20200471 Ver 1_PCN Form Submission_20200403

DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
C Yes r No
Change only if needed.
BIMS # Assigned
20200471
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
David May:eads\dlmay
Information for Initial Review
la. Name of project:
COURTESY COPY - Lot 19, Section 1, Corolla Bay
1a. Who is the Primary Contact?*
Sumit Gupta
1b. Primary Contact Email:*
[e-mail]
Date Submitted
4/3/2020
Nearest Body of Water
Currituck Sound
Basin
Pasquotank
Water Classification
SC
Site Coordinates
Latitude:
36.355235
A. Processing Information
County (or Counties) where the project is located:
Currituck
Is this project a public transportation project?*
r Yes r No
Longitude:
75.827448
la. Type(s) of approval sought from the Corps:
W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?
* Nationwide Permit (NWP)
* Regional General Permit (RGP)
7 Standard (IP)
Version#*
1
Reviewing Office*
Washington Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
V

1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
18 - Minor Discharges
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR401 Certification:
For the record only for Corps Permit:
F 401 Water Quality Certification - Express
r Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
Acceptance Letter Attachment
Letter of Credit Availability - Quible - SF Corolla Bay LLC 03242020.pdf
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
11. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes r No
1j. Is the project located in a designated trout watershed?
4 Yes 4 No
B. Applicant Information
1d. Who is applying for the permit?
W Owner r Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
SF Corolla Bay, LLC
2b. Deed book and page no.:
1596/394
2c. Responsible party:
Sumit Gupta
2d.Address
Street Address
PO Box 90
Address Line 2
City
Kill Devil Hills
Postal / Zip Code
27948
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
r Unknown
State / Rovince / Region
NC
Country
USA
2f. Fax Number:
325.3KB
r Yes r No
r Yes r No
4. Agent/Consultant (if applicable)

4a. Name:
Brian Rubino
4b. Business Name:
Quible & Associates P.C.
4c.Address
Street Address
PO Box 870
Address Line 2
city
Kitty Hawk
Postal / Zip Code
27949
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
authorization 4-2-2020.pdf
State / Rovince / Ibgion
NC
Country
USA
4e. Fax Number:
154.83KB
C. Project Information and Prior Project History C^U
1. Project Information
1b. Subdivision name:
(if appropriate)
Corolla Bay
1c. Nearest municipality/ town:
Corolla
F-
2. Project Identification
2a. Property Identification Number:
115E00000190000
2c. Project Address
Street Address
1012 Cruz Bay Lane
Address Line 2
City
Corolla
Postal / Zip Code
27927
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Currituck Sound
3b. Water Resources Classification of nearest receiving water:*
SC
3c. What river basin(s) is your project located in?*
Pasquotank
3d. Please provide the 12-digit HUC in which the project is located.
0301020513
4. Project Description and History
2b. Property size:
0.37
State / Rovince / legion
NC
Country
USA
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
The site is currently undeveloped uplands and wetland. Adjacent parcels include single family residences and undeveloped uplands and wetlands.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r No r Unknown
4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
USGS_MOSSEY ISLANDS.pdf 1.64MB
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)

NRCS_Soil_Map.pdf 405.22KB
4f. List the total estimated acreage of all existing wetlands on the property:
0.23 Acres
4g. List the total estimated linear feet of all existing streams on the property:
0 LF
4h. Explain the purpose of the proposed project:*
Proposed fill of 3,635.3 SF (0.084 ac) of wetlands to accommodate a single family residential site plan. This is an existing lot within the Corolla Bay P.U.D.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The proposed project will consist of filling 3,653.3 SF of wetlands using a dump truck, skid steer, and silt fencing to contain the proposed fill.
4j. Please upload project drawings for the proposed project.
P99006-LOTI9-NAT18-032520.pdf 379.26KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No r Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
SAW-2008-00770
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Chester Bigelow
Agency/Consultant Company: USACE
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
it appears that there was a jurisdictional determination in 2008 with a renewal and re -approval in March 2016.
5d1. Jurisdictional determination upload
Corolla Bay - SAW-2008-00770.pdf 91.69KB
signed-404 corolla bay.pdf 553.27KB
6. Future Project Plans
6a. Is this a phased project?*
r Yes r No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
W Wetlands r Streams -tributaries r Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
a. Site #* (?) 2a1 Reason (?) 2b. Impact type * (?) �2�e of W. 2d. W. name * 2e. Forested * 2f. Type of 2g. Impact
Jurisdicition*(?) area*
_11
Residential P Estuarine Woody Wetland Wetlands Yes Corps 0.084
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.084
2h. Comments:
2g. Total Permanent Wetland Impact
0.084

