the USGS at 1-800-358-9616, or online at
www.uses.stov., Several internet sites also allow direct download ano printing of USGS maps (e.g., wtirtiv.topoztone.com,
www.mapouest.com, etc.). }?,
Cumulative impacts (linear distance in feet) to all streams on site: 132 feet
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S. N/A
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Name Waterbodv
(if applicable) Type of Watcrbody
(lake, pond, estuary, sound,
bav oceanetc.

i.isi eacn impact separatery ana iaenmy temporary impacts. impacts Include, but are not ltrruted to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation N/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.
Al I efforts were undertaken to impact the least amount of wetlands/ streams on project site
Previous desired project plans had more impacts see map) so roadway was moved to provide
less impacts. The present plan minimizes impacts to the least possible while still allowing for
development to be feasible and financially possible

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.
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
htip://h2o.enr.state.nc.us/ncwetlands/strmgide.htrn].
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.
t
D- A „f to
Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at httv://h2o.enr.state.nc.ustgn)flndex.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): 132
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres): .261
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federaUstate/local)
land?
Yes '0 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 Impacts on Riparian and Watershed Buffers (DWQ Only)
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.
D- -7 -f In
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply 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
1 3
2 1.5
Total
,--one i exaenas out ju teet perpenatctuar from gear bank of channel; Lone 2 extends an
additional 20 feet from the edge of Zone 1.
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.
k
XI. Stormwater (DWQ Only)
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.
N/A
XII. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
Sewer to be connected to the town of Burgaw sanitary sewer system
i

XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
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).
N
Applica0t/Agent's S?
(AgenV? signature is
` -7q-
.ture Date
id only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union
US Army Corps of Engineers Averv Clay Jackson Polk Watauga
151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancev
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin
6508 Falls of the Neuse Road _
Ashe Franklin Nash Surrv
Suite 120 tCs«ell Forsyth Northampton Vance
Raleigh, NC 27615 - C-hatham - Granville Orange Wake
Telephone: [phone] Davidson Guilfgrd ? Person
' Warren i
_

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Mitchell a P4, Assql rates Inc.
ENVIR0NME NTAL ON,ULTANTS
397; B Market Street 0 Wilmington ,,T C zS4o; 0 gxo.zF4-o6o2 0 Fax: gxo.254.o60;
dsyster@mit c?e?1-associate$,org
TO WHOM IT MAY CONCERN:
I , (;? o?',?v1A .)"y (.,5;- W / Lk , hereby grant
Mitchell & Associates, Inc. to represent me in any and all
proceedings regarding Federal and State Regulatory matters,
located in the county of city of
and state of /JGI-7-?1 C'-4?•??.
n7C)ZC) -
z-Land Owner Date

Form Version April 2001
Office Use Only:
5.1 zu
USACE Action ID No. DW 2 Q
y o'?,yp `vU
.7
If any particular item is not applicable to this project, please enter" tble" or "N/A" rather than
leaving the space blank. 1. Processing

Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: N%VP 14
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 (see section VIII - Mitigation), check here:
II. Applicant Information
1. Owner/Applicant Information
Name: Bucaneer Country Club. Mr. Wilkes
Mailing Address: 100 East Wilmington Street
Burgaw NC
Telephone Number: Fax Number:
E-mail Address:
2. Agent 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: Jennifer Burbank
Company Affiliation: Mitchell & Associates, Inc.
Mailing Address: 3973 B Market Street
Wilmington, NC 28403
Telephone Number: 910.254.0602 Fax Number: 910.254.0603
E-mail Address: Jpb6rbank(i?mitch ell-associates.org
n.,,,o I of IA
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: Coastal Carolina Country Club
2. T.I.P. Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):
4. Location
County: Pender Nearest Town: Burgaw
Subdivision name (include phase/lot number): Coastal Carolina Country Club Phase II
Directions to site (include road numbers, landmarks, etc.): US HMI 17 north towards
aw site located east of Hwy 117, west of I-40 south of East Wilmington Street
Bury
Extension Burgaw NC
5. Site coordinates, if available (UTM or Lat/Long): 18 233107E 3827128N
(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. Describe the existing land use or condition of the site at the time of this application-
Rural, cleared adjacent to golf course
7. Property size (acres): 337 23 total project
8. Nearest body of water (stream/river/sound/ocean/lake): unknown tributary of Burgaw
Creek
9. River Basin: Cape Fear-
i
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h?4o.enr.state.nc.us/admin/maps/.)
10. Describe the purpose of the proposed work: To build linear transportation crossings to
cross steam and wetland areas to enable development of subdivision by accessing upland
areas
11. List the type of equipment to be used to construct the project: Backhoes, dumptrucks
12. Describe the land use in the vicinity of this project: residential / golf course
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.
No previous permits have been obtained.
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application: no
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
i
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.
1. Wetland Impacts
Wetland Impact
Site Number
indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet
Type of Wctland***
3 fill .261 no adjacent Floodplain. bottontland

• list each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanize 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 (FEW) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local tloodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at hupJ/www.fema.gov.
List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh.., forested wedand, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 3 acres approximately
Total area of wetland impact proposed: .261
2. Stream Impacts, including all intermittent and perennial streams
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)
I pipe 72 UT Burgaw Creek 20 feet/20 feet perennial
2 pipe 60 Ditch, connecting to 12 feet/ 12 feet intermittent

" 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 losstgain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), -excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the liner footprint for both the original and relocated streams must be included
Strum 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.usu.Rov. Several internet situ also allow direct download ano printing of USGS maps (e-g-, wNv%v.topozpne.com,
www.nia2guest.com, etc.). .?1!%
Cumulative impacts (linear distance in feet) to all streams on site: 132 feet
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S. N/A
Open Water Impact
Site Number
indicate on ma)
Type of Impact* Area of
Impact
acres
(if Name applicable) Wate) Type of Waterbody
(lake, pond. estuary, sound,
bay, ocean, etc.

fast cacn impact separmety ana taennty temporary impacts. impacts include, but are not ltrtuted to: till, excavation, dredgutg,
flooding, drainage, bulkheads, etc.
4. Pond Creation N/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.
All efforts were undertaken to impact the least amount of wetlands/ streams on project site
Previous desired project plans had more impacts see map) so roadway was moved to provide
less impacts The present plan minimizes impacts to the least possible while still allowing, for
development to be feasible and financially possible
D1-_ ^CIA
J
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.
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/newetlands/strmizide.html.
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 (acreagellinear 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.
t.
' J
D., ..o?..F In
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http-l/h2o.enr.statc.nc.us/nTp/'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): 132
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres): .261
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes 'D 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 Impacts on Riparian and Watershed Buffers (DWQ Only)
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.
D- 7 ^r In
Will the project impact protected riparia,p buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply 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 1.5
Total
/.one i extenas out su reel perpenarcufar from near banK of ctrannel; Lone 2 eMends an
additional 20 feet from the edge of Zone 1.
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.

X1. Stormwater (DWQ Only)
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.
X11. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
Sewer to be connected to the town of Burgaw sanitary sewer system
X11- -
n-...o e s t n =? ,

X1I1. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
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).
11
Applicapt/Agent's S
(Agents signature is
q- 7L4 -
Lture Date
id only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
151 Patton Avenue Buncombe Cleveland Lincoln RoNvan Yanccv
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Ha}-mood McDowell S%yain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office
US Army Corps Of Engineers
6508 Falls of the Neuse Road
Suite 120
Raleigh, NC 27615 -
Telephone: [phone]

Alamance Durham Johnston Rockingham Wilson
Alleghany_ Edgecombe Lee Stokes Yadkin
Ashe Franklin Nash Surn-
tCamyell Forsyth Northampton Vance
Chatham Granville Orange Wake
Davidson Guilford i Person= Warren
..rlf
D , ,o 0 ,.F In 1

