20010724 Ver 1_COMPLETE FILE_20010514

W AT?RpG
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Michael F..Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Kerr T. Stevens
Division of Water Quality
July 5, 2001
DWQ# 01-0724
Chowan County
Rowland C. Carlson
1105 Nickels Place SW
Leesburg, VA, 20175
APPROVAL of 401 Water Quality Certification
Dear Mr. Carlson:
You have our approval, in accordance with the attached conditions, to place fill in 0.01 acre of wetlands in order to
construct a residence on your property in Chowan County, as described in your application received by the Division of
Water Quality on May 14, 2001, and in additional correspondence provided on July 2, 2001. After reviewing your
application, we have decided that this fill is covered by General Water Quality Certification Number 3106, which can also be
viewed on our web site at http://h2o.enr.state.nc.us/ncwetlands . This Certification allows you to use Nationwide Permit 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 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 in writing 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 Deborah Sawyer or Tom Steffens in DWQ's Washington Regional Office at 252-946-6481
or Cyndi Karoly in Raleigh at 919-733-9721.
Sincerely,
Attachment
. Stevens
cc: Corps of Engineers Washington Regulatory Field Office
Washington DWQ Regional Office
File Copy
Central Files
010724
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)
non won -ioc i..ti,... ,.non ?n? corm it....,,,. m.n? ,....,...... .... .... i.......,.u,... a..i
From: Sandra J Carlson To: Cyndi Karoly Date: 7/2/01 Time: 4:57:50 PM
ROLAND C. CARLSON
AW Orr
SANDRA J. CARLSON
140 OSPREY DRIVE
LOT 13 - ALBEMARLE SHORES • SECTION II
FOURTH TOWNSHIP
CHOWAN COUNTY. NORTH CAROLINA
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F rm: Sandra J Carlson To: Cyndi Karoly Date: 712101 Time: 4:57:50 PM Page 7 of 7
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MEMORANDUM
TO: John Dorney Regional Contact: Tom Steffens
Non-Discharge Branch WO Supervisor: Boer Tbarpe
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name Rowland Carlson County Chowan
Project Number 01 0724 County2
Recvd From APP Region Washington
Received Date 5114101 Recvd By Region
Project Type development
Certificates Stream Stream Impacts (ft.)
Permit Wetland Wetland Wetland Stream Class Acres Feet
Type Type Impact Score Index Prim. Supp. Basin Req. Req. ME
18 OTHO Y O N ?- 26 r B NSW 30,104. 0.01 F_ r?
..,?
Y N
ri??r+.rrwro?nr?rwrrr?n??wrrrrr?rr? r r.rrr
Mitigation Wetland
MitigationType Type Acres Feet

Is Wetland Rating Sheet Attached? O Y (ON Did you request more info? O Y (ON
Have Project Changes/Conditions Been Discussed With Applicant? 0 Y (0 N
Is Mitigation required? 0 Y O N Recommendation: 0 Issue 0 Issue/fond 0 Deny
Provided by Region: Latitude (ddmmss) 360405 Longitude (ddmmss) 762445
cc: Regional Office
Central Office Page Number 1
Comments:
Received in WaRO 14 May 01, Recommend Hold until for more information. Inadequate plans
From: Sandra J Carlson To: Cyndl Karoly Date: 7/2101 Time: 4:57:50 PM Page 2 of 7
Fax Cover Page
To: Tom Steffens
Company:
Fax Number: 1-252-946-9215
Message:
From: Sandra J Carlson
Company: R C Carlson & Associates
Fax Number: 1-703-779-0100
Tom. Thanks for your phone call on my application for the permit for 140 Osprey Drive,
Edenton (Drummond Point) in Chowan County. I hope that these copies are more legible.
spoke with my builder, who told me the size that the septic would be. He also indicated
that the gentleman from the Health Dept (Mt Peoples) would be coming to the lot to take a
core sample and give his permit too.
If you have any further questions, p[lease call me (703-771-8020)
Rowland Carlson
From: Sandra J Carlson To: Cyndi Karoly Date: 7/2101 Time: 4:57:50 PM Page 3 of 7

