92-20 Olsen, Janice

Permit Class Permit Number
NEW 92-20
STATE OF NdRTH CAROLINA
Department of Environmental Quality
and
Coastal Resources Commission
Permit
for
X Major Development in an Area of Environmental Concern
pursuant to NCGS 113A-118
Excavation and/or filling pursuant to NCGS 113-229
Issued to Janice Olsen,1324 Moore St., Philadelphia, PA 19148
Authorizing development in Currituck County at adi. to the Albemarle Sound, at 206 Waterside Rd.,
in Harbinger, as requested in the permittee's application dated 5/22/20 (MP-1) and "Rec DCM-EC 6/l/20"
(MP-2 3) including attached workplan drawings (1), Sheet 1 of 1 dated "Rec DCM-EC 6/1/20'
This permit, issued on September 23, 2020 , is subject to compliance with the application (where
consistent with the permit),'all applicable regulations, special conditions and notes set forth below. Any violation
of these terns may be subject to fines, imprisonment or civil action; or may cause the permit to be null and void.
Upland Development with 404 wetland fill
1) Unless specifically altered herein, this permit authorizes the grading and other land disturbing
activities associated with the development of the above referenced property, including the pool and
associated amenities and the fill of approximately 3,325ftz of federal section 404 wetlands, all as
expressly and specifically set forth in the attached permit application and workplan drawings.
Sedimentation and Erosion Control
2) In order to protect water quality, runoff from construction shall not visibly increase the amount of
suspended sediments in adjacent waters.
(See attached sheet for Additional Conditions)
This permit action may be appealed by the permittee or other
qualified persons within twenty (20) days of the issuing date.
This permit must be accessible on -site to Department
personnel when the project is inspected for compliance.
Any maintenance work or project modification not covered
hereunder requires further Division approval.
All work must cease when the permit expires on
December 31, 2023
In issuing this permit, the State of North Carolina agrees that
your project is consistent with the North Carolina Coastal
Management Program.
Signed by the authority of the Secretary of DEQ and the Chair
of the Coastal Resources Commission.
Braxton C. Davis, Director
Division of Coastal Management
This permit and its conditions are hereby accepted.
Signature of Permittee

Janice Olsen Permit No. 92-20
Page 2 of 2
ADDITIONAL CONDITIONS
3) Appropriate sedimentation and erosion control devices, measures or structures shall be implemented to
ensure that eroded materials do not enter adjacent wetlands, watercourses or properties.
4) A ground cover sufficient to restrain erosion shall be provided within 30 calendar days of completion of
any phase of grading on cut or filled slopes.
USACE Conditions
5) In order to compensate for impacts associated with this permit, mitigation shall be provided in accordance
with the provisions outlined in the U.S. Army Corps of Engineers, Wilmington District, Compensatory
Mitigation Responsibility Transfer Form. The requirements of this form, including any special conditions
listed on this form, are hereby incorporated as special conditions of this permit authorization.
General
6) Any mitigative measures or environmental commitments specifically made by the applicant in the
narrative for this project shall be implemented, regardless of whether or not such commitments are,
addressed by individual conditions of this permit.
7) This permit shall not be assigned, transferred, sold, or otherwise disposed of to a third party without the
written approval of the Division of Coastal Management.
8) All debris associated with the removal or construction of the permitted development shall be contained
within the authorized project area and removed to an appropriate upland location
9) The permittee and/or his or her contractor shall meet with a representative of the Division prior to
project initiation.
NOTE: This permit does not eliminate the need to obtain any additional state, federal or local permits,
approvals or authorizations that may be required.
NOTE: The U.S. Army Corps of Engineers authorized the project by way of Programmatic General
Permit 198000291 (Action ID SAW-2019-00419).
NOTE: The N.C. Division of Water Resources authorized the proposed project by way of General Water
Quality Certification 4175 and assigned the project DWR Project No. 2019-0906 v2.
NOTE: Future development of the permittee's property may require a modification of this permit.
Contact a representative of the Division at [phone] prior to the commencement of any
such activity for this determination. The permittee is further advised that many non -water
dependent activities are not authorized within 30 feet of the normal water level.
NOTE: An application processing fee of $400 was received by DCM for this project. This fee also
satisfied the Section 401 application processing fee requirements of the Division of Water
Resources.

a
P
DIVISION OF COASTAL MANAGEMENT
Application Processing Notes
Applicant:
Type: (Check all that apply)
New V Major Mod _... Permit# Minor Mod Renewal Transfer
Permit Coordinator:- Mncyl� __
Field Representative:
Date Time
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DCM Coordinator: 3N
Permit #: l Z �zo
MAILING DISTRIBUTION SHEET
Permittee: 14lg DI�i�NI l )Z'1 faQfK f K�IAdGID�IiA C/'t 9�'Lt/
✓ /
Agents: IO�SWI(4rrii%
Ct..d
DCM Field Offices ,
Elizabeth City �^ (:5 Washington (with revised work plan drawings)
Morehead City Wilmington (OBJECTIONS )
US ACOE Offices:
Washington: Raleigh Bland (Beaufort, Camden, Chowan, Craven, Hertford, Hyde, Perquimans,
00om
llCurrituck, Dare, Gates, Pamlico, Pasquotank, Washington)
Steffans (NC T- Beaufort, Carteret, Craven, Pamlico)
Bill Biddlecome (NC DOT -Remainder ECity/Washington District)
Wilmington: Greg Curry (Brunswick, New Hanover)
Liz Hair (Carteret, Onslow,, Pender)
Brad Shaver (NCDOT-Brunswick, New Hanover, Onslow, Pender)
Cultural Resources:
Public Water Supply:
Marine Fisheries:
NC DOT:
Shellfish Sanitation:
State Property:
DEMLR/DWR:
Renee Gledhill -Earley at Environmental.Review(a),ncdcr.gov /
Heidi Cox (WIRO)
Kim Harding
David Harris
Shannon Jenkins / Sharon Gupton
Tim Walton / Mike Moser
Sheri Montalvo / Shelton Sullivan
Clif Whitfield (WARD)
Jimmy Harrison
Washington: Anthony Scarbraugh-401 L �rq5 1�1
Roger Thorpe-Stormwater o
Garcy Ward- (NCDOT-Beaufort, Bertie, Camden, Carteret, Chowan, Craven, Currituck,
Dare, Gates, Hertford, Hyde, Pamlico, Pasquotank, Perquimans, Tyrrell, Washington)
Wilmington:
Wildlife Resources:
Natural Heritage Program
Robb Mairs — 401 (Brunswick, New Hanover)
Holley Snider — 401 (Carteret, Onslow, Pender)
Christine Hall - Stormwater
Joanne Steenhuis - 401 (NCDOT-Brunswick, New Hanover, Onslow, Pender)
Maria Dunn (WARD)
Rodney Butler
�,►bbiC l.os�cow►�
(NCDOT) Travis Wilson

11181111111111114
APPLICATION for Received
major Dovolopmont Permit I - 2N)
(last revised 12/27/06)
North Carolina I "L. F COASTAL MANAGEMENT
1. Primary Applicant Landowner Information
Business Name
Project Name (if applicable)
Olsen Major CAMA - 206 Waterside Dr Harbinger, NC
Applicant 1: First Name
MI
Last Name
Janice
Olsen
Applicant 2: First Name
MI
Last Name
na
If additional applicants, please attach an additional pages) with names listed.
Mailing Address
PO Box
City
State
1324 Moore St.
Philadelphia
PA
ZIP
Country
Phone No.
FAX No.
19148
use
252-619-1373 ext.
na-
Street Address (d dlfferenl from above)
City
State
ZIP
see above
Email
jolsen2647(ogmail.com
2. AgentContractor Information
Business Name
Lassiter Environmental Consulting, 1-I6
Agent/ Contractor 1: First Name
MI
Last Name
Joe
Lassiter
Agent/ Contractor 2: First Name
MI
Last Name
na
Mailing Address
PO Box
City
State
139 S. Dogwood Trl.
Southern Shores
NC
ZIP
Phone No. 1
Phone No. 2
27949
252 - 202 - 3800 ext.
ext.
FAX No.
Contractor #
Street Address (if different from above)
7ily-
State
ZIP
Email
[e-mail]
<Form continues on back>
RECEIVED
252-808-2H00 .. 1-868.4nCOAST .. www.ncccastalmanagnr:
DCM-MHD CITY

Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Received Major Development Permit
3. Project Location k" I
County (can be multiple)
Street Address
State Rd. #
Currituck
206 Waterside Drive D M'EC
Subdivision Name
City
state
Zip
Cypress Point II
Harbinger
NC
27941 -
Phone No.
Lot No.(s) (Nmany, attach additonal page with list)
252 - 202 - 3800 ext.
1, I ,
a. In which NC river basin Is the project located?
b. Name of body of water nearest to proposed project
Pasquotank
Albemarle Sound
c. Is the water body identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
®Natural ❑Manmade ❑Unknown
Albemarle Sound
e. Is proposed work wilhln city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
®Yes ❑No
work falls within.
Currituck County
4. Site Description
a. Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft)
125
48,931
c. Size of Individual lot(s)
d. Approximate elevation of tract above NHW (normal high water] or
48,931, 1 1
NWL (normal waterlevel)
(if many lot sizes, please attach additional page with a list)
4 - 5' ❑NHW or ®NWL
e. Vegetation on tract
Phragmites, Willow, Cypress in wetlands. Upland grasses, ornamental shrubs, etc. in moored yard.
f. Man-made features and uses now on tract
single family residence with associated driveway and wasterwater system. Bulkheaded shoreline with a pier and mooring
for a vessel
g. Identify and describe the existing land uses adlacen to the proposed project site.
single family residential
h. How does local government zone the tract?
I. Is the proposed project consistent with the applicable zoning?
Single family residential
(Attach zoning compliance certificate, if applicable)
®Yes []NO [IRA
J. Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes ®No
k. Has a professional archaeological assessment been done for the tract? If yes, attach a copy. []Yes ®No ❑NA
If yes, by whom?
I. Is the proposed project located in a National Registered Historic District or does it involve a ❑Yea ®No ❑NA
National Register listed or eligible property?
<Form continues on next page>
252.808.2808 ,. 1.888.4RCOAST :. www.necoastaimanagement.net
RECEIVED
18 2020
(;M-MHD CITY

Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
in. (i) Are there wetlands on the site?
®Yes ❑No
(ii) Are there coastal wetlands on the site?
❑Yes ®No
(III) If yes to either (q or (11) above, has a delineation been conducted?
®Yes i]No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
Onsite septic tank and drainfield
Received
o. Describe existing drinking water supply source.
Curdtuck County Public Water Supply
.
p. Describe existing storm water management or treatment systems.
low density sheet flow to
�ll
D M'EC
swales and pervious surfaces
5. Activities and Impacts
a.
WIII the project be for commercial, public, or private use?
❑Commercial ❑PubliclGovernment
®Private/Community
b.
Give a brief description of purpose, use, and daily operations of the project when complete.
Project proposes the fill/disturbance of 5,328 sq. ft of which 3,335 sq. tt. is Jurisdictional Section 404 wetlands a portion of
which lies with the 75' Estuarine Shoreline AEC. The purpose of the fill is to faciliate the construction of a 16' x 32' inground
pool with an associated 6' wide concrete apron and associated fill on a 3:1 slope.
c.
Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored.
Dump truck, front end loader, hand smoothing and shaping of fill slope
d.
List all development activities you propose.
Construction of a pool and concret apron with associated fill around the perimeter.
e.
Are the proposed activities maintenance of an existing project, new work, or both?
new
f.
What Is the approximate total disturbed land area resulting from the proposed project?
5,328 ®Sq.ft or ❑Acres
g.
Will the proposed project
encroach on any public easement, public accessway or other area
❑Yea ®No ❑NA
that the public has established
use o%
h.
Describe location and type of existing and proposed discharges to waters of the slate.
No discharge i anticipated. Shoreline is bulkhead and backfilled.
i.
Will wastewater or stormwater be discharged into a wetland?
®Yes []No ❑NA
If yes, will this discharged water be of the same salinity as the receiving water?
®Yes []No ❑NA
J.
Is there any mitigation proposed?
®Yes ❑No ❑NA
If yes, attach a mitigation proposal.
<Form continues on back>
RECEIVED
252.808.2808 :; 1.886-4RCOAST :: www.nccoastalmanagement.net JUN S 2020
DCM-MHD CITY

Form DCM MP-1 (Page 4 of 4)
Received
APPLICATION for
Major Development Permit
6. Additional Information r�r
In addition to this completed application form, (MP-1) the following items below, if applica pee e e P' Id�itted in order for the application
package to be complete. Items (a) — to are always applicable to any major development Ap)S h�Jr a consult the application
instruction booklet on how to property prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c. A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
d. A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e. The appropriate application fee. Check or money order made payable to DENR.
f. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name Christopher and Susan Anne Cumbere Phone No.
Address 208 Waterside Drive, Harbinger, NC 27941
Name Cypress Point II Homeowners Association, Inc. Phone No.
Address 324 Reggie Owens Drive, Harbinger, NC27941
Name Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, pennhtee, and issuing dates.
h. Signed consultant or agent authorization form, If applicable.
I. Wetland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owned
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10). 1 necessary. If the project Involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the Information provided in this application is truthful to the best of my knowledge.
Date St'2z-/ Z'r Z ` Print Name Janice Olsen /� T
Signa a rot J b Is (ram
Please indicate application attachments pertaining to your proposed project.
®DCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridges and Culverts
®DCM MP-3 Upland Development
❑DCM MP-4 Structures Information
Received
)-["
L)CM_MCEIVED
u IN 1 8 7020
252.808-2808 .. 1.888.4RCOAST .. www.nccoastaimanagemenl.net
p , M-MHD CITY

Form DCM MP-2
EXCAVATION and FILL
(Except for bridges and culverts)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
Describe below the purpose of proposed excavation and/or fill activities. All values should be given in feet.
Access
Other
Channel
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
(excluding
(NLW or
Breakwater
shoreline
NWL)
stabilization
Length
78
Width
42
Avg. Existing
Depth
na
NA
NA
Final Project
Depth
na
NA
NA
1. EXCAVATION ®This section not applicable
a. Amount a materiel to be excavated from below NHW or NWL in b. Type of material to be excavated.
cubic yards.
c.
(1) Does the area to be excavated include coastal wetlands/marsh
d. High -ground excavation in cubic yards.
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
OWL []None
(if) Describe the purpose of the excavation in these areas:
2.
DISPOSAL OF EXCAVATED MATERIAL
®This section not applicable
a.
Location of disposal area.
b. Dimensions of disposal area.
c.
(i) Do you claim title to disposal area?
d. (i) Will a disposal area be available for future maintenance?
❑Yes ❑No ❑NA
❑Yes ❑No ❑NA
Of) If no, attach a letter granting permission from the owner.
(ii) If yes, where?
is.
(1) Does the disposal area include any coastal wetlands/marsh
f. (i) Does the disposal Include any area in the water?
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
❑Yes ❑No ❑NA
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
(ii) if yes, how much water area is affected?
❑CW _ ❑SAV ❑SB
_
❑WL _ []None
Received
(it) Describe the purpose of disposal in these areas:
DCM- 6MAGDEIVED
252.808.2808 :: 1-888-4RCOAST :: ww,revise
w020
Occoastalmanagemunt.net d: 12/26/06
DCM-MHD CITY

Forth DCM MP-2 (Excavation and Fill, Page 2 of 3)
3. SHORELINE STABILIZATION ®This section not applicable
(It development is a wood grotn, use MP-4 — Structures)
a. Tvoe of shoreline stabilization: h I .nnth
[]Bulkhead ❑Riprap ❑Breakwater/Sill ❑Other: _ Width:
c. Average distance waterward of NHW or NWL: d. Maximum distance waterward of NHW or NWL:
e. Type of stabilization material:
g. Number of square feet of fill to be placed below water level.
Bulkhead backfill _ Riprap
Breakwater/Sill_ Other_
i. Source of fill material.
4. OTHER FILL ACTIVITIES
(Excluding Shoreline Stabilization)
a. (i) Wit fill material be brought to the site? ®Yes []No []NA
If yes,
(ii) Amount of material to be placed in the water 0
(iii) Dimensions of fill area
(iv) Purpose of fill
a. Flow will excavated or fill material be kept on site and erosion
controlled?
silt fence will be placed around the perimeter of the area of
disturbance
c. (1) Will navigational akls be required as a result of the project?
[]Yes ❑No ®NA
(ii) If yes, explain what type and how they will be implemented.
Date
Olsen Major CAMA Permit Application - 206 Waterside Drive
Project Name
f. (I) Has there been shoreline erosion during preceding 12
months?
[]Yes ❑No ❑NA
(ii) if yes, state amount of erosion and source of erosion amount
Information.
It. Type of fill material. Deceived
6 ;,_ i. ) - t _.:
DMEC
El This section not applicable
b. (1) Will fill material be placed in coastal wetlands/marsh (CW),
submerged aquatic vegetation (SAV), shell bottom (SO), or
other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV _ ❑SB
OWL ❑None
(il) Describe the purpose of the fill in these areas:
3,325 sq. ft. will be fined to facilitate construction of a pool and
concrete apron.
b. What type of construction equipment will be used (e.g., dragline,
backhoe, or hydraulic dredge)?
dump truck, front end loader
d. (i) Will wetlands be crossed in transporting equipment to project
site? []Yes ®No ❑NA
(ii) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
Janice Olsen
Signature
n iN 1 S 2020
252-808-2808 :: 1.888.4RCOAST :: www.gccoastalmanagementnet revised: 12I28/05
DCM-MHD CITY

Form DCM MP-3 Received
UPLAND DEVELOPMENT
(Construction and/or land disturbing activities) DIME
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
GENERAL UPLAND DEVELOPMENT
a. Type and number of buildings, facilities, units or structures b. Number of lots or parcels.
proposed. 1
16' x 32' inground swimming pool with 6' wide concrete pad.
c. Density (give the number of residential units and the units per
acre).
1
e. If the proposed project will disturb more than one acre of land, the
Division of Land Resources must receive an erosion and
sedimentation control plan at least 30 days before land -disturbing
activity begins.
(i) If applicable, has a sedimentation and erosion control plan been
submitted to the Division of Land Resources?
❑Yea ❑No ®NA
(if) If yes, list the date submitted:
g. Give the percentage of the tract within the coastal shoreline AEC to
be covered by Impervious andlor built -upon surfaces, such as
pavement, building, rooftops, or to be used for vehicular driveways
or parking. 5l,4V c.%W%^k> tS4$7e
11%. 1004 sq. ft. Lf soo S1i R.A,2
i. Give the percentage of the entire tract to be covered by impervious
and/or built -upon surfaces, such as pavement, building, rooftops,
or to be used for vehicular driveways or parking.
16%. 7,850 sq.ft.
j. Describe proposed method of sewage disposal.
Existing onsite septic and drainfleld
I. Describe location and type of proposed discharges to waters of the
state (e.g.. surface runoff, sanitary wastewater, industrial)
commercial effluent, "wash down" and residential discharges).
There should be limited discharge from the proposed pool
and deck because the shoreline is bulkheaded and
back811ed. Most runoff will remain in the adjacent
wetlands not filled.
d. Size of area to be graded, filled, or disturbed including roads,
ditches, etc.
approx. 3,276 sq. ft.
I. List the materials (such as mad, paver stone, asphalt, or concrete)
to be used for impervious surfaces.
fiberglass pool with concrete deck.
h. Projects that require a CAMA Major Development Permit may also
require a Slonnwater Certification.
(i) Has a site development plan been submitted to the Division of
Water Quality for review?
❑Yes ®No ❑NA
(ii) If yes, list the date submitted.
k. Have the facilities described in Item (i) received state or local
approval?
®Yes ❑No ❑NA
If yes, attach appropriate documentation.
m. Does the proposed project include an innovative stormwater
design?
®Yes ®No ❑NA
If yes, attach appropriate documentation. RECEIVED
JUN 18 2020
DCM-MHD CITY
252.808-28082 :: 1.888.4RCOAST n www_ncco�$t@Imanagemeitt,net revised: 12/26/06

