20120003 Ver 1_401 Application_20120112

ENVIRONMENTAL PROFESSIONALS, INC
Planning for a Better Environment
P O Box 3368
Kill Devil Hills NC 27948
Telephone 2S2441 0239
Fax 2S2441 0721
Email obxwood @yahoo com
TO NCDENR
Division of Water Quality /401 Wetlands Unit
Attn Mr Ian McMillian
1650 Mail Service Center
Raleigh NC 27699 1650
X ATTACHED
20120003
DATE December 29 2011
JOB NO 010 -027
RE Richard & Elaine Layton
COPIES
DATE
DESCRIPTION OF DOCUMENTS
3
1213 11
11 x 17 Plats Wetlands Fill Permit
5
1223 11
Pre Construction Notification (PCN) Form
1
4 13 11
Authorization to Act as Agent Form
5
Dec 2011
Commitment Letter from NC Ecosystem Enhancement Program
1
1223 11
EPI Check No 10862 in the Amount of $240 00
THE5E AKE SUBMITTED A5 CHECKED BELOW
�l For your approval
❑ For your use ❑
❑ As requested
REMARKS
Review & Comment
Signature/Notarization
COPY TO U S Army Corps of Engineers /Attn Mr Josh Pelletier
2407 West Fifth Street
Washington NC 27889
Richard & Elaine Layton
119 Lexington Drive
McMurray PA 15317
Project File
JAN 3 2012
DENR WATER QUALI fY
HANDS AND STQRMWATER BRANCH
SIGNED '11L4V
orge H Wood CEP PWS
Environmental Professionals Inc

Y
rA;j;
ET i gem
PROGRAM
December 29, 2011
Richard and Elaine Layton
C/O George Wood
Environmental Professionals
PO Box 3368
Kill Devil Hills NC 27948
Protect Richard and Elaine Layton
1a- O003
P,9-X RVX)- Ut%- Divlb
Expiration of Acceptance June 29 2012
County Perquimans
The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program (NCEEP) is willing to accept
payment for compensatory mitigation for impacts associated with the above referenced project as indicated in the table below Please
note that this decision does not assure that participation in the NCEEP will be approved by the permit issuing agencies as mitigation
for project impacts It is the responsibility of the applicant to contact these agencies to determine if payment to the NCEEP will be
approved You must also comply with all other state federal or local government permits regulations or authorizations associated
with the proposed activity including SL 2009 337 An Act to Promote the Use of Compensatory Mitigation 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
issued 404 Perimt/401 Certificabon/CAMA permit within this time frame, this acceptance will expire It is the applicant s
responsibility to send copies of the permits to NCEEP Once NCEEP receives a copy of the permit(s) an invoice will be issued based
on the required mitigation in that permit and payment must be made prior to conducting the authorized work The amount of the In
Lieu Fee to be paid to NCEEP by an applicant is calculated based upon the Fee Schedule and policies listed at www nceep net
Based on the information supplied by you in your request to use the NCEEP the impacts that may require compensatory mitigation are
summarized in the following table The amount of mitigation required for this impact is determined by permitting agencies
Impact
River
Basin
CU
Location
Stream (feet)
Wetlands (acres)
Buffer I
(Sq Ft)
Buffer II
(Sq Ft )
Cold
Cool
Warm
Riparian
Non Ri arian
Coastal Marsh
Pasquotank
03010205
0
0
0
0 OS
0
0
0
0
Upon receipt of payment EEP will take responsibility for providing the compensatory mitigation 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 2010
Thank you for your interest in the NCEEP If you have any questions or need additional information please contact Kelly Williams at
[phone]
Sincerely
Michael Ellison
Deputy Director
cc Karen Higgins NCDWQ Wetlands/401 Unit
Kyle Barnes USACE Washington
Amy Adams NCDWQ Washington
Doug Huggett NCDCM Morehead City
George Wood agent
File
Restovuc5 Enluutang Pro" oar .rm&
*,L,
IRUWR
North Carolina Ecosystem Enhancement Program 1652 Mad Service Center Raleigh NC 27699 1652 / 919 715 0476 / www nceep net

