20001568 Ver 1_COMPLETE FILE_20001220

North Carolina
Department of Environment and Natural Resources • 0
Division of Coastal Management
Michael F. Easley, Governor NCDENR
William G. Ross Jr., Secretary
Donna D. Moffitt, Director
Mr. Charles B. Mosley lllO?
P. O. Box 15
Frisco, NC 27936 January 22, 2001
DEM ID Number 001568
Permit Application for activity in
Buxton, Dare County
Dear Mr. Mosely:
The North Carolina Division of Coastal Management has reviewed your
application for a Nationwide Permit pursuant to Section 307 of the Coastal Zone
Management Act of 1972, as amended. Based upon our review, we have
determined that the proposed activity is consistent with the North Carolina
Coastal Management Program subject to the following conditions:
The activity described in the above referenced application is for the
issuance of an U. S. Army Corps of Engineers Nationwide Permit
Number 18 under 33 CFR. Part 330. Any modification of your
proposed activity, or change in the Nationwide Permit Number that
you are seeking, will require an additional review for consistency
by this office.
2. Since the activity that you propose involves impacts to waters
and/or wetlands, a 401 Water Quality Certification must be
obtained from the North Carolina Division of Water Quality that
our records indicate you have already received.
Please understand that this letter does not relieve you of the responsibility to
ensure that all other applicable State authorizations and/or permits are met prior to
the implementation of this project. Please feel free to contact me at (252) 264-
3901 if you have any questions or need filrther assistance
Sincerely
ed S on
District Manager
Division of Coastal Management
Elizabeth City District \ 1367 U.S. 17 South, Elizabeth City, North Carolina 27909
Phone: [phone] \ FAX: [phone] \ Internet: http://dem2.enr.state.nc.us
AN EQUAL OPPORTUNITY \ AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED / 10% POST CONSUMER PAPER
Mr. Charles B. Mosley
DEM ID Number 001568
Permit Application for activity in
Buxton, Dare County
January 22, 2001
Page 2
cc: Raleigh Bland, Tom Walker, USACOE, Washington, NC
Dennis W. Hawthorn, Charles Jones, DCM
Caroline Bellis, Consistency Coordinator, DCM
John Dorney, Water Quality Section, Raleigh, DWQ
Tom Corpening, P. O. Box 831, Avon, NC 27915
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 09MMAA, •
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
December 27, 2000
Dare County
DWQ Project # 001568
APPROVAL of 401 Water Quality Certification
Ben Mosely
PO Box 15
Frisco, NC 27936
Dear Mr. Mosely:
You have our approval, in accordance with the attached conditions and those listed below, to fill 0.10 acres of
wetlands in Dare County for the purpose of residential construction, as you described in your application received by
the Division of Water Quality on December 20, 2000. After reviewing your application, we have decided that this
fill is covered by General Water Quality Certification Number 3287. This certification allows you to use Nationwide
Permit Number 39 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. Please note that
it may be necessary to obtain a Coastal Stormwater Permit for this project.
This approval is only valid for the purpose and desi-n 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 el l
rr even
Attachment
cc: Corps of Engineers Washington Field Office
Washington DWQ Regional Office
Charles Thomas Corpening, PO Box 831, Avon, NC 27915
File Copy
Central Files
001568
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
AGENT AUTHORIZATION FORM
FOR
CORPS OF ENGINEERS PERMIT APPLICATION
01568
I,d4" /5• __the undersigned authorize Charles T. Corpening
to act as my agent to obtain a permit for work as described in the attached application &
plans.
