20001251 Ver 1_COMPLETE FILE_20000928

Antes B HUNT JR.
OVERNOR 4
!SILL HOLMAN
,•ry&6EC1RETARY
MINI. D MOFIrrrT
A,:as
DIRf:CTOR tU ? "? .
?u
1
sa i ?r.
J d

October 17, 2000
R. Sherman and Janet G. Pierce
181 1 Upper Dune Drive
Kill Devil Hills, North Carolina 27948
DIVISION OF COASTAL MANAGEMENT

' V t LI ?'
Re: DEM ID: 001251. COE Action ID: 20001 154, Nationwide Permit Application for an
Activity in Dare County
Dear Mr. and Mrs. Pierce:
The North Carolina Division of Coastal Management has reviewed your application, dated,
09/18/2000, for a U.S. Army Corps of Engineers Nationwide Permit, pursuant to Section 307
of the Coastal Zone Management Act of 1972, as amended. Based upon our review, we have
determined that the proposed activity is consistent with the North Carolina Coastal
Management Program subject to the following conditions:
1. The activity described in your application is for the issuance of a U.S. Army Corps
of Engineers Nationwide Permit, Number 18, under 33 CFR Part 330. Any
modification of your proposed activity, or change in the Nationwide Permit Number
that you are seeking, will require an additional review for consistency by this office.
2. Since the activity that you propose involves impacts to waters and/or wetlands, a
401 Water Quality Certification must be obtained from the North Carolina Division
of Water Quality, which our records indicate you have already received.
Please understand that this letter does not relieve you of the responsibility to ensurethat all
other applicable State authorizations and/or permit requirements are met prior to
implementation of the project. Please feel free to contact me at [phone] if you have
any questions or need further assistance.
Sincerely,
e Sam on
Distric anager
TS/lm
Cc: Charles S. Jones, Assistant Director, DCM, Raleigh
Caroline Bellis, Federal Consistency Coordinator, DCM, Raleigh
Wilmington District Engineers; ATTN: CESAW-CO-E
John Dorney, Water Quality Section, DWQ/Raleigh
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
ELIZABETH CITY REGIONAL OFFICE
1367 US 17 SOUTH, ELIZABETH CITY, NC 27909
PHONE: [phone] FAX: [phone]
- SO% RECYCLED / 10% POST-CONSUMER PAPER
DENR TOLL FREE HOTLINE: [phone]