E. Impact Justification and Mitigation u
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The residential development plan will utilize the existing uplands on the west side of the property to the fullest extent.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Silt fencing will be used to contain all materiel and prevent any material from escaping the proposed limits. The site will be seeded and stabilized after
fill occurs.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
r Yes r No
2c. If yes, mitigation is required by (check all that apply):
r DWR W Corps
2d. If yes, which mitigation option(s) will be used for this project?
W Mitigation bank r Payment to in -lieu fee r Permittee Responsible
program Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
The Great Dismal Swamp Restoration Bank
3b. Credits Purchased/Requested (attach receipt and letter)
Type: Quantity:
Non -riparian wetland 0.168
Attach Receipt and/or letter
Letter of Credit Availability - Quible - SF Corolla Bay LLC 03242020.pdf 325.3KB
3c. Comments
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
r Yes r No
If no, explain why:
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
r Yes r No
Comments:
G. Supplementary Information U
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r' Yes r No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *

C Yes 6 No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor N/A
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5d. Is another Federal agency involved?*
r Yes r No
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No
r Unknown
51. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NHP Database and field evaluation by qualified environmental scientist
Consultation Documentation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
This project does not proposed impacts to surface waters or coastal wetlands.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
Review of National Register of Historic Places
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
8b. If yes, explain how project meets FEMA requirements:
Fill and development is allowed with this zone (AE 4 and Shaded X)
8c. What source(s) did you use to make the floodplain determination?*
Review of Approved FEMA Maps

Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Signature
FI By checking the box and signing below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.
Full Name:
Brian D. Rubino
Signature
a &;.AlrarD-.v�Ar�W
Date
4/3/2020

The Great Dismal Swamp RestorationBank, LLC
P. O. Box 6186
Chesapeake, VA 23323
March 24, 2020
Mr. Troy Murphy
Quible & Associates, P.C.
P.O. Drawer 870
Kitty Hawk, NC 27949
Permittee: SF Corolla Bay, LLC
Project: 1012 Cruz Bay Lane
Corolla, NC 27927
Dear Mr. Murphy:
Phone [phone]
Fax [phone]
The following price quote is given in reply to your request for the purchase of 0.168 Non -Riparian wetland
mitigation credits (HUC Code 03010205) from The Great Dismal Swamp Restoration Bank - Timberlake Farm. These
credits are currently available from our Timberlake mitigation bank.
The cost will be Six Thousand, Seven Hundred, Twenty Dollars ($ 6,720.00). This quote will expire on June 30,
2020. You will need to submit to the USCOE the necessary application for said mitigation, and receive USCOE
permission to furnish said required credits from our Timberlake bank.
To complete this transaction, we will require payment in full. Once payment is received, the credit sale will be
reported to the US Army Corps of Engineers. Please provide and/or confirm the following information:
Corps Project #:
Waterway: Pasquotank
Permittee Name: SF Corolla Bay, LLC
Locality of Impact: Corolla, NC
Permit action (i.e., IP, NWP-39, enforcement, etc.) Section 404 Non Riparian
Impacts (acres/linear feet): 0.084 (2:1) / Anticipated Requirement: 0.168 acre
Impacts Hydrologic Unit Code: 03010205
Mitigation Bank, Permittee, and Consultant agree not to discuss with any other party the details and/or pricing of
this agreement, unless necessary for regulatory matters. Information contained herein shall be held in the strictest
confidence.
Thank you for allowing us to quote this project. We look forward to working with you.
Siryerely,
"te
unting / Sales
GDSRB
CC: File

RE: SF Corolla Bay, LLC
Lot 19, Corolla Bay
Corolla, Currituck County, NC

As managing member of SF Corolla Bay, LLC, I authorize Quible & Associates, P.C. (Quible) to
act as agent for environmental permitting that is required, including Nationwide 18 Permitting.

___________________________________________
Authorized Signature

Name: ________________________ Date: ____________

DocuSign Envelope ID: 793DED81-160E-4AB8-9DD3-BA4A38EA906E
Sumit Gupta 4/2/2020
SITE
Copyright (C) 2009 MyTopo
075° 51' 00.00" W
075° 51' 00.00" W
075° 50' 00.00" W
075° 50' 00.00" W
075° 49' 00.00" W
075° 49' 00.00" W
075° 48' 00.00" W
075° 48' 00.00" W036° 22' 00.00" N036° 22' 00.00" N036° 21' 00.00" N036° 21' 00.00" N036° 20' 00.00" N036° 20' 00.00" NSCALE 1:24000
0 1 MILE
0 1000 YARDS
0 1 KILOMETER
Declination
MN 10.82° W

