20010581 Ver 1_COMPLETE FILE_20010417

O?O? \ NA o ?
Kerr T. Stevens
Division of Water Quality
William G. Kegel
44 Duckwoods Drive
Kitty Hawk, NC 27949
APPROVAL of 401 Water Quality Certification
Dear Mr. Kegel:
April 19, 2001
DWQ# 01-0581
Dare County
You have our approval, in accordance with the attached conditions, to place fill in 0.1 acres of waters at Jean Guite
Creek in order to construct a commercial development in Dare County, as described in your application received by the
Division of Water Quality on April 17, 2001. After reviewing your application, we have determined that this fill is covered by
General Water Quality Certification Number 3287. This Certification allows you to use Nationwide Permit Number 39 when
it is issued by the U.S. Army Corps of Engineers. 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, Non-Discharge and Water
Supply Watershed regulations. Also this approval will expire when the accompanying 404 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 for a new certification. If the property is
sold, the new owner must be given a copy of the 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). 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,
A r . Stevens
U \-1 7
Attachment
cc: Corps of Engineers Raleigh Field Office
Raleigh DWQ Regional Office
Central Files
File Copy
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
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010581
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" "?E]PI""I?: 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 Ali:
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: /.dy-D uG/G W0&*9 T) 2, -1,1,' 177 '-y N AvJIt ? NC 41 144e
?' W v 0 A S ? 2 ,
45 V w T? t'121?/ 5 H VIES ? J ? SUBDIVISION NAME: D wt `
CITY: I i rt4 W STATE: A-) G ZIP CODE: _Z.'7 cj
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE) : VG d4 U./?o n s ?) _ • (73 Lo eC(s. LZ 7 - Luz' / $
_S o v 'rA tie N lc;N crA_ &5 G 2-17 -1 64 !1
3. TELEPHONE NUMBER (HOME) 1 52- Z S5 -8 7 2- (WORK) : 2 S Z• 8 0.
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,
ADDRESS, PHONE NUMBER:
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR
AERIAL P=OGRAPHY WITH SCALE):
COUNTY: I>g21; NEAREST TOWN OR CITY: 5UC?T1YwaiJ Stf( ,-2ES
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.) C; rpy( % !%
Nor+h 0%A-1) odtuvo0ns71 . v? off /58 0 ?1 I_eQ4-- 5'01(Ee
v -?- roaJ
-Aeovi Gui'f
6. IMPACTED OR NEAREST STREAM/RIVER:
RIVER BASIN: Al ema rIty S v u K d
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. IF THE PROJECT IS LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT
ARE OF ENVIRONMENTAL CONCERN (AEC)? YES [ ] NO [ ]
7c. IF THE ?ROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF COASTAL
COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION: R(F51DLN'TkPl-
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY?
YES [ ] NO (F YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY
ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
8b. ARE ADDI'T'IONAL 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:
9B. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
10A. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
BILLING: `? • D 4 Cam. EXCAVATION:
FLOODING: OTHER-
DRAINAGE: *?FOTAL ACRES TO BE IMPACTED: ?? y Q G f?
(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:
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL:
CHANNEL ELEVATION: CONSTRUCTION OF A DAN,/FLOODING:
FT
OTHER:
-1>1. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAINING
i;jl,? 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: 8;1" x 11" DRAWINGS ONLY) -) r` VC?•G ?a
13. PURPOSE OF PROPOSED WORK: 'T? ,0?"L' S
-co y` r es i ?_ i co h-5t`ru c-}-i o h
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT TN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS) :
YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE
-y?
AJ AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE
1 PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED:
N/j. 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 [ J
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 19, 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.
IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY PROJECT.
IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS RELEVANT
TO THE PLACEMENT OF THE DELINEATION LINE.
ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY? RC's 1 n Jr NTIRC_,
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
S e p 11 d-
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'S/AGENT'S SIGNATURE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18G.))
DATE
• ? me
wm
CROATAN HWY
I
NOTE r?
REFERENCE P.C. C. Sl. 6118
ADDRE55 - 51 DUCK WOODS DRIVE
AREA BY COORO. COMP. - 27.397 S.F.
PIN N0. 9911718929913
FLOOD ZONE AE-9' DUCK WOODS
FIRM PANEL 370420 0002 C COUNTRY CLUB, INC.
M.B. 9. PO. 34
N 16'33'49' W
100.01'
Mar TO CONIIIOL CORK*
404 LINE \
jitsm
IR - EX. IRON PIN
0 - EX. CONC. MON.
A - WETLANDS POINT
® - WATER SERVICE
0 - PHONE PEDESTAL
P.K. NAIL O E.O.P.
ELEV. - 4.12'
CURVE TABLE
CARVE LENM RADIUS CHORD
CI 1? 8.92'1112p3.118' S 150T8T E 111.60'
C2
CAIR? 'Nt,,
oF?S$/ 1?
Old SEAL
L-2677
T. .+'
20 40 No
ORAPHIC 8CAIs
1 laoh - 40 tti
BURVi7ED FOR
WILLIAM if. KEGEL & JACQUELINE "GEL
LOT 18 - BLOCK 227 - SOUTHERN SHORES
ATLANTIC TOWNSHIP - DARE COUNTY - NORTH CAROLINA
I. WNLAM T. ROBBINS, CERTIFY THAT 14S MAP WAS DRANK UNDER MY SUPERVISION
FR011 AN ACTUAL SURVEY UNKR MY SUPERVISION AND MEL13 THE KQLAREMENTS OF
TIRE 21. NORTH CAROUNA AOMINIMArX COOS. CHAPTER 511. WTWESS MY HAND t
SEAL TNIS THE 3RD DAY OF JANUARY . MM. _
William T. Robbins .?
