20140634 Ver 1_401 Application_20140614

June 12, 2014
NCDENR, Division Of Water Quality
401 Wetlands Unit
Attn. Jennifer Burdette
1611 Mail Service Center
Raleigh, NC 27699 -1611
RE. Pre - Construction Notification For NW -18
108 Hall Effect Lane
Mc Kinney Driveway
Onslow County, North Carolina
USACE Action ID: SAW- 2013 -01380
Dear Ms Burdette,
Environmental,
Geothermal & Well Drilling
Enclosed is one copy of the NW -18 PCN for your review and a copy of the following has
also been forwarded to Joanne Steenhuis at the Wilmington Regional Office Enclosed are
the following documents for your review;
Complete Pre - Construction Notification (PCN) Form
Copy of the USACE Notification Of Jurisdictional Determination
Landowner Authorization Form
Figure 1
USGS Site Vicinity Map
Figure 2
Site Soils Map
Figure 3
Site Wetlands Map
Figure 4
Site Aerial Photos
Figure 5
Proposed Wetland Impact With House Site Location
Figure 6
Proposed Culvert Design (Prepared By Nathan King)
Figure 7
Site Photographs (By Nathan King)
Deed and
Property Records
If you need any additional information or have any questions please do not hesitate to call
me at (910)270 -2919 or email me at corn ettefc@ya hoo com
Sincerely,
Ellen F. Cornette
Wetland Specialist /Project Geologist
Enclosures
M Mr Nathan King, with enclosures
Mr. Troy McKinney
Applied Resource Management, P C.
P. 0. Box 882, 257 Transfer Station Road, Hampstead, NC 28443 910.270.2919 Fax [phone]

A
to y
June 11, 2014
Brad Shaver, Regulatory Specialist
US Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403 -1343
RE- 108 Hall Effect Lane
Mc Kinney Driveway
Onslow County, North Carolina
USACE Action ID- SAW- 2013 -01380
Dear Mr. Shaver,
Environmental,
Geothermal & Well Drilling
We are currently requesting the permitting of a driveway crossing at the above referenced
property The enclosed are the following documents and figures to support the application for
a USACE Nationwide 18 crossing permit:
Complete Pre - Construction Notification (PCN) Form
Copy of the USACE Notification Of Jurisdictional Determination
Landowner Authorization Form
Figure 1 USGS Site Vicinity Map
Figure 2 Site Soils Map
Figure 3 Site Wetlands Map
Figure 4 Site Aerial Photos
Figure 5 Proposed Wetland Impact With House Site Location
Figure 6 Proposed Culvert Design (Prepared By Nathan King)
Figure 7 Site Photographs (By Nathan King)
Deed and Property Records
If you need any additional information or have any questions please do not hesitate to call me
at (910)270 -2919 or email me at corn ettefc @yahoo corn
Sincerely,
F. Cornette
Wetland Specialist /Project Geologist
Enclosures
cc* Mr Nathan King, with enclosures
Mr Troy McKinney
Applied Rcoouroe Management, P C.
P. 0. Box 882, 257 Transfer Station (load, Hampstead, NC 28443 910.270.2919 Fax [phone]

20 1 406 3
Office Use Only
Corps action ID no
4 DWQ project no
Form Version 1 4 January 2009
Page 1 of 10
PCN Form — Version 1 4 January 2009
Pre - Construction Notification (PCN) Form
A.
Applicant Information
1
Processing
1a
Type(s) of approval sought from the Corps
❑X Section 404 Permit ❑ 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?
X❑ Yes ❑ No
1 d
Type(s) of approval sought from the DWQ (check all that apply)
M 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 required?
For the record only for DWQ
401 Certification
X❑ Yes ❑ No
For the record only for Corps Permit
❑ Yes ❑X 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 ❑X No
1g
Is the project located in any of NC's twenty coastal counties If yes, answer 1 h
below
FRI Yes ❑ No
1 h
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ❑X No
2.
Project Information
2a
Name of project
Troy McKinney Driveway
2b
County
Onslow
2c
Nearest municipality / town
Maple Hill y
2d
Subdivision name
Hall Effect D
2e
NCDOT only, T I P or state project no
3
Owner Information
3a
Name(s) on Recorded Deed
Troy McKinney LU 1-f
3b
Deed Book and Page No
3-72% 5 (eS L7 , -OVA
3c
Responsible Party (for LLC if
applicable)
rB
3d
Street address
124 Stoney Creek Drive
3e
City, state, zip
Jacksonville, NC 28540
3f
Telephone no
910 - 330 -9939
3g
Fax no
3h
Email address
Page 1 of 10
PCN Form — Version 1 4 January 2009

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
Ellen Cornette
5b
Business name
(if applicable)
Applied Resource Management, PC
5c
Street address
P O Box 882
5d
City, state, zip
Hampstead, NC 28443
5e
Telephone no
910 - 270 -2919
5f
Fax no
910 - 270 -2988
5g
Email address
cornettefc @yahoo com
Page 2 of 10

B.
Project Information and Prior Project History
1
Property Identification
1a
Property identification no (tax PIN or parcel ID)
312A -6
lb
Site coordinates (in decimal degrees)
Latitude 34 67895 Longitude -77 58649
1c
Property size
1421 acres
2.
Surface Waters
2a
Name of nearest body of water to proposed project
UT to Sandy Run Swamp
2b
Water Quality Classification of nearest receiving water
C Sw
2c
River basin
NE Cape Fear HUC 003030007
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
Site is cleared with a wetland drainage way between the cul -de -sac and uplands Area is surrounded by early successional pine forest farm field,
and swamp forest
3b
List the total estimated acreage of all existing wetlands on the property 0 75
3c
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property 80
3d Explain the purpose of the proposed project
Install a driveway with a culvert to access the house site
3e Describe the overall project in detail, including the type of equipment to be used
The proposed impact is to install a driveway to access the house Approximately 1425 sq ft is to be impacted with the installation of a gravel /soils back
D
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 pha ses in the past?
❑X Yes ❑ No ❑ Unknown
Comments
4b
If the Corps made the jurisdictional determination, what type
of determination was made?
❑ Preliminary X❑ Final
4c
If yes, who delineated the jurisdictional areas?
Name (if known)
Agency /Consultant Company Dave Bailey
Other USAGE
4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
8/1/2013
5.
Project History
5a
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes X❑ No ❑ Unknown
5b
If yes, explain in detail according to "help file" instructions
6
Future Project Plans
6a
Is this a phased project?
❑ Yes X❑ No
6b
If yes, explain
Page 3 of 10
PCN Form — Version 1 4 January 2009

