HomeMy WebLinkAbout20111113 Ver 1_401 Application_2011121120111113
6iuible
Quible & Associates PC PO Drawer870
IGtty Hawk, NC 27949
ENGINEERING ENVIRONMENTAL SCIENCES PLANNING SURVEYING Phone 252 261 �300
SINCE 1959 Fax 252 261 1260
Web quible com
Roberto Scheller
NC Division of Water Quality
943 Washington Square Mall
Washington NC 27889
December 16 2011
RE Lot 74 Pamlico Point
Ocracoke Hyde County North Carolina
Nationwide 18 and 401 Certification
Mr Scheller
;�► ;.
DEC � � ��»
�' � . , ,� ,� ,.
Enclosed is a Nationwide 18 and 401 Water Quality Certification submission for 0 069 acres of
Section 404 wetiand impacts associated with a smgle family residential homesite The section
404 wetlands line was confirmed by USACE Jurisdictional Determination SW on 3/30/07
Upon review of Session Law 394 and subsequent discussions with DWQ related to Tar Pamlico
Buffer zones the buffer zones are currentiy measured from surface waters mstead of coastal
wetlands in this case The entire Wahab Village Annex was platted in 1962 and this lot is less
than 2 acres and is intended for a single family residential homesite As requested by DWQ I
checked the box for Buffer Zone Authorizat�on on the PCN application
Enclosed is the following
• Agent Authorization Statement D /�
Site Plan �5���; ,.�
• PCN ApphcaUon ' � �
• USGS Vicinity Map �EC �
• Copy of the $240 Processing Fee Check to NCDENR t� oFN �� 20 �
• NCEEP Acceptance Letter �'osy,ypS�tFR p��lry �,
• Copy of the Hyde County on site wastewater system Improvement Per111�'MWqrFR
• Confirmed Wetland Delineation �Cy
Please review and process this permit request If you have any questions or require additional
information please contact me at (252) 261 3300
Sincerely
Quible & Associates P C
���,1 �<-'�,�.,-�-
Brian Rubmo
CC Josh Pelletier USACE
December 8 2011
RE Lot 74 Pamhco Point `
Beachside E�ension Subdivis�on
Ocracoke Hyde County North Carolina
As a member of Twiddy Family Partnership LLC 1 authorize Quible & Associates P C to act as
agent for the purpose of environmental permittmg includmg USACE DWQ and CAMA permits if
necessar
Authorized Signature
Name ��G � ��-' � �1 r� Date
� �
Q\2011\P11076\P11076-NAT18 dwa 12/16/2011 10 09 AM T:
NOTES
1 BOUNDARY dc LOTINFORMATION SHOWN ON THESE PLANS TAKEN FROM
SURVEY BY MESA PROFESSIONAL CORPORATION SIGNED AND DATED BY W L
NORRIS, JR ON 10/OB/O6 FOR GEORGE BLACKBURN WARNER dc ELJZABETH
ANN WARNER FlLE NO 0600132
2 TOPOGRAPHIC AND EXISTING PHYSICAL FEANRE INFORMA710N PROVIOEO BY
BARNETTE IN7EGRATED LAND DEVELOPMENT 51GNED AND DATED 6/7/11 BY
MAR71N BARNETTE FOR PAMl1C0 POINT ELECTRONIC FlLE/�
3261AOA—FROMBILD-2011-06-17 DWG
3 THE COASTAL WETLAND LINE DEPICTED ON TH15 PIAN HAS BEEN
DELINEATED BY NC DIVISION OF COASTAL MANAGEMENT IN AUGUST 2006
4 THE SECTION 404 WE7LAND5 LJNES SHOWN ON THESE PLANS HAVE BEEN
CONFIRMED BY US ARMY CORPS OF ENGINEERS
LEGEND
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� �?�` �Ir I �S11NG 404 WE7LANOS
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� � PROPOSED 404 MIE7LANDS FlLL (2,995 SQ FT )
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COPYRlGHT CQ 201i
QUIBLE � ASSOCIATES P C
1HIS DOCUMENT IS THE PROPERfY OF QUIBLE
dc ASSOCIAiES P C ALL RIGHTS ARE
RESERVED ANY REPRODUC'fION OF iHIS OR
POSSESSION WITHOUT PRIOR PERMISSION OF
QUIBLE 8c ASSOCIATES P C WILL CONSTITUTE
VIOLATION OF COPYRIGHT LAWS VIOLATION
wiLL eE suedECr ro �c,a� acnoN
IF THIS PLAN OR PIAT IS NOT SIGNED AND
SFALED BY A LJCENSm PROFESSIONAL THEN
THIS PLAN OR PLAT SHALL BE CONSIDERED