Form DCM MP-3 (Upland Development, Page 2 of 2)
m. Describe proposed drinking water supply source (e.g., well, n. (I) Will water be impounded? ❑Yes ❑No ®NA
community, public system, etc.)
(ii) If yes, how many acres?
Currituck County public water supply
o. When was the lot(s) platted and recorded? p. If proposed development is a subdivision, will additional utilities be
1989 installed for this upland development?
[]Yes ❑No ®NA
Date
Received
Project Name
Olsen 206 Waterside Drive
Applicant Name
Janice H.Olsen DCM-EC
ppli ISgnatur
RECEIVED
JUN 18 2020
DCM-MHD CITY
252-808-2808 :: 1.88"HCOAS7 :: vvvvw.nceoagtalmanagement.net revised: 12/26/06

r
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Director
NORTH CAROLINA
Env&wwwttat Quaffty
August 31, 2020
Lassiter Environmental Consulting, LLC.
Joe Lassiter [e-mail])
Dear Mr. Lassiter,
Pk E
This letter is in reference to the application submitted for Janice H. Olsen, for a Coastal Area
Management Act Major Permit to undertake development activities to construct a pool and fill
federal 404 wetlands, in Currituck County.
Although processing of the application is nearing completion, additional time is needed for this
office to complete the review and make a decision on your request. Therefore, it is necessary that
the standard review time be extended. An additional 75 days is provided by G.S. I I3A-122(c)
which would make November 12, 2020 the new deadline for reaching a decision on your
request. However, we expect to take action prior to that time and will do so as soon as possible.
In the interim, should you have any question on the status of your application, do not hesitate to
contact me by phone [phone] ext. 215) or e-mail ([e-mail]).
Sincerely,
Gregory W. Bodnar
Assistant Major Permits Coordinator
Cc: DCM Elizabeth City
North Carolina Department of Environmental Quality I Division of Coastal Management
Morehead City Office 1 400 Commerce Avenue I Morehead City, North Carolina 28557
252.8082808

f
Bodnar, Gregg
From: Bodnar, Gregg
Sent: Monday, August 31, 2020 11:22 AM
To: 'Joe'
Subject: Olsen Extension
Attachments: Janice Olsen V2 EXT.pdf
Morning Joe,
Please see above for a copy of the extension for Janice Olsen. Currently I am waiting on USACE to comment. Once that
occurs I should be able to make a final decision. There are no comments to date of concern.
Thanks,
Gregg
i Gregg Sodnar
Assistant Major Permits Coordinator
Division of Coastal Management
Department of Environmental Quality
252 808 2808 ext 21S (Office)
Gregg.lionarOncdennizov
Email c ffespmWence to and from this address Is subject to the
North Carolina Public Records Low and may be disclosed to third parties.
1

DMSION OF COASTAL MANAGEMENT
APPLICATION TRANSMITTAL AND PROCESSING RECORD
RECEIVED
APPLICANT: Janice H. Olsen COUNTY: Currituck
PROJECT NAME: Installation of inground pool with a concrete pool deck
LOCATION OF PROJECT: 206 Waterside Drive
DATE APPLICATION RECEIVED COMPLETE BY FIELD: 6-15-20
FIELD RECOMMENDATION: Attached: Yes
To Be Forwarded: No
JUN 18 2020
DCM-MHD CITY
FIELD REPRESENTATIVE: Ron Renaldi STRICT OFFICE: ELIZABETH CITY
DISTRICT MANAGER REVIEW: Date //xLJ,o
B) DATE RECEIVED BY MAJOR PERMITS UNIT: FEE REC'D: $400 (no split) # III(C)
APPLICATION ASSIGNED TO: Bodnar
PUBLIC NOTICE REC'D: 6-21-20
ADJ. RIP. PROP NOTICES REC'D:
C) 75 DAY DEADLINE: 8-29-20
HOLDS:
EMAIL OUT DATE: 6-18-20
PERMIT FINAL ACTION: ISSUE DENY
END OF NOTICE DATE: 7-11-20
DEED REC'D: Yes
150 DAY DEADLINE:
STATE DUE DATE: 7-9-20
AGENCY
DATE
COMMENTS
RETURNED
OBJECTIONS:
YES NO
NOTES
DCM - Field Rep
V (7
DCM - LUP Consistency Determination
—
Local Permit Officer
Corps of Engineers- Regulatory Branch
ZZ O
Zolg-Ot-'((Q t
DWR - 401 Section
70
?,Cy g
DWR-Public Water Supply
DEMLR - Stormwater
DEMLR - Sed and Erosion
il17 7 O
DOA - State Property Office
la Q w
Wildlife Resources Commission
'7/17 7,0
)c
DMF - Shellfish Section
DMF - Habitat & Enhancement
A7
O
iO
DNCR- Archives&History
7((7
k
DNCR - Natural Heritage Program
NCDOT
NC Dept of Commerce
'
f

ROY COOPER
Governor
MICHAEL S. REGAN
Secretory
BRAXTON C. DAVIS
Director
TO:
FROM:
DATE:
SUBJECT:
NORTH CAROLINA
EnNronm ittal Quolfty
161_D15 [I].7;\121111161
Gregg Bodnar, Assistant Major Permits Coordinator
Ron Renaldi, District Manager g.NAI .
June 17,2020
Janice H. Olsen Major Permit Recommendations
The applicant proposes to fill f3,325 fi= (0.076 acres) of delineated USACE 404-wetlands for the
installation of a 16'x32' inground pool with a 6' wide concrete pool deck.
The site of the proposed development is located at 206 Waterside Road (SR#1431), within the
Cypress Point II subdivision, Harbinger, Currituck County, adjacent to the Albemarle Sound.
The development proposal involves the Estuarine Shoreline Area of Environmental Concern
(AEC).
I have reviewed the Rules of the Coastal Resources Commission (CRC) as they pertain to this
project and my findings are as follows:
ISA NCAC 07H.0209 Coastal Shorelines
(d) Use Standards. Acceptable uses shall be those consistent with the management objectives in
Paragraph (c) of this Rule. These uses shall be limited to those types of development activities
that will not be detrimental to the public trust rights and the biological and physical functions of
the estuarine and ocean system. Every effort shall be made by the permit applicant to avoid,
mitigate or reduce adverse impacts of development to estuarine and coastal systems through the
planning and design of the development project. In every instance, the particular location, use,
and design characteristics shall comply with the general use and specific use standards for
coastal shorelines, and where applicable, the general use and specific use standards for coastal
wetlands, estuarine waters, and public trust areas described in Rule .0208 of this Section.
Development shall be compatible with the following standards:
(1) All development projects, proposals, and designs shall preserve and not weaken or eliminate
natural barriers to erosion including peat marshland, resistant clay shorelines, and cypress -gum
protective fringe areas adjacent to vulnerable shorelines. RECEIVED
DEQ�� JUN 182020
North Carolina Department of Environmental Quality I Division of Coastal Management
DCM-MHD CITY
Elizabeth City Office i 401 South Griffin Street. Suite 301 1 Elizabeth City. North Carolina 27909

r Gregg Bodnar, Assistant Major Permits Coordinator
Janice H. Olen Major Permit Recommendations
June 17, 2020
Page 2
Consistent: The proposed development is consistent with the intent of this rule.
(2) All development projects, proposals, and designs shall limit the construction of impervious
surfaces and areas not allowing natural drainage to only so much as is necessary to adequately
service the major purpose or use for which the lot is to be developed. Impervious surfaces shall
not exceed 30 percent of the AEC area of the lot, unless the applicant can effectively
demonstrate, through innovative design, that the protection provided by the design would be
equal to or exceed the protection by the 30 percent limitation. Redevelopment of areas
exceeding the 30 percent impervious surface limitation may be permitted if impervious areas are
not increased and the applicant designs the project to comply with the intent of the rule to the
maximum extent feasible.
Consistent: The proposed development is consistent with the intent of this rule.
(3) All development projects, proposals, and designs shall comply with the following mandatory
standards of the North Carolina Sedimentation Pollution Control Act of 1973:
(A) All development projects, proposals, and designs shall provide for a buffer zone along
the margin of the estuarine water which is sufficient to confine visible siltation within 25 1'
percent of the buffer zone nearest the land disturbing development.
Consistent: The proposed development is consistent with the intent of this rule.
(B) No development project proposal or design shall permit an angle for graded slopes or
fill which is greater than an angle which can be retained by vegetative cover or other
erosion -control devices or structures.
Consistent: The proposed development is consistent with the intent of this rule.
(C) All development projects, proposals, and designs which involve uncovering more than
one acre of land shall plant a ground cover sufficient to restrain erosion within 30 working
days of completion of the grading; provided that this shall not apply to clearing land for the
purpose of forming a reservoir later to be inundated.
Consistent: The proposed development is consistent with the intent of this rule.
(4) Development shall not have a significant adverse impact on estuarine and ocean resources.
Significant adverse impacts include development that would directly or indirectly impair water
quality standards, increase shoreline erosion, alter coastal wetlands or Submerged Aquatic
Vegetation (SAV), deposit spoils waterward of normal water level or normal high water, or
cause degradation of shellfish beds.
Consistent: The proposed development is consistent with the intent of this rule.
RECEIVED
JUN 18 2020
DCM-MHD CITY

'~ Gregg Bodnar, Assistant Major Permits Coordinator
Janice H. Olen Major Permit Recommendations
June 17, 2020
Page 3
(5) Development shall not interfere with existing public rights of access to, or use of, navigable
waters or public resources.
Consistent: The proposed development is consistent with the intent of this rule.
(7) Development shall not cause irreversible damage to valuable, historic architectural or
archaeological resources as documented by the local historic commission or the North Carolina
Department of Cultural Resources.
Consistent: The proposed development is consistent with the intent of this rule.
(8) Established common-law and statutory public rights of access to the public trust lands and
waters in estuarine areas shall not be eliminated or restricted. Development shall not encroach
upon public accessways nor shall it limit the intended use of the accessways.
Consistent: The proposed development is consistent with the intent of this rule.
(10) Within the Coastal Shorelines category (estuarine and public trust shoreline AECs), new
development shall be located a distance of 30 feet landward of the normal water level or normal
high-water level...
Consistent: The proposed development is consistent with the intent of this rule.
Based on my review of the applicable subsections of the North Carolina Administrative Code,
the permit application and plans, I recommend a permit be issued to Janice H. Olsen provided
that the USACE accepts mitigation for 404-wetland fill and approves the project.
RECEIVED
JUN 18 2020
DCM-MHD CITY

ROY COOPER
Governor
MICHAEL S. REGAN
Seamy
BRAXTON C. DAVIS
Director
June 18, 2020
NORTH CAROLINA
Environmental Quality
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax: [phone] (Courier 04-16-33)
gregg.bodnar Mricderingov
SUBJECT: CAMA Application Review
Applicant: Janice H. Olsen
Project Location: 206 Waterside Road In Currituck County
Proposed Project: Fill 0.076 acres of delineated USACE 404 wetlands for the Installation of a
16.1x32' Inground pool with a 6' wide concrete pool deck at 206 Waterside
Road
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Gregg Bodnar at the address above by July 9, 2020. If you have any questions
regarding the proposed project, contact Ron Renaldi (252-264-3901, ext. 235) when appropriate, in-depth
comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
X This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
PRINT NAME Kacee C Zinn
AGENCY
NCDMF-Shellfish Sanitation
SIGNATURE �C for Shannon Jenkins
J U N 1 9 2020
DATE 6/19/20
MP SECTION MHD
North Carolina Department of Environmental Quality I Dlrislon of Coastal Management
Elizabeth City Office 1 401 South Griffin Street, Suite 3001 Elizabeth City, North Carolina 27909
2522643901

ROY COOPER
Governor
MICHAELS.REGAN
Secretary
BRAXTON C. DAVIS
Director
June 18, 2020
MEMORANDUM:
NORTH CAROLINA
Environmental Quality
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax: [phone] (Courier 04-16-33)
g_regQ.bodnar01ncdenr.gov
SUBJECT: CAMA Application Review
Applicant: Janice H. Olsen
Project Location: 206 Waterside Road In Currituck County
Proposed Project: Fill 0.076 acres of delineated USACE 404 wetlands for the Installation of a
16.'x32' Inground pool with a 6' wide concrete pool deck at 208 Waterside
Road
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Greats Bodnar at the address above by July 9, 2020. If you have any questions
regarding the proposed project, contact Ron Renaldi (252-264-3901, ext. 235) when appropriate, in-depth
comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
PRINT NAME A 7
AGENCY P -//� •� `�e_ ECEIVEE)
SIGNATURE!/��---
DATE �/Zb JUN 1 9 2020
�EQ� fv]P SECTION MHD
�
North Carolina Department of Environmental Quality I Divisional Coastal Management
Elizabeth City Office 1 401 South Griffin Street, Suite 300 1 Elizabeth City. North Carolina 27909
2S2.2643901

ROY COOPER
covemar
MICHAEL S. REGAN
Secretory
BRAXTON C. DAVIS
Director
June 18, 2020
NORTH CAROLINA
Environmental Quality
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax: [phone] (Courier044-1B-33)
greag.bodnar(Oncdenr gov
SUBJECT: CAMA Application Review
Applicant: Janice H. Olsen
Project Location: 206 Waterside Road in Currituck County
Proposed Project: Fill 0.076 acres of delineated USACE 404 wetlands for the Installation of a
16'x32' inground pool with a 6' wide concrete pool deck at 206 Waterside
Road
Please Indicate below your agency's position or viewpoint on the proposed project and
return this form to Grego Bodnar at the address above by July 9, 2020. If you have any questions
regarding the proposed project, contact Ron Renaldi (252-264-3901, ext. 235) when appropriate, in-depth
comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
**Additional comments may be attached"
This agency has no comment on the proposed project.
This agency approves of the project only If the recommended changes
are Incorporated. See attached.
This agency objects to the project for reasons described in the attached
PRINT
AGENC
SIGNA'
DATE
eD Q�
RECEIVE®
JUN 1 8 2020
MP SECTION Mk®
North Carolina Deportment of Environmental Quality I DIvslon of Coastal Management
Elizabeth City Office 1 401 South Griffin Street, Suite 300 1 Elizabeth City, North Carolina 27909
252.AA3901

ROY COOPER
Comrm.
MICIIAEL S. REGAN
SCM.-My
BRAXTON C. DAMS
lnrctlw
Juno 18, 2020
NORTI I CAROLINA
Entfronmentol Quotl y
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEO - Division of Coastal Managoment
400 Commerce Ave., Morehead City, NC 2BS57
Fax: [phone] (Courier 04-16-33)
[e-mail]
SUBJECT: LAMA Application Review
Applicant: Janice H. Olsen
Project Location: 206 Waterside Road in Currituck County
Proposed Project: FIII 0.076 acres of delineated USACE 404 wetlands for the Installation of a
16'x32' inground pool with a 6' wide concrete pool deck at 206 Waterside
Road
Please indicate belove your agency's position or viowpoint on the proposed project and
retam this form to Greaa Bodnar at the address above by July 9, 2020. If you have any questions
regarding the proposed project, contact Ron Ronald! (262-264-3901, ext. 235) when appropriate, in-depth
comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed,
"Additional comments may be attached"
X This agency has no comment on the proposed project
This agency approves of the project only if the recommended changes
are Incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
PRINT NAME Lee Padrick
AGENCY NC Commerce
SIGNATURE _;�L p,
DATE 6-24-20
�►ECZ�
JUN 2 5 2020
MP SECTION,,.,, --'-
r:nrth ('scotna Ihplrlmrat of FirvhcronrnLsl Qru6ty I DivL•mt of Coastd S1ani2rmrnt
04aScth CltYOrfkr I �015>uth Gciftln5trrrt.5mtr3at 1 NIra6Ah(3tr,NmhCsmtaa 219u7
252.264 3901

ROY COOPER NORTH CAROLINA
cavemor Environmental Quality
MICHAEL S. REGAN
Seezetory
BRAXTON C. DAVIS 6 ��1i81�' P
Director4.
JU N2020
June 18, 2020 �.rx..iq.ar "= ECEIVED
oHAW
MEMORANDUM: Gr ,
FROM: Gregg Bodnar,, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax: [phone] (Courier 04-16-33)
Grego bodnarl&ncdencoov
SUBJECT: CAMA Application Review
Applicant: Janice H. Olsen
Project Location: 206 Waterside Road in Currituck County
Proposed Project: Fill 0.076 acres of delineated USAGE 404 wetlands for the installation of a
16.1x32' Inground pool with a 6' wide concrete pool deck at 206 Waterside
Road
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Gregg Bodnar at the address above by July 9, 2020. If you have any questions
regarding the proposed project, contact Ron Renaldi (252-264-3901, ext. 235) when appropriate, in-depth
comments with supporting data is requested.
This agency has no objection to the project as proposed.
"Additional comments may be attached"
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
PRINT NAME
n
AGENCY
0 Gr4?--C
SIGNATURE
..mil
DATE
J U L 1 7 2020
RIP SECTION PJIHD
North Carolina Department of Environmental Quality I Division of Coastal Management
Elizabeth City Orllce 1401 South Griffin Snxet, Suite 3001 Elizabeth City, North Carolina 27909
252.M.3901

ROY COOPER
G"nor
MICHAEL S. RECAN
Secretory
BRAXTON C. DAVIS
Dimfor
June 18, 2020
MEMORANDUM:
old o
I
NORTH CAROLINA
Environmental Quallty
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax: [phone] (Courier 04-16.33)
gregg.bcdnarnncdenr.cov
SUBJECT: CAMA Application Review
Applicant: Janice H. Olsen
Project Location: 206 Waterside Road In Currituck County
Proposed Project: Fill 0.076 acres of delineated USAGE 404 wetlands for the Installation of a
16'x32' inground pool with a 6' wide concrete pool deck at 206 Waterside
Road
Please Indicate below your agency's position or viewpoint on the proposed project and
return this form to Grego Bodnar at the address above by July 9, 2020. If you have any questions
regarding the proposed project, contact Ron Renaldi (252-264-3901, ext. 235) when appropriate, in-depth
comments with supporting data is requested.
REPLY: Jo' This agency has no objection to the project as proposed.
"Additional comments may be attached"
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
PRINTNAMEM�12
AGENCY
SIGNATURE
DATE %4/Z�
SW COmmeA+ ,Is 4u f(
�(l�w
RECEIVED
J U L 1 7 2020
Nwth Carolina Department ofEnvirontnental Quality I DivNion of Coastal Manag r �+t� Btr''�tt►�A
Elizabeth Oty Office 1401 South Griffin Street. Suite 3001 Elizabeth City. North Carol 9O905ECTIZd7N r1R HD
252.2643901 9 EZd79'F7 9t789 9