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APPLICABLE REQUIREMENTS V 118 114 •..
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Mitchell aria:.A s, o. fates Inc.
ENVIRON EN' ,, L„;CON`SULTANTS
3973 B Market Street 0 Wilmin? wn„N,G 0403 0 910.254.o6o2 0 Fax: [phone]
drrsterQa mitchell-associates.org
TO WHOM IT MAY CONCERN:
I , ?oemA L??y6-'- ?J L?? , hereby grant
Mitchell & Associates, Inc. to represent me in any and all
proceedings regarding Federal and State Regulatory matters,
11
located in the county of city of ??2G and state of / JGp

L<?- 0-2 C) Z--- -
L-Land Owner Date

1
1
J

Office Use Only:
USACE Action ID No.

DWQ No.
Form Vmion April 2001
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 14
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 (see section VIII - Mitigation), check here:
11. Applicant Information
F
1. Owner/Applicant Information
Name: Bucaneer Country Club, Mr. Wilkes
Mailing Address: 100 East Wilmington Street
Telephone Number: Fax Number:
E-mail Address:
2. Agent 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: Jennifer Burbank
Company Affiliation: Mitchell & Associates Inc
Mailing Address: 3973 B Market Street
Wilmington, NC 28403
Telephone Number: 910.254.0602 Fax Number: 910.254.0603
E-mail Address: JpburbanWaa nitchell=associates.oM
D.,..o 1 of I n ..«---
111. 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: Coastal Carolina Country Club
2. T.I.P. Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):
4. Location
County: Pender Nearest Town: Burgaw
Subdivision name (include phase/lot number): Coastal Carolina Country Club Phase II
Direct ons to site (include road numbers, landmarks, etc.): US Hwx1 17 north towards
aw site located east of Hwy 117, west of 140 south of East Wilmington Street
Burp
Extension Burgaw NC
5. Site coordinates, if available (UTM or Lat/L.ong): 18 233107E 3827128N
(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. Describe the existing land use or condition of the site at the time of this application:
Rural cleared adjacent to golf course
7, Property size (acres): 337 23 total project
8. Nearest body of water (stream/river/sound/ocean/lake): unknown tributary of Burgaw
Creek
9. River Basin: Cape Fear=
i
..d1
D-'1 nF IA—
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http:LNo.enr.state.nc.us/admin/maps/.)
10. Describe the purpose of the proposed work: To build linear transportation crossings to
cross steam and wetland areas to enable development of subdivision by accessing upland
areas
11. List the type of equipment to be used to construct the project: Backhoes, dumptrucks
12. Describe the land use in the vicinity of this project: residential / golf course
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.
No previous permits have been obtained.
.1,
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application: no
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 watess;,-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
4i
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.
1. Wetland Impacts
Wetland Impact
Site Number
indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
3 fill .261 no adjacent Floodplain. bottontland

' 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 httpJ/www.fema.uov.
•?' List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Ray, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 3 acres approximately
Total area of wetland impact proposed: .261
2. Stream Impacts, including all intermittent and perennial streams
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?
leases if%
1 pipe 72 UT Burgaw Cheek 20 feet/20 feet perennial
2 pipe 60 Ditch, connecting to 12 feet/ 12 feet intermittent

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 strums must be included
Strum 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.uses.jzov. Several internet sites also allow direct download ano printing of USGS maps (e.g., wtitiw.topMne.com,
www.mamuest.com, etc.). }l;
D- 4 nF IA

Cumulative impacts (linear distance in feet) to all streams on site: 132 feet
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S. N/A
Open Water Impact
Site Number

indicate on ma)
T} of Impact* Area of
Impact

(acres)

Name of Waterbod}
(if applicable) Type of Waterbody

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

Last eacn impact se-paraieiy ana iaentity temporm?' unpacts. Impacts include, but are not Itmited to: fill, cxcavatxon, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation N/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.):
F
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.
Al l efforts were undertaken to impact the least amount of wetlands/ streams on project site
Previous desired project plans had more impacts (see map) so roadway was moved to provide
less impacts. The present plan minimizes impacts to the least possible while still allowing for
development to be feasible and financially possible
i
h
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.
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/ncwetlands/strmizide.html.
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 (acreageAinear 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.