�REIJMINARY AND NOT A CERTIFlED DOCUMENT
WD SHALL NOT BE USED FOR CONSTRUC710N
RECORDATION SALES OR LAND CONVEYANCES
LOT
PROJECT
P11�76
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DATE
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NATIONWIDB 18 � 401 CB�TII�iCATION
LOT 74, PAMLICO FOINT
BBACHSIDS BXTBNSION
OCRACOKE HYDE COUNTY
NORTH CAROLINA
0 30 60
GRAPHIC SCALE IN FEET 1=30
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�uible �N�£ �9�9
& �issociates, P.C.
ENGINEERING • CONSULTING * PLANNING
ENVIRONMENTAL SCIENCES • SURVEYING
NC License� C-0208
PO Dmwer 870 K1Hy Hawk NC 27949
Phone (252) 261-3300
Fax (252) 261-1260
E—Mail admin)strciorffiqulble com
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Office Use Only
Corps action ID no
DWQ pro�ect no
Form Version 1 0 November 2008
Pre-Construction Notifecation (PCN) Form
A Applicant Information
1 Processing
1 a Type(s) of approval sought from the
Corps � Section 404 Permit ❑ Section 10 Permit
1 b Specify Nationwide Permit (NWP) number 18 or General Permit (GP) number
1c Has the NWP or GP number been verified by the Corps� ❑ Yes � No
1 d Type(s) of approval sought trom the DWQ (check all that apply)
� 401 Water Quality Certification — Regular ❑ Non 404 Jurisdictional General Permit
❑ 401 Water �uality Certification — Express � Riparian Buffer Authonzation
1 e Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit
because written approval is not required� Certification
❑ Yes � No ❑ Yes � No
1f Is payment into a mitigation bank or in lieu fee program proposed for mitigation � Yes ❑ No
of impacts� If so attach the acceptance letter from mitigation bank or m lieu
fee program
1 g Is the pro�ect located in any of NC s twenty coastal counties If yes answer 1 h � Yes ❑ No
below
1 h Is the pro�ect located within a NC DCM Area of Environmental Concern (AEC)� ❑ Yes � No
2 Pro�ect Information
2a Name of pro�ect Lot 74 Pamlico Point Beachside Extension
2b County Hyde
2c Nearest murncipality / town Ocracoke
2d Subdivision name Pamlrco Pornt
2e NCDOT only T I P or state 2 2?011
pro�ect no
3 Owner Information yyE��S�D �TERQUALITY
3a Name on Recorded Deed Twiddy Family Partnership LLC
3b Deed Book and Page No
3c Responsible Party (for LLC if Doug Twiddy
applicable)
3d Street address P O Box 369
3e Ciry state zip Corolla NC 27927
3f Telephone no 252 457 1177
3g Fax no
3h Email address
Page 1 of 11
PCN Form — Version 1 0 November 2008 Version
Section A Applicant Information continued
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 Emad address
5 AgenUConsultant Information (if applicable)
5a Name Brian Rubino
5b Business name qwble & Associates P C
(if applicable)
5c Street address P O Drawer 870
5d City state zip Kitty Hawk NC 27949
5e Telephone no (252) 261 3300
5f Fax no (252) 261 1260
5g Email address brubino@quible com
Page 2 of 11
PCN Form — November 2008 Version
B Pro�ect Information and Prior Pro�ect History
1 Property Identification
1a Properry identification no (tax PIN or parcel ID) 9500 68 0178
1 b Site coordinates (in decimal degrees) 35 108037 N 75 969792 W
1 c Property size 0 20 acres
2 Surface Waters
2a Name of nearest body of water (stream river etc ) to Pamlico Sound
proposed pro�ect
2b Water Quality Classification of nearest receiving water SA
2c River basin Tar Pamlico
3 Pro�ect Description
3a Describe the existing conditions on the site and the general land use in the vicirnty of the pro�ect at the time of this
application