C. Proposed Impacts Inventory
1 Impacts Summary
la 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
Wetland impact
number
Permanent (P) or
Temporary T
2b
Type of impact
2c
Type of wetland
2d
Forested
2e
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f
Area of
impact
(acres)
W1 P
Fill
Headwater Wetland
No
Corps
0 032
W2
Choose one
Choose one
Yes /No
W3
Choose one
Choose one
Yes /No
W4
Choose one
Choose one
Yes /No
W5
Choose one
Choose one
Yes /No
W6
Choose one
Choose one
Yes /No
2g Total Wetland Impacts-
0 032
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
Stream impact
number
Permanent (P) or
Temporary (T)
3b
Type of impact
3c
Stream name
3d
Perennial (PER) or
intermittent (INT)?
3e
Type of
jurisdiction
3f
Average
stream
width
(feet)
3g
Impact
length
(linear
feet)
S1 -
Choose one
S2 -
Choose one
S3 -
Choose one
S4 -
Choose one
S5 -
Choose one
S6 -
Choose one
3h Total stream and tributary impacts
31 Comments
Page 4 of 10
PCN Form — Version 1 4 January 2009

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 indivi ually list all open water impacts below
4a
Open water
impact number
Permanent (P) or
Temporary T
4b
Name of waterbody
(if applicable)
4c
Type of impact
4d
Waterbody
type
4e
Area of impact (acres)
01
Choose one
Choose
O2
Choose one
Choose
03
Choose one
Choose
04
Choose one
Choose
4f Total open water impacts
4g Comments
5 Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below
5a
Pond ID number
5b
Proposed use or
purpose of pond
5c
Wetland Impacts (acres)
5d
Stream Impacts (feet)
5e
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
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)
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 you MUST fill out Section D of this form
6a Project is in which protected basin?
❑ Neuse ❑ Tar - Pamlico ❑ Catawba ❑ Randleman ❑ Other
6b
Buffer Impact
number —
Permanent (P) or
Temporary T
6c
Reason for impact
6d
Stream name
6e
Buffer
mitigation
required?
6f
Zone 1
impact
(square
feet )
6g
Zone 2
impact
(square
feet
B1
Yes /No
B2
Yes /No
B3
Yes /No
B4
Yes /No
B5
Yes /No
B6 -
Yes /No
6h Total Buffer Impacts.
61 Comments
Page 5 of 10

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
The area for the crossing has been designated in the narrowest portion of the wetlands In addition the water line will be installed in the driveway
impact to prevent additional disturbance to the wetlands
1b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
During construction silt fencing will be installed to prevent sedimentation and additional impact outside of the proposed driveway fill impact Also the
water line will be installed in the driveway impact to avoid additional disturbance
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 ❑X 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
El Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3
Complete if Using a Mitigation Bank
3a
Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter)
Type Choose one
Type Choose one
Type Choose one
Quantity
Quantity
Quantity
3c Comments
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
Choose one
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 6 of 10
PCN Form — Version 1 4 January 2009

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?
E] Yes QX 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
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1 5
6f Total buffer mitigation required-
6g 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)
6h Comments
Page 7 of 10

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1
Diffuse Flow Plan
1 a
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ❑X No
within one of the NC Riparian Buffer Protection Rules?
1 b
If yes, then is a diffuse flow plan included? If no, explain why
❑ Yes ❑ No
2
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
2b
Does this project require a Stormwater Management Plan?
❑ Yes ❑ No
2c
If this project DOES NOT require a Stormwater Management Plan, explain why
2d
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan
2e
Who will be responsible for the review of the Stormwater Management Plan?
3.
Certified Local Government Stormwater Review
N
3a
In which local government's jurisdiction is this project?
NA
❑ Phase II
❑ NSW
3b
Which of the following locally - implemented stormwater management programs
❑ USMP
apply (check all that apply)
❑ Water Supply Watershed
❑ Other
3c
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4
DWQ Stormwater Program Review
//A
[]Coastal counties
❑HQW
4a
Which of the following state - implemented stormwater management programs apply
❑ORW
(check all that apply)
❑Session Law 2006 -246
❑ Othe r
4b
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached
5
DWQ 401 Unit Stormwater Review
F ..(i►rlyyv,c.�1�A+: dr�f�
5a
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1 4 January 2009

F
Supplementary Information
1
Environmental Documentation (DWQ Requirement)
1 a
Does the project involve an expenditure of public (federal /state /local) funds or the
❑ Yes
X❑ 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
El 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
❑X No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b
Is this an after - the -fact permit application?
❑Yes
❑X 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
El Yes
❑X 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
On -site wastewater disposal through and septic system permitted by Onslow County Environmental Health Section
Page 9 of 10
PCN Form — Version 1 4 January 2009

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 ❑X No
habitat?
5b
Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ❑X No
impacts?
5c
If yes, indicate the USFWS Field Office you have contacted
-
5d
What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
P-J .l U✓L�� -�.L ate_
6
Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ❑X No
6b
What data sources did you use to determine whether your site would impact Essential Fish Habitat?
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 ❑X 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?
PWre a) eGd an L t , vv . :5t 4 & dA-4"&4c o
8
Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA- designated 100 -year floodplain?
❑ Yes ❑X No
8b
If yes, explain how project meets FEMA requirements
8c What source(s) did you use to make the floodplain determination?
Ellen Cornette
06 -02 -2014
Applicant/Agent's Printed Name
Applicant/Agent's Ignature
Date
(Agent's signature is valid only if an authorization
letter from the applicant is provided
Page 10 of 10

