9-13 Hendrickson, John & Barbara

Peitnit Class
NEW
Permit dumber
9-13
STATE OF NORTH CAROLI1 iA
Department of Environment and Natural Resources
and
Coastal Resources Commission
^5r M t
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 John and Barbara Hendrickson,1384 Butter Churn Drive, Herndon, VA 20170
Authorizing development in Perquimans County at Albemarle Sound, Country Club Drive,
Albemarle Plantation SID, Hertford, as requested in the permittee's application dated 9/20/12 (MP-1) and
8/10/12 (MP-2), including the attached workplan drawing (1), dated revised 10/22/12
This permit, issued on Janua4 14, 2013 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 terms may
be subject to fines, imprisonment or civil action; or may cause the permit to be null and void.
Upland Development
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 retaining
wall and single family residence, all as expressly and specifically set forth in the attached permit
application and workplan drawings. Any additional land disturbing activities and/or construction
may require a modification of this permit. Contact a Division of Coastal Management representative
at [phone] for this determination.
(See attached sheets for Additional Conditions)
This permit action may be appealed by the permittee or
other qualified persons within twenty (20) days of the issuing
date. An appeal requires resolution prior to work initiation or
continuance as the case may be.
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, 2016
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 DENR and the
Chairman of the Coastal Resources Commission.
V _BraxfddC. Davis, Director
ivision of Coastal Management
This permit and its conditions are hereby accepted.
Signature of Permittee

John and Barbara Hendrickson
Permit 49-33
Page 2 of 3
2)
3)
4)
5)
6)
7)
8)
a,
ADDITIONAL CONDITIONS
Retaining Wall
The alignment of the retaining wall shall be staked by the permittee and approved on site by a Division
of Coastal Management representative prior to initiation of construction.
The authorized retaining wall shall adhere to the alignment depicted on the attached workplan drawings.
The retaining wall shall be constructed prior to any backfilling activities.
The temporary placement or double handling of fill materials within waters or vegetated wetlands is not
authorized.
The retaining wall shall be structurally tight so as to prevent seepage of backfill materials through the
structure.
The retaining wall shall be solid and constructed of treated wood, concrete slabs, metal or vinyl sheet
piles, or other suitable materials approved by Division personnel.
All backfill material shall be clean and free of any pollutants except in trace quantities.
Sedimentation and Erosion Control
In order to protect water quality, runoff from construction shall not visibly increase the amount of
suspended sediments in adjacent waters.
10) 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. At a minimum, a silt fence shall be properly installed
immediately landward of the top of the retaining wall immediately following completion of backfilling
activities.
General
11) The permittee understands and agrees that, if future operations by the United States requires the
removal, relocation, or other alteration of the structure or work authorized by this permit, or if in the
opinion of the Secretary of the Army or his authorized representative, said structure or work shall cause
unreasonable obstruction to free navigation of the navigable waters, the permittee will be required, upon
due notice from the Corps of Engineers, to remove, relocate or alter the work or obstructions caused
thereby, without expense to the United States or the state of North Carolina. No claim shall be made
against the United States or the state of North Carolina on account of any such removal or alteration.
12) No wetlands shall be excavated or filled, even temporarily, outside of the areas indicated on the attached
workplan drawings.
13) 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.

Bolan and Barbara Hendrickson
ADDITIONAL CONDITIONS
Permit 99-I3
Page 3 of 3
14) 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, including but not limited to a stormwater
management permit from the Division of Water Quality.
NOTE: Future development of the permittee's property may require a modification of this permit.
Contact arepresentative of the Division at [phone] prior to the commencement of any
such activity for this determination.
NOTE: The N.C. Division of Water Quality has authorized the proposed project under DWQ Project No.
12-0898.
NOTE: The U.S. Army Corps of Engineers authorized the proposed project under COE Action Id. No.
SAW-2012-01813 which was issued on 1/7/13.

Pat McCrory
Governor
MA
LI&
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Charles Wakild, P. E. John Skvarla
Director Secretary
January 17, r2013
Pil
m
q—/ 3
Mr. John J. and Barbara J. Hendrickson
1384 Butter Churn Drive
Herndon, VA 20170
Subject: Stormwater Permit No. SWG010014
Hendrickson Residential Property
General Permit -Single Family Residence
Perquimans County
Dear Mr. Hendrickson:
In accordance with your application to be covered under the State Stormwater General Permit
for Single Family Residences, received on January 17, 2013, we are forwarding herewith the
subject Certificate of Coverage Number SWG010014 to construct and maintain Impervious
areas, and stormwater control measures, associated with a single family residence under the
subject General Permit. This permit is issued pursuant to the requirements of North Carolina
General Statute 143-215.1 and Title 15A NCAC 2H .1000, the stormwater management rules.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division of Water Quality (DWQ . The DWQ may require modification or revocation and
reissuance of the Certificate of Coverage.
This permit does not affect the legal requirement to obtain other permits which may be required
by the Division of Water Quality, the Division of Land Resources, Coastal Area Management
Act, or any other Federal, State, or Local agency, law, rule, or ordinance.
Enclosed is a copy of the General Permit. If you have any questions concerning this permit, or
need additional information on this matter, please contact either me or Bill Moore at (262) 946-
6481.
?Terely,
ada v�
Amy AdIs
Regional Supervisor
Surface Water Protection Section
cc: Doug Huggett, DCM, Morehead City
George Wood, Environmental Professionals
WARO Files
North Carollna Dlvislon of Water Quality
943 Washington Square Mall, Washington, NC 27689
Phone: [phone]\FAX:[phone]
Internal: www.nmaterguality.org
An Equal Opportunity 1 At4rmatire Action Employer
NorthCarolina
Naturally

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT GENERAL PERMIT NO. SWG010000
CERTIFICATE OF COVERAGE NO. SWG010008
CONSTRUCT, OPERATE AND MAINTAIN
IMPERVIOUS AREAS ASSOCIATED WITH
A SINGLE.FAMILY RESIDI=NCE
In compliance with the provisions of North Carolina General Statute 143-215.1, as amended,
other lawful standards and regulations promulgated and adopted by the North Carolina ,
Environmental Management Commission, and 15A NCAC 2H.1000, the Stormwater rules,
Mr. John J. and Barbara J. Hendrickson
is hereby authorized to construct, operate and maintain impervious areas associated with the
construction of a single family residence and the associated stormwater runoff located at
Hendrickson Residential Lot
Lot 8, Section L-3
Albemarle Plantation
Perquimans County
to receiving waters designated as Albemarle Sound, Class SB waters in the Pasquotank River
Basin; In accordance with the provisions of the General Permit for Single Family Residences,
No. SWG010000, and the approved stormwater management plans and specifications, and
other supporting data as attached and on file with and approved by the Division of Water Quality
and considered a part of this permit for the subject project.
This Certificate of Coverage shall become effective January 17, 2013.
Signed this the 17 th day of January, 2013.
orCharleaklid, PE, Director
.Division of alter Quality
By Authority of the Environmental Management Commission

PROJECT NARRATIVE
JOHN & BARBARA HENDRICKSON
LOT 8 — ALBEMARLE PLANTATION
SECTION L-3 * PHASE 2
Lot 8 of Sound View at Albemarle Plantation, Section L-3, Phase 2 is a long, narrow lot at the end of
Country Club Drive. This lot is constrained in its development envelope by a long, bulkheaded shoreline on the
Albemarle Sound and two areas ofwetlands subject to Section 404 of the Clean Water Act on the north and east sides of �2
the property. A SO -foot stonnwater buffer extends landward from the Albemarle Sound side of the property and a 30-foot
building setback from the road side.
The applicant designed a house that was commensurate with the other homes in the area before discovering the
stormwater buffer. A redesign ofthe house allowed for alignment outside ofthe buffer, extending only five feet into the
building setback (allowed by the County) but resulted in the need to fill wetlands in order to provide a foundation for the
house with adequate access to the deadmen for figure repair.
The plan represents the third iteration to avoid wetland impacts however, due to the storrnwater buffer, the budding must
encroach into wetlands. The area of fill in wetlands has been minhnized by reducing the size of the residential structure
and by employing retaining walls to confine the fill.
Mitigation for the wetland fill is proposed by purchase ofavdits on a ratio of2:1 from the North Carolina Ecosystem
Enhancement Program.
The construction will begin with the installation of a vinyl wall supported by tiebacks to deadmen. Fill will be brought to
the site and placed behind the retaining wall, compacted, and prepared for construction. The house will be constructed
and the yard stabilized with turf and landscaping.

RECEIVED
APPUCATION for
Maier Development Permit
(last revised 12127/06)
SEP 2 1 2012
ASTAL MANAGEMENT
EL06E"N CITY
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Project Name (if applicable)
Applicant 1: First Name
Barbara
MI
Last Name
Hendrickson
Applicant 2: First Name
John
MI
Last Name
Hendrickson
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
1384 Butter Churn Drive
PO Box
City
Herndon
State
VA
ZIP
20170
Country
USA
Phone No.
703 - 564 - 4007 ext.
FAX No.
Street Address (if different from above)
City
State
ZIP
Email
[e-mail]
2 Ageilt/Contractor Information _
Business Name -
Environmental Professionals, Inc.
Agent' Contractor 1: First Name
George
MI
H.
Last Name
Wood
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
3368
City
Kill Devil Hills
State
NC
ZIP
27948
Phone No. 1
252 - 441 - 0239 ext.105
Phone No. 2
252 -423 -1234 ext.
FAX No.
252 441 0721
Contractor #
Street Address (if different from above)
1404 S. Virginia Dare Trail
City
Kill Devil Hills
State
NC
ZIP
27948 -
Email
[e-mail]
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FCam DCM MP-1 (Page 2 of 4)
riCULIVtLI
SEP 21 2012
APPLICATION for
IMajor Development Permit
3. Project Location
County (can be multiple)
Street Address ELIZADEiH CITY
State Rd #
Perquimans
Country Club Drive
Subdivision Name
City
State
Zip .
Albemarle Plantation
Hertford
NC
27944 -
Phone No.
Lot No. (a) (if many, attach additional page with list)
ext.
8, 1 1 ,
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 within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
®Yes []No
work falls within.
Perquimans County
4. Site Description
a. Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
564'
54,885
c. Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
N/A, I I
NWL (normal water level)
(if many lot sizes, please attach additional page with a list)
+/- 5' ❑NHW or ®NWL
e. Vegetation on tract
pine, cypress, grasses
f. Man-made features and uses now on tract
bulkhead
g. Identify and describe the existing land uses Adjacent to the proposed project site.
residential
h. How does local government zone the tract?
L Is the proposed project consistent with the applicable zoning?
RA-25
(Attach zoning compliance certificate, if applicable)
®Yes []No ❑NA
j. Is the proposed activity part of an urban waterfront redevelopment proposal? []Yes ®No
k. Hasa 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 []Yes ®No ❑NA
National Register listed or eligible property?
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Form DCM MP-1 (Page 3 of 4) , / r- i APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site? SP 2 1 2 12 ®Yes []No
(ii) Are there coastal wetlands on the site? ❑Yes ®No
COASTALNIANAGEN4ENT
w If es to either i or ii above, has a delineation n 000dudekl'ASETHClTY
(...) Y O C) _... ®Yes []No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
central wastewater disposal
o. Describe existing drinking water supply source.
municipal
p. Describe existing storm water management or treatment systems.
community stormwater plan
5. Activities and Impacts
a. Will the project be for commercial, public, or private use?
❑Commercial ❑Public(Government
®Private/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
residential
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.
Retaining wall will be constructed of vinyl sheeting driven and backfilled with dozer.
Home construction will include small
construction tools and larger machinery to prepare the site.
d. List all development activities you propose.
'
wetland fill, residential construction
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?
15,000 ®Sq.Ft or ❑Acres
g. Will the proposed project
encroach on any public easement, public accessway or other area
❑Yes ®No ❑NA
that the public has established
use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
none
I. Will wastewater or stonmwater 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.
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Form DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
6. Additionallnformation
In addition to this completed application form, till the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) - (0 are always applicable to any major development application. Please consult the application
instruction booklet on how to property prepare the required items below.
a. A
narrative.
-•• r••-• ^.......w r•=� — anu wus aecuonal arawings) 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 Albemarle Plantation Holdings Phone No.
Address 2D1 Ocean Highway - Hertford, NC 27944
Name
Address Phone No.
Name
Address Phone No.
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, Pennittee, and issuing dates.
h. Signed consultant or agent authorization form, N applicable.
I. Wetland delineation, 'd necessary.
J. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
K. A statement of comnlianrn
-- -- -- -• - m. 1 „n i-cal, n 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. certification and Permission to Enter on Land
1 unuerbtanu met 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 / (—
Date `t�d0//,Z Print Name ; �l l J. 0 '(T i-- E I S✓ E U i
Signature
Please indicate application attachments pertaining to your proposed project.
®DCM MP-2 Excavation and Fill Information ❑DCM MP-5 Bridge Land
®DCM MP-3 Upland Development
ODCM MP-4 Structures Information
SEP 2 1 2012
,AL NI",V.(EFVENf
252-808-2808 .. 1.888-4RCOAST .. www.nccoastalmanagement.net

RECEIVEL
Form DCM MP-2
EXCAVATION and FILLLESTA
(Except for bridges and culverts)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1r 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
(NLW or
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
(excluding
Breakwater
shoreline
NWL)
stabilization
Length
Width
Avg. Existing
tt +F1Ej
n v
t#
Depth
Final Project
Depth
L r 7 '� r
hiY vR' i y,'$�,k
r
1 M t RY rrf , �
i +#r;) sia F
{
a. Amount of material to be excavated from below NHW or NWL in
cubic yards.
c. (i) Does the area to be excavated include coastal weAandslmarsh
(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
(ii) Describe the purpose of the excavation in these areas:
a. Location of disposal area.
c. (i) Do you claim title to disposal area?
❑Yes ❑No ❑NA
(ii) If no, attach a letter granting permission from the owner
b. Type of material to be
d. High -ground excavation in cubic yards,
b.
area.
d. (i) Will a disposal area be available for future maintenance?
❑Yes ❑No ❑NA
(ii) If yes, where?
e. (i) Does the disposal area include any coastal wetlandslmarsh f. (1) 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. (11a) If yes, how much water area is effected?
❑CW ❑SAV ❑SB
OWL ❑None
(ii) Describe the purpose of disposal in these areas:
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Fo. rtt DCM MP-2 (Excavation and Fill, Page 2 of 2)
3. SHORELINE STABILIZATION ®This section not @ppliCBble
(If development is a wood groin, use MP-4 — Structures)
a. Type of shoreline stabilization:
❑Bulkhead ❑Riprap ❑Breakwater/Sill ❑Other:
c. Average 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.
b. Length:
Width: _
d. Maximum distance waterward of NHW or NWL:
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.
h. Type of fill material.
4. OTHER FILL ACTIVITIES ❑This section not applicable
(Excluding Shoreline Stabilization)
a. (i) Will fill material be brought to the site? ®Yes ❑t
If yes,
(ii) Amount of material to be placed in the water 0
(III) Dimensions of fill area irecular
(iv) Purpose of fill
Residential Construction
submerged aquatic vegetation (SAW shell bottom (SB), or
other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW _ ❑SAV _ ❑SB
ZWL 4.362 []None
(III Describe the purpose of the fill in these areas:
For Residential Construction
a. How will excavated or fill material be kept on site and erosion b. What type of construction equipment will be used (e.g., dragline,
controlled? backhoe, or hydraulic dredge)?
Placed behind reataining wall smoothed and grassed dozer
c. (i) Will navigational aids be required as a result of the project?
[] Yes No ❑NA
III) If yes, explain what type and how they will be implemented.
N/A
Date
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.
N/A
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Form DCM MP-3
UPLAND DEVELOPMENT
(Construction andfor land disturbing activities)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure ota
Application that relate to this proposed project. Please include all supplemental information.
a. Type and number of buildings, facilities, units or structures
proposed.
c. Density (give the number of residential units and the units per
acre).
.79
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?
❑Yes ❑No ®NA
(i) If yes, fist the dale submitted:
g. Give the percentage of the tract within the coastal shoreline AEC to
be covered by impervious and/or built -upon surfaces, such as
pavement, building, rooftops, or to be used for vehicular driveways
or parking.
5%
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.'
14%
j. Describe proposed method of sewage disposal.
Central
I. Describe location and type of proposed discharges to waters of the
state (e.g., surface runoff, sanitary wastewater, industriall
commercial effluent, 'wash down" and residential discharges).
None
19ECt_.
AUG 3 C
COASTAL MAr^
b. Number of lots or parcels.
d. Size of area to be graded, filled, or disturbed including roads,
ditches, etc.
19,000 sq.ft.
f. List the materials (such as marl, paver stone, asphalt, or concrete)
to be used for Impervious surfaces.
concrete driveway
h. Projects that require a CAMA Major Development Permit may also
require a Stornwater Certification.
(i) Has a site development plan been submitted to the Division of
Water Quality for review?
[]Yes []No ®NA
(ti) 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 stornwater
design?
❑Yes ®No ❑NA
If yes, attach appropriate documentation.
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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.)
Central System (ii) If yes, how many acres?
o. When was the lot(s) platted and recorded?
2002
J/
Date /
4fYn�/'c �tOr
Project Name
PDIn.N AI �
Applicant Name r /
Applicant
p. If proposed development is a subdivision, will additional utilities be
installed for this upland development?
❑Yes []No ®NA
RECEIVED
AUG 3 0 2012
I
'ABETH CITY
252-808-2808:: 1.888-4RCOAS7:: www-nccoastalmanaaement.net
revised: 12/26/06

NC®ENR
North Carolina Department of Environment and
Division of Coastal Management
Pat McCrory
Governor
John & Barbara Hendrickson
1384 Butter Churn Drive
Herndon, VA 20170
Dear Sir or Madam:
Braxton C. Davis
Director
January 14, 2013
Natural Resources
John E. Skvarla, III
Secretary
The enclosed permit constitutes authorization under the Coastal Area Management Act, and where applicable, the
State Dredge and Fill Law, for you to proceed with your project proposal. The original (buff -colored form) is retained by
you and it must be available on site when the project is inspected for compliance. Please sign both the original and the
copy and return the copy to this office in the enclosed envelope. Signing the permit and proceeding means you have
waived your right of appeal described below.
If you object to the permit or any of the conditions, you may request a hearing pursuant to NCGS 113A-121.1 or
113-229. Your petition for a hearing must be filed in accordance with NCGS Chapter 150B with the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27611-6714, [phone] within twenty (20) days
of this decision on your permit. You should also be aware that if another qualified party submits a valid objection to the
issuance of this permit within twenty (20) days, the matter must be resolved prior to work initiation. The Coastal
Resources Commission makes the final decision on any appeal.
The project plan is subject to those conditions appearing on the permit form. Otherwise, all work must be carried
out in accordance with your application. Modifications, time extensions, and future maintenance requires additional
approval. Please read your permit carefully prior to starting work and review all project plans, as approved. If you are
having the work done by a contractor, it would be to your benefit to be sure that he fully understands all permit
requirements.
From time to time, Department personnel will visit the project site. To facilitate.this review, we request that you
complete and mail the enclosed Notice Card just prior to work initiation. However, if questions arise concerning permit
conditions, environmental safeguards, or problem areas, you may contact Department personnel at any time for assistance.
By working in accordance with the permit, you will be helping to protect our vitally important coastal resources.
Sincerely,
Douglas V. Huggett
Major Permits and Consistency Manager
Enclosure
400 Commerce Ave., Morehead City, NC 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
An Equal Oppolunily lAffrmallve Action Employer

-L 3
(mow e-`�
%Vash.ington
llvilmington
US ACOE Offices:
Washington:
alei- Bland
racey eeler
William Westcott (NC DOT)
Bill Biddlecome (NC DOT)
Wilmington:
Dave Timpy
Cultural Resources:
Renee Gledhill -Early or (env Conmental reviewLcdcr o
Public Water Supply:
Debra
ey White (WWARROO
/
Marine Fisheries:
Anne Deat .2LW �1—Q—
NC DOT:
en Pa
/
Shellfish Sanitation:
ti Fowler
State Property:
Tim W
Water Quality:
John Henness (NC DOT)
Washington:
Amy Ada
0
Kyle Barnes
Wilmington:
Wildlife Resources:
LPO:
Fax Distribution:
Joanne Steenhuis — 401
Chad Coburn - 401
Linda Lewis - Stormwater
Moil 'yi
ijoiRO)
Permitee
Agent #:.

DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Barbara and John Hendrickson
201?
2. LOCATION OF PROJECT SITE: The subject property is located at the south end of C�oiintry
Club Drive in the Albemarle Plantation subdivision in Hertford, Perquimans County. The
project site is located on the tip of small peninsula located at the confluence of Yeopim Creek,
the Yeopim River, and the Albemarle Sound.
Photo Index 2006: 156-6771 (M13)
2000: 156-1794 (K12)
1995: 156-1607(J22)
State Plane Coordinates - X: 2767264 Y: 857971
Rover File: C0912IOB USGS Map: Yeopim River (UR)
3. INVESTIGATION TYPE: CAMA
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit— September 12, 2012
Was Applicant Present - No
PROCESSING PROCEDURE: Application Received Complete - September 21, 2012
Office - Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan —1998 Perquimans County Land Use Plan Update (July 30, 2002)
Land Classification from LUP — Developed
(B) AEC(s) Involved: Estuarine Shoreline
(C) Water Dependent: No
(D) Intended Use: Private
(E) Wastewater Treatment: Existing - none
Planned — connect to community system
(F) Type of Structures: Existing — bulkhead, rip rap
Planned — retaining wall, single family residence
(G) Estimated Annual Rate of Erosion: none
Source - applicant
HABITAT DESCRIPTION:
DREDGED FILLED DISTURBED
(A) Estuarine Waters, Public Trust
Area
None
None
None
(B) Estuarine Shoreline
None
None
— 10,650 SF
(C) Estuarine Shoreline, U.S. Army
COE Wetlands
None
3,362 SF
None
(D) U.S. Arm COE Wetlands
None
1,000 SF
None

L]
Field Investigation Report
Barbara and John Hendrickson — Perquimans County
Page 2 of 3
(E) Total Area Disturbed: — 15,000 SF (.34 acres)
(F) Primary Nursery Area: No
(G) Water Classification: SB Open to Shell fishing: No
8. PROJECT SUMMARY: The applicant is proposing to construct a single family residence that
will fill 4,362 SF of wetlands regulated by the U.S. Army Corps of Engineers.
Proiect Settine
The subject property is located at the southern -most end of Country Club Drive in the Albemarle
Plantation subdivision in Hertford, Perquimans County. It is bordered by the Albemarle Sound to the
south, single family residences to the northeast, an undeveloped lot comprised primarily of wetlands
regulated by the U.S. Army Corps of Engineers to the north, and portions of the Albemarle Plantation
golf course to the east and west that also contain Corps regulated wetlands. The Albemarle Sound is
classified as SB (Recreation) and is closed to shellfish harvesting in this area.
The subject property is comprised of an uplands section located in the center of the lot that extends
toward the southwest comer of the property. The eastern and western portions of the lot are
comprised of U.S. Army Corps of Engineers regulated wetlands containing mature Cypress trees and
a few Sweetgum. Approximately 45% of the lot is uplands, with the western wetlands area
comprising 35% of the lot and the eastern wetlands area covering the remaining 20%. The western
portion of the lot contains a small, shallow stream that meanders through, and eventually dissipates
into, the wetlands.
The 697 feet of sound front located on the subject property is hardened with 283 feet of bulkhead and
25 feet of riprap. Neither of the adjacent riparian properties' shorelines has been hardened. No pier
structures have been constructed on the subject property or the adjacent riparian properties.
The uplands portion of the tract has been cleared and is vegetated with manicured lawn grasses with
several medium size cypress trees growing on the water ward side of the property's bulkhead.
Several medium size pine trees separate the uplands area from the Corps regulated wetlands located
on the western portion of the property.
The lot has elevations ranging from normal water level (NWL) along the on -site wetlands to 5 feet
above NWL across the uplands portion of the lot.
Development Proposal
The applicant is proposing to construct a single family residence in the Estuarine Shoreline AEC that will
result in the fill of 4,362 SF of wetlands regulated by the U.S. Army Corps of Engineers. The applicant
proposes to construct a 105-foot long retaining wall on the east side of the proposed single family
residence and a 150-foot long retaining wall on the west side of the house. Construction and backfill of
the east side structure will fill 1,954 SF of wetlands while the construction and backfill of the west side
structure will fill 2,408 SF. None of the proposed fill will impact wetlands regulated by the Division of
Coastal Management.
w

i
f Field Investigation Report
Barbara and John Hendrickson - Perquimans County
Page 3 of 3
_r22D12
9. ANTICIPATED IMPACTS
It is anticipated that the proposed project will have the following impacts:
• Construction of the single family residence will disturb - 10,650 SF of Estuarine Shoreline
AEC.
Construction of the single family residence will fill 3,362 SF of wetlands regulated by the U.S.
Army Corps of Engineers located within the Estuarine Shoreline AEC and another 1,000 SF
located beyond the Division of Coastal Management's AECs.
Available maps indicate there are no archeological sites near the subject property.
Submitted by: John Cece
Date: September 24, 2012

DIVISION OF COASTAL MANAGEMENT
APPLICATION TRANSMITTAL AND PROCESSING RECORD
A) APPLICANT: Barbara and John Hendrickson County: Perquimans
LOCATTQN OF PROJECT: South end of Country Club Drive in the Albemarle Plantation S/D R
CCaIv��
DATE APPLICATION RECEIVED COMPLETE BY FIELD REP: 09/21/12
FIELD RECOMMENDATION: Attached: NO To Be Forwarded: YES SFP 2 ZOJp
CONSISTENCY DETERMINATION: Attached: NO To Be Forwarded: YES
FIELD REPRESENTATIVE: John Cece DISTRICT OFFICE: Elizabeth City
DISTRICT MANAGER REVIEW: .,«, Date: 9' -Z /Z
B) DATE RECEIVED BY MAJOR PERMITS UNIT: —� FEE REC ): $ 400 (60/40%)
PUBLIC NOTICE RECD: Advertise: 10/03/12 END OF NOTICE DATE: Comments due: 10/23/12
ADJ. RIP. PROP NOTICES RECD: DEED RECD:
APPLICATION ASSIGNED TO:
C) 75 DAY DEADLINE: 12/05/12
MAIL OUT DATE: Circulation: 09/25/12
FEDERAL DUE DATE:
150 DAY DEADLINE:
STATE DUE DATE: Comments due: 10/16/12
PERMIT FINAL ACTION: ISSUE DENY
7 -bXK61ufur l_ Nho-G470WOW
AGENCY
DATE
COMMENTS
RETURNED
OBJECTIONS:
YES NO
NOTES
Coastal Management - Regional Representative
t o-at_ t'3-
t/
Coastal Management - LUP Consistency
Division of Community Assistance
u-q- t1
✓
Land Quality Section
1
Division of Water Quality
tl b'l�
08 �18
Storm Water Management (DWQ)
State Property Office
I b, t- t1
Division of Archives & History
i u- S- tz
Division of Environmental Health
t t,_ c- m
Division of Highways
10- C(- t 2-
Wildlife Resources Commission
to - 15-t-i
V//
Local Permit Office
✓
Zp t J n el w I�
Division of Marine Fisheries
to_ t9 y
Corps of Engineers
-'7 - , %-
,�e4 prn,ri,,,r I
P1,)S Io-to-ti

Project Name
v
•Assigned to H2wp V
/Jc)b, flee& k..
Assigned on
ACTIONS
Prepare for signature following review by other Assistant Major Permits Coordinator
Date draft permit given to other Assistant Major Permits Coordinator
Date reviewed by other Assistant Major Permits Coordinator
Prepare draft for review by Major Permits Coordinator
Date draft permit given to Major Permits Coordinator
Date reviewed by other Major Permits Coordinator
Other
T-s 1p- I sr �5 S��eh�' 10� j1c o -U'U"o-,� P,.6 I c 7rt/5T ?
s i 74 Uvl�� i s,% .
o-�4iz- I�o�d lo.rl.«� eou w/ GeCam.�fo�ec�l s �q r-G-Aesi V4AL @er
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o, "cL A„y.- ko 4xa reUr
Written approval from DWQ i7/is not required for this project.

s� o T 4
WDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis_ Dee Freeman
Governor t — Secretary
September 25, 2012 SEP 2 7 2Q12
MEMORANDUM ShOflsh Sanitatio^ �'_=
==Tonal
Water �uaii y S
TO: Patti Fowler
NC Department of Environmental Health
FROM: Doug Huggett
Major Permits Processing Coordinator
SUBJECT: CAMA/DREDGE & FILL Permit Application Review
Applicant: Barbara and John Hendrickson
Project Location: South end of Country Club Drive, Albemarle Plantation, Perquimans Co.
Proposed Project: Single-family residence, retaining wall & backfill
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 10/16/12 to 400 Commerce Avenue, Morehead City, NC 28557. If you have any
questions regarding the proposed project, please contact John Cece at [phone]. When
appropriate, in-depth comments with supporting data are requested.
REPLY: This office has no objection to the project as proposed.
This office has no comment on the proposed project.
This office approves of the project only if the recommended changes are
incorporated. See attached.
This office objects to the project for reasons described in the attached
comments.
SIGNEDAL k� Q m i RL,� DATE ON IL
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] FAX: [phone] ; Internet: www.nocoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer
0ne
6f Carolina 1V�tura!!r�

3 P
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue
Governor
September 25, 2012
MEMORANDUM
TO:
FROM:
SUBJECT:
Applicant:
Project Location:
Proposed Project:
Braxton C. Davis
Director
CCI 01 2W
Tim Walton, Manager
State Property Office
Doug Huggett
Major Permits Processing Coordinator
CAMA/DREDGE & FILL Permit Application Review
Barbara and John Hendrickson
Dee Freeman
Secretary
---jZbz9,gL;\
Ilk \
;p�2
5tp�0p'Wce
South end of Country Club Drive, Albemarle Plantation, Perquimans Co.
Single-family residence, retaining wall & backfill
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 10/16/12 to 400 Commerce Avenue, Morehead City, NC 28557. If you have any
questions regarding the proposed project, please contact John Cece at [phone]. When
appropriate, in-depth comments with supporting data are requested.
REPLY: S
Off
ce has no objection to the project as proposed.
This ice has no comment on the proposed project.
This office approves of the project only if the recommended changes are
incorporated. See attached.
This office objects to the project for reasons described in the attached
comments.
1367 US 17 South, ElizaI)WA jty`,'Ne-M09
Phone: 252-264,39011 FAX: [phone] ; Internet:
An Equal Opportunity 1 Affirmative Action Employer
DATE 9 —Xn ^ J 2.
None Carolina
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DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Barbara and John Hendrickson
2. LOCATION OF PROJECT SITE: The subject property is located at the south end of Country
Club Drive in the Albemarle Plantation subdivision in Hertford, Perquimans County. The
project site is located on the tip of small peninsula located at the confluence of Yeopim Creek,
the Yeopim River, and the Albemarle Sound.
3.
4.
Photo Index 2006:
2000:
1995:
156-6771 (M13)
156-1794 (K12)
156-1607 (J22)
State Plane Coordinates - X: 2767264
Rover File: C091210B
INVESTIGATION TYPE: CAMA
Y:857971
USGS Map: Yeopim River (UR)
INVESTIGATIVE PROCEDURE: Dates of Site Visit- September 12, 2012
Was Applicant Present - No
5. PROCESSING PROCEDURE: Application Received Complete - September 21, 2012
Office - Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan -1998 Perquimans County Land Use Plan Update (July 30, 2002)
Land Classification from LUP - Developed
(B) AEC(s) Involved: Estuarine Shoreline
(C) Water Dependent:
(D) Intend se: rival
(E) Wastewater reatment: Existing - none
Planned - connect to community system
(F) Type of Structures: Existing - bulkhead, rip rap
Planned - retaining wall, single family residence
(G) Estimated Annual Rate of Erosion: none
Source - applicant
HABITAT DESCRIPTION:
DREDGED FILLED DISTURBED
(A) Estuarine Waters, Public Trust
Area
None
None
None
(B) Estuarine Shoreline
None
None
- 10,650 SF
(C) Estuarine Shoreline, U.S. Army
COE Wetlands
None
3,362 SF
None
(D) U.S. Arm COE Wetlands
None
- 1,000 SF
None

N.
Field Investigation Report
Barbara and John Hendrickson — Perquimans County
Page 2 of 3
(E) Total Area Disturbed: — 15,000 SF (.34 acres)
(F) Primary Nursery Area: No
(G) Water Classification: SB Open to Shell fishing: No
8. PROJECT SUMMARY: The applicant is proposing to construct a single family residence that
will fill 4,362 SF of wetlands regulated by the U.S. Army Corps of Engineers.
Proiect Settine
The subject property is located at the southem-most end of Country Club Drive in the Albemarle
Plantation subdivision in Hertford, Perquimans County. It is bordered by the Albemarle Sound to the
south, single family residences to the northeast, an undeveloped lot comprised primarily of wetlands
regulated by the U.S. Army Corps of Engineers to the north, and portions of the Albemarle Plantation
golf course to the east and west that also contain Corps regulated wetlands. The Albemarle Sound is
classified as SB (Recreation) and is closed to shellfish harvesting in this area.
The subject property is comprised of an uplands section located in the center of the lot that extends
toward the southwest corner of the property. The eastern and western portions of the lot are
comprised of U.S. Army Corps of Engineers regulated wetlands containing mature Cypress trees and
a few Sweetgum. Approximately 45% of the lot is uplands, with the western wetlands area
comprising 35% of the lot and the eastern wetlands area covering the remaining 20%. The western
portion of the lot contains a small, shallow stream that meanders through, and eventually dissipates
into, the wetlands.
The 697 feet of sound front located on the subject property is hardened with 283 feet of bulkhead and
25 feet of riprap. Neither of the adjacent riparian properties' shorelines has been hardened. No pier
structures have been constructed on the subject property or the adjacent riparian properties.
The uplands portion of the tract has been cleared and is vegetated with manicured lawn grasses with
several medium size cypress trees growing on the water ward side of the property's bulkhead.
Several medium size pine trees separate the uplands area from the Corps regulated wetlands located
on the western portion of the property.
The lot has elevations ranging from normal water level (NWL) along the on -site wetlands to 5 feet
above NWL across the uplands portion of the lot.
Development Proposal
The applicant is proposing to cow s�truct a single family residence in ihoLstuarine Shoreline AEC that will
result in the fill of 4,362 SF of wetlands regulated by the U.S. Army Corps of Engineers. The applicant
proposes to construct a 105-foot long retaining wall on the east side of the proposed single family
residence and a 150-foot long retaining wall on the west side of the house. Construction and backfill of
the east side structure will fill 1,954 SF of wetlands while the construction and backfill of the west side
structure will fill 2,408 SF. None of the proposed fill will impact wetlands regulated by the Division of
Coastal Management.
I

r Field Investigation Report
Barbara and John Hendrickson - Perquimans County
Page 3 of 3
9. ANTICIPATED IMPACTS
It is anticipated that the proposed project will have the following impacts:
• Construction of the single family residence will disturb - 10,650 SF of Estuarine Shoreline
AEC.
Construction of the single family residence will fill 3,362 SF of wetlands regulated by the U.S.
Army Corps of Engineers located within the Estuarine Shoreline AEC and another 1,000 SF
located beyond the Division of Coastal Management's AECs.
Available maps indicate there are no archeological sites near the subject property.
F-�--:V-7
C_T 0 1 ^r,,9
Submitted by: John Cece
Date: September 24, 2012

PROJECT NARRATIVE
JOHN & BARBARA HENDRICKSON
LOT 8 — ALBEMARLE PLANTATION
SECTION L-3 * PHASE 2
Lot 8 of Sound View at Albemarle Plantation, Section L-3, Phase 2 is a long, narrow lot at the end of _
Country Club Drive. This lot is constrained in its development envelope by a long, bulkheaded shoreline on the �Z
Albemarle Sound and two areas ofwetlands subject to Section 404 ofthe Clean Water Act on the north and east sides of
the property. A 50-foot stommwater buffer extends landward from the Albemarle Sound side ofthe property and a 30-foot
budding setback from the mad side.
The applicant designed a house that was commensurate with the other homes in the area before discovering the
stormwater buffer. A redesign ofthe house allowed for alignment outside ofthe buffer, extending only five feet into the
building setback (allowed by the Coumy) but resulted in the need to fill wetlands in order to provide a foundation for the
house with adequate access to the dead men for future repair.
The plan represents the third iteration to avoid wetland impacts; however, dare to the storrnwater buffer, the building must
encroach into wetlands. The area of fill in wetlands has been minimized by reducing the sire ofthe residential structure
and by employing retaining walls to confine the fill.
Mitigation for the wetland fill is proposed by purchase of credits on a ratio of2:1 from the North Carolina Ecosystem
Enhancement Program.
The construction will begin with the installation ofa vinyl wall supported by tiebacks to deadmen. Fill will be brought to
the site and placed behind the retaining wall, compacted, and prepared for contraction. The house will be constructed
and the yard stabilized with turf and landscaping.

