20001314 Ver 1_COMPLETE FILE_20001013

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
1 • •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
October 19, 2000
Currituck County
DWQ Project # 001314
APPROVAL of 401 Water Quality Certification
Peggy OBrien
PO Box 310
Corolla, NC 27927
Dear Mr. OBrien:
You have our approval, in accordance with the attached conditions and those listed below, to fill 0.1 acres of
wetlands in Currituck County for the purpose of residential construction as you described in your application
received by the Division of Water Quality on October 13, 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.
Sincerely,
U Kerr T. Stevens
Attachment
cc: Corps of Engineers Washington Field Office
Washington DWQ Regional Office
File Copy
Central Files 001314
Division of Water Quality - Non-Discharge Branch
1621 Mail Service Center, Raleigh, NC 27699-1621 Telephone [phone] FAX # [phone]
An Equal Opportunity Affirmative Action Employer - 50% recycled/10% post consumer paper
http://h2o.enr.state.nc.us/wetlandc.htmi

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PAYMENT _.,.
RECEIVEp.:. a
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'.7... ?.
001314
DEM ID: CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #):
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. OWNERS NAME: UW-\e/n
2. MAILING ADDRESS: - Pn e-Rc>?
SUBDIVISION NAME: 1??Y1?\C?`?-mil
CITY: o foCALk STATE: NC ZIP CODE:
PROJECT LOCATION ADDRESS, INCLUDING S( BDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE) : akin
(
3. TELEPHONE NUMBER (HOME) : (WORK)
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,
ADDRESS, PHONE NUMBER: err,
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR
AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: NEAREST TOWN OR CITY: Co c? u1,.
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.) Narq4-1 q-xx<i
- 3 ?s ??-?, b Stu
6. IMPACTED OR NEAREST STREAM/RIVER: /V Or-Ne-
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 [I'] IF YES, EXPLAIN:
i
7b. IF THE PROJECT IS LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT
ARE OF ENVIRONMENTAL CONCERN (AEC)? YES [ ] NO [)6
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:
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY?
YES [ ] NO [1C.] IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY
ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 901 CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES [ ] NO [)C] IF YES, DESCRIBE ANTICIPATED WORK:
9A. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: Q ojooo SOj ?+ % o?- Aco e.
9B. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS"LOCATED ON PROJECT SITE:
10A. NUMBER OF ACRES OF WETLANN/D,,S,, IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: , (q3j 00e-EXCAVATION:
FLOODING: OTHER:
DRAINAGE: TOTAL ACRES TO BE IMPACTED:
10B. .(1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE
DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE:
FT AFTER: FT
WIDTH BEFORE (based on normal high water contours): FT
WIDTH AFTER: FT
AVERAGE DEPTH BEFORE: FT AFTER: FT
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL ELEVATION: CONSTRUCTION OF A DAM/FLOODING:
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAINING
TO THE POND?
WHAT IS THE EXPECTED POND SURFACE AREA?
CAj EQUIPMENT
12• DESCRIPTION PROPOSED WORK
ONLY)OF TYPE !OF ME ?A;? _
8'?" INCLUDING
DRAWINGS DISCUSSION
TO BE USED (ATTACH PLANS:
0a
ham -4-0 mov. e ari
4DOro? o ?r vY - 6,0 te
13. PURPOSE OF PROPOSED WORK: -F(- /o+ z?- ( l CCe.r? ij-d el
a 4--s 'be-.nnnY, )C t p
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
15. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE
AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE
PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: ??/n,cgO O c>
16. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC
(STATE) LAND? YES [ ] NO 4-1 (IF NO, GO TO 18)
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL DOCUMENT
PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT?
YES [ ] NO [ ]
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT
OF ADMINISTRATION STATE CLEARINGHOUSE? YES [ ] NO [ ]
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING COMPLIANCE WITH THE
NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE DIRECTED TO MS.
CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH CAROLINA DEPARTMENT OF
ADMINISTRATION, 1302 Marl Service Center, RALEIGH, NORTH CAROLINA 27699-1302,
TELEPHONE [phone].
17. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY
INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL 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 IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY? Qs-s kc U-r,A-Lo D
- I
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL? On k-)a_
g. SIGNED AND DATED BY AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT, AND
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL MANAGEMENT
(WATER QUALITY) CERTIFICATION.
\-? Dmol?4'
OWNER' EGT'S SIGNATURE
(AGENT NATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18G.))
V t0
DATA
SITE
ATLANTIC OCEAN
VICINITY MAP
(N.T.S.)
M. B' 3
?• 8? 1
i
30' BL
3
A2
61 A,7
WETLAND MAI
A f 1,ET sO.F'T
LEGEND.,
O EX. I. R.
O = SET 1. R.
0 FLAGGING
SETBACKS PER M. B. 3, PG. 67.
OTHERS MAY APPLY.
N
N
0 2
0
(D
ti
100-oo' r--? 100.00
COROLLA
3
30' BL
W
N
N
O
0
le

