20041094 Ver 3_401 Application_20141202

Dennis W. Hawthorn
Coastal Permitting Assistance
252 5991040
den niswhawthorn(a)gmail.comt
Ms. Beverly Strickland
NCDENR
NC Division of Water Quality
1617 Mail Service Center,
Raleigh, NC 27699 -1652
November 21, 2014
Re: KINNAKEET SHORES PHASE 16, Avon, NC
GEORGE BROWN, Managing Member
Dear Ms. Strickland:
Enclosed in this packet, I have hopefully provided the necessary forms and attachments to review and issue a
401 Certificate regarding the subject site which was recently delineated by Kyle Barnes with the U S Army
Corps of Engineers. This delineation was a renewal of a previous delineation that expired. However, the
subdivision was originally planned and approved by Dare County based on the previous delineation. The new
delineation, however, in some locations significantly differed from the previous one and therefore has required
that the owners do some re- arranging and changing of this final phase of the previously approved subdivision.
After some layout revisions, they were able to arrange all the building envelopes to meet the County's setbacks
except in the case of four building sites.
At this point, the owners have the options of either loosing those four building sites or applying for the
necessary permits utilizing a small amount of wetland area to allow the building envelopes to still meet the
previously approved setbacks for the subdivision.
Considering the "fill" option, the owners could either wait until the individual building sites were sold, letting
the builders apply for individual NWP for each of the four sites that needed additional area or the
owner /developer could apply for one individual NWP now so that the project could move forward. This option
would result in less area overall being regained but would result in less overall impacts and likely move the
project along quicker.
In that the building industry and property owners, it is still experiencing economically very tough times, it will
be financially difficult to forgo the loss of four building sites. Therefore, the owners have asked that one NWP
18 and a 401 Certificate be issued so they can maintain the setback requirements for the building sites in this
final phase of the Kinnakeet Shores Subdivision. The requested total of 0.0993 of an acre will allow these four
lots to be positioned as previously permitted by Dare County and allow the owners to move forward with their
project, saving money, and time while minimizing impacts to coastal resources.
You and your staff's assistance in this review is greatly appreciated.
Sincerely,
Dennis W. Hawt o
Coastal Permitting Assistance
407 Angler Way Kitty Hawk, NC 27949
252 599 1040

Personal Account Information Redacted
Dennis W. Hawthorn
Coastal Permitting Assistance
252 5991040
den nis wna 0hu ,rra3" co r.t
November 24, 2014
Mr. Kyle Barnes
U. S. Army Corps of Engineers
Regulatory Field Office
2407 W. Fifth Street
Washington, NC 27889
Re: KINNAKEET SHORES PHASE 16, Avon, NC
GEORGE BROWN, Managing Member
Dear Mr. Barnes,
Enclosed in this packet, I have hopefully provided the necessary forms and attachments to review and issue a
NWP No. 18 regarding the subject site which we recently delineated, as you know. This delineation was a
renewal of a previous delineation that expired. However, the subdivision was originally planned and approved
by Dare County based on the previous delineation. The new delineation, however, in many locations
significantly differed from the previous one and therefore has required that the owners do some re- arranging
and changing of this final phase of the previously approved subdivision. After some layout revisions, they were
able to arrange all the building envelopes to meet the County's setbacks except in the case of four building sites.
At this point, the owners have the options of either loosing those four building sites or applying for the
necessary permits utilizing a small amount of wetland area to allow the building envelopes to still meet the
previously approved setbacks for the subdivision.
Considering the "fill" option, the owners could either wait until the individual building sites were sold, letting
the builders apply for individual NWP for each of the four sites that needed additional area or the
owner /developer could apply for one individual NWP now so that the project could move forward. This option
would result in less area overall being regained but would result in less overall impacts and likely move the
project along quicker.
In that the building industry and property owners, it is still experiencing economically very tough times, it will
be financially difficult to forgo the loss of four building sites. Therefore, the owners have asked that one NWP
18 and a 401 Certificate be issued so they can maintain the setback requirements for the building sites in this
final phase of the Kinnakeet Shores Subdivision. The requested total of 0.0993 of an acre will allow these four
lots to be positioned as previously permitted by Dare County and allow the owners to move forward with their
project, saving money, and time while minimizing impacts to coastal resources.
You and your staff's assistance in this review is greatly appreciated.
Sincerely,
Dennis W. Hawthorn
Coastal Permitting Assistance
407 Angler Way Kitty Hawk, NC 27949
252 5991040

Dennis W. Hawthorn
COASTAL PERMIT ASSISTANCE
407 Angler Way, Kitty, Hawk, NC 2794
252 - 599 -1040
Re: Kinnakeet Shores, Phase 16
TO THE USACE & NCDENR
The under signed has authorized that Dennis W. Hawthorn act on Kinnakeet Shores Phase 16 behalf for
the purposes of applying for a USACE and NC DWQ permits in order to obtain the necessary permits to
fill 0.10 A of US ACE jurisdictional wetlands in this subdivision located in the Village of Avon,
Dare County, NC, Parcel Index No. 054909057799.
George W. Brown, Kinnakeet Shores 16, Managing Member
/0
Date

Property Owner:
Address:
Telephone Number:
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW- 2014 -01747 County Dare U S G S. Quad: NC- BUXTON
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Kinnakeet Shores 16, LLC.