ROY COOPER
Governor
MICHAEL S. REGAN
seantary
BRAXTON C. DAVIS
Director
June 18, 2020
NORTH CAROLINA
Environmental Quality
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax: [phone] (Courier04-16-33)
Gregg.bodnarAncdenr.gov
SUBJECT: CAMA Application Review
Applicant: Janice H. Olsen
Project Location: 206 Waterside Road In Currituck County
Proposed Project: FIII 0.076 acres of delineated USACE 404 wetlands for the Installation of a
16.'x32' inground pool with a 6' wide concrete pool deck at 206 Waterside
Road
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Grego Bodnar at the address above by July 9, 2020. If you have any questions
regarding the proposed project, contact Ron Renaldi (252-264-3901, ext. 235) when appropriate, in-depth
comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
X This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described In the attached
comments.
PRINT NAME James Harrison
RECEIVED
AGENCY //NCDMF 1/
SIGNATURE f¢ma� ��iivae�
J U L 1 7 2020
DATE 9 July 2020
�D.F
MP SECTION MHD
North Carolina Department of Environmental Quality I Division of Coastal Management
Elizabeth City Office 1 401 South cdffln Street, Su1te300 I Elizabeth City, North Carolina 27909
252.2643901

ROY COOPER
Governor
MICHAELS.REGAN
Smeary
BRAXTON C. DAVIS
Olreaar
June 18, 2020
MEMORANDUM:
NORTH CAROLINA
EluftnmentalQuaft
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NG 28557
Fax; 252-247-3330 (Ccur/er 04-16-33)
oreca.bodnarOncdencaov
SUBJECT: CAMA Application Review
Applicant: Janice H. Olsen
Project Location: 206 Waterside Road In Currituck County
Proposed Project: Fill 0.076 acres of delineated USACE 404 wetlands for the Installation of a
16,'x32' Inground pool with a 6' wide concrete pool deck at 206 Waterside
Road
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Grano Bodnar at the address above by July 9, 2020. If you have any questions
regarding the proposed project,. contact Ron Renaldi (252-264-3901, ext. 235) when appropriate, in-depth
comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
This agency has no comment on the. proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
PRINT NAME
AGENCY
SIGNATUR RECEIVED
DATE
J U N 3 0 2020
D � [VIP SECTION MHD
tmrth Grdl„w papvtment or FnMmnmerod Quality � �bl�im orCumlMeny.�enm,!
BOzabeth OtyOfflce 1 40IswdhGdffln$t=Stdte300 I al:abe1haty,Norlh Carohna27909
252.264M I

ROY COOPER
Governor
MICHAEL S. REGAN
secretary
BRAXTON C. DAVIS
Director
MEMORANDUM
NORTH CAROLINA
Environmental Quality
TO: Gregg Bodnar, Major Permits Processing Coordinator
Division of Coastal Management
FROM: Charlan OwenICP, NE District Planner
Division of Coa tal Management
SUBJECT: Major Permit Request by Janice H. Olsen to install a 16 foot by 32 foot inground
pool with a 6 foot wide concrete perimeter pool deck on a property adjacent to the
Albemarle Sound; at 206 Waterside Road, in the Harbinger community, in
Currituck County.
DATE: June 29, 2020
Consistency Determination: The request is consistent with/not in conflict with the Currituck
County 2006 Core Land Use Plan (LUP) certified by the CRC on
May 18, 2007 as amended through July 2, 2019.
Overview: The 1.12 acre site has approximately 125 linear feet of shoreline along the Albemarle
Sound. A .13 acre Section 404 wetland is located within a depressed area near the shoreline.
The site is vegetated with yard grasses, ornamental bushes and upland trees and the wetland is
primarily vegetated with Phragmites along with Carolina Willow and several Bald Cypress trees.
Elevations on the site range from 1.5 feet along the shoreline to 5 feet above Normal Water Level
(NWL) within highground areas. The western third of the property nearest the shoreline is located
within the AE floodzone.
Existing site improvements consist of a single-family house, a concrete driveway and parking
area, and a 5 foot wide by 64 foot long raised wooden walkway that extends from the house and
over the wetland to the shoreline. Existing shoreline improvements consist of a combination of
vinyl bulkhead and concrete riprap along the entire length of shoreline, four (4) tie piles extending
from the bulkhead, a 5 foot wide by 82 foot long pier with a 16 foot by 14 foot terminus platform
and a 16 foot by 8 foot lower platform. The Section 404 wetland is located between the house
and bulkheaded shoreline.
Installation of a 16 foot by 32 foot inground pool with a 6 foot wide concrete perimeter pool deck
is proposed. The perimeter of the pool will be contoured on a 3:1 slope. Silt fence will be placed
around the perimeter of the fill until it is stabilized by vegetation.
GoaE C'EIVED
m�
D_EQ� JUN 3 0 2020
om�oemurmu.m.mvma� /�
North Carolina Department of Environmental Quality I Division of Coastal Management y,4 f! �+ fG'rP'"-g^ g g'"t ��„ g r�� 1,A
Eflubeth City Office 1 401 South Griffin Street. Suite 300 1 Elizabeth City, North Carolina 279 � B S Eb., Asp C 10, Q fi ] i
252.264.3901

North Carolina Department of Environmental Quality
Division of Coastal Management
MEMORANDUM
Page 2 of 3
The waters of the Albemarle Sound in this area are classified as Joint and SB and are closed to
shellfish taking. Based on available information, there are no archaeological sites on this property
or nearby. A review of potential historic resources was not provided.
Anticipated Impacts resulting from this project are expected to include: the filling of 1,928 sq. ft.
of Section 404 Wetlands within the Estuarine Shoreline Area of Environmental Concern (AEC),
1,397 sq. ft. of Section 404 Wetlands landward of the AEC, and 265 sq. ft. of Highground landward
of the AEC, and; the disturbance of 600 sq. ft. of Section 404 Wetlands within the Estuarine
Shoreline AEC and .1 acre of Highground landward of an AEC.
The applicant has submitted a price quote for the purchase of .26 wetland mitigation credits from
The Great Dismal Swamp Restoration Bank Timberlake Farm.
Basis for Determination:
The site is designated as "Limited Service Areas (Areas Preferred for Low Density Development)"
on the Currituck County Future Land Use Map (FLUM); with Areas of Environmental Concern
(AECs) designated as "Conservation Areas" as indicated on Page 11-1. Section 404 wetlands are
also included in the Conservation designation. The site is also located within the "Point Harbor
sub area.
As indicate on Page 11-1, "(t)he purpose of the Conservation class is to provide for the long-term
management and protection of significant, limited, or irreplaceable areas. Proper management is
needed to conserve the natural, cultural, recreational, scenic or biologically productive values of
these areas. The Conservation class should be applied to areas that should not be developed at
all (preserved), or if developed, done so in a very limited manner characterized by careful planning
and cautious attention to the conservation of environmental features."
Definitions of key words are provided on page 9-2. These words include "Encourage: to favor or
foster", "Should: Ought to, if no valid reason not to", and "Support: to shore up, may imply financial
support".
The following LUP policies may be applicable to this request:
Land Use Compatibility:
Policy ES2, Page 9-5.
"NON -COASTAL WETLANDS, including FRESHWATER SWAMPS, AND
INLAND, NON -TIDAL WETLANDS, shall be conserved for the important role
they play in absorbing floodwaters, filtering pollutants from stormwater runoff,
recharging the ground water table, and providing critical habitat for many
plant and animal species. Currituck County supports the efforts of the U. S.
Army Corps of Engineers in protecting such wetlands through the Section
RECEIVED
J U N 3 0 2020
WIP SEECTMN MFID

North Carolina Department of Environmental Quality
Division of Coastal Management
404 permit program of the Clean Water Management Act as well as Section
403 water quality certifications by the State of North Carolina."
Natural Hazard Areas:
Policy NH1, Page 9-16.
"The County recognizes the risks to life and property that exist within
SPECIAL FLOOD HAZARD AREAS (i.e. areas having a 1% chance of
flooding in any year) that may be inundated during major storm events. The
County will continue taking measures to mitigate these risks and will avoid
taking any action in these areas that materially increases risks to life and
property."
Policy NH2, Page 9-16.
"The County shall require development and redevelopment within SPECIAL
FLOOD HAZARD AREAS to meet the standards of the National Flood
Insurance Program and the County's Flood Damage Prevention Ordinance..."
Water Quality:
Policy WQ3, Page 9-17.
"Currituck County supports policies, plans and actions that help protect the
water quality of the county's estuarine system by preventing SOIL EROSION
AND SEDIMENTATION, and by controlling the quantity and quality of
STORMWATER RUNOFF entering the estuary."
Policy WQ5, Page 9-17.
"Development that preserves the NATURAL FEATURES OF THE SITE,
including existing topography and significant existing vegetation, shall be
encouraged..."
Local Countywide Concerns:
Policy HP4, Page 9-20.
"The DESTRUCTION OF SIGNIFICANT ARCHITECTURAL, HISTORIC AND
MEMORANDUM
Page 3 of 3
ARCHAEOLOGICAL RESOURCES in the planning area shall be
discouraged." RECEIVE®
J U N 3 0 2020
NP SECTION MHD

Received: 7/2/2020
Historic Preservation Office
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Director
June 18, 2020
MEMORANDUM:
NORTH CAROLINA
Environmental Quality
ER 20-1411
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax: [phone] (Courier04-16-33)
QreQQ.bodnar(c ncdenr.Qov
SUBJECT: CAMA Application Review
Due: 7/13/2020
A__ NC
NCH
07/07/2020
Applicant: Janice H. Olsen
Project Location: 206 Waterside Road in Currituck County
Proposed Project: Fill 0.076 acres of delineated USACE 404 wetlands for the installation of a
16,'x32' Inground pool with a 6' wide concrete pool deck at 206 Waterside
Road
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to GretaQi Bodnar at the address above by July 9, 2020. If you have any questions
regarding the proposed project, contact Ron Renaldi (252-264-3901, ext. 235) when appropriate, in-depth
comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
X This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
PRINT NAME Renee Gledhill -Earley
AGENCY Historic Preservation Office
SIGNATURE _ (L W4,dLI4 Q
DATE 07/17/2020
J U L 1 7 2020
MP SECTION MHD
North Carolina Department of Environmental Quality I Division of Coastal Management
Elizabeth City Office 1 401 South Griffin Street, Suite 3001 Elizabeth City, North Carolina 27909
252.M413901

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Direcmr
Janice Olsen
1324 Moore Street
Philadelphia, Pennsylvania 19148
NORTH CAROLINA
EnvlronmenrWQuaOty
August 14, 2020
DWR Project # 2019-0906 v2
Dare County
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH ADDITIONAL CONDITIONS
206 Waterside Road, Cypress Point ll s/d, Harbinger, North Carolina
Dear Mrs. Olsen:
You have our approval for the impacts listed below'for the purpose described in your application received by the Division of Water
Resources (Division) on June 18, 2020. These impacts are covered by the attached Water Quality General Certification Number 4175 and
the conditions listed below. This certification is associated with the use of Regional General Permit Number 291 once it is issued to you by
the U.S. Army Corps of Engineers. Please note that you should get any other federal, state or local permits before proceeding with your
project, including those required by (but not limited to) LAMA Major, Sediment and Erosion Control, Non -Discharge, and Water Supply
Watershed regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or general permit and the following additional
conditions:
1. The following impacts are hereby approved, provided that all the other specific and general conditions of the Certification are
met No other impacts are approved, including incidental impacts. [35A NCAC 02B.0506(b)(c)]]
Type of Impact
Amount Approved (units)
Permanent
Amount Approved (units)
Temporary
Plan location/
Reference Attached
Wetlands
W3 -pool and apron
0.076 (acres)
0 (acres)
Plan Sheets 1
�;kl?Tafiwnl
The proposed project must comply with all the conditions of the General Water Quality Certification(s) 4175. [35A NCAC
02B.0507(c)]
Mitigation must be provided for the proposed impacts as specified in the table below. The Division has received an acceptance
letter from the Great Dismal Swamp Restoration Bank - Timberlake Farm (Mitigation Bank) to meet this mitigation
requirement Until the Mitigation Bank receives and clears your payement, and proof of payment has been provided to this
Office, no impacts specified in this Authorization Certificate shall occur. For accounting purposes, the Authorization Certificate
authorizes payment to the Great Dismal Swamp Restoration Bank - Timberlake Farm to meet the following compensatory
mitigation requirement (15A NCAC 02H .0506 (b)(6).
Compensatory Mitigation Required
River and Sub -basin
Number
Wetlands
0.152 acres
RECEIVE®
AUG 1 A 2020
& P ZcCTICN ICI HD
D_EQ�� North Carolina Department of Environmental Quality I Division of Water Resources
Washington Regional Office 1 943 Washington Square Mail l Washington, North Carolina 27889
+���� /� 252946.6481

4. During construction of the proposed project, fueling, lubrication and general equipment maintenance should not take place
within 50 feet of a waterbodyor wetlands to prevent contamination by fuel and oils. [15ANCAC 02H.0506(b)(3) and(c)(3)
and 15A NCAC 02B.0200 (3)(0]
S. The permittee shall report to the Washington Regional Office any noncompliance with this certification, any violation of
stream or wetland standards [35A NCAC 02B .0200] including but not limited to sediment impacts, and any violation of
state regulated riparian buffer rules (15A NCAC 02B .0200]. Information shall be provided orally within 24 hours (or the
next business day if a weekend or holiday) from the time the applicant became aware of the circumstances. A written
submission shall also be provided within 5 business days of the time the applicant becomes aware of the circumstances. The
written submission shall contain a description of the noncompliance, and its causes; the period of noncompliance, including
exact dates and times, if the noncompliance has not been corrected, the anticipated time compliance is expected to
continue; and steps taken or planned to reduce, eliminate, and prevent reoccurrence of the noncompliance. The Division
may waive the written submission requirement on a case -by -case basis.
6. This approval and their conditions are final and binding unless contested. [G.S. 143-215.5]
These Certifications can be contested as provided in Articles 3 and 4 of General Statute i50B by filing a written petition for an
administrative hearing m the Office of Administrative Hearings (hereby known as OAH). A petition form may be obtained from the OAH
athttn-//www.n ... h rnm / or by calling the OAH Clerk's Office at [phone] for information.
Within sixty (60) calendar days of receipt of this notice, a petition must be filed with the OAH. A petition is considered filed when the
original and one (1) copy along with any applicable OAR filing fee is received in the OAH during normal office hours (Monday through
Friday between 8:00am and 5:00pm, excluding official state holidays).
The petition may be faxed to the OAH at [phone], provided the original and one copy of the petition along with any applicable OAH
filing fee is received by the OAH within five (5) business days following the faxed transmission.
Mailing address for the OAH:
ff sending via US Postal Service:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
One (1) copy of the petition must also be served to DENR:
William F. Lane, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, NC 27699-1601
!f sending via delivery service (UPS Fed Ex, etc.):
Office of Administrative Hearings
1711 New Hope Church Road
Raleigh, NC 27609-6285
This letter completes the review of the Division under section 401 of the Clean Water Act Please contact Chris Pullinger at 252-948-3918
orchAr .In�lingerfdnedenrim if you have any questions or concerns.
Sincerely,
ROW TAO."
Robert Tankard, Assistant Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
Enclosures: GC 4175
Certification of Completion
cc: Janice Olsen (via e-mail
Joe Lassiter, Lassiter Environmental Consulting LLC (via e-mail: igsephla& toEftmai &gjn)
Josh Pelletier, USACE Washington Regulatory Field Office (via e-mail)
Gregg Bodnar, DCM Morehead City (via e-mail)
Ron Renaldi, DCM Morehead City (via e-mail)
Laserfiche/DWR file copy
IFIZECEIVED
AUG 1 S 2020
UP SECTION MHC

Z..
I
i
REEI
AUG g
I.
)I
vt rtAlr�r•v AI"n
N.T.S.
1. PROPERTY ADDRESS: 206 WATERS)
2. PARCEL ID: 125800000210000, PIN
3. LOT ZONING: SFM ,.(SINGLE-FAMILY
4. AREA = 48,931 sq. ft. = 1.123 at
5.. AREA CALCULATED BY COORDINATE
6. THIS SURVEY WAS PERFORMED WIT)
BENEFIT OF A TITLE COMMITMENT.
7. THIS PARCEL. MAY BE SUBJECT TO
NOT SHOWN HEREON.
'B. SETBACKS AS PER COUNTY OF CUI
AND MUST BE VERIFIED. SURVEYOR
CERTIFICATION AS TO SETBACKS.
9. LOT MAY BE IN AN AREA OF ENVIF
INDIVIDUAL PERMITS MAY BE REOUI
10. SUBDIVISION AS RECORDED IN P.C.
111 PROPERTY IS LOCATED IN F.I.R.M.
I MAP NO. 3720983600K, DATED DEI
USE OF LAND WITHIN THE FLOODW)
AREA OF FILL ¢ L
TOP OF SLOPE
3:1ISLOPE
3: SLOPE
L70
OF SLOPE
J—
EX. GRAD£
SECTION A -A ALBEMARLE
144rOPM.>(
W472R SOUND
WOODEN DOCK
n
AA
FJY
WE'LANDSTO REMAIN
'TO CAM
�7(OQ A
SAC=I
INSTALL
200 F. SILT FENC
b•
AT LOO
IE DRIVE
'.. 9836-85-4652
RESIOENTIPL MAINLAND)
"es —
A
METHOD. PROPOSE
ROUND
TOUT THE 18Y3YP00
WWME
EASEMENTS GONG. POO
CK
TOE OF FI
SLOPE
a �
OARD/y,
RITUCK CURRENT CODE
MAKES NO ,
I
\
ONMENTAL CONCERN.
I
I
iT17<�/,YS.
AIt,,,
9
AND FLOOD ZONES SUBJECT TO CHANGE BY FEMA.
12. ONLY THE WETLANDS SHOWN. HEREON WERE SURVEYED
ON THIS DATE. ALL OTHER IMPROVEMENTS SHOWN
HEREON ARE BASED ON A SURVEY PERFORM BY
COASTAL ENGINEERING AND SURVEYING PERFORMED
IN FEBRUARY, 2003.
A
y2 N/E- m
CHR/STOPH£R y
& AN
U
� -
ANNE NE v
<4, _ CUMBER
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LEGEND: T a 549 j a3.sz
@ - FOUND IRON ROD 15 b
A - FOUND PK NAIL '
O - CALCULATED POINT
FILL AREA
(GROSS
HATCH)
(HATCH)
I
OPEN �
AREA I
N
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PO/NF //
HOA, INC
— TELEPHONE PEDESTAL 0.
COP - EDGE OF PAVEMENT
R/IP -RIGHT OF WAY h'
MEL - MINIMUM BUILDING LINE O1
CCR. - CURRITUCK COUNTY REGIS" mo \ o
22 - LOT NUMBER \ \ I v
Q - WETLAND AREA
® - WETLAND AREA TO BE FILLED 1 ryp -1iB I
---- LIMIT OF DISTURBANCE
Aj
it
"� r
c
.I 'EX CONS LIMB OHJ u
®R/w DISTUR CEO
b ARE
EI (OUTBID
WETLAND$):
^I 6,32835�.
a.. 21 hl
I!' 1
h
WETLAND AREAS \ 50 25 0 50
TOTAL 404 WETLANDS ON THE LOT: 5,616 sq.
TOTAL AREA OF WETLANDS TO BE FILLED: 3.325 sq. ft. 1 inch - 50 IL
AREA OF WETLANDS WITHIN 75' AEC LINE: 1.928 sq. ft. GRAPHIC SCALE '
127 SECTION 4 WETLANDS MAJOR CAMA PERMIT MAP
r" -- 02 40
4 15 0I9 JANICE H. OLSEN
m 151�27-2CAMA LOT 21
CYPRESS PONT II
mEmMarLlweLL�sgycEs JCB HARBINGER
320 �'08/14 � a, m5v' POPLAR BRANCH TWSP. CURRITUCK COUNTY NORTH CAROLINA
�•pRLLp�r•tlio CMI, Structurol, Surveying &
2019-0906 v2 Ma�7rCi
Site Development
K25 N. OIOATANHW ,
C-0836 P.O. Bx 1129
_ ���®' RVEYING, INC. RHIy'=w`Y.'11G `9 9 /
CURVE TABLE
CURVE
I RADIUS
I LENGTH
CHORD
BEARING
C7
142.50'
1 184.91'
172.21'
S 11-23'48- E
C2
25.00'
21.03'
20.42'
1 S 49-52'33- E
C3
1 1 50.00'
1 26.25'
1 25.95'
IS 58-56.03- W

