20111083 Ver 1_CC 401 Application_20111212

Dennison, Laurie
From Mcmdlan lan
Sent Monday December 12 2011 1 13 PM
To Dennison Laurie
Sub�ect FW Revised Application
Attachments PCN Application revised front page 12 12 11 pdf
Ian J McMillan, PWS, GISP
NCDENR/D�v�sion of Water Qual�ty - Wetlands and Stormwater Branch 1650 Mail Service Center
Rale�gh, NC 27699 1650
Office [phone]
Fax [phone]
Email ian mcmillan denr@gma�l com SENT TO MY PHONE
Ema�l �an mcm�llan@ncdenrgov
E-ma�l correspondence to and from th�s address may be sub�ect to the North Carolma Publ�c
Records Law and may be d�sclosed to th�rd parties
-Origma! Message - --
From Lou�se Lopmto (ma�lto lou�se@boul�aenterpr�se com�
Sent Monday, December 12, 2011 1 12 PM
To Mcmillan, Ian
Cc BillBoulia
Sub�ect Rev�sed Applicat�on
Ian,
Thank you for callmg and speakmg w�th me regard�ng the mmor changes to the appl�cation I
subm�tted Attached �s the corrected front sheet per our d�scuss�on
Louise
Lou�se LoP�nto
Bouha Enterpnse Inc
lowseC�bouliaenterprise com
Located �n Newport R�ver Shoppes
6931 Hwy 70 East
Ma�l�ng Address
PO Box 1765
Newport, NC 28570
252-223 2122
252 223 3004 (fax)
www bouliaenterprrse com
i

� 0 7 � � 0 8 3
o�warE,�
o�, p� Office Use Only
� 6 � � � Corps action ID no � _
� ,�, � o � DWQ pio�ec.t no
Form Veision 1 4 January 2009
- -- F'�e C����baactao� �lo4.e�'cagion (PC�!) Forrn �(�(���Eo��
A Applicant Inforrnation �
! Processing
1 a Typ�(s)of approval sought from the Corps � Section 404 Permit ❑ Sect�on 10 Pei mit
1 b Specify Nationwide Perrn�t(NWP)number �� or General Permit(GP) number
1c Has the NWP or GP number been verified by the Corps� _—�Yes ❑ No
1 d l ype(s)of approval sought from the DWQ (checic all that apply)
❑ 401 Water Quality Certification-Regular �J Non 404 Jurisdictional General Permit
❑ 401 Water Quality Certification-Expi ess ❑ Riparian Buffer Authoi ization
1 e Is tliis nofific,ation solely for the record For the record only for DWQ For the recoid only for Coi ps Permit
b�cause written approval is not required? A01 Certification
�� Yes � Vo �"Yes [� No
1f Is payment into a rnitigation banl<or in lieu fee program proposed for
mitigation of impacts� If so attach the acceptance letter fiom mitigation bani< ❑ Yes �'No
ar in lieu fee program
1g Is the pro�ect located in any of NC s tweniy coastal counties If yes answer 1h � Yes ❑No
below �
1 h Is the pro�ect located withm a NC DCM Area of Environmental Concern(AEC)? []Yes No
2 P�o�ecfi Information
2a Name of pro�ect �..,0�- �(�O W q� a
2b County Ca,� �-Q,�(��
2c Neaiest municipality/town Y1�� ��'�-
2d Subdivision name � 1 p�("� a o... �0.�' 1� �
2e NCDOT only T I P or state pro�ect no
3 Owner Information
3a Name(s)on Recorded Deed W��\�q Y,r� Q �p�\ti p� W�ands�St�rmW�z Branch
3b Deed Book and Page No 'D d 3 Z ��a��. --1'� _ ____
3c Responsibie Party(for LLC if
apphcable) --
3d Street address ��'� �_�c, '�� � ! ^
3e City state zip ����p��-�_-�� _a �_CJ--1 �` � �
3f Telephone no a s � � a 3 a 1 a�_`�____
3g Fax no o�S a a a 3 3 � �_� _ _
3h Emad address g � \� p�,�,`�, 0. �,,,h���('_�C 1 S�, ��
Page 1 of 10 ,
PCN Form-Version 1 4 January 2009 1

