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HomeMy WebLinkAbout20130773 Ver 1_401 Application_20130713201 30773 Quible 9uible & Associates, P.C. P.O. Drawer 870 Kitty Hawk NC 27949 ENGINEERING • ENVIRONMENTAL SCIENCES • PLANNING • SURVEYING Phone 252 - 261.9,'100 SINCE 1959 Fac 252 -261 -1260 Web: qulble.com 19 July 24, 2013 Roberto Scheller NC DENR DWQ 943 Washington Square Mall Washington, NC 27889 Re: Nationwide 18 Permit Request Steve Daniels 4502 Ridge Road Kitty Hawk, Dare County, North Carolina ,.A - 41y Mr. Scheller: Please find enclosed a Pre - Construction Notification form and associated documentation for a property currently owned by Steve Daniels. This lot is within an existing subdivision known as Hickory Ridge and the proposed fill that requires this PCN is required for the site expansion as shown on the attached site plan. The proposed mitigation plan is a payment to the Great Dismal Swamp Restoration Bank sufficient to offset 0.10 acres of non - riparian Section 404 impacts at a ratio of 2:1 (mitigation to impacts). Enclosed is the following: • USGS Vicinity Map • Nationwide 18 Site Plan • PCN Application • Agent Authorization Letter • Mitigation Bank Acceptance Letter • Copy of Deed • Copy of the $240 Processing Fee Check to NCDENR Please do not hesitate to contact the undersigned at 252.261.3300 if you have any questions or requests for additional information. Sincerely, QWren. 'ates, P.C. W dus cc Steve Daniels Anne Burdette, NCDWQ (four copies) Roberto Scheller, NC DWQ Quible Quible & Associates, P.C. ENGINEERING • ENVIRONMENTAL SCIENCES • PLANNING • SURVEYING SINCE 1959 July 24, 2013 Josh Pelletier US Army Corps of Engineers P.O. Box 1000 Washington, NC 27889 Re: Nationwide 18 Permit Request Steve Daniels 4502 Ridge Road Kitty Hawk, Dare County, North Carolina Mr. Pelletier: RO Drawer 870 IaTty Hawk, NC 27949 Phone: 252 -261 W Fax: 252 - 261 -1260 Web: qulble corn Please find enclosed a Pre - Construction Notification form and associated documentation for a property currently owned by Steve Daniels. This lot is within an existing subdivision known as Hickory Ridge and the proposed fill that requires this PCN is required for the site expansion as shown on the attached site plan. The proposed mitigation plan is a payment to the Great Dismal Swamp Restoration Bank sufficient to offset 0.10 acres of non - riparian Section 404 impacts at a ratio of 2:1 (mitigation to impacts). Enclosed is the following: • USGS Vicinity Map • Nationwide 18 Site Plan • PCN Application • Agent Authorization Letter • Mitigation Bank Acceptance Letter • Copy of Deed • Copy of the $240 Processing Fee Check to NCDENR Please do not hesitate to contact the undersigned at 252.261.3300 if you have any questions or requests for additional information. Sincerely, X i I ssoc'ates, P.C. rre . Eadus cc: Steve Daniels Anne Burdette, NCDWQ (four copies) Roberto Scheller, NC DWQ A -vkr 1 NO, � _.. T6 jai '` `'{•�� • f '4 l� 1 t 1 I + ll- Q.\201 1 \P 1 1043\DRAWINGS\P 11043.2 -TRACT B- NAT18.dwg 7/22/2013 3.26 PM TStokely LIRE TABLE L/Nw LOOTN Dom TlaN u 40.6r 5!O'02'26'E L2 S,ES' N 'ffi' 29' S9' E L3 44.40' S OB' ,W S4' E ,OQ GALL r —�-I NATIONWIDE 18 FII.L PLAN 1 EXISTING NON - COASTAL 404 WETLANDS — QUIBLE &ASSOCIATES P.C. I PROPOSED 404 WETLANDS IMPACTS Quible (4.356 SQ.FT. - 0.10 AC.) Q• NOB" 41'01 8W SINCE 1959 SET IRON ROD, SIR GALL PK NAIL • CALCULATED POINT OE 45 `1a;' UTILITY POLE VIOLATION OF COPYRIGHT LAWS VIOLATION WILL BE SUBJECT TO LEGAL ACTION HR ENGINEERING ' CONSULTING s PLANNING ENVIRONMENTAL SCIENCES • SURVEYING J y + % J Y NP J NC License #: C -0208 2 ••1 - • PO Drawer 870, Kitty Hawk, NC 27949 Phone: (252) 261 -3300 0 30 60 C RRITLCK R - 50LUTION KRISTIN D EARLS D.B. 1894, PIS. 303 / ' GALL • _ ; .11 • y 6 -27 -13 y J J/ y 404A22 L Al a '• I � I V' Vr � J• J- � J 50' OFFSET °... • gp4An y V' J / I J•� FROM WETLANDS ( • .4& a • �' (WASTEWATER L• ' I y V/ V•' J � SETBACK) J :::; PNtIC!NC • ' J w 4 L + • .