20000556 Ver 1_COMPLETE FILE_20000425

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
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
April 26, 2000
Perquimans County
DWQ Project# 000556
APPROVAL of 401 Water Quality Certification
Lynette Blackman
3015 Greenleaf Blvd.
Elkhart, IN 46514-4361
Dear Ms. Blackman:
You have our approval, in accordance with the attached conditions and those listed below, to fill 0.06 acres of
wetlands in Perquimans County for the purpose of residential construction as you described in your application
received by the Division of Water Quality on April 25, 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.
inc ly
n
tevens
Attachment v
cc: Corps of Engineers Washington Field Office
Washington DWQ Regional Office
George H. Woods, Env. Professionals Inc, PO Box 3368, Kill Devil Hills, NC 27948
File Copy
Central Files 000556
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:/Jh2o.enr.state.nr.us/wetlandc.htmi
04/19/2000 12:53 219-266-1556
94/19/2800 11:13 2524410721
ASSOCIATED COMPANIES
ENV IMVENTAL PROFJames and Lynatto Blackman
3015 drowdoxf Blvd.
Elkhart, IN 46314-4361
PAGE 02
PAGE 02

James and Lynette Blackman authorize Eavirorlmentai Professionals, Lnc.(EPI) to pursue
envirorur=W permits on their behalf for property located in Hertford, Paquimans
County, N.C.
' 4-19-00
A OWZATIO DATE
Jamee W. Blacluml
'Ad-- --I 4-19-00
*AHYR= AT10N DATE
Lymette M. Blackman
PAYMENT
RECEIVED
orj05b6
000556
DEM ID: CORPS ACTION ID:
4 0 ,0
01; s
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT ft 18
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE 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
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. OWNER'S NAME: Lynette Blackman
2. MAILING ADDRESS: 3015 Greenleaf Blvd.
SUBDIVISION NAME:
CITY: Elkhart STATE: IN
ZIP CODE: 46514-4361
PROJECT LOCATION, ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING
ADDRESS ABOVE): Albemarle Plantation S/D Woodfield, Section F, Southfork Court, Bethel Township,
Perquimans County, North Carolina.
3. TELEPHONE NUMBER (HOME): WORK:
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE
NUMBER: -George H. Wood, CEP, PWS 252-441-0239
Environmental Professionals, Inc.
PO Box 3368
Kill Devil Hills, NC 27948
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USES TOPOGRAPHIC MAP OF
AERIAL PHOTOGRAPHY WITH SCALE:
COUNTY: Perquimans NEAREST TOWN OR CITY Hertford
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS
LANDMARKS, ETC.): Lot 41, Section F, Albemarle Plantation, Woodfield, Hertford, NC.
Directions: 17 South to SR 1336 to SR 1339 to SR 1336, Perquimans Blvd. to Southfork Court.
6. IMPACTED OR NEAREST STREAM/RIVER: Yeopim Creek
RIVER BASIN: Pasquotank River Basin
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA), HIGH
QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I OR
WS-II)? YES ? NO ® IF YES, EXPLAIN:
7b. IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT
AREA 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?
Residential/Recreational
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES ? NO ® IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT
AND ANY ADDITIONAL INFORMATION (INCLUDING PHOTOCOPY OF 401 CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE:
YES ? NO ® IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND:
0.43 acres
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: 0.06 ac.
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: 0.06 acre EXCAVATION: N/A
FLOODING: N/A OTHER: N/A
DRAINAGE: N/A TOTAL ACRES TO BE IMPACTED: 0.06 acres
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED,
PROVIDE DISTANCE BOTH BEFORE AND AFER RELOCATION):
LENGTH BEFORE: N/A FT AFTER: N/A FT
WIDTH BEFORE (based on normal high water contours): N/A FT
WIDTH AFTER: N/A FT
AVERAGE DEPTH BEFORE: N/A FT AFTER: N/A FT
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: N/A PLACEMENT OF PIPE IN CHANNEL: N/A
CHANNEL EXCAVATION: N/A CONSTRUCTION OF A DAM/FLOODING: N/A
OTHER: N/A
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAINING
TO THE POND? N/A
WHAT IS THE EXPECTED POND SURFACE AREA? N/A
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL
EQUIPMENT TO BE USED (ATTACH PLANS: 8 '/2 " X 11" DRAWINGS ONLY):
Designated fill area (0.06 acre/see attached plat) will be filled with suitable fill and graded with a bulldozer. A silt
fence will be placed at the fill/wetland interface before filling takes place.
13. PURPOSE OF PROPOSED WORK: ' Fill area of wetland for residential use.
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
To accommodate site plan efficiency for residential construction.
2
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE (USFWS) AND/OR
NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY ADDRESSES SHEET) REGARDING
THE PRESENCE OF ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR
THREATENED SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY
THE PROPOSED PROJECT.
DATE CONTACTED: 4/05/00. (ATTACH RESPONSES FROM THESE AGENCIES.)
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE
AGENCY SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA
WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: 4/05/00
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC
(STATE) LAND?
YES ? NO ® (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
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATTION STATE CLEARINGHOUSE?
YES ? NO
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING STATE
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, 1.16 WEST JONES STREET, RALEIGH, NORTH CAROLINA 27603-8003,
TELEPHONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED
ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIALS INTO WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES AND PONDS ON
THE 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 IN REQUIRED.
e. WHAT IS THE LAND USE OF SURROUNDING PROPERTY?
Single family residential
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
On site septic system
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATER OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
I. ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2. EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL
MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3. (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH CAROLINA
DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED ACTIVITY IS
CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT PROGRAM.
40EP'SIAGENT'S SIGNATURE
4 1?--CC
DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM THE
OWNER IS PROVIDED (I 8g.))
4
AREA TO SE g?
FILLED OR UNDISTURBED AREA
DISTURBED
. 1!
FABRIC BURIED BELOW
EXISTING GRADE
SILT FENCE
DETAIL
NTS
e
R
VICINITY MAP N.T.S.

