89178A - Clark, Richard

D e It FILL M> 89178 Q& B C ID
GENERAL PERMIT Date WeRm Pmnit Issued
VINNew ❑Modification []Complete Reissue ❑Partial Reissue
As wthortted by the$$toe of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursue, to:
I SA NCAC f -14' � _0( 1 _ ❑ Rules attached. ® General Pmnh Rules available at the following Gnk ww.vder. rrr /CaMe�d�
Applicant Na/me �ittixn y-e4 j Ctt`ri;r'� �y. Authorized �a f
Addresss (- 5 Eimh"-,r4 r Aw. Project Location (Coumyk_fit s�,e"!j k
Cny C * #e- M state.,.... V A ZIP Streetea AdddnlSSt�tate Road/Lot #(s)
Phone # (' 1) b j'7 — 38'aS j 9t,-1 t)Q, c� inrj { r it (
Email- Y^\Ci.0.1�2.1Cln.r-11'� �.' AYSt0.ti COMA Subdivision " - --.-
city ayaabaA.'" C zP 2'140�
Affected OW ❑EW ®PIA ❑ES (Zprs Ad). Wb: Body— 0eLINC.j
AEC(s): ❑OEA El "'A ❑UW ❑$PIMA ❑PWS Closest raj. Win Body i,d6a
ORW:yeso PNA:ye$/(s8
Type of Project/ Activity OKR r"4 ick ,$rV�6t site Wf (2'It "Le nlc rl`CrN'a bu� Z
r „ f
le IX,, ,� (scale: i'=Su'
Shoreline Len
Access Length
Pier (dock) length ! :--; '
Fixed Platforms) x(e'
Floating Platforms) A
Idl
Finger pier(s) '� i '� r-i--� 1 ' '4-
Total Platform area
Groin lengthla
11 Lam_ t._t r ,s
Bulkhead/Riprap length
-
Avgdistanceaifshore
i 1 i i i , i '"-I-T iti--y--1-)J-+i . -t_ r i.__i •J_
Breakwater/Sill
Max distance/ length r-i'='-i '--{-- I i— -� .!-- i-
Basin, channel �"''`-"- f,,, ' ' e - ` y- .L_pet
Culalcyards
Boatnm
p
Boathouse/Boatl'iR
death Bui�lndozing '- _.i �•i.•i"'.+"e { •_�'_i,/ls'WB+e-r'-1' , 1 •.�J. _r��! f t r
Other rl i l 1�� t_J_-�,-
t _
SAV observed: yes
Moratorium
Site Photos: no ,- 1__i�-.--_ r+s_1�^ x_+.J t e 1 I 1
Riparian WalverAttached: yes I. e I e I+, i I 7 i ! 11
A building permit/tonirrg permit may he required dry: 15�$Qta.rt COLwAfasle+'('it cli
Permit Conditions ❑ TAIVPAMdNEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/condRions on back
I AM AWARE OF SIAMMES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROiECTAND REVIEWED OOMPUANCE STATEMENT. (Please initial)
Agent or Appycall.LPRIIgTEO itPermit s NTEO Name
Signature•6PkV/xsg`lmCFa/dicionip-Iia-n'cei(,wariedon back of PermSM' nature
$�fo , ea (00Ti 7/21/25 tt /2212
Application Feels) Check x%rrfoney Order Issuing Date Expiration Date