� mil:`: i ! GENERAL NOTES "i J/ �.,[ I •y w J' Ji 1. OWNER- STEPHEN W DANIELS & I • \ u 3 Jr TQ,TAL WITLAND$ ,I, I W P.O. BOX 369 14,424.5 sift (0.33 acres) �• j -- j -- j m m r1T m c � m GAZEBO NC 27927 !• . i W W i W11J I ��\ e0. I a 2. CONSULTANT QUIBLE & ASSOCIATES, P.C. IL •' ep P.O DRAWER 870 ° 'rnm' miT I �• + y KITTY HAWK, NC 27949 " mm I ST �� M 3. LOT INFORMATION. °. I I �� N PIN 9866 -18 -41 -4861 TRACT B • . I 1 14.1' PROPERTY ADDRESS. 4502 RIDGE RD. • 20' I _ _ _ _ _ AS RECORDED IN P.C. H, SL 105, D.B 1927, PG. 215 13.5' ZONING. VR -1 - LOW DENSITY VILLAGE RESIDENTIAL �- of 4. TOTAL PARCEL AREA. 28,197 SQ.FT (0 65 AC.) J LEGEND r —�-I NATIONWIDE 18 FII.L PLAN I EXISTING NON - COASTAL 404 WETLANDS — QUIBLE &ASSOCIATES P.C. I PROPOSED 404 WETLANDS IMPACTS Quible (4.356 SQ.FT. - 0.10 AC.) Q• EXISTING IRON ROD, EIR SINCE 1959 SET IRON ROD, SIR D PK NAIL • CALCULATED POINT OE ELECTRIC BOX `1a;' UTILITY POLE Owl p +•'' # + +.air�s.AV +4, • 1 �� -�,.�. �v R'Lr \b_ VICINITY MAP 4j AW HR 46 404 Al E/R TOTAL UPLAND5 5 IV" _ 13,7727 sgft (0.32 acres) EqR ­00+1- N lO 0 00 26 W / L/ 5 Oq' 5q' 22 ° E J / vR L3 Ell (Ne line) •o-EIR 85.01' (tle line) I p R /D6� ROAD \ r 5O I PURL lG /Q/ ��--�, N 83' 50'37" E Eop p� FK 25.65' (tie line) UTILITIES wv —P_ —p— _ PROJECT COPYRIGHT ©2ES, NATIONWIDE 18 FII.L PLAN 30.0', ' QUIBLE &ASSOCIATES P.C. I Quible P11043.2 THIS DOCUMENT IS THE PROPERTY OF QUIBLE & ASSOCIATES, PC ALL RIGHTS ARE OF THIS OR SINCE 1959 � e C %B (P. i% SL 1� j iii ai `j v. `� v DRAWN BY TAS RESERVED ANY REPRODUCTION POSSESSION WITHOUT PRIOR PERMISSION OF QUIBLE & ASSOCIATES, P.0 WILL CONSTITUTE 4502 RIDGE ROAD RR O� Associates, P.C. / VIOLATION OF COPYRIGHT LAWS VIOLATION WILL BE SUBJECT TO LEGAL ACTION HR ENGINEERING ' CONSULTING s PLANNING ENVIRONMENTAL SCIENCES • SURVEYING CHECKED BY ° WDE IF THIS PLAN OR PLAT IS NOT SIGNED AND NP NC License #: C -0208 2 ••1 - • PO Drawer 870, Kitty Hawk, NC 27949 Phone: (252) 261 -3300 0 30 60 C RRITLCK R - 50LUTION KRISTIN D EARLS D.B. 1894, PIS. 303 / ' GALL • _ ; .11 • Fax: (252) 261 -1260 6 -27 -13 RECORDATION, SALES OR LAND CONVEYANCES 404 A7 PROPERTIES, INC. ` D.B. 1866, PG. 73 404A22 Al a '• I �/ 50' OFFSET °... • gp4An / FROM WETLANDS ( • .4& a • �' (WASTEWATER 'DRIVE ' SETBACK) :::; PNtIC!NC • ' • .� mil:`: i •°' * GENERAL NOTES �.,[ • i • i 1. OWNER- STEPHEN W DANIELS & • \ 3 DEBRA M DANIELS • ,.� P.O. BOX 369 �• j -- j -- j m m r1T m c � m GAZEBO NC 27927 !• . i W W i W11J I ��\ e0. I a 2. CONSULTANT QUIBLE & ASSOCIATES, P.C. •' ep P.O DRAWER 870 ° 'rnm' miT I KITTY HAWK, NC 27949 mm I ST �� M 3. LOT INFORMATION. °. I I �� PIN 9866 -18 -41 -4861 • . I 1 14.1' PROPERTY ADDRESS. 4502 RIDGE RD. • 20' I _ _ _ _ _ AS RECORDED IN P.C. H, SL 105, D.B 1927, PG. 215 13.5' ZONING. VR -1 - LOW DENSITY VILLAGE RESIDENTIAL �- of 4. TOTAL PARCEL AREA. 28,197 SQ.FT (0 65 AC.) J 20' TOTAL UPLAND AREA 14,424 SQ.FT (0.33 AC.) • TOTAL WETLAND AREA, 13,773 SOFT (0 32 AC) +}' I m u PROPOSED WETLANDS PROPOSED TO BE FILLED: 4,356 SOFT. (0.10 AC) C : 0 3 BEDROOM b S.F.D. •a 5 US A.C.E. 404 WETLANDS FIELD CONFIRMED 5 -15 -13 r t I .V c 6 PROPERTY LOCATED IN FIRM ZONE AE (8 3') SUBJECT TO I CHANGES BY FEMA. (MAP#.3720986600J DATED 8/20/06) • 13.8' • • 7 