June 18, 2020
Regulatory Division
Action ID No. SAW-2019-00419
Mr. Ian McMillan
North Carolina Division of Water Quality
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
Dear Mr. McMillan:
Please reference the application of Ms. Janice Olsen for Department of the Army
authorization and a State Water Quality Certification to fill 0.076 acres of delineated USACE
404 wetlands for the installation of a 16: x32' inground pool with a 6' wide concrete deck at 206
Waterside Road, Currituck County, in Harbinger, North Carolina. Your receipt of this letter
verifies your acceptance of a valid request for certification in accordance with Section
325.2(b)(ii) of our administrative regulations.
We are considering authorizing the proposed activity pursuant to Section 404 of the Clean
Water Act, and we have determined that a water quality certification is required under the
provisions of Section 401 of the same law. A Department of the Army permit will not be
granted until the certification has been obtained or waived.
In accordance with our administrative regulations, in most cases, 60 days after receipt of a
request for certification is a reasonable time for State action. Therefore, if you have not acted on
the request, or asked for an extension of time, by August 18, 2020, the District Engineer will
deem that waiver has occurred.
Questions or comments may be addressed to Josh Pelletier, Washington Regulatory Field
Office, Regulatory Branch, telephone [phone].
Sincerely,
Josh Pelletier
R� CM V CC D Regulatory Project Manager
S E P 2 2 2020
UIP SEECTION MHD

Regulatory Division
SAW-2019-00419
Mr. Jonathan Howell
Division of Coastal Management
North Carolina Department of Environment
and Natural Resources
400 Commerce Avenue.
Morehead City, North Carolina 28557-3421
Dear Mr. Howell:
FtrECEI ED
S F ° 2 < 2020
krip S!ECTI®N MHD
Reference the application of Ms. Janie Olsen for Department of the Army authorization to fill
0.076 acres of delineated USACE 404 wetlands for the installation of a 16: x32' inground
pool with a 6' wide concrete deck at 206 Waterside Road, Currituck County, in Harbinger,
North Carolina.
The Federal agencies have completed review of the proposal as presented by the
application and your field investigation report.
We recommend that the following conditions be included in the State authorization:
1. All work authorized by this permit must be performed in strict compliance with the
attached plans, which are a part of this permit. Any modification to these plans must be approved
by the US Army Corps of Engineers (USACE) prior to implementation.
2. The permittee understands and agrees that, if future operations by the United States
require the removal, relocation, or other alteration, of the structure or work herein authorized, or
if, in the opinion of the Secretary of the Army or his authorized representative, said structure or
work shall cause unreasonable obstruction to the free navigation of the navigable waters, the
permittee will be required, upon due notice from the U.S. Army Corps of Engineers, to remove,
relocate, or alter the structural work or obstructions caused thereby, without expense to the
United States. No claim shall be made against the United States on account of any such removal,
relocation, or alteration. The permittee shall notify NOAA/NATIONAL OCEAN SERVICE
Chief Source Data Unit N CS261, 1315 E West HWY- RM 7316, Silver Spring, MD 20910-
3282 at least two weeks prior to beginning work and upon completion of work.
3. Except as specified in the plans attached to this permit, no excavation, fill or
mechanized land -clearing activities shall take place at any time in the construction or

ECEWED
S E P 2 2 2020
W&P SECTION RgHD
maintenance of this project, in such a manner as to impair normal flows and circulation patterns
within waters or wetlands or to reduce the reach of waters or wetlands.
4. Except as authorized by this permit or any USACE approved modification to this
permit, no excavation, fill or mechanized land -clearing activities shall take place at any time in
the construction or maintenance of this project, within waters or wetlands. This permit does not
authorize temporary placement or double handling of excavated or fill material within waters or
wetlands outside the permitted area. This prohibition applies to all borrow and fill activities
connected with this project.
5. Unless otherwise authorized by this permit, all fill material placed in waters or wetlands
shall be generated from an upland source and will be clean and free of any pollutants except in
trace quantities. Metal products, organic materials (including debris from land clearing
activities), or unsightly debris will not be used.
6. The authorized structure and associated activity must not interfere with the public's
right to free navigation on all navigable waters of the United States. No attempt will be made by
the permittee to prevent the full and free use by the public of all navigable waters at or adjacent
to the authorized work for reason other than safety.
7. The permittee shall advise the Corps in writing at least two weeks prior to beginning the
work authorized by this permit and again upon completion of the work authorized by this
permit.
8. The permittee shall require its contractors and/or agents to comply with the terms and
conditions of this permit in the construction and maintenance of this project, and shall provide
each of its contractors and/or agents associated with the construction or maintenance of this
project with a copy of this permit. A copy of this permit, including all conditions, shall be
available at the project site during construction and maintenance of this project.
9. The permittee shall employ all sedimentation and erosion control measures necessary to
prevent an increase in sedimentation or turbidity within waters and wetlands outside the permit
area. This shall include, but is not limited to, the immediate installation of silt fencing or similar
appropriate devices around all areas subject to soil disturbance or the movement of earthen fill,
and the immediate stabilization of all disturbed areas. Additionally, the project must remain in
full compliance with all aspects of the Sedimentation Pollution Control Act of 1973 (North
Carolina General Statutes Chapter 113A Article 4).
10. The activity will be conducted in such a manner as to prevent a significant increase in
turbidity outside the area of construction or construction -related discharge. Increases such that
the turbidity in the waterbody is 50 NTU's or less in all rivers not designated as trout waters by
the North Carolina Division of Environmental Management (NCDEM), 25 NTU's or less in all
saltwater classes and in all lakes and reservoirs, and 10 NTU's or less in trout waters, are not
considered significant.

11. Violations of these conditions or violations of Section 404 of the Clean Water Act or
Section 10 of the Rivers and Harbors Act must be reported in writing to the Wilmington District
U.S. Army Corps of Engineers within 24 hours of the permittee's discovery of the violation.
12. In order to compensate for impacts associated with this permit, mitigation shall be provided in
accordance with the provisions outlined in the U.S. Army Corps of Engineers, Wilmington District,
Compensatory Mitigation Responsibility Transfer Form. The requirements of this form, including any
special conditions listed on this form, are hereby incorporated as special conditions of this permit
authorization.
Questions or comments may be addressed to Mr. Josh Pelletier, Washington Field Office,
Regulatory Division, telephone [phone].
Copies Furnished:
Mr. Ian McMillan
North Carolina Division of Water Quality
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
Mr. Pete Benjamin
U.S. Fish and Wildlife Service
Fish and Wildlife Enhancement
Post Office Box 33726
Raleigh, North Carolina 27636-3726
Mrs. Twyla Cheatwood
National Marine Fisheries Service
Habitat Conservation Service
101 Pivers Island Road
Beaufort, North Carolina 28516
Mr. Jeffrey Garnett
Wetlands and Marine Regulatory Section
Water Protection Division -Region IV
U.S. Environmental Protection Agency
Sincerely,
Josh Pelletier
Regulatory Project Manager
R ECEI`✓ED
MP SECTION NIX©

61 Forsyth Street, SW
Atlanta, Georgia 30303
Ron Renaldi, District
Manager Elizabeth City
Field Office
North Carolina Division of Coastal Management
RC1`k'ICE 0
SEP 2 2 2020
MP SECTION MHD

CESAW — RG-W /SAW-2019-00419
MEMORANDUM FOR RECORD
SUBJECT: Department of the Army Memorandum Documenting General Permit
Verification
1.0 Introduction and overview: Information about the proposal subject to one or more
of the Corps regulatory authorities is provided in Section 1, detailed evaluation of
the activity is found in Sections 2 through 4 and findings are documented in Section
5 of this memorandum. Further, summary information about the activity including
administrative history of actions taken during project evaluation is attached (ORM2
summary).
1.1 Applicant name: Janice Olsen
1.2 Activity location: 36.086921 ° N,-75.823818' W
Description of activity requiring verification: fill 0.076 acres of delineated
USACE 404 wetlands for the installation of a 16.'x32' inground pool with a 6'
wide concrete deck at 206 Waterside Road, Currituck County, in Harbinger,
North Carolina.
1.3 Permit authority: Section 404 of the Clean Water Act (33 USC 1344)
1.4 Applicable Permit: Programmatic General Permit (PGP) 198000291
1.5 Activity requires written waiver? No
2.0 Evaluation of the Pre -Construction Notification
2.1 Direct and indirect effects caused by the GP activity: direct effects are those caused
by the footprint of the proposed fill
2.2 Site specific factors: existing lot locations, location of existing house and wetland
2.3 Coordination
2.3.1 Was the PCN coordinated with other agencies? Yes
If yes, describe results including resolution of any concerns. D C M a n d D W R
permit issued. t-COV ®
2.3.2 Was the PCN coordinated with other Corps offices? No
SEP 2 2 2020
If yes, describe results including resolution of any concerns:
2.4 Mitigation
2.4.1 Provide brief description of how the activity has been designed on -site to avoid and
Page 8 of 7

CESAW — RG-W /SAW-2019-00419
minimize adverse effects, both temporary and permanent, to waters of the United
States to the maximum extent practicable at the project site: fill was reduce
significantly from the first application that was received by DCM. The applicant
minimized the footprint of wetland fill to only that needed to fulfill her basic purpose
and need.
2A.2 Is compensatory mitigation required for unavoidable impacts to jurisdictional aquatic
resources to reduce the individual and cumulative adverse environmental effects to
a minimal level? Yes
Provide rationale: Unavoidable impacts to wetland will be mitigated by purchasing
credits from a mitigation bank.
2A.3 Type and location of compensatory mitigation
Is the impact in the service area of an approved mitigation bank? YES
If yes, does the mitigation bank have appropriate number and resource type of
credits available? YES
Is the impact in the service area of an approved in -lieu fee program? NA
If yes, does the in -lieu fee program have the appropriate number and resource type
of credits available? NA
Selected compensatory mitigation type/location(s): See Table 1
Table 1: Mitigation Type and Location
Mitigation bank credits
In -lieu fee program credits
Permittee-responsible mitigation under a watershed approach
Permittee-responsible mitigation, on -site and in -kind
Permittee-responsible mitigation, off -site and/or out of kind
Does the selected compensatory mitigation option deviate from the order of the
options presented in §332.3(b)(2)-(6)? No
If yes, provide the rationale for the deviation, including the likelihood for ecological
success and sustainability, location of the compensation site relative to the impact
site and their significance within the watershed, and/or the costs of the
compensatory mitigation project (see 33 CFR §332.3(a)(1)): NA
2A.4 Amount of compensatory mitigation:.16
Rationale for required compensatory mitigation amount: Mitigation credits will be
purchased at a ratio of 2:1. RECEVED
2A.5 For permittee responsible mitigation identified in 2.4.3 above, the final mitigation
Page 9 of 7 SEP 2 2 2020
W6P SEECTIO Z MHD

CESAW — RG-W /SAW-2019-00419
plan must include the items described in 33 CFR 332.4(c)(2) through (c)(14) at a
level of detail commensurate with the scale and scope of the impacts. As an
alternative, the district engineer may determine that it would be more appropriateto
address any of the items described in (c)(2) through (c)(14) as permit conditions, instead of
components of a compensatory mitigation plan. Presence of sufficient information related
to each of these requirements in the applicant's mitigation plan is indicated by "Yes" in
Table 2. "No" indicates absence or insufficient information in the plan, in which case,
additional rationale must be provided below on how these requirements will be addressed
through special conditions or why a special condition is not required.
Table 2: Permittee-Responsible Mitigation Plan Requirements
Requirement
Yes
No
Objectives
Site selection
Site protection instrument
Baseline information
Determination of credits
Mitigation work plan
Maintenance plan
Performance standards
Monitoring requirements
Long-term management plan
Adaptive management plan
Financial assurances
Other
For any "no", provide rationale on how the subject component(s) of the
compentatory mitigation plan will be addressed as special conditions or why no
special conditions are required: NA
3.0 Compliance with Other Laws, Policies and Requirements
3.1 Section 7(a)(2) of the Endangered Species Act (ESA)
3.1.1 ESA action area: Currituck Sound
3.1.2 Has another federal agency taken steps to document compliance with Section 7of
the ESA and completed consultation(s) as required? Yes.
If yes, identify that agency, the actions taken to document compliance with Section
7 and whether those actions are sufficient to ensure the activity(s) requiring DA
authorization is in compliance with Section 7 of the ESA:
USFWS and NOAA Marine Fisheries reviewed permit application E EWa-D
3.1.3 Known species/critical habitat present? No. The Corps has determined that it has
fulfilled its responsibilities under Section 7(a)(2) of the ESA.
Page 10 of SEP 2 2 2020
RAP SEE CTa0H NAF 1,T)

CESAW — RG-W /SAW-2019-00419
Effect determination(s), including no effect, for all known species/habitat, and basis
for determination(s): Project not likely to adversely effect the West Indian Manatee
as the applicant is required to follow the guidelines outlines in the permit
conditions.
3.1A Consultation with either the National Marine Fisheries Service and/or the U.S. Fish
and Wildlife Service was initiated and completed as required, for anydeterminations
other than "no effect' (see the attached "Summary' sheet for begin date, end date
and closure method of the consultation). Based on a review of the information
above, the Corps has determined that it has fulfilled its responsibilities under
Section 7(a)(2) of the ESA.
3.2 Magnuson -Stevens Fishery Conservation and Management Act, Essential
Fish Habitat (EFH)
3.2.1 Has another federal agency taken steps to comply with EFH provisions of
Magnuson -Stevens Act? Yes
If yes, identify that agency, the actions taken to document compliance with the
Magnuson -Stevens Act and whether those actions are sufficient to ensure the
activity(s) requiring DA authorization is in compliance with the EFH provisions:
NOAA Marine Fisheries reviewed permit application and plans and attended
scoping meetings
3.2.2 Did the proposed project require review under the Magnuson -Stevens Act? Yes
3.2.3 If yes, EFH species or complexes considered: None encountered
Effect determination and basis for that determination: None
3.2A Consultation with the National Marine Fisheries Service was initiated and completed
as required (see the attached "Summary" sheet for consultation type, begin date,
end date and closure method of the consultation). Based on review of the above
information, the Corps has concluded that it has fulfilled its responsibilities under the
EFH provisions of the Magnuson -Stevens Act.
3.3 Section 106 of the National Historic Preservation Act (Section 106) NA
3.3.1 Section 106 permit area: The permit area includes NAthose areas comprising
waters of the United States that will be directly affected by the proposed work or
structures NA
Final description of the permit area: NA
3.3.2 Has another federal agency taken steps to comply with Section 106 of t914_;_t�diiLPVM
Historic Preservation Act and completed consultation(s) as required? Yes
Page 11 of SEP 2 2 2020
NIP SECTION PoIHD

CESAW — RG-W /SAW-2019-00419
If yes, identify that agency, the actions taken to document compliance with Section
106 and whether those actions are sufficient to ensure the activity(s) requiring DA
authorization is in compliance with Section 106 of the NHPA:
OSACE
3.3.3 Known cultural resource sites present and/or survey or other additional information
needed? NA
Basis for effect determination(s) for all known site(s) and/or site(s) identified by a
survey: NA
3.3.4 Consultation was initiated and completed as required with the appropriate agencies,
tribes and/or other parties for any determinations other than "no potential to cause
effects" (see the attached "Summary" sheet for consultation type, begin date, end
date and closure method of the consultation). NA The Corps has determined that
it has fulfilled its responsibilities under Section 106 of the NHPA.
3.4 Tribal Trust Responsibilities
3.4.1 Was government -to -government consultation conducted with Federally -recognized
Tribe(s)? No
Provide a description of any consultation(s) conducted including results and how
concerns about significant effects to protected tribal resources, tribal rights and/or
Indian lands were addressed. NA The Corps has determined that it has fulfilled its
tribal trust responsibilities.
3.5 Section 401 of the Clean Water Act — Water Quality Certification (WQC)
3.5.1 Is a Section 401 WQC required, and if so, has the certification been issued or
waived? A general WQC has been issued for this permit.
3.6 Coastal Zone Management Act (CZMA)
3.6.1 Is a CZMA consistency concurrence required, and if so, has the concurrence been
issued, waived or presumed? An individual CZMA consistency concurrence is
required and has not been issued, waived or presumed to date. A provisional
general permit will be verified for this activity. Yes CZMA issued
3.7 Wild and Scenic Rivers Act
3.7.1 Is the project located in a component of the National Wild and Scenic River System,
or in a river officially designated by Congress as a "study river" for possible inclusion
in the system? No
If yes, summarize coordination and the determination on whether activiti�it�O��
adversely affect the Wild and Scenic River designation or study status. NA The
Page 12 of S E P 2 2 2020
AqP SE-C-TIO"N hffi ,,

CESAW — RG-W /SAW-2019-00419
Corps has determined that it has fulfilled its responsibilities under the Wild and
Scenic Rivers Act.
3.8 Effects on Corps Civil Works Projects (33 USC 408)
3.8.1 Does the applicant also require permission under Section 14 of the Rivers and
Harbors Act (33 USC 408) because the activity, in whole or in part, would alter,
occupy, or use a Corps Civil Works project? No, the appropriate non -Regulatory
office has determined that there will be no effects to Corps Civil Works project(s)
that require permission from the Corps.
4.0 Special Conditions
4.1 Are special conditions required to ensure minimal effects, protect the public interest
and/or ensure compliance of the activity with any of the laws above? Yes
If no, provide rationale: Permit Conditions
4.2 Required special condition(s)
Special condition: See Permit File
Rationale: File
5.0 Determination
5.1 Waiver request conclusion, if required or select N/A: N/A
5.2 The activitywill result in no more than minimal individual and cumulative adverse
effects on the aquatic environment and will not be contrary to the public interest,
provided the permittee complies with the special conditions identified above.
5.3 This activity, as described, complies with all terms and conditions of the permit
identified in Section 1.5.
;M4J-11[7=1»A
Qea% P� Date:
Eiffer name of PM who prepared document
REVIEWED BY:
SEP 2 2 2020
Page 13 of r&P SECTION MI MD