George Brown
17500 Fredrick Road
Mt. Airy, MD, 21771
ti
Size (acres)
22.91
Nearest Town
Avon
Nearest Waterway
Pamlico Sound
River Basin
Pamlico Sound. North Carolina.
USGS HUC
3020105
Coordinates
Latitude- 35.338759
Longitude: - 75.510015
Location description
The project site is located in the Kinnakeet Shores Subdivision in the town of Avon adjacent to
the Pamlico Sound and the Atlantic Ocean in Dare County
North Carolina
Indicate Which of the Following Apply:
A. Preliminary Determination
_ Based on preliminary information, there maybe 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 by the Corps This preliminary determination is not an appealable action
under the Regulatory Program Administrative Appeal Process (Reference 33 CFR Part 331). If you wish, you may request
an approved JD (which may be appealed), by contacting the Corps district for further instruction. Also, you may provide
new information for further consideration by "the Corps to reevaluate the JD.
B. Approved Determination
_ There are Navigable Waters of the United States within the above described property subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean 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 five years from the date of this
notification
X There are waters of the U S including wetlands on the above described property subject to the permit requirements of
Section 404 of the Clean Water Act (CWA)(33 USC § 1344) Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification
_ We strongly suggest you have the wetlands on your property delineated Due to the size of your property and/or our
present workload, the Corps may not be able to accomplish this wetland delineation in a timely manner. For a more timely
delineation, you may wish to obtain a consultant. To be considered final, any delineation must be verified by the Corps
_ The waters of the U S including wetlands on your project area have been delineated and the delineation has been
verified by the Corps We strongly suggest you have this delineation surveyed Upon completion, this survey should be
reviewed and verified by the Corps Once verified, this survey will provide an accurate depiction of all areas subject to
CWA jurisdiction on your property which, provided there is no change in the law or our published regulations, may be
relied upon for a period not to exceed five years.
X The waters of the U S including wetlands have been delineated and surveyed and are accurately depicted on the plat
signed by the Corps Regulatory Official identified below on 10/10/2014. Unless there is a change m the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification
There are no waters of the U S., to include wetlands, present on the above described project area which are subject to the
permit requirements of Section 404 of the Clean Water Act (33 USC 1344) Unless there is a change in the law or our
Page 1 of 2

Copy furnished
Dennis Hawthorn,
407 Angler Way
Kitty Hawk, North Carolina 27949

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THIS CERTIFIES THAT THIS COPY OF THIS PLAT ACCURATELY DEPICTS 1HE
BOUNDARY OF THE JURISDICTION OF SECTION 404 OF THE CLEAN WATER
ACT IN THE AREAS IMPACTED BY THE PRESENT PROPOSED AC" W. AS
DETERMWED BY THE UMW ON THIS DATE OTHER AREAS OF
JJRMCTM MAY BE PRESENT ON THE SITE BUT HAVE NOT BEEN
DEIJNEATED. UNLESS THERE IS CHANGE IN THE LAW OR OUR PUBLISHED
REGULATIOK THIS DETERMINATION OF SECTION 404 AMSDICTION MAY BE
RELIED UPON FOR A PERIOD NOT TO EXCEED FIVE YEARS FROM THIS DATE
THIS DETERMINATION WAS MADE UTILIZING THE APPROPRIATE REGIONAL
MSUPPLEMENT TO THE 1987 CORPS OF ENGINEERS WETLAND DELDWATION
REGULATORY OFFIMAL
TITLE
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USACE ACTION ID
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1331 53.51 I N2.0' 33' WE
134 38 38 I N71- 10' 211E
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361 39.43 I W 00' 181E
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21.83 S46. 30' 1511 3• FLAGGED WETLAND LOCATIONS WERE FIELD LOCATED IN
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SURVEYOR'S CERTIFICATION
I, Michael D. Barr, certify that this plot was draw
from an actual survey made under my supervisiol
recorded in Books referenced); that the boundono
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that the ratio of precision or positional accuracy
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21.83 S46. 30' 1511 3• FLAGGED WETLAND LOCATIONS WERE FIELD LOCATED IN
SEPTEMBER 2014.