?Q-Q?R Tn
63
g
0
8
NOTE
SE E SHEET 2 FOR
WETLAND CALLS.
- S 130 57' 39° E 200:o0' loo:oo'
(601) DRIVE
n
f
Z
SURVEYED FOR
TOM ? PEGGY OIBRIEN
LOT 62, SECTION 4
y WHALEHEAD CLUB
W POPLAR BRANCH TOWNSHIP, CURRITUCK COUNTY, NORTH CAROLINA
I
o DATE APRIL 27, 1998 SCALE 1"= 30'
KIRK R. FOREMAN
°x FILE: 5235 - 80 - 25 DR. BY.: BOB
Q REF.: M. B. 31 PG. 67 LAND SURVEYING COMPANY
P.O. BOX 1961
EI.R.M.* 370078 0302 C (11/1/84) KILL DEVIL HILLS, NC 27948
-- ' * SHEET 1 OF 2 (9191 9A1 - 1991
I, HEREBY CERTIFY THAT THIS MAP WAS DRAWN UNDER MY SUPERVISION FROM AN ACTUAL
SURVEY MADE UNDER MY SUPERVISION. (RECORDED IN: M. B. 3, PG. 6T ,
OF THE CURRITUCK COUNTY REGISTRY.) THAT THE ERROR OF CLOSURE AS CALCULATED
BY LATITUDES AND DEPARTURES IS 1: 10,000 ; THAT BOUNDARIES NOT SURVEYED
ARE SHOWN AS BROKEN LINES PLOTTED FROM INFORMATION FOUND IN M. B. 3, PG. 67
WITNESS MY ORIGINAL, SIGNATURE, REGISTRATION NUMBER AND SEAL THIS 27TH.
DAY OF APRIL A.D, 19 98 REVISED, SEPTEMBER 30, 2000
E L - 2801++++IUlll?ii
REGISTRATION NUMBER (,A/?
0 •N
REGISTERED LAND SUR4YOFtf -% %
S Q s
SEAL •
L-2801 Q? _
O
COROLLA LIGHT SUED. =; p?o suR ::y'??'\
7r R. FOR
N 130 57' 39" W - 100.00 '
LOT 62 ?-
20,000 SO. FT.
FI.R.M. ZONE "C"
AV. GR. 9.0' M. S. L.
WETLAND LINE , GALLS
A-1 THR U A-9
A- I TO A-2 22.99' S 770 32' 05" W
A-2 TO A-3 17. 66' S 55 ° 25' 07" W
A-3 TO A-4 1 1.08' S 060 17'03!'E
A-4 TO A-5 11.65' N 470 11' 07" E
A-5 TO A-6 2 8.40' S 730 32'25" E
A -6 TO A -7 15.44' S 130 15'21"E
A-7 TO A-8 12. 29' N 860 40'54!'E
A-8 TO A-9 16. 90' N 340 48' 19"E
A-9 TO A-1 36.80' N 430 46' 56" W
1 THRU 16
I TO 2 14.01' . N 5 20 Id 33" E
2 TO 3 64.35' N 180O7' 21" W
3 TO 4 25.00' N 05055'00" E
4 TO 5 18.41' N 57034'28" W
5 TO 6 31.42' S 52057'03" W
6 TO 7 17.27' S 72033'14" W
7 TO 8 21.20' S 00 15' 56" W
8 TO 9 12.87' S 810 47'23" W
9 TO 10 20.55' N 14° 52'51" W
10 TO 11 7.99' S 73° 23' 04" W
11 TO 12 63.45' S 010 10'06" W
12 TO 13 18.00' N 30° 25'5 3" E
13 TO 14 18.91' N 610 59'18" E
14 TO 15 42.27' N 56° 35'49" E
15 TO 16 18.81' N 76° 24' 17" E
16 TO 1 64.52' S 09° 55'50" E

THIS CERTIFIES THAT THIS COPY OF THIS PLAT ACCURATELY DEPICTS THE BOUNDARY OF THE JURISDICTION OF
SECTION 404 OF THE CLEAN WATER ACT UNDER THE PRESENT LAW AND REGULATIONS AS DETERMINED BY THE
UNDERSIGNED ON THIS DATE. UNLESS THERE IS A CHANGE IN THE LAW OR OUR PUBLISHED REGULATIONS, THIS
DETERMINATION OF SECTION 404 JURISDICTION MAY BE RELIED UPON FOR A PERIOD NOT TO EXCEED FIVE (5)
YEARS FROM THIS DATE. THIS DETERMINATION WAS MADE UTILIZING THE 1987 CORPS OF ENGINEERS WETLANDS
DELINEATION MANUAL.