Page 2
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The red property dwc&W is Aide I term (hereinafter called Lot or Lots as
app1061o is s*acted to the protec*A covenods sad ? haft dd ? in
order to provide enforce" standards ofimprove?nMt
aes&4cs, iviag eondidons and property vahles maybe cnhencoa.
ARTIG"JIT=
No lot steal! be used witept fDrrgddW" or le""donal No svAn% R"Gtoelc err
ply"be raised or bred on any lot. gldpetgy snrh as dogs and cats SIM110
kept, p cAdcd trey arenot bra or Wdittah"d for ? "a amfilo?u
coaat:?ed for the m lot, "woo swd>< unyavv road up* and
g?callY in appearanaG wi& any dwa?? sin sin ex s isting dwdlio;- F.sc]i lat owner *0
not be oonstrnctod of md? ildaatl =a no uasighdy or ??
maintain any stroh bnprovemmdts placed upan? eery
buRdimp or other sbuctIms shall be pe*tea on arp lot
No reridmoe "be str de4 m Wsbxt us* Or pied to
??, can d4vc?g ofnot less than 1,7{10 sgaare &et-
reradn anany latether fhanerne s3ngl??Y??ei11oT =.,a=" ? be ?«ed
Once co ughuctkin is bqM on said dwie k X
*ifilk 1 year OHIO oamiaa "Meer of cdom Each resideiit wnst d9*Y addim
members *at are viable fr(=*e road, as advised by Chow= County's Enm$WW
Serv aesDepartment
No mare fbar one outbw1dingmaybe mistsud4d on anylotwkbkA
Shaves Section II SnbdivbdM Said oaOb "be only for fhe pnaposes afhouft
boats, caM RV's, as well as, Lawn seed Vwdm °P*m"' Said blmlftmustbe
7?aer
eoasmucte d in s work man-lace anmoner and nay not be cater more tl?an ene.
prior to cana rlsaf a ome mam rift0e. Ws bulf ft mast ba emlosed mat lleeat
three sides and the top, and with soma BOV`of d6or vN& would this close in aIl f yW
sides ofthobaRdin&
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Each property awner mast i nd d that p&S0 ensue trawage si1?AGM 0" 06*
lift OE*O lot'
site water wells we required. 11w coat of these Vacm vAl be the z ?o r dWic owner. Chow= Com ty is in. no way Tesponsble for p ub l?
now or in the f Lure, to Mideuta Of Ammzde Shmes Secdon IL 1
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From: Sandra J Carlson To: Cyndi Karoly Date: 7/2101 Time: 4:57:50 PM Page 4 of 7

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Pre-Construction Notification (PCN) Application Form o10724
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Butler Rules
This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. -Me USACE Individual Permit application form is available online at
htth ?????? saw timce.atinv mil/wetlands/Penn <> >t h.litn?.
The IJSACI; is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please go to the
l JSA(T' website at http /\v\\w s m usace.atm\ mil/wetlands/re??tour him. or contact one of the field
ofliccs listed at the end of this application. '11ic wcbsite also lists the responsible project manager for
each county in North Carolina and provides additional information regarding the identification and
regulation ofwctlands and waters of the U.S.
'111e DW(1 issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USACE.
Applicants arc encouraged to visit DWQ's 401/Wetlands Unit website at
htt?)__lt O 0111 state nc us'nc\?ell uncis to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buller Rules are applicable. The
applicant is also advised to read the full text of' the General Certification (GC) matching the specific 404
Permit requested. In some cases. written approval for some General Certifications is not required.
provided that the applicant adheres to all conditions of' the GC. Applicants lacking access to the intcmet
should contact I)kVO's Central Oflicc in Raleigh at [phone].
I'[-out Waters Coordination - Slxecial coordination \\ith the North Carolina Wildlife Resources
Commission (N('«'R(') is also required for projects occurring in an of' North Carolina's ovent-,'-five
counties that contain trout waters. In such eases. the applicant should contact the appropriate N('\IR('
reulional coordinator t listed h\ countN on the last puge Of this application).
'','_,` I of 12 PAYMENT
RECEIVED
CAMA Coordination - If the project occurs in any of North Carolina's twenty coastal counties (listed on
the last page of this application) the applicant should also contact the North Carolina Division of Coastal
Management (DCM) at [phone]. DCM will determine whether or not the project involves a
designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency.
In such cases, DCM will require a Coastal Area Management Act (LAMA) Permit and will coordinate
the 404/401 Permits.
USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms,
photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this
application). Upon receipt of an application, the USACE will determine if the application is complete as
soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant
to address information needs for all USACE Nationwide, Regional or General permits, as well as
infomration required for State authorizations, certifications, and coordination. Fully providing the
information requested on this form will result in a complete application for any of the USACE
Nationwide, Regional or General permits. To review the minimum amount of information that must be
provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893
(March 9, 2000), available at http://www.saw usace annv ttnil/hvetlands/nwptinalFedRgg.pdf
Processing times vary by permit and begin once the application has been determined to be complete.
Please contact the appropriate regulatory field otlice for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated
as optional. Incomplete applications will be retumed. Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center,
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401
Certification, then a non-refundable application Ice, is required. In brief, if project impacts include less
than one acre of' cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fce of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is
required. A check made out to the North Carolina Division of' Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information. see the DWQ wchsite at http_, "h?o chnr state nc us;nc%wt1.indvlces hind. The fee must be
attached with the application unless the applicant is a l Wcral agency in which case the check may be
issued from a separate office. In such cases, the projcct must he identifiable on the 1J.S. Treasury check
so that it can he credited to the appropriate project. If written approval is sought solely for I3ufler Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
BLI11er Rule approval is sought in writing. Wetlands or waters of the (J.S. may not he impacted prior to
issuance or waiver of a Section 401 Water QLkilitl,' Certification. Upon receipt of a complete application
fiv a 401 Certification. the I)ivision of Water Qucility has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requcstcd infomlation. or denial.