I
✓ I i�
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW- 2013 -01380 Counq: Onslow U.S.G.S. Quad: Haws Run
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Propene Owner: Troy McKinney
Addmss: 124 Stony Creek Drive
Jacksonville, NC 28540
Property description:
Size (acres) 14.21 Nearest Town Jacksonville
Nearest Watenvay UT to Sandy Run Swamp River Basin Northeast Cape Fear
USGS HUC 03030007 Coordinates 34.6"78950N -77.586490\V
Location description: The property located at 108 Hall Effect Lane near Maple Hill. Onslow Counit, North Carolina.
Parcel # 312A -6 The PROJECT AREA includes the southeastern quadrant of the parcel approximately 3.5 acres in size.
comprised of cleared hind and an area of recentiv abandoned crop land as shown on the attached "Waters of the US Field
Skcich."
Indicate Which of the Following Applv:
A. Preliminary Determination
Based on preliminary infontlation, there may be wetlands on the above described property. We strongly suggest you have
this property inspected to determine the extent of Department of the Army (DA) jurisdiction. To be considered final, a
jurisdictional determination must be verified bti the Corps. This preliminary determination is not an appealable action
under the Regulatory Program Administrative ,'Appeal Process ( Reference 33 CFR Part
B. Approved Determination
There are Navigable Waters of the United States within the above described property subject to the pennit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clc.an Water Act. Unless there is a change in the law or
our published regulations, this determination may be relied upon for a period not to exceed fire years from the date of this
notification.
There are waters of the U.S. including wetlands on the abov e described project area subject to the permit requirements (if
Section 404 of the Clean Watcr Act (CWA)(343 USC § 1344). Unless there is a change in the law or our published
regulations. this detennination inay be relied upon for a period not to exceed five rears frorn the date of this notifientioii.
We strongly suggest you have the waters of the U.S. including wetlands on , our property delineated. Due to the size of
our property andor cur present \Norkload, the Corps may not be able to accomplish this wetland delineation in a timel}
manner. For a more timely delineation. you may \ +ish to obtain a Consultant. To be considered final. any delineation must
be verified bti the Corps.
X The N\ aters of the U.S. including wetlands on your project area have been delineated and the delineation has been
\erilied by the Corps. \Ve sirongl suggesl you hale this delineation surveyed. Upon completion, this sure\- should be
re\ ietred and verified by the Corps. Once verified. this sun'e.; will provide an accurate depiction of all areas subject to
C \\'A jurisdiction on your property �N hieh, provided there is no change in the lair cr our published regulations, nlaN be
relied upon fora period not to c�ceed five \,ears.
The wetlands have been definlateJ and s,me%ed end are iccuraiely depicted on the plat signed b'\ t1w Corps
Regulmory t ?f!icial identified bckm on _. Unless there is a change in the lave Cyr our published reguL :tions. this
dc.,rrn:irtation ma\ be relied upcm for a period not to esLred fike N:ars front the date of this notification.
_ "Hi re are no eaters ofthe U.S., to include k\etlands. p:escrt on the above described project area k0lich are subject to Tile
permit reauil- elllellt: Of Section 404 of the Clean \\ ater Act 13, t_'Sl 1344). Unless there is a change in the law or our
published regulatiots. this determination maN be relied upon Cor a period not to exceed li\e \ears front the date of dais
notification.
Pagc 1 cif Z

