20061422 Ver 1_401 Application_20060906

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Pre - Construction Notification (PCN) Application Form
For Section 404 and /or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
Office Use Only: Form Version March 05
USACE Action ID No. DWQ No.
kit any particuiar item is not applicable to ties project, please enter "Not Applicable" or "N /A ".)
I. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ❑ Riparian or Watershed Buffer Rules
❑ Section 10 Permit ❑ Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ❑ Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: Nationwide 18
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ❑
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here:
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ❑
II. Applicant Information
1. Owner /Applicant Information
Name: Youens.
Mailing Address: 12309 SW 27' St.
Yukon, OK 73-1"-7075.
13 -4 Ci
-t a
Page 1 of 8

Telephone Number: wk 405/680 -3413 hm 405/324 -5308
Fax Number:
E -mail Address:
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner /applicant.)
Name: Louise I. Hanson or Kendall Turnage
Company Affiliation: Environmental Professionals, Inc.
Mailing Address: PO Box 3368
Kill Devil Hills, NC 27948
Telephone Number: 252/441 -0239 Fax Number: 252/441 -0721
E -mail Address:_ environmentalprona,earthlink.net
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific. footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17 -inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full -size construction
drawings rather than a sequential sheet version of the full -size plans. If full -size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Lot 80 of Swan Beach, Section 2. or 6.06 Bobolink Lane, Carova, NC
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): IOIA- 000 - 0080 -0002
4. Location
County: Currituck Nearest Town: Corolla, NC
Subdivision name (include phase /lot number): Lot 80, Section 2, Swan Beach
Directions to site (include road numbers /names, landmarks, etc.):
Approx. 0.63 miles south of NCNA border, south side of Bobolink Lane
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36 ° 26.911' ON 750 51.101' °W
Page 2 of 8

6. Property size (acres): 0.41 ac.
7. Name of nearest receiving body of water: Currituck Sound
8. River Basin: Pasquotank
(Note — this must be one of North Carolina's seventeen designated major. river basins. The
River Basin map is available at http: //h2o .enr.state.nc.us /admin/niaps /.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: vacant wooded lot in an approved subdivision (Swan
Beach).
10. Describe the overall project in detail, including the type of equipment to be used:
- 2,298 sq. ft. of wetlands existing onsite to be filled to facilitate development of a
single family dwelling. Equipment includes a dump truck and front -end loader.
11. Explain the purpose of the proposed work: to meet Regional Health department and
County standards and setbacks for onsite wastewater treatment serving a proposed 4 -br
single - family dwelling to be constructed on the subject property.
IV. Prior Project History
If jurisdictional determinations and /or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules. US Army Corps of Engineers Jurisdictional Determination completed -
JD ORM ID SAW 2006 - 32357 -127; 6/8/06
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
None anticipated
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands, and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Page 3 of 8

Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: Proposed impacts to 2,298 sq. ft. of
wetland area onsite. To be filled to facilitate Regional Health Department and County
standards and setbacks for onsite wastewater treatment serving a proposed 4 -br single - family
dwelling to be constructed on the subject property.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding.
Wetland Impact
Site Number
(indicate on map)
Type of Impact
Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.)
Located within
100 -year
Floodplain
(yes/no)
Distance to
Nearest
Stream
linear feet
Area of
Impact
(acres)
Area of
Impact
(acres)
N/A
N/A
N/A
N/A
N/A
2,298 sq. ft
Earthen Fill
Shrub / scrub
yes
500 ft.
0.053 ac
N/A
N/A
Total Wetland Impact (acres)
0.053 ac.
List the total acreage (estimated) of all existing wetlands on the property: 0.053 acres
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip -rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage, multiply length X width, then divide by 43.560.
Stream Impact
Number
(indicate on ma
Stream Name
Type of Impact
Perennial or
Intermittent?
Average
Stream Width
Before Impact
Impact
Length
linear feet
Area of
Impact
(acres)
N/A
N/A
N/A
N/A
N/A
N/A
N/A
(acres
N/A
N/A
N/A
N/A
N/A
Total Stream Impact (by length and acreage)
none
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Name of Waterbody
Type of Waterbody
Area of
Site Number
(if applicable)
Type of Impact
(lake, pond, estuary, sound, bay,
Impact
indicate on ma
ocean etc. )
(acres
N/A
N/A
N/A
N/A
N/A
Page 4 of 8