Single Famdy Residential Nearby properties mclude smgle family residential homesites and undeveloped wetlands and
uplands
3b List the total estimated acreage of all existing wetlands on the property
0 11 ac
3c List the total estimated linear feet of all existing streams (intermittent and perenrnal) on the property
0
3d Explain the purpose of the proposed pro�ect
The purpose of this wetland impact permit request is for minor wetland fdl impacts associated with the fill of 0 069 acres of
wooded Section 404 wetlands for a residential homesite The on site septic treatment system wdl be located in the
location as permitted by Hyde county Health Dept (see enclosed Improvement Permit)
3e Descnbe the overall pro�ect in detad including the type of eqwpment to be used
Proposed budding construction and associated grading wdl require minor wetland impacts Equipment will include
bulldozer backhoe dump trucks
4 Jurisdictional Determmations
4a Have �urisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property / � Yes ❑ No ❑ Unknown
pro�ect (mcluding all prior phases) in the past�
4b If the Corps made the �unsdictional determination what type � Prelimina � Final
of determination was made� ry
4c If yes who delineated the �urisdictional areas� Agency/Consultant Company Qwble & Associates P C
Name (if known) Joseph Lassiter/Brian Rubino Other
4d if yes list the dates of the Corps �urisdictional determinations or State determinations and attach documentation
A USACE �urisdictional determination has been issued on 3/30/07 (SAW 2006 41141 148)
5 Pro�ect History
5a Have permits or certifications been requested or obtained for � Yes � No ❑ Unknown
this pro�ect (including all prior phases) in the past�
5b If yes explain in detail according to help file instructions
No history of permit requests for Lot 74
6 Future Pro�ect Plans
6a Is this a phased pro�ect? ❑ Yes � No
6b It yes explain
Page 3 of 11
PCN Form — Version 1 0 November 2008 Version
C Proposed Impacts Inventory
1 Impacts Summary
1 a Which sections were completed below for your pro�ect (check all that apply)
� Wetlands ❑ Streams tnbutaries ❑ 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 �urisdiction
number — Type of Type of wetland Forested (Corps 404 10 Area of impact (acres)
Permanent (P) or impact (if known) DWQ — non 404 other)
Tem ora T
shrub forested
W1 � P❑ T fdl 404/ ❑ Yes � No � Corps 0 069
non nparian � �WQ
W2 ❑ P❑ T ❑ Yes ❑ No � Corps
❑ DWQ
W3 ❑ P � T ❑ Yes ❑ No � Corps
❑ DWQ
W4 ❑ P❑ T ❑ Yes ❑ No � Corps
❑ DWQ
W5 ❑ P❑ T ❑ Yes ❑ No � Corps
❑ DWQ
W6 ❑ P❑ T ❑ Yes ❑ No � Corps
❑ DWQ
2g Total wetland impacts 0 069
2h Comments
3 Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site then complete this
question for all stream sites impacted
3a 3b 3c 3d 3e 3f
Stream impact Type of Stream name Perennial (PER) or Average stream width (feet) Impact
number impact mtermittent (INT)� length
Permanent (P) or (linear feet)
Temporary (T)
S1 ❑ P � T ❑ PER ❑ INT
S2 ❑ P � T ❑ PER ❑ INT
S3 ❑P❑T ❑PER ❑INT
S4 ❑P❑T ❑PER ❑INT
S5 ❑ P❑ T ❑ PER ❑ INT
S6 ❑P❑T ❑PER ❑INT
3g Total stream and tributary impacts
3h Comments
Page 4 of 11
PCN Form — Version 1 0 November 2008 Version
C Proposed Impacts Inventory contmued
4 Open Water Impacts
If there are proposed impacts to lakes ponds estuanes 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
impact number waterbody Type of impact Waterbody type Area of impact (acres)
— Permanent (if
(P) or applicable)
Tem ora T
01 ❑P❑T
02 ❑P❑T
03 ❑P❑T
04 ❑ P❑T
4f Total open water impacts
4g Comments
Page 5 of 11
PCN Form — November 2008 Version