Professional Land Surveyor
PROFESI9DNAL LAND SI RYM L-21177 252 453-2126 P.O. BOX 335
600; eel-Be03 POPLAR BRANCH. NC 27966
12/111/00-ME 1/2/01-OR W".noeurve r.aom
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01x551
DEM ID: CORPS ACTION ID: r-T-j .x:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT
PRE-CONSTRUCTION NOTIFICATION APPLICATION ?..'.'?
rT i ...
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. rr--
1. OWNERS NAME: ?UA??, ??tf?? L 61c+ .! ?IC/? ?IZi41-l i4 I.V?
2. MAILING ADDRESS: Wy /vGfLWv,0b9 -1':?1T74NgwIt, *Je- Z.14LIG,
S y uTk+le-A •) 5 H vMES , jC_ SUBDIVISION NAME: __D w ?o
CITY: ( , rYy A w STATE: u G ZIP CODE: Z7 S
PROJECT LOCATION ADDRESS, INCLUDING ,SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE) : Q VG (G Lvewy n s 2 . C? lt, 'L'L 7 - CuT 10
S O v T ii 6 nz N S M aR &5 k) G 2_-1 at N
3. TELEPHONE NUMBER (HOME) 7 S2- Z 5 - $ 7 Z (WORK) : 2. S 2 • 44 $ 0 • '2 '?
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL,
ADDRESS, PHONE NUMBER:
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR
AERIAL P: OGRAPHY WITH SCALE):
COUNTY: 4IZ1; NEAREST TOWN OR CITY: SU(UTNFajJ Stf`w2ES
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.) g POLL %3 y5'.lt_
N0r+f? 0vk?Uc(c. W00hS lJ12 off &1 Z•C g4- 5 ?,cle
v -?- rvctd
6. IMPACTED OR NEAREST STREAWR IVER : )A) q U 'l RIVER BASIN: ema r`Ie 'st.7 V K Q
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 [LI IF YES, EXPLAIN:
7b. IF THE PROJECT IS LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT
ARE OF ENVIRONMENTAL CONCERN (AEC)? YES [ ] NO [ l
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: )Z(;SIDLN'T?RL--
Ba. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROPERTY?
YES [ ) NO [F YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY
ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
Bb. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES [ ] NO [F YES, DESCRIBE ANTICIPATED WORK:
9A. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND:
9B. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
10A. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: `?` • 1 10 4 Gf _ EXCAVATION:
FLOODING: OTHER-
DRAINAGE: llr?
^TOTAL ACRES TO BE IMPACTED: V QG..f"ft_
(1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJ ECT (IF RELOCATED, PROVIDE
11 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:
1-1:'. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAINING
?l? 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: 91- " r. 11" DRAWINGS ONLY) : I r- yc1.C (?? 4sSg G. ?'lr
-. y ?• Ici- u ?%n 1? 'i" 5 4 u CA - I) gclc.-1 ve Z urr l'ev'el i ? %
13. PURPOSE OF PROPOSED WORK: ?_? Vv?e?}<< `? rd P ??? ?^^ o rc S u 4, l?
uy- rig l c? e oO 'i c Lk ca ?truai-i oh
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS) :
I YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER (SHPO) (SEE
^?JO AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE
PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT.
X6 DATE CONTACTED:
. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC
f_k
(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 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.
IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY PROJECT.
IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS RELEVANT
/ TO THE PLACEMENT OF THE DELINEATION LINE.
ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e. WHAT IS LAND USE OF SURROUNDING PROPERTY? RC's 1 Or AjTlae--
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
Sep-1-1 C.
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'S/AGENT'S SIGNATURE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18G.))
11. pol
DATE
?o?
q
CROATAN HWY
MINI77 YIP NTS
34CLOW
IN EX IRON PIN
? - EX. CONC. MON.
® - WETLANDS POINT
® - WATER SERVICE
® - PHONE PEDESTAL
Norrs
REFERENCE P.C. C. SL 598
ADDRESS - 91 DUCK WOODS DRIVE
AREA BY COORD. COMP. - 27.357 S.F.
PIN NO. 989715529913
FLOG) ZONE AE-9' DUCK WOODS
FIRM PANEL 370420 0002 C COUNTRY CLUB, INC.
M.B. 5. PG. 34
N 1 B'33'49' W
100.01'
yz
--- l 9
w r-- 25' M-8.17
Alk
404 LINE
17
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I- DICK WOODS DRIVE
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1 Inch - 40 Pt
SUR EM FOR
WILLIAM IQ. KEGEL & JACQUELINE KEGEL
LOT 18 - BLOCK 227 - SOUTHERN SHORES
ATLANTIC TOWNSHIP - DARE COUNTY - NORTH CAROLINA
L WILLIAM T. ROBBWS, CERTIFY THAT THIS MAP 09 DRAWN UNDER MY SUPERVISION
FROM AN ACTUAL SURVEY TINDER MY SUPERVISION AND MO=TS THE REQUIREMENTS OF
TITLE 21. NORTH CAROLINA ADW437RATM CODE. 01APTER 59. OTNESS MY HAND t
SEAL THIS THE 3RD DAY OF JANUARY . 2001.
William T. Robbins
Profe9eloanl Land Surveyor
PROFESSIONAL LAND SURVEYOR L-2677 [phone] P.O. BOX 335
[phone] POPLAR BRANCH. NC 27985
vlu? 12/15/00-ME 1/2/01-13R www.nesurveyar.com
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