oF wnrF9
`o� pG Office Use Only
� s � r Corps action ID no _
1
� ��� � � -� DWQ pro�ect no
Form Version 1 4 January 2009
Pre-Constructson Notofacateon (PCN) Forrn
A Applicant Information
1 Processmg `'Vashtn �uu��, � ���
1 a Type(s) of approval sought from t Corps � Section 404 Permit ❑ Section 10 Permit
1b Specify Nat�onwide Permit(NWP)num er I or General Permit(GP)number
1 c Has the NWP or GP number been verifie y the Corps� �Yes ❑ No
1 d Type(s}of approval sought from the DWQ(ch k all that apply)
❑ 401 Water Quality Certification—Regular �f Non 404 Junsdictional General Permit
❑ 401 Water Quality Certification—Express ❑ Riparian Buffer Authorization
1 e Is this notification solely for the record For the r ord only for DWQ For the record only for Corps Permit
because written approval is not required� 401 Certifi tion
�r�f ❑Yes �No �Yes ❑ No
1f Is payment mto a mitigation bank or in lieu fee program propos for
mit�gation of impacts� If so attach the acceptance letter from mit at�on bank ❑ Yes �'No
or in lieu fee program
1 g Is the pro�ect located in any of NC s twenty coastal counties If yes an wer 1 h �Yes []No
below
1 h Is the pro�ect located within a NC DCM Area of Environmental Concern (A � ❑Yes No
2 Pro�ect Information
2a Name of pro�ect L.O'�'C' � �O W O� a
2b County C,Q�- �Q.(�,�
2c Nearest municipality/town ��� �.�-�
2d Subdivision name � �p Y-� a p` �q.� �,�
2e NCDOT only T I P or state pro�ect no "
3 Owner Information ��N
3a Name(s)on Recorded Deed W��\t q m Q �O�\�0. e��' �`� �'�g�eranch
3b Deed Book and Page No 'D d 3 Z Q � --�'�
3c Responsible Party (for LLC if `
applicable) �
3d Street address '� � �C �=, �
3e City state zip e��p��� -�� � �_-1 �
3f Telephone no o� �j a a a 3 � � a�
3g Fax no c�S a a a 3 3 � �
3h Email address g � \�� ���`� 0. �, h�-�,� �f� S�
Page 1 of 10
PCN Form—Version 1 4 January 2009

4 Applicant Information (if different from owner) /�/�
4a Applicant is ❑ Agent ❑ Other specify
4b Name
4c Busmess name
(if applicable)
4d Street address
4e City state zip
4f Telephone no
4g Fax no
4h Email address
5 Agent/Consultant Information(if applicabley I�'
5a Name
5b Business name
(if applicable)
5c Street address
5d City state zip
5e Telephone no
5f Fax no
5g Emad address
Page 2 of 10

B Pro�ect Information and Prior Pro�ect History
1 Property Identification �1��p.n p�
1a Property identification no (tax PIN or parcel ID) (p 3'�j�p d��'► a O �p l�'� pp0
1 b Site coordinates(in decimal degrees) �atitude N 3y� '�'ZZ Longitude 11�/—"�(o $1G`rj
1 c Property size acres . "'y
2 SurFace Waters
2a Name of nearest body of water to proposed pro�ect
b So�,-�
2b Water Quality Classification of nearest recewmg water
2c River basin W���Q. prJ��-Z ��V�.f
3 Pro�ect Description
3a Descnbe the existing conditions on the site and the general land use m the vicinity of the pro�ect at the time of this
application
�t.n��ve.1��,�. re.s��k�a!L l o�-
3b List the total estimated acreage of all existmg wetlands on the property � �1 1 �C��,s
3c List the total estimated linear feet of all existing streams(intermittent and perennial)on the property
3d Explain the purpose of the proposed pro�ect Cb h�C�(`^-C� 0.. S1 n �
�I� �a-rn� � horne,
3e Describe the overall pro�ect in detad includmg the type of equipment to be used C �,0�� �5 w��.�a��
� tf�$kc��\�r�s L-1 r�V e,�� l.l S� r► � '(`�l�Q�.Y � f 2. �40.�.k hp-�,
4 Jurisd�ctional Determinations
4a Have�urisdictional wetland or stream determinations by the Yes ❑ No ❑ Unknown
Corps or State been requested or obtained for this property/ Comments
ro ect includin all rior hases in the ast�
4b If the Corps made the�urisdictional determination what type � Preliminary �,Final
of determmation was made�
4c If yes who delmeated the�urisdictional areas� Agency/Consultant Company
Name(if known) C h r�st W ► c K�r Other 1A S �!rr� CO Y ,S W►�Inn►r� -}p
4d if yes list the dates of the Corps�urisdictional determinations or State determinations and attach documentation
�G'° `P �..���
5 Pro�ect H�story
5a Have permits or certifications been requested or obtamed for �Yes o ❑Unknown
this pro�ect(including all prior phases) in the past�
5b If yes explain in detad according to help file instructions
6 Future Pro�ect Plans
6a Is this a phased pro�ect� ❑ Yes o
6b If yes explain
Page 3 of 10
PCN Form—Version 1 4 January 2009