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I, Michael D. Barr, certify that this plot was draw
from an actual survey made under my supervisiol
recorded in Books referenced); that the boundono
dearly indicated as drawn from information found
that the ratio of precision or positional accuracy
this map meets the requirements of The Standar,
28
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THIS CERTIFIES THAT THIS COPY OF THIS PLAT ACCURATELY DEPICTS THE
BOUNDARY OF THE JURISDICTION OF SECTION 404 OF THE CLEAN WATER
ACT IM 1HE AREAS IMPACTED BY THE PRESENT PROPOSED ACiMTY AS
DETERMINED BY THE UNDERSIGNED ON THIS DATE 07M AREAS OF
JURISDICTION MAY BE PRESENT ON THE SITE BUT HAVE NOT BEEN
DELINEATED. UNLESS 11B3tE IS CHANGE IN THE LAW OR OUR PUBLWED
REGULATIONS, THIS D£MONA71ON OF MOM 404 JURISDIC 10N MAY BE
RELIED UPON FOR A PMW NOT 70 EXCEED FiVE YEARS FROM 7HIS DATE
THIS DETERMINATION WAS MADE UflLMMG 714E APPROPRIATE REGIONAL
SUPPLEMENT TO THE 1887 CORPS OF ENGINEERS KIFLA NO DELINEATION
MANUAL
REGULATORY OFFICIAL
TITLE
DATE
USACE AC71014 ID
IWETLAND LINE TABLE WETLAND LINE TABLE WETLAND LINE TABLE WETLAND LINE TABLE
L2 14,57 MW 15' 4219 L42 29.00 S73' 68' 11E U!2 b4J98 I ml- OO' 3919 L122 13.08 318' Or 39'W
L3 11.68 Nay or 5319 L43 29.27 Nor 51' WE LW 46.24 jit3Y 2D' 2319 L123 69.67 S63' 00' S2'W
L4 18.88 S63 40' OB'E L44 24.30 N41' 34 Ir E UM 43.52 9W 38' 1WE L124 39.83 NBT 04' 30'W
L5 13.49 SW tT 25-E L45 2208 NT 19' 4rE L85 I M96 I Nor 13' B E I L1251 54.79 1 NW 2r &M
'A 3108 SW 2W 3519 I L48 44.94 N71' 37' 26-W LW 3556 N3r 43' 52E L126 4302 Nor 2r ww
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L12 19.54 Sm" 39' 0" L62 34.13 NTT 89' 43'W M I 60.30 I SIO' 2W On L132 25.63 N10' 43' 3rW
L13 8.92 N32' 56' 2rW L53 16.82 I N4T 4W 11'W L.93 I 4139 I Mo. 31' 13T U33 3331 N20' 33' WE
L14 36.49 N4. 41' 27-W L54 38.25 N8r 31' IrW L94 I b7.91 SM' 23' OW'W L134 30.38 N71' 10' WE
1.15 6&59 N26' 29 20'W l55 1 4&03 N40' 3W ALAS 1 3384 SXr 13' 18'19 ILIZI 3200 INW4r 2619
LIS 18.38 NM- 35' 22'W I LW T40.11 Wr OO' 14E L.96 34.64 SOr 69' 0419 L138 1 39.43 1 N6' 00' 1919
L17 45.75 N20- tr M-E-f L57 1 6&14 Nob' 24' o8E L97 31.19 X33' 4r 0819 L1371 1117 1 N3' OW 25'W
LIS 31.58 N45' 49' 44E L58 32.82 NM- OS' 1819 L96 8570 Mt' O4' 10E L136 7.89 N7W 4W 54'W
09 1 3&09_r"'54' 27E L59 97.07 N34 29' 3619 L99 28.17 N7r 10' 43 E LIM 3393 N50' OW 08'W
.20 6&56 MO' 3W O7" E 1.80 31.78 m0. 53' 34E L100 46.39 S19. 3C 4319 Lmo 18.67 Nob' 47- Ot'W
L21 5517 m' 3W wE I 1.61 2270 M4' 29' 12T L101 37.55 S79' 31' WE L141 1527 mr tW 11'M'
22 4562 NT 4r 37'11 I L62 37.86 N24 2f' 2119 I L102 73.82 S3T 00' 34'19 Lt42 28.92 1 mi' 16' 22"W
23 6289 MT or 1919 I L93 I 27.23 N09. 34' 3719 I L103 I 24.85 S26' OW 43'W 1 U431 0&78 1 Mr OW 00'W
24 38.37 N1' 21' ir'W 1.64 28.02 1 SW 2W bW'E I L104 41.QO 1 SW 24' 2019 I 1144 25.04 N7S 4W IIE
25 SL44 N8T 01' 14-W L85 71.02 N14' 36' 3SE L10S 8599 1 SW 24' 41-W L145 7.18 N34 21' 3819
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It 04.18 NW 10' 00'W L71 36.38 St8' 05' 19E L111 78.08 ISM 25 47'W LiSt 21.83 S48' 30' 15'W
33.22 NOD' b6' 24E L72 40.36 S4' S3' 47E 1.112 44.75 SIT O4' S3TM 1.152 3584 N67' 31' ov
39.21 N42' 3W 04E 1.73 29.28 N70' 1W 37'IT 1113 86.31 519' 4W Orw mw 8&46 Na. 64' 3OE
F 73.46 WM tr 0019 174 49.13 NW 21' " L114 47.62 St4 14' S4i L154 16.30 X34 42' DE
t9 N68 2r 25E L75 28.33 NS 24' 36'11 1115 39.81 Sir Or 31'W Lin 9393 4q9' b1' 01'19
59.50 N217 43' 81 W 1.78 4216 N7' 31' 26'W I uiq 71.1b I Sr 3T 26E tLIN I 28b8 NTT Sr 6719
48.26 N2r 4T 34E L77 WAS M4 00 0419 L117 43.98 Sir 29' 13TH L157 39.71 N4' W. 28'W
i5S4 Mt' SS' 39'E L78 4945 Wr SW 3519 L1t8 61.5N 1 S21' 43' MV LIS8 1 27.327 N42' 49' OS'W
34.12 NTT Ot' 2619 1.79 4502 N79' 14' 36E L119 3 &O5 S40 16' OB'W 1.158 1 �NIWWW 26.00 570' SO' 20'19 1..90 47.27 N7S 33' ICE 1.120 2283 ST 3r 17'19 1.160 8
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I PLUGGED WETLAND LOCATIONS WERE FIELD LOCATED IN
SEPTEMBER 2014.