11+0O A'NtKCAMA [IDREDGE & FILL
,11 GENERAL PERMIT
N9 89178 Q) B C D
Previous permit
Date previous permit issued
DgNew ❑ Modification [-]Complete Reissue ❑ Partial Reissue
As authorized by the State of of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
P(
I SA NCAC 1 • � i2.00 []Rules attached. ® General Permit Rules available at the following link: www.deq.nagov/CAMArules
Applicant Na/me V_ iC,V\tl r a( UZXC ►_ c�r_
Address (00; Avg.
City LNVS4 ee Cdtl State T to zip 233.2t
Phone #(RS7) Iol7 3$`6s
Email Y"\Q,�10.(�QhC�4✓1C � C�;yN,<ls,, Ccr1M
Authorized Agent r r
Project Location (County): j tNTj, t . )T" I[
Street Address/State Road/Lot #(s)
(qC, (7ogt.�c��� Tr(.
Subdivision
City
2'1901
Affected ❑ CW ❑ EW X PTA ❑ ES N PTS Adj. Wtr. Body L njy%VLLl p (nat/ma un
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Win Body t"A'f i.0 �am Yef
ORW: yes4o PNA: yes/6
Type of Project/ Activity
1. 1"
�/ 2
_ t.f (Scale:10=61Dr )
Shoreline Length
Access Length I
Pier (dock) length S r X 3
Fixed Platform(s) i2 r )'(a r d'
Floating Platform(s) _ A4 ,p �\�S (L Yb It~
Finger pier(s) — 3 t/� Q�s++' p t s \�
�p�w q, x3 Q
Total Platform area % 2, 5¢h= �(X
Groin lengthip r G
Bulkhead/ Riprap length
Avg distance offshore _
Breakwater/Sill �6
Max distance/length
Basin, channel y
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing V a
Other uC p.��ticS 4Cs
SAV observed: yes APC
Moratorium: On no
Site Photos: no 1\Yi.T� Eyre r,
Ri arian Waiver Attached es d -
/ WxG, 'Cf
r�
N
P Y
A building permit/zoning permit may be required by: tt\.Sri w4\c-t�y- Cofer i'j / 17—(flp. rx lt�
Permit Conditions ❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
I AM AWARE OF STATUTES. CRC
Agent or Applicant PRINTED Name
❑ See additional notes/conditions on back
(Please Initial)
Permit
Signature .*Please read compliance statement on back of permit*'
t/OG 1 oa
Application Feels) Check#/Money Order
Signature
'7Gz1i1y It W /ay
Issuing Date Expiration Date

,I-UdNew
0 CWTA, ❑CAMA ❑ DREDGE & FILL No 89178 A B C D
Previous permit
GENERAL PERMIT Date previous permit issued
[7]Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeq.nc.gov/CAMAruIes
Applicant Name _
Address
City
Phone # ( )
Email
Project Location (County):
State ZIP Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ cw ❑ E W ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat(man/unk)
AEC(s): ❑IDEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale: )
Chnrnlina I ennih
Access Length
Pier (dock) length
maim
0
■::®
::
L�
■M:NE
■■■■
Floating Platfornals)
Finger pier(s)
yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
....
ZZ
■ir
""
"s3:C3&
Filjliffi■
fiME
r■
::::�:�
:::::
:
®:;OEM
NEON
11
Omni
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
■■Cubic
.
■
PR■■U
■
i..
�.■�
.NE
.■■■.!
■■
MEM
■■9
!Ei'illy■ii■!lllll■®0■�tsii�■■■!
■
■■ThaarlariVaiverAftadmcl­v��,
=Mmmm=
WAN
ME
A building permit/zoning permit maybe required by:
(
Permit Conditions - ❑ TARJPAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT.
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name /
(Please Initial)
Signature "Please read compliance statement on back of permit'•
Application Feels)
Signature
Check #/Money Order Issuing Date
Expiration Date

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Your item was picked up at the post office at 3:35 pm on June 14, 2024 in ELIZABETH CITY, NO
414
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Delivered
Delivered, Individual Picked Up at Post Office
ELIZABETH CITY, NO 27909
June 14, 2024, 3:35 pm
• Notice Left (No Authorized Recipient Available)
ELIZABETH CITY, NO 27909
June 13, 2024, 11:01 am
• Departed Post Office
ELIZABETH CITY, NO 27909
June 12, 2024, 4:01 pm
• USPS in possession of item
ELIZABETH CITY, NO 27909
June 12, 2024, 1:46 pm
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
RECEIVE[
DEC 1 1 2023
DCM-EC
To Whom It May Concern:
l/hJ of
Date
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
CoiJSteucT Neq i tmie-t 13;DitT "Pr hrib PfE-21Poe4
on my property at 1Ciq V0fiV4006 I-Ml1-, 6Q!Z4@ET?t C!'iy, /plc V7 q Oil
in WSAV OIANIL County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
`20w v ciol a y-
Property Owner's Name
Address
City
'1I5r2--6Jr;LS064�
Telephone Number
State
_> I have no objection to the project described in this correspondence.
1 have objection(s) to the project described in this correspondence.
Adjacent Riparian Signature
O Ri S "11- IPJ)
Print or Type Name
S 10 1, 3
% / Date
Z a� 33le- -rYA7
Telephone Number
Zip
Address City State Zip
Revised July 2021

