20140231 Ver 1_401 Application_20140314

Quible
Quible & Associates, P.C.
ENGINEERING • ENVIRONMENTAL SCIENCES • PLANNING • SURVEYING
SINCE 1959
Roberto Scheller
NC Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
March 4, 2014
RE: Lot 3, Mid Island Enterprises (Williams Property)
Rodanthe, Dare County, North Carolina
JD, Nationwide 18 and 401 Certification
Mr. Scheller,
2 0 1 4 0 2 3 1
P.O. Drawer 870
Kitty Hawk, NC 27949
Phone: [phone]
Fax: [phone]
web: quible.com
F T
Enclosed is a Nationwide 18 and 401 Water Quality Certification submission for 0.06 acres of
Section 404 wetland impacts associated with a single family residential homesite. The section
404 wetlands line was delineated by myself in January 2014 and field confirmed by Josh
Pelletierm, USACE field representative, in February 2014.
Enclosed is the following:
• $240 Processing fee check
• Agent Authorization Statement
• Section 404 Delineation
• Site Plan
• PCN Application
• USGS Vicinity Map
• Mitigation Acceptance Letter from GDSMB
• Stormwater Management Low Density Supplement
Please review and process this permit request. If you have any questions or require additional
information, please contact me at (252) 261 -3300.
Sincerely,
Quible & Associates, P.C.
�1 w ---- --
Brian Rubino
@
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MAR I 0 2014
WA

Quible
Quible & Associates, PC
ENGINEERING • ENVIRONMENTAL SCIENCES • PLANNING • SURVEYING
SINCE 1959
Josh Pelletier
US Army Corps of Engineers
2407 West Fifth Street
Washington, NC 27889
February 24, 2014
RE Lot 3, Mid Island Enterprises (Williams Property)
Rodanthe, Dare County, North Carolina
JD, Nationwide 18 and 401 Certification
Mr Pelletier,
P O Drawer 870
Krtiy Hawk NC 27949
Phone [phone]
Fax [phone]
Web quble corn
Enclosed is a Nationwide 18 and 401 Water Quality Certification submission for 0 06 acres of
Section 404 wetland impacts associated with a single family residential homesite The section
404 wetlands line was delineated by myself in January 2014 and confirmed during our on -site
meeting in February 2014 The JD request is for three adjoining lots (all owned by the same
family) and the Nationwide 18 is for Lot 3 only
Enclosed is the following
• Agent Authorization Statement
• Section 404 Delineation Plat (3 full sized copies and 1 reduced)
• Datasheets
• Nexus Evaluation Form
• Site Plan
• PCN Application
• USGS Vicinity Map
• Mitigation Acceptance Letter from GDSMB
Please review and process this permit request If you have any questions or require additional
information, please contact me at (252) 261 -3300
Sincerely,
Quuiibl ^e rQA' & Associates, P C
`-x 1 —
Brian Rubino
CC Roberto Scheller, DWQ