THIS IS NOT A CERTIFIED SURVEY AND SUBJECT TO FACTS THAT b MAY BE FOUND IN A FULL AND ACCURATE TITLE SEARCH TOPOGRAPHIC INFORMATION BASED TOPOGRAPHIC SURVEY BY QUIBLE & ASSOCIATES, P C DATED 3 -27 -13 AND REFERENCE -� NAVD 1988 • — 25'MBSL 4L E/R TOTAL UPLAND5 5 IV" _ 13,7727 sgft (0.32 acres) EqR ­00+1- N lO 0 00 26 W / L/ 5 Oq' 5q' 22 ° E J / vR L3 Ell (Ne line) •o-EIR 85.01' (tle line) I p R /D6� ROAD \ r 5O I PURL lG /Q/ ��--�, N 83' 50'37" E Eop p� FK 25.65' (tie line) UTILITIES wv —P_ —p— _ PROJECT COPYRIGHT ©2ES, NATIONWIDE 18 FII.L PLAN QUIBLE &ASSOCIATES P.C. I Quible P11043.2 THIS DOCUMENT IS THE PROPERTY OF QUIBLE & ASSOCIATES, PC ALL RIGHTS ARE OF THIS OR SINCE 1959 � e C %B (P. i% SL 1� j iii ai `j v. `� v DRAWN BY TAS RESERVED ANY REPRODUCTION POSSESSION WITHOUT PRIOR PERMISSION OF QUIBLE & ASSOCIATES, P.0 WILL CONSTITUTE 4502 RIDGE ROAD RR O� Associates, P.C. VIOLATION OF COPYRIGHT LAWS VIOLATION WILL BE SUBJECT TO LEGAL ACTION ENGINEERING ' CONSULTING s PLANNING ENVIRONMENTAL SCIENCES • SURVEYING CHECKED BY ATLANTIC TOWNSHIP DARE COUNTY WDE IF THIS PLAN OR PLAT IS NOT SIGNED AND NORTH CAROLINA NC License #: C -0208 SEALED BY A LICENSED PROFESSIONAL THEN THIS PLAN OR PLAT SHALL BE CONSIDERED PRELIMINARY AND NOT A CERTIFIED DOCUMENT PO Drawer 870, Kitty Hawk, NC 27949 Phone: (252) 261 -3300 0 30 60 DATE AND SHALL NOT BE USED FOR CONSTRUCTION, 1 Fax: (252) 261 -1260 6 -27 -13 RECORDATION, SALES OR LAND CONVEYANCES GRAPHIC SCALE IN FEET 1" =30 E -Mall: adminlstrator ®quible.com \o�0F W AT F9�G y r 1 O `C Office Use Only: Corps action ID no. DWQ project no. Form Version 1.0 November 2008 Pre - Construction Notification (PCN) Form A. Applicant Information 1. Processing 1a. Type(s) of approval sought from the Corps: ® Section 404 Permit ❑ Section 10 Permit 1b. 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 1d. 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 le. 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: Tract B 4502 Ridge Road 2b. County: Dare 2c. Nearest municipality / town: Kitty Hawk 2d. Subdivision name: Hickory Ridge 2e. NCDOT only, T.I.P. or state project no: 3. Owner Information 3a. Name on Recorded Deed: Stephen W. and Debra M. Daniels 3b. Deed Book and Page No. DB 1927/ PG 215 3c. Responsible Party (for LLC if applicable): Mr. Steve Daniels 3d. Street address: 1013 US Highway 64 3e. City, state, zip: Manteo, NC 27954 3f. Telephone no.: ---� 3g. Fax no.: 5 2013 , 3h. Email address: steve @renconstruct.com 1LER - wi e $ 5 WBip� &81101 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. 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: Warren D. Eadus 5b. Business name (if applicable): Quible & Associates, P.C. 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: weadus @quible.com Page 2 of 11 PCN Form — November 2008 Version B. Project Information and Prior Project History 1. Property Identification 1a. Property identification no. (tax PIN or parcel ID): 986618414861 1b. Site coordinates (in decimal degrees): 36.0681566'N - 75.7389457'W 1c. Property size: 3.56 acres 2. Surface Waters 2a. Name of nearest body of water (stream, river, etc.) to proposed project: Cun ituck Sound 2b. Water Quality Classification of nearest receiving water: SB 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: Single Family Residential. Nearby properties include single family residential homesites and undeveloped wetlands and uplands. 3b. List the total estimated acreage of all existing wetlands on the property: 0.33 ac. 