RECEIVED
DEC 1 1 2023
DCM-EC

IMOA 91 IN b1 Is] [a13da7_F�r-111111i 7\:T:<<3 'lA:yl
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
LLD AntD .p&WE-lf12/FT
Name of Adjacent Riparian Property Owner
201 Dcf�vJd� `ilk/L
Address
euzVeM Bury . rl t; Z?VO
City, State Zip --r .
To Whom It May Concern:
RECEIVED
DEC 1 1 2023
DCM-EC
/1H 01,Z023
Date
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
C owsraya- yerJ &wqE r aft%'6f/=r Awo ne2l Dc)cx-
on my property at 197 lit?&Wt i rh 7-9d /L 1 aU 946c7 Tf C',I de, 0177 D
in Ph96J J)0'%Y1NX County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CffY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
OeHA,eb WR L
Property Owner's Name
Address
City
Telephone Number
State
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Adjacent Riparian Signature
Date
Print or Type Name Telephone Number
Zip
Address City State Zip
Revised July 2021

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Your item was delivered to an individual at the address at 12:56 pm on November 25, 2023 in
ELIZABETH CITY, NC 27909
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Delivered
Delivered, Left with Individual
ELIZABETH CITY, NC 27909
November 25, 2023, 12:56 pm
• Redelivery Scheduled
ELIZABETH CITY, NC 27909
November 24, 2023
• Notice Left (No Authorized Recipient Available)
ELIZABETH CITY, NC 27909
November 21, 2023, 11:42 am
• Arrived at USPS Regional Facility
NORFOLK VA DISTRIBUTION CENTER
November 20, 2023, 8:07 am
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In Transit to Next Facility
November 19, 2023
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Departed USPS Regional Facility
GREENSBORO NC DISTRIBUTION CENTER
November 18, 2023, 7:15 pm
Arrived at USPS Regional Facility
GREENSBORO NC DISTRIBUTION CENTER
November 15, 2023, 9:55 pm
Departed Post Office
SCOTTSVILLE, VA 24590
November 15, 2023, 4:36 pm
USPS in possession of item
SCOTTSVILLE, VA 24590
November 15, 2023, 2:10 pm
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2 of 2 7/18/2024, 10:59 AM

RECEIVED
JUL 17 MA
DCM-EC
0
fi V,
1
VJR�
Lls,�¢
`ACC CL?ki.K—
M -DOG%Ao rjb t�
EuzhGt(,

PASQUOTANK RIVER
Prao acctrt t L t N E -...., .t'1;i: 37' A eE
INUNDATED AREA
0.12 ACRES —
MEAN HIGH
WATER MARK
INSTALL BROStot4
Cot+TRoL RIP-R11p
ALotA61 5ftae LiµE
J
2
U
00
00
4 PILE BOAT LIFT N
PILE SIZE: 10" MIN z
PILE (IN GROUND)
DEPTH: 15' MIN.
3' WIDE P.T.
LUMBER
DOCK/PIER
3'x26'=6o5F
CHARLES W. WARD, JR
891504932720
DB. 544, P. 613
2
32.25-
123.
RECEIVE
,,,BEt\l 12023
I \
r DCM��C
CAMA AEC \
30' E gqC \
POTENTIAL WATERS OF THE
I UNITED STATES \
20351.3 Sq Ft \�
0.47 Acres
I TOTAL LOT AREA
35030.4 Sq. Feet
I0.80 Acres /
I WETLAND LINE
I CONCRETE SIDEWALK
i xma
c.
i � PATIO I
I
' I I TY FRAME WITH
I WITR F.R.0.6
FFE _
199 DOGWOOD TRAIL I N
I I
r------------- —
SEED ALL DISTURBED C I
RReh 5
1~�NEW DRAINFIELD AREA I�
i141.20'1--------------i--I
+/— 291' TO
INTERSECTION OF
DOGWOOD TRAL h
LONG POINT DR \ \ \
0' 30, 60'
1 "=30,
N 44'53'00" E 173.45'
fl NEW 15" CULVERT
/ o
N
25.0'
S45' 31' 46"E
9.17'
CD
O
1A
..
5/8"
REBAR
(BENT)
10.0'
CK
u
=
or
04
ha
7�
3I
Cl
W ��
+
Q
O co
�
OtJ
to
Z
PIPE
L �, EDGE \PAVEMENT_
DOGWOOD TRAIL (SR 1376) 60'
'w"tA n -c" nnooIIIA n
EDGE PAVEMENT