Sincerely,
Date ?2.Uaa
i,-i+r+
PA YMENT
RECEIVED
00150
DEM ID: CORPS ACTION 11)
NATIONWIDE PERMIT REQUESTED (PROVIDF NATTIONWIDF PFRMI'T )t)
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMITSTHA'T REOIUIRF
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 TH THE APPROPRIATE
FIELD OFFOCE OF THE CORPS OF ENGINFFRS (SEE AGENCY ADDRESSES SHE FT.) SEVEN
(7) COPIES SHOULD BF SFNT TOTHF N C DIVISION OF FNVIRONMFN'TAI, MANAGFMFNT
(SEE AGENCY ADDRESSFS SHFF'T) PLEASE PRINT
1. OWNERS NAME Ben Mosely
2. MAILING ADDRESS P.O. Box 15
SUBDIVISION NAME
CITY:, _Frisco___ _ ST'ATF_. N.C. 71P CODF: 27936
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE): Lot 55 Hatteras Pines Pin N 02 05.36 09 27 0472
3. TELEPHONE NUMBER (HOME) 252-986-2272 (WORD) 252-995-2065
4. IF APPLICABLE: AGENT'S NAMF OR RFSPONSIBLF CORPORATE OFFICAL, ADDRESS,
PHONE NUMBER Charles Thomas Corpening P.O. Box 831 Avon N.C. 27915
Phone number [phone]
5. LOCATION OF WORK(PROVIDE A MAP, PREFERABLYA COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY: Dare NEAREST TOWN OR CITY' Buxton
1 l5 r I1?+? 1 j .1
SPFCIFI(' LO('A'T'ION (INCLUDE ROAD
NUMBERS, LANDMARKS, ETC) See location sketch on fill plan
6. IMPACTEDOR NEARES'T' STREAM/ RIVER: Pamlicosound
RIVER BASIN:
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SAI,TWAT'ER (SA),
HIGH QUALITY WATERS (HOW), OUTSTANDING RESOURCE WATERS (ORW), WATER
SUPPLY(WS-I OR WS-II)? YES( ) NO ( X ) IF YES, FXPI.AIN
7b. IS THE PROJECT LOCA'T'ED WI'T'HIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)'.1 YES ( ) NO ( X )
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT ISTHE LAND USE PLAN (LI)P) DESIGNATION"
Conservation
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES ( ) NO ( X ) 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 (x) IF YES, DECRIBF. ANTICIPATED WORK
9a. ESTIMATEDTOTAL NUMBER OF ACRES IN TRACT' OF LAND: 1.69
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
.78
2
IOa. NUMBER OF ACRES OF WE'T'LANDS IMPA(--FFD BY THE PROP()SFD PROJECT BY:
FILLING: 0. I FNCAVATION N/A
FLOODING: N/A O `FHFR: N/A
DRAINAGE: N/A TOTAL ACRES TO BE IMPAC'TFD 0.1
10b. (1) STREAM CHANNEL TO BE IMPAC'T'ED BY TLTF. PROPOSED PROJEC'T' (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION)
LENGTH BEFORE: FT AFTER: FT
WIDTH BEFORE (based on normal high water comours) FT
WIDTH AFTER: FT
AVERAGE DEPTH BEFORE FT AF'T'FR: Fl'
(2) STREAM CHANNEL IMPA("I' WILL RESULT FROM: (CHECK ALL. THAT APPY)
OPEN CHANNEL RELOCATION PLAC'FMFN'T OF PIPE IN C'HANNFL.
CHANNEL EXCAVATION 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. OF MECHANICAL.
EQUIPMENT TO BE USED (ATTACH PLANS: ft '4" X I I" DRAWINGS ONLY):
Fill wetland area with. suitable material. Fill to be brought in by _dump truck and spread by backhoe &
bulldozer. _______
13. PURPOSE OF PROPOSED WORK: To provide suitable building site. This is_the only practical
way_to_access the lot and have adequate sight distance for safe traveling to and from the lot
i
14, STATE REASON WHY I'T' IS BFIAEVFD THAT "THIS ACTIVITY MUSTBF CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WF-FLAND IMPACTS):
Without this area for an entrance, the lo( would be unsafe due to shoil site distances (ie. Blind Driveway)
15. YOU ARE REQUIRED'T'O CONTACT THE U.S. FISH AND WILDLIFE SERVICE (USFWS)
AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY ADDRESS 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 PRO.IFCT DATE CON'TACT'ED
(A'T FACI I RESPONSES FROM THFSF AGENCIES,)
16. YOU ARE REQUIRED TO CONTACT' THE S1'ATF HISTORICPRESERVATION OFFICER
(SHPO) (SEE AGENCY ADDRESS SHFF`I') REGARDING THF_ PRESENCE OF HISTORIC
PROPERTIES IN THE PERMIT AREA WHICH MAYBE AFFECTED BY THP. PROPOSED
PROJECT. DATE CONTACTED.
17. DOES THE PROJECT INVOLE AN F`iPENDITURF OF PUBLICFUNDS OR THE USE OF
PUBLIC (STATE) LAND'?
YES ( ) NO (X) (I F NO, GO TO 18 )
a. IF YES, DOES THE PROJF,CT REQUIRE PREPARATION OF AN
ENVIRONMENTAL DOCUMENT PURSUANT TO'T'HE REQUIREMENTS OF THE
NORTH CAROLINA ENVIRONMENTAL POLICY ACT?
