20070369 Ver 1_401 Application_20070307

~.,
~~ ~ SAMPSON n~IARINE CONSTRUCTION
`~ CONSULTING, DESIGN, PERMITTING & CONSTRUCTION
1~
`, l~
125 Hunters Trail West, Elizabeth City, North Carolina, 27909 USA
~ Tel: [phone] -Fax: [phone]; a-mail: [e-mail]
i
February 27, 2007
~~ ~ rii;?
~,,.'.i
North Carolina Division of Water Quality 2 0 0 7 0 3 6 9
401/Wetlands Unit ~,~,~~ ~~
1650 Mail Service Center ~ ~ '~ ~~-
Raleigh, NC 27699-1650 RECEIVED
Re: Pre-Construction Notification (PCN) Application for
Proposed Wetland Fill associated with the Vista Lane
Sampson Home Project at 4733 Vista Lane, Kitty
Hawk, NC, Dare County, property under contract of
sale to Jeremiah W. and Sara M. Sampson
To Whom It May Concern:
Please find enclosed seven (7) copies of the referenced application and supporting documents for
the proposed fill of 0.142 acres of wetlands at 4733 Vista Lane in Kitty Hawk, NC, Dare County.
This lot is under contract for sale to Jeremiah W. and Sara M. Sampson, and the contract will be
executed as soon as the needed building permits are obtained.
The Department of Public Health of the County of Dare on 4/7/05 provided a Site Review of this
lot for the placement of a septic tank and nitrification field, finding the lot suitable for this
system. In response to Jeremiah Sampson's recent application fora Wastewater System
Construction Permit the County of Dare provided a subsequent Site Review, dated 2/13/07,
which indicated that the wetlands needed to be flagged by the Army Corps of Engineers, and a
survey obtained to document that a septic system could be placed on the lot.
The wetlands were flagged, and Mr. Tom Steffens of the Corps subsequently accepted the
alignment. The lot and wetland alignment were surveyed on 2/16/07, and that survey is included
as part of this application package. The digital version of the survey was utilized to develop a site
plan, which shows that if wetland fill is authorized through this application process, a septic
system can be located on the lot. This site plan is also included as part of this application
package.
In anticipation that wetlands would need to be filled to make this lot suitable for building, an
application was made to the NC EEP for mitigation by In-Lieu Fee, for up to 1/10 of an acre
under a Nationwide #18 Corps Permit. This request was approved by NC EEP by their letter of
2/20/07, copy enclosed. In that the survey showed the wetlands to extend farther into the lot than
first believed, arrangement of a suitable site plan was extremely limited, but could be
accomplished with only 1/10' of acre of fill. However, this fill would be limited to an
approximate 5 feet perimeter of the structures, and controlling run-off from the proposed
development would not be feasible. Because of this, a request for additional fill has been made
under the provision of a Nationwide #29 Corps Permit to facilitate the placement of a bulkhead

..
at the existing shoreline, with backfill sloped landward to allow storm water to be directed to
vegetated swales that will be constructed along the sides of the lot, as indicated on the site plan.
While this would result in a marginally greater wetland loss, it would facilitate an overall
environmental gain through the ability to control the run-off from the impervious structures that
will be constructed on the lot. A subsequent request to NC EEP was made for In-Lieu Fee
mitigation for up to 0.142 acres of wetland fill. A copy of this letter is enclosed. When a notice
of acceptance is received that supplemental information will be forwarded immediately.
The NC Division of Coastal Management (DCM) was contacted on 2/21 /07 concerning this
proposed development. In a conversation with the Coastal Management Representative for this
geographic area, Ms. Lynn Mathis, she indicated that there is no CAMA or DCM jurisdiction
along the pond of Bull Ridge Swamp.
Commencement of construction is awaiting the obtaining of the necessary permits. A check for
the fee in the amount of $200.00 is enclosed.
Kindly respond at your earliest convenience to this application. If there is any additional
information or documentation that you require, please be so kind as to contact me by telephone
so that I can resolve the matter as quickly as possible. Thank you for your kind attention to this
matter.
Sincerely,
Ted Sampson
Agent
Encl: (1) PCN
(2) Survey
(3) Site Plan
(4) USGS Topo Map
(5) NRCS Soil Survey Map
(6) Vicinity Map
(7) In-Lieu Fee Acceptance Letter
(8) Supplemental In-Lieu Fee Application
(9) Dare Co. Dept. of Public Health letter of 4/7/05
(10) Dare Co. Dept. of Public Health letter of 2/13/07
(11) Agent Authorization Letter
(12) Check for Fee