Total Open Water Impact (acres) NONE
6. List the cumulative impact to all Waters of the U.S. resulting from the proiect:
Stream Impact (acres):
N/A
Wetland Impact (acres):
0.053
Open Water Impact (acres):
N/A
Total Impact to Waters of the U.S. (acres)
N/A
Total Stream Impact (linear feet):
N/A
7. Isolated Waters
Do any isolated waters exist on the property? ❑ Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
N/A
8. Pond Creation N/A
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ❑ uplands ❑ stream ❑ wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw -down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Current land use in the vicinity of the pond: N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower- impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts. Building lot will be rendered
usable as intended as a homesite by this proposed action. Site lavout will allow for the area to
provide for onsite wastewater treatment as per County / Regional Health Department
requirements. The main purpose of the fill will be to attain the 50 -ft. septic setbacks as
mandated by State Health codes. The proposed home will be built on the fill placed for the
septic setbacks.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
Page 5 of 8

freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE — In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment, are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http: / /h2o.enr. state .nc.us /ncwetlands /strmgide.html.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage /linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed.method of construction. Please attach
a separate sheet if more space is needed.
Applicant will purchase 0.25 acres of In Lieu Fee Mitigation from the NCEEP.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
(919) 715 -0476 to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP; check the NCEEP
website at http: / /h2o .enr.state.nc.us /M /index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer, mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non - riparian wetland mitigation requested (acres): 0.25 ACRES
Amount of Coastal wetland mitigation requested (acres): N/A
Page 6 of 8

IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal /state /local) funds or the use of
public (federal /state) land? Yes ❑ No
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinatonat (919) 733 -5083 to review current thresholds for environmental documentation.
Yes ❑ No
3. If yes,. has the document review been finalized by the State Clearinghouse? If so; please
attach a copy of the NEPA or SEPA final approval letter. Yes ❑ No
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ) N/A
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar - Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ❑ No
2. If "yes ", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Zone*
Impact
(square feet
Multiplier
Required
Mitigation
1
N/A
3 (2 for Catawba)
N/A
2
N/A
1.5
N/A
Total
N/A
N/A
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260.
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
Page 7 of 8

the property. If percent impervious surface exceeds 20 0/., please provide calculations
demonstrating total proposed impervious level. Home - 11396 SF
Total area — 17,960 SF Driveway 2,141 SF
Total 3,537 SF 19.7 % of total area
XII. Sewage Disposal (required by DWQ)
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.
A conventional septic tank and drainfield will be installed in the northeastern area of the
lot. (Please see site plan).
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ❑ No
Is this an after - the -fact permit application? Yes ❑ No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ❑ No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http: //h2o .enr.state.nc.us /ncwetlands. If no, please provide a short narrative description:
The proposed fill area will provide adequate room for the single family dwelling and the
septic area.
XV. Other Circumstances (Optional): N/A
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time, for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw -down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
N/A
full 30
Applicant /Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8

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NORTH CAROLINA ECOSYSTEM ENHANCEMENT PROGRAM, NCEEP
IN -LIEU FEE REQUEST FORM
Pevised 6/18/2006
Print this form, fill in requested Information, sign and date, and either mail to NCEEP, 1652 Mail ;Service: Center, Raleigh; N. C
27699=1652, or fax to 919 - 715 -2219. Attachments are acceptable for clarification purposes.. All,aorrespondence from
NCEEP will be to the Applicant, with a copy to the Applicant's Agent (if indicated).
CONTACT INFORMATION APPLICANT A€ 81:x' :eptis:nal�
1. Business or Individual Name �� o �,� s v� 0 se L Han o d ll' Turns e
2.+Street Address or P.0 Box' I a 30 9 Std - 7- nvironmental Professionals Inc
3. City, State, Zips PO Box 3358
_.....•.... _:....•••..........:•_........• ..._..:,.._ _._ . :.....; _..__ yu k� OK Z 3 0 99 — 7a7 . .
'11 Devil Hills NC 27948
4. Contact Person w W\e—. o r a 2/t.7 0 'se I. Hanson
5. Telephone Number 0 S'-/6 80 - 3 ti t3 52/441 -0239
6. Fax Number — 252 441 -0721
7. E -Mail Address (optional) eIlviTOl�mentalr�rn rnlFS,Fhli„t. „o,
... ..vvry ■ ■■�■ v■vrlM � IVIr � -
......._...._...._.•._.....•.•.....,..,•.....••..•••••.._.•.:...........................•.:......._.........._ ..................._........_..........._..._.:..,... �.._.. �.: .._.._...._..._...._...._.._.._
8. ProJect.Name • --
9. Project Location (nearest town, city) �T- -°----
10, Lat -Long Coordinates (optional) •w•�-��"'�"�"'�'" "'"
11. Project County _+
12. River Basin �� - -- - -- _
13. Cataloging Unit (8- digit) O 3 O
os --
a-
14. Riparian Vlletland Impact (ac.) (e.g., 0.13)
15. Non - Riparian Wetland Impact (ac.) -
16. Coastal Marsh Impact (ac.)
no v1 a_
17. Stream Impacts (ft.) (e.g. 1,234) Warm `
•..�,•__ Cool ... Cold
U\ ®Ytcz Vl O Ne Yl 0 vle�
18. Buffer Impact- Z0ne•1 (sq. ft.) (e.g. 12,345)
Vl O ✓��
19. Buffer impact -Zone 2 (sq. ft.) ----
__.._
NO y.a'
IMPORTANT
Sign ure of Applicant or Agent:
Check (4) below If this request Is a: — J
_ revision to a current acceptance, or
Date: � O
re- submission of an expired acceptance —30
Buffer mitigation applicable only in the Neuse, Tar - Pamlico and Catawba river basins, and the Randleman Lake Water
Supply Watershed. For help In determining the Cataloging Unit, go to EPS's "Surf Your Watershed" web page:
hfto://cfoub.er)a.cov/surf`/locate/index,cfm Direct all questions to Chris Mankoff at 919 - 716 -1921 or
[e-mail]