YES ( ) NO ( )
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED'T'HROUGH THE NORTH
CAROLINA DEPARTMENT OF ADMINISTRARION STATE CLEARINGHOUSE?
YES ( ) NO ( )
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRITE 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 TOMS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TF_LF,PHONF [phone]
4
18. ACTIVITITY INVOLVES THE DISCHARGE OF PXCAVATED OR FILL MA'T'ERIAL INTO
WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WFTLANDS, 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 BF. I INCH
EQUALS50 FEET OR I INCH EQUALS 100 FEET THE FOLLOWING ITEMS SHOULD BE
INCLUDED WITH APPLICATION IF PROPOSED OF 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 STORMWATFR MANAGP.MFNT PLAN IF RFQUIRFD.
e. WHAT IS LAND USF OF SURROUNDING PROPERTY? Residential
f. IF APPLICABLE, WHAT IS PROPOSFD MF'THOD OF SFWAGF DISPOSAI,?
Private Waste Water System.
f. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS 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 WAICER 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,
MANAGEMANT PROGRAM
R'S / AGENT'S SIGNATURF. DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (I 9g)
5
WETLAND CERTIFICATION
?5f_ _
This certifies that this copy of this plat accurately
depicts the boundary of the jurisdiction of the
section 404 of the clean water act under the
present law and regulations as determined / '
the undersigned on this dale. Unless there Is Is a
change In the law or our published regulations, 50' R/W
this determination of section 404 jurisdiction $,3 4'
may be relied upon for a period not to exceed
five years from this dale. This determination . G
was made utilizing the 1987 Corps of Engineers O?lA T \0D-74°45291 g•" V5 00'
Wetland Delineation Manual.
-EC°242:48_
Name: 6 010'32" W \
60 50 40 30 2010 0 60
From To Bearing Distant:
AA 4 N 80°42'20" E 21.80'
4 5 N 48°22'48" E 41.19'
5 6 N 49°09'32" E 21.36'
6 7 N 74°06'58" E 45,48'
7 8 S 66°17'32" E 37.67'
8 9 S 52°58'58" E 25.57'
9 10 S 25°32'47" E 20.29'
10 11 S 31 000'29" E 17.50'
11 12 S 62°18'40" E 22.54'
12 AB N 83°43'25" E 12.73'
AC 16 S 43°17'41" W 3.37'
16 17 S 72°46'05" W 15.67'
17 18 S 37°58'11" W 16.57'
18 19 S 20°19'25" E 8.86'
19 20 S 31 00030" E 16.45'
20 21 S 54°05'45" E 12.30'
21 22 S 3°31'22" E 21.60'
22 23 S 19°54'51" E 22.64'
23 24 S 78°50'06" E 20.26'
24 25 N 84°16'31" E 12.73'
25 26 S 6°34'46" W 19.67'
26 27 N 84°54'20" W 32.39'
27 28 S 71053'26"W 14.10'
28 29 S 61°25'18" W 19.80'
29 30 N 69°54'20" W 5.35'
30 31 N 25°16'32" E 20.39'
31 32 N 18°46'55" E 20.40'
32 33 N 19°24'22" W 16.58'
33 34 S 77°19'53" W 15.69'
34 35 S 74°22'59" W 35.09'
35 36 N 78°59'39" W 33.44'
36 37 S 44°56'39" W 20.48'
37 38 S 72°21'49" W 17.91'
38 39 S 1°06'13" W 26.31'
39 40 S 68°45'10" E 27.19'
40 41 S 52°40'20" E 13.63'
41 42 S 78°41'44" W 21.04'
42 AD S 25°53'31" W 9.71'
Freddy D. Rankin, PLS
5023 2 S. Buccaneer Dr., PO Box 121
Frisco, NC 27936-0121
[phone] Fax [phone]
I, Freddy D. Rankin, Professional Land Surveyor,
certify that this plat was drawn from an actual
field land survey and that the error of closure as
calculated by latitudes and departures is at least
1:10,000.
Witness my hand and seal this day of
A.D.
