20041853 Ver 1_COMPLETE FILE_20041117

Eddie Simmons Project No. 041853
Subject: Eddie Simmons Project No. 041853
From: John Hennessy <[e-mail]>
Date: Mon, 06 Dec 2004 16:11:10 -0500
To: Cyndi Karoly <[e-mail]>, Rob Ridings
<Rob.Ridings @ ncmail. net>, bev strickland <bev. strickland @ ncmail. net>, Tom
Steffens <[e-mail]>
I received a phone call from the consultant
application wanting to withdrawal it. You
information that I do on the subject. I gu
the application.
loft
who submitted this
now have all the
ess we need to withdrawal
0 A'('C. C
12/9/2004 9:38 AM
Triage Check List
Date: 1A_ 1 a - ok 0'4
Project Name: ??f?? e S; ??.
County: Dare
To: ? ARO Kevin Barnett "® WaRO Tom Steffens and Kyle Barnes
? FRO Ken Averitte ? WiRO Noelle Lutheran
? MRO Alan Johnson ? WSRO Daryl Lamb
? RRO Mike Horan
From: o e5 V- Telephone: [phone] y
The file attached is being forwarded to lour for your evaluation.
Please call if you need as? stance.
? Stream length impacted
? Stream determination
? Wetland determination and distance to blue-line surface waters on USFW topo maps
Minimization/avoidance issues
? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman)
? Pond fill
? Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
? Is the application consistent with pre-application meetings? -
Cumulative impact concern
Comments: 3o

USACE Action ID No. DWQ No. 041853
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1.
II.
Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
? Section 10 Permit
® 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: Nationwide 18
3. If this notification is solely a courtesy copy because written approval for the 401 Certification is
not required, check here: ? N/A
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ? N/A
Applicant Information
1. Owner/Applicant Information

;,:ye?gjry:4 ?.A?a..'...f,'1r. .4•r.+tala 1..14T!K? q'.a.'.q'1Tl RlpT *

PAYMENT y

RECEIVED E

R IN @C5112MR D
Name: Eddie Simmons NOV ??a4
Mailing Address: 102 California Lane
Manteo NC 27954 DENR - WATER QUAL1
A R BRANCH
Telephone Number: see agent info. Fax Number: see agent info.
E-mail Address: see agent info.
2. Agent 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: Doug Dorman
Company Affiliation: Atlantic Environmental Consultants, LLC
Mailing Address: P.O. Box 3266
Kitty Hawk, NC 27949
Telephone Number: 252-261-7707 Fax Number: 252-261-2965
E-mail Address: RoxDormanAaol.com
Page 1 of 8
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: Simmons AEC#04-071
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): Lot 1 - 988017200183, Lot 2 - 9880172000231
Lot 3 -988017201225
4. Location
County: Dare County Nearest Town: Manteo
Subdivision name (include phase/lot number): Lot 1, Lot 2, Lot 3
Directions to site (include road numbers, landmarks, etc.): Heading west on US 64/264 BUS, take
left on Sir Walter Raleigh Street and go 1/3 mile, take right on California Lane to Burnside Road. Go
agpproximately'/, mile property on right side of road.
5. Site coordinates, if available (UTM or Lat/Long): 35-54'12"N 7540'59"W
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application:
No structures currently exist on site, site is partially cleared (uplands) in area of drainfield.
7. Property size (acres): 1.11 acres total. Lot 1 =15,940 sf, Lot 2 =15,936 sf, Lot 3 = 16,398 sf
8. Nearest body of water (stream/river/sound/ocean/lake): Croatan Sound
9. River Basin: Pasquotank River Basin
(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/maps/.)
Page 2 of 8
10. Describe the purpose of the proposed work: To prepare the site for three separate mobile
homes sites and provide adequate setbacks for on site septic system and driveway to the
existing lots.
11. List the type of equipment to be used to construct the project: Dump truck and frontend
loader
12. Describe the land use in the vicinity of this project: Residential properties of similar nature.
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.
The Section "404" wetlands have been delineated by the US Army CoKps of Engineers. The
site plan/fill plat attached to this application was taken from the base plat produced by Seaboard
Surveying.
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 for this project.
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. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must 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. Wetland Impacts
Page 3 of 8
Site Number
(indicate on ma) Impact
(acres) 100-year Floodplain**
es/no) Nearest Stream
linear feet) Type of Wetland***
1 wetland fill 0.085 ac Yes 2,500+ feet Forested/scrub wetland

* List each impact separately and identify temporary impacts. 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.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: 0.292 acres
Total area of wetland impact proposed: 0.085 acre
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
leasespecify)
N/A N/A N/A N/A N/A N/A