C Proposed Impacts Inventory
1 Impacts Summary
1a Which sections were completed below for your pro�ect(check all that apply)
�tlands ❑ Streams—tributaries ❑ Buffers ❑ Open Waters ❑ Pond Construction
2 Wetland Impacts
If there are wetland impacts proposed on the site then complete this question for each wetland area impacted
2a 2b 2c 2d 2e 2f
Wetland impact Type of impact Type of wetl Forested Type of�urisdiction Area of
number Corps(404 10)or impact
Permanent(P)or \ DWQ (401 other) (acres)
Tem ora WQ,k�0.�c�
W1 Choose one Choose one Ye /No �p �p' 2o X
3a
W2 Choose one Choose ne Yes/No �f�
W3 Choose one Ch se one Yes/No
W4 Choose one hoose one Yes/No
W5 Choose one Choose one Yes/No
W6 Choose one Choose one Yes/No
2g Total Wetland Impacts
2h Comments
3 Stream Impacts
If there are perennial or mtermittent stream impacts(including temporary impacts) proposed on the site then complete this
question for all stream sites impacted
3a 3b 3c 3d 3e 3f 3g
Stream impact Type of impact eam name Perennial(PER)or Type of Average Impact
number mtermittent(INl)� �urisdiction stream length
Permanent(P)or width (linear
Temporary(� (feet) feet)
S1 Choose one
S2 Choose one
S3 Choose one
S4 Choose one
�
� S5 Choose one
S6 Choose one
3h Total stream and tributary impacts
3i Comments
Page 4 of 10
PCN Form—Version 1 4 January 2009

4 Open Water Impacts � ��
If there are proposed impacts to lakes ponds estuaries tributanes sounds the Atlantic Ocean or any other open water of
the U S then individuall list all o en water im acts below
4a 4b 4c 4d 4e
Open water Name of waterbody
impact number (if applicable) Type of impact Waterbody Area of impact(acres)
Permanent(P)or type
Tem ora
01 Choose one Choose
02 Choose o Choose
03 Choose one Choose
04 Choose one Choose
4f Total open water impacts
4g Comments
5 Pond or Lake Construction
If ond or lake construction ro osed then com lete the chart below
5a 5b 5c 5d 5e
Pond ID number Proposed use or tland Impacts(acres) Stream Impacts(feet) Upland
purpose of pond (acres)
Flooded ed Excavated Flooded Filled Excavated
P1 Choose one
P2 Choose one
5f Total
5g Comments
5h Is a dam high hazard permit required� � Yes o If yes permit ID no
5i Expected pond surface area(acres)
5� Size of pond watershed (acres)
5k Method of construction
6 Buffer Impacts(for DWQ)
If pro�ect will impact a protected riparian buffer then complete the chart below If yes then individually list all buffer impacts
below If an im acts re uire miti ation then ou MUST fill out Section D of this form
6a Pro�ect is m which protected basin� ❑Neuse � Tar Pamlico � Catawba � Randleman ❑Other
6b 6c d 6e 6f 6g
Buffer Impact Reason for impact Stream name Buffer Zone 1 Zone 2
number— mitigation impact impact
Permanent P or
Tem ora ( > reqwred� (square (square
feet feet
B� Yes/No
B2 Yes/No
B3 Yes/No
B4 Yes/No
B5 Yes/No
B6 Yes/No
6h Total Buffer Impacts
6i Comments
Page 5 of 10