Freddy D. Rankin, P.L.S., L-2958
IfiGLAND J. , LCD=S 88 -za4,e
5,906,39 sq it / 5
/ 9
/ ]IC -?z SIC \ Z
Ai 4i 101\
LOT 3
1

]IC ]LC SIC SIC ]IC 12 O 1 O
WETLAND 1 -A
34,087.87 sq It t-4
e WtTLAND SAMPLE POINT
17/ 16
\Jl- r
6 LOT 55 le(1 1
1.69 acres
73,446.75 sq ft 20 211`. /
' j'?
36 i? 3yr3i
31 ]'32
38
/
f?? 23? 2 25
BON y, PROPOSED 13y ? - ?? 26%
1
P?, I,O F'N 0.1 ACRE 30 'i 28
40 FILL AREA i9
?,\
,• 41 MEf1aM1 42,,.
P?E010.D AD",
LOT 54 p5 1110ILAND SAMPLE POINT
W
I IIGHLAND 2 , O
LEGEND 30,71953sgn' ^ N
1-7 EXISTING CONCRETE MONUMENT ry '?? h
O EXISTING IRON STAKE ?; ^?•
® UTILITY POLE 2 10
® FIRE HYDRANT $ fit
® WATER VALVE ; v ^h v
© CABLE TV BOX Q v//
SE?G , q
LOCATION SKETCH, NOT TO SCALE /

CAPE NAOlTTERAS NC 12 `
ScltO
BUXTON, NC
O K
{
I
DEER 6 /
RUN
rIR
FL RIDGE RI
FILL PLAN FOR
J/
LOT6
CAPE HATTERAS CONSTRUCTION, INC.
LOT 55
HATTERAS PINES
BUXTON, NC
Township County State
Date File Number F.I.R.M. Zone Pin Number
ale F8/Pg Base Flood Elevation Zoning
" = 60' 1070/22 N/A X & 8.00' AE ED-1
!corded Reference Community/Panel/Suffix AveragE
C "C", SLIDE 90B 375348 0820 E 8.0'
AGENT AUTHORIZATION FORM
FOR
CORPS OF ENGINEERS PERMIT APPLICATION
001568
the undersigned authorize Charles T'. Corpening
to act as my agent to obtain a permit for work as described in the attached application &
plans.
Sincerely,
--.Date,-O-P?-
r..
?1 [ l?7 I ?I l
r-.wa
DEC 2 0 M
Woo-1riu
PAYMENT
RECEIVED
001568
DEM ID: CORPS ACTION II)
NATIONWIDE PERMIT REOUF_.S'T'ED (PROVIDE NATIONWIDE PERMI'T' H)
PRE-CONSTRUCTION NOTIFICATION APPLICATION
FOR NATIONWIDE PERMI'T'STHAT REQUIRE
1) NOTIFICATION TOTHE CORPS OF ENGINEERS
2) APPLICATION FOR SECTION 101 CERTIFICATION
3) COORDINATION WITH THE NC DIVISION OF COAS'T'AL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF'T'HIS COMPLETED FORM TH THE APPROPRIATE
FIELD OFFOCE OF THE CORPS OF PNGINFERS (SEE. AGENCY ADDRESSES SHEET.) SEVEN
(7) COPIES SHOULD BE SFN'T''T'OTHE N C DIVISION OF ENVIRONNTFNTAI. MANAGEMEN'T'
(SEE AGENCY ADDRESSES SHFF.T) PLEASE PRINT.
1. OWNERS NAME Ben Mosely
2. MAILING ADDRESS P.O. Box 15
SUBDIVISION NAME
CITY: Frisco S'T'ATE N.(' 7,IP C"ODF 27936
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFFRFNT FROM
MAILING ADDRESS ABOVE): Lot 55 Hatteras Pines Pin N 02 0536 09 27 0472
3. TELEPHONE NUMBER (HOME) 252-986-2272 (WORK) 252-995-2065
4. IF APPLICABLE AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICAL, ADDRESS,
PHONE NUMBER: Charles Thomas Corpening P.O. Box 831 Avon N.C. 27915
Phone _number [phone]
5. LOCATION OF WORK(PROVIDE A MAP, PREFERABLYA COPY OF USGS TOPOGRAPHIC
MAP OR AERIAL PHO'T'OGRAPHY WITH SCALE):
COUNTY: Dare NEAREST TOWN OR CITY: Buxton
SPF('IFIC LO('A'1'ION (IN('I.I.)DE ROAD
NUMBERS, LANDMARKS. ETC) See location sketch on fill plait
6. IMPACTED OR NEARF.S'T S'TRFAM/ RIVFR Pamlico sound
RIVER BASIN:
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROU'T', TIDAL SALTWATER (SA),
HIGH QUALITY WATERS (HOW), OUTSTANDING RESOURCE WATERS ( ORW), WATER
SUPPLY (WS-I OR WS-11)') YES ( ) NO ( X ) IF YES, PXPI.AIN
7b. IS THE PROJECT LOCAT'FD WITHIN A NOR'T'H CAROI.INA DIVISION OF COASTAL
MANAGEMENT AREA OF FNVIRONMFN'T'AI, CONCFRN (AF(')'B YES ( ) NO ( X )
7c. IF THE PROJECT IS LOCA'T'ED WITHIN A COASTAL. COUNTY (SEE PAGE 7 FOR LIS'T' OF
COASTAL COUNTIES), WHA'T' ISTHP LAND USE PLAN (LUP) DFSIGNAT'ION'?