C Proposed Impacts Inventory contmued
5 Pond or Lake Construction
If ond or lake construction ro osed then com lete the chart below
5a 5b 5c 5d 5e
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or (acres)
number purpose of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f Total
5g Comments
5h Is a dam high hazard permit required�
❑ Yes ❑ No 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 fdl out Section D of this form
6a
❑ Neuse � Tar Pamlico ❑ Other
Pro�ect is in which protected basin� ❑ Catawba ❑ Randleman
6b 6c 6d 6e 6f 6g
Buffer impact
number — Reason Buffer Zone 1 impact (square Zone 2 impact
Permanent (P) for impact Stream name mitigation feet) (square feet)
or Temporary reqwred�
T
B1 �P❑T ❑Yes �No
B2 ❑ P❑ T ❑ Yes ❑ No
B3 ❑P❑T ❑Yes ❑No
6h Total buffer impacts
6i Comments Session Law 394 allows this setback measured from surface waters in this case the entire Wahab Village
Annex was platted in 1962 and this lot is less than 2 acres
Page 6 of 11
PCN Form — November 2008 Version
D Impact Justification and Mitigation
1 Avoidance and Minimization
1 a Specifically describe measures taken to avoid or minimize the proposed impacts in designing pro�ect
Fill wdl be sloped and stabdized septic system is located as far as possible from wetlands
1 b Specifically describe measures taken to avoid or mmimize the proposed impacts through construction techniques
Silt fencing to be maintained until disturbed area is stabdized with grass
2 Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State
2a Does the pro�ect require Compensatory Mitigation for � Yes ❑ No
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 � hich mitigation option will be used for this � Payment to in lieu fee program
pro�ect
❑ Permittee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter) Type Quantity
3c Comments
4 Complete if Making a Payment to In lieu Fee Program
4a Approval letter from m lieu fee program is attached � Yes
4b Stream m�tigation requested linear feet
4c If using stream mitigation stream temperature warm cool cold
4d Buffer mitigation requested (DWQ only) square feet
4e Riparian wetland mitigation requested acres
4f Non riparian wetland mitigation requested 0 069 acres
4g Coastal (tidal) wetland mitigation requested acres
4h Comments
5 Complete �f Using a Permittee Respons�ble Mitigation Plan
5a If using a permittee responsible mitigation plan provide a description of the proposed mitigation plan
Page 7 of 11
PCN Form — Version 1 0 November 2008 Version
D Impact Justification and Mitigation continued
6 Buffer Mit�gation (State Regulated R�parian Buffer Rules) — required by DWQ
6a Wdl the pro�ect result m an impact within a protected riparian buffer that requires ❑ Yes � No
buffer mitigation�
6b If yes then identify the square feet of impact to each zone of the ripanan buffer that requires mitigation Calculate the
amount of mitigation reqwred
Zone Reason for impact Total impact Multiplier Reqwred mitigation
(square feet) (square feet)
Zone 1 3(2 for Catawba)
Zone 2 1 5
Total buffer mitigation required
6c If buffer mitigation is reqwred discuss what type of mitigation is proposed (e g payment to pnvate mitigation bank
permittee responsible ripanan buffer restoration payment mto an approved in lieu fee fund)
6d Comments
Page 8 of 11
PCN Form — November 2008 Version
E Stormwater Management and Diffuse Flow Plan (required by DWQ)
1 Diffuse Flow Plan
1 a Does the pro�ect mclude or is it ad�acent to protected ripanan buffers identified � Yes ❑ No