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2022-01762 County: Pasauotank U.S.G.S. Quad: NC -Elizabeth City
NOTIFICATION OF JURISDICTIONAL DETERMINATION {
Requester: Richard Clark 1 9 E C i-IVyg D
Address: 605 Elmhurst Avenue
Chesapeake, VA 23322 Mni a 202§
Telephone Number: [phone]
E-mail: richallenclark(&emall.com
Size (acres) 0_8 Nearest Town Elizabeth City
Nearest Waterway Pasuuotank River River Basin Albemarle-Chowan
USGS HUC 03010205 Coordinates Latitude: 36.338524
Longitude:-76.218206
Location description: The review area for this Jurisdictional Determination is located at 199 Do rood Trail in Elizabeth City
Pasauotank County, NC. Parcel ID #: 891504932571. The site totals 0.8 acres and contains approximately 0 47 acres of
wetlands.
Indicate Which of the Followin¢ Anuly:
A. Preliminary Determination
® There appear to be waters, including wetlands on the above -described project area/property, that may be subject to
Section 404 of the Clean Water Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33
USC § 403). The waters, including wetlands have been delineated, and the delineation has been verified by the Corps to be
sufficiently accurate and reliable. The approximate boundaries of these waters are shown on the enclosed wetland survey
dated 11/17/2022 revised 12/24/2022. Therefore this preliminary jurisdiction determination maybe used in the permit
evaluation process, including determining compensatory mitigation. For purposes of computation of impacts,
compensatory mitigation requirements, and other resource protection measures, a permit decision made on the basis of a
preliminary JD will treat all waters and wetlands that would be affected in any way by the permitted activity on the site as
if they are jurisdictional waters of the U.S. This preliminary determination is not an appealable action under the
Regulatory Program Administrative Appeal Process (Reference 33 CFR Part 331). However, you may request an
approved JD, which is an appealable action, by contacting the Corps district for further instruction.
❑ There appear to be waters, including wetlands on the above described project area/property, that may be subject to Section 404
of the Clean Water Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403).
However, since the waters, including wetlands have not been properly delineated, this preliminary jurisdiction determination
may not be used in the permit evaluation process. Without a verified wetland delineation, this preliminary determination is
merely an effective presumption of CWA/RI IA jurisdiction over all of the waters, including wetlands at the project area, which
is not sufficiently accurate and reliable to support an enforceable permit decision. We reconunend that you have the waters,
Including wetlands on your project area/property delineated. As the Corps may not be able to accomplish this wetland
delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation that can be verified by the Corps.
B. Approved Determination
❑ There are Navigable Waters of the United States within the above described project area/property subject to the permit
requirements of Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403) and Section 404 of the Clean Water Act
(CWA)(33 USC § 1344). Unless there is a change in law or our published regulations, this determination may be relied upon for
a period not to exceed five years from the date of this notification.
❑ There we waters, including wetlandson the above described project area/property subject to the permit requirements of Section
404 of the Clean Water Act (CWA) (33 USC § 1344). Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
❑ We recommend you have the waters, including wetlands on your project area/property delineated. As the Corps may not be
able to accomplish this wetland delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation that
can be verified by the Corps.
❑ The waters, including wetlands on your project area/property have been delineated and the delineation has been verified by
the Corps. The approximate boundaries of these waters are shown on the enclosed delineation map dated . We strongly suggest

