20140840 Ver 1_CAMA Application_20140806

RE,CEIVE D
JUL 18 2014
fi/DUDG&C
2 0 4 0 8 4
Office Use Only.
Corps action 11) no.
1AAJQ project no.
Form Version 1 4 January 2009
A. Applicant lInformation
1. Processling
Ia. Type(s) of approval sought from the Cor P S Section 404 Permit Section 10 Permit
C_
I b. Specify Nationwide Permit (NWP) number: or General Permit (GP) number.-
-
1c. Has the NWP or (313 number been verified by the Corps? Yes
No
ld Type(s) of approval sought from the DWG (check all that apply)-
IA 401 Water Quality Certification Regular
Non -404 Jurisdictional General Permit
401 Water Quality Certification Express Riparian Buffer Authorization
le. Is this notification solely for the record For the record only for [ANQ For the record only for Corps- Permit-.
because written approval is not required? 401 Certification:
F8] Yes [] No Yes No
----- ----- -
If. 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 IA Yes El No
or in-lieu fee program.
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1hj=7 Yes No
below.
1h. Is the project located within a NO DOM Area of Environmental Concern (AEC)? Yes I �e'<] No
2. Project Information
2a. Name of project: Saucepan Bay Ustates
2b. County: Brunswick
2c. Nearest municipality / town: Shallote
2d. Subdivision name:
2e NCDOT only, T. 1. P.or state project no:
3. Owner Information
-1 --Al
"D
3a. Name(s) on Recorded Deed: Jericho All-Weather Opportunity Fund, LIP
3b Deed Book and Page No Deed Book 2680, [age 0625
3c. Responsible Party (for 1-1-C if Scott Svirsky- Pres-Svirsky Asset Management Inc.
applicable):
3d. Street address: 3825 NW Boca Raton Blvd. Suite 200
3e. City, state, zip: Boca Raton, Florida 33431
3f. Telephone no.: [phone]
3g Fax no:
------------
[e-mail]
3 h Fmail address.
Page I of 10
PC'N Form -- Version 1 4 January 2009
14

Page 2 of 10
4a.
Applicant is:
- -- - --
f I Agent Ij Other, specify:
4b.
lKlarne:
4c.
B u si n o ss name
a-ppli-cable)_ :
4d.
Street address:
4e.
City, state, zip:
4f.
Tole-phone no.:
4g.
Fax no.:
4h.
Fmail address:
AgenUConspiltant Informatlon
(if applicable)
5a.
Name:
Joseph C. Floyd
5b.
Business name
The Brignian Company
(if applicable): ------
5c.
Street address:
601 Main Street
5d.
City, state, zip-
Conway, South Carolina 29526
5e.
I-elephone no -
[phone]
5f.
Fax no:
[phone]
5g.
F-mail address:
jtloyd@th(,brigman(.onipany.com
Page 2 of 10

Its. Project Information and t 'Irior e)rujoc"i ffi. t ;kwy
1. Propaa;rty Identific.atioea
1a Property identification no (tax 13IN or parcel ID) X29000//04
1b. Site coordinates (in decimal degrees): Latitude: 38.918664 Longitude: - 78.404564
1 c Property sire: 15.91 acres
2. Surface: Waters
2a- Name of nearest body of water to proposers project: Saucepan Grook
2b Water Quality Classification of nearest receiving water: SA HOW
2c. River basin: Lumber Diver
:3. I�roject 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.
I iistorically, the subject set has consisted of undeveloped woodlands nu; adjoining Lind use consists of single and multi family residential, golf
course communities, and undeveloped woodlands
3b I -ist the total estimated acreage of all existing wetlands on the property
3c. List the total estimated linear feet of all existing strearns (interrnittent.and perennial) on the property-
- -- - -- -- - -- -- - - -- - - - - - - -- -- - -- -- - - -- - - -- - - - - - -- -
3d t- xplain the purpose of the proposed project.
ro meet the growing, demand for vacation homes and prundcy residences along the 13runswicl( County coast, the applicant is planning to
develop a well- designed single family residential community
3o. ")escribe the overall project in detail, includinq the tVpe of equipment to be used.
Hip proposed single family residential community will i eqm e an interior road systern with associated utilities and storm water management
featucos constricted by typical earth moving equipment
°1,. Jurisdictional Determinations
4s Have jurisdictional wetland or stream determinations by the Yes ]'] No [_] Unknown
]?C]
Corps or State been requested ors)btained for this property /
project (including all prior phases) In the past? Comrnents
4b If the Corps made the jurisdictional determination, what type ,
of determination was made' _] Preliminary ><] Final
4c. If yes, who delineated the jurisdictional areas'? /agency /Consultant Company: The Rrigman company
Nance if known). Joseph C Floyd Other:
4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
December, 2013
- - -- - - -- --- --- - -- - --- - --
7. Pri)jCct History
5a 1 iave permits or certifications been requested or obtained for
this project (including all prior phases) in the past's
51) If yes, explain In detail according to "help file" Instructions
(--,]Yes j;C] No (] Unknown
6. I- ntr.are Project a31ans
6a Is this a phased project'? jX] Yes " ] No
61) If yes, explain - -
1 -he project Is comprised of (2) phases of equal size and scope
Page 3 of 10
PCN Forin -- Version 1 4 Januiary 2009