ALI I HORIZATION TO Ac f AS REPRFSENTATIVF FORM
I andowntr I retold authorvt,,J-w*rronmental Professionals Inc to
enter the property to gather environmental and site information including delineation of
environmental regulator) , junsdictions
tnttr tht site meth the regulator) agencies (i t U S Army Corps of I ngincers
North Carolina Division of Coastal Management North Carolina Division of Wattr
Ou -111q etc ) as needed to review regulatory ihLnmtnt(s) and to identify lddnionil
rtt,ul nor-, jurisdictions -ind
ubmit plats ind other information to acquire regulatory tgency confirmations and /or
approvals (U S Armv Corps of Engineers North Carolina Division of Coastal
Mana+_emcnt North Carolina Division of %\ attt Quality etc ) ind
piovidt authorization for Lnvironmental Professionals Inc to act as your agent for the
purposes of obtaining environmental permits and /or authonzauons
Landowner ate
Client I Dite

00 \NAT�F9QG
oliii�MMIMISW<
2012 ®003
Office Use Only
Corps action ID no
DWQ project no
Form Version 1 3 Dec 10 2008
Page 1 of 11
PCN Form —Version 1 3 December 10 2008 Version
Pre - Construction Notification PCN Form
A Applicant Information
1
Processing
la
Type(s) of approval sought from the
Corps
®Section 404 Permit El Section 10 4rmit
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 from the DWQ (check all that apply)
® 401 Water Quality Certification — Regular ❑ Non 404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification
❑ Yes ® No
For the record only for Corps Permit
❑ Yes ® No
1f
Is payment into a mitigation bank or in lieu fee program proposed for mitigation
of impacts? If so attach the acceptance letter from mitigation bank or in lieu
fee program
® Yes
❑ No
1g
Is the project located in any of NC s twenty coastal counties If yes answer 1 h
below
® Yes
❑ No
1h
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2
Project Information
2a
Name of project
Layton
2b
County
Perqumans
2c
Nearest municipality / town
Hertford
2d
Subdivision name
Albemarle Plantation
2e
NCDOT only T I P or state
project no
N/A
3
Owner Information
3a
Name(s) on Recorded Deed
Richard and Elaine Layton
3b
Deed Book and Page No
Plat 2 Bk 74 Pg 6
3c
Responsible Party (for LLC if
applicable)
N/A ]AN
3 2012
3d
Street address
119 Lexington Drive
3e
City state zip
McMurray PA 15317 WERMIDS AND ST- 0-MATER BRANCH
3f
Telephone no
724 746 2777 x201
3g
Fax no
724 746 5434
3h
Email address
elayton @oldrepublictitle com
Page 1 of 11
PCN Form —Version 1 3 December 10 2008 Version

4
Applicant Information (if different from owner)
4a
Applicant is
❑ Agent ❑ Other specify
4b
Name
N/A
4c
Business name
(if applicable)
4d
Street address
4e
City state zip
4f
Telephone no
4g
Fax no
4h
Email address
5
Agent/Consultant Information (if applicable)
5a
Name
George H Wood CEP PWS
5b
Business name
(if applicable)
Environmental Professionals Inc
5c
Street address
1404 S Virginia Dare Trail P 0 Box 3368
5d
City state zip
Kill Devil Hills NC 27948
5e
Telephone no
252 441 0239
5f
Fax no
252 441 0721
5g
Email address
obxwood @yahoo com
Page 2 of 11
PCN Form —Version 1 3 December 10 2008 Version