GRAPHIC SCALE
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THIS CERTIFIES THAT THIS COPY OF THIS PLAT ACCURATELY DEPICTS THE
BOUNDARY OF THE JURISDICTION OF SECTION 404 OF THE CLEAN WATER
ACT IM 1HE AREAS IMPACTED BY THE PRESENT PROPOSED ACiMTY AS
DETERMINED BY THE UNDERSIGNED ON THIS DATE 07M AREAS OF
JURISDICTION MAY BE PRESENT ON THE SITE BUT HAVE NOT BEEN
DELINEATED. UNLESS 11B3tE IS CHANGE IN THE LAW OR OUR PUBLWED
REGULATIONS, THIS D£MONA71ON OF MOM 404 JURISDIC 10N MAY BE
RELIED UPON FOR A PMW NOT 70 EXCEED FiVE YEARS FROM 7HIS DATE
THIS DETERMINATION WAS MADE UflLMMG 714E APPROPRIATE REGIONAL
SUPPLEMENT TO THE 1887 CORPS OF ENGINEERS KIFLA NO DELINEATION
MANUAL
REGULATORY OFFICIAL
TITLE
DATE
USACE AC71014 ID
IWETLAND LINE TABLE WETLAND LINE TABLE WETLAND LINE TABLE WETLAND LINE TABLE
L2 14,57 MW 15' 4219 L42 29.00 S73' 68' 11E U!2 b4J98 I ml- OO' 3919 L122 13.08 318' Or 39'W
L3 11.68 Nay or 5319 L43 29.27 Nor 51' WE LW 46.24 jit3Y 2D' 2319 L123 69.67 S63' 00' S2'W
L4 18.88 S63 40' OB'E L44 24.30 N41' 34 Ir E UM 43.52 9W 38' 1WE L124 39.83 NBT 04' 30'W
L5 13.49 SW tT 25-E L45 2208 NT 19' 4rE L85 I M96 I Nor 13' B E I L1251 54.79 1 NW 2r &M
'A 3108 SW 2W 3519 I L48 44.94 N71' 37' 26-W LW 3556 N3r 43' 52E L126 4302 Nor 2r ww
L7 14.30 S74- OW WE L47 41.88 Wr 18' S89M W 1298 Sig' 27' IrE L127 M40 NW 2O' 3rW
LB 11.59 S81' 57 34E L48 2519 wtr 1W 48'E us tA.97 S37' 16' 31-W LIM 49.09 N81' 2W O6'W
L9 24.17 w 11' S31M L49 4&72 MS 3T 7WE L89 21.33 SST 01' 39'11 Lin 23.60 N38' 54' WE
L.io 1 77.15 N= o9. 4011' L50 8.68 m0' 36' WE LAO 5&49 527' 12' 17-E L130 4546 SW 33. 08 E
Lit 2&09 N4T 4T 25'1M LM t2.68 Inc 10' "I LAI 1 4136 1 SNr OW OBE L131 6213 041' SS WE
L12 19.54 Sm" 39' 0" L62 34.13 NTT 89' 43'W M I 60.30 I SIO' 2W On L132 25.63 N10' 43' 3rW
L13 8.92 N32' 56' 2rW L53 16.82 I N4T 4W 11'W L.93 I 4139 I Mo. 31' 13T U33 3331 N20' 33' WE
L14 36.49 N4. 41' 27-W L54 38.25 N8r 31' IrW L94 I b7.91 SM' 23' OW'W L134 30.38 N71' 10' WE
1.15 6&59 N26' 29 20'W l55 1 4&03 N40' 3W ALAS 1 3384 SXr 13' 18'19 ILIZI 3200 INW4r 2619
LIS 18.38 NM- 35' 22'W I LW T40.11 Wr OO' 14E L.96 34.64 SOr 69' 0419 L138 1 39.43 1 N6' 00' 1919
L17 45.75 N20- tr M-E-f L57 1 6&14 Nob' 24' o8E L97 31.19 X33' 4r 0819 L1371 1117 1 N3' OW 25'W
LIS 31.58 N45' 49' 44E L58 32.82 NM- OS' 1819 L96 8570 Mt' O4' 10E L136 7.89 N7W 4W 54'W
09 1 3&09_r"'54' 27E L59 97.07 N34 29' 3619 L99 28.17 N7r 10' 43 E LIM 3393 N50' OW 08'W
.20 6&56 MO' 3W O7" E 1.80 31.78 m0. 53' 34E L100 46.39 S19. 3C 4319 Lmo 18.67 Nob' 47- Ot'W
L21 5517 m' 3W wE I 1.61 2270 M4' 29' 12T L101 37.55 S79' 31' WE L141 1527 mr tW 11'M'
22 4562 NT 4r 37'11 I L62 37.86 N24 2f' 2119 I L102 73.82 S3T 00' 34'19 Lt42 28.92 1 mi' 16' 22"W
23 6289 MT or 1919 I L93 I 27.23 N09. 34' 3719 I L103 I 24.85 S26' OW 43'W 1 U431 0&78 1 Mr OW 00'W
24 38.37 N1' 21' ir'W 1.64 28.02 1 SW 2W bW'E I L104 41.QO 1 SW 24' 2019 I 1144 25.04 N7S 4W IIE
25 SL44 N8T 01' 14-W L85 71.02 N14' 36' 3SE L10S 8599 1 SW 24' 41-W L145 7.18 N34 21' 3819
26 38.38 M2' BY 41'W L66 49.38 N14' b3' 30-E L1p8 37.72 1 M4' N2' 2719 L146 5&08 N3T b6' 22-W
t7 4220 NU ST In L67 37.68 mT 01' 04E LIO7_L 29.60 I W tr 3219 L147 24.34 X79' 41' 4519
E 6800 N58' 3W 5719 L68 54.16 N3r 15''26'W UOB 47.73 S29' 19' 28'W U48 3547 S68 31' 11'W
* 49.90 N0 3r 03E L39 27.75 N29' 2t' 2319 La09 33.33 S78' 25 32E L149 49.49 SE' 3r 58'W
0 7.9
1 N62' 36' 25'W L70 21.93 wr 33' 4WE L110 71.75 SW 44' ZrW LIM 3&37 NST 3T 24'W