—
Ia. Which sections were completed below foi- your project (check all that
apply):
IM Wetlands Streams tributaries I Buffers
J Open Waters Pond Construction
r
2. Watland Impacts
If there a - re wetlan-d __ i - mpa - cts - proposed on the site, the n c ompl ete this qu estio n for each
wed an d area impacted.
Wetland impact
Type of impact
Type of wotland
Forested
Fype of jurisdiction
Area of
number
Corps (404, 10) or
impact
Permanent (13) or
DWO (401, other)
(acres)
W1 P
F
Headwater Weiland
Yes
Corps
0030
W2 P
Fill
Headwater Weiland
Yes
Corps
0.003
W3 P
1:111
Headwater Wetland
Yes
Corps
0060
[AlFill
Corps El
0010
WS
Fill
HeadwaterWelland
Yes
Corps
0050
Fill/Sha ding [0 04 Ac.]
Headwator Welland
yes
001
2q. Total Wetland Impacts:
2h. Comments:
Impact areas 6J and 8 combined as W6 for the sake of avaliable space
3. Stream Impacts
If there are perennial or intermittent stream impacts (including ternporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
Stream impact Fype, of impact Stream name Perennial (PI-R) or Type, of Average Impact
number - intermittent (IN f)? jurisdiction stream length
Permanent (P) or width (linear
Choose one
Choose one
S3 Choose one
Choose one
S5 Choose one
36 Choose one
Comments-
Page 4ufiO
|*CN Fmm Vomkm 1 4Jonuory20O0

1 4. Open Wsf(ew lirmpacts
If there are proposed impacts to lakes, ponds, estuaries, '(0titanes, sounds, the Atlai-itic Ocean, or any other open water of
the US then individually list all open water impacts below.
4-a---- ---t- 4b 4c 4d. 1 4e.
Open water i Name of waterbody
impact number (if applicable) I-YPO of impact Waterbody Area of impact (acres)
Permanent (13) or
type
romporary (F)
01 - G hoose one Choose
02 Choose one Choose
03 Choose one Choose
04 Choose one Choose
V Total open water impacts
4g. Comments:
5. Pond or Lallm Conrtruction
If pond or lake construction proposed, then cornpLqq the chart below
53. 5b 5c 5d. 50
Pond ID number Proposed use or Wetland Impacts (acres) Stream Impacts (feet) Upland
purpose of pond -(-acres)
Flooded I il led Excavated ted FI o od ed Filled I_xcava ted
Choose one
Choose one
5f. Total:
5g. Comments:
5h. Is a darn high hazard permit required?
Yes No If yes, permit 11) no:
5i. Fxpected 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 mitiqation, then
-------------
you MUST fill out Section 1) of this form.
6a. Project is in which protected basin?
j y Neuse I-ar- Parrilico r] Catawba I] Randleman
I'] Other:
6b.
6c.
6d
6e.
6f
6g.
Buffer Impact
Reason for impact
Stream name
Buffer
lone
Zone 2
number --
mitigation
Impact
impact
Permanent (13) or
required?
(square,
(square,
temporary -(-I)
- ------------
foot)-
fe(,'t)-
131
Yes/No
132
Yes/No
133
--- ----------
-- ---- ----
Yes/No
B4
-- - --------
Y esil IN 0
135
Yes/No
136
Yes/No
6h Fotal Buffer Impacts:
61 Comments:
Ila(
ge 5 of 16

D. I irn pact .jlun ification and ayiiltiigation
Avoidance and ffinimizaUon
1a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Complete avoidance of impacts to freshwater wetland resources was not practable due to the lacatun and dust ubutan of wetlands the project area
and the inherent physical characteristics of a well designed single family residential community. The set plan has been recused from its original
configuration based on accepted wetland master - planning guidelines to ensure that impacts to wetlands and limited to only those required to satisfy
the projects critical needs, all road /utility crossing were aligned perpendicular to wetlands at the narrowest point to eylent practable
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Project construction shall fully adhere to an approved sediment and erosion control plan I3MP's shall be employed during construction to minimize
erosion and the migration of sediment off -set 1 hose practices may include, but not be limited the use of mulches, geotextile fabrics, hay bales, sell
fences, sediment traps, and common basins
2. t;om em ory 14riit it for Impart.; to Waters of tote U.S. or Water s of the Mate
2a Does the project require Compensatory Mitigation for Yes �. ] No
impacts to Waters of the I).S or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): jrt] DWQ Corps
4h Comments:
fa. Gcimplcte if Using a Pormittoe Respon3ibla Mitigation flan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan
I'age o of 10
PGN f=orm Version 1 4 Januaiy 2009
Mitigation bank
2c. If yes, which mitigation option will be useil for this
k,�_tI'ayment
project?
CJ.- to in -lieu
fee program
_] Permittee Responsible
Mitigation
�. �cDtD➢lDIE'ts' if tJ�int 4��iiti4;�tieDrA Dank
- - - - - - -- - - - --
3a. Name of Mitigation Rank: 4�_T®�� FAig+�
11o.iei�4-rMEj-J8", LLC
-- --
Type:
Choose one
- - -- - - -- -- - - - - - --
Quantity:
3b. Credits Purchased (attach receipt and letter) Type:
Choose one
Quantity:
Type.
Choose one
Quantity:
3c Cornments: PuLD -41i0v L.ETTea_
or- Ame'�.la .b.B3l: -6T�
a1�6ta9 t?7.
_A� - — ;a�rBlletr? it flliattinx� .� I�aytn�.nt -
- -- - - - -- - -- -- - -- - --
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:
0.31 acres
4g Coastal (tidal) wetland mitigation requested,
acres
4h Comments:
fa. Gcimplcte if Using a Pormittoe Respon3ibla Mitigation flan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan
I'age o of 10
PGN f=orm Version 1 4 Januaiy 2009