Conservation
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES ( ) NO (X ) IF YES, PROVIDE. ACTION I.D. NUMBER OF PREVIOUS
PERMIT AND ANY ADDITIONAL. INFORMATION (INCLUDE_ PHOTOCOPY OF 401
CERTIFICATION)
8b. ARE ADDITIONAL PERMIT REQUEST'S EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES ( ) NO ( x ) IF YF_S, DFCRIBF. ANTICIPATED WORK
9a. ESTIMATEDTOTAL NUMBER OF ACRES IN TRACT OF LAND 1.69
9b. ESTIMATED TOTAL NUMBER OF ACRFS OF WET'L.ANDS LOCATED ON PRO.IFCI' SITE:
.78
2
10a. NUMBER OF ACRES OF WFTLANDS IMPAC`T'ED BY THE PROPOSED PRO.IFCT BY:
FILLING: 0.1 FXCAVATION N/A
FLOODING: N/A `FHFR N/A
DRAINAGE: N/A TOTAL AC'RF.ST'O BP. IMPA('T'F,D 0.1
Ob. (1) STREAM CHANNEL TO BF IMPACTED BY THP. PROPOSFI) PROJECT (IF
RELOCATED, PROVIDE DIS'TANCF BOTH BFFORF AND AFTER RF.LOCAT'ION)
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, IMPACT' WILL RESULT FROM: WHFCK ALL'THAT APPY?
OPEN CHANNEL RELOCATION PLACEMENT OF PIPE IN CHANNEL:
CHANNEL EXCAVATION:- CONSTRUCTION OF A DAM/FLOODING:
OTHER:
1 1. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE S17,F. OF THE WATERSHED
DRAINING TO THE POND'?
WHAT IS THE EXPECTED POND SURFACF. ARFA9
12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF'T'YPE OF MECHANICAL
EQUIPMENT TO BE USED (ATTACH PLANS: A';2" X I I" DRAWINGS ONLY):
Fill wetland area vAt-h suitable material. Fill to be brought in by dump truck and spread by backhoe &
bulldozer.
13. PURPOSE OF PROPOSED WORK: To provide suitable building site. .This is_the only_practical
-way to access the lot and have adequate sight distance for safe traveling to and from the lot
14. STATE REASON WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPA(-TS):
Without this area for an entrance, the lot would be unsafe doe to short site distances (ie. Blind Driveway)
15. YOU ARE REQUIRED TO C'ONTACI' THE U.S. FISH AND WILDLIFE SERVICE (USFWS)
AND/OR NATIONAL MARINE FISHERIES SERVISE (NMFS) (SEE AGENCY ADDRESS 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 DA'T'E CONTACIED
(A'TT'ACH RESPONSES FROM THFSP AGENCIES.)
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) (SEE AGENCY ADDRESS SHEET) REGARDING THE PRESENCE OF HISTORIC
PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED
PROJECT. DATE CONTACTED:
17. DOES THE PROJECT INVOLE AN EXPENDITURE OF PUBLIC" FUNDS OR THE USE OF
PUBLIC (STATE) LAND?
YES ( ) NO (X) (IF NO, GOTO 1R )
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN
ENVIRONMENTAL DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE
NORTH CAROLINA ENVIRONMENTAL POLICY AC'T?
YES ( ) NO ( )
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH
CAROLINA DEPARTMENT OF ADMINISTRARION STATE CLEARINGHOUSE.?
YES ( ) NO ( )
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRITE 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 TOMS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH
CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH,
NORTH CAROLINA 27603-8003, TELEPHONE [phone].