within one of the NC Riparian Buffer Protection Rules�
1 b If yes then is a diffuse flow plan included� ❑ Yes � No
2 Determination if the Pro ect Re uires a Stormwater Mana ement Plan
2a Does the pro�ect reqwre a Non 404 Jurisdictional General Permit� ❑ Yes � No
2b Is the pro�ect sub�ect to General Certification 3704 or 3705� ❑ Yes � No
3 Determination of Stormwater Review Jurisdiction
3a Is this pro�ect sub�ect to any of the following state implemented stormwater � Coastal counties
management programs (check all that apply)� ❑ HQW
❑ ORW
If so attach one copy of the approval letter from the DWQ and one copy of the ❑ Session Law 2006 246
approved stormwater management plan ❑ Other
3b In which local government s �unsdiction is this pro�ect� Hyde County
3c Is this local government certified to implement a state stormwater program� ❑ Yes � No
If so attach one copy of the approval letter from the local government and one copy
of the approved stormwater management plan (or one copy of the approved
Stormwater management plan stamped as approved)
4 Information Re uired for DWG1401 Urnt Stormwater Review
4a What is the overall ercent im erviousness accordin to the most current site lan� < 25 % at max build out
4b Does this pro�ect contain any areas that meet the criteria for high density' per � Yes � No
General Certifications 3704 and 3705�
4c If the site is over 24 /o impervious and/or contains high density areas then provide a brief narrative descnption of the
stormwater management plan
4d Has a completed BMP Supplement Form with all required items been submitted � Yes � No
for each stormwater BMP�
Page 9 of 11
PCN Form — Version 1 0 November 2008 Version
F Supplementary Information
1 Environmental Documentation (DWG1 Requirement)
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)�
1 c If you answered yes to the above has the document review been finalized by the
State Clearing 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 wolation 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 � No
2c If you answered yes to one or both of the above questions provide an explanation of the violation(s)
3 Cumulatrve Impacts (DW� 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 description
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 available capacity of the sub�ect facdity
An on site septic treatment system will be installed to serve the proposed house (see Hyde County Improvement Permit)
Page 10 of 11
PCN Form — Version 1 0 November 2008 Version
F Supplementary Information contmued
5 Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Wdl this pro�ect occur in or near an area with federally protected species or Yes
habitat� ❑ � No
5b Have you checked with the USFWS concerrnng Endangered Species Act � Yes � No
impacts�
❑ Raleigh
5c If yes indicate the USFWS Field Office you have contacted
❑ Ashewlle
5d What data sources did you use to determine whether your site would impact Endangered Speaes or Designated Cntical
Habitat�
NC Natural Heritage Program
6 Essential Fish Habitat (Corps Requirement)
6a Wdl 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�
Mappmg data and field investigation proposed impact area is not within an area of surface waters
7 Historic or Prehistoric Cultural Resources (Corps Requirement)
7a Wdl this pro�ect occur in or near an area that the state federal or tribal
governments have designated as having histonc or cultural preservation � Yes � No
status (e g National Historic Trust designation or properties significant in