(TITLE)
(DATE)
WETLAND LINE CALL SHEET
LOT 62, SECTION 4
WHALEHEAD CLUB
DATE: OCTOBER 2, 2000 KIRK R. FOREMAN
FILE = 5235 - 80 - 25 LAND SURVEYING COMPANY
P.O. BOX 1961
KILL DEVIL HILLS, NC 27948
SHEET OF [phone]

PAYMENT (9 f p ' ?r
RECEIVED
sGFO, ::` OCT 1 ,3 2000
n IRAErrnr a$L„ Ga Q !Pf A
0 01314 DEM ID: CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #):
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. OWNERS NAME: 2. MAILING ADDRESS'
''^ ,^,'',, {
SUBDIVISION NAME: .V1 ?JJ "-8v-k"
CITY: Q STATE: _/q C ZIP CODE: -7
PROJECT LOCATION ADDRESS, INCLUDING SJ4BDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE) : th5-a l.?Jtc)ua Ax- wVY,t aid
col V ? Ac-
3. TELEPHONE NUMBER (HOME) : (WORK) A4S 3- ( 3
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,
ADDRESS, PHONE NUMBER: 6?-rx -r-, `iR e_Ae,?n 1uAc? rGt
??oX 3 ?0; Q o<oua "c A 5a - <,tS 3 - z 131
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR
AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: NEAREST TOWN OR CITY: -0-o 'co U'?x
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.) NQ-y1
- 3 4-s b Stu S ?,? ?-
®?
6. IMPACTED OR NEAREST STREAM/RIVER: O?1 E'
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 [I'] IF YES, EXPLAIN:

7b. IF THE PROJECT IS LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT
ARE OF ENVIRONMENTAL CONCERN (AEC)? YES [ ] NO [)6
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:
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY?
YES [ J NO [1C] IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY
ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES [ ] NO [)C.] IF YES, DESCRIBE ANTICIPATED WORK:
9A. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: Q 61000 §c, T . f s- ale oS- Ar-p e
9B. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS'LOCATED ON PROJECT SITE: ?O S o?
10A. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: , 0q-2`00--'" ACAXEXCAVAT
FLOODING: OTHER:
DRAINAGE: TOTAL ACRES TO BE IMPACTED:
10B. .(1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE
DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: FT AFTER: FT
WIDTH BEFORE (based on normal high water contours): FT
WIDTH AFTER: FT
AVERAGE DEPTH BEFORE: FT AFTER:
FT
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL ELEVATION: CONSTRUCTION.OF A DAM/FLOODING:
OTHER:
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAINING
TO THE POND?
WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE O6`FMECHANICAL ` EQUIPMENT
TO BE USED (ATTACH PLANS: 84" x 11" DRAWINGS ONLY): ea K3 -+`cl'
4
13. PURPOSE OF PROPOSED WORK: -Fc-l l /OT ? IA9e- C-CL4-\ bt L I A
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS):
15. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE
AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE
PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: C I' In. aooc>
16. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC
(STATE) LAND? YES [ J NO [i.) (IF NO, GO TO 18)
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL DOCUMENT
PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT?
YES [ ] NO [
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT
OF ADMINISTRATION STATE CLEARINGHOUSE? YES [ ] NO [ )
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE TO DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING COMPLIANCE WITH THE
NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE DIRECTED TO MS.
CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH CAROLINA DEPARTMENT OF
ADMINISTRATION, 1302 Marl Service Center, RALEIGH, NORTH CAROLINA 27699-1302,
TELEPHONE [phone].
17. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY
INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL 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 IF REQUIRED..
e. WHAT IS LAND USE OF SURROUNDING PROPERTY? Us-.? k?n-V-Lo
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?

g. SIGNED AND DATED BY AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT, AND
2) EITHER THE ISSUANCE OR WAIVER OF A 401 DIVISION OF ENVIRONMENTAL MANAGEMENT
(WATER QUALITY) CERTIFICATION.
OWNER' E T'S SIGNATURE
(AGENT S GNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18G.))
V ,0 100
DATA
SITE
ATLANTIC OCEAN
VICINITY MAP
(N.T.S.)
M. 8. 3
?• 8T
I N
., I. O
0
le
20,000 SO. FT.
FI.R.M. ZONE "C" '
AV. GR. 9.0' M.S. L.
30' BL Ilw
N
I 12 ( z
3
I
61 I
A7 8
7
WETLAND 'Al
A (1,2I9s0.FT.
6
A9
LEGEND, I
0 EX. I. R.
O
, SET I. R. N
3 8
° FLAGGING O
0 2 ( 4 0
I N
SETBACKS PER M. B. 3, PG. 67. rn 30' BL
OTHERS MAY APPLY.
too.Od 100.00
COROLLA
prQe-/} Tc?
63
NOTE
SEE SHEET 2 FOR
WETLAND CALLS,
+-S 130 57" 39" E 200.00' 100.00, ?-
(601) DRIVE