D Impact Justification and Mitigation
1 Avo�dance and Minimizat�on
1a Specifically describe measures taken to avoid or mmimize the proposed impacts m designing pro�ect
�A.. 0.��- Y�D p��2'( rn 2 0.�n S � �CC��
�+P�ru r°`er�-�-� b e.s�cles �o woc� a' L.a�.
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
fe C�.,�es'� � 3 v' �- Ec.��
2 Com ensato Miti ation for Im acts to Waters of the U S or Waters of the State
2a Does the pro�ect require Compensatory Mitigation for � Yes �1�
impacts to Waters of the U S or Waters of the State�
2b If yes mitigation is reqwred by(check all that apply) ❑ DWQ ❑Corps
❑ Mitigation bank
2c If yes which mitigation option wdl be used for this ❑ Payment to in lieu fee program
pro�ect�
❑ Permittee Responsible Mitigation
3 Com lete if Usin a Miti ation Bank �
3a Name of Mitigation Bank
Type Choose one Quantity
3b Credits Purchased (attach receipt and letter) Type Choose one Quantity
pe Choose one Quantity
3c Comments
4 Com lete if Makm a Pa ment to In lieu Fee Pro ram
4a Approval letter from in lieu fee program is attached ❑ Yes
4b Stream mitigation requested linear feet
4c If using stream mitigation stream temperature Choos one
4d Buffer mitigation requested(DWQ only) square feet
4e Riparian wetland mitigation requested cres
4f Non nparian wetland mitigation requested ac s
4g Coastal (tidal)wetland mitigation requested acres
4h Comments
5 Complete if Using a Permittee Respons�ble Mitigation Plan
5a If using a permittee responsible mitigation plan provide a description of the proposed mit ation plan
Page 6 of 10
PCN Form—Version 1 4 January 2009

6 Buffer Mitigation (State Regulated Riparian Buffer Rules)—required by DWQ
6a Will the pro�ect result in an impact within a protected ripanan buffer that requires � Yes No
buffer mitigation�
6b If yes then identify the square feet of impact to each zone of the npanan buffer that reqwres mitigation Calculate the
amount of mitigation reqwred
6c 6d 6e
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 3(2 for Catawba)
Zone 2 1 5
6f Total buffer mitigation required
6g If buffer mitigation is required discuss what type of mitigation is proposed (e g payment to private mitigation bank
permittee responsible npanan buffer restoration payment into an approved in lieu fee fund)
6h Comments
Page 7 of 10

E Stormwater Management and Diffuse Flow Plan (required by DWQ)
1 Diffuse Flow Plan
1a Does the pro�ect mclude or is it ad�acent to protected ripanan buffers identified � Yes No
withm one of the NC Ri anan Buffer Protection Rules�
1 b If yes then is a diffuse flow plan included� If no explain why
� Yes � No
2 Stormwater Mana ement Plan
2a What is the overall percent imperviousness of this pro�ect� o�o
2b Does this ro ect re uire a Stormwater Mana ement Plan� ❑Yes No
2c If this pro�ect DOES NOT reqwre a Stormwater Management Plan explam why
2d if this pro�ect DOES require a Stormwater Management Plan then provide a brief narrative descnption of the plan
2e Who wdl be responsible for the review of the Stormwater Management Plan�
3 Certified Local Government Stormwater Review
3a In which local overnment s urisdiction is this ro ect�
❑ Phase II
3b Which of the following locally implemented stormwater management programs ❑ NSW
apply(check all that apply) ❑ USMP
� Water Supply Watershed
� Other
3c Has the approved Stormwater Management Plan with proof of approval been ❑Yes No
attached�
4 DWQ Stormwater Pro ram Review
�Coastal counties
❑HQW
4a Which of the following state implemented stormwater management programs apply �ORW
(check all that apply) ❑Session Law 2006 246
❑Other
4b Has the approved Stormwater Management Plan with proof of approval been �Yes �
attached�
5 DWQ 401 Unit Stormwater Review
5a Does the Stormwater Management Plan meet the appropriate requirements� �Yes No
5b Have all of the 401 Unit submittal requirements been met� �Yes No
Page 8 of 10
PCN Form—Version 1 4 January 2009