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February 19, 2014
RE Lot 3, Mid Island Enterprises
Rodanthe, Dare County, North Carolina
As owner of the above referenced property, I authorize Quible & Associates, P C (Quible) and
US Army Corps of Engineers to access my property. Quible will act as agent for the purpose of
environmental permitting, including USACE and DWQ permits if necessary
Authorized Signature
Name AlarWrHrarns Date 2
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Office Use Only
Corps action ID no
DWQ project no
Form Version 1 0 November 2008
Page 1 of 11
PCN Form — Version 1 0 November 2008 Version
Pre - Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
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Type(s) of approval sought from the
Corps
®Section 404 Permit El Section 10 Permit
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)
N 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 required9
For the record only for DWQ 401
Certification
❑ Yes N No
For the record only for Corps Permit
❑ Yes N No
1f
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts9 If so, attach the acceptance letter from mitigation bank or in -lieu
fee program
N Yes
❑ No
1g
Is the project located in any of NC's twenty coastal counties If yes, answer 1 h
below
N Yes
❑ No
1h
Is the project located within a NC DCM Area of Environmental Concern (AEC)
❑ Yes
N No
2.
Project Information
2a
Name of project
Wdiams Property, Lot 3, Mid ISland Enterprises
2b
County
Dare
2c
Nearest municipality / town
Rodanthe
2d
Subdivision name
2e
NCDOT only, T I P or state
project no
3.
Owner Information
3a
Name on Recorded Deed
Brandon Williams
3b
Deed Book and Page No
DB 1943 / PG 172
3c
Responsible Party (for LLC if
applicable)
N/A
3d
Street address
1328 Penrose Ln
3e
City, state, zip
Chesapeake, VA 23320
3f
Telephone no
757 235 3012
3g
Fax no
3h
Email address
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
Brian Rubino
5b
Business name
(if applicable)
Qwble & 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
brubino@gwble com
Page 2 of 11
PCN Form — November 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1 a Property identification no (tax PIN or parcel ID)
pin 064820916318
lb Site coordinates (in decimal degrees)
35 57103'N - 75 46920'W
1 c Property size
0 40 acres
2. Surface Waters
2a Name of nearest body of water (stream, river, etc ) to
Pamlico Sound
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
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 29 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 purpose of this wetland impact permit request is for minor wetland fill impacts associated with the fill of 0 06 acres of
wooded Section 404 wetlands for a residential homesite
3e Describe the overall project in detail, including the type of equipment to be used
Proposed building construction and associated grading will require minor wetland impacts Equipment will include
backhoe, dump trucks and compactors
4. Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
® Yes ❑ No ❑ Unknown
project (including all prior phases) in the past?
4b If the Corps made the jurisdictional determination, what type
® Preliminary ❑ Final
of determination was made?
Agency /Consultant Company US Army Corps of
4c If yes, who delineated the jurisdictional areas?
Engineers field confirmation of Lots 1 -3 by J Pelletier on
Name (if known) Brian Rubino
2/4 /2014
Other
4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
Delineated by Quble in January 2014 and confirmed by USASE in February (JD request submitted at this time)
S. 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
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
1 a 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 T
shrub - forested
® Corps
W1 ®P ❑ T
fill
404/
❑ Yes ® No
® DWQ
006
non - riparian
W2 ❑ P ❑ T
❑ Yes ❑ No
❑ Corps
❑ DWQ
W3 ❑ P ❑ T
❑ Yes ❑ No
❑ Corps
❑ DWQ
W4 ❑ P ❑ T
❑ Yes ❑ No
❑ Corps
❑ DWQ
W5 ❑ P ❑ T
❑ Yes ❑ No
❑ Corps
❑ DWQ
W6 ❑ P ❑ T
❑ Yes ❑ No
❑ Corps
❑ DWQ
2g. Total wetland impacts
006
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
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
E:1 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
02 ❑P
03 ❑P
04 ❑P
M. Total open water impacts
4g Comments
Page 5 of 11
PCN Form — November 2008 Version

C Proposed Impacts Inventory, continued
5. Pond or Lake Construction
If pond or lake construction pro osed, then complete the chart below
5a
5b
5c
5d
5e
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or
(acres)
number
purpose of pond
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
51 Expected pond surface area (acres)
5i 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 y ou MUST fill out Section D of this form
6a
❑ Neuse El Tar-Pamlico El 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
required9
T
"
61 ❑P ❑T
El Yes 0 N
B2 ❑P ❑T
El Yes El No
B3 ❑P ❑T
El Yes El No
6h Total buffer impacts
61 Comments
Page 6 of 11
PCN Form — November 2008 Version

D.
Impact Justification and Mitigation
1.
Avoidance and Minimization
1 a
Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
Fill is designed to be placed in an area that best utilizes the existing uplands on -site The septic system is to be located
on Lot 1, meeting all local requirements related to system design and setbacks from wetlands The total area of proposed
impacts is limited to the area that is absolutely necessary to accomplish the proposed 4 bedroom house and driveway
footprint as shown on the accompanying plan
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 grass
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
projects
® Mitigation bank
El 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)
404e non - riparian
Quantity 0 12 ac
3c
Comments acceptance letter attached
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
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?
lb
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
❑ ORW
If so, attach one copy of the approval letter from the DWO and one copy of the
❑ Session Law 2006 -246
approved stormwater management plan
❑ Other
3b
In which local government's jurisdiction is this project?
Dare County
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?
16 9 % residential
4b
Does this project contain any areas that meet the criteria for "high density" per
❑ Yes
® No
General Certifications 3704 and 3705?
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
4d
Has a completed BMP Supplement Form with all required items been submitted
❑ Yes
® No
for each stormwater BMP?
Page 9 of 11
PCN Form — Version 1 0 November 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWO 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)?
1 c 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
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)9
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
A septic treatment system for the subject lot has been designed for Lot 1 to meet Dare County Health Department design
and setback requrrments
Page 10 of 11
PCN Form — Version 1 0 November 2008 Version

F. Supplementary Information, continued
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?
E:1 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 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
B. 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 and home will be elevated above
published 100 yr flood elevation
8c What source(s) did you use to make the floodplain determination? NFIP Flood Zone Maps (www ncfloodmaps com)
1�>6 a/)
F�—V7' CT
2' 2 `I' 2ory
A Q r-
Applicant/Agent's Printed Name
Applicant/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

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SCALE 1:24000
0 1000 2000 3000_ 4000
FEET