SAW-2022-01762
you have this delineation surveyed. Upon completion, this survey should be reviewed and verified by the Corps. Once verified,
this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on your property which, provided there is
no change in the law or our published regulations, may be relied upon for a period not to exceed five years.
❑The waters, including wetlands have been delineated and surveyed and are accurately depicted on the plat signed by the
Corps Regulatory Official identified below on. Unless there is a change in the law or our published regulations, this determination
may be relied upon for a period not to exceed five years from the date of this notification.
® The property is located in one of the 20 Coastal Counties subject to regulation tinder the Coastal Area Management Act (LAMA).
You should contact the Division of Coastal Management in in Elizabeth City, NC, at [phone] to determine their
requirements.
Placement of dredged or fill material within waters of the US, including wetlands, without a Department of the Anny permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). Placement of dredged or fill material, construction or
placement of structures, or work within navigable waters of the United States without a Department of the Army permit may
constitute a violation of Sections 9 and/or 10 of the Rivers and Harbors Act (33 USC § 401 and/or 403). If you have any questions
regarding this determination and/or the Corps regulatory program, please contact Billy W. Standridge at (910) 2.514595 or
Billy.w.standridee(a).usace.armv.mU.
C. Basis For Determination: See the preliminary iurisdictional determination form dated 01/2312023.
D. Remarks: The wetland boundary within the review area is accurately depicted on the attached
Wetland Suryev for Richard Allen Clark. Jr. and Kelly Ann Wiley —199 Doewood Trail Elizabeth City. NC
27909.
E. Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits of Corps' Clean Water Actjurisdiction for the particular site
identified in this request. The delineationideterrrtination may not be valid for the wetland conservation provisions of the Food Security
Act of 1985. If you or your tenant are USDA Program participants, or anticipate participation in USDA programs, you should request
a certified wetland determination from the local office of the Natural Resources Conservation Service, prior to starting work.
F. Appeals Information (This information applies only to approved jurisdictional determinations as indicated in B.
above)
If you object to this determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331. Enclosed
you will find a Notification of Appeal Process (NAP) fact sheet and Request for Appeal (RFA) form. If you request to appeal this
determination you must submit a completed RFA form to the following address:
US Army Corps of Engineers
South Atlantic Division
Attu: Mr. Philip A. Shaunin
Administrative Appeal Review Officer
60 Forsyth Street SW, Floor M9
Atlanta, Georgia 30303-8803
AND
PHILIP.A.SHANNINGa USACE ARMY MIL
MAY 3 0 2024
In order foram 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 Not applicable.
**It is not necessary to submit an RFA form tQ the Division Offtse if you do not object to the determination in this correspondence.**
Corps Regulatory Official:
Date of JD: 01/23/2023 Expiration Date of JD: Not applicable

SAW-2022-01762
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 our Customer Satisfaction Survey, located online at
httns://re ug latory ops usace armv mil/customer-service-survev{
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MAY 3 U ZZ

NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
Applicant: Richard Clark I File Number: SAW-2022-01762 Date: 01/23/2023
Attached is:
See Section below
❑
INITIAL PROFFERED PERMIT (Standard Permit or Letter of permission)
A
PROFFERED PERMIT (Standard Permit or Letter of permission)
B
❑
PERMIT DENIAL
C
❑
APPROVED JURISDICTIONAL DETERMINATION
D
©
PRELIMINARY JURISDICTIONAL DETERMINATION
E
SECTION i - The following identifies your rights and options regarding an administrative appeal of the above decision.
Additional information may be found at or http://www.tisace.army.mil/Missions/CivilWorks/RetntlatoryProgrannaiidPeriiiiis.aspx
or the Corps regulations at 33 CFR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its tens and conditions, and approved jurisdictional determinations associated with the
pennit.
• OBJECT: if you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request
that the permit be modified accordingly. You must complete Section 1I of this form and return the form to the district
engineer. Your objections must be received by the district engineer within 60 days of the date of this notice, or you will
forfeit yourright to appeal the permit in the future. Upon receipt of your letter, the district engineer will evaluate your
objections and may: (a) modify the permit to address all of your concerns, (b) modify the permit to address some of your
objections, or (c) not modify the permit having detenmined that the permit should be issued as previously written. After
evaluating your objections, the district engineer will send you a proffered permit for your reconsideration, as indicated in
Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the pennit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
• APPEAL: If you choose to decline the proffered pennit (Standard or LOP) because of certain temps and conditions therein,
you may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of
this forrit and sending the form to the division engineer. This forni must be received by the division engineer within 60 days
of the date of this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section 11 of this form and sending the form to the division engineer. This form must be received by the division
engineer within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or provide new
information,
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the
date of this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers
Administrative Appeal Process by completing Section 11 of this form and sending the form to the district engineer. This form
must be received by the division engineer within 60 days of the date of this notice.
14AY 3 1) 104