North Carolina history and archaeology)�
7b What data sources did you use to determine whether your site would impact historic or archeological resources�
National Register of Historic Places
8 Flood Zone Designation (Corps Requirement)
8a Will this pro�ect occur in a FEMA designated 100 year floodplain� � Yes ❑ No
8b If yes explain how pro�ect meets FEMA requirements This type of fdl is allowable with permit in AE zones
8c What source(s) did you use to make the floodplain determination� NFIP Flood Zone Maps (www ncfloodmaps com)
Q ---�►��,,T �2I►3�2a<<
ApplicanUAgent s Printed Name ApplicanUAgent s Signature
(Agent s signature is valid only if an authonzation letter from the applicant Date
is rovided
Page 11 of 11
PCN Form — November 2008 Version
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Doug Twiddy
Tv�nddy Family Partnership
PO Box 369
Corolaa NC 27927
Pro�ect Pamlico Pomt Lot 74
�
� s�stem
��� 1i� � '��.�����`�
PROGRAM
December 1, 2011
Expiration of Acceptance June 1 2012
County Hyde
The purpose of th�s letter �s to notify you that the North Carolma Ecosystem Enhancement Program (NCEEP) �s willing to accept
payment for compensatory mit�gauon for impacts associated with the above referenced pro�ect as indicated m the table below Please
note that this dects�on does not assure that participation m the NCEEP will be approved by the permit �ssuing agenc�es as m�t�gation
for pro�ect impacts It is the respons�bility of the appl�cant to contact these agenc�es to determme if payment to the NCEEP will be
approved You must also comolv with all other state, federal or local eovernment permits regulat�ons or authonzahons associated
v�nth the nr000sed actrntv mcludme SL 2009 337 An Act to Promote the Use of Compensatory Mit�gation Banks as amended by
S L 2011 343
This acceptance is valid for six months from the date of this letter and is not transferable If we have not received a copy of the
�ssued 404 Pernvt/401 Certi6cahoa/CAMA permit w�thin this t�me frame th�s acceptance will expire It is the appl�cant s
responsibility to send copies of the perm�ts to NCEEP Once NCEEP recerves a copy of the permit(s) an �nvoice wtll be �ssued based
on the requ�red trvUgat�on m that perrrut and payment must be made pnor to conducdng the authonzed work The amount of the In
Lieu Fee to be pa�d to NCEEP by an applicant is calculated based upon the Fee Schedule and pol�cies listed at www nceep net
Based on the mformation suppl�ed by you in your request to use the NCEEP the �mpacts that may requlre compensatory m�tigaUon are
summanzed �n the followmg table The amount of mitigation reqmred for this impact �s deterrruned by perrruthng agencies
Upon receipt of payment EEP w�ll take responsibil�ty for provid�ng the compensatory m�t�gation The mitigation will be performed in
accordance with the N C Department of Environment and Natural Resources Ecosystem Enhancement Program In Lieu Fee
Instrument dated July 28 �010
Thank you for your �nterest ►n the NCEEP If you have any questions or need add�t�onal informaUon please contact Kelly Will�ams at
(919) 716 1921
Sincerely
`�� �°�-� �--
Michael Ellison
Deputy Director
cc Karen H�ggms NCDWQ Wedands/401 Umt
Josh Pelleher USACE Washmgton
Roberto Scheller NCDWQ Washington
Doug Huggett NCDCM Morehead C�ty
Brtan Rubmo agent
F�le
R.P.stovu� � nYOt�c;t� or.r,� stat�
e�n
l�CDENR
Norih Carolma Ecosystem Enhancement Program 1652 Mail Serwce Center Raleigh NC 27699 1652 / 919 71 5 0476 / www nceep net
�TH DEPARTM��T
HYDE CoVN� HE Q�a�r, �� 2�8s5
P� BO Ph ne #(252) 926-4380