Office Use Only: Form Version March OS
20070 369
USAGE Action ID No. DWQ No.
(Ir any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing EAYMENT
RECEIVED
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ^ Riparian or Watershed Buffer Rules
^ Section 10 Permit ^ Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ^ Express 401 Water Quality Certification
II.
2. Nationwide, Regional or General Permit Number(s) Requested: Nationwide 18 and/or 29
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ^
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ® (In-Lieu Fee application accepted; see attached.)
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here:- ^1- - ~ ~ pp
~~, .. .. _.,. ... ';6
Applicant Information ~ ~ `m

1t. ~~ 3. L. i~V!
1. Owner/Applicant Information _
Name: Jeremiah W. and Sara M. Sampson ~r - ~~~ ~ ~ ,',,i
Mailing Address: 4812 Vista Lane
Kitty Hawk, NC 27949
Telephone Number: 252-339-6949 Fax Number: 866-793-4261
E-mail Address: jeremy(a,sampsonmarine.com
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Theodore Sampson
Company Affiliation: Sampson Marine Construction
Mailing Address: 125 Hunters Trail West
Elizabeth City, NC 27909
(Agency authorization letter attached.)
Telephone Number: 252-331-2447 Fax Number: 866-793-4261
E-mail Address: permits sampsonmarine.com
Page 5 of 13

III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Vista Lane Sampson Home
2. T.LP. Project Number or State Project Number (NCDOT Only
3. Property Identification Number (Tax PIN): 987609150727
4. Location
County: Dare Nearest Town: Kitty Hawk
Subdivision name (include phase/lot number): Seascape, SEC 2, Lot 32
Directions to site (include road numbers/names, landmarks, etc.): Follow US 158 to the
Outer Banks and proceed to the south throu~y Hawk• at first traffic light turn right
onto West Eckner Street; follow around to the north until it intersects Beech Drive• turn right
and proceed to "T" intersection at Vista Lane• turn ri t and proceed to cul-de-sac Lot is
first lot in cul-de-sac on the left, beyond last house on the left on Vista Lane
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 39.93347 °N 43.5794 °W
6. Property size (acres): 0.264
7. Name of nearest receiving body of water: Bull Ridge Swamp
8. River Basin: Pasquotank
(Note -this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/ma~s/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Undeveloped lot within platted residential snhdivicinn
Page 6 of 13

10. Describe the overall project in detail, including the type of equipment to be used: Private
home construction including fill for septic system and house location; equipment includes
dump-trucks, excavator/backhoe for soil removal/filling; crane for placing structure modules.
11. Explain the purpose of the proposed work: Provide private residential home for applicant.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules. No prior jurisdictional determinations and/or permits are known to
have been requested or obtained associated with this project.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No future permit requests are anticipated, other than the local permits associated with the
proposed development.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: Proposed permanent impact of 4,248
sa. ft. (0.098 acre) of wetland fill in existing_platted subdivision to accommodate single
family private home construction and placement of associated septic system. Additional
1 926 sq. ft. (0.044 acre permanent impact requested to allow for bulkhead and landscaping
lot to control stormwater runoff. Total proposed permanent impact: 6,174 sq. ft. (0.142 acre
Page 7 of 13

2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
( es/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)
1 Fill Forested Yes No Stream 0.098
2 Fill Forested Yes No Stream 0.044

Total Wetland Impact (acres) 0.142
3. List the total acreage (estimated) of all existing wetlands on the property: 0.142
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Im act Impact
Length
(linear feet) Area of
Impact
(acres)
None

Total Stream Impact (by length and acreage) 0 0
Page 8 of 13

5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact

Site Number
(indicate on ma)
Name of Waterbody
(if applicable)

Type of Impact Type of Waterbody

(lake, pond, estuary, sound, bay,
ocean, etc.) Area of

Impact
acres)

3
Bull Ridge Swamp
Bulkhead/Fill Pond: Impact included in Site 2;
Bulkhead to align with existing
shoreline o
additional

Total Open Water Impact (acres) 0
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0
Wetland Impact (acres): 0.142
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0.142
Total Stream Impact (linear feet): 0
7. Isolated Waters
Do any isolated waters exist on the property? ^ Yes ~No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ^ uplands ^ stream ^ wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
Page 9 of 13

VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts. Inability to fill wetlands on
nei hg boring lots forces extremely limited area for septic system, which drives other development
to back extreme of lot. Odd shape of lot, with "V" shaped shoreline limits options for dwelling
and Town-required parking space placement because of setback restrictions. This historically
platted lot is approximately 4000 sq. ft. smaller than currently required lot size, and financial
viability of development, limited to 35% of lot size, drives structures to limits of setbacks,
requiring additional wetland fill to maintain structural integrity of development. Reducing
impacts for requested Nationwide 18 fill will be limited to the installation of silt-fence at
extremes of wetland fill, and followed by seeding for stabilizing vegetation at end of
construction. This will not be able to control run-off from constructed impervious surfaces to the
adjacent pond. If remainder of wetlands is authorized to be filled under Nationwide 29, a
bulkhead would be constructed along the shoreline, and the filled area sloped toward the front of
the lot and toward sided vegetated swales to reduce direct run-off and provide for percolation,
with direct run-off flowing to the pond onlYin excessive storm events.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
lam://h2o.enr.state.nc.us/ncwetlands/strmgide.hhnl.
Page 10 of 13