It 04.18 NW 10' 00'W L71 36.38 St8' 05' 19E L111 78.08 ISM 25 47'W LiSt 21.83 S48' 30' 15'W
33.22 NOD' b6' 24E L72 40.36 S4' S3' 47E 1.112 44.75 SIT O4' S3TM 1.152 3584 N67' 31' ov
39.21 N42' 3W 04E 1.73 29.28 N70' 1W 37'IT 1113 86.31 519' 4W Orw mw 8&46 Na. 64' 3OE
F 73.46 WM tr 0019 174 49.13 NW 21' " L114 47.62 St4 14' S4i L154 16.30 X34 42' DE
t9 N68 2r 25E L75 28.33 NS 24' 36'11 1115 39.81 Sir Or 31'W Lin 9393 4q9' b1' 01'19
59.50 N217 43' 81 W 1.78 4216 N7' 31' 26'W I uiq 71.1b I Sr 3T 26E tLIN I 28b8 NTT Sr 6719
48.26 N2r 4T 34E L77 WAS M4 00 0419 L117 43.98 Sir 29' 13TH L157 39.71 N4' W. 28'W
i5S4 Mt' SS' 39'E L78 4945 Wr SW 3519 L1t8 61.5N 1 S21' 43' MV LIS8 1 27.327 N42' 49' OS'W
34.12 NTT Ot' 2619 1.79 4502 N79' 14' 36E L119 3 &O5 S40 16' OB'W 1.158 1 �NIWWW 26.00 570' SO' 20'19 1..90 47.27 N7S 33' ICE 1.120 2283 ST 3r 17'19 1.160 8
43 53 S78' 15' 2719 Let 50.37 N40' O5' 21'19 1.121 438 S40 44 1819
BOUNDARY LINE TABLE
181E Imam I B mmo
Lt 12140 1 St0' 1T 4WW
NO7ES.
9/
9/
\ .a
La\ • r"'
1 c(/
3 G�
Lo I y`
3r
aaa`a000nw 311
I r
31
Ia J-1/
3� r
orract �am�'rtry� ��
♦ e�m. en �
1. AREA DETERMINED BY COORDINATE METHOD.
2 IRON PINS AT ALL PROPERTY CORNERS UNLESS
07MWM NOTED HEREON.
I PLUGGED WETLAND LOCATIONS WERE FIELD LOCATED IN
SEPTEMBER 2014.
GRAPHIC SCALE
200' 0 100' 200' 4
111111111111111111q �i
l
IN FEET )
1 inch = 200 fu

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address:
City, State:
County:
Directions:
STARBOARD DRIVE KINNAKEET SHORES
AVON, NC
DARE
OFF NC 12, AVON KINNAKEET BLVD OFF NC 12 TO STARBOARD DR
Parcel Index Number(s) (PN: 054909057799
B. REQUESTOR INFORMATION
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address I:
DENNIS W HAWTHORN
407 ANGLER WAY KITTY HAWK, NC 27949
252 - 599 -1040
denniswhawthorn @charter net
Select one:
❑ I am the current property owner.
❑✓ I am an Authorized Agent or Environmental Consultant
❑ Interested Buyer or Under Contract to Purchase
❑ Other, please explain.
C. PROPERTY OWNER INFORMATION
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address3:
GEORGE BROWN, MM for KINNAKEET SHORES 16, LLC
17500 FREDRICK RD MT AIRY, MD 21771
❑ Proof of Ownership Attached (e.g. a copy of Deed, County GIS/Parcel /Tax Record data)
1 If available
z Must attach completed Agent Authorization Form
3 If available
Version: December 2013 Page 3

Jurisdictional Determination Request
D. PROPERTY OWNER CERTIFICATION
1, the undersigned, a duly authorized owner of record of the property /properties identified herein,
do authorize representatives of the Wilmington District, U S. Anny Corps of Engineers (Corps)
to enter upon the property herein described for the purpose of conducting on -site investigations
and issuing a determination 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 Hai bors Act of
18�9�9
JL— Z.L
r"� ,�v t'�, . ; `j,'ifSZl�l���:✓„CG'r't!�'Y J'.�- �t'� .ate =''f /l �-y�
Property Owner (please print) Date
Property Owner Signature
E. JURISDICTIONAL DETERMINATION TYPE
Select One•
I am requesting that the Corps provide a preliminary JD for the property identified herein
This request does include a delineation
I am requesting that the Corps provide a preliminary JD for the property identified herein
This request does NOT include a delineation
I am requesting that the Corps investigate the property /project area for the presence or
absence of WoUS5 and provide an approved JD for the property identified herein This
request does NOT include a request for a verified delineation.
