20120173 Ver 1_More Info Received_20120228

ENVIRONMENTAL PROFESSIONALS, INC
Planning for a Better Environment
P O Box 3368
Kill Devil Hills NC 27948
Telephone [phone]
Fax [phone]
Email obxwood @yahoo com
TO North Carolina Division of Water Quality
401 Wetlands Unit
Attn Ms Karen Higgins
1650 Mad Service Center
Raleigh NC 27699 1650
ATTACHED
LETTER OF 'TRANSMITTAL
Ia-D1 -7 3
DATE February 27 2012
JOB NO 011 044
RE Richard Edsall — 912 Lighthouse
Drive — Whalehead Club
1 5 1 Signed 2 24 12 1 Page 1 of ENG FORM 4345 (Richard Edsall s Original Signature) I
THESE ARE SUBMITTED AS CHECKED BELOW
❑ For your approval ❑ Review & Comment
❑ For your use ❑ Other
As requested
REMARKS
As requested in your letter of 2 23 12
COPY TO Project File
SIGNED 1�
FEB 2 8 2012 6iorge H Wood CEP PWS
Environmental Professionals Inc

�a -oi93
U S ARMY CORPS OF ENGINEERS
OMB APPROVAL NO 0710 -0003
APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT
EXPIRES 31 AUGUST 2012
33 CFR 325
Public reporting for this collection of information is estimated to average 11 hours per response including the time for reviewing instructions searching
existing data sources gathering and maintaining the data needed and completing and reviewing the collection of information Send comments regarding
this burden estimate or any other aspect of the collection of information including suggestions for reducing this burden to Department of Defense
Washington Headquarters Executive Services and Communications Directorate Information Management Division and to the Office of Management and
Budget Paperwork Reduction Project (0710 -0003) Respondents should be aware that notwithstanding any other provision of law no person shall be
subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number Please DO NOT
RETURN your form to either of those addresses Completed applications must be submitted to the District Engineer having jurisdiction over the location of
the proposed activity
PRIVACY ACT STATEMENT
Authorities Rivers and Harbors Act Section 10 33 USC 403 Clean Water Act Section 404 33 USC 1344 Marine Protection Research and Sanctuaries
Act Section 103 33 USC 1413 Regulatory Programs of the Corps of Engineers Final Rule 33 CFR 320 332 Principal Purpose Information provided on
this form will be used in evaluating the application for a permit Routine Uses This information may be shared with the Department of Justice and other
federal state and local government agencies and the public and may be made available as part of a public notice as required by Federal law Submission
of requested Information is voluntary however if information is not provided the permit application cannot be evaluated nor can a permit be issued One set
of original drawings or good reproducible copies which show the location and character of the proposed activity must be attached to this application (see
sample drawings and /or instructions) and be submitted to the District Engineer having jurisdiction over the location of the proposed activity An application
that is not completed In full will be returned
(ITEMS 1 THRU 4 TO BE FILLED BY THE CORPS)
1 APPLICATION NO
2 FIELD OFFICE CODE
3 DATE RECEIVED
4 DATE APPLICATION COMPLETE
(ITEMS BELOW TO BE FILLED BY APPLICANT)
5 APPLICANTS NAME
8 AUTHORIZED AGENTS NAME AND TITLE (agent is not required)
First Richard Middle Last Edsall
First George Middle H Last Wood
Company
Company Envnoiunental Professionals Inc
E-mail Address redsall@cliubb coin
E mail Address obxwood (a)yahoo coin
6 APPLICANTS ADDRESS
9 AGENTS ADDRESS
Address 375 Gnst Mill Drive
Address P O Box 3368 1404 S Virgtina Dare Trail
City Basking Ridge State NJ Zip 07920 Country USA
City Kill Devil Hills State NC Zip 27948 Country USA
7 APPLICANTS PHONE NOs WAREA CODE
10 AGENTS PHONE NOs w /AREA CODE
a Residence b Business c Fax
a Residence b Business c Fax
908 247 2948
252 -441 0239 252 -441 0721
STATEMENT OF AUTHORIZATION
11 1 hereby authorize George H Wood to act in my behalf as my agent in the processing of this application and to furnish upon request
supplemental information in support of this permit application
SIGNATURE OF APPLICANT DATE
NAME LOCATION AND DESCRIPTION OF PROJECT OR ACTIVITY
12 PROJECT NAME OR TITLE (see instructions)
Lighthouse Dtive
13 NAME OF WATERBODY IF KNOWN (if applicable)
14 PROJECT STREET ADDRESS (if applicable)
Atlantic Ocean
Address 912 Lighthouse Dnve
15 LOCATION OF PROJECT
Latitude N 36 343628 Longitude W 75 816653
City Corolla State NC Zip- 27927
16 OTHER LOCATION DESCRIPTIONS IF KNOWN (see instructions)
State Tax Parcel ID ID# I I5A00000200010 Municipality Lorolla NC (Pin #9935 79 4062)
Section 10 Township Poplar Branch Range
ENG FORM 4345 OCT 2010 EDITION OF OCT 2004 IS 0830 D �� Propon t CECW -OR
FEB 1 8 2012