1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
To be determined b NCEEP
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet): o
Amount of buffer mitigation requested (square feet): o
Amount of Riparian wetland mitigation requested (acres): 0
Amount ofNon-riparian wetland mitigation requested (acres):.1o acres (l~tw181 .o42(Nw29)
Amount of Coastal wetland mitigation requested (acres): o
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ^ No
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ^ No ^
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ^ No ^
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Page 11 of 13

Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ^ No
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
* Impact Required
Zone ,~,,,.~-o F o«~ Multiplier ~,~,~,^~~,~_
3 (2 for Catawba)
1.5
Total
* Zone 1 extends out 30 feet perpendiculaz from the top of the neaz bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration /Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260.
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. Existing impervious surface = 0%; proposed
impervious surface = 34.6% of total acreage. Calculation of areas achieved by Turbocad
software package for areas shown on accompany;; drawing: Driveway 1728 sq. ft. • House 1072
sQ. ft.; Porch 84 sq. ft.; Steps 84 sq. ft.; Garage 460 sq. ft.; Deck 208 sq. ft.• Poo1288 sq. ft. Total
square footage: 3940 sq. ft.• total lot size: 11 344 sq. ft. Percent coverage = 3 924/11 344 x 100
or 34.6%.
XIL Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
Onsite wastewater treatment with 1000 gallon septic tank and 240 feet of nitrification field with
additiona1240 nitrification field repair area. (See attached Dare County site assessment.~_
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ^ No
Is this anafter-the-fact permit application? Yes ^ No
Page 12 of 13

XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ^ No ~
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description: This
development is in a previously platted subdivision, approximately 70% built-out. This project
simpl~mpletes previously anticipated impacts, and other remaining development/impacts in
this sub-division will be a result of original sub-division platting and not the development on this
lot.
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Rapidly approachina expiration of all Nationwide COE Permits on 18 March 2007 make time of
the essence on review and processing of this application Commitment to factory constructing
home modules must be made prior to that time to fit this project into production schedule and
allow owner to commit to construction prior to fast approaching. expiration date
:;i' -~.'
~-~:
A~pl~e~nt/Agente'Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
(See accompanying agency authorization letter.)
PasrP 1 ~ of 13

I, WILLIAM S. JAMES, JR., P.L.S., CERTIFY THATUNDER MY DIRECTION AND SUPERVISIONTHIS PLAT WAS DRAWN FROM
AN ACTUAL FIELD LAND SURVEY MADE BY ME FROM INFORMATION AS REFERENCED HEREIN, AND THAT THE RATIO OF
PRECISION I S 1:10, 000+, WITNESS MY HAND AND SEAL THIS ~_ LL4Y OF ft ~ ~ U a r~ ~ 20 0 7
r--
10` 20' 40' 2 0 ~ 7 ~ 3 6 9
GRAPHIC SCALE 1' 20'
WILLIAM S. S ., P.L.S. L-2532
i BULL RIDGE SWAMP