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
ORM ID: SAW- 2006 - 32357 -127. County: Currituck U.S.G.S. Quad: Knotts Island East
NOTIFICATION OF JURISDICTIONAL DETtR UNATION
Property Owner /Agent: Greuory Youens, C/O Environmental Professiona Is Inc
Address: 12309 SW 27th street
Yukon, Ohio
73009 -7075
Telephone No.:. 405-6_ 80_3413
Property description:
Size (acres) 0.41 acres'
Nearest Waterway Currituck Sound
USGS HUC 03020105
Location description Lot 80, Section 2 1
Car -- ha•
Indicate Which of the Followin A 1
A. Preliminary Determination
Nearest Town Corolla
River Basin Albemarle
Coordinates N 36.448566 W 75.851644
nk nry ;.. c0. -..._
_ Based on preliminary. information, there may be wetlands on the above described property.
this property inspected-to determine the extent of Department of the Army (DA) jurisdictionWTo be considered suggest d yo have
jurisdictional deterninati on must be verified by the Corps. This preliminary determination is not an appealable under the Regulatory Program Administrative Appeal Process ( Reference 33 CFR Part 331). pP action
B. Approved Determination
_ There are Navigable Waters of the United States within the above described Property
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a char e
p p riy subject to the permit requirements of
our published regulations, this deternnation may be relied upon for a period not to exceed five years from the date of this
notification.. gin the law or
X There are wetlands on the above described property subject to the permit requirements of Section 404 of the Clean Water
Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published regulations, this determination may be
relied upon for a period not to exceed five years from the date of this notification.
_ We. suggest you have the wetlands Y property on your property delineated. Due to the size of our ro e rty and/or our
present workload, the Corps may not be able to accomplish this wetland delineation in a timely manner. For a more timely
delineation, you may wish to obtain a consultant. To be considered final, any delineation must be verified by the Corps.
Y
_ The wetland on your property have been delineated and the delineation has been verified by the Corps. We str ongly
suggest you have this delineation surveyed. Upon completion, this survey should be reviewed and verified b the
Once verified, this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on your property
which, provided there is no change.in the law or our published re Y Corps.
five years. regulations, may relied upon for a period not to exceed
X The wetlands have been delineated and surveyed and are accurately depicted on the plat signed by the
Regulatory Regulatory Official identified below on 6/8/2006. Unless there is a change in the law or our published re rps
determmation may be. relied upon for a period not to exceed five.years from the date of this notification. regulations, this
Please be advised that a Prior Converted Cropland (PC) determination made by the Natural Resource Conservation
(MRCS) remains valid as long as the area is devoted to an agricultural use. If the land changes to a non-
the Service
the PC determination is no longer applicable and a new wetland determination is required fg Cl agricultural use,
_ There are no waters of the US., to include wetlands, present on the above described property or ean Water Act purposes.
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there i change in the law to
or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
Page 1 of 2