F Supplementary Information
1 Env�ronmental Documentatron (DWQ Reqwrement)
1 a Does the pro�ect involve an expenditure of public(federal/state/local)funds or the �Yes No
use of public(federal/state) land�
1 b If you answered yes to the above does the pro�ect require preparation of an
environmental document pursuant to the requirements of the National or State ❑Yes No
(North Carolina) Environmental Policy Act(NEPA/SEPA)�
1c If you answered yes to the above has the document rewew been finalized by the
State Cleanng House� (If so attach a copy of the NEPA or SEPA final approval
letter) ❑Yes �No
Comments
2 Violations(DWQ Requirement)
2a Is the site in violation of DWQ Wetland Rules(15A NCAC 2H 0500) Isolated �
Wetland Rules(15A NCAC 2H 1300) DWQ Surface Water or Wetland Standards ❑Yes No
or Riparian Buffer Rules(15A NCAC 26 0200)�
2b Is this an after the fact permit application� ❑Yes o
2c If you answered yes to one or both of the above questions provide an explanation of the violation(s)
3 Cumulative Impacts(DWQ Requirement)
3a Wdl this pro�ect(based on past and reasonably anticipated future impacts) result in �Yes No
additional development which could impact nearby downstream water quality�
3b If you answered yes to the above submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy If you answered no provide a short narrative descnption
4 Sewage Disposal(DWQ Requirement)
4a Clearly detail the ultimate treatment methods and disposition (non discharge or discharge)of wastewater generated from
the proposed pro�ect or avadable capacity of the subJect facdity
propc�s�e..a s��,c� s�,��,- �n�Y,. �5�.4�,an� -
Page 9 of 10
PCN Form—Version 1 4 January 2009

5 Endangered Species and Designated Critical Habitat(Corps Reqwrement)
5a Will this pro�ect occur in or near an area with federally protected species or �Yes ��o
habitat�
5b Have you checked with the USFWS concerning Endangered Species Act �Yes [ f(r�o
impacts�
5c If yes indicate the USFWS Field Office you have contacted
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat�
6 Essential Fish Hab�tat(Corps Requirement)
6a Will this pro�ect occur in or near an area designated as essential fish habitat� ❑ Yes No
6b What data sources did you use to determme whether your site would impact Essential Fish Habitat�
7 Histonc or Prehistor�c Cultural Resources(Corps Requirement)
7a Will this pro�ect occur in or near an area that the state federal or tribal
governments have designated as having historic or cultural preservation � Yes �No
status(e g �lational Historic Trust designation or properties significant in
North Carolma history and archaeology)�
7b What data sources did you use to determine whether your site would impact historic or archeological resources�
8 Flood Zone Designation(Corps Requirement) �� ��eV ak,o� �
8a Will this pro�ect occur in a FEMA designated 100 year floodplain� es �] No
8b If yes explam how pro�ect meets FEMA requirements
8c What source(s)did you use to make the floodplam determmation�
r-2�fY�0�.. Y`�� C�J� �,'C V�C.S�_ C.2/Y�}`2 C
1�1,1�a,� fu/a� •
11 ( 2q � � 1
�
ApplicanUAgent s Pnnted Name Applican gent s Signature Date
(Agent s signature is valid only if an authonzation
letter from the a licant is rowded
Page 10 of 10