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
t 4 0 •
h I',
; lk
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
October 4, 2000
Dare County
DWQ Project # 001251
APPROVAL of 401 Water Quality Certification
R. Sherman Pierce and Janet G. Pierce
1811 Upper Dune Drive
Kill Devil Hills, NC 27948
Dear Mr. and Mrs. Pierce:
You have our approval, in accordance with the attached conditions and those listed below, to fill 0.10 acres of
wetlands in Dare County for the purpose of mosquito control as you described in your application received by the
Division of Water Quality on September 20, 2000. After reviewing your application, we have decided that this fill is
covered by General Water Quality Certification Number 3106. This certification allows you to use Nationwide
Permit Number 18 when the Corps of Engineers issues it. In addition, you should get any other federal, state or local
permits before you go ahead with your project including (but not limited to) Sediment and Erosion Control, Coastal
Stormwater, Non-Discharge and Water Supply Water shed regulations. This approval will expire when the
accompanying 404 or CAMA permit expires unless otherwise specified in the General Certification.
This approval is only valid for the purpose and design that you described in your application. 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 wetland fills for this project (now or in the future) exceed one acre, compensatory
mitigation may be required as described in 15A NCAC 2H .0506 (h) (6) and (7). For this approval to be valid, you
must follow the conditions listed in the attached certification.
If you do not accept any of the conditions of this certification, 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, P.O. Box
27447, Raleigh, N.C. 27611-7447. This certification and its conditions are final and binding unless you ask for a
hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If
you have any questions, please telephone John Dorney at 919-733-9646.
nc 1 ,
"A/
Stevens
Attachment
cc: Corps of Engineers Washington Field Office
Washington DWQ Regional Office
File Copy
Central Files 001251
Division of Water Quality • Non-Discharge Branch
1621 Mail Service Center, Raleigh, NC 27699-1621 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer • 50% recycled/10% post consumer paper
http://h2o.enr.state.nc.us/wetlandc.htmI
PAYMENT
RECEIVED
'0w
r
OI issU?" ' S& 2 0 rJIJIJU
01251.
DEN ID: CORPS ACTION ID: ' WATFlz P!,?A
=.?J1 'IONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #):
-'. PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NAT 44IDE PERMITS THAT REQUIRE:
1) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
9 SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE FIELD OFFICE
OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN (7) COPIES SHOULD BE
SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT (SEE AGENCY ADDRESSES SHEET).
PLEASE PRINT.
1 . OWNERS NAME: R : S tf th f;i 1V P[ E k ctL JANET C7 ?L ?i R C ?
2. MAILING ADDRESS: r? ?i /? UAr'eA,
SUBDIVISION NAME:
CITY: KILL PGViL H i LL S' STATE: 114.C, ZIP CODE: Z 7 ?j Uzi
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE) : c 1 -PUCK
K (Z"?"y h /A w (< Y N. L. Z-7 y't y
3. TELEPHONE NUMBER (HOME) : ZSZ-YYl - 7Y 7 Z (WORK) : !v 44%
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,
ADDRESS, PHONE NUMBER: ?f n
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR
AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY : T) A IZE NEAREST TOWN OR CITY: 1<(T-re N ,C.,
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.)
t4F-r K C90 SSiiJCF ?FHT AC M. CL-1 5 1 ?;f 014 7-c;?
UUrE lt e^ t-4 (45 PASS Tw- Sr,,i9L(4t-A'TS AN 17 7;e14
C ?r I?J L.? ? ? 0/? ?? ,?`? ? ?u`??5 :Dltl?C ( Lur (5 9 ? ?JL/? wo?Df l?/
6. IMPACTED OR NEAREST STREAM/RIVER:
RIVER BASIN: fq A
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER
(SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER SUPPLY
(WS-1 OR WS-II)? YES I I NO [?'J IF YES, EXPLAIN:
7b. IF THE PROJECT IS LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMEN'T'
ARE OF ENVIRONMENTAL CONCERN (AEC)? YES [ I NO
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF COASTAL
COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION:
S 1N6{L(-: ?/1?c?y ?EsiD NGE
8a. HAVE ANY SECTIONN 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON `PHIS PROPERTY"?
