20000562 Ver 1_COMPLETE FILE_20000424

Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary,
Kerr T. Stevens, Director
0 •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
May 12, 2000
Tyrell County
DWQ Project # 000562
APPROVAL of 401 Water Quality Certification and ADDITIONAL CONDITIONS
Jimmy & Lucille Sutton
Post Office Box 6145
Newport News, VA 23606
Dear Mr. and Ms. Sutton:
You have our approval, in accordance with the attached conditions and those listed below, to place fill material in 0.04 acres of
wetlands for the purpose of constructing a bulkhead at Rhodes Hoven Drive (lots 9 and 10) as described in your application dated April
24, 2000. After reviewing your application, we have decided that this fill is covered by General Water Quality Certification Number
3102. This certification allows you to use Nationwide Permit Number 13 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 except as modified below. 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 and any
additional conditions listed below.
1. Deed notifications or similar mechanisms shall be placed on all remaining jurisdictional wetlands and streams to notify the state in
order to assure compliance for future wetland and/or water impact. These mechanisms shall be put in place within 30 days of the
date of this letter or the issuance of the 404 Permit (whichever is later).
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. 276 1 1-7447. 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.
' ce 1
e tevens
Attachment
cc: Corps of Engineers Washington Field Office
Washington DWQ Regional Office
File copy
Central Files
Division of Water Quality • Non-Disuharge Branch
1621 Mail Service Center Raleigh NC 27669-1621 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer •
50% recycled/10% post consumer paper
Re: cama project?
Subject: Re: cama project?
Date: Mon, 08 May 2000 13:32:49 -0400
From: Steve Trowell <[e-mail]>
To: Cyndi Bell <[e-mail]>
Mr. Sutton is proposing to bulkhead a borrow ditch that was dug in wetlands years ago
a road was built to access his property. Because the borrow ditch or pond which ever
want to call it, was dug in wetlands the ACOE still claims jurisdiction. The work occ-
outside of CAMA jurisdiction therefore no CAMA permit required. If you have any quest
please call Tom Walker with ACOE at [phone] ext.24.
Cyndi Bell wrote:
> Thanks guys, sorry to put you to the trouble. Just wanted to be sure.
> Doug Huggett wrote:
> > I talked with Steve Trowell, and he is very familiar with the site. He says it is .
> > in an AEC (something about being in a manmade pond or canal that was never connect
> > to the sound). Therefore, we have no jurisdiction. Its all yours, girl.
> > Cyndi Bell wrote:
> > > I'll be out anyway until Tuesday May 2, so take your time. We have plenty of ti:
> > > on the clock - we just got this app.
> > > Doug Huggett wrote:
> > > > can I get back to you on monday. I think a CAMA permit will be required, but
> > > > want to talk to Steve Trowell before I say for X100 sure, and I cant get up wi
> > > > him today, and I will be out tommorow.
>>>>Doug
> > > > Cyndi Bell wrote:
> > > > > I just faxed it. Take note that they're proposing 4110 acre of wetland fill
> > > > > on a 3110 acre property, and you get a hint of the quality of the applicatio.
> > > > > Doug Huggett wrote:
> > > > > > can you fax me a site map? It sure sounds like we should at least have
> > > > > > public trust jurisdiction in that area.
> > > > > > Thanks for thinking of us.
>>>>>>Doug
> > > > > > Cyndi Bell wrote:
> > > > > > > Doug, we have a PCN application for a 185-foot long bulkhead on the
> > > > > > > Albemarle Sound (SB water at this location) from Jimmy and Lucille
> > > > > > > Sutton in Columbia, Tyrrell County. Their mailing address is PO Box
> > > > > > > 6145 Newport News, VA, 23606. They want to place the bulkhead four feet
> > > > > > > from the shoreline then backfill it. They haven't bothered to reveal
> > > > > > > whether or not any wetlands are on this shoreline..
> > > > > > > My question for you is, shouldn't this be a CAMA permit? There's a
> > > > > > > hand-scrawled note on the side of #7 (is this in a LAMA County) that
> > > > > > > reads Steve Trowle, DCM, 946-6481. I've had no luck getting through on
> > > > > > > this number. it looks like they believe somebody.at DCM told them a
> > > > > > > CAMA permit is not needed, but it doesn't look so to me. The entire
1 of 2 5/10/00 2:24 P1V
e 4
00055
DEM ID. CORPS ACTION r_D: 401 ONO
NATIONWID 7TTT REQUESTED (PROVIDE NATIONWIDE PERMIT r
P ER pY, S TRUC T I ON NOTIFICATION AP P L I CATION
FOR NATIONWIDE PERMITS THAT R7Q =pZ: PAYMENT
1) NOTIFICATION TO TH? CORPS OF E:TG=VEERS RECEIVED
2) APPLICATION FOR SECTION 401 C R_IFICA_ION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGF-MENT
SEND TF_` ORIGINAL AND (1) COPY OF THIS COMPrL TED FORM TO T=- APPROPRZA=
FIELD OFFICE OF TM CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SF77T). SEWN
(7) COPIES SHOULD BE SENT TO THE N.C DIVISION O ..
(SEE AGENCY ADDRESSES C ENV'RCNNIENTA1, ua?vAGEN1ENT
SHE-ET). _ or ..,c.aSZ _ RI?I _
1. OWNERS NAME: 2 . .MAII, NG ADDRESS :