iJ S A�21VIY COIZPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id SAW 2011 00052 County Carteret U S G S Quad lvewport
NOTIFICATION OF JURISI.�ICTIONAL I)ETERMINA'I'ION
Pioperty Owner Mr Wdl�am Boul�a
Address P O Box 1765
Newport,NC 28570
�252)223 2122
Pioperty descript�on
Size(acres) 1 2 Nearest Town Newnort
Nearest Waterway Bogue Sound River Basm Wh�te Oak R�ver
USGS HUC 03020301 Coordinates N 34 7277 W 76 8795
Locat�on descr�ption The propert�es are located at lot 7 and 8 at the mtersection of Water Oak Dr�ve and Dogwood
Dr�ve�n Newport,t arteret Countv,North Carolma
Indicate Which of the Followin�Apply
A Prel�mmary Determination
_ Based on prel�mmary�nformation there may be wetlands on the above described property We strongly suggest you have
th�s property inspected to determine the extent of Depaitment of the Army(DA)�urisd�ction To be cons�dered final a
�unsd�ct�onal determ�nat�on must be venfied by the Coips Th�s prehmmary determ�nat�on �s not an appealable act�on
under the Regulatory Program Admmistrat�ve Appeal Process(Reference 33 CFR Part 331)
B Approved Determination
There are Navigable Waters of the Un�ted States with�n the above described property sub�ect to the perm�t 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 publ�shed regulations th�s determ�nation may be rel�ed upon for a per�od not to exceed five years from the date of th�s
not�ficat�on
X There are waters of the U S includmg wetlands on the above descr�bed property sub�ect to the perm�t requ�rements of
Sect�on 404 of the Clean Water Act(CWA)(33 USC § ]344) Unless there is a change in the law or our published
regulattons th�s determinat�on may be rel�ed upon for a per�od not to exceed five years from the date of this notification
_ We strongly suggest you have the wetlands on your property delmeated Due to the s�ze of your property and/or our
present wo►kload the�,or},�n�ay r�o�be abl� o acca��pl s'�th� � et�..^�del�nP..t�n �n �t nely man^Pr For a more tunelv
delmeation you may wish to obtain a consultant To ba considered final any del�neation must be verified by the Corps
The waters of the U S mcludmg wetland on your property have been del�neated and the del�neation has been verified by
the Corps We strongly suggest you have th�s del�neat�on surveyed Upon complet�on this survey should be rev�ewed and
ver�fied by the Corps Once ver�fied th�s survey will prov��`e an accurate dep�ct�on of all areas sub�ect to CWA
�urisd�ction on your property which provided there�s no change m the law or our publ�shed regulat�ons may be relied
upon for a period not to exceed five years
X The waters of the U S �ncludmg wetlands have been del�neated and surveyed and are accurately depicted on the plat
signed by the Corps Regulatory Offic�al identified below on 6/6/2011 Unless there is a change in the law or our published
regulahons this dete�m�nation may be relied upon for a period not to exceed five years from the date of this not�ficat►on
There are no waters of the U S to include wetlands present on the above descr�bed property wh�ch are subJect to the
perm�t requirements of Section 404 of the Clean Water Act(33 USC 1344) Unless there �s a change in the law or our
publ�shed regulat�ons th�s determination may be rel�ed upon for a pei iod not to exceed five years from the date of th�s
not�fication

