20201761 Ver 1_ePCN Application_20201122

DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
October 26, 2020 Ver 3.3
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
20201761
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Robert Tankard:eads\rbtankard
Information for Initial Review
la. Name of project:
COURTESY COPY - 984 Cruz Bay Ct
1a. Who is the Primary Contact?*
Brian Rubino
1b. Primary Contact Email:*
[e-mail]
Date Submitted
11/22/2020
Nearest Body of Water
Currituck Sound
Basin
Pasquotank
Water Classification
SC
Site Coordinates
Latitude: Longitude:
36.352500-75.826035
Pre -Filing Meeting Information
ID#
Pre -fling Meeting or Request Date*
11/30/2020
Attach documentation of Pre -Filing Meeting Request here:*
DWR Pre -Filing Meeting Request Form.pdf
Version#*
1
Reviewing Office*
Washington Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
Version
50.86KB
A. Processing Information C^U
County (or Counties) where the project is located:
Currituck

Is this a NCDMS Project
r Yes r No
Is this project a public transportation project?*
r Yes r No
la. Type(s) of approval sought from the Corps:
* Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
r Yes
r No
1b. What type(s) of permit(s) do you wish to seek authorization?
W Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number: 18 - Minor Discharges
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
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:
r 401 Water Quality Certification - E)press
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 - Fought 984 Cruz Bay Court 11162020.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 r Unknown
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
r Owner 9 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:
CB 984 LLC
2b. Deed book and page no.:
DB 1526, PG 466
2c. Responsible party:
Sumit Gupta
325.33KB
*
r Yes r No
r Yes r No

2d.Address
Street Address
PO Box 90
Address tine 2
aty
State / Province / Region
Kill Devil Hills
NC
Postal / Zip Code
Country
27948
USA
2e. Telephone Number: 2f. Fax Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Amy Fought
3b. Business Name:
3c.Address
Street Address
1921 Greenbrier Circle
Address tine 2
City
State / Province / legion
Blacksburg
VA
Postal / Zip Code
Country
24060
USA
3d. Telephone Number: 3e. Fax Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Brian Rubino
4b. Business Name:
Quible & Associates P.C.
4c.Address
Street Address
PO Box 870
Address tine 2
City
State / Province / legion
Kitty Hawk
NC
Postal / Zip Code
Country
27949
USA
4d. Telephone Number: 4e. Fax Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Lot 33 signed owner authorization.pdf 111.33KB
signed buyer applicant authorization.pdf 208.67KB
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(d appropriate)
Corolla Bay
1c. Nearest municipality/ town

Corolla
2. Project Identification
2a. Property Identification Number:
993424284
2c. Project Address
Street Address
984 Cruz Bay Court
Address Line 2
City
Corolla
Fbstal / 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.
030102051305
4. Project Description and History
2b. Property size:
0.36
State / Rovince / Fbgim
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 wetlands. 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?*
C 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 1.71 MB
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 375.59KB
4f. List the total estimated acreage of all existing wetlands on the property:
0.22
4g. List the total estimated linear feet of all existing streams on the property:
0
4h. Explain the purpose of the proposed project:*
Fill of 0.05 acres of wetlands to accommodate a single family residential development.
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 0.05 acres of wetlands using dump trucks, skid steer, and silt fencing to contain the proposed fill.
4j. Please upload project drawings for the proposed project.
P99006-lot33-NAT18-112020.pdf 351.07KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No C Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
C 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):