APPLICATION for
Nelor Development Permit
(last revised 12127/06)
SEP 2 1 2012 Awl
COASTAL MANAGEMENT
ELIZABETH CITY
North Carolina DIVISION OF COASTAL MANAGEMENT
1, Primary Applicant(Landownerinformation
Business Name
Project Name (if applicable)
Applicant 1: First Name
Barbara
MI
Last Name
Hendrickson
Applicant 2: First Name
John
MI
Last Name
Hendrickson
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
1384 Butter Chum Drive
PO Box
HerndonVA
CityEFAX
State
ZIP
20170
Country
USA
PE-564
7- 40 77 ext.
.
Street Address (if different from above)
City
State
ZIP
Email
[e-mail]
2. Agent/Contractor Information
Business Name
Environmental Professionals, Inc.
Agent/ Contractor 1: First Name
George
MI
H.
Last Name
Wood
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
3368
city
Kill Devil Hills
State
NC
ZIP
27948
Phone No. 1
252-441-0239 eM.105
Phone No. 2
252-423-1234 ext.
FAX No.
252 441 0721
Contractor #
Street Address (if different from above)
1404 S. Virginia Dare Trail
City
Kill Devil Hills
State
NC
F27948-
Email
[e-mail]
<Form continues on back>
252-808-2808 .. 1-888-4RCOAST ., www.nccoastalmanagement.net

r
Form DCM MP-1 (Page 2 of 4)
rStLitIVtU
FSEP 2120172
APPLICATION for
Major Development Permit
3. Project Location
County (can be multiple)
Street Address ELII_A6ETH CITY
State Rd. #
Perquimans
Country Club Drive
Subdivision Name
City
State
Zip
Albemarle Plantation
Hertford
NC
27944 -
Phone No.
Lot No.(s) (if many, attach additional page with list)
- - ext.
8, 1 1,
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 within city limits or planning jurisdiction?
I. If applicable, list the planning jurisdiction or city limit the proposed
®Yes ❑No
work falls within.
Perquimans County
4. Site Description
a.
Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
5U,
54,885
c.
Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high wafer) or
N/A, I I
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
+/- 5' ❑NHW or ®NWL
e.
Vegetation on tract
pine, cypress, grasses
f.
Man-made features and uses now on tract
bulkhead
g.
Identify and describe the existing land uses adiacen to the proposed project site.
residential
h.
How does local government zone the tract?
I. Is the proposed project consistent with the applicable zoning?
RA-25
(Attach zoning compliance certificate, if applicable)
®Yes ❑No ❑NA
j.
Is the proposed activity part of an urban waterfront redevelopment proposal? ❑Yes ®No
k.
Hasa 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 ❑Yes ®No ❑NA
National Register listed or eligible property?
<Form continues on next page>
252-808-2808 .. 1-888-4RCOAST ., www. nccoasts[management. net

Farm DCM MP-1 (Page 3 of 4) APPLICATION for
�� RECEIVED --—) Major Development Permit
m. (i) Are there wetlands on the site?
®Yes ❑No
(ii) Are there coastal wetlands on the site?
❑Yes ®No
CO"�STAL MAMA UIENT
(iii) If yes to either (i) or (ii) above, has a delineation LABEiH CITY
""J ®Yes ❑No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
central wastewater disposal
o. Describe existing drinking water supply source.
municipal
p. Describe existing storm water management or treatment systems.
community stormwater plan
5. Activities and/Tpact5
a. Will the project be for commercial, public, or private use?
❑Commercial ❑PublictGovernment
®Private/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
residential
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.
Retaining wall will be constructed of vinyl sheeting driven and backfilled with dozer.
Home construction will include small
construction tools and larger machinery to prepare the site.
d. List'all development activities you propose.
wetland fill, residential construction
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?
15,000 ®Sq.Ft or ❑Acres
g. Will the proposed project
encroach on any public easement, public accessway or other area
❑Yes ®No ❑NA
that the public has established
use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
none
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>
252-808-2808 .. 1-888.4RCQAST .. www. nccoasts l manage in ant. net

f Form DCM MP-1 (Ppge 4 of 4) APPLICATION for
Major Development Permit
6. Addidona/Information
/n addihbn to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
Package to be complete. Items (a) — (0 are always applicable to any major development application. Please consult the application
instruction booklet on how to propedy 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.
FdACopy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e appropriate application fee. Check or money order made payable to DENR.ist of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
ners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
ich to submit comments on the proposed project to the Division of Coastal Management.
me Albemarle Plantation Holdings Phone No.
Address 201 Ocean Highway - Hertford, NC 27944
Name
Address Phone No.
Name Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include penult numbers, pennittee, and issuing dates.
h. Signed consultant or agent authorization form, If applicable.
I. Welland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if 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.
7. Certification and Permission to Enter on Land
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to 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 applicatio is truthful to the best of f t
Date �1 f�//.Z Print Name W r e. J, ►'a C E I ViJ s
Signature
Please indicate application attachments pertaining to
®DCM MP-2 Excavation and Fill Information
®DCM MP-3 Upland Development
❑DCM MP-4 Structures Information
proposed project.
❑DCM MP-5 BridaeJ and
SEP 2 1 2012
R;i
3E,H
252-808-2808 :: 1-888.4RCOAST :: www.nccoastaimanagament.net

0 .
Form DCM MP-2
rl
0
EXCAVATION and FILL
(Except for bridges and culverts)
AUG 3 0 2012
Attach this form to Joint Application for CAMA Major Permit, Form DCM MPA I—Be-sumto � r�p��li her
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.
of the Joint
Access
Other
Channel
(NLW or
Canal
Boat Basin
Boat Ram P
Rock Groin
Rock
(excluding
Breakwater
shoreline
NWL
stabilization
Length
Width
ep Existing D
p
$Al ui� UVM 4
Final Project,,,
DepthRha,.t.y+r�,
a. Amount of n
cubic yards.
from below NHW or NWL in
to be excavated.
c. (I) Does the area to be excavated include coastal wetlands/marsh d. High -ground excavation in cubic yards.
(CM, submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)7 If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
❑WL ❑Nona
(ii) Describe the purpose of the excavation in these areas:
a. Location of disposal area.
c. (i) Do you claim title to disposal area?
[]Yes ❑No ❑NA
(ii) If no, attach a letter granting permission from the owner.
area.
d. (i) Will a disposal area be available for future maintenance?
❑Yes []No ❑NA
(ii) If yes, where?
e. (i) Does the disposal area include any coastal wetlands/marsh f.
(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
❑WL ❑None
(ii) Describe the purpose of disposal In these areas:
(i) Does the disposal include any area in the water?
[]Yes []No ❑NA
(li) If yes, how much water area is affected? '
252.808-2808 :: 1-888-4RCOAST :: www.nccoastalmanaaement.net revised: 12/26/06

7
Folr11 DCM MP-2 (Excavation and Fill, Page 2 of 2)
3. SHORELINE STABILIZATION ®This section not applicable
(It development is a wood groin, use MP-4 — Structures)
a. Type of shoreline stabilization:
[]Bulkhead ❑Riprap ❑Breakwater/Sill ❑Other:
c. Average 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.
b. Length:
Width: _
d. Maximum distance waterward of NHW or NWL
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.
h. Type of fill material.
4. OTHER FILL ACTIVITIES ❑This section not applicable
(Excluding Shoreline Stabilization)
t. (i) Will fill material be brought to the site? ®Yes ❑No ❑NA b. (i) Will fill material be placed in coastal wetlandstmarsh (CW).
If yes,
(ii) Amount of material to be placed in the water Q
(iii) Dimensions of fill area irreaular
(iv) Purpose of fill
Residential Construction
5. GENERAL
a. How will excavated or fill material be kept on site and erosion
controlled?
Placed behind reataining wall smoothed and grassed
c. (i) Will navigational aids be required as a result of the project?
[] Yes No ❑NA
(ii) If yes, explain what type and how they will be implemented.
N/A
Date //''' 11 I
Ftr/Adl:
Project Name
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 4.362 ❑None
(ii) Describe the purpose of the fill in these areas:
For Residential Construction
b. What type of construction equipment will be used (e.g., dragline,
backhoe, or hydraulic dredge)?
dozer
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.
N/A
"ji�Name ! J
it 6 /Pv
252-808.2808 :: 1-888.4RCOAST :: www.nccoastaimanagement.net
revised: 12126/06

Form DCM MP-3
UPLAND DEVELOPMENT
(Construction and/or land disturbing activities)
Attach this forth to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure ato
Application that relate to this proposed project. Please include all supplemental information.
a. Type and number of buildings, facilities, units or structures
proposed.
C. Density (give the number of residential units and the units per
acre).
.79
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?
[]Yes []No ®NA
(ti) If yes, fist the date submitted:
g. Give the percentage of the tract within the coastal shoreline AEC to
be covered by impervious and/or built -upon surfaces, such as
pavement, building, rooftops, or to be used for vehicular driveways
or parking.
5%
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.
14%
j. Describe proposed method of sewage disposal.
Central
I. Describe location and type of proposed discharges to waters of the
state (e.g., surface runoff, sanitary wastewater, industrial/
commercial ef0uent, 'wash down" and residential discharges).
None
R� : --�
COASTAL MAr,
b. Number of lots or parcels.
d. Size of area to be graded, filled, or disturbed Including roads,
ditches, etc.
19,000 sq.ft.
f. List the materials (such as mad, paver stone, asphalt, or concrete)
to be used for impervious surfaces.
concrete driveway
h. Projects that require a CAMA Major Development Permit may also
require a Storrnwater 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 (1) 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.
252-808.26082 :: 1.888.4RCOAST :: www.nccoastaimanaaement_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.)
Central System (ii) If yes, how many acres?
o. When was the lolls) platted and recorded?
2002
Date
Project Name
Applicant Name
Applicant
P. If proposed development is a subdivision, will additional utilities be
installed for this upland development?
❑Yes ❑No IONA
IAUG 3 0 2012
COST^,L 4dAa Ja.GFMENT
ELIZAGEM CITY
252-808.2808 :: 1-888-4RCOAST :: www.ncgoastalmanagement.net
revised: 12/26/06

��� SEP 2 7 2012
North�Car 1 ` o na De artment of E ----� ;1 p _ Environment and
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis
Governor Doe:Freernan
Director Secretary
September 25, 2012 ,�3 50
re. Imo•
MEMORANDUM
TO: Renee Gledhill -Early
NC Department of Cultural Resources �?tn= to l5( Id-
FROM: Doug Huggett
Major Permits Processing Coordinator
SUBJECT: CAMA/DREDGE & FILL,Permit Application Review
Q1-oK
Applicant: Barbara ,and John Hendricicson S z
Project Location: South end of Country ,Club Drive, Albemarle Plantation, Perquimans. Co.
Proposed,,Project: Single-family residence, retaining wall & backfill
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 10/16/12 to 40W Commerce Avenge Morehead Ci - NC28557. If you have any
questions regarding the proposed project, please contact 7ohn Cece at [phone]. When
appropriate, in-depth coriunents witli supporting' data are requested.
REPLY: This office has no objection to the project as proposed.
This office has no comment on the proposed project.
This office approves of the project only if the recormnended changes are
incorporated. See attached:
This office objects to the project for reasons described in the attached
comments.
SIGNED DATE_ [', S• %a
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] FAX: [phone] ;:Internet: www.nccoastalmanagement.net One
An Equal Opportunity 1 Affirmative Action Employer Nol th arohrta
S E P 2 8 Al 17tiIiii�l�J

A
NCDENR
North Carolina Department of Environment and Natural
Division of Coastal Management
Beverly Eaves Purdue Braxton C. Davis
Governor Director
MEMORANDUM
TO: Doug Huggett, Major Permits Coordinator
RLCIlIViD
OCT 0 9 2012
n WATIDC:Tv
Resources
Dee Freeman
Secretary
THROUGH: Frank Jennings III, District Manager, NE Distri
FROM: John Cece, Field Representative, NE District U ct
DATE: October 2, 2012
SUBJECT: Comments and Recommendations on CAMA Major Permit Application
Submitted by Barbara and John Hendricksen, Perquimans County
REFERENCE: (a) Field Investigation Report by John Cece, dated September 24, 2012
PROPOSED
DEVELOPMENT: The applicants are proposing to construct a single family residence that
will fill 4,362 SF of wetlands regulated by the U.S. Army Corps of
Engineers; 3,362 SF of which are located in the Estuarine Shoreline AEC.
The following is a review of the applicable portions of 15 NCAC Subchapter 7H, "State
Guidelines for Areas of Environmental Concern," as they apply to the permit request.
15A NCAC 07H .0203 MANAGEMENT OBJECTIVE OF THE ESTUARINE AND
OCEAN SYSTEM
It is the objective of the Coastal Resources Commission to conserve and manage estuarine
waters, coastal wetlands, public trust areas, and estuarine and public trust shorelines, as an
interrelated group of ABCs, so as to safeguard and perpetuate their biological, social, economic,
and aesthetic values and to ensure that development occurring within these AECs is compatible
with natural characteristics so as to minimize the likelihood of significant loss of private property
and public resources. Furthermore, it is the objective of the Coastal Resources Commission to
protect present common-law and statutory public rights of access to the lands and waters of the
coastal area.
Consistent: In my opinion, the proposed development is consistent with the intent of this rule.

Comments and Recommendations
Barbara and John Hendricksen, Perquimans County
Page 2
15A NCAC 07H .0208 USE STANDARDS
(a) General Use Standards
(1) Uses which are not water dependent shall not be permitted in coastal wetlands,
estuarine waters, and public trust areas. Restaurants, residences, apartments,
motels, hotels, trailer parks, private roads, factories, and parking lots are examples
of uses that are not water dependent. Uses that are water dependent include:
utility crossings, wind energy facilities, docks, wharves, boat ramps, dredging,
bridges and bridge approaches, revetments, bulkheads, culverts, groins,
navigational aids, mooring pilings, navigational channels, access channels and
drainage ditches;
Consistent: In my opinion, the proposed development is consistent with the intent
of this rule.
(2) Before being granted a permit, the CRC or local permitting authority shall find
that the applicant has complied with the following standards:
(A) The location, design, and need for development, as well as the
construction activities involved shall be consistent with the management objective
of the Estuarine and Ocean System AEC (Rule .0203 of this subchapter) and shall
be sited and designed to avoid significant adverse impacts upon the productivity
and biologic integrity of coastal wetlands, shellfish beds, submerged aquatic
vegetation as defined by the Marine Fisheries Commission, and spawning and
nursery areas;
Consistent: Subject to recommended conditions.
(B) Development shall comply with state and federal water and air quality
Consistent: Subject to recommended conditions.
(C) Development shall not cause irreversible damage to documented
archaeological or historic resources as identified by the N.C. Department of
Cultural resources;
Consistent: In my opinion, the proposed development is consistent with the intent
of this rule.
(D) Development shall not increase siltation;
Consistent: In my opinion, the proposed development is consistent with the intent
of this rule.
(E) Development shall not create stagnant water bodies;
Consistent: In my opinion, the proposed development is consistent with the intent
of this rule.

Comments and Recommendations
Barbara and John Hendricksen, Perquimans County
Page 3
(F) Development shall be timed to avoid significant adverse impacts on life
cycles of estuarine and ocean resources; and
Consistent: In my opinion, the proposed development is consistent with the intent
of this rule.
15A NCAC 07H .0209 COASTAL SHORELINES
(c) Management Objective. The management objective is to ensure that shoreline development
is compatible with the dynamic nature of coastal shorelines as well as the values and the
management objectives of the estuarine and ocean system. Other objectives are to conserve and
manage the important natural features of the estuarine and ocean system so as to safeguard and
perpetuate their biological, social, aesthetic, and economic values; to coordinate and establish a
management system capable of conserving and utilizing these shorelines so as to maximize their
benefits to the estuarine and ocean system and the people of North Carolina.
Consistent: In my opinion, the proposed development is consistent with the intent of this rule.
(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.
Consistent: In my opinion, 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: In my opinion, the proposed development is consistent with the intent
of this rule.

Comments and Recommendations
Barbara and John Hendricksen, Perquimans County
Page 4
(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 percent of the buffer zone nearest the land
disturbing development.
Consistent: In my opinion, 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: In my opinion, 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: In my opinion, the proposed development is consistent with the intent
of this rule.
(5) Development shall not interfere with existing public rights of access to, or use of,
navigable waters or public resources.
Consistent: In my opinion, 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: In my opinion, 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: In my opinion, the proposed development is consistent with the intent
of this rule.

Comments and Recommendations
Barbara and John Hendricksen, Perquimans County
Page 5
(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, with the exception of the
following:
(G) Grading, excavation and landscaping with no wetland fill except when
required by a permitted shoreline stabilization project. Projects shall not
increase stormwater runoff to adjacent estuarine and public trust waters
Consistent: In my opinion, the proposed development is consistent with
the intent of this rule.
SECTION .0600 DEVELOPMENT STANDARDS APPLICABLE TO ALL AECs
15A NCAC 07H .0601 NO VIOLATION OF ANY RULE
No development shall be allowed in any AEC which would result in a contravention or violation
of any rules, regulations, or laws of the State of North Carolina or of local government in which
the development takes place.
Consistent: In my opinion, the proposed development is consistent with the intent of this rule.
15A NCAC 07H .0602 POLLUTION OF WATERS
No development shall be allowed in any AEC which would have a substantial likelihood of
causing pollution of the waters of the state in which shellfishing is an existing use to the extent
that such waters would be officially closed to the taking of shellfish. This rule shall also apply to
development adjacent to or within closed shellfish waters when a use attainability study of those
waters documents the presence of a significant shellfish resource in an area that could be
expected to be opened for shellfishing given reasonable efforts to control the existing sources of
pollution.
Consistent: In my opinion, 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 Major Permit be issued to the Barbara and John
Hendricksen, provided the applicants obtain the necessary permit from the U.S. Army Corps of
Engineers and provide a copy of that permit to DCM staff in Elizabeth City prior to beginning
construction.
Thank you for your time and efforts. If you have any questions, comments, or require any
additional information, please feel free to contact me.