SUBDI7-S11"0N .NAM, 7-: -8 hob r5 ,&A
CITY: @1?4 STATC.;
?A. G. Z=? CODE: „27.7 ;5- .
PRCjEC_ LCCA_=0N ADDRESS, INCLUDING
`'tnAA-_LIZNG A,DDR-SS ABOVE) .
3. TELEPHONE NUMBER (HOME) 17- ?I30 /(n{9 (WORK) .
4 I" 3P°L=CALBLZ: AGENT'S NAME OR RESPONSIBLE CCRPORAT
PHONE NUMBc.R: E OF==C=?s,, ADDRESS,
D°iTSTCN NAM (- DT CREN"_' FROM
0
5. LOCATION OF WORK (PROVIDE A Mil
p, PREFERABLY A COP" 0: USGS TOPCGPI-P?IC
MAP OR AERIAL PHOTOGRAPHY W ; TH SC-
COUNTY . - 7-xi?/tP/ca a :.mac) NE: R7-,T TOWN OR CT'_"'/ .
f
1
N
SP-CI_TC LOCATIO (INCLUDE ROAD
NUMBERS, LANDMARKS, ETC.); 2&9f 0 Al
/v -RAI x EFT od
iil£RA_ir m. Lr
X H6 D ES D. /'?/A
?aR /• ?p IyJ I ?? . ? Jai T"aN ?NaACS
?Fwo ee Tf} /Chi.
?oNTin/rJE
CAern r,? JO_ .,. . I _.. o_ _ _ e
6 IMPACTED OR NEAREST STREAM/RIVER:
RIVER BASIN:
7z• 1S PRC?J'ECT LOCATED NEAP WATER CLA3S7D AS TROUT, T_D?_ S?_,T'NA^=R
(SA) , HIGH QUALITY WATERS. (FQW) , OUTST?.ND=NG RESOURCE WA'=-RS (CRW) WATER
SUPPLY (WS-I OR WS-I=)? YES ( ] NO z
( ] _ YES, EXPLAIN:
to
7b. IS TEE PROJECT LOCATED W_TH_N A NORTH C??CLINA D=J_ST"ON OF COASTAL
y MANAGEMENT ?R:.? OF ENV1RONMEN,.!LL CONCERN (AEC) ? YES NC ( )
7C. _e TEE PROvECT IS LOCATED WITHIN A .OAST? COUNTY LIST OF COASTlL COUN^_'-.:S) W"6 T =S T::E L?V PL (SEE -PAGE E 7 FOR
D USE L?V (!U--) DES;-ON?
1
8a. fiAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON
THIS PROPER_Y? YES
PREVIOUS A ADNo I? YES, PROVIDE ACTION I.D. NUMBER OF
PERM_ AND Ps ADDITIONAL rNFORM.? :ON (INCLUDE PHOTOCOPY OF 401
C-RTIFICATION) .
JTTJRE y AD-T-ON??, PERM^=_' REQUESTS EXPECTED _CR THI-S PROPERTY -N THE
-- ( l NO ? I_ vES, DESCRIBE ANTICI-A^`E?
L 'NCRK

