20090229 Ver 4_More Info Received_20130201

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ENVIRONMENTAL
PROFE�SN IONALS
PLANNING FOR
A BETTER
ENVIRONMENT
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January 28, 2013
North Carolina Division of Water Quality
Attn: Mr. Ian McMillan
1650 Mail Service Center
Raleigh, NC 27699 -1650
Dear Mr. McMillan,
This letter is with reference to DWQ Project #09 -0299 V3, Dare County, Heritage of Faith Family Church.
A review of my records does not indicate that the check written for this project in August 2012 was ever
cashed. Therefore, please find enclosed a newly issued check and a copy of the application submitted in
June for this project.
Sincerely,
Enviro mental Profes i nals, Inc.
�11�
orge H. Wood, C , PWS
Enclosures: a/s
cc: Rev. David Stowe
D
M
FE;3 0 013
D � - WtiT�k QU
P.O. BOX 3368 • HILL DEVIL HILLS, NORTH CAROLINA 27948 • 252 - 441 -0239
FAX: [phone] • EMAIL: [e-mail]

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U.S. ARMY CORPS OF ENGINEERS
APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT OMS APPROVAL No. 0710-0003
„„^CA �„., EXPIRES: 31 AUGUST 2012
_ data 9 for lhis collection of Information is estimated b average 11 hours per response, including the time for reviewing instructions, searching
this btwrd estimate gathering and maintaining the data needed. and completing and reviewing the collection of infornutlon. Send comments regarding
y aspect of the collection of information, including suggestions for reducing this burden, to Department of Defense,
Washington Headquarters, Executive Services and Comrrxrrications Directorate. Information Management Division and to the Office of ManagemerM and
Bit. Paperwork Reduction Project (0710-0003). Respondents should be aware that notwithstanding any od provision of law, no person amen be
subject lo any ply for failing to comply with a collection of information if it does not display a currently valid OMB control number. Phase n s NOT
ft aka either of those addresses. Compiled applications must be submitted to the District Engineer having jurisdiction over the location of
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
INS farm will be state, and evaluating the application for a Permit. Routine Uses: This Information may be shared with the Department of Justice and other
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, it k"don is not provided the permit application cannot be evaluated nor can a permit be hsued. One set
of original drawings or good reproducible copies which stow 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.
that is not completed in full will be returned. An application
1. APPLICATION NO.
First - DAVID Middle -
(ITEMS 1 THRU 4 TO 8E FILLED BY THE CORPS)
2. FIELD OFFICE CODE
Last - STOWE
Company - HERITAGE OF FAITH FAMILY CHURCH. INC
E-mail Address -
6. APPLICANT'S ADDRESS:
Address- P.O. BOX 297
City - BUXTON state - NC
7. APPLICANT'S PHONE MOs. WAREA
3. DATE RECEIVED
BY
First - GEORGE Middle - H.
4. DATE APPLICATION COMPLETE
Last - WOOD
Company - ENVIRONMENTAL PROFESSIONALS, INC.
E-mail Address - obxvvood@.yahoo.corn
9. AGENTS ADDRESS:
Address- P.U. BOX 3368
ZP - 27920 Country - USA I City - Kill Devil Hills State - NC
a. Residence b. Business c. Fax
252- 305 -2564
10. AGENTS PHONE NOs. w /AREA CODE
a. Residence b. Business
252 -441 -0239
zip- 27948 Country - USA
c. Fax
252 -441 -0721
STATEMENT OF AUTHORIZATION
11. I hereby authorize. b %fh my behalf air my agent in the processing of this application and to kurnish, upon request,
supplements information in supAdit of this permit application.
X11; -;.� �'`'`�- _ � -is/ -i �•-.
SIGNATURE OF' APPLICANT DATE
NAME, LOCATION, AND`CESCRIFITION'OF PROJECT OR ACTIVITY
12. PROJECT NAME OR TITLE (see instructions)
HERITAGE OF FAITH FAMILY CHURCH, INC.
13. NAME OF WATERBODY. IF KNOWN (if applicable) 14. PROJECT STREET ADDRESS (if appikabla)
PAMLICO SOUND Address N/A
15. LOCATION OF PROJECT
Latitude: -N 75.597153 Longitude: -W 35.252505 City - State- __„s, Zip
16. OTHER LOCATION DESCRIPTIONS. IF KNOWN (see instructions)
State Tax Parcel ID 00861 3003 Municipality FRISCO D
Section- 2 - TRENT WOOD Township- Range - O ��
ENG FORM 4345, OCT 2010 EDITION OF OCT 2004 IS OBSOLETE