6. Buffet, Migigation (Stato Roquiated Riparian 'Eluffor Rules) required hy?NVQ
protected riparian buffer that requires 6a. Will the project result in an impact within a proto Yes No
buffer mitigation?
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.
6c. 6d 6e.
zone. Reason for impact Total impact Multiplier - Required mitigation
(squaro, feet) (square foot)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f Total buffer gnitigation 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 all approved in-lieu foe fund), -
6h. Comments:
Page 1 of 10

and Plavi (raqWr*d by 9111N 7a)
1-.-- niffus-enoiev Plan-- ll
la Does the project include or is it adjaceni to protected riparian buffers identified Yes No
--- --
within one of-the.--NC , Riparian-Buffer 1 -rotection- Hules?--
I b. If yes, then is a diffuse, flow plan included? If no, explain why.
WJ Yes No
- -- - --- --------- - - ---------
2. Stormwater Mana�gemalrd Plan
15%
2b. Does this project require a Stormwater Management Plar-i'? Yes No
2a. What is the overall percent imperviousness of this project'?
2c If this project OOLS NO-Frequire a StormwaterManagerrient Plan, explain why.
2d. If this project D01--S require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
[Runoff frorn the proposed roadway infrastiticturo and residential single family horries, will be collected in grassed roadside swales and directed to lot
line grassed swalos which will discharge to the wetkind ares,
2e. Who will be responsible for the review of the Stormwater Management Plan? 1 NCD1--NlR-WQ & Brunswick Co.
3. -Cortifi-ed Local
3a. In which local government's jurisdiction is this project? Brunswick County
Phase 11
3b. Which of the following locally - implemented stormwater management programs NSW
apply (chock all that apply): liSMI,
Water Supply Watershed
Other:
3c. Has the approved Stormwater Management Plan with proof of approval been yes
attached?
C-IMPA)
[910oastal counties
4a Which of the following state-Arnplemonted storrilwator management programs apply L] I iow
(check all that apply) 9 1 � _', Jolm
1_]3ession I-aw 2006-246
4b.
------ --- -------
I ]as the approved Stormwater Management Plan with proof of approval been
Yes
J No
attached?
5.-D-M-1-40-1
Unit3tormomak-or llle-viow-
5a
Does the Stormwater Kana( emont Plan meet the appropriate requirements?
U
Yes
j No
5b.
Have all of the 401 Unit submittal requirorrients been met?
Yes
No
Page 8 of 10
1-1(-'.N Form -- Version 1 4 January 2009
1

-
� B'. �na���� {ie$�a�atiizaiy @raEa�u °h�n�;�fg��a
`i. Ilµavvirazuu»��;�,tai l',`fc��eu��n�aat?atica«a QC��9d� t�e�R�ire::rraa:aat)
1a Does the project involve an expenditure of public (federal /state /local) funds or the
use of public (federal /state) land?
1 b 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
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. if you answered "yes" to the above, has the document review been finale /od by the
State Clearing I touse? (If so, attach a copy of the N1---PA or SEPA final approval
letter. )
�] Yes No
1.71 Yes 1:1 No
3 -] Yes
_ - Comments:
(a) °,PJQ Jqcequir.)rn ent)
2a. Is the site iri violation of DWQ Wetland I:ules (1,5A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 211 .1300), DWO Surface Water or Wetland Standards, (, ] Yes
or [Riparian Buffer Mules (15A NCAC 2B .0200)?
[-] No
JA No
2b Is this an after- the - -tact permit application? M _ yes IX] No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s).
3. Cumulative ative irup acts (DINKI l,'lealuira Ilumt)
3a Will this project (based on past and reasonably anticipated future impacts) result in ] Yc s �C No
additional development, which could impact nearby downstream water quality's �` ]
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWC policy If you answered "no," provide a -short narrative description
4. 3owaale Disposal (01NO 02;=n_iaairmin ;n3)
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
The wastewater from the proposed residences will be collected via a gravity server system lhcs system discharges to two on -site pump stations
which will pump the discharge to an existing sewer forcemain owned and operated by Brunswick Co Public Utilities located ui the Bricklanding Road
right of way
Page 9 of 10
PCN I -orrn - Version 1.4 January 2009