Office Use Only: Form Version April 2001 010724 USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
I. Processing
I . C eck all of the approval(s) requested for this project:
Section 404 Permit
Wection 10 Permit
? 401 Water Quality Certification
? Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested:
3. It' this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. It' payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (set; section VIII - Mitigation), check here: ?
[I. Applicant Information
1. Owner/Applicant Intormation
Naunc: W L, Vok ?N b C CA 12 L5 6 Aj
Mailing Address: 1105 Ct«t_ L A Q
I- E513Q1?-(, v'A 1o11
Telephone Number: Io I - 0-J-O Fax Numbcr: 1c 115 - O1 ??
-mail Address: R?u:??N,>LG Rc)L, Lv?
2. Agent Intbrnnation (A signed and dated copy of the Agent Authorization letter must be
attached ifthe Agent has signatory authority liar the owner/applicant.)
Name:
Comixuiv All Nation:
Mailing Address:
Felephone Number:
L-mail Address:
lax Numhcr:

III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USAGE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of' any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of proj
?oM?_ CM 1, Ic%) L?-, o V\
ce, -Dsz•. FA NA(*o
2. T.I.P. Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 9 g S -00- ZZ - 3I& (C LLJOL InCv 1
4. Location
County: CH L W A IQ Nearest Town:
Subdivision name (include phase/lot nw-nbcr): LPG A(U S HUett
Directions to site (i ?e+lude road numbers, landmarks, ctc.): i ° 4
32- Ott >ckAt\ MA-) " `t "(IC e?tC O W1101
,m R. [ I(CZ 5r M l? 'TvrzN Leev
0,??1 t?v 4??,?lw? q j,
osviz.,j a, nvjle5 r Lci
5. Sitc coordinates, Ifavailablc (tJTM or Lat/I,ong): 3(, Oq t)
(Note - If' project is linear, such as a road or utility line, attach a
coordinates for each crossing of a distinct waterbody.)
_?l
CUvr
L ? 1,WVC
76o)/ /q."I/V?
that separately lists the
6. 1)cscri bc the existing land Ilse or condition oftll(e site at tile ?tline ofthis application: 1'?) _
1
7. Property size (acres): 1, 5 1(0 ac c
8. Nearest hodv o f'N? ater ( stream/river/so?uld./oceatl/lake ): i_ e) E M A 2 L ? 5 C e N) t?
?\ 1
?). IZI?CC 13iLtiln: 1'?L?... tL V\
(Note - this must he one of North C'arolina's seventeen designated major river basins. The
RI%cr 13kLs l Illap is a%allahle :It .l1::' li
Pave ;,1 1
10. D scri the purpose of the proposed work: keM"- co-A S ?" C U )-(AA - II ';(L
4r, K L' I I 5 VVI& 4L X_ r v 0 a1,?
CLCPA u .2.e a..,& e s mot'
6"" + 9,v--J r-Lt
11. List the type of equi ent to be used construct the project: aL( QUA r'?tn?y t ?1?
12. Describe the land use in the vicinity of this project: 54'Q-5
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
CIA
V. Future Project Plans
Are any additional permit requests anticipated for this project in the future? If so, describe the
anticipated work, and provide justification for the exclusion of this work ti-om the current
application: % d
V1. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open %water. and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
e\aluation and delineation terms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitiu,ation. list and descrihe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
Pace ? , o f t 2
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on ma)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
( es/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
F1 1-L d R rk t- U. U I e5 e r e
P c?:
q UV 5q, w Q-4-1.