10/05/2012 11:04 2523314739 NCDDT PAGE 02/03
NCD M
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
GC i i) v 1G'i2
September 25, 2012
TO:
FROM:
SUBJECT:
Applicant:
Project Location:
Proposed Project:
DCM-MHD CITY
Ken Pace
NC DOT, State Construction/Materials Branch
Doug Huggett
Major Permits Processing Coordinator
i' G' OC7 O s 2012
CAMA/DREDGE & FILL Permit Application Review
Barbara and John Hendrickson
South end of Country Club Drive, Albemarle Plantation, Perquimans Co.
Single-family residence, retaining wall & back 1
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 10/16/12 to 400 Commerce Avenue Morehead City, NC 28557. If you have any
questions regarding the proposed project, please contact John Cece at [phone]. Killen
appropriate, in-depth comments with supporting data are requested.
REPLY: 'This office has no objection to the project as proposed.
This office has no comment on the proposed project.
This office approves of the project only if the recommended changes are
incorporated. See attached.
This office objects to the project for reasons described in the attached
com ts.
SIG DATE IL' l
1367 US 17 South, Elizabeth City, Me 27909
Phone: [phone] FAX:252-26Q723: Internet; www,nccoastalm2n89ementnet
An Equal Opportunity \ Affirmative Aelon Employer
No thCaro a
�atura�

Beverly Eaves Perdue
Governor
MEMORANDUM:
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Thomas A. Reeder
Director
October 4, 2012
To: Doug Huggett
Major Permits Processing Coordinator
Coastal Management Division
400 Commerce Avenue
Morehead City, NC 28557
From: Joey White, Environmental Specialist, PWSS/WaRO
Subject: CAMA/DREDGE & FILL Permit Application Review
RECEIVED
OCT 10 2012
DCM-A1J1D C,-f ,
Applicant: Barbara and John Hendrickson
Project Location: South end of Country Club Drive, Albemarle Plantation, Perquimans Co.
Proposed Project: Single-family residence, retaining wall & backfill
REPLY: X This office has no objection to the project as proposed.
Comments:
This office has no comment on the proposed project.
This office approves of the project only if the recommended changes are
incorporated. See attached.
Dee Freeman
Secretary
This office objects to the project for reasons described in the attached comments.
• Contractors should be aware of utility locations during entrance and egress from the project area. Please
contact the Perquimans County Water Department to assist with the location of existing water mains in or
near the project area.
• Applicant should contact the Perquimans County Water Department to secure a water use agreement.
• Project should not impact any potable water sources.
SIGNED i W DATE L 4
Public Water Supply Section - Jessica C. Godreau, Chief One
1634 Mail Service Center, Raleigh, North Carolina 27699-1634 NOI"thCaCo1/111a
a'J
Phone: [phone] FAX, 919-715-43741 Lab Form FAX: [phone] Internet: ncwater.org/pws atmra /` ff
An Equal Oppommity, 1 Affirmative Action Employer �/ V l

V
DIVISION OF COASTAL MANAGEMENT
FIELD INVESTIGATION REPORT
1. APPLICANT'S NAME: Barbara and John Hendrickson
2. LOCATION OF PROJECT SITE: The subject property is located at the south end of Country
Club Drive in the Albemarle Plantation subdivision in Hertford, Perquimans County. The
project site is located on the tip of small peninsula located at the confluence of Yeopim Creek,
the Yeopim River, and the Albemarle Sound.
Photo Index 2006: 156-6771 (M13)
2000: 156-1794 (K12)
1995: 156-1607 (J22)
State Plane Coordinates - X: 2767264
Rover File: C091210B
3. INVESTIGATION TYPE: CAMA
RECEIV ;3
OCT 10 2012
Y: 857971 DCM-11vNTD M, Y
USGS Map: Yeopim River (UR)
4. INVESTIGATIVE PROCEDURE: Dates of Site Visit— September 12, 2012
Was Applicant Present - No
5. PROCESSING PROCEDURE: Application Received Complete - September 21, 2012
Office - Elizabeth City
6. SITE DESCRIPTION:
(A) Local Land Use Plan —1998 Perquimans County Land Use Plan Update (July 30, 2002)
Land Classification from LUP — Developed
(B) AEC(s) Involved: Estuarine Shoreline
(C) Water Dependent: No
(D) Intended Use: Private
(E) Wastewater Treatment: Existing - none
Planned — connect to community system
(F) Type of Structures: Existing — bulkhead, rip rap
Planned — retaining wall, single family residence
(G) Estimated Annual Rate of Erosion: none
Source - applicant
7. HABITAT DESCRIPTION:
T)RFDC.Ftl FTT T FT) nKTTTRRFTI
(A) Estuarine Waters, Public Trust
Area
None
None
None
(B) Estuarine Shoreline
None
None
— 10,650 SF
(C) Estuarine Shoreline, U.S. Army
COE Wetlands
None
3,362 SF
None
(D) U.S. Army COE Wetlands.
None
— 1,000 SF
None

Field Investigation Report
Barbara and John Hendrickson — Perquimans County
Page 2 of 3
(E) Total Area Disturbed: — 15,000 SF (.34 acres)
(F) Primary Nursery Area: No
(G) Water Classification: SB Open to Shell fishing: No
8. PROJECT SUMMARY: The applicant is proposing to construct a single family residence that
will fill 4,362 SF of wetlands regulated by the U.S. Army Corps of Engineers.
Protect Setting
The subject property is located at the southem-most end of Country Club Drive in the Albemarle
Plantation subdivision in Hertford, Perquimans County. It is bordered by the Albemarle Sound to the
south, single family residences to the northeast, an undeveloped lot comprised primarily of wetlands
regulated by the U.S. Army Corps of Engineers to the north, and portions of the Albemarle Plantation
golf course to the east and west that also contain Corps regulated wetlands. The Albemarle Sound is
classified as SB (Recreation) and is closed to shellfish harvesting in this area.
The subject property is comprised of an uplands section located in the center of the lot that extends
toward the southwest corner of the property. The eastern and western portions of the lot are
comprised of U.S. Army Corps of Engineers regulated wetlands containing mature Cypress trees and
a few Sweetgum. Approximately 45% of the lot is uplands, with the western wetlands area
comprising 35% of the lot and the eastern wetlands area covering the remaining 20%. The western
portion of the lot contains a small, shallow stream that meanders through, and eventually dissipates
into, the wetlands.
The 697 feet of sound front located on the subject property is hardened with 283 feet of bulkhead and
25 feet of riprap. Neither of the adjacent riparian properties' shorelines has been hardened. No pier
structures have been constructed on the subject property or the adjacent riparian properties.
The uplands portion of the tract has been cleared and is vegetated with manicured lawn grasses with
several medium size cypress trees growing on the water ward side of the property's bulkhead.
Several medium size pine trees separate the uplands area from the Corps regulated wetlands located
on the western portion of the property.
The lot has elevations ranging from normal water level (NWL) along the on -site wetlands to 5 feet
above NWL across the uplands portion of the lot.
Development Proposal
The applicant is proposing to construct a single family residence in the Estuarine Shoreline AEC that will
result in the fill of 4,362 SF of wetlands regulated by the U.S. Army Corps of Engineers. The applicant
proposes to construct a 105-foot long retaining wall on the east side of the proposed single family
residence and a 150-foot long retaining wall on the west side of the house. Construction and backfill of
the east side structure will fill 1,954 SF of wetlands while the construction and backfill of the west side
structure will fill 2,408 SF. None of the proposed fill will impact wetlands regulated by the Division of
Coastal Management.

✓ Field Investigation Report
Barbara and John Hendrickson — Perquimans County
Page 3 of 3
OCT
9. ANTICIPATED IMPACTS
It is anticipated that the proposed project will have the following impacts:
Construction of the single family residence will disturb — 10,650 SF of Estuarine Shoreline
AEC.
Construction of the single family residence will fill 3,362 SF of wetlands regulated by the U.S.
Army Corps of Engineers located within the Estuarine Shoreline AEC and another 1,000 SF
located beyond the Division of Coastal Management's AECs.
Available maps indicate there are no archeological sites near the subject property.
Submitted by: John Cece
Date: September 24, 2012

PROJECT NARRATIVE A�, 3 D
JOHN & BARBARA HENDRICKSON
LOT 8 — ALBEMARLE PLANTATION
SECTION L-3 * PHASE 2 COAS' —
ELL
Lot 8 of Sound View at Albemarle Plantation, Section L-3, Phase 2 is a long, narrow lot at the end of
Country Club Drive. This lot is constrained in its development envelope by a long, bulkheaded shoreline on the
Albemarle Sound and two areas ofwetlands subject to Section 404 ofthe Clean Water Ad on the north and east sides of
the property. A 50-foot stormwater buffer extends landward from the Albemarle Sound side ofthe pmpeny and a 30-foot
building setback from the road side.
The applicant designed a house that was commensurate with the other homes in the area before discovering the
stormwater buffer. A redesign ofthe house allowed for alignment outside ofthe buffer, extending only five feet into the
building setback (allowed by the County) but resulted in the need to fill wetlands in order to provide a foundation for the
house with adequate access to the deadmen for future repair.
The plan represents the thud iteration to avoid wetland impacts; however, due to the stonnwater buffer, the building must
encroach into wetlands. The area of fill in wetlands has been minimized by reducing the size of the residential structure
and by employing retaining walls to confine the fill.
Mitigation for the wetland fill is proposed by purchase ofcredits on a ratio of2:1 from the North Carolina Ecosystem
Enhancement Program.
The construction will begin with the installation ofa vinyl wall supported by tiebacks to deadmen. Fill will be brought to
the site and placed behind the retaining wall, compacted, and prepared for construction. The house will be constructed
and the yard stabilized with turf and landscaping.

BOEHM
APPLICATION for
Malor Development Permit
(last revised 12/27/06)
RECEIVE D
SEP 2 1 2012
COASTAL UANAGEPAENT
ELIZASETN CITY
North Carolina DIVISION OF COASTAL MANAGEMENT
1. PrimaryApplicant/Landowner`Information
Business Name
Project Name (if applicable)
Applicant 1: First Name
Barbara
MI
Last Name
Hendrickson
Applicant 2: First Name
John
MI
Last Name
Hendrickson
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
1384 Butter Churn Drive
PO Box_
City
Herndon
State
VA
ZIP
20170
Country
USA
Phone No.
703 - 564 - 4007 ext.
FAX No.
Street Address (d different from above)
City
State
ZIP
Email
[e-mail]
2. Agent/Contractor Information
Business Name
Environmental Professionals, Inc.
Agent/ Contractor 1: First Name
George
MI
H.
Last Name
Wood
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
3368
City
Kill Devil Hills
State
NC
ZIP
27948
-
Phone No. 1
252 - 441 - 0239 ext. 105
Phone No. 2
252 - 423 -1234 ext.
FAX No.
252 441 0721
Contractor #
Street Address (if different from above)
1404 S. Virginia Dare Trail
City
Kill Devil Hills
State
NC
ZIP
27948 -
Email
[e-mail]
<Form continues on back>
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Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Permit
ntutivtu
SEP 21 2012
3. Project Location
County (can be multiple)
Street Address ELIZAGE I H CITY
State Rd. #
Perquimans
Country Club Drive
Subdivision Name
City
State
Zip
Albemarle Plantation
Hertford
NC
27944 -
Phone No.
Lot No.(s) (if many, attach additional page with list)
ext.
8, 1 1 ,
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 within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
®Yes []No
work falls within.
Perquimans County
4. Site Descdpdon
a.
Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
584'
54,885
c.
Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
N/A, I I
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
+/- 5' ❑NHW or ®NWL
e.
Vegetation on tract
pine, cypress, grasses
f.
Man-made features and uses now on tract
bulkhead
g.
Identify and describe the existing land uses gdjacen to the proposed project site.
residential
h.
How does local government zone the tract?
I. Is the proposed project consistent with the applicable zoning?
RA-25
(Attach zoning compliance certificate, if applicable)
®Yes ❑No ❑NA
j.
Is the proposed activity part of an urban waterfront redevelopment proposal? Dyes ®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 d involve a ❑Yes ®No ❑NA
National Register listed or eligible property?
<Form continues on next page>
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Form DCM MP-1 (Page 3 of 4) • 1 • r- r I APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site? SEP 2 1 2012®Yes ❑No
(ii) Are there coastal wetlands on the site? I ❑Yes ®No
COASTAL it,APJAGE VNI ENT
(iii) If yes to either (1) or (ii) above, has a delineation nnn rend cteF�J'ACEJ H CITY ---� ®yes []No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
central wastewater disposal
o. Describe existing drinking water supply source.
municipal
p. Describe existing stone water management or treatment systems.
community stormwater plan
5. Activities and Impacts
a. Will the project be for commercial, public, or private use?
❑Commercial ❑PublictGovernment
®PrivatelCommunity
b. Give a brief description of purpose, use, and daily operations of the project when complete.
residential
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.
Retaining wall will be constructed of vinyl sheeting driven and backfilled with dozer.
Home construction will include small
construction tools and larger machinery to prepare the site.
d. List all development activities you propose.
wetland fill, residential construction
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?
15,000 ®Sq.Ft or ❑Acres
g. Will the proposed project
encroach on any public easement, public accessway or other area
❑Yes ®No ❑NA
that the public has established
use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
none
i. Will wastewater or stonmwater 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>
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Form DCM MP-1 .(Page 4 of 4)
APPLICATION for
Major Development Permit
6.
Information
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) — (0 are always applicable to any major development application. Please consult the application
instruction booklet on how to propedy prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan aew and cross-seotronal 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.
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 Albemarle Plantation Holdings Phone No.
Address 201 Ocean Highway - Hertford, NC 27944
Name
Address
Phone No
Name
Address
Phone No.
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
h. Signed consultant or agent authorization form, If applicable.
I. Wetland delineation, if necessary.
k.Astate
ned AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
ment of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), 0 necessary. If the project involves expenditure
blic funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
i. GOrtifCation and Pennission to Enter on Land
1 urruerbiano met 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 applicaboo is truthful to the best of
Date �7�dU//.Z Print Name ; . �, RECEIVED i)
Signature7projecdt.
LSEP 21 2012
Please indicate application attachments pertaining to your p®DCM MP-2 Excavation and Fill Information Cp0"STAL k",N !;E41EN f
Bridge and CulverlloLg6EiN CITY ®DCM MP-3 Upland Development
❑DCM MP-4 Structures Information
252-808-2808 .. 1-888-4RCOAST .. www.nccoastaimanagerment.net

Form DCM MP-2
EXCAVATION and FILL
(Except for bridges and culverts)
AUG 3 0 2012
L
Attach this form to Joint Application for CAMA Major Permit, Form DCM hPr_
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
of the Joint
Access
Other
Channel
(NLW or
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
Breakwater
(excluding
shoreline
NWL
stabilization
Length
Width
AvgExisting
OX
Ptlt
Final Project
Depth
ai£'F��1
a. Amount of material to be excavated from below NHW or
cubic yards.
c. (I) Does the area to be excavated include coastal wetlandstmarsh
(CW), submerged aquatic vegetation ($AV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAv ❑sB
❑WL ❑None
(ii) Describe the purpose of the excavation in these areas:
a.
c. (i) Do you claim title to disposal area?
[]Yes []No ❑NA
(ii) If no, attach a letter granting permission from the owner.
d. High -ground excavation in cubic yards.
d. (i) Will a disposal area be available for future maintenance?
[]Yes []No ❑NA
(ii) If yes, where?
e. (i) Does the disposal area include any coastal wetlandsrmarsh 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
(ii) Descdbe the purpose of disposal In these areas:
252-808-2808 :: 1.888-4RCOAST :: www.nccoastalmana ement.net revised: 12/26106

Form DCM MP-2 (Excavation and Fill, Page 2 of 2)
❑Bulkhead ❑Riprap ❑Breakwater/Sill ❑Other: _ Widfh:
c. Average distance waterward of NHW or NWL:
e. Type of stabilization material:
g. Number of square feel of fill to be placed below water level.
Bulkhead backfill _ Riprap
Breakwater/Sill_ Other_
i. Source of fill material.
d. Maximum distance waterward of NHW or NWL:
f. (i) Has there been shoreline erosion during preceding 12
months?
❑Yes ❑No ❑NA
(1i) If yes, state amount of erosion and source of erosion amount
information.
h. Type of fill material.
a. (i) Will fill material be brought to the site? ®Yes ❑No ❑NA b. (i) Will fill material be Dlaced in coastal wetlands/marsh (CM.
If yes,
(ii) Amount of material to be placed in the water 0
IN) Dimensions of fill area in eaular
(iv) Purpose of fill
Residential Construction
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 4.362 []None
(ii) Describe the purpose of the fill in these areas:
For Residential Construction
a. How will excavated or fill material be kept on site and erosion b. What type of construction equipment will be used (e.g., dragline,
controlled? backhoe, or hydraulic dredge)?
Placed behind reataining wall smoothed and grassed dozer
C. (i) Will navigational aids be required as a result of the project?
❑Yes No ❑NA
(ii) If yes, explain what type and how they will be implemented.
N/A
d. (1) 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.
N/A
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised: 12/26/06

Form DCM MP-3
UPLAND DEWLOPMENT
(Construction andfor land disturbing activities)
rFCE...
EAUG ' �?
COASTAL MAP,==',:
ELIZABEIii
Attach this forth to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to G
Application that relate to this proposed project. Please include all supplemental information.
a. Type and number of buildings, facilities, units or structures
proposed.
c. Density (give the number of residential units and the units per
acre).
.79
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?
❑Yes ❑No ®NA
(ii) If yes, list the date submitted:
g. Give the percentage of the tract within the coastal shoreline AEC to
be covered by impervious and/or built -upon surfaces, such as
pavement, building, rooftops, or to be used for vehicular driveways
or parking.
5%
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.
14% .
j. Describe proposed method of sewage disposal.
Central
I. Describe location and type of proposed discharges to waters of the
state (e.g., surface runoff, sanitary wastewater, industrial/
commercial effluent, leash down" and residential discharges).
None
b. Number of lots or parcels.
d. Size of area to be graded, filled, or disturbed Including roads,
ditches, etc.
19,000 sq. ft.
f. List the materials (such as mad, paver stone, asphalt, or concrete)
to be used for Impervious surfaces.
concrete driveway .
h. Projects that require a CAMA Major Development Permit may also
require a Stonnwater 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 (1) received state or local
approval?
®Yes []No ❑NA
If yes, attach appropriate documentation.
m. Does the proposed project include an innovative slonnwater
design?
❑Yes ®No ❑NA
If yes, attach appropriate documentation.
252-808-28082 :: 1.888.4RCOAST :: wvvw.nccoastalmanaaement. reset revised: 12126/06

C Vorm DCM MP-3 (Upland Development, Page 2 of 2)
1 '
m. Describe proposed drinking water supply source (e.g., well, n. (i) Will water be impounded?
community, public system, etc.) P ❑Yes ❑No ®NA
Central System (ii) If yes, how many acres?
i
o. When was the lot(s) platted and recorded? p. If proposed development is a subdivision, will additional utilities be
2002 installed for this upland development?
❑Yes ❑No ®NA
Date �
�f mC�✓i' /VQ1�
Project Name
Applicant Name
Applicant Sig to ,..
H-CEIVCD
AUG 3 0 2012
4ST, L ft� 1_N
252-808-2808 :: 1-888-4RCOAST :: www_nccoastalmartagement.net
revised: 12/26/06

P=&A-A
'r R
North Carolina Department of Environment and Natural
Division of Coastal Management
Beverly Eaves Perdue
Governor
September 25, 2012
MEMORANDUM
TO:
FROM:
SUBJECT:
Applicant:
Project Location:
Proposed Project:
Braxton C. Davis
Director
Lee Padrick
Division of Community Assistance
Doug Huggett
Major Permits Processing Coordinator
�J 4
Resources
CAMA/DREDGE & FILL Permit Application Review
Barbara and John Hendrickson
Dee Freeman
Secretary
RCCEIvED
OCT 09 2012
n n.e..
South end of Country Club Drive, Albemarle Plantation, Perquimans Co.
Single-family residence, retaining wall & backfill
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 10/16/12 to 400 Commerce Avenue, Morehead City, NC 28557. If you have any
questions regarding the proposed project, please contact John Cece at [phone]. When
appropriate, in-depth comments with supporting data are requested.
REPLY: This agency has no objection to the project as proposed.
rs agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes are
incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
SIGNED �� i<�f DATE
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] FAX: [phone] ; Internet: www.nocoastalmanagement.net _ Ane Caro/li/na
An Equal Opportunity 1 Affirmative Action Employer N� Qtarial[ y