Agency/Consultant Company:
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
03/07/2016
5d1. Jurisdictional determination upload
Corolla Bay - SAW-2008-00770.pdf 91.69KB
signed-404 corolla bay.pdf 276.73KB
6. Future Project Plans
6a. Is this a phased project?*
r Yes R No
Are anyother NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed projector 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 F Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
!a. Site #* (?) 2a1 Reason (?) 2b. Impact type * (?) 2c. Type of W. 2d. W. name * 2e. Forested * 2f. Type of 2g. Impact
Jurisdicition*(?) area*
I Residential t
Estuarine Woody Wetland Wetland Yes Corps 0.050
Development (acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.050
2h. Comments:
2g. Total Permanent Wetland Impact
0.050
FEImpact Justification and Mitigation u
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The proposed fill area has been minimized to achieve the desired single family residential development of this lot. The existing uplands are being
utilized.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Silt fencing will be used to contain all fill proposed. All fill will be sloped in a manner that does not promote erosion.
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?
G 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:
Great Dismal Swamp Restoration Bank
3b. Credits Purchased/Requested (attach receipt and letter)

Type: Quantity:
Riparian wetland 0.10
Attach Receipt and/or letter
Letter of Credit Availability - Quible - Fought 984 Cruz Bay Court 11162020.pdf 325.33KB
3c. Comments
F. Stormwater Management and Diffuse Flow Plan (required by DWR) u
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:
NC Riparian Buffers do not ebst in this river basin and all work is outside of CAW AEC's and buffers.
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
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 21-1.0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
r Yes r 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 WA
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
r Unknown
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NC Natural Heritage Program Database

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?*
No surface waters present in proposed work area.
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?*
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-yearfloodplain?*
r Yes r No
8b. If yes, explain how project meets FEMA requirements:
The project is in an AE and X flood zone. Development of this nature is allowed in AE and Xzones as long as first floor elevations exceed base flood
elevations.
8c. What source(s) did you use to make the floodplain determination?*
FEMA Flood Maps and nconemap.com
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Signature
*
W By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief; and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• 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 Rubino
Signature
0&"r Rl!dA1i%,
Date
11 /22/2020

'Phe Great DismaCSwamp R.estorationBank, LLC
P. O. Box 6186
Chesapeake, VA 23323
November 16, 2020
Mr. Troy Murphy
Quible & Associates, P.C.
P.O. Drawer 870
Kitty Hawk, NC 27949
Permittee: Amy and Mark Fought
Project: 984 Cruz Bay Court
Corolla, NC
Dear Mr. Murphy:
Phone [phone]
Fax [phone]
The following price quote is given in reply to your request for the purchase of 0.10 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 Four Thousand, Eight Hundred Dollars ($ 4,000.00). This quote will expire on January 31, 2021.
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 #:
Wetland Type: Section 404 Non -Riparian
Permittee Name: Amy and Mark Fought
Locality of Impact: Corolla, NC
Impacts (acres/linear feet): 0.05 (2:1) / Anticipated Requirement: 0.10 acre
Impacts Hydrologic Unit Code: 03010205
River Basin: Pasquotank
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.
Sincerely,
Beverly M. ite
Manager — counting / Sales
GDSRB
CC: File

'Phe Great DismaCSwamp R.estorationBank, LLC
P. O. Box 6186
Chesapeake, VA 23323
November 16, 2020
Mr. Troy Murphy
Quible & Associates, P.C.
P.O. Drawer 870
Kitty Hawk, NC 27949
Permittee: Amy and Mark Fought
Project: 984 Cruz Bay Court
Corolla, NC
Dear Mr. Murphy:
Phone [phone]
Fax [phone]
The following price quote is given in reply to your request for the purchase of 0.10 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 Four Thousand, Eight Hundred Dollars ($ 4,000.00). This quote will expire on January 31, 2021.
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 #:
Wetland Type: Section 404 Non -Riparian
Permittee Name: Amy and Mark Fought
Locality of Impact: Corolla, NC
Impacts (acres/linear feet): 0.05 (2:1) / Anticipated Requirement: 0.10 acre
Impacts Hydrologic Unit Code: 03010205
River Basin: Pasquotank
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.
Sincerely,
Beverly M. ite
Manager — counting / Sales
GDSRB
CC: File