`-*--,
List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, till,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
* * 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local Floodplain maps. Maps are available through the FEMA Map Service Centerat 1-800-358-%16.or
online at httn://\\\r\\ 1'erna.eoN.
* * * List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond.
Carolina Bay. bog, etc.)
List the total acreage (estimated) of existing wetlands on the property: + (D G!.
Total area of wetland impact proposed: 0) cA. - . 0 Z 0- p„ x / SG2 ?-?
I I
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Im act Perennial or
Intermittent'?
leasespecify)

r.!srCaen Impact separstelyand ident!t,. temporary impacts. Impacts include, but are not limited to:culvertsandassociated rip-ap.
dams (separately list impacts chic to both structure and flooding), relocation (include linear feet before and after, and net loss/gain ),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. Ifstream relocation is
proposed. plan, and profiles sho\%ing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on ( ISGS topographic maps. If a stream has no name, list as I IT (unnamed tributary) to the nearest
do\%nstream named strearn into \khich it Ilo\%s. IIS(;S snaps are available through the IISGS at 1-8(X)-358-9616, or online at
SCCeral internet sites also allo\% direct do\knload and printing of t!SGS maps (e.g.. !ollo,, li ri.
etc.).
('umulatiVC impacts (linear distance in tLvt) to all streams on site:
Pace 0 o f f 2
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
(indicate on ma
Type of Impact* Area of
Impact
(acres) Name of Waterbody