X The property is located in one of
(LAMA) You should contact th
their iequirements
Placement of dredged or fill material
constitute a violation of Section 301
determination andlor the Corps regul
Dai id.E.Baile) 20)usace armv.mil.
C. Basis For Determination
Traditionally Nari2able
2/2612013 and 8/1/2013•
D. Remarks
are annroximated on the atta
E. Attention USDA Procra
e 20 Coastal Counties subject to i egulation under the Coastal Area Management Act
Division of Coastal Management to Wilmington. NC. at (910) 395 -3900 to determine
ithin wafers of the US and;oi ttetlands tttthout a Department of the Army permit may
the Clean Water Act (33 USC & 131 1) If,,ou have any questions regarding this
pry program, please contact N1 r. Day id E. Bader at (910) 251 - 4469 J v
.n the iwsi wetiana ueimeanon manual and t
I ttabutar,,,(UT) to Sand-, Run S,,ianip, a seat
amp (RPM and Holly Shelter Creek (RMI
'his determination is based on field vet ificatii
US within the PROJECT AREA iNere f1ar.,R
ure entitled "Waters of the US Field Shetch
Participants
This deIineationldetermination has been conducted to idennfy the limits of Corps Clean W'ater act Jurisdiction for the
particular site dentified. in this request The deimeationldeteimination rna� not be �and for the wetland conservation
piov,sions of the Food Security Act f 1935 if you or your tenant are USDA Progiam participants, of anticipate participation
in USDA programs you should requ st a certified wetland determination fiorn the local office of the Natural Resources
Consei t aeon Set Vice pi for to start ui tt•oi Ic
i
F. Appeals Information (This information applies only to approi ed Jut isdictional determinations as indicated in
B. abot e)
This correspondence constitutes an a proved jurisdictional determinattun for the above desci ibed site If }ou object to this
determination, you may request an administrant e appeal under Corps regulations at 33 CFR part 331 Enclosed you it ill Find a
Notification of 1ppeal Process (NAP)tfact sheet and request for appeal (RFA) form if } ou request to appeal this
ceterminarion ou must submit a cot> pleted RFA form to the follott ing address
US Aiiny Corps of Engmeei
South Atlantic Dit isum
Attn Jason Steele Ret Jett �C)fficer
60 Fors�_th Stt eet S \ill Room! l 01\415
Atlanta Geoigta 303034M
`I
In older for an RFA to be accepted bI the Corps. the Corps roust dctcimtne that it is complete that it meets the ctrtei to rot
appeal,under 33 CFR part 331 5 and that it has been rece,t ed b\ the Distl ict Office within 60d.-Ns of the date of the NAP
Shoula 1 o decide to submit an RFA form ,t must be receit ed at the above address by September 29. 2013
It IS E,01 necessdry to submit an RTP.� foiin to the D,sti ct Ofliee if tou d0 not Obilect to the detetminat on in this
coiresp,mderce —
Corps Regulatott' Offic ial
Date August 1, 2013 E-,,puation Date August 1. 2018
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Applicant.
Tioy 'Mchiimn File Number SAW -2013 -01380 Date August 1, 2013
Attached is, i
I See Section below-
INITIAL PROFFERED PER1\11T (Standard Permit or Letter of permission)
A
❑
PROFFERED PEWIT (Standaid Pet Ili of Letter of pet ill issIoil)
B
❑
PERI\11T DENIAL I
I C
Ell
APPROVED JURISDICTIONAL DETEWINATION
D
❑1
PRELIMINARY JURISDICTIONAL DETERN11NATiON
E
SLCTION° I; fT +1le�fglloivu5g''ideutifie'_s= otir "rightsaiid:''a` "tl "' ' "` Ql "!•'f 1' Y,' ° S "`r
[ pns.regardih ,an,adniniistratl�e appeal,o the above,deci ldn:�,
d�ii. i'. ;, . *fP perT i bv, ,, ,a ,M Y ;!.`,•" +' 4 ,�
Additional nforinatron'�na r
dathttp:h��ww usace!`arm� iu "of f +,• "' % r' ry
., } Y,�_ tnciionsJc vJcecwoire tp,`y'
t +t•
,i' I , I'i a,,, G:, ti��•1 , ti`�: +,i Iii„ ai,
s'fcs i? -�r'- s:+niv;l4; tr4 ' :"`, i nli•,� - +d r 'sN ,n, i_ z; 7ta (,l; St ,;i, r4_t x' ,z' ' lgli'.�pt I (` i� "S'� ilh:':i�iF S S s r' : jr; ti�l�`'ll•li'�'M;
` Cor" s 'remtlatioilsat33,CERj,Part331,
i I 's•-•` a .It r4`
- - "s`. ."f : +i v !._ +" l' '�'�, ` +i,i' i,� u,• t., l Ih. ',A wi`• =: n'�''A.;
A: INITIAL PROFFERED PERMIT: You Ina- accept or object to the permit.
I
ACCEPT If you recet\'ed a Standard Permit. you nla} sign the pct nlii document and return It to the district engmeei for final
authoilzation if you iecei\ed a Letter of Permission (LOP) \ou may accept the LOP and your work is authorized Your
sicnature on the Standaid Peinmt or acceptance of the LOP means that ; ou accept the permit In Its entirety. and \\an•e all
tights to appeal the permit, lncludIng its terms and condnioils. and applo,ed j Lit lsdictlonai deternl trial lolls associated with the
pelnlit
I
OBJECT if you object to the permit (Standaid or LOP) because of certain terns and conditions thelem, you nlaN request
that the peinl,t be modified accoidlrl21N' You must complete Selllon 11 of this for nl and Ieturn the folnl to the dlsuict
cn -nleer Your objections must be ilecel\ ed by the district engineet \\ lthin 60 claN s of the date of this notice, or 1 ou \\ Ill
folfett your 11-aht to appeal the pelllllt In the future Upon lecelpt Of�our lertet. the district engineer \\ill evaluate your
objections and ma. (a) nlodifv the permit to address all of N our concerns; (b) nlodif r the permit to address some of � out
objections. or (c) not modify the perillrt haNing detetnuned that the pelmet should be Issued as ple�rousl\ vNimen After
,
e ,. aluating our objections. the distllct engineer v. 111 send ;:ou a proffered pet nut for ,+our icconsiderauon. as indicated In
Section B below
!
B PROFFERED PERMIT You may accept or appeal The permit
• ACCEPT If xou ieeened a Standard Pelilllt, you nlav stun the permit document and ieturn n to the district engineer tai final
authoilzation If you recei\ ed a Letter of Permission (LOP} you may accept the LOP and vour work IS authori zed. )'out
slznatule on the Standaid Peimtt or acceptance ofthe LOP means that %ou accept the permit in its enthety and «ake all
n,,,bts to appeal the petmlt mcludIna Its lei ins and condltloiltz and appro\ed l Lit isdlcuonal cletelmmations associated \\ till the
Pei rift
• APPEAL- if you choose to decline �Iie pioffeied pelmiT (Standard of LOP) because of certain terms and conditions theicm
)ou Ina\ appeal the declined pelnul under the Corps ofEncmeers ldministiatl,e Appeal Process b,, completing Section 11 of
this icum and Sending, the form to the division en +zlneei This 101 111 must be ieceived b\ the dig ision en'guleer N\ Rhin b0 CIT"S
of the date of illls notice
C PE-RNIIT DENIAL You ma\ appeal the denial ofa peillllt Undrl the Coips of Ell- Ineers Adininlsliative Appeal Process b\
completing Section II ofthis fotnl and se
the form to the dI`, ision en2ineel 7hts io +m must be iecel\ed b }'the do tstnn
cllgIn,'ei \\ Rhin b0 da \S of the daTe OfihtS Ilutice
1
D APPROVED JURISDICI -10\,,'AL DEIERNl11\,ATiON 1'ou nla\ accept cll a1)II0,11 the appio\ed JD of 1- no\Ide r'e\\
Infolin"111oll
o Al CEPT You do hot need to nutif) the Corps to accept an applo\ed JD FadUle to notify the Coips within 60 da,•s o ' the
date of this notice. beans that \ ou xcept the applo\ed ID m Its enmeli\ and \,al\ e all l ights to ollpeal the ahpio\ed ID
• APPEAL if Nou chsa2leC Auh the alimo\'ed JD )OLI maN , rppeal The ahploved ID udder the Coips of Engtnccls
- admwistiam e Appeal Pr -.Celts b\ completlil'.Z CecllClll 11 of ibis l' tin .+lid SeI1011l`- the f01111 To the disil lcl ell'`Illeel 11115 iUlnl
mu,-t he ieceived b \' lllc del isioli C11L'lI1C c1 \\ Ithi -1 60 davS of till C1,11C CI 1111� notice