DocuSign Envelope ID: C1266D6A-66A2-4446-985B-5EDD38B82ED6
RE: 984 Cruz Bay Ln., Corolla, Currituck County, NC
Lot 33, Corolla Bay, Section I
As owner, I authorize Amy and Mark Fought (contracted purchasers) and Quible & Associates,
P.C. (Quible) to apply for and receive a Nationwide 418 Permit through the US Army Corps of
Engineers (USACE). And, I authorize USACE to access the above referenced property as
necessary for the same purpose.
E
DocuSigned by:
Wm& Ayta,
Authorized Signature
Name: sumit Gupta, Member Date: 11/9/2020
Corporation: CB 984 LLC

DocuSign Envelope ID: OFAED31 D-AOBF-4CF7-8792-D3F42F2C8OAF
RE: 984 Cruz Bay Ln., Corolla, Currituck County, NC
Lot 33, Corolla Bay, Section I
As contracted purchaser, I authorize Quible & Associates, P.C. (Quible) to act as permitting
agent on my behalf for the purpose of obtaining a Nationwide #18 Permit. And, I authorize US
Army Corps of Engineers (USACE) to access the above referenced property as necessary for
the same purpose.
[DocuSigned by: uSigned by:
or Qn Fa F�a
02BE8C2A4A6B41F_.
Authorized Signature
Name: Dr Amy Fought
Date: 11/10/2020
Mark Fought 11/10/2020

DocuSign Envelope ID: OFAED31 D-AOBF-4CF7-8792-D3F42F2C8OAF
RE: 984 Cruz Bay Ln., Corolla, Currituck County, NC
Lot 33, Corolla Bay, Section I
As owner, I authorize Amy and Mark Fought (contracted purchasers) and Quible & Associates,
P.C. (Quible) to apply for and receive a Nationwide #18 Permit through the US Army Corps of
Engineers (USACE). And, I authorize USACE to access the above referenced property as
necessary for the same purpose.
—DocuSigned by:
Serif a
Authorized Signature
Name: Sumit Gupta, Member Date: 11/9/2020
Corporation: CB 984 LLC

° 5100.00" W 075° 50' 00.00" W
075° 49' 00.00" W 075° 4
%_1
Quiblc5.
Gl
& Associates, P.C.
L
?.
-
ENGINEERING * CONSULTING * PLANNING
+
ENVIRONMENTAL SCIENCES * SURVEYING
Phone: [phone]
2, (�
Fax: [phone]
Web: www.quible.com
l
z
-
m
a
z
0
_
h�
o
O
I
O
(V
N
Q
�•
a a
'
i
(V
N
Co
p
Light
-
.1Y.
CO
O
t
Q r
m
I
,ll
•
_
s_ Iout
I
>' =.
SITE
i''+
z
o
z
o
V -
i
o
0 4
O•'�
0.
M
r J
'•
M
O
V
j.
��
O
C
y
P
I• . -
e
u
gL
Declination
*
x4.
z
N
z
0
I
tS`
(
+
1
0
o
o
o
o
o_
o
z
o
O
SCALE 1:24000
o
n
0
1 MILE
0
-------------------
1000 YARDS
MN 10.82° W ant Island �;
In
e C S
0
1 KILOMETER
° 51' 00.00" W 075° 50' 00.00" W
075° 49' 00.00" W 075° 4
Name: MOSSEY ISLANDS
Location: 036' 21' 09.53" N
075' 49' 34.93" W
Date: 11 /03/20
Scale: 1 inch = 2,000 ft.
Copyright C 2009 M To 0
Datum: NAD27

a
m
a
425660
36° 21' 14" N
Soil Map—Currituck County, North Carolina
425700 425740 425780 425820 425860 425900
425940
4259M
r• 4
SoiMIWIMET! valiel at this scale.
36° 21' S" N l
I
425660 425700 425740 425780 425820 425860 425900 425940 425980 426020
Map Scale: 1:1,890 if printed on A landscape (11" x 8.5") sheet.
` Meters
N 0 25 50 100 150
Feet
0 50 100 200 500
Map projection: Web Mercator Conermordinates: WGS84 Edge tics: UTM Zone 18N WGS84
USDA Natural Resources Web Soil Survey
Conservation Service National Cooperative Soil Survey
ry
m
a
426060
36° 21' 14" N
'I
36° 21' 5" N
426060
a
11 /3/2020
Pagel of 3