Ali
D- 4 ..Q I A '?C
Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program,(NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.gL/t% /fndex.hun. 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): 132
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):
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes 'D 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 Impacts on Riparian and Watershed Buffers (DWQ Only)
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.
4?1.w
" D..no 7 .,f 1!1
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 213 .0250 (Randleman Rules and
Water Supply 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 1.5
Total
-One 1 evens out sv feet perpenaicular from near bank of channel; Lone 2 extends an
additional 20 feet from the edge of Zone 1.
XI.
XII.
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.
N
Stormwater (DWQ Only)
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.
N/A
Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
Sewer to be connected to the town of Burliaw sanitary sewer system

o.,,.o Q ..t t n
1
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
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).

Q
0
Appiicapt/Agent's ature Date
(Agents signature is alid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage

Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell
US Army Corps of Engineers Averv Clav Jackson Polk
151 Patton Avenue Buncombe Cleveland Lincoln Rowan
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Caba rus Graham Madison Stanley
Telephone: [phone] Caldv,-ell Havwood McDo,.vell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes
6508 Falls of the Neuse Road Ashe Franklin Nash Sum-
Suite 120 iCgs-well Forsyth Northampton Vance
Raleigh, NC 27615 -- Chatham - Granville Orange Wake
Telephone: [phone] Davidson Guilford Person' Warren
..Ili

D- 0 _r In
Union
Watauga
Yancey
Wilson
Yadkin
1
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Mitchell an As ? ociates Inc.
ENVIRON ENT4L 0 ULTANTS
3973 B Market Street 0 mington`,4 ,L8403 92o.zf4.0602 Fax: [phone]
tystergmit- I -associates.org
TO WHOM IT MAY CONCERN:
hereby grant
Mitchell & Associates, Inc. to represent me in any and all
proceedings regarding Federal and State Regulatory matters,
N
located in the county of , city of ,
and state of 1-jcl-7-?l
L? ?L "- 0-2 aZ?- -0 -
L-Land Owner Date

4
ersion April 2001
Office Use Only: ®3 stp
;? s ZUl) j
USACE Action ID No. DWQ
If any particular item is not applicable to this project, please enter "Not Appl
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
A" rather than
2. Nationwide, Regional or General Permit Number(s) Requested: N'%VP 14
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 (see section VIII - Mitigation), check here:
II. Applicant Information
1. Owner/Applicant Information
Name: Bucaneer Country Club, Mr. Wilkes
Mailing Address: 100 East Wilmington Street
Burgaw, NC
Telephone Number:
E-mail Address:
Fax Number:
2. Agent 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: Jennifer Burbank
Company Affiliation:Mitchell & Associates, Inc.
Mailing Address: 3973 B Market Street
Wilmington, NC 28403
Telephone Number: 910.254.0602 Fax Number: 910.254.0603
E-mail Address: JpburbanWaa mitchell-associates.org
D.,.,o 1 of In
'
111. 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: Coastal Carolina Country Club
2. T.I.P. Project Number (NCDOT Only)-
3. Property Identification Number (Tax PIN):
4. Location
County: Pender Nearest Town: Bur¢aw
Subdivision name (include phase/lot number): Coastal Carolina Country Club. Phase II
Directions to site (include road numbers, landmarks, etc.): US Hwy117 north towards
Burgaw, site located east of Hwy 117, west of I-40 south of East Wilmington Street
Extension Burgaw NC
5. Site coordinates, if available (UTM or Lat/Long): 18 233107E 3827128N
(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. Describe the existing land use or condition of the site at the time of this application:
Rural cleared adjacent to golf course
7. Property size (acres): 337.23 total project -
Nearest body of water (stream/river/sound/ocean/lake): unknown tributary of Burgaw
Creek
9, River Basin: Cape Fear
i
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http:=o.enr.state.nc.us/adminJmaps/.)
10. Describe the purpose of the proposed work: To build linear transportation crossings to
cross steam and wetland areas to enable development of subdivision by accessing upland
areas
11. List the type of equipment to be used to construct the project: Backhoes, dumptrucks
12. Describe the land use in the vicinity of this project: residential / golf course
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.
No previous permits have been obtained.
N
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application: no
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
i
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.
1. Wetland Impacts
Wetland Impact
Site Number
indicate on ma)
Type of Impact* Area of
Impact
(acres) Located Mthin
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
T}-pc of Wetland***
3 fill .261 no adjacent Floodplaim bottornland