9a. ESTI`f:TEO
r TOT??, NUMBER. OF ACRES _N TRACT
OF
LAND.
31.1
9b . ES'T IMF TED TO`"AL
1 NUMBER 0
F
ACRES
OF
WETLANDS 10
x
LOCATED ON _ _."SITE
R
2
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Copyright ap ec Inc.
10a. NUMBER OF ACRES OF WETLANDS iMPACTED BY THE PROPOSED PROJECT BY:
FILLING'.
:XC J=.TION:
HOODING:
DRAINAGE:

TCT L ACRES TO BE IX-PACTIED
----------------&.a - 7.D, (1) STREAM CHANNEL TO BE _iMPACTED BY THE, PROPOSED PR m
(rr
RO(T_DE DIST_MC BOTI? BEFORE A_iVD Al=.R RELOCATION) ;
LENGTH BEFORE: AFTER:
'T
°+v=DTH 3EFORE (bases' on normal (z= gn wa-er C,ntou_s) .
WIDTH AFTER:
:m
AV'ERp,Ge. DEP'"H 3 E z'O RE . FT
A m
(2) STR??m CH?vNFL I?roaC *S ri,- - m - -
??,JUL_ :RCM. (C- ECK P_:.u, ??-a_ APor,v)
OPEN CH 2MS EL R-TOC?T=ON.
PTAC LMENT OF ?_?E IN C MNE-1-
C ?1VNE , r+:{Cr_'iA^_'_CN. CCNS:RC7CT.ON OF A LOODING:
OTHER: 4, f
Tc = CONSTRUCTION OF A,POND IS PROPOSED, W?ikT IS THE SIZE OF THE
WATERSHED DRP?:NING TO THE POND?
WIL;.T IS THE EXPECTED POND SURFACS ? ?
12 DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF
MECH?1'TICAL EQU=oMENT T^ BE US
ONLY) ED (- _TAC: P 1?IS 8 l /2n X 1r
DR?Fi=Vr

% fG1fJ?' feOr7 S/?oeG,.li?'? US'ir?y
_,?i.?T?i? ' T/?Sor.C f./r.G.? iee dSed
13. PURPOSE OF
PROPOSED W '
ORK:/¢
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-:ZO -
a

ld STATE' REASONS WHY IT IS BELIEVED THAT T a
OUT IN WETLANDS (INCLUDE ANY MEASURES TAKEN t;;S CTTVIrY MUS'" 3E CARRIEL
IMPACTS) . ?h rrl,? 'l : TO `?=??=?!IZE WET Nn-