MAP LEGEND
Area of Interest (AOI)
0
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
0
Landfill
A.
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
o
Sodic Spot
Soil Map—Currituck County, North Carolina
MAP INFORMATION
Spoil Area
The soil surveys that comprise your AOI were mapped at
1:20,000.
Stony Spot
th
Very Stony Spot
Warning: Soil Map may not be valid at this scale.
Wet Spot
Enlargement of maps beyond the scale of mapping can cause
misunderstanding of the detail of mapping and accuracy of soil
4�
Other
line placement. The maps do not show the small areas of
Special Line Features
contrasting soils that could have been shown at a more detailed
scale.
Water Features
Streams and Canals
Please rely on the bar scale on each map sheet for map
measurements.
Transportation
—
Rails
Source of Map: Natural Resources Conservation Service
Web Soil Survey URL:
. 0
Interstate Highways
Coordinate System: Web Mercator (EPSG:3857)
US Routes
Maps from the Web Soil Survey are based on the Web Mercator
Major Roads
projection, which preserves direction and shape but distorts
distance and area. A projection that preserves area, such as the
Local Roads
Albers equal-area conic projection, should be used if more
accurate calculations of distance or area are required.
Background
Aerial Photography
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 19, Jun 2, 2020
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.
USDA Natural Resources Web Soil Survey 11/3/2020
Conservation Service National Cooperative Soil Survey Page 2 of 3

Soil Map—Currituck County, North Carolina
Map Unit Legend
Map Unit Symbol
Map Unit Name
Acres in AOI
Percent of AOI
CoB
Corolla fine sand, 0 to 6
percent slopes
4.6
35.9%
Dt
Duckston fine sand
0.0
0.4%
NeC
Newhan fine sand, 0 to 10
percent slopes
1.2
9.2%
Os
Osier fine sand
5.3
41.4%
W
Water
1.7
13.1 %
Totals for Area of Interest
12.8
100.0%
USDA Natural Resources Web Soil Survey 11/3/2020
Conservation Service National Cooperative Soil Survey Page 3 of 3