' List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanize 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-approve local floodplain maps. Maps are available through the FE IA Map Service Center at 1-500-358-9616, or
online at httpJ/www.femagov.
'*' List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Ray, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 3 acres approximately
Total area of wetland impact proposed: .261
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
indicate on ma)
T-, of Impact* Length of
Impact
linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
lease specifv)
1 pipe 72 UT Burgaw Creek 20 feet/20 feet perennial
2 pipe 60 Ditch, connecting to 12 feet/ 12 feet intermittent

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 losstgain),
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 includexi
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.us¢s.¢ov. Several internee sites also allow direct download ano printing of USGS maps (e.g., wtitiw.toV=ne.com,
w,,w.manouest.com, etc.). Al.
D- e nP I O
Cumulative impacts (linear distance in feet) to all streams on site: 132 feet
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S. N/A
Open Water Impact

Site Number
indicate on ma)

T.Pe of Impact* Area of

Impact
(ate)
Name of Waterbod}•
(if applicable) Type of Waterbody

(lake, pond, estuan•, sound.
bay, ocean, etc.

-st wen irnpa- sePOTaiery ana iaenuty temporary impacts. impacts mcluae, but are not Iuruted to: till, exca%mtron, dredging,
flooding, drainage, bullheads, etc.
4. Pond Creation N/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.
All efforts were undertaken to impact the least amount of wetlands/ streams on project site
Previous desired project plans had more impacts see map) so roadway was moved to provide
less impacts. The present plan minimizes impacts to the least possible while still allowing for
development to be feasible and financially possible
i
D- Z ^r IA
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.
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/ncwetlands/strm-gide.html.
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 (acreagellinear 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.
1
D., ,.e nP 10 "+at
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at httvJ/h2o.eur.state.nc.ust,"Vfindex.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): 132
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres): .261
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federaVstate/local)
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 Impacts on Riparian and Watershed Buffers (DWQ Only)
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.
D.,..e -7 nr Ins'
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply 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
1 3
2 1.5
Total
- tone i extends out su feet perpendicular trom clear bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
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.

X1. Stormwater (DWQ Only)
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.
XII. Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
Sewer to be connected to the town of Burgaw sanitary sewer system

XI11. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
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).

Applies ?t/Agent's
(Agertsignature S<
is
Q-7q-O
Date
alid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulator, Field Office Alexander Cherokee Iredell Mitchell Union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
151 Patton Avenue Buncombe Cleveland Lincoln Roan Yancey
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabamis Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell SNNain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
. \a
Raleigh Regulatory Field Office
US Army Corps Of Engineers
6508 Falls of the Neuse Road
Suite 120
Raleigh, NC 27615 -
Telephone: [phone]

Alamance Durham Johnston
Alleghany Edgecombe Lee
_
Ashe Franklin Nash
,Criswell Forsyth Northampton
Chatham Granville Orange
Davidson Guilford Person'