I
i i i i i I
* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, 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.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com
www.mapguest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: no stream impacts
Page 4 of 8
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
indicate on ma)
Type of Impact* Area of
Impact
(acres) Name Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.
N/A N/A N/A N/A N/A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation N/A
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.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
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.
The nronosed impacts total 0.085 acre. Fill is necessarv for the nronosed drivewav and to
accomplish on-site septic setbacks. One driveway will be used for all lots to minimize impacts
to the existing wetlands. The wastewater disposal site is limited to the area shown on the
enclosed plat and will be shared by all three mobile homes, therefore the wetlands will have to be
filled in order to meet the setback requirements. The mobile home on lot 1 was positioned closer
to the road to minimize wetland impacts. Silt fence will be placed at the wetland fill interface to
prevent intrusion of fill material in wetlands not permitted for fill.
Page 5 of 8
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 March 9, 2000, 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 NCWRP 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
http://h2o.enr.state.nc.us/ncwetlands/stringide.html.
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.
Mitigation proposed for this project will be achieved by purchasing wetland credits from the N.C.
Ecosystem Enhancement Program (NCEEP). Once the permit has been approved copies will be submitted to
NCEEP to receive an invoice for wetland credit purchase.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at hiip://h2o.enr.state.nc.us/wrp/index.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Page 6 of 8
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ? No
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 E] No
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 E] No
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
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.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify N/A )?
Yes ? No ® If you answered "yes", provide the following information:
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.
Zone* s uarpe feet) Multiplier Mitig t on
1 N/A 3 N/A
2 N/A 1.5 N/A
Total N/A N/A
* Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 7 of 8
v
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
No buffer mitigation required for this project, since disturbance/fill is not within the buffer.
XI. Stormwater (DWQ Only)
Describe impervious acreage (both 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.
Impervious areas do not currently exist at this site at this time. A maximum of 30% of
impervious surface is proposed for this site.
XII. Sewage Disposal (DWQ Only)
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.
A conventional onsite septic system will be used for sewage disposal.
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application?
Yes ® No ?
MV. 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).
No constraints associated with this project at this time.

Applic Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
Eddie Simmons
102 California Lane
Manteo, NC 27954
I, Eddie Simmons authorize Atlantic Environmental Consultants, LLC (AEC) to apply
for environmental permits on my behalf for property located in Manteo, Dare County,
North Carolina.
3
AUTHORIZATION DA E
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NOTES:

1 SURVEY IS SUBJECT TO ANY FACTS THAT MAY BE . THIS
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DISCLOSED BY A FULL AND ACCURATE TITLE SEARCH.
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2. AREA BY COORDINATE COMPUTATION - 48,274 S.F. (TOTAL)
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3. F.I.R.M. ZONE:

4. PIN NO.: LOT 1 - 11 988017 20 0183 I

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LOT 2 - 11 988017 20 0231

LOT 3 - 11 988017 20 1225
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5. RECORDED REFERENCE: PC D. SL 96: DB 909, PG 494 ,
6. MINIMUM BUILDING LINES (MBL) SHOWN HEREON ARE PER THE
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CURRENT LOCAL ZONING REGULATIONS. OTHER SETBACKS
AND/OR RESTRICTIONS MAY APPLY AND MUST BE VERIFIED 3^
PRIOR TO CONSTRUCTION. +? ?•
7. ELEVATIONS (NGVD 1929): N/A I
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^""" ? '! • . EOVPK- .?• S.R. 1123 (BURNSIDE ROAD
LEGEND aorlu na? )
PROPOSED FILL AREA (3,692 SF)
PROPOSED GRAVEL DRIVEWAY Se PARKING
r
THIS DOCUMENT ORIGINALLY ISSUED AND SEALS BY MANSON SITE PLAN AND SURVEY INFORMATION PROVIDED
NTHIS T. MEDIA SHALL BY SEABOARD SURVEYING do PLANNING
NOT B ? CONSIDERED RAY EF7ONS. EKED A CERTIFIED ,05/08/04. DOCUMENT.
NATIONWIDE 18 FILL PERMIT
EDDIE 1IMMONS
LOTS 1, 2, & 3
MANTEO - DARE COUNTY - NORTH CAROLINA
25' o' 50' 100 150 1,4,rL4#,rlC M11NOMMUL CONSULTANTS, LLC
GRAPHIC SCALE 1"= 50' P•0. BOX Z$tf,, KW7Y #4W,, N.0 2790
[phone], 8-M.7// 1VXd0M0n®701.C0/!7
FILE: 04-071 DATE: 11/08/04 REVISED:
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