B Project Information and Prior Project History
1 Property Identification
1a Property identification no (tax PIN or parcel ID)
7866 33 2162 000
Latitude 36 094592 Longitude
lb Site coordinates (in decimal degrees)
Longitude 76 416308
(DD DDDDDD) ( DD DDDDDD)
1 c Property size
14 acres
2 Surface Waters
2a Name of nearest body of water (stream river etc ) to
Yeopim Creek
proposed project
2b Water Quality Classification of nearest receiving water
SC
2c River basin
Pasquotank
3 Project Description
3a Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application
Wooded Lot Residential
3b List the total estimated acreage of all existing wetlands on the property
0 9 Acres
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
0
3d Explain the purpose of the proposed project
Fill in wetlands for residential construction
3e Describe the overall project in detail including the type of equipment to be used
Upland and wetland area to be filled & to be cleared by front end loader Retaining wall construction and backfdled by
dump truck
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
® Yes El No El Unknown
project (including all prior phases) in the past?
Comments
4b If the Corps made the jurisdictional determination what type
❑ Preliminary ® Final
of determination was made?
4c If yes who delineated the jurisdictional areas?
Agency /Consultant Company Environmental
Name (if known)
Professionals Inc George H Wood PWS
Other
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
7 15 11 SAW 2011 01299
5 Project History
5a Have permits or certifications been requested or obtained for
❑ Yes ® No ❑ Unknown
this project (including all prior phases) in the past?
5b If yes explain in detail according to help file instructions
N/A
Page 3 of 11
PCN Form — Version 1 3 December 10 2008 Version

6 Future Project Plans
6a Is this a phased project? ❑ Yes ® No
6b If yes explain
N/A
Page 4 of 11
PCN Form — Version 1 3 December 10 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
la Which sections were completed below for your project (check all that apply)
® Wetlands ❑ 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 jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps 404 10
Area of impact
Permanent (P) or
(if known)
DWQ — non 404 other)
(acres)
Temporary
W1 ®P ❑ T
Fill
Hardwood Bottom
® Yes
❑ No
® Corps
® DWQ
05
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g Total wetland impacts
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
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number
(PER) or
(Corps 404 10
stream
length
Permanent (P) or
intermittent
DWQ — non 404
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ❑ PMT
❑ PER
❑ Corps
❑ INT
❑ DWQ
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h Total stream and tributary impacts
0
31 Comments
Page 5 of 11
PCN Form —Version 1 3 December 10 2008 Version

4 Open Water Impacts
If there are proposed impacts to lakes ponds estuaries tributaries sounds the Atlantic Ocean or any other open water of
the U S then individually list all open water impacts below
4a
4b
4c
4d
4e
Open water
Name of waterbody
impact number —
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑ PEI T
02 ❑P ❑T
03 ❑P ❑T
04 ❑ PEI T
4f Total open water impacts
0
4g Comments
5 Pond or Lake Construction
If pond or lake construction proposed then complete the chart below
5a
5b
5c
5d
5e
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f Total
0
5g Comments
5h Is a dam high hazard permit required
❑ Yes ❑ No if yes permit ID no
51 Expected pond surface area (acres)
51 Size of pond watershed (acres)
5k Method of construction
6 Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer then complete the chart below If yes then individually list all buffer impacts
below If any impacts require mitigation then you MUST fill out Section D of this form
6a
❑ Neuse ❑ Tar Pamlico ❑ Other
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b
6c
6d
6e
6f
6g
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
required
B1 ❑P ❑T
❑Yes
❑ No
B2 ❑P ❑T
El Yes
❑ No
B3 ❑P ❑T
El Yes
❑ No
6h Total buffer impacts
0
0
61 Comments
Page 6 of 11
PCN Form — Version 1 3 December 10 2008 Version