ORM ID: SAW - 2006 -32357 -127
X The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act
(CAMA). You should contact the Division of Coastal Management in Elizabeth City, NC, at (252) 264 -3901 to determine
their requirements.
Placement of dredged or fill material within waters of the US and/or wetlands without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). If you have any questions regarding this
determination and/or the Corps regulatory program, please contact Tom Steffens at 252 - 975 -1616 ext 25.
C. Basis For Determination
This site exhibits wetland criteria as described in the 1987 Corps Wetland Delineation Manual and is part of a broad
continuum of wetlands connected to Currituck Sound
D. Remarks
E. Appeals Information. (This information applies only to approved jurisdictional determinations as indicated in
B. above)
This correspondence constitutes an approved jurisdictional determination for the above described site. If you object to this.
determination, you may request an administrative appeal under Corps regulations at 33 CFR part 331. Enclosed you will find a
Notification of Appeal Process (NAP) fact sheet and request for appeal (RFA) form. If you request to appeal this
determination you.must submit a completed RFA form to the South Atlantic Division, Division Office. at the Following
address:
Mr. Michael F. Bell, Administrative Appeal Review Officer
CESAD- ET -CO -R
U.S. Army Corps of Engineers, South Atlantic Division
60 Forsyth Street, Room 9M15
Atlanta, Georgia 30303 -8801
In order for an RFA to be accepted bythe Corps, the Corps must determine that it is complete, that it meets the criteria for
appeal under 33 CFR part 331.5, and that it has been received by the Division Office within 60 days of the date of the NAP.
Should you decide to submit an RFA form, it must be received at the above address by 08/08/2006.
* *If is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this
correspondence.**
Corps Regulatory Official:
Date 06/08/2006
Copy famished:
Kendall Turnage, Environmental Professionals Inc.
Page 2 of 2
Expiration Date 06/08/2011

AUTHORIZATION TO ACT AS REPRESENTATIVE FORM
Landowner of record authorizes Environmental Professionals, Inc. to:
1. enter the property to gather environmental and site information, including delineation of
environmental regulatory jurisdictions;
2. enter the site with the regulatory agencies (i.e. U.S. Army Corps of Engineers,
North Carolina Division of Coastal Management, North Carolina Division of Water
Quality, etc.) as needed to review regulatory alignment(s) and to identify additional
regulatory jurisdictions; and
3. submit plats and other information to acquire regulatory agency confirmations and/or
approvals (U.S. Army Corps of Engineers, North Carolina Division of Coastal
Management, North Carolina Division of Water Quality, etc.); and
4. provide authorization for Environmental Professionals, Inc. to act as your agent for the
purposes of obtaining environmental permits and/or authorizations.
Landowner
Client
6-uA �2oOs
Date
Date

50 ft SEPTIC E
ADDRESS — 606 BOBOLINK DRIVE
AREA BY COORD. COMP. = 17,960 S.F. Cn
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FLOOD ZONE AE — 6' W
FIRM PANEL 370078 0203 D
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LOT 71
Now or Formerly
WILLIAM R. II and JANICE C.
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GREGORY YOUENS
NATIONWIDE #18 APPLICATION
SWAN BEACH, SECTION 2 , LOT 80
COROLLA CURRITUCK COUNTY NORTH CAROLINA
ENVIRONMENTAL PROFESSIONALS, INC.
Planning for a Better Environment
1404 N. Virginia Dare Trail
P.O. BOX 3368
KILL DEVIL HILLS, NC 27948
(252)441 -0239
(252)441 -0721 (FAX)
DRAWN: KT
DATE: 5/30/06
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Now or Formerly
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ROBERT W. & JEAN C. CLYBURN
S 83 °24'59" W ---- 65.47'
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LOT 80
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AREA 17,960 SF. (TOTAL)
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AREA 15,662 SF. (UPLANDS)
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AREA 2,298 SF. (WETLANDS)
WETLAND
AREA 2, 98 SI
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TO BE I ILLED
50 ft SEPTIC E
ADDRESS — 606 BOBOLINK DRIVE
AREA BY COORD. COMP. = 17,960 S.F. Cn
O
PIN NO. 101- 000 = 0080 -0002 0)
FLOOD ZONE AE — 6' W
FIRM PANEL 370078 0203 D
O
O
Frl
LOT 71
Now or Formerly
WILLIAM R. II and JANICE C.
SHELTON
DB. 619, Pg. 159
CA
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9
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LOT 79
Now or Formerly
SUSAN R. & FELICIANO N.
BAUTISTA
DB, 155, Pg. 319
mlW�
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Lr'
fi
N 34" E - 100.00' m
83 °24'
ci
B O B O L I N K L A N E
(60' R /W) (UNIMPROVED) SCALE
p 30
1 inch =30 feet
GREGORY YOUENS
NATIONWIDE #18 APPLICATION
SWAN BEACH, SECTION 2 , LOT 80
COROLLA CURRITUCK COUNTY NORTH CAROLINA
ENVIRONMENTAL PROFESSIONALS, INC.
Planning for a Better Environment
1404 N. Virginia Dare Trail
P.O. BOX 3368
KILL DEVIL HILLS, NC 27948
(252)441 -0239
(252)441 -0721 (FAX)
DRAWN: KT
DATE: 5/30/06
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