(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)
R. L

?I'Nt cacn impact separatery ano Ioennry temporary impacts. impacts inciuue, out are not limited to: till, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of' construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Sire of watershed draining to pond: Fxpcctcd pond surface area:
V11. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
inibmiation related to site constraints such as topography, building ordinances, accessibility, and
financial viability of' the project. 'Ihe applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not Ri Lsible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
ttxhniques to be followed during construction to reduce impacts. I I
I'ucr - tit I ,
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USAGE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, nitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving sin-filar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USAGE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
litth- h?u enr.state.nc.us/ncwetlands/st17n??ide-html.
Provide a brief description of the proposed mitigation plan. The description should provide
as much infbrrnation as possible, including, but not limited to: site location (attach directions
and/or map, if oflsitc), of :ctcd stream and river basin, type and amount (acreage/linear feet)
of' mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., decd restrictions, conservation casement, ctc.), and a
description of the current site conditions and proposed method of' construction. Please attach
a separate sheet ifmore space is needed.
i'ucr S ( , f I
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401 /Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at liitu'r??2o.c?u.s( itc.u?.us?ait,?indcx.htni If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land? ?{
Yes ? No ICJ
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: 11' you arc not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds Ibr environmental documentation.
Yes ? No ?
11' yes, has the document review bccn finalized by the State Clcaringhousc? If so, please attach a
copy ofthe NEPA or SETA final approval letter.
Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local bullcrs associated with the project. The applicant must also provide
justifiCation liar these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All butlers must be shown on a
map, whether or not impacts are proposed to the bufli rs. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
%V111 the project impact protected 6parian huflcrs identified within 15A NCAC 213 .0233
(Meuse). 15.E NCAC 213 .0259 (Tar-P.u»lico). 15A NCAC 213 .0250 (Randleman Rules and
\Vater Supply 131.111i=r Requirements), or other (please identik )?
Yes ? No ? II'\ou ans\\ered - cs., provide the fbllo\\ing intbmnation:
I avc 1) of
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from near bank ot'channel: "Lone 2 extends an
additional 20 feet from the edge ol'Zone I.
It' butler mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
X11. Sewage Disposal (DWQ Only)
Clearly detail die ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity optic subject facility.
XIII. Violations (DWQ Only)
Is this site in violation of' DWO %Vetland Rules ( 15A NCA(' 21 l .O?W) or,uiv Buflcr Rules''
Yes ? No ?
Is this an aller-the-fact petmlit application''
Ycs ? No ?
i',I,,c IO,,f 1,
P
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
W a- 4,-> S 4LZ% l do 14 , sat-p.. \,.... , o a-4,01 ,
,/"/ /0 /a
Aopltcant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell
US Army Corps of Engineers Avery Clay Jackson Polk
151 Patton Avenue Buncombe Cleveland Lincoln Rowan
Room 208 Burke Gaston Macon Rutherford
Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley
Telephone: [phone] Caldwell Haywood McDowell Swain
Fax: [phone] Catawba Henderson Mecklenburg Transylvania
Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham
IJS Army Corps Of Engineers Alleghany Edgecombe Lee Stokes
6508 Falls of the Neuse Road Ashe Franklin Nash Sutry
Suite 120 Caswell Forsyth Northampton Vance
Raleigh, NC 27615 Chatham Granville Orange Wake
1'elephone: [phone] Davidson Guilford Person Warren
Fax: [phone] Davie Halifax Randolph Wilkes
-Washington Regulatory Field Office Beaufort Currituck Jones
I IS Anny Corps Of Engineers Bertie Dare Lenoir
Post Office Box 1000 Camden Gates Martin
Washington, NC 27889-1000 Carteret' Green Pamlico
lelephone:[phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans
Wilmington Regulatory Field Office Anson Duplin Onslow
I ?S Army Corps Of Engineers Bladen Harnett Pender
Post Once Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-18(X) Carteret Montgomery Robeson
I clephone: 010) 251-4511 Columbus Moore Sampson
f ae (1)101251-40-15 Cumberland New Hanover Scotland
Pitt
Ty rre I I
Washington
Wayne
Union
Watauga
Yancey
Wilson
Yadkin
"Croatan National Forest Only
Pace I I of 12
US Fish and Wildlife Service / National Marine Fisheries Service
US Fish and Wildlife Service US Fish and Wildlife Service National Marine Fisheries Service
Raleigh Field Office Asheville Field Office Habitat Conservation Division
Post Office Box 33726 160 Zillicoa Street Pivers Island
Raleigh, NC 27636-3726 Asheville, NC 28801 Beaufort, NC 28516
Telephone: [phone] Telephone: [phone] Telephone: [phone]
North Carolina State Agencies
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-1619
Telephone: [phone]
Fax: [phone]
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]
CAMA and NC Coastal Counties
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
1638 Mail Service Center Bertie Craven Hyde Pender
Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kernersville, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
Pace 12 of 12
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R OL A ND C. CA RL S ON
AND WIFE
SANDRA J. CARL SON
140 OSPREY DRIVE
LOT 13 • ALBEMARLE SHORES - SECTION II
FOURTH TOWNSHIP
CHOWAN COUNTY, NORTH CAROLINA
SCALE : /" - 30' APRIL 09. 2001
0 15 30 60 90 120
REFERENCES : PLAT CABINET 1, SLIDE 165-C; DEED BOOK 257. PAGE 383
AREA = 1.510 ACRES ( COORDINATE METHOD 1