'F`vty� ffiep'?G ":':11 Y .`tg:.4 -:s. an. "I OqC@; ,--I'j t 410, a."a I H- '4fiA.;if: yks',vgp', tII'3)',1uiyl�'7tfut' +Ti
iii iu`'I1 i, }�li,� .:t4iCCI."; Ili _SS nc':ff 341:3rcr?n vvi111fedef�'Ail;� j:4"ct'tfii:ted st)E:C1f; 0, t
�
h.ahlt.at'.
I `ib. I-13vo you el- "::6(('Cj yvitlh the concerning i_ndangerecf Specios pert
impacts'
5c If yes, indicate. the USF-WS i-ield Office you "have contacted
5d What data s.ouzcos did you t.tse to determine whether your site would impact 1- fithncjeced ,',pm-4)s or Ousign.ated Critical
I tabitat?
No endangered ;pervr�: or critical habitat was encountered during field survey
^n ". 6`.rs;,.;,��;�a'a,i.�i t�a= ia?;na�u;,it.,a3 ��aa ;r�a.,'J'k�°a�ararr:ar,�•�uu��
bra Will this project occur in or near on area designated as assential fish habitat'? 1] Yes iJ No
fib What d.atn sourcos did you use to determine whether your site would impact f..ssentr.al I-ish Habiiat?
L Hil'.A ric; of 'Prehistoric (;ta8tund Rnb.waem es (Corps
la. Will this project occur in or neat an area that the state, federal or tribal
governments have designated as having historic or cultural preservation I Yes � tJ No
status (o g , N.at�onal I-listoric I rust designation or propfertios significant u1
North C.aro)irm history and archaeology)?
f
Ib What d.at<i ources did you usfa ro determine whether your situ would impact IlrstotIc or archeolog +cal lesources'?
No historic or I'm hlstouc culture resources were encountered during field survey
�. r @asAaa� �s;�taGa i�.�'��:ai��ua�'iira�tl gQ�a��•t,�a fiaa;a�a,OiB'f'.uCt�;�iQ�
8a. Will this project :)ccur in a IT MA-designated 100 -year floodplain'? Yes y No
31) if yes, oxpt.ain how project meefs I -E. -M A requirements:
portions of site do ocxn1 ui a FGMA desingated i00 -year Tloodplain Finished for elovations of'lhe pi posed homes are to be constructed at feast two
feet above BFF.
3c What sourco(s) did you use to r'nake the floodplain determiraabo11?
Fum maps 3120 101(300J and 3120108600J, effective June 2, 2006
Apphc.anli/`,taeril'`: Iliinted Name
Aprncc;artt /flgent's S)ignalure
(Agent's signature is valid only if an (idiot v�riion
letter from the applicant is provoo(i )
11'10 ]� 10 cif 10
I ).ate

sha bate
i
ti
I �-
j
Southland Way "igott Nd
Project Area
t
�'k
119 a
c
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F'
Holden Bch
Ocean Isle Beach �r'a
Vicinity Map N
B R f' GM A N Saucepan Estates
COMPANYBrunswick County, NC:
t June 19, 2014 Figure 1
_. -_. ___ -- - - - --
800 Le ion Sheet - Conwa SC 29526 Phone X843 248 9388 fax [phone] www ihe�rigniancornl>an ,com of uo -13073

era i ,r' ,.• r 11 k c - -- -- -
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kArG M ,A N
C 0 M P A N Y
A�0 L,ec ion Street - Conwa , SC 29526 - Phone A43 248 9388 -Fax
USES Topographic Map
Saucepan Estates
Brunswick Counly, NC
June 19, 201 A
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in Wcp . Al lac Hr" A L VAL MI Un .Mm Ww" uo�jdjemcnj
WX gym OM c m-ow D -f
he hdowmej IN sow Oueo p, i-!e4rf'..ne
;WESSMY io cnsux mot Me demwrWel
tinvoining lfic= density ievd
1w mv
iiie f041OV.,, ,"g dei�d
priol -
T") the c—
"lie, of nfiv 10s
W p co vf:! " a 1"Is -I ter d r W a W u ";n W il -.,;3 he S to f',- v"
jy
hAragemoiR Raywalvas
'0 of rkjoirf"'i WOW is Mwe a powhAny or ogientn' Q00"Oq w
Am UIW' WS O"Ova 4
v,ull'I"It conzic(o o"'O'c, S k4v,.�f Norfli Gtilohna, F'wo.-icn Ouality
ar"y rem a WWO&WO wMe
QlAwkw 7W( OMI Me Too W 1 W MW flit' mof H till apc)II
l"olitec., Io, Mf siaifp�
o"'') Wxe-i we j "'W ,
CA.�M.yW%cf A
cot
j C
o9ft-rent owix---ovu Wa Mr owl utqollt6wh !W•n G",
k;f'vi'�ifIIi!1q "n-avulav'n awn AV Ow"ut "'lj;"0 bu of ?h,s
stat,'Je n,%fjtrod by ^r)Ir
vec'lclx�-"J t' f,fraf chr iIf.ea �; eo'o
luri3r 3010, Pon ya
;1� v—:-,rr:w roarp of!'jf'N'
'p foot for ptaiects kx�atecf in tho, 20cna3taicouritic-,.
UK
M. Ow"now eel M
WM,