Q1
E: PRELIMINARY JURISDICTIONAL
DETERMINATIONi- You do not need to respond to the Corps regarding the
prehrninar) JD The Prehminary JD is r
of appealable If you ',N ish, you may request an approved JD (which maybe appealed)
by contacting the Corps district for further
Instruction Also ; ou may proN ide new information for further consideration by the
Cot ps to reevaluate the JD
i
_
_ s "--i =
117�0-k-6
S)JCTION'II ' -RE VEST% FOR AP -PEABJEG'TIONS
TOAN = �=
REASONS FOR APPEAL OR OBJECTIONS-
(Describe) our reasons for appealing the decision or your objections to an initial
proffered permit in clear concise statements
You may attach additional information to this form to clarify where } our reasons or
objections are addressed in the administrative
record )
i
ADDITIONAL- INFORMATION The Appeal is limited to a ieview of the administrative record, the Corps memorandum for the
iecoid of the appeal conference or meettriu. and an) supplemental information that the review officer has determined is needed to
claitf) the admintstlative record Neither the appellant nor the Corps may add new mforiration or anal\ses to the record
er, you may pioN rde additional information to clarify the location of information that is ah-ead) in the admmistiatt. e
record
POINTT OF CO,NTACTFFOR QUESTIONS ORINIFORMATION , ' -
If .ou have questions regarding this decision and /or the
If you only have gtiestions regarding the appeal process you may also
appeal piocess ) ou may contact i
contact
Distiict Engineei,NN�ilmington Regul tor} Division,
Mr Jason Stecle. Adnnnistra'wve Appeal ReNie� %, Officei
attn: DaN id E. Bailey, Regulatory Specialist
CESAD -PDO
Wilmington ReQulatorN Field Office
US Army Coi ps of Engineers, South Atlantic Dn ision
69 Darlington A,%enue
60 Fors)-th Stiect Room IOM15
Wilmington, North Carolina 28403
Atlanta Georgia 30303 -£801
Phone [phone]
RIGHT OF ENTRY Your signature belb%� giants the i ight of entn' to Col ps of Engineers peisonnet. and any gover11111ent
coml- dtantS, to conduct in\ estigatrons o the project site dui 1119 the course of the appeal piocess You n ill be proN ided a 15 daN
notice of an %. site inbestigranon, and «tl�11llaye the oppoi tunit\ to parTici ate in all site Investigations
V
I Date
1
Telephone number
Srvnatul e of appellant or agent
For appeals on Initial Proffered Pci mits send this form to:
it
Disti ict Engineer, �N ilnunbton 11e6ulatory Din ision arm DaN id E Bailey. Regulator-, Specialist, 69 Dal Itngton
Ati enue. Wilmington, forth Carolina 23403
For Permit denials. Proffered Permits and approved Jurisdictional Determinations send this form to:
i
Division Engineer, Commander, li.S. Army Engineer Dii ision South Atlantic, Attn. NIr. Jason Steele.
Administrative Appeal Officer, CESAD -PDO, 60 Forsyth Strcet. Room IOM15, Atlanta. Georgia 30303 -8801
Phone: [phone]

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(DU 20 1 406 34
Office Use Only:
Corps action ID no.
DWQ project no
Form Version 1 3 Dec 10 2008
Pre- Construction Notification (PCN) Form
Troy McKinney driveway
2b.
A. Applicant Information
Onslow
1.
Processing
Maple Hill
1a.
Type(s) of approval sought from the
0 Section 404 Permit ❑ Section 10 Permit
Hall Effect
2e
Corps:
1b.
Specify Nationwide Permit (NWP) number: 18 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
0 Yes
❑ No
1 d.
Type(s) of approval sought from the DWQ (check all that apply):
r3b.
Deed Book and Paae No j
❑ 401 Water Quality Certification - Regular ❑ Non -404 Jurisdictional General Permit
i 3c.
Responsible Party (for LLC if
❑ 401 Water Quality Certification - Express ❑ Riparian Buffer Authorization
1 e.
Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit:
I
because written approval is not required? Certification:
24 Stony Creek Drive NR -
i
❑ Yes ❑ No ❑ Yes
0 No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation ❑ Yes
No
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
- -- — _4
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1h I 0 Yes
❑ No
below.
11h.
is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
0 No
2. Project Information
2a. Name of project:
Troy McKinney driveway
2b.
County.
Onslow
2c.
Nearest municipality I town:
Maple Hill
2d.
Subdivision name:
Hall Effect
2e
NCDOT only. T.I P. or state
project no: _
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Troy McKinney
r3b.
Deed Book and Paae No j
�,1{�\ Q
i 3c.
Responsible Party (for LLC if
_
applicable):
_ I
h d
Street address:
24 Stony Creek Drive NR -
j 3e.
City, state, zip:
Jacksonville NC 28540
3f.
Telephone no..
910 - 330 -9939
.;g. t-ax no.:
3h. Email address:
Page I of 10
PCN Form - Version 1 3 December 10 2008 Version
a

FA
i
B. Project Information and Prior Project History
1 Property Identification
1a Property identification no_ (tax PIN or parcel ID)
312A -6
1 b Site coordinates (in decimal degrees)
Latitude 34 678950 Longitude - 77 58649
(DD DDDDDD) ( -DD DDDDDD)
1c Property size
--14 21 acres
2. Surface Waters
2a Name of nearest body of water (stream, river, etc ) to
UT to Sandy Run Swamp
proposed project
2b Water Quality Classification of nearest receiving water
C Sw
2c River basin-
Northeast Cape Fear HUC 003030007
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
Site is cleared land with a wetland drainage way between cul -de -sac and uplands Areas is surrounded by early
successional pine forest, farm field, and swamp forest
3b List the total estimated acreage of all existing wetlands on the property
—0 75 ac within project area
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
80 linear feet of UT to Sandy Run Swamp within project area
3d Explain the purpose of the proposed project
Driveway access to future site of residential dwelling
3e Describe the overall project in detail, including the type of equipment to be used
4. Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property 1
❑Yes [_1 No El Unknown
project (including all prior phases) in the past?
Comments SAW- 2013 -01380
4b If the Corps made the jurisdictional determination, what type
❑ Preliminary ❑ Final
of determination was made?
4c If yes who delineated the jurisdictional ai eas?
Agency /Consultant Company USACE
Name (if known) David E Bailey
Other
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
8/1/2013
5 Project History
5a Have permits or certifications been requested or obtained for I ❑ Yes ❑ No ❑ Unknown
this project (including all prior phases) in the past?
5b If yes explain in detail accciding to "help file' instructions
6. Future Project Plans
6a Is this a phased project? ❑ Yes X No
6b If yes, explain
i
Page ;of10
PCN Form — Version 1 3 December 10 2008 Version