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: The impacts are requested to allow for the addition of an accessory dwelling (apartment/carriage house) and the addition of a swimming pool as shown on the attached site plan. 3e. Describe the overall project in detail, including the type of equipment to be used: Proposed residential building construction and associated grading will require 0.10 acres of wetland impacts. Equipment includes bulldozers, backhoes and dump trucks (and other conventional equipment as necessary). 4. Jurisdictional Determinations 4a. Have jurisdictional wetland or stream determinations by the Corps or State been requested or obtained for this property / project (including all prior phases) in the past? Yes ❑ No ❑ Unknown 4b. If the Corps made the jurisdictional determination, what type of determination was made? ® Preliminary ❑ Final 4c. If yes, who delineated the jurisdictional areas? Name (if known): Warren Eadus Agency /Consultant Company: Quible & Associates, P.C. Other: 4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation. Field confirmed by Josh Pelletier on May 15, 2013 S. Project History 5a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past? ❑ Yes ® No El Unknown 5b. If yes, explain in detail according to "help file" instructions. NA 6. Future Project Plans 6a. Is this a phased project? ❑ Yes ® No 6b. If yes, explain. Page 3 of 11 PCN Form — Version 1.0 November 2008 Version C. Proposed Impacts Inventory 1. Impacts Summary 1a. 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 Type of wetland Forested (Corps - 404, 10 Area of impact (acres) Permanent (P) or impact (if known) DWQ — non -404, other) Temporary WI ®P ❑ T fill Maritime Swamp Forest 404/ ® Yes [--] No ® Corps 0.10 non - riparian ®DWQ W2 ❑ P ❑ T ❑ Yes ❑ No ❑ Corps ❑ DWQ W3 ❑ P ❑ T ❑ Yes ❑ No ❑ Corps ❑ DWQ W4 ❑ P ❑ T ❑ Yes ❑ No ❑ Corps ❑ DWQ W5 ❑ P [IT ❑ Yes ❑ No ❑ Corps ❑ DWQ W6 ❑ P [IT El Yes El No ❑Corps ❑ DWQ 2g. Total wetland Impacts 0.10 2h. Comments: None 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 intermittent (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, continued 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 o en water impacts 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) Temporary T 01 ❑P ❑T 02 ❑ PEI 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, continued S. Pond or Lake Construction If pond or lake construction pro osed, then complete the chart below. 5a. 5b. 5c. 5d. 5e. Pond ID Proposed use or Wetland Impacts (acres) Stream Impacts (feet) Upland number purpose of pond (acres) 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): 5j. 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 ou 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 (square Zone 2 impact Permanent (P) for impact Stream name mitigation feet) (square feet) or Temporary required? T B1 ❑P ❑T El Yes El No B2 ❑P ❑T ❑Yes F-1 No B3 ❑P ❑T ❑Yes [I No 6h. Total buffer impacts 6i. Comments: Page 6 of 11 PCN Form - November 2008 Version D. Impact Justification and Mitigation 1. Avoidance and Minimization 1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project. Fill will be sloped and stabilized in accord with common best management practices. 1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques. Silt fencing to be maintained until disturbed area is stabilized with grasses. 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: Great Dismal Swamp Restoration Bank, LLC 3b. Credits Purchased (attach receipt and letter) Type non - riparian Quantity 0.1 acres 3c. Comments: According to GDSRB, credits are available in their Timberlake Bank Service Area. If this is acceptable to USACE, please condition in the permit. If not, please inform and we will apply for mitigation through NCEEP. 