YOU'PRE REQUIRED TO CONTACT TH.
liSt.Tn?S) ?SID/OR ,NATT_ONP , M.?RINE -1 L' . S . FISH aND N=LDLI= ^SER i iCF
F_SHER_ES SERV_CC (LAMES) (SET AGENCY
ADDRESSES S'r'EETREGARDING TH PRESENCE OF ANY FEDERALLY LISTED
PROPOSED FOR J OR
LSTING ENDANGERED OR T:i _
RrA_"'EN ED SPEC-7-ES OR CR_'? 7=LT, ;tz -
.32 A
IN THE PERMIT p?EA THAT M_BE_AFFECTED BY THE PROPOSED PROJECT. DATE
CONT A C T ED :
FROM THESE AGENCIES.) (ATTACH RESPONSES
YOU ARE G 3--?r+??-GONT CT THE STATE EiISTORIC _Dq SRy,3;,Y?npt?flF•z• ;r ?'.
(SEE AGZNi C
-REGARDIV _ A ° _Ss S_Sr. ET G I CER
PROPERT__S.• r o -DDRP ) THE PRESENCE, OF HISTORIC _ `- - r-
PgO'cCT. fir'mS " RE A_ WHICH MAY BE AFFECTED BY Tv `PROPCS%n -
DP__c CONTACTED:
c:_
DOES THE PRCJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR USE OF
aL1C (S'T'ATE) LAND?
Y"S (I NO (I (IF NO, GO TO 18)
a• IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRCNMENTA_,
DOCUMENT PURSUANT TO THE REQU_REMENTS OF THE NORTT: C?ROLINA EV?iIRONt?E:i'_I
POLICY ACT?
YES [ I NO r l
b 17 `-' ES, HAS THE DOCUMENT BEEN REV7EWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES H NO [ 1
TF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE
STATE CLEA.RINGiiOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REG;kRDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL PGL•_TCY ACT
QUESTIONS REGARDING THE STATE CLEAR-NGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONE-S T
NORTH CAROLINA 27603-8003, TELEPHONE S"_'.'RE vim RA-?EIG'.,
ONE [phone].
4
18• THZ FOLLOWING ITEMS SHOULD BE INCLUDED W_ H THIS APPLICATION
INTO WEDC J _ _TNVOLV- ^' DISCL?RGE OF EXC VATS; OR FII,;, ?rnTyFr-
DS: - __L
-IA
a. WETLAND DELINEATION MAP SHOWING A7.T WLiJANDS, SIREP?S LAX,`
AND PONDS ON "-E PROPERTY (FOR NATIONWIDE PrR.M_T NT a
.8
c9; AND 38) ALL STREAMS (INTER?ITTENT AND?Pr_ M? T) -T
DUST BE SHOWN ON THE MAP. _AP SCALES SHOULD ,NyN' ON PROPERTY
BE L INCH EQUA.I,S 50
OR 1
INC" QUA.LS 100 FEET OR THEIR EQUIVALENT.
i- AVAILABLE REPRESENTATIVE PHOTOGRAPH F W
iM __PACTED BY P 0 ETLAN D S TO 3F
.
ROjECT.
6• 77 DELINEATION WAS PERFORMED BY A CONSULTANT,
SHEETS RELEVANT TO THE PLACEMENT -NCLUDE ALL DP_TA_
OF THE DELINF-?T70N i,.INE.
(. ATTACH P_ COPY OF THE STORMWATER ?LANAGEMF,NT PLAN -77 r
e. W - m =S LAND USE OF SURROUNDING ?ROPER_, - R`QU'R"D'
PROPERTY,
f 1= AP PL1 Cc•LL WiP_T P_ T
IS PROPOSED ME?HCD OF SEWAGE DISPOSAL?
9• SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NO 'c WETLANDS OR WA-
RS OF m?f:_ U.S- MAY NOT BE 1-MPACTED PRIOR TO:
?) T_SSUANCE OF A SECTION 404 CORDS OF ENGINEERS PERr(IT
2) EITHER THE ISSUANCE OR WA.IVrR OF A 401 DIVISION OF
ENV IRON"C'NTAL MANAGZILENT (WATER QBALI TY) ^ ^' _ m-
3) (IN TT-7 C:.R?_CA?lON, AIv'D
V-t
Tr_'2' y COASTM1, COUNT=-S ONLY) , A LETTER FROM THE
NORTH CAROLINA DIVISION OF COASTAL MANAGEZ?ENT STATING THE PROPOSED
ACTIVITY IS CONS I S TENT WITH THE NORTH CAROLINA COASTAL
PROGRAM MpI•IAGL,MEN'T
.
).z 17
11 A_UTHOR_ZI_TION LE'_'TER FROM
THE OWNER i?Z PROVIDED (18g.))
5
Re: cama project?
Subject: Re: cama project?
Date: Mon, 01 May 2000 15:58:30 -0400
From: Doug Huggett <[e-mail]>
Organization: NC DENR DCM
To: Cyndi Bell <[e-mail]>
I talked with Steve Trowell, and he is very familiar with the site. He says it is not
in an AEC (something about being in a manmade pond or canal that was never connected
to the sound). Therefore, we have no jurisdiction. Its all yours, girl.
Cyndi Bell wrote:
> I'll be out anyway until Tuesday May 2, so take your time. We have plenty of time
> on the clock - we just got this app.
> Doug Huggett wrote:
> > can I get back to you on monday. I think a CAMA permit will be required, but I
> > want to talk to Steve Trowell before I say for IW100 sure, and I cant get up with
> > him today, and I will be out tommorow.
> > Doug
> > Cyndi Bell wrote:
> > > I just faxed it. Take note that they're proposing 4110 acre of wetland fill
> > > on a 3110 acre property, and.you get a hint of the quality of.the application.
> > > Doug Huggett wrote:
> > > > can you fax me a site map? It sure sounds like we should at least have
> > > > public trust jurisdiction in that area.
> > > > Thanks for thinking of us.
> > > > Doug
> > > > Cyndi Bell wrote:
> > > > > Doug, we have a PCN application for a 185-foot long bulkhead on the
> > > > > Albemarle Sound (SB water at this location) from Jimmy and Lucille
> > > > > Sutton in Columbia, Tyrrell County. Their mailing address is PO Box
> > > > > 6145 Newport News, VA, 23606. They want to place the bulkhead four feet
> > > > > from the shoreline then backfill it. They haven't bothered to reveal
> > > > > whether or not any wetlands are on this shoreline.
> > > > > My question for you is, shouldn't this be a CAMA permit? There's a
> > > > > hand-scrawled note on the side of #7 (is this in a CAMA County) that
> > > > > reads Steve Trowle, DCM, 946-6481. I've had no luck getting through on
> > > > > this number. It looks like they believe somebody at DCM told them a
> > > > > CAMA permit is not needed, but it doesn't look so to me. The entire
> > > > > application is so badly prepared that I wanted to check with you.
1 of 1 5/2/00 3:03 PM
Dep ar1ment of Environment
and Natural Resources
Division of Water Quality
James S. Hunt, Jr., Governor 4 0?'`???
Bill Holman, Secretary
Karr T. Stevens, Director
i
D E
`3 -X61
Division of Water Quality
Environmentcl Sciences Srcnch & Wetlands/401 Unit
Location: 44101 Reedy Creek Road
Raleigh, N.C. 27607
Mailing Address: 1621 iMc:ii Service Center
Raleigh, N.C. 27699
FAX: (919) 7 33= 959
FROM:
PHONE:
NO. OF PAGES INCLUDING THIS SHE=D:
If you receive this fax by ;nis?cke oral: EE SEE ((;' 9) 733_9060 or Weticnds [phone].
Eft
N R