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
zg
Fax no
zh
Email address
S.
Agent/Consultant Information (if applicable)
5a
Name
5b
Business name
(if applicable)
5c
Street address
5d
City, state, zip
5e
Telephone no
5f
Fax no
j
5g
Email address
Pace 2 of 10
PCN Form — Version 1 3 December 10, 2005 Version

I C Proposed impacts Inventory
i 1 Impacts Summary
11a Which sections were completed bEfow foi 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
Wetland impact
Type of jurisdiction
12f
number-
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ - non -404, other)
I (acres)
Temporary T
VJ1 P F1 T
Fill
Headwater Forest
E] Yes
® No
® Corps
❑ DWQ Ilk
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
❑P ❑T
❑ Yes
❑ Corps
W4
0 N
El DWQ
UV5 ❑ P ❑ T
II
I
❑ Yes
❑ Corps
I
❑ No I
❑ DWQ
W6 ❑ P F-1 T
;
El Yes
E:1 Corps
I
❑ No
❑ DVVQ
2-. Total )4etland impacts
2h Comments
3 Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) prcpesed on the site, then complete this
question for all stream sites impacted.
°a
3b 3c,
13d
3e
3f
3g
Stream impact
Type of impact I Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
;
(PE-R) er
(Corps - 404, 10
stream
length
Permanent (P) or
i
intermittent
DVVQ - non -404,
width
(linear
Temporary (T)
I
(INT)?
other)
(feet)
feet)
S1 ❑P ❑T
❑PER
❑ INT
❑ Corps
❑ DWQ
I S2 ❑P ❑T
El PER
❑INT
El Corps
❑DV\rQ
S3 ❑ P ❑ T
❑ PER
❑ INT
❑ Corps
❑ DWQ
S4 F-1 P F-1 T
E:1 PER
❑ 1NT
I El Corps
❑ DWQ
I
S5 ❑P ❑T
❑ PER
❑ Corps
I ❑INT
❑DVVQ
I
❑ PER
I ❑ Corps
S6 ❑ . P ❑ T
j
I ❑ INT
j ❑ DVVQ
=}t Total stream and if ibutat N impacts
3f Comments
Page 4 of 10
PCN Form - Version 1 3 December 10, 2008 Version

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 open water impacts below
4a
4b
4c
4d.
4e
Open water
i Name of waterbody
i impact number —
I (if applicable)
Type of impact
Waterbody type I
Area of impact (acres)
Permanent (P) or
Temporary T
1
01 ®P ❑ T
��aP andaw Over I
Fill wit k and concrete bl I
(imp
uo dment)
x 15' = 0
02 ❑ P ❑ T
P nd nea I
I with bri k and concr e block
Pond
x 15' 0 0
W ccamaw ever
(imp
undment
03 ❑ P ❑ T
Pond n ar
/—@Ccama Rfv
I Fill with bn .an concrete block
PO
(impoundment)
= 2 00
2 LX/1
04 ❑P ❑T
4f. Total open iiatei impacts
4g Comments Each fill area is a separate eroding area along the pond edge
5. Pond or Lake Construction
If pond or lake construction proposed the complete the chart below
5a
5b
5c
5d
5e
Wetland Impacts (acres)
Stream Impacts (feed
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated I Flooded I Filled
Excavated
Flooded
P1
I
j
P2
I
I
5f. Tolal
5g Comments
5h is a dam hiah hazard permit required
❑ Yes ❑ No If yes, permit ID no
I
51 Expected pond surface area (acres)
i
151 Size of pond veatershed (acres)
5k Method of construction
i
Page 5 of 10
PCN Form — Version 1 3 December 10, 2008 Version

CFO
6. Buffer Impacts (for DWQ)
I
i 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 you MUST fill out Section D of this form
6a.
❑ Neuse ❑ Tar - Pamlico ❑ Other
Project is in which protected basin? I
❑ Catawba ❑ Randleman
6b
6c
6d
6e
6f 7 69 i
Buffer impact
number —
Reason
Buffer
Zone 1 impact Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet) (square feet)
Tem ora T
impact
re uired?
B1 ❑P ❑T
I
❑Yes
❑ No
El
B2 ❑P ❑T
❑Nos
❑Yes
E33 ❑P ❑T
i
❑ No
6h Total buffer impacts
61 Comments,
D Impact Justification and Mitigation
i
1. Avoidance and Minimization
la Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
1 1 b Soecifically describe measures taken to avoid or minimize the proposed impacts tnrough construction techniques
2 Compensatory Mitigation for Impacts to Waters of the U S. or Waters of the State
2a Does the project require Compensatory IUiiticiation for
❑ Yes ❑ No
impacts to Waters of the U S or k�raters of the State?
%U If) es rutlsaiion is required by' (check all that apply)
I
❑ DVVQ ❑ Corps
I
I
i ❑ Mitigation bank
2c If yes, which mitigation option will be used for this
❑ Payment to in -lieu fee program
prcject? I
❑ Permittee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter) i Type
i Quantity
Pace 6 of 10
PCN Form — Version 1 3 December 10 2008 Version

3c Comments
4.
Complete if Making a Payment to In -lieu Fee Program
4a Approval letter from in -lieu fee program is attached
i
❑ Yes
4b
Stream mitigation requested
linear feet i
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 pennittee responsible mitigation plan, provide a description of the proposed mitigation plan
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
Z011t
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
I
3 (2 for Catawba)
Zone 2
I
1 5
6f Total buffer mitigation required
6g
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
6h
Comments
Page 7 of 10
PCN Form — Version 1 3 December 10, 2008 Version