pVEMENT pERMIT
IMpR
TION XXX EXPANSION
REPAIR
NITIAL INSTALL.A pa� November 20, 2006
�ermit No 102006-10
Perm�tt� E���beth Ann Warner
pddress C/O E 7 Vald�v�eso, p
� prawer 870,1rthl Ha�' NC 27948
Phone No (252) 2b1-3300 pera�ke
on I.ot #74 Beachs�de Ext�ens�on S/D�
ProPe�ll LO��
Facd�t�es to be ser�►ed 3 bedroom house
Wa�r SupP�Y P�a� Well
Wastewater F�oW Gp� 360 tment
�a�r 5ystem �"YPe Va � TS�I� Pret�
Was
Wastewater SYs�em Repa�r NA
Long
Term Ac.cept�nce Rat� 1 � gP��Sq ft
Absorpt�on Area 270 sq �
Sepiac
Tank Capa��tY 1000 ga��ons vw't� ���r
Tank Capac�ty ib00 d�erm�ned by
Pump d+�`�n�r►e�.�}� �n9�►'�er W�dth '�O �
Totai Bed/Trench Length TO eng�neer
Bed/T�nch Spac�ng N�
Max�mum Bed/Trench Bottom Depth
ve the naturallY o�curr+ng so�� Sw�ace
6" abo
�MRRO�EMENT PERMT
°° E�.IZABEiH ANN WARNER
PAGE 2
CONDITIONS
1 Plans and spec�ficat�ons shail be submitt�! to the Hyde County Health Department
for a TS-I pretreatment system The pians and spec�ficafions shall be prepar�! by
a registered profiess�onat engmeer and h�s/her seal afflxed to ihe subm�ttai
2 The plans and spec�ficaiaons shall conta�n mformat�on n�essary for construciaon
of �e system �n accordance an� the app��cab�e ru�es and laws, the system
approval, and section 1938 {i)(1-7) of the Laws and R�les For Sewage Treatment
and D�sposa! Systems
3 Pnor to the �ssuance of the Opera�on Permi� the owner shall submit to the Hyde
County Heali� Department a statement s�gn�l by tl�e des�gn eng�neer st�ting i�at
construct�on �s complete and m accordance wr�th the approved plans and
speafcations and approved mod�fcat�ons Periodic observat�ons of construction
and a final msp�tion for des�gn complianoe by ii�e des�gn engmeer or h�s/her
representatnre shall be requ�red {nr this statemen� The statement shall be af�ix�1
w�th the des�gn eng�neer's seal
4 Th�s perne�t does not c�rcumvent any oi�er perm�ts requ�red by o�er agenc�es for
fillmg act�v�t�es
5 Use water conserving �ixt�rE;s 1 e 16 gallon flush to�fets, 2 gpm shower heads, i
gpm all lavator�es
6 An Author�zat�on to Construct w�ll be issued upon final approval of the subm�ited
plans and spec�ficat�ons and the mit�al s�te modificat�ons
7 The well shall be located a mm�mum of 50' from all parts of the was#ewater
system and 25' from any budd�ng foundat�on
$ A11 setbacks from the dra�n�ield shall be measured from a pomt 5' from the nearest
edge of the rock bed
9 The system vrnll require operat�on and ma�ntenance by a licensed subsurface
operator cert�fi�l by �e Water Pollut�on Control Sj�stem O�rator Cert�ficat�on
Comm�ssion A copy of the contract with tt�e flRC shall be sut�mitted tt� the Hyde
County Health Department prior to the �ssuance of an Operat�on Perm�t
IMPROVEMENT PERMIT
ELIZABETH ANN WARNER
PAGE 3
*********�*****�***�*********
Th�s Improvement Perm�t sha11 be vai�d
Wsthout exp�rat�on
upon a showmg satisfactory to the Hyde County Health Department that the s�te and so�l
condit�ons are unaltered, that the facd�ty, des�gn wastewaier flow, and wasfiewater
characterist�cs are not mcreased, and that a wastewater system can be mstall�l that
meets the perm�t�ng requ�rements �n ef�ect on �e date ifi�s perm�t was �ssu�l Th�s
perm�t �s sub�ec# to revocai�on �f s�te plans or the mtended use changes
Author�z�l Agent
env�rbnmental Healt� �pec�a��st
Hyde County Healtfi Department
....................................................................................................................................
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