~' w~
N q~s
a s roxi~nal*e Ed e
N d3. ~vi~if 9
~, - . E ,--~
.
9
~
70 • ~Vj•~
Exist. ^•
Iron 1^ ~
i
~ i i ^ i i i
` i i i i i i i i
Exist.
~~
A ~`. _ Iron Pipe I "~~'
i
`i
o, l ~
~ o
.. M
a
W
R
O +1
ap m
Z
~ O
i •-
M
O
J
i i ~~ i i i i i
Wetlands
s, 174 sF
a,
i _ O ~ i i i _
~i ~ i i i i i
~,
~ ,~' i i ~ i
~e ~.
-, _
BrkeQ,'ey,~her ` i
404 C~ `+` / ~, _
.`
~ i i
ti
U lp ands `~ ~~~
5, 170 SF ~. i
ti
30' Y.B.L.
Lot 32
11,344 SF Total
~ ~O
V `~~
~.
~~
~~ shy
i ^/ i i r
- i `~~~tNUntei,~~
.Q ~s
= a S 2532 °C'
i i / i - i S~ 1 ~O. ~~
~• '1y ~
i
o'- ' . ~'Ql6l D
set ~ ~~'''~~~$~~~,r~~~~
ron Pin ~.~'
i ~.
~.-'~~ 404 Lina Table
~' lk
~O~/ 101-3 - 1 wrr-01'r 26.11'
104.4 5 sae'-11'r 10.10'
401-e - t
~~ 101-e - 7
A~ Io1-~ - e
Io1-e - s
101- e - 11
c~ y ~
~~~
~ti0 Lot 31
Ex1at.
~n Pipe
N13'-24'I 12.11'
NJ9'-61'r ae.oe'
~•-se'r ae.ee'
wee'-20'E so. M'
I N00'-22'E 8. W'
~Y
t^
~~
v.:
,.
. ~ ,.. .
,, 8 ~ :,
_ t. r4Y` y
.,:;
VICINITY MAP
a~
` a
X50 •
p
~ ~
P
26
0'~ °°'
.
Exist.
.5
I ron P Fly .
Z
3
,
j Tle Line
-19'-12'M
?1.
TAls Certifies that Yhis copy of this plat eccurarely
depicts tAe boundary of the jurisdiction of Section ~Oa of
tAe Clean Mhter Aot under tAe present lew and regulations
as deterained Oy Ma u-Mlrsignsd on this date. Unless
tAere is a change in tM law or our puDlisAed regulations,
this dstsralnetlon of Section 10~ jurisdiction r-ay be
relied upon for a period rrot fo exceed five (5) years lrar
tAis date. TAis deterwination ws wade utilizing tAe 1x87
Corps of Engineers Ilirtlands Delineation Manuel.
saw o rps o ng nears epresen a ive
Vrs LICE - 30' R/W a
Nall ~ ~ SURVEY FOR
Jeremy ah W e & Sara M. Samp;~ ;~ ~ ~ ' , _ ~~~
P ~~ _' ;
fras Pln Lot 32, Section 2, Sea Sca e ~ ~ { ~5 ~ ~ ~~-
NOTES: a Pip. PK Nall Plat Book 5, Page 9 ~•
i) Surveyor makes no Elevation - 3.2e' Town of Kitty Hawk
certttlcation as to building y'~E ~ .. :, c 1, `y,.
setback lines. rney .ust be DARE COUNTY, NORTH CAROLINA
reritted by owner. SURVEYED 2 -16 - 2007
2) F ire Zone AE (EL. 8.3) WILLIAM S. JONES, JR., R.L.S., P.A.
Plus 1 ' of freebosrd 303 WEST ARGi1QALE STREET
3720987800 J -9-20-08 KILL DEVIL HILLS, N. C. 27948
3) PIN # 987809160727 P (2b2) 441-3673 F [phone]
i
i

SITE PLAN FOR VISTA LANE SAMPSON HOME PROJECT
4733 VISTA LANE, KITTY HAWK, NC, DARE CO.
10' 20' 40' ~ ~ ..,~, ~~
GRAPHIC SCALE 1 " = 20' ~ Centerline of Pond
Exist. _
Iron Pipe
~ R = 50 ft
Septic
MI
O

I
~)
~I
o'

~~
0
M
a

~~:: .
o.
....
~ House
®~ Porch
Nitrifi~tlon Field
..~'
J z
IJnlands
5,170 SF
Lo- /
~

~ ~
0 ~
o ~
30' M.B.L. 0
h~
ti
(a0
,.' ~.~
`
11, 34 ~
h5
F Tota ~
~
~~
~ti
~
0 1~

Exist.
~~
Exist. A.5~0 ~p b~V~
Iron Pi ~~ , ,~
~1~b~~q~8 6$,
Tre Line
S6 °-d9'-42"W
21.~
VIST LANE ~o ~ ww ~
PK Nail
srr na
from Pin
& Pipe
NOTES: PK Nail
I~ SllTVeyOI makes n0 Ce/7ifCatlOn aS tOFlevation = 3.26'
building setback lines. They must be
verified by owner.
2) Firm Zone AE (EL. 8.3)
Ptus 1' of freeboard
3720987600 J -9-20-06
3) PIN # 987609150727
SITE PLAN DRAWN BY: TS, 2-26-2007
''~sOp.
' / w
b~~
Lot 31
~ kid By ethers
Pi ~~,.-,Aar
l~A Ltin 4104 Line Table
404-3 - 4 N47°-04'W 25.44'
404-4 - 5 .SS.S°_14'W 10. /0'
404-5 - 6 N43°-24'W 11.13'
404-6-7 N33°-SI'W3b.Ob'
404-7 - 8 NOR°-24'W 38.96'
404-R - 9 N39°-20'E 20.26'
404A - l U NIIO°-22'C~ If.94'
InlpefVIOUS Surface (SQ. fl.)
Driveway: ~ 1728
House: 1072
Porch: 84
Steps: 84
Garage: 460
Deck: 208
Pool: ~ 288
Total: 3924
Percentage of Lot: 34.6%
® Required Parking Space
NWP#18 Proposed Fill 0.100 acre
0 NWP#29 Proposed Fill 0.042 acre
Total Proposed Wetland Fill: 0.142 acres
:4;~
Iron Pin
Plat and 404 Wetland Line From
SUR VEY FOR
Lot 32, Section 2, Sea Scape
Plat Book S, Page 9
Town of Kitty Hawk
DARE COUNTY, NORTH CAR OLIN
SURVEYED 2-16-2007
WILLIAMS. JONES, JR., R.L.S., P.A.
2 0 0 7 0 3 6 9 303 WEST ARCHDALE STREET
KILL DEVIL HILLS, N.C. 27948
P [phone] F [phone]
~SURVEYEI~,I~_2nn7~SCALE: 1" = 20~DVVN BY:HBx I .FILE NO. n755

~k~,C, ~S; SFr
~ , ~~
1 A y~S,Fii~
54~ ,ro4tt.
A 4} 1 r ~~
~ ~ 7 ~ -~ .
n .~ ~. tip=
^~ ~~ ~" ~ ~ >~ti~w~4
~ ... ~ 1~~5 ti ~.
is ! i ..1 ! F.. ~ q R.. t.
~;-• { E+ bL+~S- psi.:: }~~4S f~ ~`
7 `~ r~ :gas Y 4
k '~
3 .t
~'*' ~ w Y~ l mot.
~ .~~.~ ~ ly ~ S ~ ~ ~ YN
L~ S~gkM~r _ { ~}'Y '•y{ a~ 7 ~ i '-•
F~ ~ s +y ~"~~r~F ~Y't!~ "+i
t 1•R r -.1. x,
'` µ~
,. ,
g:-. ' ;
:: ~-
.r
t _
yyy ~~y '1'
.'1~
4 1
~ k••. ~, ~,- -
~ _: i ' `7
~ ti 'a
•~
,r
*~
1~ k '. ~ -
y 6, C~
7t.~ .. f 1 r ~ •... ~ M1.
r 1, '~
1` e'
5 ,
*5
r
r ti,
~ s.
~ .,<
~~r ~ UTM 18 435794E 3993347N (NAD27) , ~ rP
,~,
._
~~
~. ~;~

~ ~
a
~ r+
ype ~~ry t'"
.. ['} f•
7 ~ ~
... ~ ~ ~ `~
r
a _.._..~ ._.~.,e.~
_..~.
'~: ~'
~ i

..
~'~
','

~~
i-
~~
~+
S ,egw
i
~~ ~
is
i
~~
N
C7
-J
O
W
CD
~~
F
~~E
t ~
~ ''
~ ~
~~;
~-

i < ,, ~ r {

G
i ~~ ._+.
_,._.. ~.
~
',
~~~ ~
w
A
i
~
^~„
IY I~~Or ~ ~
,
~p~
~` C ~