4
E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
i
1
Diffuse Flow Plan
1 a
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? If no, explain why
Yes ❑ No
Comments
j 2.
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
%
2b
Does this project require a Stormwater Management Plan? I
❑ Yes ❑ No
2c
If this project DOES NOT require a Stormwater Management Plan, explain why
{ 2d
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan
❑ Certified Local Government
2e
Who will be responsible for the review of the Stormwater Management Plan?
❑ D \NQ Stormwater Program
❑ DWQ 401 Unit
3
Certified Local Government Stormwater Review
3a
In which local government's jurisdiction is this protect?
❑ Phase II
❑ NSW
3b
Which of the folio✓ ✓mg locally - implemented stormwater management programs
❑ USMP
apply (check all that apply)
❑ Water Supply Watershed
i
❑ Other
i
3c Has the approved Stormwater Management Plan with proof of approval been
❑ Yes [J No
attached?
-4.
DWQ Stormwater Program Review
❑ Coastal counties
❑ H Q \N
4a
Which of the following state - implemented stormwater management programs apply
❑ ORW
j
(check all that apply)
❑ Session Law 2006 -246
'
I
I
❑ Other
41)
Has Lhe approved Stormwater Management Plan with rioof of approval been
❑ Yes E] No
attached?
ch
5.
i
DWQ 401 Unit Stormwater Review
d
Does the Stormwater Management Plan n-ieet the appropriate requirements %
El Yes ❑ No
F50b
Have ai of the 401 Unit submrttal,requirements been met?
F-1 Yes ❑ No
Page 8 of 10
PCN Form — Version 1 3 December 10 2008 Version

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
12
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)?
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 ZNo
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b
Is this an after- the -fact permit application?
❑ Yes K] 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 Q 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 desciiption
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 project will generate no wastewater
Page 9of10
PCN Form — Version 1 3 December 10, 2008 Version

5
Endangered Species and Designated Critical Habitat (Corps Requirement)
5a
Will this protect occur in or near an area with federally protected species or
❑ Yes M No
habitat?
5b
Have you checked with the USFWS concerning Endangered Species Act
❑ Yes Q No
impacts?
❑ 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 NHEO GIS database, no species or habitat indicated
6.
Essential Fish Habitat (Corps Requirement)
' 6a
Will this protect 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?
Site is in a far inland portion of Onslow County
7.
Historic or Prehistoric Cultural Resources (Corps Requirement)
7a
Will this protect occur in or near an area that the state, federal or tribal
Governments have designated as having historic or cultural preservation
❑ Yes Z 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?
NC HPOWES
8.
Flood Zone Designation (Corps Requirement)
8a Will this protect occur in a FEMA - designated 100 -year floodplain?
❑ Yes /1 No
8b
If yes explain how protect meets FEMA requirements
8c What seurce(s) did you use to make the fioodplain determination?
Applicant/Agent's Printed Name
Date
ApplicanUAgent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
is provided )
Page ] 0 of 10
PCN Form — Version 1 3 December 10, 2008 Version

Landowner Authorization Form
1. the undersigned, a duly authorized owner of record of the property identified below. do hereby
authorize representatives of the Wilmington District, U S. Army Corps of Engineers (Corps) to enter upon
the property herein described for a period, not to exceed 365 days from the date of this instrument, for
the purposes of conducting and /or approving the following action(s) associated with Waters of the U.S.
subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of the Rivers
and Harbors Act of 1899
❑ Jurisdictional determination and delineation of the boundaries of Waters of the U.S.
❑ Inspection and investigation of potential unauthorized activity(s).
A Inspection and evaluation of the property as a potential stream and /or wetland mitigation project.
8 Other (specify) Approve Permit for Driveway construction
I further authorize C. Nathan King of KINC4 Building Co, Inc.
{insert name of agent/consultant} (insert name of company)
to act and communicate on my behalf, and to take all necessary steps to facilitate the above referenced
actions to be conducted by representatives of the Wilmington District, U.S. Army Corps of Engineers
Legal Description of Property:
County• Onslow Deed Book: 3723 Page 9: 565
Parcel ID Number- 075059
Owner of Record (please print): Troy D. & Laura B. McKinney
Parcel Street Address:
108 Hall Effect Ln
Maple Hill, NC 28454
This authorization also specifically includes the right of ingress and egress on other adjoining lands
of the 0-4 ner not described above, provided such ingress and egress is necessary and not otberMse
conveniently available to the Corps.
I hereby certify the above information to be true and accurate to the best,of my knowledge
Owner's Signatur � V Date 21 Oct 2013
Owner's Signature Date
Owner(s) Address (if different from above):
Owner(s) Telephone Number:
Version 5.2013
124 Stoney Creek Dr
Jacksonville, NC 28540
910- 330 -9939

44
NOTES: USGS Topographic Quadrangle, "Haws Run, NC," 2013
Contour Interval = 5'
TITLE: FIGURE:
Applied Kcoource USGS Site Vicinity Map
Management, C. JOB: SCALE: DATE: DRAWN BY:
Hampetead,NC2&443 14065 1" = 1,000' 4/29/14 EFC

Adapted from the Onslow County GIS website.
TITLE: FIGURE:
Applied Resource Site Soils Map
Management, P C. JOB: SCALE: DATE: DRAWN BY: 2
Hampstead, NC 28443 14065 1" = 200' 4/29/14 EFC

Adapted from the Onslow County GIS website.
TITLE: FIGURE:
Applied KeSOUrce Site Wetlands Map
Management, P. C. JOB: SCALE: DATE: DRAWN BY: 3
Hampstcad,NC254�43 L 14065 1" = 200' 4/29/14 EFC