1 IF' YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY
YES [ ] NO [ P1111,
ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR `PHIS PROPERTY IN THE FUTURE?
YES [ I NO [ ?] IF YES, DESCRIBE ANTICIPATED WORK:
9A. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: -7
9B. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
10A. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: EXCAVATION:
FLOODING: OTHER:
DRAINAGE: TOTAL ACRES TO BE IMPACTED:
{J10B. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE
DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: FT AFTER: FT
WIDTH BEFORE (based on normal high water contours): FT
WTDTH AFTER: FT
AVERAGE DEPTH BEFORE: FT AFTER: FT
P(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
J OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL ELEVATION: CONSTRUCTION OF A DAM/FLOODING:
IA OTHER:
?I 11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAINING
TO THE POND?
WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMEN'T'
TO BE USED (ATTACH PLANS: 81-?" x 11" DRAWINGS ONLY):
V/ rt ANDS 6t I-JAVL;wC, rev
At?l? SFA-CFaIN G
13. PURPOSE OF PROPOSED WORK: TTY CLC? ?A?l_ pSGZUITy g)ZCCDIN4
AI?CA iN FYAci< ?aatiZ?
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
E C 1 3 F:?-90 0 G
15. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE
AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE
PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJEC'T'.
/// DATE CONTACTED:
16. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC
(STATE) LAND? YES [ I NO [ /I (IF NO, GO TO 18)
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL DOCUMENT
PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT?
YES [ I NO [ I
b. IF' YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPART'MEN'T'
OF ADMINISTRATION STATE CLEARINGHOUSE? YES [ I NO [
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING COMPLIANCE WITH THE
NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE DIRECTED TO MS.
CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH CAROLINA DEPARTMENT OF
ADMINISTRATION, 1302 Marl Service Center, RALEIGH, NORTH CAROLINA 27699--1302,
TELEPHONE [phone].
17. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY
` P INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO WETLANDS:
}?\ a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES AND PONDS ON TIME
ll PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38). ALL
STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE MAP.
MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR 1 INCH EQUALS 100 FEET OR THEIR
EQUIVALENT.
b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY PROJECT.
c. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS RELEVAIJT
TO THE PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY?
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF' SEWAGE DISPOSAL?
g. SIGNED AND DATED BY AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT, AND
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL MANAGEMENT
(WATER QUALITY) CERTIFICATION.
OWNER'S/AGENT'S SIGNATURE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18G.))
/1/ ?lo 0
DATE
Dunn BANNS RECREAFN/TION ASSOOA110N
BUCK NOOBS Gaff COURSE
M.B. 5, P0, 54, 0.8. 187. PC. 687
;'1 7"w 1 nn n?'
116,r
LEGEND:
O Ex. Rebar
O Rebar Set
0 Ex. PK Nail
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A Water Meter
N Phone Ped.
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Fire Hydrant
4X9' Typical Ground Elevation
NGVD 29
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Lot Area = 29,430 Sq. Ft. o
o PROPOSED
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Flood Zones are subject to change Z
n 1-S-E-D X J
Q
Setbacks shown are as per the Subd, 15.5 39 fiT ^ CPOD, : ~O
Plat and as per Zoning; they do not reflect ORCH ? tlRivf,
any Restrictive Covenants that may exist, r j 0
This survey was based on the existing ca I rn
property corners found in conjunction 00
with the recorded reference given, PROPOSED
I GRAVEL WALK
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DUCK WOODS DRIVE
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?
TlE LINE ONLY) ???
CA R
I, M. DOUGLAS STYONS, JR., P.L.S., certify that this plat was Q?a®?1 ?''?"?'•t4w land survey
that the error of closure as calculated by latitudes and depQ2tu?s•ti??p?h?D. OOf?