X The property is located �n one of the 20 Coastal Count�es sub�ect to regulat�on under the Coastal Area Management Act
(CAMA) You should contact the Div�sion of Coastal Management in Morehead City NC at(252) 808 2808 to
determme their requ�rements
Placement of dredged or fill material w�thm waters of the US and/or wetlands w�thout a Department of the Army perm�t may
constitute a v�olation of Sect�on 301 of the Clean Water Act(33 USC § 131 1) If you have any questions regard�ng this
determinat�on and/or the Corps regufatory program please contact Chr�stv Wicker at 910 251 4637
C Basis For Determmation
The site wetland cr�ter�a as de�ined in the 1987 Wetland Del�neat�on Manual which �s ad�acent to Bogue Sound,a
trad�t�onallv navi�able water Th�s determ�nat�on �s based on a s�te v�sit conducted bv Christv Wicker on 1/13/2011
D Remarks
E Attention USDA Program Part�cipants
This del�neation/determmation has been conducted to ident�fy the I�mrts of Corps Clean Water Act�urisd�ction for the
part�cular srte ident�t�ed�n th�s request The delmeation/determinahon may not be valid for the wetland conservat�on
provisions of the Food Security Act of 1985 If you or your tenant are USDA Program part�c�pants or ant�c�pate participation
in USDA programs you should request a certified wetland determ�nation from the local office of the Natural Resources
Conservat�on Serv�ce prior to starting work
F AppCa1S Inf01'matlon (Th�s mformat�on appl�es only to approved�urisdict�onal determ�nat�ons as mdicated �n
B above)
Th�s correspondence const�tutes an approved�urisdictional detenn�nation for the above described site Ifyou ob�ect to this
determinat�on you may request an administrat�ve appeal under Corps regulat�ons at 33 CFR part�31 Enclosed you will find a
Notification of Appeal Process(NAP)fact sheet and request for appeal(RFA)form If you request to appeal this
determmat�on you must submtt a completed RFA form to the followmg address
D�strict Eng�neer Wilmmgton Regulatory Div�s�on
Attn Ms Chr�sty W�cker Regulatory Spec�al�st
Wilm�ngton Regulatory F�eld Office
69 Darl�ngton Ave
Wilm�ngton North Carolma 28403
In order for an RFA to be accepted by the Corps the Corps must determ�ne that�t is complete that it meets the cr�teria for
appeal under 33 CFR part 331 5 and that it has been recerved by the D�strict Office w�thin 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 Au�ust 6,2011
**It is not necessary to submit an RFA form to the D�strict Office�f you do not ob�ect to the determ�nation�n th�s
correspondence**
S
Corps Regulatory Official _ �
Date 6/6/2011 Expirat�on Date 6/6/2016
The Wilmington D�strict is comm�tted to providmg the h�ghest level of support to the public To help us ensure we continue to
do so please complete the Customer Satisfaction Survey located at our webs�te at http//re up latorv usacesurvey com/ to
complete the survey onl�ne
Copy Furnish Arthur R Dennmg Piofessional Land Surveyor L 1079 P O L3ox 310 Morehead City NC 28557

NOTIFICATION OF ADIVIINISTR.ATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
�pplicant Bill Boulia File Number SAW 2011 Date 6/6/2011
00052
Attached is See Section below
INITIAL PROFFERED PERMIT (Standard Permit or Letter of permission) A
PROFFERED PERMIT(Standard Permit or Letter of permission) B
PERMIT DENIAL C
X APPROVED JURISDICTIONAL DETERMINATION D
PRELIMINARY JURISDICTIONAL DETERMINATION E
SECTION I The following identifies your rights and options regardmg an admuustrative appeal of the above
decision Addrtional information may be found at
htt /�w�,�w us��e ��my r�il/CE('W/Pages�reg_materials asnx or C'oips regulations �t 33 CFR Part 331
A INITIAL PROFFERED PERMIT You may accept or ob�ect to the permit
• ACCEPT If you recerved a Standard Perm�t you may s�gn the perm�t document and return �t to the d�strict engmeer for final
authorizat�on If you rece�ved a Letter of Perm�ssion(LOP) you may accept the LOA and your work�s author�zed You�
s�gnature on the Standard Perm�t or acceptance of the LOP means that you accept the perm�t m �ts entirety and waive all r�ghts
to appeal the permrt includ�ng rts terms and condmons and approved�ur�sdictional determmat�ons associated w�th the permrt
• OBJECT If you ob�ect to the perm�t(Standard or LOP)because of certain terms and condit�ons there�n you may request that
the permit be mod�fied accordmgly You must complete Section II of this form and return the form to the dTStr►ct eng�neer
Your ob�ections must be rece�ved by the d�str�ct eng�neer w�thin 60 days of the date of th�s not�ce or you will forfeit your>>ght
to appeal the perm�t�n the future Upon rece�pt of your letter the district eng�neer w�ll evaluate your obJect�ons and may (a)
modify the permit to address all of your concerns (b)modify the permit to address some of you� ob�ections or (c)not modify
the permit havmg determ�ned that the perm�t should be issued as previously written After evaluat�ng your ob�ections the
district engineer will send you a proffered permit for your reconsiderat�on as indicated �n Section B below
B PROFFERED PERMIT You may accept or appeal the permit
• ACCEPT If you rece�ved a Standard Permit you may s�gn the perm�t document and return �t to the district eng�neer for final
authorization If you rece�ved a Letter of Perm�ss�on(LOP) you may accept the LOP and your work is author�zed Your
signature on the Standard Permit or acceptance of the LOP means that you accept the perm�t in �ts ent�rety and waive all rights
to appeal the permrt �ncludmg rts terms and condrtions and approved�ur�sd�ct�onal determ�nations assoc�ated with the permrt
• APPEAL If you choose to declme the proffered perm�t(Standard or LOP)because of certam terms and cond�t�ons there�n you
may ap�eal the declined permit under the Corps of Eng�neers Admmistrative Appeal Process by completing Sect�on I[ of th�s
form and send�ng the form to the d�v�s�on engmeer Th�s torm must be recerved by the divis�on engineer within b0 days of the
date of th�s notice
C PERMIT DENIAL You may appeal the denial of a perm�t under the Corps of Eng�neers Admmistrat�ve Appeal Process
by complet�ng Sect�on I] of th�s form and sendmg the form to the division engineer This form must be received by the div�sion
engineer wrthm 60 days of the date of this not�ce
D APPROVED JURISDICTIONAL DETERMINATION You may accept or appeal the approved JD or
provide new information
• ACCEPT You do not need to not�fy the Corps to accept an approved JD Fa�lure to not�fy the Corps within 60 days of the
date of this notice means that you accept the approved JD�n �ts entirety and wa�ve all rights to appeal the approved JD
• APPEAL If you d�sagree with the approved JD you may appeal the approved JD under the Corps of Eng�neers Adm�n�strative
Appeal Process by completing Section II of th�s form and send�ng the form to the d�v�sion eng�neer Th�s form must be rece�ved
by the d�v�s�on engineer wrthm 60 days of the date of this notice