�ROI
�o
V�m
a

0
AREA NOT EVALUATED
PROJECT AREA
k
BOUNDARY
C;
Ile
VS
if
UPLANDS
f 1'
WETLANDS
Estimated Impact
Area With Fill With Concrete
Drive -137'x 15'
(2,056 sq. ft. = 0.04717 acres) -q
I
41
UPLANDS
Culvert Installed
N to Allow Flow
A to UT to Sandy
Run Swamp
e"I On-
NOTES: Adapted from plot plan prepared by Weston Lyall, PE, PLS, PLLC dated 4/15/14 and Waters of the US Field Sketch
SAW-2013-01380 for Troy McKinney Property prepared by Dave Bailey, USACE.
TITLE: FIGURE:
Proposed Wetland Impact
Applied Kleoource� With House Site Location
P C. JOB: SCALE: DRAWN BY:
Ham,-ot--3d,,N' 2-5443
14065 1" = 100' 6/2/14 EFC
C;
Ile
Estimated Impact
Area With Fill With Concrete
Drive -137'x 15'
(2,056 sq. ft. = 0.04717 acres) -q
I
41
UPLANDS
Culvert Installed
N to Allow Flow
A to UT to Sandy
Run Swamp
e"I On-
NOTES: Adapted from plot plan prepared by Weston Lyall, PE, PLS, PLLC dated 4/15/14 and Waters of the US Field Sketch
SAW-2013-01380 for Troy McKinney Property prepared by Dave Bailey, USACE.
TITLE: FIGURE:
Proposed Wetland Impact
Applied Kleoource� With House Site Location
P C. JOB: SCALE: DRAWN BY:
Ham,-ot--3d,,N' 2-5443
14065 1" = 100' 6/2/14 EFC

r
g FFECTACERS
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1 CLIENT.TROY MCKINNEY
4
BEACH RESORT HOMES OF TOPSAIL ISLAND LLC
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Page 1 C3
This deed presented to
The O 0451 O e
Dare 1
"fta W" , ' an 'aZp
s reanved "3M Deael ^"Nny
DWI -a rnt Fixer M Hey, t be PW by *a deli f
This instrument prepared by:
FRANK W. ERWIN, ATTORNEY
RETURN TO:
DAN RI220, ATTORNEY
ftglllflgql��ql �u�l�i�lggq�lql�l
Doc ID• 009549360003 Type, CRP
Recorded 02/10/2012 at 12.49 48 PM
Fee Amt: $188 00 Pape 1 of 3
Revenue Tax: $180.00
On slow County NC
Rebecca L. Pollard Reg. of Deeds
3723 Pe565 -567
3
Index Description: LOT 6 HALL EFFECT
ACRES AND PART OF LOT 8, MB 53 PG 2
Tax Stamps $ 160.00
Tax Parcel #
File # R17294
NO TITLE SEARCH REQUESTED OR MADE: NO CLOSING UNDERTAKEN:
NORTH CAROLINA
WAIRRANTY DEED
ONSLOW COUNTY
THIS DEED, made this 8 tb day of FEBRUARY 2012, by and between FOSE
PROPERTIES, LLC, hereinafter called Grantors, whose mailing address is 8 Bayview Drive,
Jacksonville, NC 28540, and TROY D. MCKINNEY AND WIFE, LAURA B. MCKINNEY
hereinafter called Grantee,
whose permanent mailing address is
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors,
and assigns, and shall include singular, plural, masculine, feminine or neuter as required by context
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of
which is hereby acknowledged, has and by these presents does grant, bargain, sell and convey unto
the Grantee in fee simple, all of that certain lot or parcel of land situated in
_ ACKSONVILLY Township, ONSLOW County, North Carolina and more
particularly described as follows:
ERWIN & S[MPSON Attorneys, PLLC - Telephone (910) 455 -I8
825 Gum Branch Road, Suite 115, Jacksonville, NC 28540
Book: 3723 Page, 1977 - Current; 565 Seq: 1
Book 3723 Paqe 565 Paqe 1 of 3

Page 2 of 3
4 Tract E
1
j Being all of Lot 6 as shown on that plat entitled "FINAL PLAT HALL EFFECT ACRES" as
recorded in Map Book 56, Page 223, Onslow County Registry.
ty � try.
3
Tract 11:
Being all of Lot 8 as shown on that map recorded in Map Book 53, Page 27, Onslow County
Registry, less and except, however that portion of Lot 8 conveyed by and described in that deed
recorded in Book 2923, Page 491, Onslow County Registry, same being the remaining parcel of
Lot 8 and constituting approximately 5 acres. Together with and subject to a 15 foot access
easement lying along, parallel to and 15 feet east of the dividing line between Lot 7 and Lot 8,
said lots shown on that map recorded in Map Book 53, Page 27, Onsiaw County Registry, and
described in that deed recorded in Book 2923, Page 491, Onslow County Registry.
TO HAVE AND TO HOLD the aforesaid lot orpancel of land and all pfivdeges and appurtenances
thereto belonging to the Grantee in fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the said premises in fee
simple, has the right to convey the same in fee simple, that.title is marketable and free and clear of
all encumbrances, and that Grantor will warrant and defend the title against the lawful claims of all
persons whomsoever except for the exceptions hereinafter stated.
Title to the property hereinabove described is subject to the following exceptions:
Restrictive and Protective Covenants as recorded in Book 3137 , Page 676 and
amendments thereto, ONSLOW County Registry
IN WITNESS WHEREOF, as the above date, Grantor (whether person, corporation, limited liability
company, general partnership, limited partnership, or other entity) has signed this instrument in the
ordinary course of business, by the signature(s) below if its duly authorized representative(s), as the
act of such entity.
ERWIN & SIMPSON Attorneys, PLLC - Telephone: [phone]
825 Gum Branch Road, Suite 115, Jacksonville, NC 28540
2
Book: 3723 Page, 1977 - Current: 565 Seq: 2
Book 3723 Page 565 Page 2 of 3

Cr
Page 3 of 3
N/A If initWed,;the property includes the primary residence of at least one of the
Grantors, otherwise, note as N /A. (per NC GS§ 105 -3172)
FOSE PROPERTIES, L C
BY: lz:�
D0 FOSE, MANAGER
Onslow County
North Carolina
I certify that the following person(s) personally appeared before me this day, each acknowledging
to me that he or she voluntarily signed the foregoing document for the purpose stated therein and in
the capacity indicated above: DONALD FOSE, MANAGER.
(Official Sea])
My commission expires: la a `t' -t
Notary Public
R.IDEEDSI WDSTND .FRM(010593)0813021REV010506
K \FOSBWDMASTER.wpd
cLY \\\I\ It Kl rD /�
y
_A N0TgRf to
A
,at IC av`
xjll'�'
ERWIN & SIMPSON Attorneys, PLLC - Telephone [phone]
825 Gum Branch Road, Suite 115, Jacksonville, NC 28540
3
Book 3723 Page 565 Page 3 of 3
Book: 3723 Page, 1977- Current: 565 Seq: 3