Permit No
(to be provided by DEMLR)
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
LOW DENSITY SUPPLEMENT
This form may be photocopied for use as an original
A low density project is one that meets the appropriate criteria for built upon area and transports stormwater
runoff primarily through vegetated conveyances Low density projects should not have a discrete stormwater
collection system as defined by 15A NCAC 2H 1002(18) Low density requirements and density factors can be
found in Session Law 2008 -211, 15A NCAC 2H 1000, Session Law 2006 -246 and the State of North Carolina
Stormwater Best Management Practice Manual Curb and gutter systems are allowed provided they meet the
requirements in 15A NCAC 2H 1008(g)
I. PROJECT INFORMATION
Project Name W 111 t C W) t Pro o erE y 1 Leff 3 M1; A lslae,A t4erp6 to s
Contact Person Phone Number ( -i 1 ) 235 -3012
Number of Lots Allowable Built Upon Area (BUA) Per Lot* iye Swmp &awrr
Number of Dwelling Units Per Acre" No Sl.,jm 2equreA
Low Density Development (check one) ® without curb & gutter ❑ with curb & gutter, outlets to (check one)
❑ Swales ❑ Vegetated Area
*If lot sizes are not uniform, attach a table indicating the number of lots, lot sizes and allowable built upon area for each lot.
The attachment must include the project name, phase, page numbers and provide area subtotals and totals. BUA shall be
shown in units of square feet.
* *(Phase II Post - Construction [non -SA] only)
II. BUILT UPON AREA
Refer to DEMLR's forms and applications website for specific language that must be recorded in the deed
restrictions for all subdivided projects (http / /portal ncdenr or-g/web /lr /state - stormwater -forms docs)
Complete the following calculation in the space provided below where
• SA Site Area - the total project area above Mean High Water
• DF Density Factor - the appropriate percent built upon area divided by 100
• RA Road Area - the total impervious surface occupied by roadways
• OA Other Area - the total area of impervious surfaces such as clubhouses, tennis courts, sidewalks, etc
• No of Lots - the total number of lots in the subdivision
• BUA per Lot - the computed allowable built upon area for each lot including driveways and impervious
surfaces located between the front lot line and the edge of pavement
• Total allowable lot BUA - the computed allowable built upon area for all lots combined
• Total BUA from lot listing - the sum of built upon area allocated for each lot on the list of non - uniform lots
Form SW401 -Low Density -Rev 3- 2/10/09 Page 1 of 4

Calculation
For uniform lot sizes: S I N 6C-F- Lo T
(SA Q541ft2 x DF 0.24) - (RA ft2) - (OA Of ft2) = BUA per Lot =yob ft2 AtloweA
(No of Lots )
z9I_ Pro pe so.(
For non - uniform lot sizes:
a. (SA ft2 x DF ) - (RA ft2) - (OA ft2) =Total allowable lot BUA = ft2
b. Total BUA from lot listing sf b must be < a
III. DESIGN INFORMATION
Complete the following table If additional space is needed the information should be provided in the same
format as Table 1 and attached to this form Rainfall intensity data can be found in Appendix 8 03 of the State
of North Carolina Erosion and Sediment Control Planning and Design Manual or at
http //hdsc nws noaa gov/hdsc /pfds/
A/D SWALES PROPO1 tO ON — S 1TE
Table 1 Swale design information based on the 10 -vear storm
Swale No
Drainage
Area (ac)
Impervious
Area (ac)
Grassed
Area (ac)
C
Q
(cfs)
Slope
M
Vallow
(fps)
Vactual
(fps)
Flow
Depth (ft)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Form SW401 -Low Density -Rev 3- 2/10/09 Page 2 of 4