CESAW — RG-W /SAW-2019-00419
Date:
Enter name of appropriate level reviewer
APPROVED BY:
Date:
Enter name of appropriate level approver
RECEIVED
S E P 2 2 2020
Page 14 of

U.S. ARMY CORPS OF ENGINEERS
Wilmington District
Compensatory Mitigation Responsibility Transfer Form
Permittee: Janice Olsen
Project Name: Olsen, Waterside Drive
Action ID: SAW-2019-00419
County: Currituck
Instructions to Permittee: The Permittee must provide a copy of this form to the Mitigation Sponsor, either an approved
Mitigation Bank or the North Carolina Division of Mitigation Services (NCDMS), who will then sign the form to verify the
transfer of the mitigation responsibility. Once the Sponsor has signed this form, it is the Permittee's responsibility to ensure
that Wilmington District Project Manager identified on page two is in receipt of a signed copy of this form before conducting
authorized impacts, unless otherwise specified below. If more than one Mitigation Sponsor will be used to provide the
mitigation associated with the permit, or if the impacts and/or the mitigation will occur in more than one 8-digit Hydrologic
Unit Code (HUC), multiple forms will be attached to the permit, and the separate forms for each Sponsor and/or HUC must
be provided to the appropriate Mitigation Sponsors.
Instructions to Sponsor: The Sponsor verifies that the mitigation requirements (credits) shown below have been released
and are available at the identified site. By signing below, the Sponsor is accepting full responsibility for the identified
mitigation, regardless of whether they have received payment from the Permittee. Once the form is signed, the Sponsor
must update the bank ledger and provide a copy of the signed form and the updated ledger to the Permittee, the Project
Manager who issued the permit, the Bank Project Manager, and the District Mitigation Office (see contact information on
page 2). The Sponsor must also comply with all reporting requirements established in their authorizing instrument.
Permitted Impacts and Compensatory Mitigation Requirements
Permitted Imoacts Reouirins Mitieation*: 8-digit HUC and Basin: 03010205, Chowan River Basin
Stream Impacts (linear feet)
Wetland Impacts (acres)
Warm
Cool
Cold
Riparian Riverine
I Riparian Non-Riverine
Non -Riparian
Coastal.
.076
*If more than one mitigation sponsor will be used for the permit, only include impacts to be mitigated by this sponsor.
romnensatnry Mitieation Reauirements: 8-digit HUC and Basin: 03010205. Chowan River Basin
Stream Mitigation (credits)
Wetland Mitigation (credits)
Warm
Cool
Cold
Riparian Riverine
Riparian Non-Riverine
Non -Riparian
Coastal
.16
Mitigation Site Debited: Great Dismal Swamp Restoration Bank —Timberlake Farm
(List the name of the bank to be debited. For umbrella banks, also list the specific site. For NCDMS, list NCDMS. If the NCDMS
acceptance letter identifies a specific site, also list the specific site to be debited).
Section to be completed by the Mitigation Sponsor
Statement of Mitigation Liability Acceptance: I, the undersigned, verify that I am authorized to approve mitigation
transactions for the Mitigation Sponsor shown below, and I certify that the Sponsor agrees to accept full responsibility for
providing the mitigation identified in this document (see the table above), associated with the USACE Permittee and Action
ID number shown. I also verify that released credits (and/or advance credits for NCDMS), as approved by the Wilmington
District, are currently available at the mitigation site identified above. Further, I understand that if the Sponsor fails to provide
the required compensatory mitigation, the USACE Wilmington District Engineer may pursue measures against the Sponsor to
ensure compliance associated with the mitigation requirements.
Mitigation Sponsor
Name of Sponsor's Authorized
Signature of Sponsor's Authorized Representative Date of
Page 1 of 2 Form Date July 7, 2020
UP SEC` iON MHD

USACE Wilmington District
Compensatory Mitigation Responsibility Transfer Form, Page 2
Conditions for Transfer of Compensatory Mitigation Credit:
• Once this document has been signed by the Mitigation Sponsor and the District is in receipt of the signed form, the
Permittee is no longer responsible for providing the mitigation identified in this form, though the Permittee remains
responsible for any other mitigation requirements stated in the permit conditions.
• Construction within jurisdictional areas authorized by the permit identified on page one of this form can begin only after
the District is in receipt of a copy of this document signed by the Sponsor, confirming that the Sponsor has accepted
responsibility for providing the mitigation requirements listed herein. When NCDMS provides mitigation for authorized
impacts conducted bythe North Carolina Departmentof Transportation (NCDOT), construction within jurisdictional areas
may proceed upon permit issuance; however, a copy of this form signed by NCDMS must be provided to the District
within 30 days of permit issuance. NCDOT remains fully responsible for the mitigation until the District has received this
form, confirming that the Sponsor has accepted responsibility for providing the mitigation requirements listed herein.
• Signed copies of this document must be retained by the Permittee, Mitigation Sponsor, and in the USACE administrative
records for both the permit and the Bank/ILF Instrument. It is the Permittee's responsibility to ensure that the District
Project Manager (address below) is provided with a sighed copy of this form.
• If changes are proposed to the type, amount, or location of mitigation after this form has been signed and returned to
the District, the Sponsor must obtain case -by -case approval from the District Project Manager and/or North Carolina
Interagency Review Team (NCIRT). If approved, higher mitigation ratios may be applied, as per current District guidance
and a new version of this form must be completed and included in the District administrative records for both the permit
and the Bank/ILF Instrument.
Comments/Additional Conditions:
This form is not valid unless signed below by the District Project Manager and by the Mitigation Sponsor on Page 1. Once
signed, the Sponsor should provide copies of this form along with an updated bank ledger to: 1) the Permittee, 2) the
District Project Manager at the address below, 3) the Bank Manager listed in RIBITS, and 4) the Wilmington District
Mitigation Office, 3331 Heritage Trade Drive, Suite 105, Wake Forest, NC 27587 (or by email to [e-mail] .
Questions regarding this form or any of the permit conditions may be directed to the District Mitigation Office.
USACE Project Manager: Josh Pelletier, Project Manager RZ s.. �A F7/1
USACE Field Office: Washington Regulatory Field Office
Email:
US Army Corps of Engineers
2407 West Fifth Street
Washington, NC 27889
District Project Manager Signature
S E P 2 2 2020
�rP SECTION WD
September 17, 2020
Date of Signature
Current Wilmington District mitigation guidance, including information on mitigation ratios, functional assessments, and
mitigation bank location and availability, and credit classifications (including stream temperature and wetland groupings) is
available at http://ribits.usace.army.mil.
Page 2 of 2

Regulatory Division
Action ID: 2019-00419
June18,2020
Applicant: Janice Olsen
Waterway: Currituck Sound County: Currituck Work Type: Fill
Mrs. Twyla Cheatwood Mr. Jonathan Howell
National Marine Fisheries Svc, NOAA Division of Coastal Management
101 Pivers Island Road NC Department of Environment and
Beaufort, NC 28516 Natural Resources
Mrs. Kathy Matthews
Fish and Wildlife Enhancement
U.S. Fish and Wildlife Service
Post Office Box 33726
Raleigh, North Carolina 27636-3726
Ms. Jennifer Derby, Chief
27889 Wetlands Section — Region IV
Water Management Division
U.S. Environmental Protection Agency
61 Forsyth Street, SW
Atlanta, Georgia 30303
400 Commerce Avenue
Morehead City, NC 28557-3421
Mr. Ron Renaldi
Elizabeth City Field Office
Division of Coastal Management
401 S. Griffin Street
Elizabeth City, NC
Mr. Jeffrey Garnett
Water and Marine Regulatory Section
Water Protection Division -Region IV
U.S. Environmental Protection Agency
61 Forsyth Street, SW
Atlanta, Georgia 30303
Pursuant to the CAMA-Corps Programmatic Permit process, a State Field Investigation
Report is enclosed. Your comments and/or recommendations would be appreciated on or
before July 18, 2020.
Questions or comments may be addressed to Mr. Josh Pelletier, Washington
Regulatory Field Office, telephone [phone].
Sincerely,
g641Z PdA&i4,
Josh Pelletier
Regulatory Project Manager
Enclosure
SEP 2 2 2020
MP SECTION MHD

June 18, 2020
Regulatory Division
Action ID No. SAW 2019-00419
Janice Olsen
1324 Moore St
Philadelphia PA
19148
Dear Ms. Olsen:
RECOVER
S E P 2 2 2020
MP SECT10n 9 MHO
A review of your application received on June 18, 2020 for Department of the Army
authorization to fill 0.076 acres of delineated USACE 404 wetlands for the installation of a
16.'x32' inground pool with a 6' wide concrete deck at 206 Waterside Road, Currituck County, in
Harbinger, North Carolina indicates it to be a candidate for Federal authorization pursuant to the
CAMA-Corps Programmatic Permit process for construction activities that receive authorization
from the State of North Carolina. Accordingly, the administrative processing of your application
will be accomplished by the North Carolina Division of Coastal Management. Comments from
Federal review agencies will be furnished to the State.
If your application must be withdrawn from this permit process for any reason, you will
be informed regarding its further management. If there are no unresolved differences in State -
Federal positions or policies, the final action taken on your application by the State will result in
your receiving written notice from us that your application is consistent with the Federal permit
and you may commence your activity. Only after receiving such confirmation should you begin
work.
Your application, pursuant to Section 404 of the Clean Water Act, has been assigned
Action ID No. SAW 2019-00419 and will be coordinated in our Washington Regulatory Field
Office. If you have any questions, I am available at telephone [phone].
Sincerely,
Josh Pelletier
Regulatory Project Manager

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Janice H. Olsen
2. LOCATION OF PROJECT SITE: 206 Waterside Road (SR#1431), Cypress Point II
subdivision, Harbinger, Currituck County, adjacent to the Albemarle Sound.
Photo Index —2006: 191-7083 (R,S 18-21)
Lat/Long: 36.0869210 N,-75.8238180 W
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit—3/21/2019; 6/28/2019; 6/17/2020
Was Applicant Present — Yes; No; No
5. PROCESSING PROCEDURE: Application Received Complete — 6/15/2020
Office - Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan — Currituck County
Land Classification From LUP - Limited Service and Conservation
(B) AEC(s) Involved: Estuarine Shoreline (ES)
(C) Water Dependent: No
(D) Intended Use: Private Residential
(E) Wastewater Treatment: Existing - Septic
Planned - N/A
(F) Type of Structures: Existing — Single family residence, concrete driveway,
wooden walkway over wetlands, bulkheaded & riprapped
shoreline, docking facility
Planned - Concrete pool with USACE wetland fill
(G) Estimated Annual Rate of Erosion: N/A
Source — N/A
7. HABITAT DESCRIPTION: [AREA, square feet (ft2)]
FI[ I FIB nTHFR
(A) Estuarine Shoreline AEC
USACE 404-wetlands within AEC
±1,928 ft2
±600 ft2 disturbed
(B) USACE 404-wetlands landward of AEC
±1,397 ft2
(C) Highground landward of AEC
±265 ft2
±4,225 ft2 disturbed
(D) Total Area Disturbed: ±8,415 ft2 (0.193 acres)
(E) Primary Nursery Area: No
(F) Water Classification: SB Open to Shellfishing: No
RECEIVED
JUN 18 2020
DCM-MHD CITY

Janice H. Olsen
Field Investigation Report
Page 2
8. PROJECT SUMMARY: The applicant proposes to fill ±3,325 ft2 (0.076 acres) of
delineated USACE 404-wetlands for the installation of a 16'x32' inground pool with a
6' wide concrete pool deck.
Project Setting
The site of the proposed development is located at 206 Waterside Road (SR#1431), within the
Cypress Point II subdivision, Harbinger, Currituck County, adjacent to the Albemarle Sound.
The property is ±48,931 ft2 (1.123 acres) in size and elevations range from ±1.5' along a
bulkheaded shoreline to ±5' above NWL within the highground area. Man-made features in the
highground area include a single-family dwelling with a concrete driveway and parking area.
Vegetation within this area includes yard grasses, ornamental bushes and upland trees.
According to the USDA's Natural Resources Conservation Service's Web Soil Survey, the soil
on the property is made up of conetoe loamy sand (CnA) and dorovan mucky peat (Do). Based
on available information, no archaeological sites are on or near this property.
The properties shoreline is ±125' in length and has been hardened through a combination of
vinyl bulkheading and concrete riprap. An isolated USACE 404-wetland is found between the
dwelling and the bulkhead within a depressed area located ±27' to 55' landward of the
bulkhead. This wetland area has been delineated by the USACE and is ±5,616 ftZ in size. The
wetland area is primarily vegetated by Phragmites, but is also vegetated by Carolina Willow and
several Bald Cypress trees. A ±64'x5' raised wooden walkway extends from the rear of the
dwelling over the wetland area to provide access to the bulkheaded shoreline area. A two slip
docking facility consisting of a ±82'x5' pier with a ±16'x14' platform, ±16'x8' lower platform and 4
tie -piles extends from the bulkhead into the waters of the Albemarle Sound.
The Albemarle Sound is classified as Joint Waters by agreement with the Marine Fisheries
Commission and Wildlife Resources Commission. The Division of Environmental
Management's water quality classification for the Albemarle Sound is SB and it is closed to
shellfish taking.
The adjacent riparian property to the northwest is the Cypress Point 11 subdivision's community
water access and it has a bulkhead and riprapped shoreline, a community pier with a platform
and a raised wooden walkway landward of the bulkhead. The adjacent riparian property to the
southeast is similarly developed as the applicant's property.
Development Proposal
The applicant proposes to fill ±3,325 ft2 (0.076 acres) of delineated USACE 404-wetlands for
the installation of a 16'x32' inground pool with a 6' wide concrete pool deck. Approximately
1,928 ft2 of the fill area will be within the CAMA 75' Estuarine Shoreline AEC. The parameter of
the pool will be contoured on a 3:1 slope and a silt fence will be placed around the parameter of
the fill until stabilized by vegetation. It is anticipated that an additional ±5,090 ft2 of upland fill
and temporary disturbance will occur due to equipment operation and final grading upon
completion. All proposed development is landward of the CAMA 30' Buffer.
RECEIVED
JUN 18 2020
DCM-MHD CITY

Janice H. Olsen
Field Investigation Report
Page 3
The applicant has submitted a price quote for the purchase of 0.26 wetland mitigation credits
from The Great Dismal Swamp RestorationBank Timberlake Farm.
Anticipated Impacts
• The proposed development will result in ±3,325 ft2 of USACE 404-wetlands being filled.
• The proposed development will result in an additional ±5,090 ft2 of upland fill and temporary
disturbance due to equipment operation and final grading.
• The proposed development will result in ±5.48% (±500 ft2) of impervious surfaces within the
75' Estuarine Shoreline AEC.
• The proposed development will result in ±16% (±7,850 ft2) of impervious surfaces on the
entire tract.
Submitted by: Ron Renaldi
Date: 6/17/2020
RECEIVED
AIN 18 2020
pGHD CITY

LASSITER ENVIRONMENTAL CONSULTING, LLC
139 S. Dogwood Trail (Received
Kitty Hawk, NC 27949
AA j
252.2023800
[e-mail]
ACM-EG
May 22, 2020
Mr. Ron Renaldi
NC Division of Coastal Management
401 S. Griffin St., Suite 300
Elizabeth City, NC 27909
Re: Janice H. Olsen — 206 Waterside Drive, Harbinger, NC— Major CAMA Application
Mr. Renaldi:
The purpose of this correspondence is to provide a narrative description for an enclosed Major CAMA
permit application to construct an inground pool on property owned by Ms. Janice H. Olsen at 206
Waterside Drive in Harbinger, Currituck County, NC. Included with the correspondence is a permit plat
showing the proposed development and existing Infrastructure, Forms DCM MP -1 2 and 3, certified
letters to adjacent riparian property owners, a copy of the deed, a check for $400.00 payable to NCDEQ
for the application fee, a preliminary jurisdiction determination (pjd) for onsite Section 404 wetlands
Issued by the US Army Corps of Engineers, a letter of mitigation credits from the Great Dismal Swamp
RestorationBank, LLC, and an agent authorization form allowing Lassiter Consulting, LLC to prepare and
submit the Major CAMA application.
The proposed project requires the filling of a depressionai Section 404 wetlands area totaling 3,325 sq.
ft. to facilitate the construction of a 16' x 32' Inground pool with associated 6' wide concrete pool deck.
The perimeter of the pool will be stabilized with earthen fill material on a 3:1 slope and slit fence will be
place around the perimeter of the fill slope. The applicant proposes to mitigate unavoidable wetlands
impacts by purchasing mitigation credits from The Great Dismal Swamp Restoration Bank, LLC.
I further reference the existing contract to purchase the property, a copy of which is provided with this
application. The location and dimensions of the pool have been designed and designated by a pool
construction company hired by the buyers and represents the minimum pool size and location that is
acceptable to the buyers. We explored changes to the alignment and configuration of the pool to
reduce impacts but no satisfactory alternatives were found that provided substantial changes in the
proposed wetlands fill. Permitting of this pool configuration and location will require that 1,928 sq. ft. of
fill be placed within the 75' Coastal Shoreline AEC which, along with the 404 wetlands fill, triggers the
Major LAMA Permit requirement. In addition to the wetlands fill, an additional 2,003 sq. ft. of uplands
will be impacted by the proposed development.
In conclusion, Ms. Olsen has been trying to sell the property for an extended period and the standing
water across the entire width of the lot has been a constant source of concern for potential buyers of
the home. The attached contract is the only viable offer Ms. Olsen has had in over a year. Ms. Olsen
lives in Philadelphia, PA now and the costs and logistics of maintaining the residence have become a
RECEIVED
JUN 18 2020
DCM-MHD CITY

substantial burden to her. Therefore, the Issuance of this permit is of extreme Importance to her and
she is required to submit and obtain this permit for the closing to be completed.
Thank you for your attention to this information. If you have questions, comments or need additional
information please contact me at this email or the phone number found above.
S' I
a i
La ter Environmental Consulting, LLC
Received
DCM-EC
RECEIVED
JUN 18 2020
DCM-MHD CITY

DOoe818n Envelope ID 88411)74E-FCOE-4M-9FB7.90EED79Fe1oo
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date !� '/`!�• � j�
Name of Property Owner Applying for Permit:
Malling Address:
4z7&aali�,-7--
I certify that 1 have authorized (agent) to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at
This certification is valid tdru (date)
x
Signature
2/29/2M9
RECEIVED
Date JUN 18 2020
DCM-MHD CITY
Received
DCM-F%