401 IGVL

"
000562
DEM. ID: CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT R) : 13
1
g22
PRE- iogAYlA!0N NOTIF C.A-TTON
AppLI
CA-m_TON
4 WETLANDS U ._ .
FOR NAi
l
lOl
-. 43.TS T _T -RE _ .: PAYMENT
1) NOTIFICATION TO TH; CORPS OF ENGINEERS RECEIVED
2) APPLICATION FOR SECTION 401 CRTI:ICATION
3) COORDINATION WITH THE NC DT_VT_SION OF COASTAL, MANaGZ-l-lENT
SEND TFW ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO Tll-z ABPROPR=ATr
FIELD OFFICE OF TF-' CORPS OF ENGINEERS (SEE, AGENCY ADD RESSLS SF-. -,r)
SEWN
(7) COPIES SHOULD BE SENT TO THE N.C. DI V =SIGN OF ENVI .
RCNMENT-2 ,LMANAGE-M NT
(SEE AGENCY ADDRESSES SHEET). P? ZA ;Z PRINT
1. OWNERS NPME: 'S& T
J`
.
i
2 . .ljA7L_NG ADDRESS:
D? -s2L / A.
nZ3?
S U B D -7I S I C N NML E: JSIOD F'? , ,?4'? ??
C-' TI:
sTT?.C.
ccDE:
?RC.icCT LCC3T_ON ADDRESS, -NCI,UDyNG SURD='i.S=CN N ??E -
`?nF.LIVG ADDR=SS _BOVE) • ?1V?l t 1 A lo?j '? , (-_ -CREN:m _ROI?
3- TELEPHONE NUMBER (HCME) : 17?' b- 6I9
- (WORK)
4. I APPLICABLE: AGENT'S NAME OR RESPONS=BLE CCRPOR?_TE OF_-C_ L, IDDRESS,
PHONE NUMBER:
P
5. LOCATION OF WORK (PRCVIDE A MAP, PREFERABLY A COPY OF USG-, TOPCGP.=PHIC
MAP OR AERIAL, PHCTOGRAPLY WN TH SCA-t,c )
COUNTY :L L,-L. NF: RE-,T TOWN OR CITY ,
.
1