E PRELIMINARY JURISDICTIONAL DETERMINATION You do not need to respond to the Corps
regarding the preliminary JD The Preliminary JD is not appealable 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
SECTION II REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS (Descr�be your reasons for appealing the decision or you� ob�ections to an
in�t�al proffered permrt�n clear conc�se statements You may attach additional informat�on to th�s form to clarify where your reasons
or ob�ections are addressed�n the admmistrat�ve record)
ADDITIONAL INFORMATION The appeal �s limited to a review of the adm�mstrat�ve record the Corps memorandum for the
record of the appeal conference or meetmg and any supplemental tnformat�on that the review officer has determmed is needed to
clarify the admimstratrve record Ne�ther the appellant nor the Corps may add new information or analyses to the record However
you may prov�de add�t�onal mformat�on to clar�fy the locat�on of mformation that is already �n the adm�n�strative reco�d
POINT OF CONTACT FOR QUESTIONS OR 1NFORMATION

If you have questions regardmg th�s decis�on and/or the appeal If you only have questions regard�ng the appeal process you may
process you may contact also contact
D�str�ct Engineer Wilm�ngton Regulatory Div�sion Jason Steele
Attn Ms Chr�sty W�cker Regulatory Spec�aiist Adm�n�stratrve Appeals Rev�ew Officer
Wilm�ngton Regulatory F�eld Office 60 Forsyth Street SW(Room 9M10)
69 Darlington Avenue Atlanta GA 30303 880]
Wilmington North Carol�na 28403 404 562 5137
RIGHT OF ENTRY Your s�gnature below grants the right of entry to Co�ps of Eng�neers peisonnel and any government
consultants to conduct invest�gat�ons ofthe pio�ect site dur�ng the course of the appeal p�ocess You will be provided a 15 day
notice of any srte mvestigation and will have the opportunrty to part�c�pate�n all srte �nvest�gat�ons
Date Telephone number
Signature of appellant or agent
For appeals on Initial Proffered Permits and approved Jurisdictional Determanations send this
for� *o
District Engmeer, Wilmmgton Regulatory Drvision,Attn Ms Christy Wicker, Regulatory
Spec�al�st,Wilm�ngton Regulatory Field Office, 69 Darlington Ave, Wilm�ngton, North Carolina
28403
For Permit denials and Proffered Permits send this form to
Division Engineer, Commander, U S Army Engmeer Division, South Atlantic, Attn Mr Jason
Steele,Admin�stratrve Appeal Officer, CESAD ET CO R, 60 Forsyth Street, Room 9M10, Atlanta,
Georg�a 30303 8801

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