North Carolina
Beverly Eaves Perdue
Governor
September 25, 2012
MEMORANDUM
FROM:
SUBJECT:
Applicant:
Project Location:
Proposed Project:
w�
NCDENR
Department of Environment and Natural Resources
Division of Coastal Management
Braxton C. Davis
Director
Charlan Owens, District Planner
Division of Coastal Management
Doug Huggett
Major Permits Processing Coordinator
CAMA/DREDGE & FILL Permit Application Review
Barbara and John Hendrickson
Dee Freeman
Secretary
RfCz'Y�p
0CT 10 2012
South end of Country Club Drive, Albemarle Plantation, Perquimans Co.
Single-family residence, retaining wall & backfill
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 10/16/12 to 400 Commerce Avenue, Morehead City, NC 28557. If you have any
questions regarding the proposed project, please contact John Cece at [phone]. When
appropriate, in-depth comments with supporting data are requested.
REPLY: This office has no objection to the project as proposed.
This office has no comment on the proposed project.
This office approves of the project only if the recommended changes are
incorporated. See attached.
This office objects to the project for reasons described in the attached
corn
X c � cvlt�
me
DATEz-
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] FAX: [phone] ; Internet: www.nccoastalmanagement.net One
No Carolina
An Equal Opportunity 1 Affirmative Action Employer awha!ly

North Carolina
Beverly Eaves Perdue
Governor
NCDEE R
Department of Environment and
Division of Coastal Management
Braxton C. Davis
Director
Natural Resources
Dee Freeman
Secretary
MEMORANDUM r '<-' ✓ n
TO: Doug Huggett, DC,V Major Permit Coordinator n -
FROM: Charlan Owen ICP, DCM NE District Planner
SUBJECT: Major Permit Request by Barbara and John Hendrickson to construct a single-
family house, a 105 foot long retaining wall and a 150 foot long retaining wall,
within 75 feet of the shoreline of the Albemarle Sound; on Lot 8 located along the
terminus cul-de-sac of Country Club Drive, in Albemarle Plantation, Perquimans
County.
DATE: October 8, 2012
Consistency Determination: The request is consistent with/not in conflict with the 1998
Perquimans County Land Use Plan certified by the CRC on
October 24, 2002.
Overview: The subject property is a 1.25 acre lot with approximately 697 feet of shoreline along
the Albemarle Sound. The property is comprised of uplands in the center of the lot and Section
404 wetlands to the east and west. The site is undeveloped except for 283 linear feet of
bulkhead and 25 feet of riprap along the shoreline. The property is within the AE floodzone.
Elevations range from Normal Water Level (NWL) along the on -site wetlands to 5 feet above
NWL across the upland portion of the lot.
Construction of a single-family house, a 105 foot long retaining wall and a 150 foot long
retaining wall, within 75 feet of the shoreline is proposed. Construction of the house and
construction and backfill of the retaining walls will result in impacts to Section 404 wetlands. A
driveway will also be constructed. The house has been situated outside of a 50 foot stormwater
buffer along the sound.
The waters of the Albemarle Sound are classified as SB in this area and are closed to shellfish
harvesting. There are no known archaeological sites associated with the property.
Anticipated Impacts resulting from this project are expected to include: the disturbance of
10,650 sq. ft. of Estuarine Shoreline Area of Environmental Concern (AEC), and; the filling of
3,362 sq. ft. of Section 404 Wetlands within the Estuarine Shoreline AEC and 1,000 sq. ft. of
Section 404 Wetlands outside of the Estuarine Shoreline AEC.
Mitigation for wetland fill is proposed by purchase of credits on a ratio of 2:1 from the North
Carolina Ecosystem Enhancement Program.
1367 US 17 South, Elizabeth City, NC 27909 One
Phone: [phone] FAX: [phone] ; Internet: www.necoastalmanagement.net NO Carolina
An Equal Opportunity 1 Affirmative Action Employer atma!!y

Nort;Caroina Department of Environment and Natural Resources MEMORANDUM
Division of Coastal Management Page 2 of 3
Basis for Determination:
The Perquimans County Land Classification Map identifies the site area as "Developed". As
noted on Page 49 of the Land Use Plan (LUP), all areas within an AEC also qualify for the
designation of "Conservation". The following are LUP policies that may be applicable to this
request:
Areas of Environmental Concern (AEC) and Appropriate Land Uses in AECs:
Policy #1, page vi.
"Perquimans County will continue to support and enforce, through its CAMA Minor
Permitting capacity the State policies and permitted uses in Areas of Environmental
Concern. Such uses shall be in accord with the general use standards for coastal
wetlands, estuarine waters, estuarine shorelines, and public trust areas as stated in
Chapter 15A, Subchapter 7H of the North Carolina General Statutes.".
Note: The implementation statement for this policy indicates that the County will refer
applicants to the State CAMA office for major permits.
Constraint to Development Including Soil Limitations, Flood Prone Areas Hazardous and
Fragile Land Areas:
Policy #2, Page vi.
"The County will continue to rely on existing Regional, State and Federal regulatory
programs to monitor and determine the appropriateness of future development in the
fragile lands areas, flood prone areas and soils with limitations to development."
Stormwater Run-off of Residential Development:
Policy #7, Page viii.
"It shall be the policy of Perquimans County to regulate the residential subdivisions
so as to prevent the overburdening of existing waterways and drainage systems by
excessive surface run-off, with particular attention to fragile areas of the County."
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] FAX: [phone] ; Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer
NorthCarolina
NatumilY

Nggf0aro4na Department of Environment and Natural Resources
Division of Coastal Management
Residential and Commercial Land Development Impact on Resources:
Policy #14, Page x.
"The County will use its regulatory powers to insure that all new developments are
designed in such a way as to avoid any negative impacts on fragile areas."
Storm Hazard Mitigation: Policy #23, page xii.
"It will be the policy of Perquimans County to enforce all controls and regulations it
deems necessary to mitigate the risk of severe storms and hurricanes to life and
property...."
MEMORANDUM
Page 3 of 3
Note: The implementation statement concerning Wave Action and Shoreline Erosion
for this policy indicates that the County continues to support CAMA permitting
procedures concerning the estuarine shoreline. The County also supports the FEMA
regulations concerning elevation and setback requirements.
1367 US 17 South, Elizabeth City, NO 27909
Phone: [phone] FAX: [phone] ; Internet: www.nGcoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer
Nne
orthCarohna
Naturally

MUM
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
November 6, 2012
DWQ Project # 12-0898
Perquimans County
Mr. & Mrs. John & Barbara Hendrickson
1384 Butter Churn Drive
Herndon, VA 20170
Subject Property: Lot #8, Sound View, Albemarle Plantation S/D
Pasquotank River Basin, Albemarle Sound [ PAS 54, 30; SB]
Approval of 401 Water Quality Certification (GC3900) with Additional Conditions
Dear Mr. & Mrs. Hendrickson:
You have our approval, in accordance with the attached conditions and those listed below, to place fill
within or otherwise impact 0.076 acres of wetlands for the purpose of residential house construction at the
subject property, as described within your CAMA Major application dated September 24, 2012 and
received by the N.C, Division of Water Quality (DWQ) on September 27, 2012. The impacts described
in your application are covered by General Water Quality Certification Number(s) 3900 (GC3900). This
Certifications) is issued in conjunction with the CAMA Major Permit and General Permit(s) 198000291
issued by the US Army Corps of Engineers (USACE), This Certification allows you to use the CAMA
Major Permit when the Division of Coastal Management issues it. In addition, you should obtain or
otherwise comply with any other required federal, state or local permits before you go ahead with your
project including (but not limited to) Erosion and Sediment Control, Non -discharge regulations. Also,
this approval to proceed with your proposed impacts or to conduct impacts to waters as depicted in
your application shall expire upon expiration of the 404 or CAMA Permit.
This approval is for the purpose and design that you described in your. application. Approved plans and
specifications for this project are incorporated by reference and are enforceable parts of the permit. If you
change your project, you must notify us and you may be required to send us a new application. If the
property is sold, the new owner must be given a copy of this Certification and approval letter and is
thereby responsible for complying with all conditions. If total fills for this project (now or in the future)
exceed one acre of wetland or 150 linear feet of stream, compensatory mitigation may be required as
described in 15A NCAC 2H .0506 (h). This approval requires you to follow the conditions listed in the
attached certification and any additional conditions listed below.
The Additional Conditions of the Certification are:
North Carolina Division of Water Quality Internet ��inowateniuolit orb One
943 Washington Square Mall Phone: [phone]
Washington, NC 27889 FAX [phone] N fC/ya+rrfohna
An Equal DpputunWIAfflrmative Adult Employer-50% Recycled110% Post Coreumer Paper hma"b(

Mr. & Mrs. John & Barbara Hendrickson
Lot 0, Sound View, Albemarle Plantation S/D
November 6, 2012
Page 2 of 4
1. Impacts Approved
The following impacts are hereby approved as long as all of the other specific and general conditions
of this Certification (or Isolated Wetland Permit) are met. No other impacts are approved
including incidental impacts:
Amount Approved nits
Plan Location or Reference
Stream
feet
404/CAMA Wetlands
0.076 acres Fill
Rev. 2 Plan Sheet, 1 of 1
Waters
acres
Buffers
(square ft.
2. Water Quality Certification
The proposed project must comply with all of the conditions of.General Water Quality Certification
(GC) 3900.
3. Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable
Buffer Rules, and any subsequent modifications, the applicant is required to return the attached
certificate of completion to the 401 Oversight/Express Review Permitting Unit, North Carolina
Division of Water Quality,1650 Mail Service Center, Raleigh, NC, 27699-1650.
Violations of any condition herein set forth may result in revocation of this Certification and may result in
criminal and/or civil penalties. The authorization to proceed with your proposed impacts or to conduct
impacts to waters as depicted in your application and as authorized by this Certification shall expire upon
expiration of the 404 or CAMA Permit.
If you do not accept any of the conditions of this Certification (associated with the approved water
impacts), you may ask for an adjudicatory hearing. You must act within 60 days of the date that you
receive this letter. To ask for a hearing, send a written petition, which conforms to Chapter 150B of the
North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center,
Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless you ask for a
hearing.
This Ietter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act and the Tar -Pamlico riparian buffer protection rule as described within 15A NCAC 2B .0259. If you
have any questions, please telephone Roberto Scheller of the Washington Regional Office at 252-948-
3940 or Karen Higgins of the Wetland, Buffer, Stormwater, Compliance and Permitting (Webscape) Unit
at 919-807-6360.
S' e rely,,
For Charles akild, P.E,

Mr. & Mrs. John & Barbara Hendrickson
Lot #8, Sound View, Albemarle Plantation S/D
November 6; 2012
Page 3 of 4
Enclosures: Certificate of Completion
GC 3900
cc: Raleigh Bland, Corps of Engineers, Washington Field Office
DWQ Webscape Unit
DCM, Doug Huggett, Morehead Office .
DCM, John Cece, Elizabeth City Office
File copy

Mr. & Mrs. John & Barbara Hendrickson
Lot #8, Sound View, Albemarle Plantation SID
November 6, 2012
Page 4 of 4

Howell, Jonathan
From:
Bland, Raleigh W SAW[[e-mail]
Sent:
Tuesday, October 23, 2012 7:38 AM
To:
Govoni, Daniel; Howell, Jonathan
Cc:
Dunn, Maria T.; Cece, John
Subject:
Projects (UNCLASSIFIED)
Classification: UNCLASSIFIED
Caveats: NONE
Daniel and/or Jonathan,
Checking on a couple of projects / Frisco Shopping Center and Waves Village LLC? Issued?
Status?
Thanks[
Et all....
In addition, I have not accepted the Barbara and John Hendrickson application in Albemarle
Plantation as complete at this time. George Wood is preparing additional plat work to
demonstrate further avoidance and minimization measures. The proposed project is excessive
and is not in compliance with the 404 b 1 guidelines. Albemarle Plantation has already
exceeded the allowable NWP thresholds and we consider all impacts as cumulative. George has
agreed to redesign and reduce impacts to a point that we can move forward in the CAMA
process. He will send plat to you as well. Thanksl
Classification: UNCLASSIFIED
Caveats: NONE
1

j q%
North
MCDENR -
Carolina Department of Environment and Natural Resources
(77 1.1
"17 F7- R
5EP 28 'nit
DMF-HA'b,iTi� nfil Ti i l'iC(•!
Division of Coastal Management_.
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
September 25, 2012
MEMORANDUM
TO:
FROM:
SUBJECT:
Applicant:
Project Location:
Proposed Project:
E MAILEDI
OCT 2 4 2012
DMF-HABITAT PROTECTION
Kevin Hart
NC Division of Marine Fisheries, WaRO
Doug Huggett
Major Permits Processing Coordinator
CAMA/DREDGE & FILL Permit Application Review
Barbara and John -Hendrickson
South end of Country Club Drive, Albemarle Plantation, Perquimans Co.
Single-family residence, retaining wall & backfill
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by-10/16/12 to 400 Commerce Avenue, Morehead City, NC 28557, If you have any
questions regarding the proposed project, please contact John Cece at [phone]. When
appropriate, in-depth comments with supporting data are requested.
REPLY: This agency has \no/objection to the project as proposed.
This agency has i26 comment on the Proposed project.
This agency approves of the project only if the recommended changes are
incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
SIGNED.�.D 2Df2/ eU4t� # ail— DATE In_I8 /I y
l Ziah c1 X
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] FAX: 252-264,3723; Internet: www.nccoestalmanagement.net One
NorlliCaroli11a.
An Equal Opportunity 1 Affirmative Action Employer Nawrdly

i
+.
FCDIAr
North Carolina Department of Environment and Natural Resources
Division of Marine Fisheries
Beverly Eaves Perdue Dr. Louis B. Daniel III Dee Freeman
Governor Director Secretary
TO: Doug Huggett
THROUGH: Anne Deaton�
FROM: Kevin Hart
DATE: October 3, 2012
SUBJECT: CAMA- Barbara and John Hendrickson Albemarle Plantation
The following comments by the North Carolina Division of Marine Fisheries (NCDMF) on the subject project
are offered pursuant to G.S. 113-131. The applicant is proposing to construct a single family residence in the
Estuarine Shoreline AEC that will result in the fill of 4,362fe of U.S. Army Corps of Engineers' wetlands
(1,954f to the west of the house and 2,408f to the east of the house) at the mouth of the Yeopim River on a
lot that currently has a bulkhead. The applicant proposes to construct a 105 foot long retaining wall on the east
side of the residence and a 150 foot long retaining wall on the west side of the house. The applicant states that
they designed a house to be similar in size to other houses in the development but they have minimized wetland
impacts by reducing the footprint of the structure. The applicant has proposed purchasing EEP credits (2:1) for
the wetland impacts, but no documentation from EEP has been provided.
The NCDMF is concerned regarding the wetland impacts from the project as this project is located near a golf
course and there are limited wetlands at the location. Mallin and Wheeler (2000) studied the effect of golf
courses in New Hanover and Brunswick counties on water quality in adjacent water bodies. Although this
study found that ammonium and orthophosphate was tightly bound to the soils, nitrate levels in the streams
increased as they flowed through the courses and in some places caused increases in phytoplankton biomass and
algal blooms. The authors concluded that waters adjacent to golf courses having vegetated buffer zones, wet
detention ponds, and wooded wetland areas had considerably lower nutrient levels than sites without these
landscape features and management tools (Mallin and Wheeler 2000 and Deaton et al. 2010). The NCDMF
looks for avoidance, minimization, and if avoidance and minimization is demonstrated that the applicant can
explore mitigation options. The NCDMF requests that the applicant redesign the proposal to minimize the
wetland impacts from the project. Options for minimizing the fill include redesigning the structure to make the
structure smaller to bring the retaining wall out of the wetlands, changing the orientation of the house to keep
the garage and driveway out of the wetland to reduce the fill, moving the deck of the north side of the house to
the west can minimize the fill to the west of the house. Once avoidance and minimization has been
demonstrated an accepted EEP mitigation letter should be provided with the project application.
If you have any comments or questions, please call me at [phone] or email me at Kevin.Hart(i,,ncdenr.gov. .
Deaton, A.S., W.S. Chappell, K. Hart, J. O'Neal. 2010. North Carolina Coastal Habitat Protection Plan. North
Carolina Department of Environment and Natural Resources. Division of Marine Fisheries, NC. 617
pages.
Mallin, M. A. and T.L. Wheeler. 2000. Nutrient and fecal coliform discharge from coastal North Carolina golf
courses. Journal of Environmental Quality 29: 979-986,

�
w�
NCDENR
North Carolina Department of Environment and
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis
Governor Director
September 25, 2012
MEMORANDUM
TO:
FROM:
SUBJECT:
Applicant:
Project Location:
Proposed Project:
Maria Tripp Dunn
NC Wildlife Resources Commission
Doug Huggett
Major Permits Processing Coordinator
-7 1 _�
Natural Resources
CAMA/DREDGE & FILL Permit Application Review
Barbara and John Hendrickson
Dee Freeman
Secretary
r 4
SEP 2012
REGLi QED
Habitat
Conservarm
PMWM
South end of Country Club Drive, Albemarle Plantation, Perquimans Co.
Single-family residence, retaining wall & backfill
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 10/16/12 to 400 Commerce Avenue, Morehead City, NC 28557. If you have any
questions regarding the proposed project, please contact John Cece at [phone]. When
appropriate, in-depth comments with supporting data are requested.
REPLY: This office has no objection to the project as proposed.
This office has no comment on the proposed project.
This office approves of the project only if the recommended changes are
incorporated. See attached.
This office objects to the project for reasons described in the attached
comments.
SIGNED 1 7�wA� DATE 10 -r L- I Z
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] FAX: [phone] ; Internet: www.nocoastalmanagement.net Ite
orthCarolina
An Equal Opportunity 1 Affirmative Action Employer Naturally

r

® North Carolina Wildlife Resources Commission
Gordon S. Myers, Executive Director
MEMORANDUM
TO: Doug Haggett, Major Permits Processing Coordinator
Division of Coastal Management
North Carolina Department of Environment and Natural Resources
FROM: Maria T. Drum, Northeast Coastal Region Coordinator
Habitat Conservation Program
DATE: October 12, 2012
SUBJECT: CAMA Dredge/FiII Permit Application for Barbara and John Hendrickson,
Perquimans County, North Carolina.
Biologists with the North Carolina Wildlife Resources Commission (NCWRC) reviewed the
permit application with regard to impacts on fish and wildlife resources. The project site is located at the
south end of Country Club Drive within Albemarle Plantation near Hertford, NC. Our continents are
provided in accordance with provisions of the Coastal Area Management Act (G.S. 113A-100 through
113A-128), as amended, Sections 401 and 404 of the Clean Water Act, as amended, and the Fish and
Wildlife Coordination Act (48 Stat 401, as amended; 16 U.S.C. 661 et seq.).
The applicant proposes to construct a single family residence and retaining wall structure that will
fill approximately 4,362 SF of Section 404 wetlands. A 105' long retaining wall on the east side of the
residence and a 150' long retaining wall on the west side compose the wetland impacts. The Albemarle
Sound at this location is classified SB by the Environmental Management Commission.
The NCWRC has reviewed the permit application and requests avoidance and minimization of
wetland impacts be demonstrated. Minimization could occur with residence realignment or changes in
either the construction or dimensions of the retaining wall.
The NCWRC appreciates the opportunity to review and comment on this permit application. If
you need further assistance or additional information, please contact me at [phone].
Cc: Bland, R. — US Army Corps of Engineers
Mailing Address: Division of Inland Fisheries • 1721 Mail Service Center • Raleigh, NC 27699-1721
Telephone: [phone] • Fax: [phone]