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: acres 4f. Non - riparian wetland mitigation requested: 0.1 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 1.0 November 2008 Version D. Impact Justification and Mitigation, continued 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 Reason for impact Total impact (square feet) Multiplier Required mitigation (square feet) Zone 1 3 (2 for Catawba) Zone 2 1.5 Total buffer mitigation required: 6c. 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). 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 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? 1b. If yes, then is a diffuse flow plan included? ❑ Yes ® No 2. Determination if the Project Requires a Stormwater Management Plan 2a. Does the project require a Non -404 Jurisdictional General Permit? ❑ Yes ® No 2b. Is the project subject to General Certification 3704 or 3705? ❑ Yes ® No 3. Determination of Stormwater Review Jurisdiction 3a. Is this project subject to any of the following state- implemented stormwater ® Coastal counties management programs (check all that apply)? ❑ HQW If so, attach one copy of the approval letter from the DWQ and one copy of the El El El Session Law 2006 -246 approved stormwater management plan. ❑ Other: 3b. In which local government's jurisdiction is this project? Town of Kitty Hawk 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 Required for DWQ 401 Unit Stormwater Review 4a. What is the overall percent imperviousness according to the most current site Ian? < 24 % at max. build out 4b. Does this project contain any areas that meet the criteria for "high density" per General Certifications 3704 and 3705? ❑ Yes ® No 4c. If the site is over 24% impervious and /or contains high density areas, then provide a brief narrative description of the stormwater management plan. Site will be less than 24% impervious at build -out as proposed. 4d. Has a completed BMP Supplement Form with all required items been submitted for each stormwater BMP? ❑Yes ® No Page 9 of 11 PCN Form — Version 1.0 November 2008 Version F. Supplementary Information 1. Environmental Documentation (DWQ Requirement) 1a. Does the project involve an expenditure of public (federal /state /local) funds or the El Yes No use of public (federal /state) land? 1b. 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 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 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): 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. 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. This is an existing home site with a permitted and installed conventional on -site septic system. Page 10 of 11 PCN Form — Version 1.0 November 2008 Version F. Supplementary Information, continued S. 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 ' El 1Z No impacts? 5c. If yes, indicate the USFWS Field Office you have contacted. ❑ Raleigh ❑ Asheville 5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat? NC Natural Heritage Program 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? Mapping data and field investigation; proposed impact area is not within an area of surface waters. 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? National Register of Historic Places 8. Flood Zone Designation (Corps Requirement) 8a. Will this project occur in a FEMA- designated 100 -year floodplain? ® Yes ❑ No 8b. If yes, explain how project meets FEMA requirements: This type of fill is allowable with permit in AE and X zones. 