LASSITER ENVIRONMENTAL CONSULTING, LLC
139 S. Dogwood TH. Received
Kitty Hawk, NC 27949
252.202.3800
[e-mail] r��apppp
D I EG
May 15, 2020
CERTIFIED MAIL —RETURN RECEIPT REQUESTED
Christopher and Susan Anne Cumber
208 Waterside Drive
Harbinger, NC 27941
Mr. and Ms. Cumber
Janice H. Olsen is applying for a Major LAMA permit to fill a wetlands depression on her property
located at 206 Waterside Drive in Currituck County, NC. The purpose of the fill is to allow construction
of a 16' x 32' inground pool with a 6' concrete apron. I am enclosing with this letter a permit plat that
depicts the proposed work along with associated application forms.
As the adjacent riparian property owner to the project, Ms. Olsen is required to notify you and give you
an opportunity to comment.
Should you have any objections to the proposed project please send your written comments to Ron
Renaldi, NC Division of Coastal Management, 401 S. Griffin St., Suite 300, Elizabeth City, NC 27909 within
30 days of receipt of this notice. No comment with 30 days will be considered as no objection.
If you have questions you can contact me at the phone number and email address found in the
letterhead above.
Thank you for your attention to this information.
erely,
Jo Lassiter
assiter Environmental Consulting, LLC
Cc: Janice Olsen
Ron Renaldi
RECEIVED
JUN 18 2020
DCM-MHD CITY

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �)AA i c(. H. 14-(+-- s
^
property located at `�LD(v (Name of Property Owner)
/► (� (Address, Lot, Bock, Road, c.4v') /y
on lt�t�l�^GtVIQ So�tidL ,in Warkint, rvr.44Cl/ ( L ,N.C.
(Waterbody) ( tyR wn and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANWOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must flit in description below or attach a site drawing)
Received
DMEC
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Property Owner Information)
nature
at tee d (st.�
Print or Type Name
1 2 Y
XYY�bo�t S�
linAd
d r s% a P
City/state/Z!
2s:2- G/1- 1373
Telephone Number/email address
S/ 2 3 / 26Sv
Date
'Valid for one calendar year after signature'
(Adjacent Property Owner Information)
Date*
(Revised Aug. 20"AECEIVED
JUN 18 2020
DCM-MHD CITY

Received
iA' iTF_I?ENVII-ON, EIPTAL:O15'SL,iP'O.?,.0
1.30 S, Oozwood Tri.
'itty Hawk, NC2-19:,9
[e-mail]
June 5, 2020
CERTIFIED MAIL— RETURN RECEIPT REQUESTED
Waterside HOA, Inc.
Atten: Ms. Jeanette Rhodes
324 Reggie Owens Dr.
Harbinger, NC 27941
Ms. Rhodes,
15 ,
DCM-EC
Janice H. Olsen is applying for a Major LAMA permit to fill a wetlands depression on her property
located at 206 Waterside Drive in Currituck County, NC. The purpose of the fill is to allow construction
of a 16 x 32' Inground pool with a 6' concrete apron. I am enclosing with this letter a permit plat that
depicts the proposed work along with associated application forms.
As the adjacent riparian property owner (HOA) to the project, Ms. Olsen is required to notify you and
give you an opportunity to comment.
Should you have any objections to the proposed project please send your written comments to Ron
Renaldi, NC Division of Coastal Management, 401 S. Griffin St., Suite 300, Elizabeth City, NC 27909 within
30 days of receipt of this notice. No comment with 30 days will be considered as no objection.
If you have questions you can contact me at the phone number and email address found in the
letterhead above.
Thank you for your attention to this information.
' ce ely,
Jos . La suer
assiter Environmental Consulting, LLC
Cc: Janice Olsen
Ron Renaldi
RECEIVED
JUN 18 "'21
DCM-MHO ^ITY

■ Complete Items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
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RECEIVED
JUN 18 2020
DCM-MHD CITY

BOOK 3 8 6 PAGE 846
Return to: John A. Mauney, 2224 S. Croatan Highway, Nags Head, NC 27959
PREPARED BY: Joseph N. Callaway FILED
Battle, Winslow, Scott & Wiley, P.A.
NORTH CAROLINA
?3 JUL 23 flM 10 41
COUNTY OF CURRITUCK CH„,ZLtEp,'S Y.. DO1YDy
THIS TRUSTEE'S DEED made this 2"�33fEi IiQ€ED$
1996, by JOSEPH N. CALLAWAY, TRUSTEE IN BANKRU 290MV.0.
JOSEPH DEIS, and wife, NANCY LEE JENSON ("Trustee") to EDWARD J.
OLSEN, and wife, JANICE H. OLSEN of 20730 Dearborn Street,
Chatsworth,- CA.91311;
WITNESSETH:
THAT WHEREAS Debtors filed a voluntary petition in
bankruptcy, case number 95-02715-8-JRL with the United States
Bankruptcy Court, Eastern District of North Carolina; whereas a
copy of the Order appointing the Trustee is attached as Exhibit
A; whereas the Trustee moved for and obtained an Order Allowing
Sale of Property Free and Clear of Liens with regard to certain
real property as described herein below was entered by the
Bankruptcy Court on February 23, 1996, a copy of which Order is
attached hereto as Exhibit B and incorporated by reference;
whereas pursuant to said Order the property has now been sold at
private sale to Grantee for the sum of $76,000.00; whereas as
directed by the Bankruptcy Court in said Order, the Trustee
makes, executes and delivers unto Grantee fair, good, and
sufficient deed for said land for recordation upon the payment to
the Trustee of the said purchase price; and whereas, said
purchase price has now been fully paid;
NOW, THEREFORE, Trustee, under authority of said Order
of the U.S. Bankruptcy Court, and in consideration of the tender
of said purchase price, has bargained and sold, and by these
presents does hereby bargain, sell and convey unto Grantee, their
heirs and assigns, that certain tract of land in Poplar Branch
Township, Currituck County, North Carolina and previously
described in deed recorded at Book 358, page 680 of the Currituck
County Public Registry, and being more particularly described as
follows:
All that certain lot or parcel of land situated in
Poplar Branch Township, Currituck County, North Carolina, and
more particularly described as follows:
Being Lot No. 21, in Cypress Point
Subdivision, Phase II, as shown on that
certain map or plat thereof prepared by
Hoggard/Eure Associates, Surveyors, Planners
& Engineers, entitled "Cypress Point II"
dated March 22, 1989, and filed on July 18,
1989, which plat is duly recorded in Plat
Cabinet D, Slides 108, 109 and 110, in the
Office of the Register of Deeds of Currituck
0
RECEIVED
JUN 18 2020
DCM-MHD CITY
Received
1-
D M-EC
County, North Carolina. CURRrMFMkl TAX
Subject to restrictive" covenant'attachedTAXAMCAL%r
hereto as Exhibit C. DATOPIdD 07
NORTH CAROLINA EXCISE STANIPSS �,, COUMTOR
ATTACHED AND CANCELLED 0 �-a. �

BOOK 386PAGE 847
U.S. Bankruptcy Court for the Eastern District of North Carolina
ANKRUPTrV rorTAT nn nnAr.l
In Re a Petition for Relief under Chaptery7 of Title 11,sLLYj4U. S. Code, f
or against the below -named Debtor(s) on August 8, 1995:
DEBTOR: KENNETH JOSEPH DEIS of PO BOX 310, HARBINGER, NC 27941, DBA
A DESIGN BUILD COMPANY LANDMARK, INC., SSN: 231-70-2874,
EIN: N/A
JT. DEBTOR: NANCY LEE JENSON, AKA NANCY JENSON DEIS, SSNt 225-78-7136,
EIN: N/A
CASE NO. 95-02715-8-JRL
Joseph N. Callaway
PO Box 7100
ORDER APPOINTING INTERIM TRUSTEE
Rocky Moountunt NC 27804 AND APPROVING STANDING BOND
IT IS ORDERED AND NOTICE IS HEREBY GIVEN THAT:
1. The following interim trustee is hereby appointed, and the trustee's
standing bond is fixed under the blanket bond heretofore approved.
Joseph N. Callaway
PO Box 7100
Rocky Mount NC 27804
i. The undersigned hereby certifies that on this date a copy of this order was
nailed to the above -named trustee and the debtor(s) and all attorneys of record.
FOR THE COURT
)ated: August 8, 1995 J. RICH LEONARD, JUDGE
A True copy RECEIVED
Pe88Y B. Deans, Clerk
ltea BY:
area $skptcoure JUN 18 2020
Deputy 010rk DCM-MHD CITY
Received
�khrbi (- DCM-EC

T!ic' c;)cc7t 1)iNfilLtt .11vUinp Ac4orotion''Vank,
June 12, 2019
Mr. Joe Lassiter
Lassiter Environmental Consulting, LLC
III St. Clair Rd.
Kill Devil Hills, NC 27948
RE: Janice H Olsen
206 Waterside Drive
Harbinger, Currituck County, NC
Dear Mr. Lassiter:
The following price quote is given in reply to your request for the purchase of 0.26 wetland mitigation credits (HUC Code 03020205)
from The Great Dismal Swamp Restorationflank Timberlake Farm. These credits are currently available from our Timberlake
mitigation bank.
The cost will be Thirteen Thousand Dollars (5 13,000.00). This quote will expire on September 30, 2019. You will need to submit to
the USCOE the necessary application for said mitigation, and receive USCOE permission to furnish said required credits from
our Timberlake bank.
To complete this transaction, we will require payment in full. Once payment is received, the credit sale will be reported to the US
Army Corps of Engineers. Please provide and/or confirm the following Information:
Corps Project d:
Waterway:
Permittee Name: Janice H Olsen
Locality of Impact: Harbinger, Currituck County, NC
Permit action (i.e., IP. NWP•39, enforcement, etc.:
Impacts (acres/linear feet): 0.13
Impacts NWlclassification: None
Impacts Hydrologic Unit Code: 03010205 Pasquotank
Anticipated Mitigation: 0.26
Mitigation Bank, Per,ttittee, and Consultant agree not to discuss with any other party the details and/or pricing of this agreement,
unless necessary for regulatory matters. Information contained herein shall be held in the strictest confidence.
Thank you for allowing us to quote this project. We look forward to working with you.
Sincerely,
everh�te
Manager — Accounting / Sales
GDSRB
CC: File
RECEIVED
JUN 18 2020
DCM-MHD CITY
Received
DCM-EC
t-

DognS'g lt-4AE7A8F2-7EEC48894C6F
uocuzIn tnvaleoflil:w
OFFER TO PURCHASE AND CONTRACT Received
(Consult "Guidelines" (Form 2G) for guidance in completing this fort]
For valuable consideration, the receipt and legal sufficiency of which are hereby acknowledged, Buyer offers to r tasc and Seller
upon acceptance agrees to sell and convey the Property on the terns and conditions of this Offer To Purchase at�any
addendum or modification made in accordance with its terms (together the "Contract").
1. 'PERMS AND DEFINITIONS: The terms listed below shall have the respective meaning given them as set forth adjacent to
each tern.
(a) "Seller": JANICEHOISRN
(b) 'Beyer": RICARDO L GUTIERREZ, MARIA S. GUTIERREZ
(c) "Property": The Property shall include all that real estate described below together with all appurtenances thereto including
the improvements located thereon and the fixtures and personal property listed in Paragraphs 2 and 3 below.
NOTE: If the Property will include a manufactured (mobile) home(s), Buyer and Seller should consider including the
Manufactured (Mobile) Home provision in the Additional Provisions Addendum (Standard Donn 2A I l=1) with this offer.
Street Address:
City:
206
, North Carolina
Zip: 27%1
NOTE: Governmental authority over taxes, zoning, school districts, utilities and mail delivery may differ fiom address shown.
Legal Description: (Complete ALL applicable)
Plat Reference: Lot/Unit 21 Block/Section Subdivisimn/Conelaninimu CYPRESS POINT 11
, as shown on Plat Bcok/Slide IVIOS at Pages)
The PIN/PID or other identification number of the Property is: 125000000210000
Other description: GLOBAL PIN 9836-0-4652
Some or all of the Property may be described in Deed Book IS et page E/148
(d) "Purchase Price":
$ 565,800.00
S
S 5,250.00
$ 559,750.00
paid in U.S. Dollars upon die following terms:
BY DUB DILIGENCE FEE made payable and delivered to Seller by die Effective Date.
BY INITIAL EARNEST MONEY DEPOSIT made payable and delivered to Escrow Agent
umncd in Purograph l(t) by []cash X crsonal check ❑official bank check ❑wire
transfer, ❑ electronic transfer, EITHER UwidithisofferOR ❑withinfive (5)days ofthe
Effective Date of this Contract
BY (ADDITIONAL.) EARNEST MONEY DEPOSIT made payable and delivered to Escrow
Agent named in Paragraph l(f) by cash, official bank check, wire transfer or electronic
transfer no later than 5 p.m. on
TIME BEING OF TIM ESSENCE
BY ASSUMPTION of the unpaid principal balance and all obligations of Seller on (lie
existing loan(s) secured by a deed of trust on the Property in accordance with the attached
Loan Assumption Addendum (Standard Form 2A6= I).
BY SELLER FINANCING in accordance with the attached Seller Financing Addcnduul
(Standard Foram 2A5-9).
BY BUILDING DEPOSIT in accordance with the attached New Construction Addendum
(Standard Form 2A3-T).
BALANCB of the Purchase Price in cash at Settlement (some or all of which may he paid
with lime proceeds of a new loan).
Should Buyer fail to deliver either the Due Diligence Fee or any Initial harest Money Deposit by their due dates, or should any check or
other funds paid by Buyer be dishonored, for any mason, by the institution upon which the paymet is drawn, Buyer shall have one (1)
banking day after written notice to deliver cash, official bank check, win: transfer or electronic transfer to die payee. In die event Buyer
does not timely deliver the required funds, Seller shall have the right to terminate this Contract upon written notice to Buyer.
Page I of 14
®This fornn jointly approved by: STANDARD FORM 2-T
North Carolina Bar Association Revised 7/2019
arA�ros• North Carolina Association of REALTOR 'IkYkm O 7/2019
Buycr's initifth W a Seller's initial 9N4t RECEIVED
rimer Iwo, n,nley Grwp, P.O. Ill, JOn RNlrank NC 2949 plwro: 15243514" Fw: eeneal11:1M
AW Clod, PmEtm d with dprn,my by r1ohqln IaWa Fenner Mra Mond, Frmer, MkNam 4Wrq ftw ziol."t la
JUN 18 2020
DCM-MHD CITY

DocuStgn Envelope ID: 8FE44CE8-E988.4AE7-88F2-7EEC48894C6F
DocuSign Envelope ID: aM2CD89-Ei60-4CD2-BB36.60408FD6CCIO
ADDITIONAL PROVISIONS ADDENDUM
Property:
Seller: J2
Buyer: RICARDO GUTIERREZ, MARIA GUTIERREZ
This Addendum is attached to end made a part of the Offer to Purchase and Contract ("Contract") between Seller and Buyer for the
Property.
NOTE: All of the following provisions which are madred with an "X" shell apply to the attached Offer to Purchase and Contract or
Offer to Purchase and Contract- VacantI.ot/Land ("Contr4et'7. Those provisions marked "NIA" shall not apply.
1. _ EXPIRATION OF OFFER: This offer shall expire unless unconditional acceptance Is delivered to Buyer on or
Were ❑ AM ❑PM, ai TIME BEING O]+THE 6SS13NCS,
or until withdrawn by Buyer, whichever occurs first,
2, _ (To be used with Offer to Purchase and Contract Form 2-T only) SEPTIC SYSTEM INSTALLATION/
MODIFICATION: As a part of the Buyer's Due Diligence, Buyer intends to obtain an Im rovement Permit or written
evaluation flam Ora County Health Department ("County') for a (check only ONE) conventional or other
ground absorption sewage system for a _- bedroom
home. Except for the costs for clearing the Property, oil costs and expenses of obtaining such Permit or written evaluation
shall be borne by Buyer unless otherwise agreed. Seller shall be responsible for clearing that portion of the Property
required by the County to perform Its tests and/or inspections by no later than
NOTE; Insert a date that will allow testing to bo completed prior to the and of the Due Diligence Period.
3. _ RENTAL NCOMR/fNVESTMENT PROPERTY: The Property shall be conveyed subject to existing leases and/or
rights of tenants. Seller shall deliver to Buyer on or before true and complete
copies of all existbrg leases, rental agreements, outstanding tenant notices, written statements of all oral tenant agreements,
statement of all tenant's deposits, uncured defaults by Seller or tenants, and claims made by or to tenants, if any.
NOTE: Insert a date that will allow review to be completed prior to the end of the Due Diligence Period,
Any security deposit hold In connection with any lease(s) shall be transterTed to Buyer at Settlement and otherwise in
accordance with North Carolina Tenant Security Deposit Act (N.C.G.S. § 42-54). Seller ❑will will not transfer to
Buyer any pet fee/doposit at Settlement.
NOTE: DO NOT USE THIS PROVISION FOR PROPERTY SUBJECT TO THE NORTH CAROLINA VACATION
—DO RENTAL ACT. A VACATION RENTAL ADDENDUM SHOULD BE USED IN SUCH CASES.
SOL4, AGREED -UPON REPAIRS AND/OR IMPROVEMENT& Seller agrees, prior to Settlement Date and at Sellor's
expense, to complete the following items: SELLER WILL 013TAIN PROPER PERMITS AND ASSUME ALL
Buyer shall have the right to verlty, prior to Settlement, that the above Items have been completed In a good and
workmanlike manner.
IN T11B EVENT OF A CONFLICT BETWEEN THIS ADDENDUM AND THE CONTRACT, THIS ADDENDUM SHALL
CONTROL, EXCEPT THAT IN THE CASE OF SUCH A CONFLICT AS TO THE DESCRIPTION OF THE PROPERTY OR THE
IDENTITY OF THE BUYER OR SELLER, TI-M CONTRACT SHALL CONTROL.
Page I of
®This form Jointlyy approved by,
North Carolina Ifar Associan p
` North Carolina Association ofREALTORS®, Inc. De
REAITORO •ItI, �ronrvxnv
BuyerhdtialsE_E Sellerfaitials
STANDARD FORM 2AI I-T
Revised N2019
A W2019
Ogler Danh,RnRy Gr.,, P.O. A. 2009 JURY Np"h NC 27949 Phan: 152155rd30 PR
Al.. C,enh Produced lWlh xpFarme by xlpl.ogbh IN70 FRoen We Road, F,x,ur, M dOgan 48OM Wq%yLA rah ran
RECEIVED
GUTr6RNEZ200
JUN 18 2020
DCM-MHD CITY