MN
Location: 036° 21' 06.18" N 075° 49' 31.21" WName: MOSSEY ISLANDS
Date: 03/24/20
Scale: 1 inch = 2,000 ft.
Copyright (C) 2009 MyTopo
Datum: NAD27
Soil Map—Currituck County, North Carolina
Natural Resources
Conservation Service
Web Soil Survey
National Cooperative Soil Survey
3/24/2020
Page 1 of 340235604023590402362040236504023680402371040237404023560402359040236204023650402368040237104023740425600425630425660425690425720425750425780425810425840425870425900
425600 425630 425660 425690 425720 425750 425780 425810 425840 425870 425900
36° 21' 21'' N 75° 49' 45'' W36° 21' 21'' N75° 49' 32'' W36° 21' 14'' N
75° 49' 45'' W36° 21' 14'' N
75° 49' 32'' WN
Map projection: Web Mercator Corner coordinates: WGS84 Edge tics: UTM Zone 18N WGS84
0 50 100 200 300
Feet
0 20 40 80 120
Meters
Map Scale: 1:1,460 if printed on A landscape (11" x 8.5") sheet.
Soil Map may not be valid at this scale.
MAP LEGEND MAP INFORMATION
Area of Interest (AOI)
Area of Interest (AOI)
Soils
Soil Map Unit Polygons
Soil Map Unit Lines
Soil Map Unit Points
Special Point Features
Blowout
Borrow Pit
Clay Spot
Closed Depression
Gravel Pit
Gravelly Spot
Landfill
Lava Flow
Marsh or swamp
Mine or Quarry
Miscellaneous Water
Perennial Water
Rock Outcrop
Saline Spot
Sandy Spot
Severely Eroded Spot
Sinkhole
Slide or Slip
Sodic Spot
Spoil Area
Stony Spot
Very Stony Spot
Wet Spot
Other
Special Line Features
Water Features
Streams and Canals
Transportation
Rails
Interstate Highways
US Routes
Major Roads
Local Roads
Background
Aerial Photography
The soil surveys that comprise your AOI were mapped at
1:20,000.
Warning: Soil Map may not be valid at this scale.
Enlargement of maps beyond the scale of mapping can cause
misunderstanding of the detail of mapping and accuracy of soil
line placement. The maps do not show the small areas of
contrasting soils that could have been shown at a more detailed
scale.
Please rely on the bar scale on each map sheet for map
measurements.
Source of Map: Natural Resources Conservation Service
Web Soil Survey URL:
Coordinate System: Web Mercator (EPSG:3857)
Maps from the Web Soil Survey are based on the Web Mercator
projection, which preserves direction and shape but distorts
distance and area. A projection that preserves area, such as the
Albers equal-area conic projection, should be used if more
accurate calculations of distance or area are required.
This product is generated from the USDA-NRCS certified data as
of the version date(s) listed below.
Soil Survey Area: Currituck County, North Carolina
Survey Area Data: Version 18, Sep 16, 2019
Soil map units are labeled (as space allows) for map scales
1:50,000 or larger.
Date(s) aerial images were photographed: Dec 31, 2009—Oct
19, 2017
The orthophoto or other base map on which the soil lines were
compiled and digitized probably differs from the background
imagery displayed on these maps. As a result, some minor
shifting of map unit boundaries may be evident.
Soil Map—Currituck County, North Carolina
Natural Resources
Conservation Service
Web Soil Survey
National Cooperative Soil Survey
3/24/2020
Page 2 of 3
Map Unit Legend
Map Unit Symbol Map Unit Name Acres in AOI Percent of AOI
CoB Corolla fine sand, 0 to 6
percent slopes
0.1 1.5%
Cu Currituck mucky peat 2.2 23.3%
NeC Newhan fine sand, 0 to 10
percent slopes
0.0 0.4%
Os Osier fine sand 3.6 38.9%
OuB Ousley fine sand, 0 to 6
percent slopes
2.4 25.7%
W Water 0.9 10.1%
Totals for Area of Interest 9.3 100.0%
Soil Map—Currituck County, North Carolina
Natural Resources
Conservation Service
Web Soil Survey
National Cooperative Soil Survey
3/24/2020
Page 3 of 3
PRELIMINARYNOT FORCONSTRUCTION
1W
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2008-00770 County: Currituck U.S.G.S. Quad: NC-MOSSEY ISLANDS
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner:
Louis Roussos
Address:
Northeastern North Carolina Properties
6001 Harbor View Blvd
Suffolk, Virginia 23435
Telephone Number:
[phone]
Size (acres)
12.8 Nearest Town Corolla
Nearest Waterway
Currituck Sound River Basin Albemarle
USGS HUC
03010205 Coordinates Latitude: 36.3542393277028
Longitude:-75.8269515938751
Location description: West side of Highway 12. 1.45 miles south of the Currituck Lighthouse, near Corolla Currtiuck
County, North Carolina
Indicate Which of the Following Apply:
A. Preliminary Determination
Based on preliminary information, there may be waters of the U.S. including wetlands on the above described project area
. We strongly suggest you have this property inspected to determine the extent of Department of the Army (DA)
jurisdiction. To be considered final, a jurisdictional determination must be verified by the Corps. This preliminary
determination is not an appealable action under the Regulatory Program Administrative Appeal Process (Reference 33
CFR Part 331). If you wish, you may request an approved JD (which may be appealed), by contacting the Corps district
for further instruction. Also, you may provide new information for further consideration by the Corps to reevaluate the
JD.
B. Approved Determination
X There are Navigable Waters of the United States within the above described project area subject to the permit requirements
of Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law
or our published regulations, this determination may be relied upon for a period not to exceed five years from the date of
this notification.
X There are waters of the U.S. including wetlands on the above described project area subject to the permit requirements of
Section 404 of the Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification.
We strongly suggest you have the waters of the U.S. including wetlands on your project area delineated. Due to the
size of your property and/or our present workload, the Corps may not be able to accomplish this wetland delineation in a
timely manner. For a more timely delineation, you may wish to obtain a consultant. To be considered final, any
delineation must be verified by the Corps.
_ The waters of the U.S. including wetlands on your project area have been delineated and the delineation has been
verified by the Corps. We strongly suggest you have this delineation surveyed. Upon completion, this survey should be
reviewed and verified by the Corps. Once verified, this survey will provide an accurate depiction of all areas subject to
CWA jurisdiction on your property which, provided there is no change in the law or our published regulations, maybe
relied upon for a period not to exceed five years.
X The waters of the U.S. including wetlands have been delineated and surveyed and are accurately depicted on the plat
signed by the Corps Regulatory Official identified below on March 8, 2016. Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
Page t of 2