D- 0 ^r In
Rockingham Wilson
Stokes Yadkin
Surry
Vance
Wake
Warren
r'
J
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Mitchell and As.-ociates Inc.
ULTANTS
ENVIRONAmington$K.G.. ENTAL.. I4S.
3973 B Market Street x$40; gAq;zS4.o6oz 0 Fax: 9to.z$4.o6o;
asvster@miicbe)1-associates.org
TO WHOM IT MAY CONCERN:
hereby grant
Mitchell & Associates, Inc. to represent me in any and all
proceedings regarding Federal and State Regulatory matters,
located in the county of city of
and state of 1\JCJ P-7771
»z'o Z
Land Owner Date

J
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 .l1 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: Coastal Carolina Country Club
2. T.I.P. Project Number (NCDOT Only)
3. Property Identification Number (Tax PIN):
4. Location
County: Pender Nearest Town: Burizaw
Subdivision name (include phase/lot number): Coastal Carolina County Club, Phase II
Directions to site (include road numbers, landmarks, etc.): US Hw,yl.17 north towards
Burgaw,?site located east of Hwy 117, west of I-40, south of East Wilmington Street
Extension, Burgaw, NC
5. Site coordinates, if available (UTM or Lat/Long): 18 233107E 3827128N
(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. Describe the existing land use or condition of the site at the time of this application:
Rural, cleared, adjacent to golf course
7. Property size (acres): 337.23 total project
aw
8. Nearest body of water (stream/river/sound/ocean/lake): unknown -tributary of Burg
Creek
9. River Basin: Cape Fear
13 rrn 7 of 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/.)
10. Describe the purpose of the proposed work: To build linear transportation crossings to
cross steam and wetland.areas to enable development of subdivision by accessing, upland
areas
11. List the type of equipment to be used to construct the project: Backhoes, dumptrucks
12. Describe the land use in the vicinity of this project: residential / golf course
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.
No previous permits have been obtained.
V. Future Project Plans
Are any additional permit requests anticipated for this project in the.future? If so, describe the
anticipated work, and provide justification for the exclusion of this work from the current
application: no
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.
1. Wetland Impacts
Wetland Impact
Site Number
indicate on ma)
Type of Impact* Area of
Impact
(acres) Located Within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
T)W of Wetland***
3 fill .261 no adjacent Floodplain- bottoniland

' 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 httpJ/www.fema.gov.
List a wetland type that best describes wetland to be impacted (e.g., fresh%ater/saltwater marsh, forested wetland, beaver pond,
Carolina Ray, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 3 acres approximately
Total area of wetland impact proposed: .261
2. Stream Impacts, including all intermittent and perennial streams
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?
lease specify)
I pipe 72 UT Burgaw Creek 20 feet/20 feet perennial
2 pipe 60 Ditch, connecting to 12 feet/ 12 feet internuttent

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 include
• • 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.usM.Qov. Several interne sites also allow direct download ano printing of USGS maps (e.g., wtiti-%v.topozone.com,
www.mapguesl.com, etc.). ?I;
Cumulative impacts (linear distance in feet) to all streams on site: 132 feet
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U. S. N/A
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 each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation N/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.
All efforts were undertaken to impact.the least amount of wetlands/ streams on project site.
Previous desired project plans had more impacts (see map), so roadway was moved to provide
less impacts. The present plan. minimizes impacts to the least possible while. still allowing for
development to be feasible and financially possible.
D- G -FIn
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.
USAGE - 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 IDWQ's Draft Technical Guide for Stream Work in North Carolina, available at
hLtp://h2o.enr.state.nc.us/ncwetlands/strrnizide.html.
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 separate sheet if more space is needed.
13- 4 nr 11)
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed. and approved. before it can be used_to satisfy.mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
.process for the NCWRP, check the NCWRP website at bgp://h2o.enr.state.nc.us/wm/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): 132
Amount of buffer mitigation requested (square feet):
Amount. of Riparian wetland. mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres): .261
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (DWQ Only)
Does the project-involve an expenditure of public funds or the use of public (federal/state/local)
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 Impacts on Riparian and Watershed Buffers (DWQ Only)
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.
Do- 7 of I A
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 Supply Buffer Requirements), or other (please identify )?
Yes ? No H 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* (sqImpact uare feet) Multiplier MiRequired
tigation
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.
XI.
XII.
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.
Stormwater (DWQ Only)
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.
N/A
Sewage Disposal (DWQ Only)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
Sewer to be connected to the town of Burgaw sanitary sewer system.
13- Q ..-f In
XM. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
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 advanceof 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).
q'2L4-0
it/Agent's S;( ature Date
signature is lalid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union
US Army Corps of Engineers Avery Clay Jackson Polk Watauga
151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 -Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson
US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin
6508 Falls of the Neuse Road Ashe Franklin Nash Surry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
Telephone: [phone] Davidson Guilford Person Warren