I

HlugC,ett Doug
From: Donna Godfrey [[e-mail]]
Sent: Monday, October 15, 2012 3:57 PM
To: Huggett, Doug; Cece, John
Cc: 'Frank Heath'
Subject: Perquimans County: Hendrickson CAMA Application
Attachments: doc20121015155114.pdf
Importance: High
Hi Doug and John,
Please see my attached comments to your request for review of Barbara and John Hendrickson's
request along with a copy of the Zoning Permit which I issued to their builder on July 12,
2012. Section 1102 of the County's Zoning Ordinance provides for encroachment of certain
features into the required setback as noted on said Zoning Permit.
If you have questions or need more information, please contact me.
Thanks,
Donna Godfrey, AICP
Perquimans County Planner
Post Office Box 45
128 North Church Street
Hertford, North Carolina 27944
Phone: [phone]
Fax: [phone]
ddgodfrev(doerguimanscountvnc.eov
-----Original Message -----
From: [e-mail] [mailto:[e-mail]]
Sent: None
To: [e-mail]
Subject: Document from Perquimans County Copier
Please do not reply to this email.
Please do not reply to this email.
1

E...,.S EW
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis
Governor Director
September 25, 2012
MEMORANDUM
TO: Donna Godfrey, AICP
Perquimans County
FROM: Doug Huggett
Major Permits Processing Coordinator
Dee Freeman
Secretary
SEP 2 7 2012
SUBJECT: CAMA/DREDGE & FILL Permit Application Review
Applicant: Barbara and John Hendrickson
Project Location: South end of Country Club Drive, Albemarle Plantation, Perquimans Co.
Proposed Project: Single-family residence, retaining wall & backfill
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 10/16/12 to 400 Commerce Avenue, Morehead City, NC 28557. If you have any
questions regarding the proposed project, please contact John Cece at [phone]. When
appropriate, in-depth coimments with supporting data are requested.
REPLY: ✓ This o cc has no objection the project as proposed- ' s�� 0`°`�'
o L'8r, nt`y'r�eu��/aa-0 fzve, 7avY3' ILZ'
6�is office has no comment on the proposed project.
This office approves of the project only if the recommended changes are
incorporated. See attached.
This office objects to the project for reasons described in the attached
comments.
SIGNED DATE
5-9-C-7-10d /loy o� y�@72�ulr�rgVs Ca f✓ry zdtil<rr� OF�A`NANc �jGGaccJs '
CGNG�D✓c *� YOR7ZDN p �'D�'�i + D (LI�COI/ t�A S'i�r°S 7-0 �7✓�0%FC(E
1367 U517 South, Elizabeth City, INC 27909 7`i One r/..
Phone: [phone]FAX: [phone];Internet: wmxccoastalmanagement.nel 5 p NOlit1C1T1JjIna
\\ An Equal Opportunity lAffirmative Action Employer (a Y r� l`rA

PERQUIMANS COUNTY PLANNING & ZONING
128 NORTH CHURCH STREET
HERTFORD, NC 27944
PHONE [phone]
FAX [phone]
ZONING PERMIT APPLICATION
PROPERTY OWNERS NAME di'A d h f'N� v Cis rD
PHONE/FAX -7z�a'— !9d/ "- %�eqo
APPLICANTS NAME (IF NOT OWNER) 7-
PHONE/FAX o2 /Z — z1 % �W / n
ADDRESS OF PROPERTY 1�5 06u
/ (We), the undersigned Applicant(s), hereby request a Zoning Permit to construct or place a building at
the above -named property and as shown on the attached Site Plan, in accordance with the Perquimans
County "Guide for Submitting Site Plan." I (We) do hereby respectfully apply to conduct at said property
the following land use:
Ingle Family Home (site built) Duplex/Multi-Family Dwelling _Garage/Carport
_Manufactured Home - doublewide _Storage Shed/Accessory Building _Business
Manufactured Home - singlewide —Deck/Porch Addition _Home Occupation
^
_Manufactured Home - modular —Room(s) Addition _Swimming Pool
_Other (Explain):
For businesses or home occupations, please list the type of business that you are proposing and attach
your Home Occupation Permit, if applicable:
IS THIS STRUCTURE FOR FARM USE? [ ] YES [ NO
For Manufactured Homes, please complete the following:
Year model of the dwelling: Dimensions of the dwelling:
**See reverse side of Application for information on Manufactured Home Skirting Requirements"
The Applicant(s) understand(s) that:
(1) It is my (our) responsibility to ensure compliance with any private deed restriction, covenant, etc.
(2) All residential lots must be graded to allow far proper drainage in accordance with Section 402(11)(0
of the County's improvement Design Standards;
(3) The N C Division of Coastal Resources may impose more restrictive building setbacks, and it is my
r) responsibility t ensure compliance with any applicable CAMA requirements.
2%11a ure of Applicant 0 Signature of Property Owner
Date: -7—Z,2 r1 '2_ Date:
To be Completed by the County - Lot creation date: o ,�tt qq
MAP NO. oS BLOCK NO. � D 9-a LOT NO. >� � O � �y I ]� ZONE i� -2
Principal Building: Primary Front _"'�O I; Secondary Front (comer) i A ; Rear �: Interior Side /S�
Accessory Building: Primary Front _3I ;Secondary Front (corner) ; Rear D : Interior Side i0 /
x
Ap oved:
Planning arfd Zoning Administrdt6r Date Permit Number
Additional County Comments: LLNCOVeg_G-p ?,'d 97-(oN gF- 1F6jEL1f
2 491/-8 09c-R-ZH-ccr 4/- �-6-T 0
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director f MCEM&cretary
September 25, 2012 OCT 30 2012
MEMORANDUM
' DCM-MADCTfY
TO: Patrick McClain, P.E., Regional Engineer / Tracy Davis
Division of Land Quality - WaRO
FROM: Doug Huggett
Major Permits Processing Coordinator
SUBJECT: CAMA/DREDGE & FILL Permit Application Review
Applicant: Barbara and John Hendrickson
Project Location: South end of Country Club Drive, Albemarle Plantation, Perquimans Co.
Proposed Project: Single-family residence, retaining wall & backfill
Please indicate below your agency's position or viewpoint on the proposed project and return this
form by 10/16/12 to 400 Commerce Avenue, Morehead City, NC 28557. If you have any
questions regarding the proposed project, please contact John Cece at [phone]. When
appropriate, in-depth comments with supporting data are requested.
REPLY: This agency has no objection to the project as proposed.
This agency has no comment on the proposed project.
This agency approves of the project only if the recommended changes are
incorporated. See attached.
This agency objects to the project for reasons described in the attached
comments.
SIGNED A" - — /J DATE
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] % FAX: [phone] ; Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer
o e
NCarolina
Naturally

r
Egos stem
9 , ,.J
PkOGItAM
August14,2012
George Wood
Environmental Professionals
PO Box 3368
Kill Devil Hills, NC 27948
ECEIV
/AUG 3 0 2G12
Tql
Expiration of Acceptance: February 14, 2013
Project: Hendrickson County: Perquimans
The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program (NCEEP) is willing to accept
payment for compensatory mitigation for impacts associated with the above referenced project as indicated in the table below. Please
note that this decision does not assure that participation in the NCEEP will be approved by the permit issuing agencies as mitigation
for project impacts. - It is the responsibility of the applicant to contact these agencies to determine if payment to the NCEEP will be
approved. You must also comoly with all other state federal or local government permits regulations or authorizations associated
with the proposed activity including SL 2009-337: An Act to Promote the Use of Compensatory Mitigation Banks as amended by
S.L.2011-343.
This acceptance is valid for six months from the date of this letter and is not transferable. If we have not received a copy of the
issued 404 Permit1401 Certification/CAMA permit within this time frame, this acceptance will expire. It is the applicant's
responsibility to send copies of the permits to NCEEP. Once NCEEP receives a copy of the permit(s) an invoice will be issued based
on the required mitigation in that permit and payment must be made prior to conducting the authorized work. The amount of the In
Lieu Fee to be paid to NCEEP by an applicant is calculated based upon the Fee Schedule and policies listed at www.nceep.net.
Based on the information supplied by you in your request to use the NCEEP, the impacts that may require compensatory mitigation are
summarized in the following table. The amount of mitigation required for this impact is determined by permitting agencies.
River
Basin
CU
Location
Stream (feet)
Wetlands (acres)
Buffer I
(Sq. Ft.)
I Buffer 11
(Sq. Ft.)
Cold
Cool
I Warm
Riparian I Non -Riparian
Coastal Marsh
Impact
Pasquotank
03010205
0
0
F 0
0.10 0
0
0
0
Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation. The mitigation will be performed in
accordance with the N.C. Department of Environment and Natural Resources' Ecosystem Enhancement Program In -Lieu Fee
Instrument dated July 28, 2010.
Thank you for your interest in the NCEEP. If you have any questions or need additional information, please contact Kelly Williams at
[phone].
Sincerely, �\
Suz limek
Acting Director
cc: Karen Higgins, NCDWQ Wetlands/401 Unit
Kyle Barnes, USACE-Washington
Amy Adams, NCDWQ- Washington
Doug Huggett, NCDCM-Morehead City
File
Restorirtg... Ft-i;kA"... Prot" Ow State
A
NCDENR
North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center; Raleigh, NC 27699-1652 / 919-715-0476 / www.nceep.net

Howell, Jonathan
From: Bland, Raleigh W SAW [[e-mail]]
Sent: Monday, January 07, 2013 1:55 PM
To: Howell, Jonathan
Subject: FW: Project Status (UNCLASSIFIED)
Classification: UNCLASSIFIED
Caveats: NONE
SAW 201201813 Tier II PGP 198000291 Your Date Due to reductions in fill area and
current work load issues, I am not going to pursue mitigation at this time. Thanks!
-----Original Message -----
From: Bland, Raleigh W SAW
Sent: Monday, January 07, 2013 11:25 AM
To: 'Howell, Jonathan'
Subject: RE: Project Status (UNCLASSIFIED)
Classification: UNCLASSIFIED
Caveats: NONE
Had some issues with the mitigation on this one and they revised their plan to reduce impacts
from 4362 sq ft to 3306 sq ft. I will send you something today. Need to find most recent EEP
conditions. Thanks!
-----Original Message -----
From: Howell, Jonathan [mailto:[e-mail]]
Sent: Monday, January 07, 2013 11:17 AM
To: Bland, Raleigh W SAW
Subject: RE: Project Status (UNCLASSIFIED)
I just need Hendrickson from you (required bulkhead redesign with minimization) from you. I
also need River Run and Town of Belhaven from Tracey or Josh if you can have one of them give
me a shout. Thanks Raleigh. Hopefully you will catch up soon.
Jonathan
-----Original Message -----
From: Bland, Raleigh W SAW [mailto:[e-mail]]
Sent: Monday, January 07, 2013 11:08 AM
To: Howell, Jonathan
Subject: RE: Project Status (UNCLASSIFIED)
Classification: UNCLASSIFIED
Caveats: NONE
Please send the ones you are looking for. I have a couple of hundred e-mail to get through in
addition to an EIS that is getting ready to come in. Tx!
-----Original Message -----
From: Howell, Jonathan [mailto:[e-mail]]
Sent: Monday, January 07, 2013 8:41 AM
To: Bland, Raleigh W SAW
Subject: RE: Project Status (UNCLASSIFIED)
t

Good morning Raleigh. Lets see. Frisco Shopping Center was issued (attached), Dennis
Crawford was issued (attached), Waves Village is on App. Hold.
You get the emails I sent you? I have a couple of projects ready to go. If you need me to
let you know which ones, just let me know and Ill shoot you an email.
Hope you enjoyed some time off. Talk to you soon.
-----Original Message -----
From: Bland, Raleigh W SAW [mailto:[e-mail]]
Sent: Monday, January 07, 2013 7:17 AM
To: Govoni, Daniel; Howell, Jonathan
Subject: Project Status (UNCLASSIFIED)
Classification: UNCLASSIFIED
Caveats: NONE
Any progress on these?
Waves Village
Frisco Shopping Center
Dennis Crawford
Classification: UNCLASSIFIED
Caveats: NONE
Classification: UNCLASSIFIED
Caveats: NONE
Classification: UNCLASSIFIED
Caveats: NONE
Classification: UNCLASSIFIED
Caveats: NONE
E

Howell, Jonathan
From: Howell, Jonathan
Sent: Thursday, November 15, 2012 3:31 PM
To: 'Bland, Raleigh W SAW
Subject: Barbara and John Hendrickson
Raleigh, I wanted to make sure you received the redesign of this project, and let you know we are ready to move
forward if you guys are OK.
Jonathan Howell
Asst. Major Permits Coordinator
400 Commerce Avenue
Morehead City, NC 28557
[phone] (Ext. 211)
www.nccoastaimanagement.net
E-mail correspondence to and from this address may be subject to the
North Carolina Public Records Law and may be disclosed to third parties.

4 -C� f. Pf
IK EE R
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
September 5, 2012
Mr. George Wood RECEn,ED
PO Box 3368
Kill Devil Hills, NC 27948 SEP 10 2012
Re: Hendricksen, Albemarle Plantation ncM-
MHD CITY
Dear Mr. Wood:
The NC Division of Coastal Management hereby acknowledges receipt of your application on
August 30, 2012 for State approval for the development of the referenced project. An initial
screening of the submittal package has been conducted. 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 make the needed changes, and 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. Adequate Work Plans or Drawings have not been submitted. Please address the following
items:
■ When drawings are larger than 11 inches by 17 inches, 26 copies must be
provided (after the minor corrections listed below are made).
• A Plan View must be submitted that:
Indicates the proposed area of disturbance
Indicates the full extent of the creek located to the west of the proposed
structure. Please call me to discuss.
Identifies the agency or consultant making the wetland determination,
along with the date the determination was made
2. Additional detailed information must be provided to reflect all development within, or
impacting, Areas of Environmental Concern. Please provide the area of wetland fill and
the area of disturbance that will occur within the Estuarine Shoreline AEC.
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] FAX: [phone] ; Internet: www.nocoastalmanagement.net One Carolina
An Equal Opportunity 1 Affirmative Action Employer Jl naturally

Mr. George Wood
September 5, 2012
Page 2
3. Documentation of Notification of Riparian Property Owners must be provided. Please
submit Certified Return -Mail Receipts for this notification, along with a copy of the
notification provided to these owners and any comments received in reply.
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.
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 x234) if you have
any questions regarding this letter or the permitting process.
Sincerely,
1
i
John Cece
Coastal Management Representative
cc: Doug Huggett, Major Permits Coordinator, DCM, Morehead City
Frank A. Jennings, III, District Manager, DCM, Elizabeth City

���
x-_
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis
Governor Director
EMAIL MEMORANDUM
TO: The Daily Advance
Legal Advertisement Section
[e-mail]
FROM: Yvonne Carver for John Cece
DATE: September 25, 2012
SUBJECT: Public Notice — Barbara and John Hendrickson
ACCOUNT: #2119219, NCDENR/Stadiem
Dee Freeman
Secretary
Please publish the attached Notice in the Wednesday, October 3, 2012 issue of The
Perquimans Weekly.
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 Melissa Sebastian, 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: a Doug Huggett, Major Permits Coordinator, DCM, Morehead City
File
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] \ FAX: [phone]; Internet: www.nccoastaimanagement.net
An Equal Opportunity \ Affirmative Action Employer
NorthCarolina
Naturally

NOTICE OF FILING OF APPLICATION
FOR CAMA MAJOR PERMIT
NCDENR hereby gives public notice as required by NCGS 113A-119(b) that
application for a development permit in an AEC as designated under the CAMA was
received on 09121/12. Barbara and John Hendrickson propose to construct a single-
family residence, retaining wall & backfill at Country Club Drive in the Albemarle
Plantation, Perquimans County.
A copy of the entire application may be reviewed at the office of the Division of
Coastal Management, located at 1367 US 17 South, 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 10/23/12, 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: Wednesday, October 3, 2012

(N
��
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretary
September 25, 2012
Mr. George Wood
Environmental Professionals, Inc.
P.O. Box 3368
Kill Devil Hills, NC 27948
Dear Mr. Wood:
The NC Division of Coastal Management hereby acknowledges receipt of the
application submitted on behalf of Barbara and John Hendrickson for State approval for
development of their property located at Country Club Drive in the Albemarle Plantation
of Perquimans County. It was received complete on September 21, 2012, and appears
to be adequate for processing at this time. The projected deadline for making a
decision is December 5, 2012. 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 September 21,
2012, 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 113A-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 the 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 the property, or at a point along the road right-
of-way where a private road would lead one into the property. Failure to post this notice
could result in an incomplete application.
1367 US 17 South, Elizabeth City, NC 27909
Phone: [phone] FAX: [phone] ; Internet: www.nccoastalmanagement.net One
NorthCarolina
An Equal Opportunity 1 Affirmative Action Employer Naturallff

IFI
Mr. George Wood
September 25, 2012
Page 2
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 notify me in writing if you wish to receive a copy of John Cece's field
report and/or comments from reviewing agencies.
Sincerely,
� Frank Jen /ings
District Manager, Northeast District
FJ/yc
Enclosure
cc: DelUg Huggett, Major Permits Coordinator, DCM, Morehead City, NC
John Cece, Field Representative, DCM, Elizabeth City, NC
Barbara and John Hendrickson, Applicants

NoTl(10$1?,j
LAMA PERMIT
APPLIED FOR
ECT: <2=NS7-R%kcT SiNCrLt• F*m14,Y Rts/oc4 c,
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APPLICANT: FOR MORE DETAILS CONTACT
THE LOCAL PERMIT OFFICER BELOW:
IER �� R A 1- S H.I flE1J0 t l 4CSo �/ �7 5 o N A c E c F
132141 &r "Mot st4%&jtw eRia/g Zt✓- OF cOAiTAC- MAAAWMCKr
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t "'This is a word processing form to be completed in Microsoft Word"`
NC Division of Coastal Management
Major Permit Application Computer Sheet of.IJ Z
(02/15/2010)
Applicant: Barbara and John Henddcksen
Date: 9/24/2012
Project Site County Perquimans
Staff: John Cece
District: ®Elizabeth City Washington
❑Morehead City []Wilmington
Project Name: Barbara and John Hendrickson
Rover File: C091210B
Date application "received as complete" in the Field office (EX: 1/8/2007): 9/21/2012
Permit Authorization: ®CAMA Dredge & Fill Both
SITE DESCRIPTIOWPERMIT INFORMATION
PNA: []Yes ®No
Photos Taken: Yes® No❑
Setback Required (riparian): Yes No
Critical Habitat: ❑Yes ❑No ❑Not Sure
15 foot waiver obtained: Yes No
Hazard Notification Returned:
❑Yes ®No
SAV: ❑Yes ®No ❑Not Sure
Shell Bottom: ❑Yes ®No Not Sure
Temporary Impacts: []Yes ®No
Sandbags: ❑Yes ®No ❑ Not Sure
Did the land use classification come from
county LUP: ®Yes ❑No
Mitigation Required (optional):
®Yes ❑No
Moratorium Conditions: Yes MNo
❑NA
Environmental Assessment Done:
❑Yes ®No ❑NA
SECONDARY WATER CLASSIFICATION — OPTIONAL (choose MAX of 4)
WETLANDSIMPACTED
® (404) Corp. of Engineers (Jurisdictional
❑ (LS) Sea lavender (Limonium sp.)
El (SS) Glasswort ( Salicornia sp.)
wetlands)
El (CJ) Saw grass (Cladium jamaicense)
El (SA) Salt marsh cordgrass (Spartina
❑ (SY) Salt reed grass (Spartina
alterniflora)
cynosuroides)
El (DS) Salt or spike grass (Distichlis
El (SC) Bullrush or three square (Scirpus
❑ (TY) Cattail (Typha sp.)
spicata)
sp.)
El (JR) Black needlerush (Juncus
❑ (SP) Salt/meadow grass (Spartina
roememmus)
patens)
APPLICATION FEE
No fee required - $0.00
III(A) Private w/ D&F up to 1 acre; 3490
0 III(D) Priv. public or comm w/ D&F to 1
can be applied - $250
acre; 3490 can't be applied - $400
Minor Modification to a CAMA Major
El 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
❑ III(B) Public or commercial w/ D&F to 1
Express Permit - $2000
acre; 3490 can be applied - $400
Major development extension request -
❑ II. Public or commercial/no dredge
$100
and/or fill - $400
I. Private no dredge and/or fill - $250
El III(C) Priv. public or comm w /D&F to 1
acre; 3490 can be applied; DCM needs
DWQ agreement - $400
252.808-2808 :: 1-888.4RCOAST :: www.nccoastalmanaoement.net revised: 02/15110