I am requesting that the Corps delineate the boundaries of all WoUS on a property /project
aiea and provide an approved JD (this may or may not include a survey plat).
I am requesting that the Corps evaluate and approve a delineation of WoUS (conducted
by others) on a property /project area and provide an approved JD (may or may not
include a survey plat)
4 For NCDOT requests following the current NCDOT /USACE protocols, skip to Part E
5 Waters of the United States
Version: December 2013 Page 4

Dennis W. Hawthom
Coastal Permitting Assistance
252 5991040
ns
November 18, 2014
Ms. Kelly Williams
NC Eco Enhancement Program
1652 Mail Service Center, Raleigh
NC 27699 -1652
Re: KINNAKEET SHORES PHASE 16,
GEORGE BROWN, Managing Member
Dear Ms. Williams:
Greetings to you and thank you for your assistance on the subject project thus far. As we
discussed, the applicants are applying for a NWP 18 in order to predominately provide for
shoreline stabilization along the shoreline of a man-made lake. In addition, a small portion
of the proposed fill will provide for stabilization to an adjacent wetland area. The applicant
has redesigned the project subdivision to minimize wetland fill. Instead of applying larger
fill amounts on multiple lots after the property building lots have been subdivided and
formalized through the County, the owners have opted to minimize fill in order to move the
project forward and with less impacts to coastal resources. . In this regard, we are applying
for permits with the US ACE & NCDWQ to obtain authorization to fill 0.10 A in order to
provide for these needed improvements, etc. As we discussed, a mitigation bank debit is not
available for the vicinity at this time.
The two associated pages concerning this In Lieu Fee Request should be attached to the
email accompanying this letter. If you have questions or need additional information, please
contact me at the email address above or the phone number below.
Thanks again,
Dennis W. Hawthorn
Coastal Permitting Assistance
Coastal Permitting Assistance
407 Angler Way Kitty Hawk, NC 27949
252 5991040

NORTH CAROLINA ECOSYSTEM ENHANCEMENT PROGRAM, NCEEP
- IE, h ; Revised June 18, 2014
.93 C --'s ...CC�:?.?�rc
CONTACT INFORMATION ;^ V APPLICANT'S AGENT ' APPLICANT
1. Business/Company Name ©� S ✓fit 03=a m tT l} s iT-VAP k r I Kt
2. Contact Person
3. Street Address or P O Box ki „ Lza 1-7 50U C(C I?
4. City, State, Zip k.t [-- �� 'Z i —
tit 21
5. Telephone Number 1 25 2_ s -41(2(- 4O - -7 2rx
6. E-Mail Address
7. Project Name
vbs W tAOVJ'{Ll01A i!� Cka
PROJECT INFORMATION
it vu-t
8. Project Location (nearest town, city) ; AvU tj, tiL C
�9. Lat -Long Coordinates or attach a map 3 S -] S e) -ZQ
10. County
DAi0c_:
11. River Basin & Cataloging Unit (8- digit)
(See Note 1)
12. Project Type * *indicate owner type and
write in protect type (e g school, church retail, I der Type: ❑ Government � Private
residential, apartments, road utilities military i Project Type:
etc )-° i 6UGO'lVI S 10 �l
13. Riparian Wetland Impact (ac.) (e.g., 0.13) I
14. Non - Riparian Wetland Impact (ac.) o Q pc� 3
15. Coastal Marsh Impact (ac.)
16. Stream Impact (ft.) (e.g. 1,234) Warm Cool Cold
i f
17. Riparian Buffer Impact (sq. ft)
Include subwatershed if Jordan or Falls Lake: ' Zone 1: Zone 2:
i
18. Regulatory Agency Staff Contacts
NCDWR:
USACE. Other.
�r By signing below, the applicant is confirming they ,have
0 revision to a current acceptance read and understand EEP's refund policy posted at
nceep.net and attached to is form.
El renewal of an expired acceptance Signat pp 'c nt or A horized Agent:
❑ extension of unexpired acceptance
Date• L
Note 1 For help in determining the Cataloging Unit, visit­,f ,,,,' r,ce ;> or contact EEP
Direct questions to Kelly Williams at 919 - 707 -8915 or i e­; -,'Is or to EEP's front desk at 919 - 707 -8976

Statement of Compliance with Session Law 2009 -337 An Act to Promote
the Use of Compensatory Mitigation Banks and SL 2011 -343.
Prior to accessing the Ecosystem Enhancement Program (EEO)- In -Lieu Fee Mitigation
Program, all applicants requesting wetlands, stream and /or riparian buffer mitigation are now
required by law to comply with Session Law 2009 -337 An Act to Promote the Use of
Compensatory Mitigation Banks and Session Law 2011 -343. All requests submitted on or
after June 27, 2011 MUST include this form signed and dated by the permit applicant or an
authorized agent. Please refer to _ _ -: _ for more detailed guidance
Compliance Statement:
I have read and understand SL- 2009 -337 and SL -2011 -343 and have, to the best of my
knowledge, complied with their requirements. I understand that participation in the
NCEEP is voluntary and subject to approval by permitting agencies.