uuoocmualn envuiopa w: ji%Qµ�na.c8n� y�ue-0000 ouvuo48u v
THE NORTH CAROLINA ASSOCIATION OF REALTORSO, INC. AND THE NORTH CAROLINA BAR ASSOCIATION
MAKE NO REPRESENTAIION AS TO THE LEGAL VALIDITY OR ADEQUACY OF ANY PROVISION OF THIS FORM IN
ANY SPECIFIC TRANSACTION, IF YOU DO NOT UNDERSTAND THUS FORM OR FEEL THAT IT DOES NOT PROVIDE
FOR YOUR LEGAL NERDS, YOU SHOULD CONSULT A NORTH CAROLINA REAL ESTATE ATTORNEY BEFORE YOU
SIGN IT.
This offer shall become a binding contract on the Effective Date. Unless specifically provided otherwise, Buyer's failure to timely
deliver any fee, deposit or other payment provided for herein shall not prevent Otis offer from becoming a binding contract, provided
that any such failure shall give Seller certain rights to terminate the contract as described hercht or as otherwise permitted by law.
Date: 12/26/2019
m,uFW dt
Buyer IG(A 0 a11imeg
GUTIERREZ
Date: 12/26/2019
a, W W.
Buy, Alli91 GUfifamc
"U'I'IERREZ
Entity Buyer:
(Name of LLC/Corpotblion/PartnershiptTusttetc,)
By:
Name:
Print Name
Tide:
Date:
Date:1/29/2020
Sedc[,)ALt.IU, N' fusty.
k-JAa f'$UaW,SEN
Date:
Seller
Entity Seller:
(Name of LLC/Corporation/Parinembipll7vaUetc,)
By:
Nanic:
'title:
Date:
WIRE FRAUD WARNING
Name
a
Received
6
TO BUYERS: BEFORE SENDING ANY WIRE, YOU SHOULD CALL THE CLOSING ATTORNEY'S OFFICE 1 8
INSTRUCTIONS. IF YOU RECEIVE WIRING INSTRUCTIONS FOR A DIFFERENT BANK, BRANCH LOCATION,
ACCOUNt NAME OR ACCOUNT NUMBER, THEY SHOULD BE PRFSUMED FRAUDULENT. DO NOT SEND ANY FUNDS
AND CONTACT THE CLOSING ATTORNRY'S OFFICE IMMEDIATELY.
TO SELLERS: IF YOUR PROCEEDS WILL BE WIRED, IT IS RECOMMENDED THAT YOU PROVIDE WIRING
INSTRUCTIONS AT CLOSING IN WRITING IN THE PRESENCE OF THE ATTORNEY. IF YOU ARE UNABLE TO ATTEND
CLOSING, YOU MAY HE REQUIRED TO SEND AN ORIGINAL NOTARIZED DIRECTIVE TD THE CLOSING ATTORNEYS
OkTICE CONTAINING THE WIRING INSTRUCTIONS, THIS MAY BE SENT WITH THE DEED, LIEN WAIVER AND TAX
FORMS IF THOSE DOCUMENTS ARE BEING PREPARED FOR YOU BY THE CLOSING ATTORNEY. AT A MINIMUM,
YOU SHOULD CALL. 111E CLOSING AIYORNEY'S OFFICE TO PROVIDE TIIR WIRE INSTRUCTIONS, THE WIRE
INSTRUCTIONS SHOULD BE VERIFIED OVER TIIR TELEPHONE VIA A CALL TO YOU INITIATED BY THE CLOSING
AITORNEY'S OFFICE TO ENSURE THAT THEY ARE NO'T FROM.A•FRAUDULENT SOURCR
WHETHER YOU ARE A BUYER OR A SELLER, YOU SHOULD CALL THE CLOSING ATTORNRY'S OFFICE AT A
NUMBER THAT IS INDEPENDENTLY OBTAINED. TO ENSURE THAT YOUR CONTACT' IS LEGITIMATE, YOU SHOULD
NOT RELY ON A PHONE NUMBER IN AN EMAIL FROM THE CLOSING ATTORNEY'S OFFICE, YOUR REAL ESTATE
AGENT OR ANYONE ELSE.
Page 12 of 14
Roducatlw VpFar byxipLopk 19070F11Waa M1WRWd,Ff8SW.MW1i9a114W26 ypyy,,ipL99ty
STANDARD FORM 2-T
Revis d %gE I
,vneaasa.mr �Tji�4
JUN 18 20
F
DCM-MHD CITY

DocuSi n Enveloppe ID: 8FE44CE8-E988-4AE7-88F2-7EEC48894C6F
uuuu0i i GIIVe1UNe W: JNYLI.Voa-Gleu-Y4uG-OWo•ouYVoru:>V,. iv
NOTICE INFORMATION
NOTE: INSERT AT LEAST ONE ADDRESS AND/OR ELECTRONIC DELIVERY ADDRESS EACH PARTY AND AGENT
APPROVES FOR THE RECEIPT OF ANY NOTICE CONTEMPLATED BY THIS CONTRACT. INSERT "N/A" FOR ANY
WHICH ARE NOT APPROVED.
BUYER NOTICE ADDRESS:
Meiling Address:
Buyer fax#:
Buyer G-mail:
SELLER NOTICE ADDRESS:
Mailing Address:
Seller Pax#:
Seiler Ur mail:
CONFIRMATION OF AGENCYINOTICE ADDRESSES
Selling Finn Name: Outer Banks Realt Gruu n
Acting asEX] Buyc:'s Agent Seller's(sub)Agent Duel Agent
Finn License #: C25379
Mailing Address: P.O. BOX 3009, Kitty Hawk, NC 27949
Individual Selling Agent: ALAN CREECH
❑ Acting as a Designated Dual Agent (check only if applicable)
Selling Agent License #: 278693
Selling Agent Phone#: [phone]
Selling Agent Fax#:
Listing Firm Name: BRINDLEY BEACH VACATION"UCK
Acting as ® SeUces Agent Lj Dual Agent
Firm License #: C14121
Mailing Address: 1213 C DUCK ROAD, DUCK, NC 27949
Individual Listing Agent: MELANIE DAY
❑ Acting as a Designated bual Agent (check only if applicable)
Listing Agent License #: 219374
Listing Agent Phone#: [phone]
Listing Agent Fax#:
Selling Agent G•mail: [e-mail] Listing Agent E-mail: melauletumelanieday.com
Received
(THIS SPACE INTENTIONALLY LEFT BLANK) I �,)
DCM-EC
Page 13 of 14
oa
STANDARD FORM 2-T
((��,, A d Revised 7/2019
Buye:'s in itials_ Seller's initi , ® 7/2019
tl P,cdw021pFwm9byxlpl.oWxieo70FMoonMlleaowtF,nw.MtrIOM49046 �zloLmlx= nUT,rnMAN RECEIVED
JUN 18 2020
DCM-MHD CITY

DocuStgn Envelope ID: 8FE44CE6-E988-4AE7-68F2-7EEC48894C6F
DocuSlgn Envelope ID; 3M2CDB9d_t00-4CD2-BB36-8040BF05CC10
S. _ MANUFACTURED (MOBILE) HOME: The Properly shell Include the following manttfacwred (mobileZhotne(s)
located on the Property: VIN(s): or u VIN(s)
unknown Other description (year, model, etc.):
IN THE EVENT OF A CONFLICT BETWEEN THIS ADDEMDUM AND THE CONTRACT, THIS ADDENDUM SHALL
CONTROL, EXPECT THAT IN TIIR CASE OF SUCH A CONFLICT AS TO THE DESCRIPTION OF THE PROPERTY OR THE
IDENTITY OF THE BUYER OR SELLER, THE CONTRACT SHALL CONTROI L.
TIM NORTH CAROLINA ASSOCIATION OF REAIXORSO, INC. AND THE NORTH CAROLINA BAR ASSOCIATION
MAKE NO REPRESENTATION AS TO THR IXGAL.VALIDTTY OR ADEQUACY OF ANY PROVISION OF THIS FORM IN
ANY SPECIFIC TRANSACTION. IF YOU DO NOT UNDERSTAND THIS FORM OR FEEL THAT IT DOES NOT PROVIDE
FOR YOUR LEGAL NEEDS, YOU SHOULD CONSULT A NORTH CAROLINA REAL ESTATE ATTORNEY BEFORE YOU
SIGN IT.
Date: 12/26/2019
Buyer:5C4900- aulliK! f-
ate" l(Y'GUTIERREZ
Date: 12/26/2019
o...el,nw bn
Buyer: rQpll auflfIgIlo� _
o'tl°IITDERREZ
Entity Buyer:
(Name ofLLC/CorporationNartnershipfrlvstlete.)
By:
Name:
Print Name
Title;
Date:
Date: 1/29/2020
(�noausgda oW.
Seller: I ljatniCt (} /�(YA.-
VAI+)JC&,gRN
Date:
Seller:
Entity Seller.
(Name of LLGCorporation/Pertnaahiplhustletc.)
By;
Name:
Print Name
Title:
Date:
Page 2 of 2
Pf`ola' dWill'OPF-MS byeIPLa01x 1S070 FI0nm Mile Rond, From,, Mkllloan 48 8 MazInLoolx mm
Received
DCM-EC
d
i
STANDARD FORM 2AI1-T i
Revised IMEIVED1
0 7/2019
1
�'cnrn;RRnzvod JUN 18 20201
I
DCM-MHD CITY

ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Director
EMAIL MEMORANDUM
TO: Susan Simpson
The Coastland Times
Manteo, NC 27954
lega Is(a)thecoastla ndtimes. net
FROM: Ella Godfrey
DATE: June 18, 2020
SUBJECT: Public Notice: Janice H. Olsen
Please publish the attached Notice in the Sunday, June 21, 2020 issue of The Coastland
Times.
The State Office of Budget and Management requires an original Affidavit of Publication
prior to payment for newspaper advertising. Please send the affidavit, an original copy
of the published notice, and an original invoice to Ellie Davis, NC Division of
Coastal Management, 400 Commerce Avenue, Morehead City, NC 28557,
(Telephone [phone]).
Thank you for your assistance in this matter. If you should have any questions, please
contact me at our Elizabeth City office [phone].
Attachment
cc: Jonathan Howell, Major Permits Coordinator, DCM, Morehead City
Christy Simmons, PIO, DCM, Morehead City
Ellie Davis, Accounts Payable, DCM, Morehead City
File
D E RECEIVED
JUN 18 2020
North Carolina Department of EmGonmental Quality I Division of Coastal Management
Elizabeth City Office 1 401 South Griffin Street, Suite 3001 Elizabeth City, North Carolina 27909 D
252,2643901 CM-MHD CITY

NOTICE OF FILING OF
APPLICATION FOR CAMA MAJOR
DEVELOPMENT PERMIT
The NC Department of Environmental Quality hereby gives public notice as
required by NCGS 113A-119(b) that application fora development permit in an AEC as
designated under the CAMA was received on 06/15/20. Janice H. Olsen proposes to fill
0.076 acres of delineated USACE 404 wetlands for the installation of a 16'x32' inground
pool with a 6' wide concrete pool deck at 206 Waterside Road in Currituck County.
A copy of the entire application may be reviewed at the office of the Division of
Coastal Management, located at 401 S Griffin St, Ste 300, Elizabeth City, NC, 252-264-
3901 during normal business hours. Comments mailed to Braxton Davis, Director, DCM,
/400 Commerce Avenue, Morehead City, NC 28557, prior to 07/11/20, will be considered
/in making the permit decision. Later comments will be considered up to the time of permit
decision. Project modification may occur based on review & comment by the public, state
& federal agencies. Notice of the permit decision in this matter will be provided upon
written request.
PLEASE PUBLISH ON: Sunday, June 21, 2020
North Carolina Department of Environmental Quality I Division of Coastal Management
Elizabeth City Office 1401 South Griffin Street. Suite 3001 Elizabeth CBy, North Carollm 27909
252.264,3901
RECEIVED
JUN 18 2020
DCM-MHD CITY

ROY COOPER NORTH CAROLINA
Governor Enytronmental Quality
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Director
June 18, 2020
Janice H. Olsen
1324 Moore Street
Philadelphia, PA 19148
Dear Ms. Olsen:
The NC Division of Coastal Management hereby acknowledges receipt of your application
for State approval to fill 0.076 acres of delineated USACE 404-wetlands for the installation of a
16'x32' inground pool with a 6' wide concrete pool deck at 206 Waterside Road in Currituck
County.
It was received complete on June 15, 2020 and appears to be adequate for processing at this time.
The projected deadline for making a decision is August 29, 2020. An additional 75-day review
period is provided by law when such time is necessary to complete the review. If you have not
been notified of a final action by the initial deadline stated above, you should consider the review
period extended. Under those circumstances, this letter will serve as your notice of an extended
review. However, an additional letter will be provided on or about the 75th day.
If this agency does not render a permit decision within 70 days from June 15, 2020, you may
request a meeting with the Director of the Division of Coastal Management and permit staff to
discuss the status of your project. Such a meeting will be held within five working days from the
receipt of your written request and shall include the property owner, developer, and project
designer/consultant.
NCGS I I3A-119(b) requires that Notice of an application be posted at the location of the proposed
development. Enclosed you will find a "Notice of Permit Filing" postcard which must be posted
at the property of your proposed development. You should post this notice at a conspicuous point
along your property where it can be observed from a public road. Some examples would be:
Nailing the notice card to a telephone pole or tree along the road right-of-way fronting your
D E Q RECEIVED
JUN 18 2020
North Carolina Department of Environmental Quality I Division of Coastal Managenrcnt _.
Elizabeth City Office 1401 South Crifffn Street, Suite 300 I Elizabeth City, North Carolina 27909
252.264.3901 DCM-MHD CITY

Janice H. Olsen
June 18, 2020
Page 2 of 2
property, or at a point along the road right-of-way where a private road would lead one into your
property. Failure to post this notice could result in an incomplete application.
An onsite inspection will be made, and if additional information is required, you will be contacted
by the appropriate State or Federal agency. Please contact me, if you have any questions and or if
you wish to receive a copy of the field report.
SincereI
Ron Renaldi
District Manager, Northeastern District
NC Division of Coastal Management
RR/eg
Enclosure
cc: Jonathan Howell, Major Permits Coordinator, DCM, Morehead City, NC (-
Joe Lassiter, Lassiter Environmental Consulting, LLC, Southern Shores, NC
RECEIVED
JUN 18 2020
DCM-MHD CITY

NOT 1 (01$ 171A
CAMA PERMIT
APPLIED FOR
PROJECT: Fill 0,076 acres of delineated USACE
404-wetlands for the installation of a 161x32'
inground pool with a 6' wide concrete pool deck
COMMENTS ACCEPTED THROUGH
APPLICANT:
Janice H. Olsen
1324 Moore Street
Philadelphia, PA 19148
252-619-1373
July'l 1, 2020
FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW.
Ron Renaldi
401 S. Griffin Street, Suite 300
Elizabeth City, NC 27909
252-264-3901, ext. 235

—This is a word processing form to be completed in Microsoft Word"'
NC Division of Coastal Management
Major permit Application Computer Sheet
(11101/2012)
Applicant: Janice H. Olsen
Date: &I7=0
Pr*d Site County.' Cumfuck
Staff Ron Renaldi
District NEfizabeffi City Washington
[]Morehead City ❑N4lmington
Project Name:
Rover File:
Rate of initial applkadw submittal (ECG 1AYZ007); &IM20
Date application 'received as complete' in the Field office (EX.. 1AV2007): 6r15f2020
Permit Authorization: XCAMA []Dredge & Fill []Both
SITE DESCRIPTIONIPERMIT INFORMATION
PNA: ❑Yes ®No
Photos Taken: Yes® No[]
Setback Required (riparian): ❑Yes
No
Critical Habitat: ❑Yes ❑No ❑Not Sure
15 foot waiver obtained., El Yes Milo
Hazard Notification Returned:
[]Yes ®No
SAV: Clyes ZNo ❑Not Sure
Shell Bottom: OYes ®No ❑ Not
Temporary Impacts: ®Yes ❑No
Sure
Sandbags: ❑Yes ®No ❑ Not Sure
Did the land use classification come from
Mitigation Required (optional):
county LUP. 0 Yes []No
®Yes ❑No
Moratorium Conditions: ❑Yes ❑No
Environmental Assessment Done:
®NA
[]Yes []No ®NA
SECONDARY WATER CLASSIFICATION - OPTIONAL (choose MAX of 4)
Future Water Supply (FWS) ❑ Nutrient Sensitive Waters (NSW) I Cl Swamp Waters (SW)
❑ High Quality Waters (HQW) ❑ Outstanding Resource Waters (ORW)
WETLANDS IMPACTED
(404) Corp. of Engineers (Jurisdictional
❑ (LS) Sea lavender (Umonium sp.)
0 (SS) Glasswort ( Salicomia SO
wetlands)
(CJ) Saw grass (Cladium jamalcense)
❑ (SA) Salt marsh cordgrass (Spartina
❑ (SY) Salt reed grass (Spartina
altemifiora)
cynosuroides)
(DS) Salt or spike grass (Distichlis
0 (SC) Bullrush or three square (Scrpus
0 (TY) Cattail (Typha So
sprcata)
Sp.)
(JR) Black needlerush (Juncus
0 (SP) Salt/meadow grass (Spartina
roemerianus)
patens)
APPLICATION FEE
❑ No fee required - $0.00
❑ III(A) Prorate w/D&F up to 1 acre;
0 Ill(D) Priv. public orcomm w/D&F to 1
3490 can be applied - $250
acre; 3490 cant be applied - $400
Minor Modification to a CAMA Major
❑ Major Modification to a CAMA Major
IV Any development involving D&F of
permit - $100
permit - $250
more than 1 acre - $475
Permit Transfer- $100
❑ 111(B) Public or commercial w/ D&F to 1
Express Permit - $2000
acre; 3490 can be applied - $400
Major development extension request-
❑11.Public orcommercallnodredge
$100
and/or 9 - $400
1. Private no dredge and/or fill - $250
® Il1(C) Pay. public orcomm wrD&F to 1
acre; 3490 can be applied; DCM needs
DWQ agreement - $400
11=
2�
252.808-2808 r. 1888.4aCOAS7 :: www.neeoastalmanaa®merit. net

NC Division of Coastal Mgt. Application Computer Sheet, Page 2 o1 3)
Applicant: Janice H. Olsen
Date: 6117/2020
Describe below the ACTIVITIES that have been applied for. All values should match the dimension order, and units of
measurement found In your Activities code sheet.
TYPE
REPLACE
Activity Name
Number
Choose
Choose
Dimension 1
Dimension 2
Dimension 3
Dimension 4
One
One
Fill (general)
1
New Kt* ®
Replace
3,325
3,325
Maint ❑
❑ Y ®N
High Ground
1
New wank®
Replace
5,090
5,090
Disturbance
Maint ❑
❑ Y ® N
New Work®
Replace
Maim ❑
❑ Y ® N
New Work®
Replace
Maint ❑
®Y ❑ N
New Work
Replace
Maint ❑
❑ Y ® N
New Work ®
Replace
Maint ❑
❑ Y ® N
New work ®
Replace
Maint ❑
❑ Y ® N
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
New Work
Replace
Maint ❑
❑ Y ❑ N
New work ❑
Replace
Maint ❑
❑ Y ❑ N
New Work
Replace
Maint ❑ JOYON
New Work❑
Replace
Maint ❑
❑ Y ❑ N
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
Mew Work
Replace
Maint ❑
❑ Y ❑ N
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
New Work ❑
Replsce
Maint ❑
❑ Y ❑ N
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
New ftrk Ll
Replace
Maint ❑
❑ Y ❑ N
New Work
Replace
Maint ❑
❑ Y ❑ N
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
New Work
Replace
Maint ❑
❑ Y ❑ N
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
ECEivFn
JUN 18
revised twv. sm2
DCM-MHD CITY