.~ f. 9~ ~
r
o

~
~ ton 15$'i
d,.~ ~
v
~~
~
~
,
~-
~4

`
cq ~

'~;
,
r;S ~ }
Q ,, ',
~~ ~11~t tt ~i
~AOr C3dhK
kG'S~
Llnks ~v
~;,
B~tlie
(~~
~ Fafarr0.
,,"r
,
,
~~
~ ~'~
~`~
~~' c'~'~ ' 12
^
~
'~ ~ ~~ ~
~ ~-
`'

'~ ~:: 5
ice'' .
~ f~
~QQ
ICart~a! C~
G
~ '
X
'r„
,.
,~~
~ 2a~ rte'
~60~ #1~
MAPQLIE S C p ~CD7 F,1apOuesl inc. SJ 2tt{t7NAVTEO~
All rights rNserued. Use Subjec t to License/Copyright
This rnap ~s inf~rmat+on~l r~nly. tJU ra~ar~sr3nt~~tinn 15 rnE> nr warr~~fnty given Ens 1:0 ~t~s crsnf~*nt. U~r ~ssumP.. rsRl risk
ail rise. MapC~uesl 2~ritl iCs suppl iers essume rto responsibility For any loss or relay resuitir~g from such use.
20 070 369

•--
o ystem -
PROGRAM
February 20, 2007
Jeremy and Sara Sampson
4812 Vista Lane
Kitty Hawk, NC 27949
Project: Vista Lane Sampson Home
2 0 0 70 3 6 9
County: Dare
The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program (NCEEP) is willing to
accept payment for impacts associated with the above referenced project. Please note that this decision does not assure that
the payment 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.
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 PermitJ401 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 permits} an invoice
will be issued based on [he required mitigation in that permit and payment must be made prior to conducting the authorized
work. The amount of the In Lieu Fee to he paid to NCEEP by an applicant is calcuiated based upon the Fee Schedule and
policies listed at www.nceep.net.
Based on the information supplied by you the impacts that may require compensatory mitigation are summarized in the
following table.
Pasquotank
03010245 Stream (feet) Wetlands (acres) Buffer I
(Sq. Ft.) Buffer II
(Sq. Ft.)
Cold Coot Warm Ri arian Non-R- arian Coastal Marsh
Impacts 0 0 0 0 0.10 0 0 0
Credits 0 0 0 0 0.20 0 0 0
Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation. If the regulatory agencies
require mitigation credits greater than indicated above, and the applicant wants NCEEP to be responsible for the additional
mitigation, the applicant will need to submit a mitigation request to NCEEP for approval prior to permit issuance. The
mitigation will be performed in accordance with the Memorandum of Understanding between the N. C. Department of
Environment and Natural Resources and the U. 5. Army Corps of Engineers dated November 4, 1998.
If you have any questions or need additional information, please contact Ke11y Williams at (919) 71G-1921.
Sincerely, pp (y ~y,~.
L1. ~°y°9D1 V'~
Willi D. Gilmore, PE
Direcaor
cc: Cyndi Karoly, Wetlands/401 Unit
Tom Steffens, USAGE-Washington
Kyle Barnes, DWQ-Washington
Ted Sampson, agent
File
Restoru~... ~ ... Pv~otect' 4u.Y Stat~~~~
North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699-1652 1919-715-4476 ! www.nceep.net