Please check all that apply:
Applicant is a Federal or State Government Entity or a unit of local government
meeting the requirements set forth in G.S. 143- 214.11 (as amended by SL 2011-
343) and is not required to purchase credits from a mitigation bank.
There are no listed mitigation banks with the credit type I need located in the
hydrologic unit where this impact will take place,,- _ _ _
UT Mitigation bank(s) in the hydrologic unit where the impacts will occur have been
contacted and credits are not currently available.
The DWR or the Corps of Engineers did not approve of the use of a mitigation
bank for the required compensatory mitigation for this project.
p This is a renewal request and the permit application is under review. Bank
credits were not available at the time the application was submitted.
Enter date permit application was submitted for review:
Note: It is the applicant's responsibility to document any inquiries made to private mitigation
banks regarding credit availability.
29 L—W I have read and understand EEP's refund policies (attached)
initial here
r
l _
Sig ature of Applicant or /Agent
// l % C
Date
Project Name
I ,covlks 'TtL i VtG��
Printed Name
Location
Print Form

4
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
George Brown
Kinnakeet Shores 16, LLC
17500 Fredrick Road
Mt Airy, MD 21771
Project: Kinnakeet Shores Phase 16
Michael Ellison, Director John E, Skvarla, III
Ecosystem Enhancement Program Secretary
November 20, 2014
Expiration of Acceptance: May 20, 2015
County: Dare
The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program (NCEEP) is willing to accept
payment for compensatory mitigation for impacts associated with the above referenced project as indicated in the table below Please
note that this decision does not assure that participation in the NCEEP will be approved by the permit issuing agencies as mitigation
for protect impacts It is the responsibility of the applicant to contact these agencies to determine if payment to the NCEEP will be
approved You must also comply with all other state. federal or local government permits regulations or authorizations associated
with the proposed activity including SL 2009 -337• An Act to Promote the Use of Compensatory Mitigation Banks as amended by
S.L 2011 -343
This acceptance is valid for six months from the date of this letter and is not transferable If we have not received a copy of the
issued 404 Permit /401 Certification /LAMA permit within this time frame, this acceptance will expire. It is the applicant's
responsibility to send copies of the permits to NCEEP Once NCEEP receives a copy of the permit(s) an invoice will be issued based
on the required mitigation in that permit and payment must be made prior to conducting the authorized work The amount of the In-
Lieu Fee to be paid to NCEEP by an applicant is calculated based upon the Fee Schedule and policies listed at www nceep.net
Based on the information supplied by you in your request to use the NCEEP, the impacts that may require compensatory mitigation
are summarized in the following table. The amount of mitigation required and assigned to NCEEP for this impact is determined by
permitting agencies and may exceed the impact amnnnrc chnum hain.
Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation The mitigation will be performed
in accordance with the N C Department of Environment and Natural Resources' Ecosystem Enhancement Program In -Lieu Fee
Instrument dated July 28, 2010
Thank you for your interest in the NCEEP If you have any questions or need additional information, please contact Kelly Williams at
(919) 707 -8915
cc Kyle Barnes, USACE- Washington
Roberto Scheller, NCDWR- Washington
Dennis Hawthorn, agent
Sincerely,
James. B Stanfill
Asset Management Supervisor
1652 Mad Service Center, Raleigh, North Carolina 27699 -1652
Phone. 919 - 707 -89761 Internet, www.nodenr gov
An Equal Opportunity 1 Affirmative Acton Employer— Made in part by recycled paper
River
CU
Stream (feet)
Wetlands (acres) Buffer I Buffer Il
Basin
Location
(Sq Ft) (Sq Ft)
Cold
Cool
Warm
Ri arian
Non - Riparian Coastal Marsh I
Impact J
Tar - Pamlico
03020105
0
0
0
0
Up too 10 1 0 0 0
Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation The mitigation will be performed
in accordance with the N C Department of Environment and Natural Resources' Ecosystem Enhancement Program In -Lieu Fee
Instrument dated July 28, 2010
Thank you for your interest in the NCEEP If you have any questions or need additional information, please contact Kelly Williams at
(919) 707 -8915
cc Kyle Barnes, USACE- Washington
Roberto Scheller, NCDWR- Washington
Dennis Hawthorn, agent
Sincerely,
James. B Stanfill
Asset Management Supervisor
1652 Mad Service Center, Raleigh, North Carolina 27699 -1652
Phone. 919 - 707 -89761 Internet, www.nodenr gov
An Equal Opportunity 1 Affirmative Acton Employer— Made in part by recycled paper

�J 9
o
� o o�A o�`i v.3
Office Use Only -
Corps action ID no
DWQ project no
Form Version 14 January 2009
Page 1 of 10
PCN Form — Version 1.4 January 2009
Pre - Construction Notification (PCN) Formg PAIn
A.
Applicant Information
1.
Processing
la
Type(s) of approval sought from the Corps.
© Section 404 Permit {] Section 10 Permit
1 b Specify Nationwide Permit (NWP) number 18 or General Permit (GP) number
1 c
Has the NWP or GP number been verified by the Corps?