r ?;'r 'Syf-" P I -
fi, SC.04,EDULE f,-)F COMPLANCE
A swawx ak over V,djej
a-
2 D,-,n-p emsn" SOPH he kyo in a 1"Mounq and aly "Oded beaw of We,
or c,,' -0.- wii! be i;(iicied;aieiy.
ta--r vog".'-',ted er,
Th'i= i"It ali pot;'diCje The npetAion and nnaintenafi(x-, necessanv to
(Welate Me pewk!Wdl storn"PA/MPT at opfimuni uffictenov to
RAW
o V no. and fe Vep -W,
v i Ita iq of itic side sbpes
d' It-nmodils rep it of noded are as
Ma infur.ance r.,t s4 de 5 kowpes in, ij ,nce W;i iat ll. fj
spec=ons
Maivtejmancf) of t-wed speadets ri with app.roved plaRn and -UMA,
Me pumWe shall suWnit to the and sn, -FIj CC-,-;P;jved approva� for
rf'a --;ed n1ans, pric.;r to fo! anv
tr? the appm;Q Ms. t)!it t104 Jm!•Nw --j to those
"I Arty' rti.,vision to any of Me dons dmwn on 4- agnmed Www"MAI1} 9 Me
stcn"watur "=rmgw*n4�id desigri cori'7epl) 51 Jill -1-1pon
narne changt�
J ransfer of ovwiershtp
Re&sgn or addiitirmi arnoij 0 (.t:ll&uwn area a to it
dranWe area
Furibers.ohdm6mv auWm6w., or selling of the prued area
;-ii mg 4v arle..;nq, or pq) ;ng 6shtyw1, on flie,
plan"
The perrnjtt(m.,,t! stall sAml aU Vainiahnn lei' uesied hy the Dir -ct iru hi,,
Me We We specMed in thic wfMcn inforffiatinri requ -5t
0 No pTmg AD be atiowed exr.ept H,,at minimum, P,1Tkf)UFY' riece-fisary to direct urioff
bmwath an wWemmus surtace su,-,n as a tr. ad WW min.mlun) a! nount
U11 der driveways to provide acce��,-� to I'A's"
is respormus NX a h.- Hh�at tf'e a e'a 120ef�. J'!:)!
exceed he aflr),Nable WSW "TV Me ;,)t "r�lostof 1 r.-'Onlpiele
:Ipon afea may n'ot he ifviihcut appfoval hur, the Owswn of Enemy Ukwq,�
and Land Resqume and for wieetinc
'j th'r! hullt-upor; afe'l hily Is
va-skned U; Un indNWaf properly owner' provided lhf:" jJr:rgP eIee
,he iqr t'• 11 anid 1i 12 of ti -' -s p
8 Ohthm I; dWs a5mrnpleWnS Mr o4eo, T pw#ke nwst usUv m Wing ini
it pnj(-aVs stom"Water aiicj mip�. njiuus sa toes have bem: comfuled
Within S1 :bstant!Ri intent •-4 trtH JPPf pfar:s and spo',-c 15-,itions Any levi atio!,0rom
TP amemni Mans must Lo nccteci or Hhe Ce!tfticiticn
K He pninme soc up an Amlopmual Review 0mu•ten ot Boma c" smsor
tiW L,1: ieVfe`fi Pays Q ;"Mphanoo Wah own MaNdKma- lh'e Plans
'Tu';F" al! propobe.-- {•UN Any aprwvK5 glen ;'1y Of,
Cannave or do !#'---ve Ow, lot nwni�r of
Day. , A �"

Per: A QS1 F
C-IFNERAL. CONDM%4S
Q An- W soon by Me C a a I no a vd xn ON I a
we pan"we 0 an �"y the tv"I"Vier-0i ;Ind r it it
Res", I ,"�n­;,P-,L',T =Ots 141215 CA to 1 aw
2 1 CA
Foe p k xwd shalt rxAmue a- ky, ano Ved unts! modMed, reVske! :x
The pew niaV W: rmshlEd, revoked, ai,d rekf-;ui,d or tPrTnm-,�,IF,d for t;-,juse. The hT."lloq-
of a re pow W a part and
do�e� not May )ny p�'-11-nii '-'ondilworl'
4 The issuance o"% verml *ms iiot probibit 'he Davdo,, t°oan reopf-iiing and
nwIlyma we pwmil, to v^taia an! amsumg Rio permit, ei !e.'rillinait ing the peane w:
allowed A Me Gas, wWV anj t ontai.red if i -- 0 le 15A of fblr', Nforth
Camfina Ad;-runi`st;,,Awc, C`xlde, Suhchal_)tet 9H 1000i: and North (',afoGna 13,eneral
Stathe 143-215 i el K
Dn",
�Ppfow hylhu , ..—L I �3
-� L or ri y ivju�re vTlr)V;calu3ri a >,
,,
as may be A Ch,'anqe %,Qned by SO
parlys :WOW inust! Submittec" to fix, Division of U'ticngy, Wmei�.A =.mj Land
?C'cior-..-�'Par-, ed by Q vxpotng docurrentation liS;tcmd on page 2 ��f ',N,
fc,rm. fihe approv;ai ('f "his i'ac"uf'"i wil; be con sidlered on its inerils and may cr n-lay
lot he appmve-a
(5, The perrnilfc�e jo, for cornplianne, with all poW cwAomm uld umh We
as the DivisiGn approves me pwmv IMMY iequeblt. Neither!� e!3ale of -the prois,_-,
nor the lransfet of cni-rinwin ,irea to a thkd paflly (,omzfitutes:fin approved tronsf-?z of
he Wonwvvater 'p­rrni�
Ic he Pt�,inttee ff-c.m conlp!yi j
0 Ma PWMI wes nd mt-:�Oudp lot n" wll�i 2'!i
and aH shtWa& ru6f, rfr- C)rrlinaiif-el', 0-iich may be (mpos,?d by o1hei
govc,"ulmen't wpen'.Jel; f1c,4, ;late ard fE'doafa!), v✓ hicb have prisdir-1;on 1f 3 ? ()I
thGSe resu&n rev.00, te the pi, ns. a f
submited El L-P
'Pl� g 6 J"Ine�-
I '- M DFNR SW i-JUll'Ift, L _' ,-,
f-oxr, for It he of vnpecmg the Wrnwavv Planagumm!t systep, _�'rkd Ohs
campowAs
ne pennMee nhnU mmly we Lymmon 4,4 vg.jt;,jr
'; gf
adowss diwQes at pay 30 oays pncy le nak,g 4. d,
Unless spe"-'!f1el ei'�evvhe're' pc"'rfnarlefll s'ecdielq (ellotwineills fol the
C)lk-W th- QU,delmec AIR W=a Fmsm =1 5"Imey unom!
..sued this wf, 3(cj dzy r,! 2!),!4
N0,R 1 S-j It F NVY5 )NMf' I-AL
;7
Pape 5 of "-

