20141115 Ver 1_Individual_20141022

ENVIRONMENTAL PROFESSIONALS, INC.
Planning for a Better Environment
P.O. Box 3368
Kill Devil Hills, NC 27948
Telephone: [phone]
Fax: [phone]
Email: obxwood @yahoo.com
TO: North Carolina Division of Water Quality
401 Wetlands Unit
Attn: Ms. Karen Higgins
1650 Mail Service Center
Raleigh, NC 27699 -1650
X ATTACHED
TL. TIER OF TRANRv=AL
DATE: October 17, 2014
JOB NO.: 013 -058
RE: Richard Cohen — 2165 Colington
Road
COPIES
DATE
DESCRIPTION OF DOCUMENTS
5
10 -9 -14
ENG FORM 4345
5
8 -14 -14
11 x 17 Plat
l
10 -17 -14
$240.00 Application Fee — EPI Check #5224
THESE ARE SUBMITTED AS CHECKED BELOW:
X For your approval
For your use
_ As requested
REMARKS:
X Review & Comment
Other:
COPY TO: Mr. Rick Cohen
U.S. Army Corps of Engineers /Attn: Mr. Kyle Barnes
Project File
SIGNED: % lllJH,?D
George . Wood, EP, PWS
Environmental Professionals, Inc.

2 0 1 4 1 1 1 5
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U S ARMY CORPS OF ENGINEERS 0 d 13 l
APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT - -
OMB APPROVAL 0710-0 3
EXPIRES 28 FEBRUARY 2013
33 CFR 325 The proponent agency is CECW -CO -R
Public reporting for this collection of information is estimated to average 11 hours per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and review ng the collection of information Send comments regarding
this burden estimate or any other aspect of the collection of information, including suggestions for reducing this burden, to Department of Defense,
Washington Headquarters, Executive Services and Communications Directorate, Information Management Division and to the Office of Management and
Budget, Paperwork Reduction Project (0710 -0003) Respondents should be aware that notwnthstanding any other provision of law, no person shall be
subject to any penalty for fading to comply with a collection of information if it does not display a currently valid OMB control number Please DO NOT
RETURN your form to either of those addresses Completed applications must be submitted to the District Engineer having jurisdiction over the location of
the proposed activity
PRIVACY ACT STATEMENT
Authorities Rivers and Harbors Act, Section 10, 33 USC 403, Clean Water Act, Section 404, 33 USC 1344, Marine Protection, Research, and Sanctuaries
Act, Section 103, 33 USC 1413, Regulatory Programs of the Corps of Engineers, Final Rule 33 CFR 320 -332 Principal Purpose Information provided on
this form will be used in evaluating the application for a permit Routine Uses This information may be shared with the Department of Justice and other
federal, state, and local government agencies, and the public and may be made available as part of a public notice as required by Federal law Submission
of requested information is voluntary, however, if information is not provided the permit application cannot be evaluated nor can a permit be issued One set
of original drawings or good reproducible copies which show the location and character of the proposed activity must be attached to this application (see
sample drawings and/or instructions) and be submitted to the District Engineer having jurisdiction over the location of the proposed activity An application
that is not completed in full will be returned
(ITEMS 1 THRU 4 TO BE FILLED BY THE CORPS)
1 APPLICATION NO
2 FIELD OFFICE CODE
3 DATE RECEIVED
4 DATE APPLICATION COMPLETE
(ITEMS BELOW TO BE FILLED BYAPPLICAN7)
5 APPLICANTS NAME
8 AUTHORIZED AGENTS NAME AND TITLE (agent is not required)
First - Rick Middle - Last - Cohen
First - George Middle - H. Last - Wood
Company - Outer Banks Landscaping
Company - Environmental Professionals, Inc.
E -mail Address - rick @outerbankslandscaping.com
E -mail Address - obxwood @yahoo.com
6 APPLICANTS ADDRESS
9 AGENT'S ADDRESS
Address- 110 Lee Court
Address- P.O Box 3368 - 1404 S Virginia Dare Trail
City - Kill Devil Hills State - NC Zip-27948 Country-USA
City - Kill Devil Hills State - NC Zip-27948 Country-USA
7 APPLICANT'S PHONE NOs WAREA CODE
10 AGENTS PHONE NOs WAREA CODE
a Residence b Business c Fax
a Residence b Business c Fax
252- 441 -4692
252- 423- 1234(cell) 252 -441 -0239 252- 441 -0721
STATEMENT OF AUTHORIZATION
11 I hereby authorize, George H Wood to act in my behalf as my agent in the processing of this application and to fumish, upon request,
supplemental information in support of this permit application
2014 -10 -09
SIGNATURE OF APPLICANT DATE
NAME, LOCATION, AND DESCRIPTION OF PROJECT OR ACTIVITY
12 PROJECT NAME OR TITLE (see instructions)
Outer Banks Landscaping
13 NAME OF WATERBODY, IF KNOWN (if applicable)
14 PROJECT STREET ADDRESS (if applicable)
Colington Bay
Address 2165 Colington Road
15 LOCATION OF PROJECT
Latitude -N 36 011688 Longitude -W -75 710455
City - Kill Devil Hills State- NC Zip- 27948
16 OTHER LOCATION DESCRIPTIONS, IF KNOWN (see instructions)
State Tax Parcel ID 018657000 987306299181 Municipality Kill Devil Hills (outside)
Section - Township - Colington Range -
ENG FORM 4345, OCT 2012 PREVIOUS EDITIONS ARE OBSOLETE Page 1 of 3