HC Division of Coastal Mgt. Application Computer Sheet, Page 2 of 3) �
Applicant: Barbara and John Hendricksen
Date: 9/24/2012
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
Retaining wall
1
New Work ®
Replace
105
6
Maint ❑
Ely EN
Retaining wall
1
New Work ®
Replace
150
6
Maint [:I❑
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 ❑
❑ Y ❑ N
New Work ❑
Replace
Maint ❑
Ely ❑ 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 ❑
❑ Y ❑ N
New Work ❑
Replace
Maint ❑
❑ Y ❑ N
revised 02/15110

a NC Division of Coastal Mgt. Application Computer Sheet, Page 3 of 3>
Applicant: Barbara and John Hendricksen
Date: 9/24/2012
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 for.
Disturbance total
includes any
anticipated
restoraton or
tamp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
tamp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration andror
tamp impact
amount
WL
Dredge ❑ Fill® Both ❑ Other ❑
4,362
4,362
HG
Dredge ❑ Fill ❑ Both ❑ Other ®
10,650
10,650
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 ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1.8884RCOAST :: www,nccoaslalmanagemenl.net revised: 02/13N0

v-
r; 1riVED
AUTHORIZATION TO ACT AS REPRESENTATIVE FORM AUG 3 0 2012
Landowner of record authorizes Environmental Professionals, Inc. to:
1. enter the property to gather environmental and site information, including delineation of
environmental regulatory jurisdictions;
2. enter the site with the regulatory agencies (i.e. U.S. Army Corps of Engineers,
North Carolina Division of Coastal Management, North Carolina Division of Water
Quality, etc.) as needed to review regulatory alignment(s) and to identify additional
regulatory jurisdictions; and
3. submit plats and other information to acquire regulatory agency confirmations and/or
approvals (U.S. Army Corps of Engineers, North Carolina Division of Coastal
Management, North Carolina Division of Water Quality, etc.); and
4. provide authorization for Environmental Professionals, Inc. to act as your agent for the
purposes of obtaining environmental permits and/or authorizations.
DI an ow/ne�r Date
44,
CI} nt Date

:omplete items 1, 2, and 3. Also complete [D.
am 4 if Restricted Delivery is desired.
'rint your name and address on the reverse
o that we can return the card to you.
,ttach this card to the back of the mailpiece,
r on the from ff space permits.
4icle Addressed to:
Albemarle Plantation Holdings
201 Ocean Highway
Hertford, NC 27944
Icle Number
nsfer from service /ebep
rm 3811--
C. Date of
enter deliv0ry,addr* trerow:
AUG 2a�
3. Servl Typo
. ,. ed Mail
❑ Express Mail
17 Registered
❑ Insured Mall
❑ Return Receipt for Merchandise
❑ C.O.D.
4. Restricted Delivery? (Brim Fee)
7009 2250 0001 3633 7251
Domestic Relun Receipt O
"ItCcIVFID
SEP 2 1 2012
i
❑ vee s. John Hendrickson to represen
the purposes of obtaining a
pion of a single-family residence.
d in the application.
Should you have any questions regarding this request, please contact me or Mr. John CeCe with
the North Carolina Division of Coastal Management.
Environmental Professionals, Inc.
Management
Attn: George H. Wood, CEP, PWS
P.O. Box 3368
Kill Devil Hills, NC 27948
Telephone No.: 252441-0239
Cell Phone: [phone]
Email: [e-mail]
North Carolina Division of Coastal
Attn: Mr. John CeCe
1367 U.S. 17 South
Elizabeth City, NC 27909
Telephone No.: 252-264-3901
Email: [e-mail]
If you have no objection to the proposed activity, please mark the appropriate statement below and
return to Environmental Professionals, Inc.
The North Carolina Division of Coastal Management provides 30 days from the date of
notification in which to comment, and failure to respond will be considered as no objection to the
project.
I appreciate your consideration of this matter.
Sincerely,
Env' nmentaI Profs onals, Inc.
eorge H. Wood EP, PWS
Attachmen a/s
I have no objection to the project described in this correspondence.
I have objection to the project described in this correspondence.
�316N Uli E
E DATE
e
P.O. BOX 3368 • KILL DEVIL HILLS, NORTH CAROLINA 27948 • 252441-0239
FAX: 25244I-0721 • EMAIL: obzwoodnyahoo.eom

INIM RE(;E;`zi) D
"TTPIM9A L USE
Postage $' i1.50 0448 AUG 3 0 2012
CeN(led Fee 42.95j �. QA
Return Recelpi Fee $2. 5 9 PHe d Via Certified Mail/Return Recei tin uested
(Endorsement Required) GC P......
_ L__E� A8E1htCiTY
Rasfdeted Dative Fee
(Endorsement Re9gired) SO
Total Postage 8 Feas
Sent o L/
UNUAlbemarle Plantation Holdings
o; o's°xN 201 Ocean Highway
citysde,"z Hertford, NC 27944 -
;. has been retained by Mr. & Mrs. John Hendrickson to represent
ion of Coastal Management for the purposes of obtaining a
permit to authorize placement of fill in wetlands for the construction of a single-family residence.
The improvements are depicted on the attached plat and described in the application.
Should you have any questions regarding this request, please contact me or Mr. John CeCe with
the North Carolina Division of Coastal Management.
Environmental Professionals, Inc.
Management
Attn: George H. Wood, CEP, PWS
P.O. Box 3368
Kill Devil Hills, NC 27948
Telephone No.: 252441-0239
Cell Phone: [phone]
Email: obxwood(rd,,yahoo.com
North Carolina Division of Coastal
Attn: Mr. John CeCe
1367 U.S. 17 South
Elizabeth City, NC 27909
Telephone No.: 252-264-3901
Email: [e-mail]
If you have no objection to the proposed activity, please mark the appropriate statement below and
return to Environmental Professionals, Inc.
The North Carolina Division of Coastal Management provides 30 days from the date of
notification in which to comment, and failure to respond will be considered as no objection to the
project.
1 appreciate your consideration of this matter.
Sincerely,
Envi nmental Profs onals, Inc.
�
eorge H. Wood, EP, PWS
Attachments: a/s
I have no objection to the project described in this correspondence.
I have objection to the project described in this correspondence.
SIGNATURE
DATE
P.O. BOX 3368 • KILL DEVIL HILLS, NORTII CAROLINA 27948 • 252-441-0239
FAX: [phone] • EMAIL: [e-mail]

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VmBd by Cory. a._dey of
by
WHOM Al b: 5.AP.O. M.MIfM.tr. NC 2A22
This ixo tweV wP by.
ALBEMARLE PLANTA77ON
La u,'S d. M JwA P W
NORTH CAROLINA GENERAL WARRANTY DEED
GRANTOR
HPB ENTERPRISES,. Nm C.Iw Puma.Wp
HvtfwA On&,o Dave
d,
NC 279"
GRANTEE
JOHN J. RLNDRICKSON rd wlb,
RARBASLA J. RENDRICKSOM
13$48uuaehu Ddv.
Haode VA WI TO
Fa,v w w<wW .Ie,Y a earVy r:.sr... K u..pytl� •ws.lrtly..�..vwr� � r...+•
The dai ind. Gl gW ,p Gd. f i im l io Jode rid Pi^. tb otwin..ur�ess..od usipy
sod .h.B iodde.inEWa, pbsnl, mradine, (minine or maa r tpw.ed by coolext
WfINESSETH, the 5e Cn.maT, fv . v.lwble mosida.uoa p. by the G,.tl 0e rtodpl ofwbid, i. bndry
.Jm lcdlCbr Wby rim poufs dor II.olb.R.io, ..0dmnvq ueb Be Gs.ntrulr old dti
mtaW b "pm -el of I.d dbiaW W BdM TowrAgp "l— ( ty. North Colin .d rae p..hvlrly
ds.vibd r bllor..
Bring lAt 43, Sectim M Bodw.PoU*, Pl w I of Abwwk Pl 4tbn W dto.vn on PlAt
e tkd "MATTHEWS GROVE, sEcnON DD, LOTS 49" BOSHE I'D1R POINT SBG EL
PHASE L LCyI+424R•, whkh Wd pW is worded In PW CGbhut 2 SBde 90, Mep Nm I
k 2 Paqulm m Cnunty Public Regktry.
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SEP 2 6 2012

e>
BOOK 232 PAGE 393
1;10pacy bgmlrboee d—lbod w wqdW by Gmw If Irmfu
FaVICIM CDWVY RqiWy. . y naca .ww 1. Book IM. Pqe im,
^'iP,hm4 the above daQr%e4pcpmy amended fm Fig Cwm 2 AII& 99 M.PN.(.}112
TO HAVE AND TOKOLD ft &fummMlm IPIWI Illand Lod all privIlega amdmppaeauaa tbumbrjo."
Is fwdmP]4 dMtide bmahableand ft MdckIOOfAU an=bmzm and daftmlirwM .yr &,4
ddend fttlde '9L'.MdPlmvtW0d,=OfaH Pam wboavoeracuco for tbaeMo,,,bOjdwwgj,,&
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ES; i
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let &,a AP t . 2002

V*J01a ' a 1/ 1/ :_ '
Applicant: BARBARA AND JOHN HENDRICKSON
Selecjon
Development Type
Fee
DCM %
DWQ %
(14300 1601 435100093 1625 6253)
(24300 1602 435100095 2341)
I. Private, non-commercial
development that does not
$250
100% ($250)
01, (�0)
involve the filling or
excavation of any wetlands
or open water areas:
II. Public or commercial
11
J
development that does not
$400
100% ($400)
0% ($0)
involve the filling or
excavation of any wetlands
or open water areas:
III. For development that
involves the filling and/or
excavation of up to 1 acre
of wetlands and/or open
water areas, determine if A,
or D below a lies:
Private, non-
El
commercial development, if
$250
100% ($250)
0% ($0)
aGeneral
Water Quality
cation No. 3490 (See
ed can be a lied:
Public or commercial
❑
development, if General
$400
100% ($400)
0% ($0)
Water Quality Certification
No. 3490 (See attached)
can be applied:
III(C). If General Water
Quality Certification No.
$400
60% ($240)
40% ($160)
3490 (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
aquatic life:
III(D). If General Water
®
Quality Certification No.
ti-inll
60%($240)
40%($160)
3490 (see attached) cannot
be a lied:
IV. For development that
involves the filling and/or
$475
60% ($285)
40% ($190)
excavation of more than
one acre of wetlands and/or
open water areas:

` U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2012-00452 County: Perouimans U.S.G.S. Quad: NC -
NOTIFICATION OF JURISDICTIONAL DETERMIN
Property Owner: Mr. John Hendrickson
Addresst'1384'Bo'tti? Ch'tirn Drive
Herndon, VA 20170'
Property description:
Nearest Waterway Albemarle Sound
USGS RUC 03010205
Location description: The property is located ii
Hertford in Perouimans County, North Carolina.
Indicate Whichof..the Followine Avviv:
A. Preliminary Determination
Agent:
Address:
Nearest Town Hertford, North Carolina
River Basin Pasguotank
Coordinates N 36.079658/W-76.403281
_ Based on preliminary information, there may be wetlands on the above described property. We strongly suggest you have
this property inspected,,.P y ( )j . ,To be cousidered final, a
ltrisdictiohal' determination must be a nfied by a Co s e This prelimin Ddeterminatiou is not an appealable action
J Y rP - P arY PPS
under the Regulatory Program Administrative Appeal Process( Reference 33 CFR Part 331). Ifyou wish, you may
request an approved JD (wlii'ch m iy be ap`'peaSedj, by cpnttnciujg the Corps district for further instruction. ALso, you may
provide new information ttor further odnsidbtiatiori liy the' otp to re date the M.
B. Approved Determination
_ There are 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 and Section 404 of the Clean Water Act. 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 There are waters of the U.S. including wetlands on the above described property subject to the permit requirements of
Section 404 of.tho Clean Water Act.(C WAXSd USC § 1344). Unless theft is a change in the law or our published
regulations, this determination may be relied upon for a period' hot to exeeed five years from the date ofthts notification.
_ We strongly suggest you have the wetlands on your property delineated. Due to the size of your property and/or our
present workload, the Corps may,not be able to accomplish.this wetland delineation in a timely manner. Fora more timely
delineation, you may wish to obtain a consultant. To be considered final, any delineation must be verified by the Corps.
_ 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•willprovide 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.
X The waters of. he U.S. including wetlands have been delineated and surveyed and are accurately depicted on the plat
signed by the Corps Regulatory Official identified below on 5/8/2012 . 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
Pagel of 2

Z
published regulations, this determination may be relied upon for a period not to exceed five years fir' the datb of this
notification.
X The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act
(CAMA). you should contact the Division of Coastal Management in Elizabeth City,,NC, at [phone] to determine
their requirements.
Placement of dredged or fill material within waters of the US and/or wetlands without a Department of the Army permit may
constitute a violation of Section. 301; of the Clean Water Act (33 USC § 1311). If you have, any questions regarding this
determination and/or the Corps regulatory program, please contact Kyle Barnes at 910-251-4584
Kyie. W.Barnes(a�usace.a rmv.mil
C. Basis For Determination
This site exhibits wetland criteria as described in the 1987 Corps Wetland Delineation Manual and
associated Regional Supplement and is part of a broad continuum of wetlands connected to the Albemarle
Sound, a TNW.
D. Attention USDA Program Participants .
This delineation/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.
E. Appeals Information (This information applies only to approved jurisdictional determinations as indicated in
B.above)
This correspondence constitutes an approved jurisdictional determination for the above described site. Ifyou object to this
ini
determination, you may request an admstrative appeal under Coriis,regulattong` at 33' CFR Part 331. Enclosed you will find a
Notification of Appeal Process (NAP) fact sleet 'and request for appeal (RFA) form. If you request 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 I OM 15
Atlanta, Georgia 30303-8801
In order for an RFA to be accepted by the Corps, the 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 7/7/2012
**It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this
correspondence.**
Corps Regulatory Official: 1 WtC,. U/t/�
Date: 5/8/2012 Expiration Date: 5/8/2017
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we continue to
do so, please complete the attached customer Satisfaction Survey or visit hiip://ver2.nwp.usace.army.mil/survey.html to
complete the survey online.
Copy furnished:
Mr. Eddie Hyman
Hyman Robey
Post Office Box 339
Camden, North Carolina 27921

LAkV
NSCDUNTY
nN T
WT2
I.n.e Aa al mot
1 SHB.W
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RMI falefe iaW Tax
K Oea..b el D�iN
BOOK 272 PAGE 392
P drTaa lsadiy Tice, B..a W M
T. I.al No. Paved Identifier No. 2-DOQ-[E41AP
Verified by Coucoymthe_dayof
by
Mail after aamrdin2 to: Samd B. Dimas ]NO, Boa 24, Edaaeee NC 2M2
Thie nmomeeal an Prepared by: n ^ �^^ A ■ aw I IT lVmt A— c n e. NG 27932
ALBEMARI EPGANfA720N
Lor.d`Saaa4se isrg ea.vPrae
NORTH CAROLINA GENERAL WARRANTY DEED
GRANTOR
HPB ENTERPRISES, R North Cwliru Parmeahip
One Planradon Dave
Hertford, NC 279"
GRANTEE
JOHN J. BENDRICKSON sad ante
RARDARA 3. HENDRICKSON
1324 Butterehum Dnve
Hemdm VA 20170
y.,m n weewdue borer a e.eawtr ema.m�.. ee4 uwweMae u..a..re,ay. w-e=eeeaW: a.n.et+e
Tba deaiyudon treater ard Grantee as oral herein dull incleato said pareaa rheb beire, aarcarore, and uripu,
Rod SW include dnpdF, Plural. maaulm , feminine or neuter as mgwmd by moth
WITNESSETH, the the GaeFm, for a valuable mnaidwation paid by the Grantee the receipt of which is heraby
aclmowladge, by "by thew pre mb door FY4 baflaO4 cell and movcy onto the Gmtw m for dmpla all that
amain let or laurel of laud dbaed in Retool Tow-bip, PerquWma Cowry, North Carolina wad more paaEmlady
deauibed as foltowr:
Being Lot 43, Section EE. Boeher Point, PAaa I of Albemarle Nanatim a shown eel pier
entitled "MATTHEW^ GROVE, SECTION DD, LOTS 4939, DOSSER POINT, SEC M
PHASE L LOTS42i11', which said plat i1 recorded to Plat Cabinet Z Slide 90, Wp NM l
h 2 Pergnimeru CoontY Public Re&"Y- I ...
RLC:7T `N
SEP 2 6 2012
'�CTY

s
ROOK 232PAGE 393
The PmPmty hereinobove described wm uquimd by G=Wf by bennMent recorded in Rauk 173 Page 30;
Pergaimens County Reentry,
A n4,h ing the shave dmcribed Property h Mw-W in Pht Csbiaet f ,91d. " Mp NO(Q.1 a s .
7D HAVE AND TO HOLD the afim sdd]Or Or Pucel of land Led ell pdvilegu urd rppe mmne, thweW belonging
to We Gnxn eIn fee simple
And the GrwrWt mvewna wild the Gents, One Gnmror is sebed of the premises in fee simple, hu the dght m money
the wee in fee simple, dut Ode is muketfble ud 5m end den Ofdl "=mbranceN sad Ihrt Gmbdr will wrmnt and
^ dekol tbetltle age" the irwiW F4iIDs of ell pemam wbomsmveruspt for the exceptions herelniffustild.
71de W the Proporty himinsbove desriWd is subjw to the foRawing eroepdam: . .
Thf abovf dercratj fta =VMJ M msy MMex45 Hjl* Ofwgo drOWmdow mdismrVe aa,4p"of
MmN, inch. ding &anorBmhid)a tki iuAww tvwnunit neonfrYG'1�FY96:Podi.931"il4diiiwri al ad
suppkmowed in Book151,Pa`r W,Book 171, Pit-M.*6e'ai7Si,7 aped zr.
IN WITNESS WHBRBOF, the Or -WI Iua he¢unm sm his hued and s W, or ifeorpoNq bee mad "Wmmmmr
to 6e slgy, ed in i e mrpren, ,,, by Its surhodW oMmo sod 1w eed b behereynm sUiied.by suthmih ollp
Hoifd4biricfdt% the day shd yeulliitibuve written: -
(Msarging PuWer) AP8 r
By:Fa�s'4:ie J��.�7 By' RaW (SEAL)
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wimen ms L'oemeumciti mayw�L Nis r.e, d.i
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1107AgY:wr hw ��Ore.ma bb aeo'C°�O1saie lyw'Yj+if�dcYtd�ePc'wpl.iwd.
s e�fp wa_ ...'y Vim/ mgvaYctbi6iep'siiemvmm..eeiptlbbmbl V11a8sd
mryvsdeali®d,bl Gnu frAueSv.,W7.
_ ., Waom ml Gevreed aaNJOmeaselmb lrC e,y of lvnwse zod2
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MEMO
To:
cc:
From:
Date:
Re:
John,
North Carolina Division of Coastal Management/Aun: Mr. John CeCe
U.S. Army Corps of Engineers/Attn: Mr. Kyle Banes
John & Barbara Henrickson
Oceanside Contractors, hrc.
Project File
George H. Wood, CEP, PWS�
Febnmy 20, 2012
Delineation ofLot 8—Country Club Drive - Albemarle Plantation
At your earliest convenience, please flag the coastal wetland alignment at this site.
Thank you
George
Environmental Professionals, Inc.
P.O. Box 3368
Kill Devil Hills, NC 27948
Telephone: [phone] *** Fax: [phone]
Email: obxwoodQyahoo.com
RECEIVED
FFA ? 2 2012
COASTAL MANAGEMENT
0 29j2