E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the
preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved JD (which may be appealed),
by contacting the Corps district for further instruction. Also you may provide new information for further consideration by the
Corps to reevaluate the JD.
SECTION II - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial
proffered pennit in clear concise statements. You may attach additional information to this form to clarify where your reasons or
objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandmn for the
record of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to
clarify the adrinistrative record. Neither the appellant nor the Corps may add new information or analyses to the record.
However, you may provide additional information to clarify the location of information that is already in the administrative
record.
POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
If you have questions regarding this decision and/or the
If you only have questions regarding the appeal process you may
appeal process you may contact:
also contact:
District Engineer, Wilmington Regulatory Division
MR. PHILIP A. SHANNIN
Attn: Billy W. Standridge
ADMINISTRATIVE APPEAL REVIEW OFFICER
Washington Regulatory Office
CESAD-PDS-O
U.S Army Corps of Engineers
60 FORSYTH STREET SOUTHWEST, FLOOR M9
2407 West Fifth Street
ATLANTA, GEORGIA 30303-8803
Washington, North Carolina 27889
PHONE: [phone]; FAX [phone]
EMAIL: PIIILIP.A.SHANNINCa2.USACLARMY.MIL
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government
consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15-day
notice of any site investigation, and will have the opportunitv to artici ate in all site investi ations.
4 �0 � (?J& /
Date:
01 /28/2023
Telephone number:
1757-617-3885
Signature of appellant or agent.
For appeals on Initial Proffered Permits send this form to:
District Engineer, Wilmington Regulatory Division, Attn: Billy W. Standridge, 69 Darlington Avenue, Wilmington, North
Carolina 28403
For Permit denials, Proffered Permits and Approved Jurisdictional Determinations send this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Philip Shannin, Administrative
Appeal Officer, CESAD-PDO, 60 Forsyth Street, Room 1OM15, Atlanta, Georgia 30303-8801
Phone: [phone]
... % i7l, E i
MAY 3 0 23A
""I L-C.s

PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: 01/23/2023
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Richard Clark, 605 Elmhurst Avenue,
Chesapeake, VA 23322
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: Wilmington District, 199 Dogwood Trail -
Elizabeth City / Pasquotank, SAW-2022-01762
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION: The review area for this
Jurisdictional Determination is located at 199 Dogwood Trail in Elizabeth City, Pasquotank County, NC.
Parcel ID #: 891504932571. The site totals 0.8 acres and contains approximately 0.47 acres of wetlands.
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES
AND/OR AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County: Pasquotank City: Elizabeth City
Center coordinates of site (lat/long in degree decimal format): Latitude: 36.338524 Longitude:-76.218206
Universal Transverse Mercator:
Name of nearest waterbody: Pasquotank River
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑Office (Desk) Determination. Date:
® Field Determination. Date(s):11/02/2022
TABLE OF AQUATIC RESOURCES INREVIEW AREA WHICH "MAY BE" SUBJECT TO
REGULATORY JURISDICTION
Site Number
Latitude
Longitude
Estimated
Type of aquatic
Geographic authority to
(decimal
(decimal
amount of
resources (i.e.,
which the aquatic
degrees)
degrees)
aquatic
wetland vs.
resource "may be"
resources in
non -wetland
subject (i.e., Section 404
review area
waters)
or Section 10/404)
(acreage and
linear feet, if
applicable
SAW-2022-01762
36.33838
-76.21794
0.47
Wetland
Section 404
Wetlands
MAY 3 0 2024