NC Division of Coastal Mgt. Application Computer Sheet, Page 3 of 3)
Applicant. Janice H. Olsen
Date: 611712020
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found In your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied tor.
Disturbance total
includes any
anticipated
restoration or
tam im s
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
im ct amount
TOTAL Feet
(Applied for,
Disturbance
total includes
any anticipated
restoration or
tam impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludesany
restoration and/or
temp impact
amount
HG
Dredge ❑ Fi®❑ Both ❑ Other ®
5,090
5,090
W L
Dredge ❑ Fill ® Both ❑ Other ❑
3,325
3,325
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ FIN ❑ Both ❑ other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
RECEIVED
1=
252.808-2808 :: 1.888-4RCOAST :: www.nccoastalmanagement.net revised: Nov. 2012
DCM-MHD CITY

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2019-00419 County: Currituck County U.S.G.S. Quad: Point Harbor
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner/Applicant:
Address:
Email:
Telephone Number:
Janice Olsen
1324 Moore Street
Philadelnhin. PA 19148
hilsen26470--ema il.com
[phone]
Received
DMEC
Size (acres) 1,123 Nearest Town Point Harbor
Nearest Waterway Currituck Sound River Basin Albemarle-Chowsn
USGS HUC 03010205 Coordinates Latitude: 36.0868580
Longitude:-75.8237657
Location description: The review area for this iurisdictlonal determination is located at 206 Waterside Drive in Harbinger,
Currituck County North Carolina The Property contains 0.13 acres of wetlands located between the existine residence and
the Albemarle Sound,
Indicate Which of the Followine ADDIv:
A. Preliminary Determination
X There are wetlands on the above described property, that may be subject to Section 404 of the Clean Water Act
(CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). The wetlands have been
delineated, and the delineation has been verified by the Corps to be sufficiently accurate and reliable. Therefore this
preliminary jurisdiction determination may be used in the permit evaluation process, including determining
compensatory mitigation, For purposes of computation of impacts, compensatory mitigation requirements, and other
resource protection measures, a permit decision made on the basis of a preliminary JD will treat all waters and wetlands
that would be affected in any way by the permitted activity on the site as if they are jurisdictional waters of the U.S. This
preliminary determination is not an appealable action under the Regulatory Program Administrative Appeal Process
(Reference 33 CFR Part 331). However, you may request an approved JD, which is an appealable action, by contacting
the Corps district for further instruction.
There are wetlands on the above described property, that may be subject to Section 404 of the Clean Water Act (CWA)(33
USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). However, since the
waters, including wetlands, have not been properly delineated, this preliminary jurisdiction determination may not be used in the
permit evaluation process. Without a verified wetland delineation, this preliminary determination is merely an effective
presumption ofCWA/RHA jurisdiction over all ofthe waters, including wetlands, at the project area, which is not sufficiently
accurate and reliable to support an enforceable permit decision. We recommend that you have the waters of the U.S. on your
properly delineated. As the Corps may not be able to accomplish this wetland delineation in a timely manner, you may wish to
obtain a consultant to conduct a delineation that can be verified by the Corps.
B. Approved Determination
There arc Navigable Waters of the United States within the above described property subject to the permit requirements of
Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403) and Section 404 of the Clean Water Act (CWA)(33 USC
1344). Unless there is a change in law or our published regulations, this determination may be relied upon for a period not to
exceed five years from the date of this notification.
There are waters of the U.S., including wetlands, on the above described project area subject to the permit requirements of
Section 404 of the Clean Water Act (CWA) (33 USC § 1344). Unless there is a change in the law or our published regulations,
this determination may be relied upon for a period not to exceed five years from the date of this notification.
_ We recommend you have the waters of the U.S. on your property delineated. As the Corps may not be able to accomplish
this wetland delineation in a timely manner. you may wish to obtain a consultant to conduct a delineation that can be verified by
the Corps.
RECEIVED
Page 1 of 2
JUN 18 2020
DCM-MHD CITY

SAW-2019.00419
_ The waters of the U.S., including wetlands, on your project area have been delineated and the delineation has been verified
by the Corps. We strongly suggest you have this delineation surveyed. Upon completion, this survey should be reviewed and
verified by the Corps. Once verified, this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on
your property which. provided there is no change in the law or our published regulations, may be relied upon for a period not to
exceed five years.
_ The waters of the U.S., including wetlands, have been delineated and surveyed and arc accurately depicted on the plat signed
by the Corps Regulatory Official identified below on . Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification.
There are no waters of the U.S., to include wetlands, present on the above described project area which are subject to the permit
requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification.
X The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act
(LAMA). You should contact the Division of Coastal Management in Efirabeth City, NC, at [phone] to determine
their requirements.
Placement of dredged or fill material within waters of the US, including wetlands, without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). Placement of dredged or fill material, construction or
placement of structures, or work within navigable waters of the United States without a Department of the Army permit may
constitute a violation of Sections 9 and/or 10 of the Rivers and Harbors Act (33 USC ¢ 401 and/or 403). If you have any questions
regarding this determination and/or the Corps regulatory program, please contact Billy Standridee at [phone] or
Billy. W.Standrideerasace.army.mil.
C. Basis For Determination: The wetlands within the nronerty were detine.r.d ..a... ek. r.. -r r..:.._..... imps
D. Remarks: The wetlands within the property are accurately depicted an the r it d plat entitled Section 404 Welland&
Malar LAMA Mon — Janice H. Olsen, dated 4/15/19
E. Attention USDA Program Participants
This del ineation/determination has been conducted to identify the limits of Corps' Clean Water Act jurisdiction for the particular site
identified in this request. The delineation/determination may not be valid for the wetland conservation provisions of the Food Security
Act of 1985. If you or your tenant are USDA Program participants, or anticipate participation in USDA programs, you should request
a certified wetland determination from the local office of the Natural Resources Conservation Service, prior to starting work.
F. Appeals Information for Approved Jurisdiction Determinations (as indicated in Section B. above)
If you object to this determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331. Enclosed
you will find a Notification of Appeal Process (NAP) fact sheet and Request for Appeal (RFA) form. If you rcquest to appeal this
determination you must submit a completed RFA form to the following address:
US Army Corps of Engineers
South Atlantic Division
Attn: Jason Steele, Review officer
60 Forsyth Street SW. Room IOM15
Atlanta, Georgia 30303-8801
In order for an RFA to be accepted by the Corps, file Corps must determine that it is complete, that it meets the criteria for appeal
under 33 CFR part 331.5, and that it has been received by the Division Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form, it must be received at the above address by N/A.
It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this
correspondence. Billy W. Standridge, Digitally signed by BillyW.
Corps Regulatory ulato official: USAGE Standridge,USACE Received
p g - Date:20190 2 14.0 9-04'00'
Date: Mav 22, 2019 Expiration Date: /A RECEIVED
JUN 18 2020 DCM-EC
DCM-MHD CITY

SAW-20IMN19
The Wilmington District is committed to providing the highest level ot'support to the public. To help us ensure we
continue to do so, please complete our Customer Satisfaction Survey, located online at
hitti://coil)smapu.usace.anny.mil/ci*n ancxil°p=136�1:0.
Copy Furnishcd:
Josenh Lnssiter
Lassiter Consulting, LLC
j2senhlassiter(a]email com
Received
RECEIVED
JUN 18 2020 ©CM'EC
DCM-MHD CITY

MAJOR PERMIT FEE MATRIX
Applicant: SQn%S QI�cr�
Selection
Development Type
Fee
M %
(143000009315256253)
;16014351
DWa %
(243001502 435100095 2341)
I. Private, non-commercialdevelopment
that does not
$250
($250)
0% ($0)
involve the filling or
excavation of any wetlands
en water areas:
ublic or commercial
lopment that does not
$400
100%($400)
0%($0)
lve the filling or
vation of any wetlands
en water areas:r
Modification to a
$250
100%($250)
0%($0)
ff
A Major ermit
or development that
lves the filling and/or
vation of up to 1 acre
etlands and/or open
r areas, determine if A,
, or D below a lies:
). Private, non-
El
commercial development, if
$250
100% ($250)
0% ($0)
General Water Quality
Certification No. 4097 (See
can be applied:
ublic or commercial
❑
ment, if General
$400
100% ($400)
0% ($0)
raad
uality Certification
7 (See attached)
a lied:
General Water
Quality Certification No.
$400
60% ($240)
40% ($160)
4097 (see attached) could
be applied, but DCM staff
determined that additional
review and written DWQ
concurrence is needed
because of concerns
related to water quality or
life:
General Water
Certification No.
$400
60% ($240)
40% ($160)
ee attached) cannot
[T4097
ied:
development thats
the filling and/or
$475
60%($285)
40%a($190)
tion of more than
one acre of wetlands and/or
RECEIV EI
open water areas:
JUN 18 2020
DCM-MHD CITY

Received From•
Permit No.:
Applicant's Name:
Project Address:
NC Division of Coastal Management
Cashier's Official Receipt
� /onl��f.✓'
11365PB C D
Date: _S¢ L_Z 20 2P
Check No.: C 1-3 1)
County: L /1,4,
Please retain receipt for your records as proof of payment for permit issued.
Signature of Agent or Applicant: Date: r a U
i
Signature of Field Representative: �� / ' �' r� Date:
RECEIVED
JUN 18 2020
DCM-MHD CITY

ROY COOPER
Govvnn
MICHAEL S. REGAN
Secretary
BRAXTON C. DAVIS
Director
June 18, 2020
MEMORANDUM:
NORTH CAROLINA
Environmental Quality
FROM: Gregg Bodnar, Assistant Major Permits Coordinator
NCDEQ - Division of Coastal Management
400 Commerce Ave., Morehead City, NC 28557
Fax:[phone] (Courier04-16-33)
greambodnarAncdenr.Qov
SUBJECT: CAMA Application Review
Applicant: Janice H. Olsen
Project Location: 206 Waterside Road in Currituck County
Proposed Project: Fill 0.076 acres of delineated USACE 404 wetlands for the installation of a
161x32'inground pool with a 6' wide concrete pool deck at 206 Waterside
Road
Please indicate below your agency's position or viewpoint on the proposed project and
return this form to Gregg Bodnar at the address above by July 9, 2020. If you have any questions
regarding the proposed project, contact Ron Renaldi (252-264-3901, ext. 235) when appropriate, in-depth
comments with supporting data is requested.
REPLY: This agency has no objection to the project as proposed.
"Additional comments may be attached"
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes
are incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
PRINT NAME
AGENCY
SIGNATURE
DATE
D �-y RECEIVED
JUN 18 2020
North Carolina Department orrnvlronmental Quality I DNlsionofCoastai Management
Elizabeth City Office 1 401 South Gntfin Street, Suite 3001 Elizabeth City, North Carolina 27909 2521643901 DCM-MHD CITY

DCM Coordinator: Greg Bodnar Distributed Yes® No ❑
Applicant: Janice H. Olsen Distribution Date: 6/18/2020
AGENCY
ECRO
Community Development/LPO
Debbie Lashomb
DCM Planner
Charlan Owens Enz City
US COE:
Josh Pelletier
Community Assistance
Lee Padrick (Beaufort, Carteret, Craven, Eliz City,
Pamlico, Washington)
Cultural Resources
Renee Gledhill -Earley
Div. of Water Infrastructure
(No longer public Water Supply)
Clif Whitfield
Marine Fisheries
Anne Deaton WARO/ECRO
James Harrison
NC DOT
David Harris
Shannon Jenkins
Shellfish Sanitation
Sharon Gupton
Tim Walton
State Property
Mike Moser
Wanda Hillard
DEMLR/DWR:
Sheri Montalvo
DEMLR
Sediment & Erosion-
Samir Dumpor
Storm water-
Roger Thorpe
DWR 401-
Anthony Scarbraugh
WRC
Maria Dunn (WARO)
National Heritage Program
Rodney Butler
RECEIVED
JUN 18 2020
DCM-MHD CITY
C:\Users\emgodfrey\Documents\Major Permits\Bellsl Island Campground\Maj Comment Distribution Sheet - Bells
Island Campground.docx
Revised; 6/29/2018

ROY COOPER
Governor
MICHAEL S. REGAN .
Secretary
BRAXfON C. DAVIS
Director
NORTH CAROLINA
Environmental Quality
Lassiter Environmental Consulting, LLC
c/o Joseph S. Lassiter
111 St. Clair Road
Kill Devil Hills, NC 27949
Re: Janice Olsen CAMA Major Permit Application
Dear Mr. Lassiter:
June S, 2020
RECEIVEED
J U N S 2020
NIP SECTION NIHD
The NC Division of Coastal Management hereby acknowledges receipt of your application on
June 1, 2020, for State approval for the development of the referenced project. An initial
screening of the submittal package has been conducted as per 1SA NCAC 071.0204. This
revealed certain deficiencies, which must be corrected before the application package can be
accepted as complete. To assist you in expediting the permitting process as much as possible,
I am notifying you of these deficiencies immediately so that they can be quickly corrected to
facilitate my detailed review.
Because the deficiencies are easily correctable, I am not returning the original application
package. Please submit the appropriate documentation. With the retained copy of the
application, I can commence the detailed review. Please understand that the subsequent
detailed review may reveal additional areas where further information or documentation is
required to demonstrate compliance with the rules directly applicable to the proposed
development. If this occurs, you will be notified of such issues separately.
Our initial screening has identified the following deficiencies:
1. Documentation of Notification of Riparian Property Owners must be provided. Please
submit signed Certified Mail -Return Receipt green cards or the signed adjacent
riparian owner notification forms for this notification.
To expedite our response to your permitting request, we will commence the detailed review
of your application for a permit pending the receipt of the additional information requested
above. However, the statutorily provided 75/150 days allowed for review cannot commence
until such time as we have received a complete application package. Once your application
has been accepted as'complete, you will receive a separate notification letter.
QF�
North Carolina Department of Environmental Quality I Division of Coastal hlanagement
Elizabeth Cry Office 1 •101 Sauth Griffin Street. Suite 3001 Elizabeth Gty, North Carolina 27909
252.264.3901

If it is not possible to render a permit decision within 70 days of the date when your
application is received complete, you may request a meeting with the Director of the Division
of Coastal Management and permit staff to discuss the status of your project Such a meeting
will be held within five working days from the receipt of your written request and shall
include the property owner, developer, and project designer/consultant.
Please do not hesitate to contact me at our Elizabeth City office (252 264 3901) if you have
any questions regarding this letter or the permitting process.
Sincerely, _
Ron Renaldi'
District Manager
Division of Coastal Management
cc: Greg Bodnar, Assistant Major Permits Coordinator, DCM, Morehead City
Janice Olsen, Applicant
RECE0�E®
JUN S 2020
MPP SECTION APIHD

m
G
"�'ax apq Is
4�
�cee+ue�e
soon
Q F ARGA OF FILL Q
LL TOP OF SLOPE
3:1 SLOPE 3A SLOPE
TOE OF SLOPE
EX. GRADE SECTION A -A
N.T.S. ALBEMARLE
ORuaii SOUND
A>TL_I/9 WETLANDS TO REMAIN{
VICINITY MAP INSTALL I(
NOTES. N.T.S. 200 L.F. SILT FENCE
AT LOD r W
t. PROPERTY ADDRESS: 206 WATERSIDE DRIVE
2. PARCEL ID: 125B00DO0210000, PIN: 9836-85-4652
3. LOT ZONING: SFM (SINGLE-FAMILY RESIDENTIAL MAINLAND
4. AREA = 48.931 sq. ft. = 1.123 acres
5. AREA CALCULATED BY COORDINATE METHOD. PROPOSE`I ROUND
6. THIS SURVEY WAS PERFORMED WITHOUT THE 16•x32• POOL s• WIDE
BENEFIT OF A TITLE COMMITMENT. CONC. POO CK
7. THIS PARCEL MAY BE SUBJECT TO EASEMENTS
NOT SHOWN HEREON. TOE OF FIL SLOPE
8. SETBACKS AS PER COUNTY OF CURRITUCK CURRENT CODE
AND MUST BE VERIFIED. SURVEYOR MAKES NO .
CERTIFICATION AS TO SETBACKS.
9. LOT MAY BE IN AN AREA OF ENVIRONMENTAL CONCERN.
INDIVIDUAL PERMITS MAY BE REQUIRED.
10. SUBDIVISION AS RECORDED IN P.C. -D", SL. 109, C.C.R.
11. PROPERTY IS LOCATED IN F.I.R.M. ZONES AS SHOWN ON
MAP NO. 3720983600K, DATED DECEMBER 21. 2018.
USE OF LAND WITHIN THE FLOODWAY OR FLOODPLAIN
AND FLOOD ZONES SUBJECT TO CHANGE BY FEMA.
12. ONLY THE WETLANDS SHOWN HEREON WERE SURVEYED
ON THIS DATE. ALL OTHER IMPROVEMENTS SHOWN
HEREON ARE BASED ON A SURVEY PERFORM BY
COASTAL ENGINEERING AND SURVEYING PERFORMED _
IN FEBRUARY, 2003. I N
rn
L - 22 CHRIS N OPHER
SU
� ANNE t;;
CUMBER
b• �
4k N46'O6'24wW
GEND! S 46'0634 E 43.62
�E - FOUND IRON ROD 49.92 (PEI f5, N�
- FOUND PK NAIL'
0 - CALCULATED POINT
M - TELEPHONE PEDESTAL
£A° - EDGE OF PAVEMENT
R/W - RIGHT OF WAY
M.B.L. - MINIMUM BUILDING LINE \ \
C.CR. - CURRITUCK COUNTY REGISTRI� �qo
22 - LOT NUMBER \
© - WETLAND AREA 41
® - WETLAND AREA TO BE FILLED q
- — -- >1
LIMIT OF DISTURBANCE
CURVE
TABLE
CURVE
RADIUS
LENGTH
CHORD
BEARING
Ct
142.50
1184.91'
172.2t'
S 11'23'a8" E
C2
25.00'
1 21.03'
20.42'
1 S 49*52*33" E
C3
50.00'
1 26.25'
25.95'
1 S 58'56'03" W
WOODEN DOCK
W
•
FILL AREA
a/N �.
(CROSS
HATCH)
ALES
IOW ENa
w
I00
/
I
7 tV T
EX. CONS LIMIT O
Z
U 6R71�': DISTURBA CE
I o^t\
O AREA
x czn
fI (OUTSIDE
WETLAND ):
OPEN y
"I 5,3282 ST
AREA I
m
N/i
r 21 �
`CYPRESS I
I
POINT
HOA, INC. I
F
I
\
N
WETLAND
AREAS
TOTAL WETLANDS ON THE LOT:
5,ED:
ARE
TOTAL AREA OF
WETLANDS TO BE
FILLED: 3,325 sq.
3. 5
ft.
AREA OF WETLANDS WITHIN 75' AEC LINE: 1.928 sq.
ft.
50 25 0 50
1 inch = 50 ft.
GRAPHIC SCALE
SHEET 1 OF 1
.
s1272.02
SECTION 404 WETLANDS MAJOR CAMA PERMIT MAP
JANICE H. OLSEN
4 5 19
Received
MFLL
51272CAMA
LOT 21
CYPRESS PONT II
HARBINGER
'IIAW
cB
/
'IEW 800K.
101151
POPLAR BRANCH TWSP.
CURRITUCK COUNTY
NORTH CAROLINA
D/'A/p_[-£4
Civil, Structural, Surveying &
Site Development
lVif�YY�I CCII��
Cori 4425 N. CXwY.
al C-0836 P.O. Box 112t29
ENGINEERING &J & SURVEYING. INC. Kitly^Hawk. N.C. 27949