Witness my hand and seal this 91b do of June AD. 2000 SEAL
L-3227

A`
OCEAN
? li\ SOUND '41 AS 5

Ct?lf l l0 , BLOCK

227A
ant 1THFRN gHnRFq
82.98'
PAYP4ENT
RECEIVED_ ?-
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4pl/SS
Ufp,.
-_ 0 0 1 2 51
?,_h t DEM ID: CORPS ACTION ID: NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT
U .?
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR 14 'I NWIDE PERMITS THAT REQUIRE:
L4j
L) NOTIFICATION TO THE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SENDTTTHE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE FIELD OFFICE
OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN (7) COPIES SHOULD BE
SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT (SEE AGENCY ADDRESSES SHEET).
PT.W ac4V PR T1\1T
1. OWNERS NAME: R: 5'kfeRmf- 1'4 r tERCc JANt7 C7. ?t 1 C_
2. MAILING ADDRESS: 1 /? of /'?e2?N? ??
SUBDIVISION NAME:
CITY: KILL PG V, L- H I LL-S STATE: lV.C ZIP CODE: Z T ?/ 4b
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM \
MAILING ADDRESS ABOVE) : ct 1 PUCK ????? 5 Dr2iVc ? S _ r•?jc(Lr! SNv2L S )
K-1T-r r 14 A w lZ ` N C. Z 7-7'f y
3. TELEPHONE NUMBER (HOME) : ZS-Z -yyI - 74 -7 -2 (WORK) : tN
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,
ADDRESS, PHONE NUMBER: ?f
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR
AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: :!:)A IZC - NEAREST TOWN OR CITY: Kcr7?, N,c,
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.)
A FTEIZ Cizo S.Sirl C- &JAI (rwr At c-- M. t? 14-1p4-&- `U 5 , ?; 8j 0PI TO
U U rC K e,4,11(45 PASS -77,1- S ?•/'L? 4 r? TS AND TF N
C k{-4 L f' D !V J C=/4. u .. 175 D X 1? Ci_u T l S 9( -pJ UL w' ,,,, Df p
6. IMPACTED OR NEAREST STREAM/RIVER:
RIVER BASIN: w A
A
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATFR
(SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER SUPPLY
(WS--I OR WS-II)? YES [ ] NO [?'] IF YES, EXPLAIN:
7b. IF' THE PROJECT IS LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT
ARE OF ENVIRONMENTAL CONCERN (AEC)? YES [ ] NO [
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF COASTAL
COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION:
5 1N 6rL(:-- i'Ai-A cLy ?ES1 DC NGc
8a. HAVE ANY SECTIONN 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY?
YES [ ] NO [ $1 IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY
ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES [ ] NO [ 11 IF YES, DESCRIBE ANTICIPATED WORK:
9A. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF' LAND: -7
9B. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
10A. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: EXCAVATION:
FLOODING: OTHER:
DRAINAGE: l- TOTAL ACRES TO BE IMPACTED:
{Ji0B. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE
DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: FT AFTER: FT
WIDTH BEFORE (based on normal high water contours): FT
WIDTH AFTER: FT
AVERAGE DEPTH BEFORE: FT AFTER: FT
p(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
J OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL ELEVATION: CONSTRUCTION OF A DAM/FLOODING:
A OTHER:
J 11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAINING
TO THE POND?
WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT
TO BE USED (ATTACH PLANS: 81-?" x 11" DRAWINGS ONLY):
TL•4l1DS 13? /AVM+w? rrv s??rvfl !???c /-
fJN? c-- P0 rr-l G
13. PURPOSE OF PROPOSED WORK: BiZCED l N 4"
aatZ?
A?PCA iN YACt,"
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
E C 1-3 i-3- 91-) 0 L
15. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE
AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE
/v PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT.
/// DATE CONTACTED:
16. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC
(STATE) LAND? YES [ ] NO [ V/1 (IF NO, GO TO 18)
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL DOCUMENT
PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT?
YES [ ] NO [ I
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT
OF ADMINISTRATION STATE CLEARINGHOUSE? YES [ ] NO [ ]
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING COMPLIANCE WITH THE
NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE DIRECTED TO MS.
CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH CAROLINA DEPARTMENT OF
ADMINISTRATION, 1302 Marl Service Center, RALEIGH, NORTH CAROLINA 27699-1302,
TELEPHONE [phone].
17. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY
1\ P INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO WETLANDS:
{?\ a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES AND PONDS ON THE
11_ PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38). ALL
STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE MAP.
MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR 1 INCH EQUALS 100 FEET OR THEIR
EQUIVALENT.
b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY PROJECT.
c. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS RELEVANT
TO THE PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY?
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF' SEWAGE DISPOSAL?
g. SIGNED AND DATED BY AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT, AND
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL MANAGEMENT
(WATER QUALITY) CERTIFICATION.
OWNER'S/AGENT'S SIGNATURE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18G.))
/,loo 0
DATE
OUTER BANKS RECRN/F
EATION ANOCIAMN
DUCK MOODS GOLF COURSE
M.B. S, PQ 34. D.B. 187, PG 887
'3R'1 7"W Inn n?'
• s?.
>>6F
LEGEND'
O Ex. Rebar
25' MBL
O I DO
00 L O
N
J 404 WETLANDS -CO
Q AS PER SUBD. PLAT O
O Rebar Set O o /21
D Ex. PK Nail `? 9 r L
El Ex. CM -- z
A Water Meter O
00
Phone Ped.
® CATV
Fire Hydrant N
4x9' Typical Ground Elevation
NGVD 29

T J
m
7
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3
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6.0' ri15.33'1
? n
NOTES! 28.0 N 18.0'
Lot Area. = 29,430 Sq. Ft. b
o PROPOSED 5
1-S-F-D 2X
Flood Zones are subject to change Q

er the Subd
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re
s
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tb
k 1 3 67
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NC O
,
own a
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ac
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e n G
N
C.
Plat and as per Zoning; they do not reflect o 1.20RCH o ORfV?'•
any Restrictive Covenants that may exist. O

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This survey was based on the existing

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O
property corners found in conjunction O PROPOSED
GRAVEL WALK • N
with the recorded reference given, M .
t

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99.99 =16'43 787E
DUCK WOODS DRIVE
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/Z?
//
•
o ?/W
(TIE LINE ONLY) ? \CAW
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- "

?% ex
I, M. DOUGLAS STYONS, JR., P.L.S., certify that this plat was .?•.' Ct and survey
eu?s`-
latitudes and de
"Is 1S
th
t the e
ror of closure as calculated b
z
y
p
r
a

Witness my hand and seal this do of June PsD. 200Q SEAL
-th
L-3227 a
Q-
7
,•

Aa"
Sam
li\ fiLOT1 BLOCK 227A
SntITHFRN SHnRFS
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82.98'
MapQuest : Printer-Friendly Map Page 1 of 1
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