'~~~ ail i,~,~
r ~ ~ ''~~ ~ ~ SAMPSON n~IARINE CONSTRUCTION
', ~~ ~ l~ ~ CONSULTING, DESIGN, PERMITTING & CONSTRUCTION
~ ~;' I I I ~,,, i
125 Hunters Trail West, Elizabeth City, North Carolina, 279Q9 USA
Tel: [phone] -Fax: [phone]; a-mail: [e-mail]
February 27, 2007
North Carolina Ecosystem Enhancement Program 2 0® 7 ~ 3~ 9
1652 Mail Service Center
Raleigh, NC 27699-1652
Re: Mitigation In-Lieu Fee; Supplemental Request for
Proposed. Wetland Fill at 4733 Vista Lane, Kitty Hawk,
associated with home construction by Jeremiah W. and
Sara M. Sampson
To Whom It May Concern:
Please find enclosed a supplemental In-Lieu Fee Request Form for this project. You have
accepted our previous application, dated 13 Feb. 2007, for 0.10 acres of fill in support of a
Nationwide 18 Permit. Subsequent to that application the wetland delineation was completed and
surveyed showing the wetlands to exist far deeper into the lot than was previously thought. In
order to make this lot buildable, and. to allow for construction of stormwater swales to address
runoff from impervious surfaces the request for wetland fill will total 0.142 acres under
Nationwide 18 and/or Nationwide 29 Permits from the US Army Corps of Engineers, with
corresponding 401 Water Quality Certification from the NC Division of Water Quality.
This lot is under contract for sale to Jeremiah W. and Sara M. Sampson, and the contract will be
executed as soon as the needed building permits are obtained. Commencement of construction. is
awaiting the obtaining of the necessary permits.
Kindly respond with an indication of acceptance of this request at your earliest convenience.
Thank you for your kind attention to this matter.
Si9ncerely,
% /~
Ted Sampson
Agent
EncL (1) In-Lieu Fee Request Form
(2) Location Maps - 3

a ,.
~.tili~ ~]. I I1bi ~laS
°~+~~rlT'i C~It'r~CiU%'
Applicant:
rk~
HII,L, 30SHUA D
4736 VISTA LANE
KITTY HAWK NC 27949
Property Owner.
Property Location:
Property City/St:
Pin Number:
Parcel Number:
Evaluation Date:
HII.L, JOSHUA D
SITE REVIEW
SEA SCAPE SEC 2 * Lot 32 Blk: Sec: 2
4733 VISTA LN * KITTY HAWK, NC
487609150727
010499032 District OS
4/7/05

20070369
A representative of the Dare County Health Department made an on-site visit to the
above referenced property. This analysis is valid for one (1) year from date of issue.
Our comments are indicated below:
IMPROVEMENT PERMIT
If an Improvement permit is desired, a current registered survey is required showing the
property boundaries, proposed location of house or business (drawn to scale), decks, driveway,
parking area and any pertinent landscape feature, easements or other factor that might effect
the location and the functions of the septic disposal system. This permit becomes anon-
expiring site approval for the eventual installation of an on-site wastewater system. Transfer
of the property or change in ownership shall not affect the Improvement Permit, provided all
ofthe - ec~c conditions-are met. _ - _ _- _-,--
sp -
This permit does not relieve you of any other State, Federal or Local Permit that may be needed.
WASTEWATER SYSTEM AUTHORIZATION PERMIT
If an Authorization for Wastewater System Construction (C.A.) is desired, any required
site/fill work must be completed and approved by this department. Two (2) sets of house plans
must be submitted. If the groperty is located in an area sewed by the Dare County Water
System, proof of public water by a paid receipt must be submitted_ Finally, a copy of your
Improvement Permit must be submitted.
This permit does not relieve you of the responsibility to obtain other State, Federal or
Local Permits.