PIRECflt)W TO 711E TSI E
On snub side on NC 12 in Frisco. North Carolina
ttt. N"" ancIN* psseription of v►eieek k"," '1 0.4"')
The wooded site along NC 12 will be logged, and a retaining wall will be constructed along the fill limits.
19, P10180 Purpose (Describe " reasmr or pwpoe+ of the
protect, s.e instructions)
The area will be leveled and filled to prepare the site for construction of a church and parking.
FLL
2tt. Re"s) for oisdw ne
Construction of church
2t. Type(s) of MIUM Bft DisOW90d and the Arnwrk of Each T
Type YPe in Cubic Yards:
Mmwit In Cubic Yards Type Type
A..—"- ar
w iri Cubic Yai Amount in Cubic Yards
Sand - 4.126 cubic yards
22. Surhot Atw to Aces of Watldnds or CMher Watbrs FYled is" cx lions)
AcM 0.64 Acres irut
or
Limear feet
23. Oa a0lion dAvoidanos, Mkfinritation, and Compensation rase insfuctlons)
The Project has been modified to eliminate the separate structure housing [lie youth building and FelIdWsltiip:Ha11. A retaining wall has
also been incorporated 10 minimize impacts. An additional 43,560 sq. It of Section 404 will be included in the conservation area.

24. Is Any Portion of the Work Already Complete? ❑Yes olo IF YES, DESCRIBE THE COMPLETED WORK
25. Addresses of Adjoining Property Owners, Lessees, Etc., Whose Property Adjoins the Waterbody (if more man can be enNred Wore, peas. &ago a wpownw l sk).
a. Address- (SEE ATTACHED)
City - State - Zip -
b. Address -
City - State - Zip -
c. Address-
city - State - Zip -
d. Address -
City - State - Zip -
e. Address -
City - State - zip -
26. List of Other Certificates or Approvals/Denials received from other Federal, State, or Local Agencies for Work Described in This Application.
AGENCY TYPE APPROVAL* IDENTIFICATION DATE APPLIED DATE APPROVED DATE DENIED
NUMBER
NONE
would inckide bur is not festrieted to zoning. buUdinp, and flood plain pomyts
27. Application K Herebymade for permit or permits to,autho`¢e the work described in this`. 'Ytpjiiation. I certify that ,inforfrltion in this application is
J-7— cornplete and somale, `I hirlher certify that I possess the authority to under"'* the work described herein or am s ss'"'duly authorized agent of the
applicant.
d - /'/—/,:;L
SIGNATURE OF APPLICANT DATE I O E AGENT D—KTE
The Application must be signed by the person who desires to undertake the proposed activity (applicant) or it may be signed by a duly
authorized agent if the statement in block 11 has been filled out and signed.
18 U.S.C. Section 1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States
knowingly and willfully falsifies, conceals, or covers up any trick, scheme, or disguises a material fact or makes any false, fictitious or
fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false, fictitious or
fraudulent statements or entry, shall be fined not more than $10,000 or imprisoned not more than five years or both.
ENO FORM 4345, OCT 2010

ADJOINING PROPERTY OWNERS:
Smith Dare Properties, LLC
c% HT Smith & Company
210 Sandy Springs Place
Atlanta, GA 30328
2. Frisco Amusements, LLC
P.O. Box 1 176
Buxton, NC 27920