?I
Z
SURVEYED FOR
TOM e P EGGY OI BR I EN
LOT 62, SECTION 4
WHALEHEAD CLUB
POPLAR BRANCH TOWNSHIP, CURRITUCK COUNTY, NORTH CAROLINA
0
0
m
N
z
W
W
0
z
DATE: APRIL 27, 1998 SCALE I"_ 30'
FILE: 5235 - 80 - 25 DR. BY.: 808
REF.: M. B. 3, PG. 67
FI.R.M.# 370078 0302 C (11/1/84)
`I # SHEET I OF 2
I, HEREBY CERTIFY THAT THIS MAP WAS DRAWN UNDER MY SUPERVISION FROM AN ACTUAL
SURVEY MADE UNDER MY SUPERVISION. (RECORDED IN M. B. 3, PG. 67 ,
OF THE CURRITUCK COUNTY REGISTRY.) THAT THE ERROR OF CLOSURE AS CALCULATED
BY LATITUDES AND DEPARTURES IS 1* 10,000 ; THAT BOUNDARIES NOT SURVEYED
ARE SHOWN AS BROKEN LINES PLOTTED FROM INFORMATION FOUND IN M. B. 3, PG. 67
WITNESS MY ORIGINAL, SIGNATURE, REGISTRATION WMBER AND SEAL THIS 27TH.
DAY OF APRIL A.Q, 19 98 . REVISED, SEPTEMBER 30. 2000
L- 2801 ?,,Ilnnrrrr
REGISTRATION NUMBER ???????g\A Cl?l?
REGISTERED LAND SUR\ofYO?Q? O?9`t
SEAL -
;y L-2801
COROLLA LIGHT SUBD. ?•?o
F
N 130 57' 39" Wt-- 100.00 ``
LOT 62 ?-
A2 0
KIRK R. FOREMAN
LAND SURVEYING COMPANY
P.O. BOX 1961
KILL DEVIL HILLS, NC 27948
[phone]

WETLAND LINE GALLS
A-1 THR U A-9
A-1 TO A-2 22.99' S 770 32' 05" W
A-2 TO A-3 17. 66' S 55 ° 25' 07" W
A-3 TO A-4 1 1.08' S 060 17'03!'E
A-4 TO A-5 11.65' N 470 11' 07" E
A-5 TO A-6 2 8.40' S 730 32' 25" E
A -6 TO A -7 15.44' S 130 15'21"E
A-7 TO A-8 12. 29' N 86° 40' 54"E
A-8 TO A-9 16. 90' N 340 48' 19"E
A-9 TO A-1 36.80' N 430 46' 56" W
I THRU 16
TO 2 14. 01' N 520 18' 33" E
2 TO 3 64. 35' N 18007' 21" W
3 TO 4 25.00' N 05055'00" E
4 TO 5 18.41' N 57034'28" W
5 TO 6 31.42' S 52057-03" W
6 TO 7 17.27' S T2033'14" W
7 TO 8 21.20' S 00 15' 56" W
8 TO 9 12.87' S 81 ° 47'23" W
9 TO 10 20.55' N 14° 52'51" W
10 TO 11 7.99' S 73° 23' 04" W
11 TO 12 63.45' S 010 10'06" W
12 TO 13 18.00' N 30° 25' 53" E
13 TO 14 18.91' N 610 59'18" E
14 TO 15 42.27' N 56° 35'49" E
15 TO 16 18.81' N 76° 24' 17" E
16 TO 1 64.52' S 09055'50"E

THIS CERTIFIES THAT THIS COPY OF THIS PLAT ACCURATELY DEPICTS THE BOUNDARY OF THE JURISDICTION OF
SECTION 404 OF THE CLEAN WATER ACT UNDER THE PRESENT LAW AND REGULATIONS AS DETERMINED BY THE
UNDERSIGNED ON THIS DATE. UNLESS THERE IS A CHANGE IN THE LAW OR OUR PUBLISHED REGULATIONS, THIS
DETERMINATION OF SECTION 404 JURISDICTION MAY BE RELIED UPON FOR A PERIOD NOT TO EXCEED FIVE (5)
YEARS FROM THIS DATE. THIS DETERMINATION WAS MADE UTILIZING THE 1987 CORPS OF ENGINEERS WETLANDS
DELINEATION MANUAL.

(TITLE)
(DATE)
WETLAND LINE CALL SHEET
LOT 62, SECTION 4
WHALEHEAD CLUB
DATE : OCTOBER 2, 2000 KIRK R. FOREMAN
FILE = 5235 - 80 - 25 LAND SURVEYING COMPANY
P.O. BOX 1961
KILL DEVIL HILLS, NC 27948
SHEET _ _L_OF_2 [phone]