Q:\1999\p99006\Drawings\2020\P99006-Iot33-NAT18-MAX.dwg 11/20/2020 8:14 AM Tmurphy
GlIRV'E TABLE
GIA2V1=#
LENGTH
RADIUS
GMD LEM6TN
GND BEARING
Gl
48.40'
485.G1D'
48.38'
N l7° 50' 36' W
o ATLANTIC
BEAN
4t.
Odd N
��ryJ
Uh
Y
5/ 7r
r GUR IWK
Ct RRNInTUG-,K
I9.OI. W W W . W W . W W W
f; W W OPEN SPACE #C2 W W W W W
N22 04 Ol"W
_oGLl1�• � •+' �• W u' W �' W .� u' W .� W .� W .� W u' //.� W .� W u' W .� W .�
,,.II �JI'• ��'Y W W W W I W W W---_+V"/ W W W W W LEGEND
IIyV Y Y W W Y W W Y W W�r W . W W . W W W
PROPOSED CONCRETE
W W W W W W W
�� "� ■ - PROPOSED WETLAND FILL
1 �
Y W W Y W Y Y W W "
r r r w r w r r,°--w (�l�' w r r w r r w r r r 1� �1 — EXISTING WETLANDS
L J
W W Y W W �Y �Y
W W W W W W W W W PRELIMINARY
W W W W W W W W W
LOT 33 W W W W W W W W NOT FOR
I5,4M. q 5F / 0.356 AG W W W W Y W W Y W W W
W W W W W W UPLANDS = 5,852q 5F W w W W W W W W W W W CONSTRUCTION
W W W W W W WETLANDS = 4636.0 5F W W W W W W W W W W
W W Y W �' W W . . W W . W W . .
W W W W W �� W W W W W W W W W W W W W W W
O �y R6.�
W W Y W Y I W W Y Y W W Y O W W W W Y W m Z (O z ~ v
W W W W W0= W O
W W � (N W W W W LOT 32 W W Z -, M a a 6 (6
O EXPOSED PR(P. W W
FOUNDATION FENCE
l% W W Y W W W Y W W 0 Q O r z 44ll y y
W W W I —X— W W W = y WQVO_ Fp pao aQ
�
LOT34 et W NQ�" aX �^ `d
m �i
W W W W W W W W {� Q O j y Y Q W
W WY W LLI
X I I •y k •y W WY W Z Q Q } z a m m
r I r h�JL ZOf r r_ a m m m a� } K
4�4-0� rIR�-W� W o, away Mz m
W Q v
WETLANps N � I � �Of� .� .� � � J � � _ � z �04
p GEd$ eK T I p�D w w w }vJi y 0!yy2 R*d
(n � Q a O a W- m z a (A (A) Vi
Ld
V1 z m(�m 1(icl MAXIMUM PROPOSED T a r c� m W o_ o a o w Q � 4 o O i° �
SINGLE FAMILY RESIDENTIA W W W W W W Z U N o a (c �0 m o a N a p o n n M
7.0' DEVELOPMENT FOOTPRINT 7•0� o `tea a o oo N �Q oo n
,fIP���y{^/I ���>M}aor�i(WiI uii`"oo�zav``i
k I W c ,t tow-.
J0 W 0 �m. 14 Mm1 f0 Om W yO M �Q N
^� k \ FI�'X'�" JMs��m O�ON\ Ji(jaO HOJCV
N� ` r r 00oa�yYU)cmiN'—C4X o4::lPzzaoaa n II
`}��f _ Olm J}NQ Wm NydF MzO SW Lli 11 C1
k/ mOd.M -1 oe0yO Oz QO-}V�4l �JQ z
7.0' ry C.10_YQ�m aOf my Oc4 aOl-U~HWW �0
\y COW A Q H n 0 Q'
7.0' mwaz��aQo��zo�0
�� •FL:<Ilw}?QZOtnVo0p3Sa��
' z (c�a�} Jy�omo�oac4aQ u
k 0! J OfW�O 1A 'C �K �QHyyz = J
o W d in a�pzJJ Wd W OWza iL
z d OHMJOmH-Q:o �0007000
ry Ki v ui ai � ao oi
E.
22.15,
44
. .a
... .. ..
PROJECT COPYRIGHT C) 2020 NC License#: C-0208
QUIBLE & ASSOCIATES, P.C. NATIONWIDE 18 SKETCH PLAN
P99006 THIS DOCUMENT IS THE PROPERTY OF Quible SINCE 1959
QUIBLE & ASSOCIATES, P.C. ANY LOT 33 SECTION 1
DRAWN BY ALTERATION OF THIS DOCUMENT IS �T A P.C.TM/BRJ IF THIS DOCUME PROHIBITED. NOT SIGNED AND COROLLA BAY SUBDIVISION w l 1ssociates, 1
SEALED BY A LICENSED PROFESSIONAL ENGINEERING** * CONSULTING * PLANNING
CHECKED BY THEN THIS DOCUMENT SHALL BE POPLAR BRANCH TOWNSHIP CURRITUCK COUNTY ENVIRONMENTAL SCIENCES * SURVEYING**
CONSIDERED PRELIMINARY, NOT A NORTH CAROLINA **ENG./SUR. NOT OFFERED AT BLACK MTN. OFFICE**
MWS CERTIFIED DOCUMENT AND SHALL NOT 8466 Coratoke Hwy, Powells Point, NC 27966
BE USED FOR CONSTRUCTION, 0 30' 60' Phone: [phone] Fax: [phone]
DATE RECORDATION, SALES OR LAND 90 Church St., Ste. 8, Black Mountain, NC 28711
CONVEYANCES, UNLESS OTHERWISE Phone: [phone] Fax: [phone]
11/17/20 NOTED. GRAPHIC SCALE IN FEET 1 "=30' administrotor0quible.com