1 '4A. � f yAh
Low �- f?
V'IJV'l ljlir' - in N(•G 2" Iwo W M ONTO, Hw SWS "P.01 M
tl;:'u yo mn nmj yaydVo n.omms,Mj yQhQd Qr Low hompy ReAdmQj(
SUMVIIAMS Mhue NO saii be Abd0ded dnd 1 Oh LOW inhoss wd p Womw wn"vomtc.
r;Gmynou OUR upw'�Ms UMIM WM us SMIKSM,
ng"Mmn j"em, Vo And, pwi
i `va 15%um at no Q jKM ny "W v I a a We
"L't i wii* M WHAWT tswupass to be lax, 001 &W,
2 vW SKOWN"(01 QaAnals ask a hwnwwy ref mm- if;oe-oon,
thr, stojrniv;,frt
aqw no on NOW& hms"! M Aromm a adproon wwwwq,
F"Iny
0 MUM NVM Aw"g, M dy
C'f tl"q
soon Svtyvo n
me A Its
cper; %'vocu' or rho w'veir swfl-,"r-
in Wo nnso ch kt wINI GAMAW mg.kla AEC w"m M6 Doom df Gb
p
WwMa . Mmif f rea fry J'af lol P ; �'
1pf) I,
lot O)"W ho !Iw tar)'q restri".11ve of fhf-:
pipwirl V any fWdwj swnkv ply ) hgonninsmu: qw,
7v" C-ul)f fr.! . 'V,'- ivtGv-' "7y Ir ci ?ay "iny
A", --.tpav 3709 KAN 010 ymp MO WWO M06 &SNOL wwa°
`50 fout far projects located vi the 26 c.4>"fafcounfies
rr
100
a NMMY Awn &
L04o ion
county ol - J!
dO M40V CeMOV Al 51 (YF- �sk,o
Ws PARLAY-4 jr
of "t-le 11tin" ;y"�
in Okrl'k

1 A" OW A: swot -
ip�ai-toll I ttr I
Or— Fav
•f•mA"h HwIT"Pohi Mx AWOM"wO
d"Al)
h'l (:Yy d an on egmmed "i Ommw i
3 'o i rh —'m— tx ,-' --I f i T �u I d :I qg a fw + j ;-"'i ;s i!:
0, if) ._ -..up 121, 1
4 4m; N jw% 3"wO m A Qw Now A v m an Um Ann. ym An > dwoom t 44, 1-
Syncwt 450 A Two
Cur-
4 �y
ym &IN VOW It min nmw "a "WOX
11 su
!X'�' W'W."C' ("Y"
;NWq Co awn PWIM! 1i`.rsd; +:.l:• yy
21)
!and& Imilml-
n"m

F L v , HT'(P tPO' it J1 Ef"IN 4f If V( KF Ail,.T
Do &�Q In &W DMF Was? loop iWan Qv'�
114W Va0z us P"y 0; NM AQY nsowm "m A� 'VY&P, Ali
i4k—oti'letv "'Abfnitla! v.w.*17gO %44 0,4WIf i-I A r4'Cj21V'kt of-► AE! WierrA rwJ
J"Wo and a"nnnl A The y!am. Why w 00 q.v Pw"M 1, 'Awah- HMO I no ir ILA ILO hjuimn.wm:
kale dWUMTWPM PM6&da'1W=n1T
WmA ApThrn"*n Own ',he ywt
40 Impute itcm''
f QU P W,
:Irfiacon! 1(i MAW A4w, FN
on", a PnX&N,
M Own& Ut 16 zooW a•mil A A Wa woe ngliur Y, Wr:s
jjj, Poll
.4 cull 1M Worky .3i tPi,.IJ.'4t ni S:' iPjjf In: D'vv'Q
3100 air', LA vM; M n Pn W to j& VW nwr A q "m W Q "I.-i
N-f"i f pr�itr!
VAMW AT
.'il-c no
Qo b
POWArd 4 ;;Soy a gazo Own 5""
WC 30 yX Amm WMA: A N MM OMMA'In'
L.-t M%Ueody aw 00, 1FRI, 40. ins W Walf ?t AM& Aa i-r.
LAG as mmmym
041
SWIonim' wvvam Sao WN d Orin ons a no
47 Wyyoclu inks ranav oar mr
""Q C- q-h
let