I. The Corps of Engineers believes that there may be jurisdictional aquatic resources in the
review area, and the requestor of this PJD is hereby advised of his or her option to request
and obtain an approved JD (AID) for that review area based on an informed decision after
having discussed the various types of JDs and their characteristics and circumstances when
they may be appropriate.
2. In any circumstance where a permit applicant obtains an individual permit, or a Nationwide
General Permit (NWP) or other general permit verification requiring "pre- construction
notification" (PCN), or requests verification for a non -reporting NWP or other general
permit, and the permit applicant has not requested an AID for the activity, the permit
applicant is hereby made aware that: (1) the permit applicant has elected to seek a permit
authorization based on a PJD, which does not make an official determination of
jurisdictional aquatic resources; (2) the applicant has the option to request an AJD before
accepting the terms and conditions of the permit authorization, and that basing a permit
authorization on an AID could possibly result in less compensatory mitigation being
required or different special conditions; (3) the applicant has the right to request an
individual permit rather than accepting the terms and conditions of the NWP or other
general permit authorization; (4) the applicant can accept a pennit authorization and
thereby agree to comply with all the terms and conditions of that permit, including
whatever mitigation requirements the Corps has determined to be necessary; (5)
undertaking any activity in reliance upon the subject permit authorization without
requesting an AID constitutes the applicant's acceptance of the use of the PJD; (6)
accepting a permit authorization (e.g., signing a proffered individual permit) or undertaking
any activity in reliance on any form of Corps permit authorization based on a PJD
constitutes agreement that all aquatic resources in the review area affected in any way by
that activity will be treated as jurisdictional, and waives any challenge to such jurisdiction
in any administrative or judicial compliance or enforcement action, or in any administrative
appeal or in any Federal court; and (7) whether the applicant elects to use either an AID or
a PJD, the JD will be processed as soon as practicable. Further, an AJD, a proffered
individual permit (and all terms and conditions contained therein), or individual permit
denial can be administratively appealed pursuant to 33 C.F.R. Part 331. If, during an
administrative appeal, it becomes appropriate to make an official determination whether
geographic jurisdiction exists over aquatic resources in the review area, or to provide an
official delineation of jurisdictional aquatic resources in the review area, the Corps will
provide an AID to accomplish that result, as soon as is practicable. This PJD finds that
there "may be"waters of the U.S. and/or that there "may be" navigable waters of the U.S.
on the subject review area, and identifies all aquatic features inthe review area that could
be affected by the proposed activity, based on the following information:
y
tog 3 0 NZI
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gi IV w�AJJ

SUPPORTING DATA. Data reviewed for PJD (check all that apply) Checked items are included in the administrative
record and are appropriately cited:
®Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map: Wetland Survey
❑Data sheets prepared/submitted by or on behalf of the PJD requestor. Datasheets:
❑Office concurs with data sheets/delineation report.
❑Offrcedoes not concur with data sheets/delineation report. Rationale:
NData sheets prepared by the Corps:11/2/2023
❑Corps navigable waters' study:
El U.S. Geological Survey Hydrologic Atlas:
❑USES NHD data:
❑USGS 8 and 12 digit HUC maps: 7"
� 'l
❑U.S. Geological Survey nrap(s). Cite scale & quad name:
MAY 3 0 2024
0Natural Resources Conservation Service Soil Survey. Citation: Web Soil Survey
0National wetlands inventory map(s).Citename:FWSWetlands Manper i'i�jIt
�' i
1d o.) E-
❑ Slate/local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is: (National Geodetic Vertical Dattun of 1929)
El Photographs: ❑ Aerial (Name & Date):
or ❑ Other (Name & Date):
[]Previous determination(s). File no, and date of response
NOther information (please specify): LiDAR
IMPORTANT NOTE: The information recorded on this form has not necessarily been verified by the Corps
and should not be relied upon for later jurisdictional determinations.
Signatur . d date of Regul6ry
staff member completing PJD
01/23/2023
Signature and date of person requesting PJD
(REQUIRED, unless obtaining the signature is
impracticable)1
1 Districts may establish timeframes for requester to return signed PJD fomrs. If the requester does not respond within the established
time fame, the district may presume concurrence and no additional follow up is necessary prior to finalizing an action.

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