IV. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the North Carolina Administrative Code Section 15A
NCAC 2H 1000, NCDENR BMP Manual (2007), Session Law 2006 -246, and Session Law 2008 -211
Please indicate the page or plan sheet numbers where the supporting documentation can be found An
incomplete submittal package will result in a request for additional information. This will delay final
review and approval of the project. Initial in the space provided to indicate that the following requirements
have been met and supporting documentation is provided as necessary If the applicant has designated an agent
on the Stormwater Management Permit Application Form, the agent may initial below If any item is not met,
then justification must be attached. Only complete items n through p for projects with curb outlets
Page/Plan
Initials Sheet No
9AX2 a t
Wo e, +f-C' E�&V-,AS 1AA. Pr-i«_+ Area
For projects in the 20 coastal counties Per NCAC 2H 1005, a 50 foot wide vegetative buffer
is provided adjacent to surface waters For Redevelopment projects, a 30' wide vegetative
buffer adjacent surface waters is provided
N & _ b t
For HQW or ORW projects outside the 20 coastal counties A 30 foot wide vegetative buffer
is provided adjacent to surface waters
�1 c t
For Phase H Post - Construction projects All built upon area is located at least 30 feet
landward of all perennial and intermittent surface waters
d
Deed restriction language as required on form SWU -101 shall be recorded as a restrictive
covenant A copy of the recorded document shall be provided to DWQ within 30 days of
platting and prior to the sale of any lots
92L_ e
Built upon area calculations are provided for the overall project and all lots
f
Project conforms to low density requirements within the ORW AEC (if applicable per
No SwAL�ES
15A NCAC 2H 1007) _
_
g
Side slopes of swales are no steeper than 3 1, or no steeper than 5 1 for curb outlet swales
h
Longitudinal slope of swales is no greater than 5%, for non -curb outlet projects, calculations
for shear stress and velocity are provided if slope is greater than 5%
1
At a minimum, swales are designed to carry the 10 year storm velocity at a non - erosive rate
Swales discharging to wetlands are designed to flow into and through the wetlands at a non -
erosive velocity (for this flow requirement into wetlands, non - erosive is velocity < 2 ft/s)
k
Swale detail and permanent vegetation is specified on the plans
1 Swale detail provided on plans, includes grass type(s) for permanent vegetative cover
in Swales are located in recorded drainage easements
n tt Length of swale or vegetated area is at least 100 feet for each curb outlet
o tt The system takes into account the run -off at ultimate built -out potential from all surfaces
draining to the system (delineate drainage area for each swale)
p tt Curb outlets direct flow to a swale or vegetated area
t Projects in the Neuse, Tar - Pamlico, Catawba River basins, and Randleman Lake may require additional buffers.
ft Only complete these items for projects with curb outlets.
Form SW401 -Low Density -Rev 3- 2/10/09 Page 3 of 4

V. SWALE SYSTEM MAINTENANCE REQUIREMENTS
1. Mowing will be accomplished as needed according to the season Grass height will not exceed six inches
at any time, and grass will not be mowed too close to the ground or "scalped ".
2 Swales will be inspected monthly or after every runoff producing rainfall event for sediment build -up,
erosion, and trash accumulation
3 Accumulated sediment and trash will be removed as necessary Swales will be reseeded or sodded
following sediment removal
4. Eroded areas of the swales will be repaired and reseeded Swales will be revegetated as needed and in a
timely manner based on the monthly inspections. Side slopes must be maintained at the permitted slope.
5 Catch basins, curb cuts, velocity reduction devices, and piping will be inspected monthly or after every
significant runoff producing rainfall event. Trash and debris will be cleared away from grates, curb cuts,
velocity reduction devices and piping
6 Swales will ,not be altered, piped, or filled in without approval from NCDENR Division of Water Quality.
I acknowledge and agree by my signature below that I am responsible for the performance of the six
maintenance procedures listed above. I agree to notify DWQ of any problems with the system or prior to any
changes to the system or responsible party
Punt Name and Title. a Ili ASI.S
Address. 2� P �S!✓ l�A �� r tA tSI� � ^; Vii
Phone ���" (o(�ep — �Cjlo� Date-
Signature
Note. The legally responsible party should not be a homeowners association unless more than 50% of the lots have been sold and a
resident of the subdivision has been named the president
I,
"f. - ll(L 1 - l�xJ��— , a Notary Public for theStat `t e of k L, iV—) CC , , County of
i (l1 o hereby certify that Rte' '�� Cl�VY'l5 personally appeared before in this
day of �!� and acknowledge the due execution of the forgoing Swale maintenance requirements
Witness my, hand and o icial seal,
asp
Notary srgna�t�,;.rrurrrrrrrrr
W� c®
O� ra om
S
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r''f nr�r' 71i� i! r W 7 s�f• -'"�' k �Y
My commission expires ` da I � \A —
Form SW401 -Low Density -Rev 3- 2/10/09 Page 4 of 4

The Great Dismal Swamp RestorationBank, LLC
P. O Box 6186
Chesapeake, VA 23323
February 27, 2014
Brian Rubino
Quible & Associates, P.C.
8 Juniper Trail
P O Drawer 870
Kitty Hawk, NC 27949
RE Brandon Williams Lot
Rodanthe, NC
Dear Mr Rubino
Phone [phone]
Fax [phone]
The following price quote is given in reply to your request for the purchase of 0 12 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 Two Thousand, Four Hundred Dollars ($ 2,400 00) This quote will expire on April 30, 2014 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
Locality of Impact
Permit action (i e , IP, NWP -39, enforcement, etc )
Impacts (acres /linear feet) 012
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,
Beverly hate
GDSRB A unting
CC File

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