d1IC➢1\TIl7Iy
N.T•S.
ww POE
A.
rcuanammn9
49p.,,1,�]
E��-
'�Cllc I& A�rfn vwIVNIN,
��F�C
1) OWRPYIR Nm.EAB m NORM C"OUNA PROPERTIES, LLD
HARao R ME eWLivARO
9NI
(2a2) Asa-aaoo
2) K%ANO AREA UPDATE POST FA/, HTIDAR0111
War -C Nult 04.91j0,8 3++CI" "M
"" 9EILAND Al Wa.90a.43 eF + 12.94 ACS
a) UNRCE KW AS PEOCROEO IN O.S.345, PO
374, OC.R
I-
'��'
.7.SLE.,i/T:�l.t-Tkf11.33FSYFlC..
!�•Ta•rf�rararr�ri�rE,m�'rE�
�'1!♦�fRL l�I".-.7' 9�511�"fET1FfY�
�-1•iCA£atFl A'71iLCFl.LREfAL1C�
��IFFIFidF"C>"i1tElS'TII�iCF167L3
���[.13L)R�F1..T:11�ILQ71a'ii1�
wlEcai71¢E��a�•
t•Il♦ ci�Cr.•�1i._Jq]/�tlfE4flli�
4.T9rw^a
ID •/'
APR R0NI
SHORELINEIRE
CURRITUCi<
SOUND
L
NO go mm
i J � Lad a
ALONG �HOY[t`141[ i � ' '^-••/'•
/ &,0 CAR04O4A PROPE'r- LLC
De, 1 o PG. i�-,aa
CUR R I TUCK EBD 5vE ul.Es
MONO'SHOP[4NE
SOUND
1 I
u ae +4 LIB \\\ \ I u CURRY&B�yoa OUNTY 1V
/% � ,� .., rll. � ,I \••{ \\� JA@.6. VI& P0.�i8) e14 1
dly, � AEAUL g19r9oA7N6 u YI � eL .,4 '�
� L
all. a aY, hP\�%[.4 .. •..
Low o7 Aa..1N
MIKE CROMAMP"MPIff 5R0pH ut '']' Btc,lm"Aul� m„^^w4 ✓B. a4, ,, v
DO, 1990 P0. MIN,
SHORELINE PER
AERIAL PHOIOORAPH
(AUOUST 2003)
U DOEFaIll
S BAY, L.
P4 1. 04 Iso
DO, 791, Pot. 004 'a y 1
By -A"—, L29. Lip
148
Ba
a4 �]I� :Y �� CRULBFY�LAIIL-Pl PW \
GPUt OAY COORT-a9 PW ® 97 a9L , B,�pf'[I., Sxi .14 'a
5,5'Y�S� CfT LR P[RINV ON[ �r4D
\ 0010IW YNIUNDOWO 440. � I KRNgS
ry 1, at, IgoNn,9IS\y _
nP°'
k ,P
/ O/H 9R MITI I D IH[ G 0 1AAAISBr. J -- -
�!
li--- -.---__- __-___ _
PHASE
1. TORE9 /6`�// fib '� aA a•'4\'2 a s7j%
/
i
PNASE 1, SECTIONS
P.C. D, IiL 20-27 'i a
ZONEOI R02
/
® ��,, ,
\ EX POND
/
®® L DO on
,a - _ J5 i9 01 / MORi11CABf>OLN NORTH CAROf.ZIA
F 1,i0'A9�]'M' PRDp6RnEp CC6ANWB6 YHlJ,9, L!O
n/F 09. 189D, P6 71D-7Dl
CORSEOMN ORES \
P.C. 0. EL J00 COROLLA T vo evoo" 440,
hiTLAP AT , % 44 HAY'
ar N1E x[nun uN[J ,. D.B.2 1� g01240 '4 PC. AL', a, aA
i So
(PAgi OF PHASE III
MONTERAY SHORES)
r®MonTER'aYSHOREs -'
PNASE I SECTION S
P.G. 0, % 20-27
-- .L- --. I
MIS CERTIFIER MAY 7HS COPY OR THIS PLAT ACCURATELY
REGULATORY OFFICIAL,
TITLE;
OATS:
USAGE ACTION D NO.,
I, CARLOS F. OOMEZ , CERTIFY THAT THIS NAP WAS ORAV,N
UNDER MY SIIPERIAMON FROM AN ACTUAL SURVEY MADE VNDETI
NY "P'NUSIONI MAT THE BOUNDARIES NOT ACTUALLY Sul
ARE SHOWN AS BROKER LINES PLOTTED FROM INFORMATION FOUND
IN EXISTING RECORDS AND THAT THIS MAP WAS Not PREPARED TO
BE RECMOEO. THE RATIO OF PRECISION IS 1: 1170WT' BY LAT. N
DER, WITNESS MY HAND AND SEAL MIS
a0M 0" OF APRIL, 2012.
7 /l S
P.LS. L-3241
CURRITUCK
SOUND
1
�C
q/F
CUNRITUCk COIFITY
/
4
007 odes
/ )
(O.B. 710, PC. 70)
/
Y/
EPCO EASPAWT
EP151 P0.,53
{
{ Y/
)�
15'WATEIILINE EASPAETTT { {/
mlry� _
U3�NU to
ONZNN �
a&A � min
r �
CAMA WETLANDS
n OPEN SPACE
/. ••'' 273 Attea
I
q// L a[ °n[ NnlFln lN[
- 10 ACCESSCRCSS
EASOn PIT FOR
CO, OLU BAY OWL IS
B CURRITUCK COMITY
101 SF-B[4AC
(OPEN SPACO
MIR
"FOOD LIN LLC"
PO BON 1330
SALISBURY. NC 20140
(COROLLA SHORES)
PHASE V
P.C. 0, 51- 350
(COMMERCIAL NOT
TV EXCEED 0.41 AC
PIN 0,10-000-DOSS- 00
N�D7a PCE-41V
\`-�'�'19` 70 � /n�J ) \ �-, / / IS'ACCf53 EASEMENP
- -\ �R/y(lYC12 OWNER95AY
EY(VYEPCOMEMPIT ` ® /
TDB -I P9.TSa �- `
eAA4,6) ]
�' -__- --
77,
M LNBY B
ne nwSt
-
N//
COROLLA LIOH7 P.U.D.
PHASE 5F
P, C. O, SL 40-51
NF
COROLLA LIGHT P.U.O.
PHASE 5H
P,C. 0, SL 4
9-51
a9PW -- 149
I p
Al
I
W a9ALiWi, � ;� Lc°taND: n02 1]
\ pn
r
Paw ALEH AD CLUB 6UB N5707hPW1°ila 1 4 + N4iALEHEAO NI B 5U6tlINSION C a
®•lal9 2PNE-R01 � " � ZON -ROT n� I ;r p W
�F L
�/��/�p��C11�NAYOA .�plT �. 9NDAV6Va1 w7YN@ R p L _RyN[C tlEAR{ I FDVItY ni',EI,REY aq IITn£Ig1 NbLCT Si, 7L9!, 01 eEO1NN A, fI WJVDA 1-`r S, ytGnpl 0, WYC#I81RG>IB�' 0.[a[ ,0. 6!GIAn aLaiµT TL 2CnW W 6VA AL SECS9I1 A, M 0.VB lDl 9NRg1 A. YHIU)rE GLVe 01ALIiKJO ttVB IHHDIEAO ClM RINLl2AO CLVB VN4C11EA0 6UB AIIH[b CIUtl 0.+ a �I
MCA a YOI[p, Rpi , POZ q,pRAa 0.U0 MMYIrtb 6VA IpMI Pa[ IQlfq, R9i Q q,
ONECNEO: PRAWN:
CFG G7.E/b
COROLLA DRIVE -69RW GRAPHIC SCALE PROJCTNOI
®® ®® ®® w 0A wo P432
CAD TIE;
PLEI
( IR FEET) SNEETI
I Inch • 100 It
K
z
NH09 OP
NOM owrlBN'El
CM91MA PnOPBRfIW LLC
ns, le9e, Pa 7W'
CDRgLA COFO N�RWAL LLD,
P.C. 11'1 94 OB
KT[Ab4
4,(A9,01 Pt