D Impact Justification and Mitigation
1 Avoidance and Minimization
la Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
Only the area necessary for home construction and tie back location to be filled
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Fill will be retained by retaining wall
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?
® Yes ❑ No
2b If yes mitigation is required by (check all that apply)
® DWQ ® Corps
2c If yes which mitigation option will be used for this
project?
❑ Mitigation bank
®Payment to in lieu fee program
❑ 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 in lieu fee program is attached
® Yes
4b Stream mitigation 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
0 10 acres
4f Non riparian wetland mitigation requested
acres
4g Coastal (tidal) wetland mitigation requested
acres
4h Comments
5 Complete if Using a Permittee Responsible 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 3 December 10 2008 Version

r
6 Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation
❑ Yes ® No
6b If yes then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required
Zone
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(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 riparian buffer restoration payment into an approved in lieu fee fund)
6h Comments
Page 8 of 11
PCN Form — Version 1 3 December 10 2008 Version

E
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1
Diffuse Flow Plan
la
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b
If yes then is a diffuse flow plan included? If no explain why
❑ Yes ❑ No
Comments
2
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
14%
2b
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c
If this project DOES NOT require a Stormwater Management Plan explain why Within
the Albemarle Plantation Master
Stormwater Plan
2d
If this project DOES require a Stormwater Management Plan then provide a brief narrative description of the plan
N/A
❑ Certified Local Government
2e
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3
Certified Local Government Stormwater Review
3a
In which local government s jurisdiction is this project?
N/A
❑ Phase II
3b
Which of the following locally implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply)
❑ Water Supply Watershed
❑ Other
3c
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4
DWQ Stormwater Program 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 N/A
4b
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
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 9 of 11
PCN Form — Version 1 3 December 10 2008 Version

i. 41
F
Supplementary Information
1
Environmental Documentation (DWQ Requirement)
la
Does the project involve an expenditure of public (federal /state /local) funds or the
❑ Yes
❑ No
use of public (federal /state) land?
lb
If you answered yes to the above does the project 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 review been finalized by the
State Clearing House? (If so attach a copy of the NEPA or SEPA final approval
❑ Yes
❑ No
letter)
Comments N/A
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 2B 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)
N/A
3
Cumulative Impacts (DWQ Requirement)
3a
Will this project (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
N/A
4
Sewage Disposal (DWQ Requirement)
4a
Clearly detail the ultimate treatment methods and disposition (non discharge or discharge) of wastewater generated from
the proposed project or available capacity of the subject facility
Albemarle Plantation Community Wastewater Disposal System
Page 10 of 11
PCN Form — Version 1 3 December 10 2008 Version

5 Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
❑ Raleigh
5c If yes indicate the USFWS Field Office you have contacted
❑ Asheville
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Cntical
Habitat?
Website
6 Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
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
❑ 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
Albemarle Plantation Archeological Report
8 Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA designated 100 year floodplain?
-T®-yes ❑ No
8b If yes explain how project meets FEMA requirements Fill to above 100 Year Flood Elevation
8c What source(s) did you use to make the floodplain determination? FEMA Maps
Environmental Professionals Inc
George H Wood PWS
12 1911
Date
Yppli6ant/Agefl Signature
Applicant/Agent s Printed Name
(Agents sig ure is valid only if an aut0rization letter from the applicant
is provided )
Page 11 of 11
PCN Form — Version 1 3 December 10 2008 Version

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164
PROPOSED RETAINING WALL
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AREA TO BE FILLED \
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PROJECT NOTES
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WETLANDS FILL PERMIT FOR RICHARD & ELAINE LAYTON
LOT 43, SECTION F, ALBEM ARLE PLANTATION
SCALE REVISION REV 1
1"= 40 DATES 12/13/11
PROJECT NO DATE CADD FILE 10 -027
10 -027 10/14/11 CURRENT REVISION 1
SHEET
1 of 1
ENVIRONMENTAL PROFESS /OVALS, INC
Planning for a Better Environment
1404 S Virginia Dare Trail
P 0 BOX 3368 — KILL DEVIL HILLS, NC 27948
PhOW (2370 44 FAX [phone]/