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Mitchell
ENVIRON
3973 B Market Street 40
id Associates, Inc.
ENT-AL CONSULTANTS
zington, N.C. 28403 910.254.o6o2 0 Fax: 910.254.o603
TO WHOM IT MAY CONCERN:
I , ?o?'?v1,/? ??? CL? L?? , hereby grant
Mitchell & Associates, Inc. to represent me in any and all
proceedings regarding Federal and State Regulatory matters,
v`? ?..4 ,
located in the county of /224n6Y , city Of
and state of /JC"P I--?l??
Land Owner
Date
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86'04'30° W 1772.40' 188 LF
S
JOHNSON TRACT
WILLIAMS TRACT
NOTES; 1. THIS MAP IS NOT FOR RECORDATION, SALES OR CONVEYANCE,
2, THIS MAP IS TO BE USED FOR RETAINING WETLAND CROSSINGS.
3. AREA COMPUTED BY COORDINATE METHODS.
BURGAW TOWNSHIP FENDER COUNTY NORTH CAROLINA 0' 100' 200' 300'
OWNER DEVELOPER; WILKES PROPERTY SCALE: 1 INCH = 100 FEET
BURGAW NORTH CAROLINA
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HANOVER DESIGN SERVICES, P.A.
LAND SURVEYORS, ENGINEERS & LAND PLANNERS
319 WALNUT STREET 7]~~ WILMINGTON, N. C. 28401
PHONE: [phone]
9 09/05/2

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WILLIAMS TRACT
NOTES;
1. THIS MAP IS NOT FOR RECORDATION, SALES OR CONVEYANCE. 2, THIS MAP IS TO BE USED FOR RETAINING WETLAND CROSSINGS.
3. AREA COMPUTED BY COORDINATE METHODS.
BURGAW TOWNSHIP PENDER COUNTY NORTH CAROLINA 0' 100 200' 300'
OWNER DEVELOPER; WILKES PROPERTY SCALE: 1 INCH = 100 FEET
BURGAW NORTH CAROLINA
n n Tom. n li v nn ~nn~
U/-i I L. OUL I LL, LUUL
HANOVER DESIGN SERVICES, P.A.
LAND SURVEYORS, ENGINEERS & LAND PLANNERS
319 WALNUT STREET WILMINGTON, N.C. 28401
PHONE: [phone]
9 09/05/2

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JOHNSON TRACT
WILLIAMS TRACT
NOTES;
1. THIS MAP IS NOT FOR RECORDATION, SALES OR CONVEYANCE.
2, THIS MAP IS TO BE USED FOR RETAINING WETLAND CROSSINGS.
3, AREA COMPUTED BY COORDINATE METHODS,
IP P NDER COUNTY NORTH CAROLINA BURGAW TOWNSH E 0' 100' 200' 300'
R DEVELOPER; WILKES PROPERTY OWNE SCALE; 1 INCH = 100 FEET
BURGAW NORTH CAROLINA
n n T~~ ii ii v ~nn~
Vn I L. VVL I LLB LVVL
HANOVER DESIGN SERVICES, P.A.
LAND SURVEYORS, ENGINEERS & LAND PLANNERS
319 WALNUT STREET
WILMINGTON, N.C. 28401
PHONE: [phone]
9 09/05/2