SP-CIFIC LOCATION (INCLUDE ROAD
?tt9 -
-rAl
NUMBERS, LANDMARKS , ETC.)
x4cr Ohl
((e L
??// 65 Q J o
?,y
RtC 117-,dA1 RHaDCS
?/'??/ ,/?
,&1 j_e /Y -DP, /F'' 7 ??1?/1l? O /'dI Tr+ ti .?.. ?s w _ ..,?? _? -1.,. _ /1
C0NTiNV,E- 0/1I aAA ?,=i RD -2'1y eedoll ?voDi=?i? A?? 71-1 D•
eSCI N .??= - /reed
6. IMPACTED OR NEAREST STREAM/RIVER: ?,?,'F?ApI'l-• ?d /??n
RIVER BASIN:
7a. IS PROJECT LOCATED NEAR WATER CLASS=,T- 1) AS TROUT T DA "- R
(SA) F:_Gi: r m
QUALITY WATERS, (hQW) , OUTSTANDING R--SOURCE
SUPPLY (WS-I OR WS-_= WA"=RS (CRW) WATER
) ? YES ( ] NO ( ] IF YES, EX2LA_N:
No
7b. IS TFi DRC'cCT LOCATED WITHIN A NCRTH CARCL_NA DIJ_SION OF COASTAL
M_?NAGEMENT ?SEA OF ENVIRONMENTAL CONCERN (]EC)? "=S ( ] NC [ ]
-
7c- I^ THE PROJECT IS LOCATED WIT-I A c* ..,
rrA,. Ny _yVC?A. -?_L COUNTY (SEE =AGE 7 FOR
(N LIST OF COASTPr, C.^UN"_'=ES) +v'
_ IS .6 D JSE PL?N (LUP) DES'GNrT=GN?
/A-
1 -8a• HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON
n .S PROPERTY? YES NO _ vES, PROVIDE ACTION I
Ra?OUS po T p ? [ ] r : . D . NUI?3ER OF
RM__ ND ANY ADDITIONAL INLORM.?T=ON (INCLUDE PHOTCCOPY OF 401
CERTIFICATION)
.
8b. sZ?E -T r? pE-p
FUTTJR= YJD ON T ;.??M_" REQUES_"S E<<PEC"ED VCR '?vIS PROPER "_"Y IV .?^
=- [ ] NO l+'7 I_ YEc,
DESCR=BE ;L\jTICIPAT-E y
" iJ WORK:
5a. :.STI?? :TED TOTAL NUMBER OF ACRES =N TRACT OV L??VD
9b . ??!aT+ED
EST'- L
TOTAL
NUMBER
OF
ACRES
OV
WET!-ANDS
LOCAT7-D ON PRojECT

t
2
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Target 7
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?ti. ? (ACS .., ?? ,(?( ? • • \? ? ,.?
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V 14
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Copyright ap ec nc.
10a . NUMBER OF ACRES OF WETL;INDS IMP-1CTED BY THE PROPOSED PROJEC T' BY:
FILLING' 2?TX ?8 FT 7XCAV?.T _l ON .
FLOODING:
DRA_NAGE : TCT Ai. AC. `
R:..S TO BE I.'%LDACTcD;
n\? (1) STREAM CHANNEL TO BE iMP ACTED BY THE PROPOSED P. m
iLaTED, PROV DE DISTANCE BOTH BEFORE AjVD :TrR r ROJEC: (==
A. _,. R LOCATION)
LENGTH BEFORE: Zm AFTER:
T
WIDTH BEFORE ('oaseo' on normal high warar con-ou_s) . -
SviDTH AFTER : -
rm
AVM. GE DEPTH BEFORE: ER: ;m
(2) STRQ-M CH??TNrL ruPaCTs .w.J RrSi3IT FRCM (C-HECK - THlT APPLY)
OPEEN C =-;NNE , Rte' ^C?
..:., --"'-ON: P-AC MENT OF PI?E IN C:-:1Va '
NE:,
C ??TNEL EXCA Va _ _CN . CC
NSTRL'CT_CN OF A Dr??/:FOOD=NG:
OTHER :
- y f
Tr:., CONSTRUC__CN OF A ?PCND IS PROPOSED, WHAT IS THE SIZE OF THE
A :..RSHED DRP._V_NG TO THE POND?
WHAT IS THE EXPECTED POND SURFACE _aRE??
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF
MECH V_c'u, EQU-pwrNT m.,
ONLY) BE USED ?""C: PI,AVS. g 1/2" X " DR?W=VGO
?w>?
.?D/? > iA /0i?X•
Fi1.l ?i.?T /?i? T/?Sor.C 1,1,,a iee dseV