4
18. ACTIVITITY INVOLVES T'HE DISCHARGE OF E`iCAVATFD OR FILL MATERIAL INTO
WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL, WETLANDS, S'T'REAMS, 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
EQUALS50 FEET OR I INCH EQUALS 100 FEET THE FOLLOWING ITEMS SHOULD BE
INCLUDED WITH APPLICATION IF PROPOSED OF 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 USF OF SURROUNDING PROPERTY? Residential
f. IF APPLICABLE, WHA'T' IS PROIN)SFD NIF I'HOD OF SEWAGE DISPOSAL,?
_.Private Waste -Water System.
f. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOTBE IMPACTED PRIOR TO:
) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WAILER 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
MANAGEMANT PROGRAM.
C 17 -
OW 'S/AGE 'S SI ,NA'T'URE DATE
(AGENT'S SIGNATURE VALID ONI,)'
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (I8K )
S
WEII AND CGRtlnCAIION I Ol 56
This rerti0es that this opy of Ihis plat accurately
depicts the boundary of the jurisdiction of the
section 404 of the clean water act under the
present law and regulations as detennined by
the undersigned on this date Unless there is a
change in the law or our published regulations, - 50'R/W
this determination of section 404 junsdi lion
may he relied upon (or a period not to exceed 2A.3 4'
five years from this dale. this deternnnation • A 19 was ntnde ulili7ing the 1907 (bqw of filginrrrs , N,74'45'29" R 475.0OI
Welland Urlinealion Manual. Name:
--- l IIndAND I , 1CI3=S 88°10'32" W
Title: X--
6`0 50 40 30 20 10 0 60
From To Bearing Distance
AA 4 N 130 '42'20" r )1.80'
4 5 N 411'22'48" 17 41.19'
5 6 N 49°09'32" E 21. W
6 7 N 74°06'58" F 45.48'
7 8 S 66°17'32" E 37.67'
8 9 S 52"58'58" E 25.57'
9 10 S 25°32'47" E 20.29'
10 11 S 31°00'29" E 17.50'
11 12 S 62"18'40" E 22.54'
12 AB N 83°43'25" E 12.73'
AC 16 S 43°17'41" W 3.37'
16 17 S 72°46'05" W 15.67'
17 18 S 37°58'11" W 16.57'
18 19 S 20°19'25" E 8,86'
19 20 S 31°00'30" E 16.45'
20 21 S 54°05'45" E 12.30'
21 22 S 3°31'22" E 21.60'
22 23 S 19°54'51" E 22.64'
23 24 S 78°50'06" E 20.26'
24 25 N 84°16'31" E 12.73'
25 26 S 6°34'46" W 19.67'
26 27 N 84°54'20" W 32.39'
27 28 S 71°53'26" W 14.10'
28 29 S 61°25'18" W 19.80'
29 30 N 69°54'20" W 5.35'
30 31 N 25°16'32" E 20.39'
31 32 N 18°46'55" E 20.40'
32 33 N 19°24'22" W 16.58'
33 34 S 77°19'53" W 15,69'
34 35 S 74°22'59" W 35.09'
35 36 N 78°59'39" W 33.44'
36 37 S 44'56'39"W 20.48'
37 38 S 72"21'49" W 17.91'
38 39 S 1 °06' 13" W 26.31'
39 40 S 68°45'10" E 27.19'
40 41 S 52°40'20" E 13.63'
41 42 S 78°41'44" W 21.04'
42 AD S 25°53'31" W 9.71'
Freddy D. Rankin, PLS
5023 2 S. Buccaneer Dr., PO Box 121
Frisco, NC 27936-0121
[phone] Fax [phone]
I, Freddy D. Rankin, Professional Land Surveyor,
certify that this plat was drawn from an actual
field land survey and that the error of closure as
calculated by latitudes and departures is at least
1:10,000.
Witness my hand and seal this day of
A.D.
Freddy D. Rankin, P.L.S., L-2958
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FILL PLAN FOR

CAPE HATTERAS CONSTRUCTION, INC.
LOT 55
HATTERAS PINES
BUXTON, NC
Township County State
Date File Number F.I.R.M. 7one Pin Number
12111/00 2090-CP X & AE 020536
Scale Fla/Pg Base Flood Elevation Zoning
1" = 60' 070122 N/A X & 8.00' AE SED-1
Recorded Reference Community/Panel/Suffix Average Grc
PC "C", SLIDE 90B 375348 0820 E 8.0'