in kly no-ov) cow; nqTeamv no jjwn now vAce7"Ont-
:1,44"d
A 010 "lThONT ""I tqh 0 Z HN nn "..W, -J',VI*:
noun
(ohm MV0 U0 R�F e asSued in 50,6uit & :::p plfj 4-,7
,;I" A (A f 1, 1- jlau'l l-lir-, OnO J€," .I 'Aeal i,,�4 V)1� 11
WW, 0 Win a Ott I,, ial dcq,!J�,Iel �fall_,, and
by qw Immuo Mai 6 Cmuo U Irma hut0m A 2a ax0j,lrla Ywi 2F ;IYV j•j,
i u; 1-Li, il,II:J bl! hSt',"! -,i� ,31.ltlivr ,t'6jlI1LuA with ffie,
0 AMC CHOM in do pa"Rwr WA V wiall,:J
001":Mns ana hlwi� T vAvqWQ dw qTmpky Pam, 1up""swo POWS,
"0" priv, sew ej an-V Fit fig
k I W Ill 11 W r,_-,i, l I
-yovrto Qq the &m thi, is
-n We A"nm 0a" Qhp on "WNMq OW I& on r,.IJ 1,e bjndin,-, l-rinil ind p(-rho ns,
unjur them, 11;s', Iftey Will. aiz w:tfi thc land, tNi chai�ged c JI-Irlilk"
tr-113 11"r NC VENN Uk'ari-I ifial IfIery -XI)J be wawd PAY W we wk IS M" 31.
I jNK"0411ATION ANI)
ill!. .""i1c,11 it yk)u I,I'll Tc)
vow OA "qu &And K vw pa"A AWS w
IOWA; Advk"%>�
I'Y :At 900RIV V TON of, &Noy !r"!
Sol' NO 400ijuln '454. Kr

Nit. GENERAL COWPONS
Fa its', is dt in Q M coldlipon"e-, ,4
Now g
Wk "
T S vf,'
He ppml K&WU 144 it-, if t: o,-,­,6 ello-Ci unfO
ymmmam-',
mfi may fx: nmdMud mvo�;,E,dand or nq
"ec"uesi for a perimik I-j"'odificaton tcvrj(�xiloi and io-tssuanc�,i of termin,,itlon
any
lhe CA his pomb dmS tic,11 pm*()!',g)A thl Dre.-,Wl� ana .
modifving the pevlyl4i, revE.*ing and -wimmg he purnit, nrleirmn.,,iWig be pemA a,;,
1flovved by 1(he tulef, and cC,Wm;L­J iei V,4tr- 15A 43,1 On,,, WOh
and"
,iat.ulc 14:`, 2r�, 1 et .31
T'x; jx4,nr-,jj!s nm mummelo anu Pemon or to ,."Ind
-3ptpl C"val D,fec.1.6, -x'_­:Pc,ryss;,'n <a­Ci .F.
yI pay he mwessaiv A iom%
Pmles "Nuhal vimc�t tie^iitpnnilfted to um •Gm of Eneiqy, UTPQ and I .end
R(­v),.jl by Hm sqWxmig ducmnemsNmi as Wed a" page 2 0 W-c:
f '';! r, l ITic ,i ut ld reques ivJ! b?' _­."31- :E'.ak!FF-d cn il.S, "of:J 11 S. 3�, cr �'npv
be approv�"d
fl, The p•-rcuitee it rmp=Ne tknr winpliance with .4 pmnW uutdiums u*H swh time
3s Me DWminn approvPs Pie perm,! I rwt:-Alfcr Nelii.hej, the -,Ile of ih�o
v.(jr tne
, afea in a tlifrd pafty consfitte,, 3.1 app­'O1 " %: 4j T, ark5Aei'
We Wnmwahr penvit-
ixjncf- CA Wim POWN dws nn pechme lh�," flel-miliev lroon COMPI'vsrig vvith filmy
al A ao Slahmes roe, regualtur, m pylvanael wl Hah may be imoa,,F-d lbyother
yVeramP agenck- '.Incat 4 and f;i'era:), whl".h 0 any
Amse mrr'Ols to tflc� (1i ' "t", a mcdifwafi",,�'i mwt f:�e
S, Immad,
Pelrv�,;Tfv qat As GUV en,,r ft�,e it ! qj
for te lte �.Itf",rmwafe� mariafjf,��naTA sy-,te',n m"d its
1 no Pe"aWe Onju qotf v UW Owman m :J 'ral!!l r�
adjOSG CAMYOS at >a& 10 d%, pmn F,�
In COujoa lhomon and Snymi (Amm
Pc.lfnil ­­,;)ed !!1i', 3;J lav
I
INT
of Way Wryal ;qd Cant Revoirmy,
Cq f'.
RqP 5 A :