Contact Name*
Brian Rubino
Contact Email Address*
[e-mail]
Project Owner*
CB 984, LLC
Project Name*
984 Cruz Bay Ct
Project County*
Currituck
Owner Address:*
Street Address
PO Box 90
Address Line 2
aty
Kill Devil Hills
Postal/ Zip axle
27948
Is this a transportation project?*
C Yes c: No
Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - F- 401 Water Quality Certification -
Regular Express
F Individual Permit F Modification
F- Shoreline Stabilization
Does this project have an existing project ID#?*
C Yes c: No
State / Province / Region
NC
Country
USA
Do you know the name of the staff member you would like to request a meeting with?
Chris Pullinger
Please give a brief project description below.*
This Pre -Filing notification is being submitted in conjunction with a
Nationwide 18 application. The subject site is currently undeveloped
uplands and wetlands. Adjacent parcels include single family residences
and undeveloped uplands and wetlands. The proposed project will consist
of filling 0.05 acres of wetlands using dump trucks, skid steer, and silt
fencing to contain the proposed fill. The proposed fill of 0.05 acres of
wetlands is to accommodate a single family residential development.
Please give a couple of dates you are available for a meeting.
11 /23/2020
11 /24/2020

Please attach the documentation you would like to have the meeting about.
P99006-LOT33-NAT18-111720.pdf 351.12KB
pdf only
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
1 understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.
1 also understand that DWR is not required to respond or grant the meeting request.
Your project's thirty -day clock started upon receipt of this application. You will receive notification regarding meeting location
and time if a meeting is necessary. You will receive notification when the thirty -day clock has expired, and you can submit an
application.
Signature *
Submittal Date 11/17/2020

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: 36.3542383277028
Longitude:-75.9269515938751
Location description: West side of Highway 12 1.45 miles south of the Currituck Lighthouse near Corolla Currituck
County, North Carolina
Indicate Which of the Following Anply:
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, may be
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 1 of 2

f
_ 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 he 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 910-251-4595 or
Chester.C.Bigelow&usace.armv.mil.
C. Basis For Determination: USACE 1987 Federal Wetlands Delineation Manual and Regional Supplement to the
Corps of Engineers Welland Delineation Manual: Atlantic and Gulf Coastal Plain Region (Version 2.0)
D. Remarks: This is an approved delineation which verities 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 del ineation/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 10M15
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.lf1.1205 OpttallOW-d 4 BirELOWCHESTER.CKMJSJIt.I207SQ57
ON:C-US,o-U-1SG—e nwt,ou 000,ou-WII,ou-USA,
en-BIGELOW.CHESTERCHARLESJII,1205754357Corps Regulatory Official:
Da%-.2o16.03.0Ia.3i:52-05'Oa
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://regulatorv.usacesurveX.com/.