8c. What source(s) did you use to make the floodplain determination? NFIP Flood Zone Maps (www.ncfloodmaps.com) Applicant/Agent's Printed Name pplicant/Agent's Signature (Agent's signature is valid only if an authorization letter from the applicant Date is provided.) Page 11 of 11 PCN Form — November 2008 Version May 6, 2013 Qulble & Associates, P.C. Warren Eadus PO Drawer 870 Kitty Hawk, NC 27949 Re. -Tract B° PIMM61844861 4502 Ridge Load Mr. Eadus: As rightful owner($) of the above referenced parcel, Qulble & Associates, P.C. Is hereby authorized to act as agents for purposes of environmental delineation and confirmation. In addition, I grant the United Permitting at rmy Co to wetlands Permission to enter the above referenced property for purposes of wetlandsscconfirmattiionere Stn eve Daniels The Great Dismal Swamp RestorationBank, LLC P. O. Box 6186 Chesapeake, VA 23323 July 23, 2013 Warren Eadus Quible & Associates, P.C. 8 Juniper Trail P.O. Drawer 870 Kitty Hawk, NC 27949 RE: Steve Daniels 4502 Ridge Road Kitty Hawk, NC Dear Mr. Eadus: Phone (757) 487 -3441 Fax (757) 487 -8680 The following price quote is given in reply to your request for the purchase of 0.20 wetland mitigation credits (HUC Code 03010205) from The Great Dismal Swamp RestorationBank Timberlake Farm. These credits are currently available from our Timberlake mitigation bank. The cost will be Four Thousand Dollars ($ 4,000.00). This quote will expire on September 30, 2013. You will need to submit to the USCOE the necessary application for said mitigation, and receive USCOE permission to furnish said required credits from our Timberlake bank. To complete this transaction, we will require payment in full. Once payment Is received, the credit sale will be reported to the US Army Corps of Engineers. Please provide and /or confirm the following information: Corps Project #: Waterway: Permittee Name: Steve Daniels Locality of Impact: Dare County— Kitty Hawk, NC Permit action (i.e., IP, NWP -39, enforcement, etc.) Impacts (acres /linear feet): .20 Impacts NWI classification: Impacts Hydrologic Unit Code: 03010205 Mitigation Bank, Permittee, and Consultant agree not to discuss with any other party the details and /or pricing of this agreement, unless necessary for regulatory matters. Information contained herein shall be held in the strictest confidence. Thank you for allowing us to quote on this project. We look forward to working with you. Si cerely, ` B 6erly hite GDSRB A nting CC: File B: 1927 P: 215 04119/2013 03.38 PM Doe nnzolda MCMuDran -Smith DARE Q�z REAL ESTATE COUNTY TRANSF ER TAX L7 Doc Id: 6326636 Receipt NCExcise Tax pd 1$140700 Register of Deeds Dare Co NC APPROVED 6326636 8: 1927 P: 215 Page 1 of 4 4/19/13 38 Pri DARE COUNTY TAX VIII KNUW11M1RMA 19kF&IIA1.19 IN COLLECTOR Space Above This Line For Recording Data NORTH CAROLINA SPECIAL W Prepared by W. Brock Mitchell, Attorney Return to Aldridge, Seaweli, Spence & Hudspeth, LLP HREM File No. 5525- 31OWBM Excise Tax: $140.00 Transfer Tax: $697.00 State of North Carolina, County of Dare THIS SPECIAL WARRANTY l Currituck Resolution Properties, Inc., a of Currituck — see Certificate of County Public Registry), whose n="M (hereinafter referred to as "Grantor "), aniR address is P.O. Box 369, Corolla, North-Q, WhINA That the Gr t , f acknowledged, h n, grant, bargain, s an all of that certain 'e part State of North Car d See ac Per . .G.9 Tax 0e e' 3*Vv That No Delinquenrt Taxes r BY—�` Certification expie J fol fowing certification date. tht day of April, 2013, by and between C ration (formerly known as The Bank ge co 'n Deed Book 1854, Page 