- j.~-r ._ F.....
S !' _ y' r,..,~ 1
v.1Ja. _ .+ "?~}1~~ ;t:`~F':t@^. ?•. .. ~_r} ~c:i;1?~-.~; ?%t;?~_i
~' tiJ,- r.i~ =1.. i~s~ -~nr,
~ ~ ~l

. ,~ ,.
SITE REVIEW
PAGE 2
~~(?7Q3~~
PROPERTY LOCATION: SEA SCAPE 5EC 2 '~ Lot: 32 Bllc: Sec: 2
4733 VISTA LN # KITTY HAWK. NC
DATE OF EVALUATION: 4/7105 3TATU3: PS
REQUIREMENTS:
The aforementioned lot is marginal in terms of supporting a sewage disposal system. Full material (24" in
depth) will be required in the designated septa area after the vegetation has been removed and the organic
layer found at a depth of 28" has been removed and backfilled with sand.
A 1,000 gallon septic tank, at least 240' of drainfield on 3' enters (or its equivalent) and a 10096 repair area wdl
Biofiiter, etc.) will be need for the active system, the system must be designed and drawn by an engineer. If an
alternative system will be used to satisfy the repair area requirement, the system must at least be drawn and
approved on your surveyfsite plan by an engineer. A 60' horizontal setback from the canal and any wetland
area may be required. Therefore, available space may be a problem.
If any e:dsting Private wells are located within 60' ~ the property, it is your responsibility to ensure they are
shown on your survey to ensure proper separation is maintained.
if Permits (II' and CA) can be obtained, the required site work must be approved and all of the required
documents must be submitted.
In the event you disagree with these findings, you may request an informal review by directing your written
comments to: Dare County Health Director, PO Boa 1000 Manteo, NC 27964.
Envira Health Specialist
Jack Flytlie
JF/wd
4/7/05

01-29-2~~7 d3: 12 SAMPSON MARINE CONST 2522612977 PAGE1
SITE REVIEW ~ n ~ ~ ~ ~ 6 4
PAGE 2
PRdPERTY LOCATIdN: SI;A SCAPE SEC' Z * Lot: 32 BIk: Sec:: 2
4733 VISTA LN * KITTY HAWK, NC
DATE QIG' EVALUATION: 2/13/2007 STATUS; PS
REQUIREMENTS:
Before we can determine if a permit can be issued on the above referenced lot the following requirements
must be met;
1. You will need to have the Army Corp of Engineers flag all wetlands.
_ ._ _ _ 2_ We`.~rill than~eeda survey. shawirtg all wetlands ~ttd the house luctttion to determine if there, i~ enough..
mom fora 4 bedroom septic system.
3.if there is enough room for a septic system, 24" of fill will be required in the septic area after the ground in
the system area has been turned over up to 48".
4.Wc will need to review and approve your building plans.
S.We will need verification that the water tap has been issued.
Again we will not know if a permit can be issued until after the 1st and 2nd requirement.
Steve Morrisette
Environmental Health Specialist

sm

A~ency Form For Permit Applications
I Jeremiah W. Sampson ,applicant for the environmental and
construction permits for the property under contract to purchase, located at:
4743 Vista Lane
(property location/address)
Kitty Hawk, NC, Dare County ,
(property location/address)
do hereby authorize Theodore Sampson to act as my agent for the purpose of obtaining
any needed environmental and construction permits, including specifically USACOE 404
permits and NC Division of Water Quality 401 certifications, and/or any other local,
county or state building permits, that may be needed for the proposed development at the
above-indicated property, which entails:
construction of a single familyprivate residential dwelling for the use of
Jeremiah W. and Sara M. Sampson.
(describe the proposed development for which permits are being sought)
This agency authorization is limited to the specific activities described above, and
will expire on:
Au ust 26 2047
(date on which agency authorization expires)
Febru 26, 2007
(date)
_ Jeremiah W. Sampson
(printed name of owner)