too, ct N61h WOM..
M rxAWMA Lvn hmnWid and Natwai R"MMU 0:-
c" Mews And Und Rewnnvm
UY W IV e', A A in W R&O
U, y VIV 131, E., N s Y1 y s t ) I p I 'jp- iff.
KYMM"k L•na ff'T nfpt_at::itTM: Wid Iuwl3'p',.Y""
only-yanoc",
Gnmi in t....`? a a I A 3x M loft 4 am or, Ulw 246 iiad lht-- Ohm W-
B,:st klw-lagcon,�! 1'zaciicT, kq �tuad. Oij;-, 1,-,r" gwfi"tr "o-c- 'diow-t-rd flwy onoc, 011�,
in I "A "J'A", "j'!
9, PROJECTENFOR-MAJ PON
rub &Pxer
MASON&.
"'H AO "Um me rw UUMM vlurh a 6. )14 iuditaf4ag ii.c. 4127$ AKA ic,ls, 4041 a" aww"k "T P"n W" to MA •".
10 111SURN A a;yjAh,.AV 1w
Sii,: A—j -h
,7, 11le
11�11Y1 I-Tt)p'-f "UMN4 CU up A by K*jwm s
to VQ
No to OM TO "w" A w is syhhw'�
R"W"d 414e WS th"A 10 WIL And InC&20 PlIV -UPWIJ
0 HLA WU kd No" 0, wm MAKh ;yy tqn, L.JO! it,11 �1,1 11.1 ij�'. Ili

i�. SCHEDAII-E OF COMPUANCE
&WWO and Qn, -C -A —C d CS a
e
wit 2 0, .q rt
swabs or o4lior vagOWed vuiwcMr;ws W No wpm A hmwfatcly,
3 "a perwfd&"f al; hines IYuKe the opuiakn :aid tuanduarce hewnw; to
cVwam to pemWj stourwatf;,,, nrlar!3Ce'�Ilellll -.�T ljpiiMUI_�` tc
a W US
3 Inspe,A�,;ns
ten
o Sedin ni ov of
C Mairtfing, and 'e­ifegeWin4 of tine side rdopes
(4- 41-me-diate leppir of erode "d
are"gs,
P! • Mlainlenan,-%e of side qk)pe.,i tn vizh rians an,0-
hk.,,trtanance of Ove! spieucors ;n;accoMwce w4h aupioved;Axns -nil O&M
I it, Tot
--, P I i -F, 1, te e �,'.'h a 11 s u b t n a t o f n e D w a d co r a I I d 1i; a 11 h a V e r i 1 x- (4 a P f 0 V, -i
Iovl:_('Cj pblis irid pitoi to construe"fi,"n'' for
niedification f,-,) llti-, aaproved Flans, nt_'!uding, bul qf It jinlited lej, those h+_�loiipv
P.ny i-v,,VfSwP to ony 0 Ke Wins SWWn on VW aMwMed OPM. MMAY9 the
a. PrtAect i-'a!ne unarge
C
;I' gzkr of owneWp
U, Rletlesqn or addMan W Te apprand arrimit 0 bwWuNn Wa oon be
Whaqe WKI
e Fiirthe'i or sell:ny of the proje:Cf area
f FPNng A aReamg cr pwmg any vegelat;ve crunveydrince •mn on it appwed
pm"
5 The oeurfee ~ nomi w, hkmat!on t-,y the nw?°,vx !J-,
(":Proc'cfratjve Wilnin Yle twno frarnip specsfied In !t:p wntten n4olfilation
No puk g SQH Oe Mlow(.,'d it Tr)intrnwrn asnount necessary to d,ie-,u' runoff
b&XXh 2n UW0WiC0S SUrf'-ICe as a 4siid' thalk fri;i,jnnuiii arnounz
.JlAef dill way% !-e,. provtdie a ,c;ttss to
"t, 1q wSoonsible 1`01 Veoing that th- "'C", 1>'j1j1•4jPr."1 '11'-a d"Oe" "n-i
eyr_" f =tf the alic)v;ab!� bulit-upon, aff�a Dice thf:;' icit transte'r is the built
(.pop -, rnyy Shit ht,, ievi! ed vithnut appruvW hon; the AwAun of Enegy Mmeml
and Lard Pencumps, and Q mem, the ndhu"n ama Mrs v,.
if�•;;•.'f':.'r!ed !') JhP ;EIdi)'dual �""Cpt�rty nwllt�f *!t"-'V!df_-�'J 'hal tho.
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Uw 6PWoWd Qns immt be nohd nn the
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'u rt: jii?w plans for wowpllance W�th th"� pIans
:Rs' ncludu 411 pr,4wsed WO igur awa (RUA) Any approvWx gwer by Vjjy
"W"unnye 01 Buanj act not reheye. the lot ownf-�, of re-qpon-sibility to nnointca ;
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