301, of the Dare S s P s Office Box 99, Grandy, North Carolina 27939 iels and wife, Debra M. Daniels, whose mailing 07 7 (hereinafter referred to as "Grantee"): NESSETH: a-lZosideration paid by the Grantee, the receipt of which is hereby ;in ed, sold, and conveyed, and by these presents does hereby give, Grantee, Grantees heirs, successors, administrators and assigns, of land situate, lying and being in Atlantic Township, Dare County, 'e particularly described as follows: hereto, 7.2, the property does not include the primary residence of Grantor. nt was prepared by W. Brock Mitchell, a licensed North Carolina attorney, search, closing or tax advice Delinquent taxes if any, to be paid by the ley to the County Tax Collector upon disbursement of closing proceeds. Fftq*ant to the Plan of Liquidation and Dissolution of The Bank of Carrituck this conveyance is made in furtherance of winding up the affairs of the Grantor. M Being also a portion of the same property conveyed to Currituck Resolution Properties, Inc., a North Carolina Corporation (formerly known as The Bank of Currituck) by deed dated April 25, 2011, which deed is of record in Deed Book 1866, Page 73, of the Dare County Public Registry. TO HAVE AND TO HOLD the above described lands and premises, together with all al thereunto belonging, or in any way appertaining, unto the Grantee, Grantee's heirs, administrators, and assigns forever. AND THE SAID GRANTOR COVENANTS to and with said Grantee, Gran s , suc r administrators, and assigns, that Grantor has done nothing to impair such title as a o a ived, d Grantor will warrant and defend the title against the lawful claims of all pers s iming y unde through Grantor, other than the following exceptions: Ad valorem taxes for the yea a bsequent years, easements and restrictions of record, and any local, county, state, ede l finances, or regulations relating to zoning, environment, subdivision, occupancy, use, strut ' or pment of the subject property, including existing violations ofsaid laws, ordinanc , r ns IN WITNESS WHEREOF, the Grantor has duly ex7 and sealois�uoelfinent, this the day and year first above written. // �� \\ [REST OF PAGE IN ZONALLY BLANK — SIGNATURE ON F WING PAGE] 0 X36 B' 27 P: 1 Paige 2 of 4 4/19/13 3:36 PM 2 Currituck Resolution Properties, Inc., a North Carolina Corporation (formerly known as The Bank of Curritnck) By: State of North Carolina, County of Currituck Brace N. Austin! I certify that the following person personally appeared before me this day, he voluntarily signed the foregoing document for the purpose stated there' Bruce N. Austin, Jr., President ofCurrituck Resolution Properties, Inc. a (formerly known as The Bank of Currituck). Date: April 1 � , 2013. NNE` C 'Vol, Ca��ry� k Cobyc � 06/13 ?d x Via: g1iO��NaP�``\```O r n NOtary seal or R appe r ithin this o . iaS me that indicated: Name: RM&W41U Wine ion Expires: 5 13 rl 1827 P: 215 Page 3 of 4 4/19/13 3:38 PM �' KIM 110M M lilt ML*# Mi 11111 3 EM EXHIBIT A Parcel No. 011149000 "Tract B" as shown on that certain map or plat entitled "Recombination Plat of Three Parcels of d on Ridge Road, Property of Rodney D. and Kimberly P. Minton and Aberdaron Ventures, I a k — Atlantic Township — Dare County — North Carolina" prepared by Seaboard Surveying & n , dated March 27, 2008, and duly filed in Plat Cabinet H, Slide 105, Public Registry are unty, Carolina. i� 2108 QUIBLE & ASSOCIATES P.C. P.O. Box 670 KITTY HAWK, NC 27949 (252) 261 -3300 66.456 -531 DATE PAY TO THE `✓ , s a vv oa ORDER OF ) DOLLARS U FIRST BANK i FOR 1120000 2 108n■ i:0 5 3 iO4 568p: 1 13 10004 1 i11'