' "',.rt .i, ~. . °, '"vr.4. °.~^~®q.' d i. ~, 1° ! v.."• rder-,°M1 .~„~ ,~m~. ;. a.,., i~AR~M ,'~ °~1P.: °.A
i~.. <q .,
S.A.M.P.S.O.N. and Company, inc. wacnovia Bank N.A. 2659
Dba Sampson Marine Construction 400 E. Main St. 66-'-~
125 Hunters Trail West Elizabeth City. NC 27909 X30
Elizabeth City, NC 27909
252-339-6949
PAY
TO THG R
ORDER OF ~~~ ~ ~ ~ ~ ! ~ ~ rte.
V ~~~~ ©~
_.. t~ ~~' C, ` _' L~ t~-'-a~ l~ ~ Zj ~ tom' p
i~ G
~ C' ~--~_ -___--_______
~~~~~ ~>G
DOLLARS
`~V t S l ~ !-, a ~ £~ ~} ~V ~p~a tv ~t", C V11~ ~~:C~ j ~C.. j . , i
MEMO i --• ~
i - -
~C'~~L,~C'~-1~v`[ `~~ ~ ER~i~tt~~! 1~~.. ~A~fl M.~i1r~~sU~ ~ r~~~'~~.r. ~~1~-,~~`'i C'''~~e'`1~. "~
~' AUTHORIZED NATURE
It•0265911• ~:0530002L9~: 20252400L3j~4411'

SAMPSON MARINE CONSTRUCTION
~!' CONSULTING, DESIGN, PERMITTING & CONSTRUCTION
~~
125 Hunters Trail West, Elizabeth City, North Carolina, 27909 USA
Tel: [phone] -Fax: [phone]; a-mail: [e-mail]
February 27, 2007
Tom Steffens f n ~} -~ ~; ~ ~
Washington Regulatory Field Office
US Army Corps of Engineers
Post Office Box 1000
Washington, NC 27880-1000
Re: Pre-Construction Notification (PCN) Application for
Proposed Wetland Fill associated with the Vista Lane
Sampson Home Project at 4733 Vista Lane, Kitty
Hawk, NC, Dare County, property under contract of
sale to Jeremiah W. and Sara M. Sampson
Dear Mr. Steffens:
Please find enclosed the referenced application and supporting documents for the proposed fill of
0.142 acres of wetlands at 4733 Vista Lane in Kitty Hawk, NC, Dare County. This lot is under
contract for sale to Jeremiah W. and Sara M. Sampson, and the contract will be executed as soon
as the needed building permits are obtained.
The Department of Public Health of the County of Dare on 4/7/05 provided a Site Review of this
lot for the placement of a septic tank and nitrification field, finding the lot suitable for this
system. In response to Jeremiah Sampson's recent application for a Wastewater System
Construction Permit the County of Dare provided a subsequent Site Review, dated 2/13/07,
which indicated that the wetlands needed to be flagged by the Army Corps of Engineers, and a
survey obtained to document that a septic system could be placed on the lot.
The wetlands were flagged, and you subsequently accepted the alignment. The lot and wetland
alignment were surveyed on 2/16/07, and that survey is included as part of this application
package. The digital version of the survey was utilized to develop a site plan, which shows that if
wetland fill is authorized through this application process, a septic system can be located on the
lot. This site plan is also included as part of this application package.
In anticipation that wetlands would need to be filled to make this lot suitable for building, an
application was made to the NC EEP for mitigation by In-Lieu Fee, for up to 1/10 of an acre
under a Nationwide #18 Corps Permit. This request was approved by NC EEP by their letter of
2/20/07, copy enclosed. In that the survey showed the wetlands to extend farther into the lot than
first believed, arrangement of a suitable site plan was extremely limited, but could he
accomplished with only 1/10"' of acre of fill. However, this fill would be limited to an
approximate 5 feet perimeter of the structures, and controlling run-off from the proposed
development would not be feasible. Because of this, a request for additional fill has been made

.~
~ ~ ~ ~ ~
under the provision of a Nationwide #29 Permit to facilitate the placement of a bulkhead at the
existing shoreline, with backfill sloped landward to allow storm water to be directed to vegetated
swales that will be constructed along the sides of the lot, as indicated on the site plan.
While this would result in a marginally greater wetland loss, it would facilitate an overall
environmental gain through the ability to control the run-off from the impervious structures that
will be constructed on the lot. A subsequent request to NC EEP was made for In-Lieu Fee
mitigation for up to 0.142 acres of wetland fill. A copy of this letter is enclosed. When a notice
of acceptance is received that supplemental information will be forwarded immediately.
The NC Division of Coastal Management (DCM) was contacted on 2/21 /07 concerning this
proposed development. In a conversation with the Coastal Management Representative for this
geographic area, Ms. Lynn Mathis, she indicated that there is no CAMA or DCM jurisdiction
along the pond of Bull Ridge Swamp.
Commencement of construction awaits obtaining the necessary permits. A check for the Fee in
the amount of $200.00 is enclosed.
Kindly respond at your earliest convenience to this application. If there is any additional
information or documentation that you require, please be so kind as to contact me by telephone
so that I can resolve the matter as quickly as possible. Thank you for your kind attention to this
matter.
Sincerely,

Ted Sampson
Agent
Encl: (1) PCN
(2) Survey
(3) Site Plan
(4) USGS Topo Map
(S) NRCS Soil Survey Map
(6) Vicinity Map
(7) In-Lieu Fee Acceptance Letter
(8) Supplemental In-Lieu Fee Application
(9) Dare Co. Dept. of Public Health letter of 4/7/05
(10) Dare Co. Dept. of Public Health letter of 2/13/07
(11) Agent Authorization Letter
(12) Check for Fee