13. PURPOSE OF PROPOSED WORK:
/?`
3
oQ ? ?

CA C (A
Cl-
c,1

n 3
Z..
:r^ ry,.r Y?rtA
At.
?? ? tit- c Q- In ? ?
C p? '?`'• nut 2 ?. 1 U
Vx P Q m ?;'
o?
04
0
dfi
O
?1-
4
j ?
14 • . STATi REASONS WHY IT IS BELIEVED THAT T-c;IS ,] T .
OUT IN WET-LANDS. _ l ?- :.UT_TY MUS,?, C?RRIEU
(INCLUDE ANY MEASURES TAKEN TO M_ -u-E- T.
T\.{DACms) V_ 7 WET_. ?l?
elm
G YOU'PRE REQUT_RED TO CONTACT
U FWS) AND/OR .NATIONP_%? MARINE THE U.S. FISH AND WILDLIFE SERVICE J
ESHER S ScRVIC? (NM--S) (SEE AGENCY
ADDRESSES SHEET) REGARDING THE PRESENCE OF ANY FEDERALLY LISTED OR ?
PROPOSED FOR LISTING -ENDANGERED OR THREATENZD SPEC_ES R ,T_
IN THE PERM=T AREA THAT I??°`BE-AFFECTED BY THE PROPOSED2ROj,CT.?D ?F=1Am
CONTACTED:
FROM THESE AGENCIES.) (ATTAC RESPONSES
-Ss ) YOU E n-???S ?ONZ" CT THE STATE HISTORIC DR..SER3..A;? pj F ICE
(S 'AGENCY CDR. .Sr S_Si??ET) RF,GARDING THE PR?cSL PRESENCE' O r
r
PROPF ER?'=ES.... __-EPERM=" M„ F HISTORIC
PROJECT. DATE C.,NTACTE AR- WHIG a BE A7r7C'T°D BY THE TRO20 En _
D. """
DOES T:iE PRCj7-CT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR
JB'L-C (STATE) LAND? ---? USE OF
YF.S (] NO [ ] (7-F NO, GO TO 18)
a. IF YES, DOES THE PROOECT REQUIRE PREPARATION NMENT L
OF AN ENVIRO
DCCL"1u VT PURSUANT TO THE REQU=RE`4ENTS OF THE NORTH CAROLINA LV'V=RCNMENT?%
POLICY ACT?
YES (] NO F]
b. 1= YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES H NO ( ]
IF ANSWER TO 17b IS YES, THEN SUBMIT_ APPROPRIATE DOCUMENTATION FROM THE
SATE CLEA.R_NGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINr ENV:RONMENTP?PGL•=CY ACT .
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD 3E
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLE-?.RINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 1166 WEST JONES STREET, Rt3?.EIG'.,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
4

18. THt FOLLOWING ITEMS SHOULD BE INCLUDED w_TH THIS AJDLTCA"'ION =-
INTO WETLAND.,. _ PROPOSED ACTIVITY r Dg THE DISCHARGE OF IXC VATED OR FILL MnTv-R-:-
:_
1. WETLAND DELINEATION MP SHOWING --=.t.: A'_
AND PONDS ON '^" WETLANDS, ST_ EP?1c LAKES
THE PROPERTY (FOR Nr_-ONW_ PE M R 18, ?`:,
29; AND 38) . A.LLSTREAMS (INTERMITTENT AND PERMANENT) ON TIE PROPERTY
MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE '_ INCH ZQUA.LS 50 F
INC i QUALS 100 FEET OR THEIR EQUIVALENT. OR '_
• IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLAND
IMPACTED BY PROJECT. S TO BE
6• IF DELINEATION WAS PERFORMED BY A CONSULTANT
SHEETS -ELEV. INCLUDE ALL DAT?
ANT TO THE Pr JACEMENT OF THE DELINEATION LINE.
?-
. ATTACH P_ COPY OF THE STORMWA_TER MANAGEMENT PLAN _ REQUIRED.
e WHAT IS LAND USE OF SURROUNDING PROPERTY?

P `'PRLICA-BLE, WHiZT IS PROPOSED METHCD OF SETNAGE DISPOSE`-_,?
q. SIGNED AND DATED 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,
;2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF
ENVIRONMENTAL MANAGZMEYT (WATER QUALITY) C:.R.:T_I F ICr.TION, AND
3) (IN Tr...c, TWEYTY COASTAL COUNTIES MY) , A LETTER FROM THE
NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROP OSED
ACTIVITY IS CONSISTENT WITH THE NORTH o_ p
CAROLINA COASTAL MANAGEMENT
PROGRAM.
DATE
5
r OTHOR_Zr^'TON LETTER FROM
THE OWNER IS PROVIDED (18g.))