ENVIRONMENTAL PROFESSIONALS, INC.
Planning for a Better Environment
P.O. Box 3368
Kill Devil Hills, NC 27948
Telephone: [phone]
Fax: [phone]
Email: [e-mail]
TO: U.S. Army Corps of Engineers
Attn: Mr. Kyle Barnes
2407 W. Fifth Street
Washington, NC 27889
DATE:
LETTER OF TRANSMITTAL
JOB NO.:
VaA
Z ATTACHED
A
FEB 2 2 2012
February 20,2012
Olt-048-PT
John & Barbara Henrickson
Lot 8—Country Club Drive
Albemarle Plantation
DESCRIPTION OF DOCUMENTS
land Determination Data Forms 10' NW of 5 & 10'SE of 5
24 lat
MR5W
x 11 latject
Detailsmo
to John CeCe with NCDCM
THE5E AKE SunniI ICU Am a.nc..nw o«.....
fZ For your approval LZ Review & Comment
F For your use 11 Signature/Notarization
1 As requested
REMARKS:
COPY TO: NCDCM/Attn: Mr. John CeCe
John Barba ends eekson - _
Oceanside Contractors, Inc./Attn: Mr. JR Milligan
Project File
SIGNED: /
ge H. Wood, CEP► WS
Environmental Professionals, Inc.

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
ProjectiSite: Lot 8-Country Club Dr -Albemarle Plantation Citylcounty: Perquimans Sampling Date:1-12-12
Applicant/Owner: John & Barbara Hendrickson State: NC Sampling Point: 10' NW of 5
Investigator(s): George H. Wood, PWS Section, Township, Range: Hertford
Landform (hillslope, tenace, etc.): Depression Local relief (concave, convex, none): Concave Slope (%): 1 %
Subregion (LRR or MLRA): Region T 153 B Let: 36.079658 Long: 76.403281 Datum:
Soil Map Unit Name: Chowan NWI classification: PF01/2F
Are climatic I hydrologic conditions on the site typical for this time of year? Yes ❑ No ❑ (if no, explain in Remarks.)
Are Vegetation ❑, Soil ❑, or Hydrology ❑ significantly disturbed? Are 'Normal Circumstances" present? Yes _0 No ❑
Are Vegetation ❑, Soil Elor Hydrology 13 naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yea ❑x No ElIsthe Sampled Area
Hyddc Soil Present? Yes �r�tI No within a Wetland? Yes G No El
Wetland Hydrology Present? Yes _y No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two reaulred)
Indicators (minimum of one is required:
check all that apply)
❑1 Surface Solt Cracks (B6)
rPrimary
1�1 Surface Water (At)
Water -Stained Leaves (89)
Sparsely Vegetated Concave Surface (BB)
High Water Table (A2)
Aquatic Fauna (B73)
yL�alll Drainage Patterns (B10)
Saturation (A3)
Mari Deposits (B15) (LRR U)
Moss Trim Lines (516)
Water Marks (B I)
Hydrogen Sulfide Odor (Cl)
❑ Dry -Season Water Table (C2)
flx Sediment Deposits (B2)
Oxidized Rhizospheres on Living Roots (C3)
❑ Crayfish Burrows (C8)
BDrift Deposits (B3)
Presence of Reduced Iron (C4)
Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (84)
0 Iron Deposits (85)
T�1 Recent Iron Reduction in Tilted Soils (C6)
LTJ1 Thin Muck Surface (C7)
Geomorphic Position (D2)
Shallow Aquitard (133)
Inundation Visible on Aerial Imagery (87)
LI Other (Explain in Remarks)
T❑1
LJ FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes 0 No
❑ Depth (inches): 1
Water Table Present? Yes El No
❑ Depth (inches): 0
Saturation Present? Yes 0 No
Depth (inches):
Wetland
Hydrology Present? Yes ❑x No ❑
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
RECEIVED
FEB 2 2 2012
Area meets wetland criteria for hydrology.
COASTAL MANAGEMENT
ELIZABETH CITY
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Interim Version

- Use scientific names of plants.
Tree Stratum (Plot size: .1
1 Nyssa sylvatica
) % Cover
10
Species? Status
❑x FAC
2 Taxodium distichum
5
❑ OBL
3.
❑
4.
❑
5.
❑
6.
❑
7.
❑
15
= Total Cover
Sapling Stratum (Plot size
1. ❑
2. ❑
3. ❑
4. ❑
5. ❑
6. ❑
7. ❑
= Total Cover
Shrub Stratum (Plot size
1. ❑
2. ❑
3. ❑
4. ❑
5. ❑
6. ❑
7. ❑
= Total Cover
Herb Stratum (Plot size: )
1.
5. V
6. ❑
7. ❑
8. ❑
9. ❑
10. ❑
11. ❑
12. ❑
= Total Cover
Woody Vine Stratum (Plot size
1. ❑
2. ❑
3. ❑
4. ❑
5. ❑
= Total Cover
Sample site does meet the wetland criteria for vegetation.
Sampling Point: 10' NWof 5
Number of Dominant Species
That Are OBL, FACW, or FAC: 1 (A)
Total Number of Dominant
Species Across All Strata: 1 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 100 (A18)
Total %Cover of:
Multiply by:
OBL species
5
x 1 = 5
FACW species
x 2 =
FAC species
10
x 3 = 30
FACU species
x 4 =
UPL species
x 5 =
Column Totals:
15
(A) 35 (8)
Prevalence Index = B1A = 2.3
✓_ Dominance Test is>50%
✓ Prevalence Index is 53.0'
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Tree - Woody plants, excluding woody vines,
approximately 20 0 (6 m) or mare in height and 3 in.
(7.6 cm) or larger In diameter at breast height (DBH)
Sapling - Woody plants, excluding woody vines,
approximately 20 it (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
Shrub- Woody plants, excluding woody vines,
approximately 3 to 20 R (1 to 6 m) in height.
Herb -All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size. Includes woody
plants, except woody vines, less than approximately
3 ft (1 m) in height.
Woody vine -All woody vines, regardless of height
Hydrophytic
Vegetation
Present? Yes IM No 13
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Interim Version

AL
Sampling Point: 10' NWof 5
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix
Redox Features
inches Color (moist) %
Color(moistt % Tvoet loc
Texture Remarks
6 10 YR 4/2
18 10 YR 5/1
'r : C=Concenhabon, D=De letlon, RM=Reduced Matrix, CS=Covered or Coated Sand Grains. Location: PL=Pore Lining, M=Matrix.
nc Soil Indicators:
Histosol (At)
�polyvalue
Below
Indicators for Problematic Hydric Solis :
Surface (S8) (LRR S, T. U)
0 1 cm Muck (A9) (LRR O)
Histic Epipedon (A2)
Black Histic
T
W
I nin Dark Surface (S9) (LRR 5, T, U)
C32 cm Muck (A10) (LRR S)
(A3)
Loamy Mucky Mineral (F1) (LRR O)
❑^ Reduced Vertic (FIB) (outside MLRA 150A,B)
x Hydrogen Sulfide (A4)
Loamy Gleyed Matrix (F2)
L Piedmont Floodplain Soils (F19) (LRR P, S, T)
Stratified Layers (A5)
Depleted Matrix (F3)
Anomalous Bright Loamy Soils (1720)
Organic Bodies (A6) (LRR P, T, U)
5 cm Mucky Mineral (A7) (LRR P, T, U)
]:]Depleted
Dark Surface (FB)
1
(MLRA 1538)
Muck Presence (AB) (LRR U)
yr
rlRedox
Depleted Dark Surface (F7)
Depressions (FIB)
Red Parent Material (TF2)
Very Shallow Dark Surface (TF12) (LRR T, U)
lnJ 1 cm Muck (As) (LRR P, T)
Depleted Below Dark Surface (Ail)
Marl (F10) (LRR U) -
Other (Explain in Remarks)
u
a Thick Dark Surface (Al2)
TlDepleted
f,,.tIron-Manganese
LJUmbric
Ochric (F11) (MLRA 151)
Masses (F12) (LRR O, P, T) 'Indicators of hydrophytic vegetation and
a Coast Prairie Redox (A16) (MLRA 150A)
a Sandy Mucky Mineral (S1) (LRR O, S)
Surface (F13) (LRR P, T, U)
Delta Ochric (1717) (MLRA 151)
wetland hydrology must be present,
unless disturbed or problematic.
a Sandy Gleyed Matrix (S4)
Vertic (F18) (MLRA 150A, 15013)
4 Sandy Redox (S5)
�—OReduced
I�lPiedmont
Floodplain Soils (FIB) (MLRA 149A)
Stripped Matrix (S6)
Z_JAnomalous
Bright Loamy Soils (F20) (MLRA 149A, 153C, 163D)
Dark Surface (S7) (LRR P, S, T, U)
Restrietive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes ❑x No ❑
Sample site does meet wetland criteria for soils.
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Interim Version

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Pmlect(S te: Lot 8-Country Club Dr -Albemarle Plantation City/County: Perquimans Sampling Date: 1-12-12
ApplicanvOwner. John & Barbara Hendrickson St
a e.
1%
Are climatic / hydrologic conditions on the site typical for this time of year? Yes ❑ No ❑ (If no, explain In Remarks.)
Are Vegetation —P Soil ❑ or Hydrology ❑ significantly disturbed? Are "Normal Circumstances" present? Yes 0 No ❑
Are Vegetation 0 Soil or Hydrology ❑ naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes �0�t No ❑ Is the Sampled Area
Hyddc Soil Present? Yes—Lt No 0 . within a Wetland? Yes ❑ No ❑
Wetland Hydrology Present? Yes _� No _�
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is reauired:
check all that aooly)
❑ Surfaco Soil Cracks (B6)
13Surface Water (A1)
❑ Water -Stained Leaves (B9)
Sparsely Vegetated Concave Surface (B8)
Q High Water Table (A2)
Aquatic Fauna (B13)
�❑II
LJ Drainage Patterns (B10)
E3 Saturation (A3)
_ •Marl Deposits (B15) (LRR U) -
D Moss Trim Lines (B16)
[j Water Marks (131)
,[� Hydrogen Sulfide Odor (Cl)
❑ Dry -Season Water Table (C2)
a Sediment Deposits (B2)
❑ Oxidized Rhizospheres on Living Roots (C3)
❑ Crayfish Burrows (CS)
Drift Deposits (63)
Presence of Reduced Iron (C4)
Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (B4)
Iron Deposits (65)
[r-1
T1 Recent Iron Reduction in Tilled Soils (C6)
Thin Muck Surface
7�1 Geomorphic Position (D2)
t1 Inundation Visible on Aerial Imagery (B7)
71J�3(C7)
LJ Other (Explain in Remarks)
TLII Shallow Aquitard (D3)
LJ FAGNeutral Test (D5)
Field Observations:
Surface Water Present? Yes _❑ No
0 Depth (inches):
Water Table Present? Yes ❑ No
0 Depth (inches):
Saturation Present? Yes E3No
El Depth (inches):
Wetland
Hydrology Present? Yes ❑ No 0
includes capillary fine
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
RECEIVED
FFB 2 2 2012
Sample site does not meet the criteria for wetland hydrology.
COASTAL MANAGEMENT
EUZASETH CITY
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Interim Version

cGETATtON - Use scientific names of plants.
Tree Stratum (Plot size:
1. Pinus taeda
npsorure
% Cover
25
ucmmam 1ng1caror
Species? Status
❑x FAC
2 Ilex opaca
5
❑ FAC
3.
❑
4.
❑
5.
❑
6.
❑
7.
❑
30 = Total Cover
Sapling Stratum (Plot size
1.
2.
3.
4.
5.
6.
7.
= Total Cover
Shrub Stratum (Plot size: )
11.
❑
2.
❑
3.
❑
4.
❑
5.
❑
6.
❑
7.
❑
= Total Cover
Herb Sraum (Plot sae
1.
2.
3.
4.
5.
6.
7.
9.
10.
11.
12.
= Total Cover
Woody Vine Stratum (Plot size:
)
1.
❑
2.
❑
3.
❑
4.
5.
❑
= Total Cover
Sample site does meet the criteria for wetland vegetation.
Sampling Point: f 0' SE Of5
Number of Dominant Species
That Are OBL, FACW, cr FAC: (A)
Total Number of Dominant
Species Across All Strata: (B)
Percent of Dominant Species
That Are OBL. FACW, cr FAC: 100 (AB)
Total % Cover
of:
Mulliply by,
OBL species
x 1 =
FACW species
x 2 =
FAC species
30
x 3 = 90
FACU species
x 4 =
UPL species
x 5 -
Column Totals:
30
(A) 90 (B)
Prevalence Index = BIA = 3.0
Dominance Test is >50%
Prevalence Index is s3.0'
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric said and wetland hydrology must
be present, unless disturbed or problematic.
Tree - Woody plants, excluding woody vines,
approximately 20 f< (6 m) or more in height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH)
Sapling - Woody plants, excluding woody vines,
approximately 20 R (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 R (1 to 6 m) in height.
Herb - All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size. Includes woody
plants, except woody vines, less than approximately
3 ft (1 m) in height.
Woody vine - All woody vines, regardless of height.
Hydrophytic
Vegetation Present? Yes ❑x No❑
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Interim Version

Sampling Point: 10' SE Of5
ProfileDescription: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix
Redox Features
(inches) Color (moist) %
Color (moist) % Type'Lae
Texture Remarks
6 10 YR 6/2
sandyclay
14 10 YR 514
clay
'Type: C=Concentration, D=De lelion, RM=Reduced Matrix, CS=Covered or Coated Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Jjydric
)�-JJ
Soil Indicators:
Histosol
❑Polyvalue
Indicators for Problematic Hydric Sells':
Q
(At)
Histic Epipedon (A2)
T
OThin
Below Surface (S8) (LRR 5, T, U)
Dark Surface (S9) (LRR S. T. U)
1 cm Muck (A9) (LRR O)
2 Muck 5)
Q
Black Histic (A3)
Tkoamy
Mucky Mineral (F1) (LRR O)
cm (A10) (LRR
13 Reduced Vertic (F18) (outside MLRA 150A,B)
Hydrogen Sulfide (A4)
-01-oamy
Gleyed Matrix (F2)
❑ Piedmont Floodplain Soils (F19) (LRR P, 5, T)
Stratified Layers (A5)
Depleted Matrix (F3)
Anomalous Bright Loamy Soils (F20)
Organic Bodies (A6) (LRR P, T. U)
Redox Dark Surface (F6)
(MLRA 153B)
5 cm Mucky Mineral (A7) (LRR P. T, U)
Depleted Dark Surface (F7)
Red Parent Material (TF2)
_
Muck Presence (A8) (LRR U)
nRedox
Depressions (F8)
Very Shallow Dark Surface (TF12) (LRR T, U)
1 cm Muck (A9) (LRR P, T)
^arl
(F10) (LRR U)
D Other (Explain In Remarks)
Depleted Below Dark Surface (All)
LlDepleted
Ochric (Fl1) (MLRA 151)
3Indicators
ELThick
Dark Surface (Al2)
:81ron-Manganese
Masses (F12) (LRR O, P,
T) of hydrophytic vegetation and
C1
Coast Praide Redox (A16) (MLRA 150A)
Umbric Surface (F13) (LRR P, T, U)
wetland hydrology must be present,
a
Sandy Mucky Mineral (S1) (LRR O, S)
-OReduced
Delta Ochric (F17) (MLRA 151)
unless disturbed or problematic.
a
�yl
Sandy Gleyed Matrix (S4)
Sandy Redox (S5)
Verlic (F78) (MLRA 150A, 150B)
Piedmont Floodplain Soils (F19) (MLRA 149A)
Lj
Shipped Matrix (S6)
_
Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Q
Dark Sudace (S7) (LRR P, S. T. U)
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes ❑ No 0
Sample site does not meet criteria for wetlands.
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Interim Version

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DELINEATION
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FOR
Y
JOHN J.
HENDRICKSON
+
+
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WIFE
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\
BARBARA J.
+
HENDRICKSON
%+
BETHEL TONMSHIP
++
PEROUIMRNS COUNTY
+
NORTH CMOLINR
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_
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or.ND9Y now•vETuuo
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al,o r�[.cfov.Db]. ]nu f rMK[® �r N'""eI.�1Ow�t4IKYcrawitr n WwR ur6[
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M.M. MlE OEYRSTON
- _ pRPb 4N0 Vt
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...........
WETLAND
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pr11[ KMrNN ,rput pVY. 06[. OqN SLYub pW IdDlu
n aaaY DSr%- w r pY x.r

Project: ' Lot 8 — Country Club Drive - Albemarle Plantation
Owner: John & Barbara Hendrickson
1384 Butter Chum Drive
Hemdon, VA 20170
Office: 703-564-4007
Cell: 703-901-9200
Consultant: Environmental Professionals, Inc.
George H. Wood, CEP, PWS
P.O. Box 3368
Kill Devil Hills, NC 27948
Office: 252-441-0239
Cell: 252-423-1234
Email: obxwood vahoo com
Latitude: 36.079658
Longitude: 76.403281
RECEIVED
COASTP.L M'�Pi
ELIZAEE-

Perquimans County GIS
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Perquimans County GIS
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® A
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E] SHADED X
— Contour 2ft
® ❑ 4 soils
I Q go E911 Addressing
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