THIS SURVEY IS OF AN EXISTING TRACT. d,-t5 ?NORTH CAROLINA
CHOWAN COUNTY
1. ,%051,4H A. WEB8 111. CERTIFY THAT THIS PLAT WAS DRAWN FROM AN ACTUAL
SURVEY CONDUCTED BY ME. THAT THE ERROR OF CLOSURE AS CALCULATED
13Y LATITUDES AND DEPARTURES IS I : 10.000. AND THAT THIS PLAT WAS
PRFPARED ;N ACCORDANCE WITH G. S. -17-30 A5 AMENDED.
WITNESS MY ORIGINAL SIGNATURE. REGISTRATION NUMBER AND ?SEA!_ 'HIS
I-F_NTH DAY OF APRIL. :'00/. Z
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APR 17 2Ol %
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Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Kerr T. Stevens
Division of Water Quality
June 25, 2001
Chowan County
O v a DWO Project No. 01-0724
Rowland C. Carlson
1105 Nickels Place SW
Leesburg, VA, 20175
Dear Mr. Carlson:
On May 14, 2001, the NC Division of Water Quality (DWQ) received your application for a 401 Water Quality
Certification to impact 0.01 acre of wetlands for residential construction in Chowan County. In accordance with 15A NCAC
2H .0506, this project has been referred to Mr. Tom Steffens of the DWQ Washington Regional Office. Mr. Steffens has
determined that insufficient information has been provided for him to complete his review. Specifically, please provide the
following materials so that we can complete our review of your application:
• The site plan shows a footprint of fill only for the house. Any additional fill requested must be included in your
application, such as surrounding foundation fill, driveway fill or any wetland impacts associated with the septic
system;
• You are proposing to place a house within FEMA Flood Zones A-4 and C. Have you conferred with the U.S. Army
Corps of Engineers to determine if a Nationwide Permit 18 will be applicable to this project?
• Two of the xerox drawings included in your application package are completely illegible. These two sheets follow
Edenton-Chowan Chamber of Commerce map you provided. Please provide clear copies of the two pages in
question.
Until the information requited in this letter is provided, I will request (by copy of this letter) that the Corps of Engineers
place this project on hold. Also, this project will be placed on hold for our processing due to incomplete information (15A
NCAC 2H .0507(h)).
Thank you for your attention. If you have any questions, please contact Tom Steffens in our Washington Regional
Office at [phone] or Cyndi Karoly in Raleigh at [phone].
Sincerely,
Yn ?Dorney
cc: Corps of Engineers Washington Field Office
Washington DWQ Regional Office
File Copy
Central Files
010724
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)
- -n 1 HOC ?.. L.......\ n- 110 -O /s-% ............. .... ... .....I--A- I
Projects reviewed with comments:
010712 - (Madison Co., DOT) the affected waterway, Paint Fork, is WS-II. Road crossings are
allowed assuming no practical alternatives, and bua must be minimized, stormwater must be
diverted away from surface waters, and DOT must usetfollow their BMPs document
010691- (Mitchell Co., DOT) no WSWP impacts, but Roaring Branch is C Tr.
010678 - (Durham Co., Triangle WWTP) the project is within WS-IV Haw River (Jordan Lake).
Kick it to Durham Planning Dept. for enforcement of BUA requirements. Crossings ok, assuming
no practical altematives, and bua must be minimized, stormwater diverted, BMPs for water quality
used.
010666 - (Clay Co., DOT) the project is not is WS waters, but it's in Tr.
010637 - (Granville Co., John Braddy) the project is within WS-II NSW. Kick it to Butner Planning
Dept. for enforcement of BUA requirements. Crossings ok for public projects, assuming no
practical altematives, and bua must be minimized, stormwater diverted, BMPs for water quality
used. Since it's a private project, then road pavement must be included in the total bua and
crossings not ok without a variance.
010630 - (Watauga Co., Wetland and Natural Resource Consultants, Inc.) not is WS waters, but it's
within TR HQW.
010628 - (Stanly Co., Gerald Goodman) The project is within the Lake Tillery WS-IV-CA. Kick to
local planning department (Norwood?) for review of bua and buffer compliance. The state
minimum for WS-IV projects is that the WSWP rules don't apply to projects not needing a SEC
plan, but local gov't can be more protective. If SEC plan is needed, must comply with bua/buffer
requirements.
010626 (S&EC Consultants, Inc., Iredell Co.) - the site is most likely in the WS-IV-CA of Lake
Norman. No new roads in CA to the extent practicable; if allowed must minimize bua, divert
stormwater, use BMPs. Private roads must be included in the bua calculations. The state
minimum for WS-IV projects is that the WSWP rules don't apply to projects not needing a SEC
plan, but local govt can be more protective. If SEC plan is needed, must comply with bua/buffer
requirements.
Projects reviewed with NO comments/not is WS waters:
010726 - Martin Marietta Materials, Inc., Wake Co.
010730 - Donal Humphrey, Onslow Co.
010728 - Levie Carson Bunch, Curr tuck Co.
010725 - Tommy Moore, Jones Co.
010724 - Rowland Carlson, Chowan Co.
010737 - KBB Developers, Union Co.
010683 - DOT, Guilford Co.
010672 - Land Management Group, Inc., Brunswick Co.
010671- City of Lenoir, Caldwell Co.
010668 - DOT, Tyrell Co.
010654 - Ingles Markets, Inc., Buncombe Co.
010648 - Casey Jones, Guilford Co.