_ There are no waters of the U.S., to include wetlands, present on the above described project area which are subject to the
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
X The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act
(CAMA). You should contact the Division of Coastal Management in Elizabeth City, NC, at [phone] to determine
their requirements.
Placement of dredged or fill material within waters of the US and/or wetlands without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). If you have any questions regarding this
determination and/or the Corps regulatory program, please contact Chester Bigelow at 910-2514595 or
Chester.C.Bigelow(d.usace.armv.mil.
C. Basis For Determination: USACE 1987 Federal Wetlands Delineation Manual and Regional Supplement to the
Corps of Engineers Wetland Delineation Manual: Adarttic and Gulf Coastal Plain Region (Version 2.0)
D. Remarks: This is an approved delineation which verifies the wetlands remaining after permitted activity was
completed. Permitted activity was undertaken under an individual permit. Future permitted activity must also be
undertaken under an individual permit.
E. Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits of Corps' Clean Water Act jurisdiction for the
particular site identified in this request. The delineation/determination may not be valid for the wetland conservation
provisions of the Food Security Act of 1985. If you or your tenant are USDA Program participants, or anticipate participation
in USDA programs, you should request a certified wetland determination from the local office of the Natural Resources
Conservation Service, prior to starting work.
F. Appeals Information (This information applies only to approved jurisdictional determinations as indicated in
B. above)
This correspondence constitutes an approved jurisdictional determination for the above described site. If you object to this
determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331. Enclosed you will find a
Notification of Appeal Process (NAP) fact sheet and request for appeal (RFA) form. If you request to appeal this
determination you must submit a completed RFA form to the following address:
US Army Corps of Engineers
South Atlantic Division
Attn: Jason Steele, Review Officer
60 Forsyth Street SW, Room 1OM15
Atlanta, Georgia 30303-8801
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for
appeal under 33 CFR part 331.5, and that it has been received by the Division Office within 60 days of the date of the NAP.
Should you decide to submit an RFA form, it must be received at the above address by May 8.2016.
**It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this
correspondence.** BIGELOW.CHESTER.CHARLES.111.1205 oDN:C',4o ��GML �ror"oo`o�l'.ou'Usa 51
p Regulatory 754357 c IULOKOIESTEaCHA Sn.R057M357
Corps ulato Official: De .2016A10 TP31:53-o50V
Date: 7 March 2016
Expiration Date: March 7, 2021
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so, please complete our Customer Satisfaction Survey, located online at
http://reeulatorv.usacesurvey.com/.

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