17 DIRECTIONS TO THE SITE
Turn west off of US 158 onto Colington Road and travel 3 5 miles Property is on left
18 Nature of Activity (Description of project, include all features)
Prepare property to support a commercial landscaping business which includes access and parking for proposed retail store, track access
and turn around for product delivery, storage area for product, and two greenhouses for plant propagation and finishing.
19 Project Purpose (Describe the reason or purpose of the project, see instructions)
The commercial site is proposed to be improved for a commercial landscaping and retail business
USE BLOCKS 20 -23 IF DREDGED AND /OR FILL MATERIAL IS TO BE DISCHARGED
20 Reason(s) for Discharge
In order to accommodate the sewage disposal on existing highground, the structures are required to be placed on areas of wetland fill
21 Type(s) of Material Being Discharged and the Amount of Each Type in Cubic Yards
Type Type Type
Amount in Cubic Yards Amount in Cubic Yards Amount in Cubic Yards
Sand - 2,418 Cubic Yards
22 Surface Area in Acres of Wetlands or Other Waters Filled (see instructions)
Acres 0.50 acres
or
Linear Feet
23 Description of Avoidance, Minimization, and Compensation (see instructions)
The project has been designed to accommodate only the facilities necessary for commercial use as a landscaping/retail business Fill will
be installed with 3:1 slopes stabilized at the base with silt fence
ENG FORM 4345, OCT 2012 Page 2 of 3

r
24 Is Any Portion of the Work Already Complete? QYes FX No IF YES, DESCRIBE THE COMPLETED WORK
25 Addresses of Adjoining Property Owners, Lessees, Etc , Whose Property Adjoins the Waterbody (if more than can be entered here, please attach a supplemental list)
a Address- Seaside Vacations: 4108 Ivy Lane
City - Kitty Hawk State - NC Zip - 27949
b Address- Gary Kennedy: 2125 Colington Road
City - Kill Devil Hills State - NC Zip - 27948
c Address- B &S Development, LLC: P.O Box 237
City - Kill Devil Hills State - NC Zip - 27948
d Address -
City - State - Zip -
e Address-
City - State - Zip -
26 List of Other Certificates or Approvals/Dernals received from other Federal, State, or Local Agencies for Work Described in This Application
AGENCY TYPE APPROVAL' IDENTIFICATION DATE APPLIED DATE APPROVED DATE DENIED
NUMBER
Would include but is not restricted to zoning, budding, and flood plain permits
27 Application is hereby made for permit or permits to authorize the work described in this application i certify that this information in this application is
complete and accurate I further certify that I possess the authority to undertake the work described herein or am acting as the duly authorized agent of the
applicant vo�)
SIGNATURE OF APPLICANT DATE SIGNATURE Or AGENT DAME
The Application must be signed by the person who desires to undertake the proposed activity (applicant) or it may be signed by a duly
authorized agent If the statement In block 11 has been filled out and signed
18 U S C Section 1001 provides that Whoever, in any manner within the jurisdiction of any department or agency of the United States
knowingly and willfully falsifies, conceals, or covers up any trick, scheme, or disguises a material fact or makes any false, fictitious or
fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false, fictitious or
11fraudulent statements or entry, shall be fined not more than $10,000 or imprisoned not more than five years or both
ENG FORM 4345, OCT 2012 Page 3 of 3

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