AREA TO BE FILLED
2,504 SQ. FT.
`V? 1'EDP/M

® AREA TO BE FILLED
2,504 SQ. FT.
ENVIRONMENTAL PROFESSIONALS, INC. JAMES W. BLACKMAN
Planning for a Better Environment NATIONWIDE 18 PERMIT APPLICATION
2810 N. CROATAN HIGHWAY LOT 41 SEC. F ALBEMARLE PLANTATION
P.O. BOX 3368 HERTFORD
KILL DEVIL HILLS, NC 27948 PERQUIMANS COUNTY NORTH CAROLINA
[phone] SCALE: 11-100' DATE: 4/13/00
[phone] ,AX DRAWN BY, RW RENEWED BY: GW JOB & OG-045
-FOR PERMITTING PURPOSES ONLY--NOT FOR CONSTRUCTION

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ENVIRONMENTAL PROFESSIONALS, INC.
Planning For A Better Environment
P.O. Box 3368
KILL DEVIL HILLS, NORTH CAROLINA 27948
[phone]
FAX [phone]
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WE ARE SENDING YOU Attached ? Under separate cover via
? Shop drawings ? Prints ? Plans
? Copy of letter ? Change order ?

COPIES DATE NO. DESCRIPTION
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THESE ARE TRANSMITTED as checked below:
For approval
? For your use

? As requested
? For review and comment
? FORBIDS DUE
? Approved as submitted ? Resubmit copies for approval
? Approved as noted ? Submit copies for distribution
? Returned for corrections ? Return corrected prints
19 ? PRINTS RETURNED AFTER LOAN TO US
REMARKS
R?P
COPY TO
SIGNE(C:1) SL-4 ?'?--
H enclosures are not as noted, kindly notify us at once.
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4/19/00
4644
200.00
Operating Account Nations Blackman 200.00