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NOTES:
1. THIS MAP IS NOT FOR RECORDATION, SALES OR CONVEYANCE.
2. THIS MAP IS TO BE USED FOR RETAINING WETLAND CROSSINGS.
3. AREA COMPUTED BY COORDINATE METHODS.
W TOWNSHIP PENDER COUNTY NORTH CAROLINA BURGA 0' 100' 200' 300'
OWNER DEVELOPER: WILKES PROPERTY SCALE; 1 INCH = 100 FEET
BURGAW NORTH CAROLINA
noT~~ Y ~nn~
Vr11L VVLI LLB LVVL
HANOVER DESIGN SERVICES, P.A.
LAND SURVEYORS, ENGINEERS & LAND PLANNERS
319 WALNUT STREET
WILMINGTON, N.C. 28401
PHONE. [phone]
9 09/05/2

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NOTES;
1. THIS MAP IS NOT FOR RECORDATION, SALES OR CONVEYANCE.
2. THIS MAP IS TO BE USED FOR RETAINING WETLAND CROSSINGS.
3. AREA COMPUTED BY COORDINATE METHODS.
N HIP PENDER COUNTY NORTH CAROLINA BURGAW TOW S 0' 100' 200' 300'
OWNER DEVELOPER; WILKES PROPERTY SCALE: 1 INCH = 100 FEET
BURGAW NORTH CAROLINA
n n T~~ n ii v ~nn~
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HANOVER DESIGN SERVICES, P.A.
LAND SURVEYORS, ENGINEERS & LAND PLANNERS
319 WALNUT STREET
WILMINGTON, N.C. 28401
PHONE: [phone]
9 09/05/2

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JOHNSON TRACT
WILLIAMS TRACT
NOTES:
1. THIS MAP IS NOT FOR RECORDATION, SALES OR CONVEYANCE.
2. THIS MAP IS TO BE USED FOR RETAINING WETLAND CROSSINGS.
3. AREA COMPUTED BY COORDINATE METHODS.
URGAW TOWNSHIP PENDER COUNTY NORTH CAROLINA B 0' 100' 200' 300'
OWNER DEVELOPER; WILKES PROPERTY SCALE: 1 INCH = 100 FEET
BURGAW NORTH CAROLINA
1`(`?I
naT~• .~I li Y ~nn~
V! 11Lr VVL I LLB LVVL.
HANOVER DESIGN SERVICES, P.A.
LAND SURVEYORS, ENGINEERS & LAND PLANNERS
379 WALNUT STREET
WILMINGTON, N.C. 28407
PHONE: [phone]
9 09/05/2

A A
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JOHNSON TRACT WILLIAMS TRACT
~F r} r
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~;~~f
NOTES:
1. THIS MAP IS NOT FOR RECORDATION, SALES OR CONVEYANCE.
2, THIS MAP IS TO BE USED FOR RETAINING WETLAND CROSSINGS. 3. AREA COMPUTED BY COORDINATE METHODS.
BURGAW TOWNSHIP PENDER COUNTY NORTH CAROLINA 0' 100' 200' 300'
OWNER DEVELOPER: WILKES PROPERTY
SCALE: 1 INCH = 100 FEET
BURGAW NORTH CAROLINA
~ATF: JUI Y 2~. 2002
HANOVER DESIGN SERVICES, P.A.
LAND SURVEYORS, ENGINEERS & LAND PLANNERS
319 WALNUT STREET
WILMINGTON, N.C. 28401 PHONE; [phone]
9 09/05/2