© Yes ❑ No
Id
Type(s) of approval sought from the DWQ (check all that apply)
Q 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
❑ Yes NX No
For the record only for Corps Permit
❑ Yes ❑X 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
or in -lieu fee program
❑X Yes ❑ No
1g
Is the project located in any of NC's twenty coastal counties If yes, answer 1 h
below
0 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.
KINNAKEET SHORES 16, LLC
2b
County
DARE
2c
Nearest municipality / town.
AVON
2d
Subdivision name
KINNAKEET SHORES
2e
NCDOT only, T I P. or state project no
3.
Owner Information
3a
Name(s) on Recorded Deed.
KINNAKEET SHORES 16, LLC
3b
Deed Book and Page No
1952/0419
3c
Responsible Party (for LLC if
applicable):
GEORGE BROWN, MANAGING MEMBER
DEC
3d
Street address-
17500 FREDRICK RD
3e
City, state, zip
MT AIRY, MD 21771 40NR -WATER RESOURCES
3f
Telephone no.
252 - 599 -1040 DENNIS W HAWTHORN, AGENT
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.
DENNIS W HAWTHORN
5b Business name
(if applicable) -
5c Street address
Before 12- 22 -14. . 407 ANGLER WAY, Kitty Hawk NC 27949
5d. City, state, zip.
After 12- 22 -14. 32B SANFORD ST, ST. AUGUSTINE, FL 32084
5e. Telephone no..
252 - 599 -1040
5f Fax no.
5g Email address
denniswhawthom @gmad corn
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a Property identification no (tax PIN or parcel ID)
PARCEL ID NO 014822269
1b Site coordinates (in decimal degrees):
Latitude. 35 338106 Longitude -75 511013
1c Property size
22.9 acres
2. Surface Waters
2a Name of nearest body of water to proposed project.
MAN -MADE LAKE, PAMLICO SOUND & ATLANTIC O
2b Water Quality Classification of nearest receiving water.
SA
2c River basin
TAR- PAMLICO
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
THE SITE IS AN EXISTING RESIDENTIAL SUBDIVISION (S/D) AROUND A MAN MADE LAKE THE MAJORITY OF BUILDABLE SITES HAVE
BEEN BUILT UPON IN THE PROJECTS PREVIOUS PHASES THE S/D IS PLANNED SUCH THAT ONLY THE BUILDABLE FOOTPRINTS OF THE
PROPERTY WILL BE BUILT UPON, ALLOWING FOR & MAINTAINING AS MUCH OPEN SPACE AS POSSIBLE & MINIMIZING IMPACTS
3b List the total estimated acreage of all existing wetlands on the property 1063
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property. 0
3d Explain the purpose of the proposed project
The protect is to provide for shoreline W or slope stabilization, & to allow the developer to continue to maintain the same area of budding envelopes tha
3e Describe the overall project in detail, including the type of equipment to be used,
The project includes 4 small fill areas These areas will result in overall minimal impacts compared to if individual property owners were to apply for 4 sE
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 phases) in the past?
0 Yes ❑ No ❑ Unknown
Comments
4b If the Corps made the jurisdictional determination, what type
of determination was made?
E] Preliminary ❑X Final
4c If yes, who delineated the jurisdictional areas?
Name (if known) Kyle Barnes
Agency /Consultant Company. US ACE
Other:
4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
Action ID SAW- 2014-01747
5. Project History
5a Have permits or certifications been requested or obtained for
this project (including all prior phases) in the pasty
Yes ❑ Unknown
0 ❑ No
5b If yes, explain in detail according to "help file" instructions.
This is a portion of an existing subdivision and previous County & State (Storm water) authorizations have been obtained
6. Future Project Plans
6a. Is this a phased project?
❑X Yes ❑ No
6b If yes, explain
This is the final phase of an easbng subdivision project
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)-
❑X Wetlands ❑ Streams — tributaries ❑ Buffers © Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted
2a.
2b
2c.
2d
2e.
2f
Wetland impact
Type of impact
Type of wetland
Forested
Type of junsdiction
Area of
number
Corps (404,10) or
impact
Permanent (P) or
DWQ (401, other)
(acres)
Temporary
W1 P
Fill
Non -Tidal Freshwater Marsh
No
Corps
00993
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
YeslNo
-
W6 -
Choose one
Choose one
YesMo
-
2g. Total Wetland Impacts:
00993
2h Comments*
The applicant is completing the development of a County approved subdivision based upon a previous wetland delineation that expired recently The
current delineation resulted in a significant reduction in the site's overall available buildable area However, to move the protect forward, the applicant
has opted to pursue one NWP18 instead of waiting, selling the individual lots then requiring the individual property owners to each seek their own NWP
which could result in four times the impact This option will allow the budding envelopes to meet the County sf requirements approved previously
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a
3b.
3c.
3d.
3e
3f.
3g
Stream impact
Type of impact
Stream name
Perennial (PER) or
Type of
Average
Impact
number
intermittent (INT)?
jurisdiction
stream
length
Permanent (P) or
width
(linear
Temporary
p ry m
(feet)
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
There will be no stream or open water impacts All associated fill and structures will be landward of the shoreline and NWL
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 indiv ually list all open water impacts below
4a.
Open water
impact number
Permanent (P) or
Temporary
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d
Waterbody
type
4e.
Area of impact (acres)
01 -
Choose one
Choose
02 -
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: N/A
5h Is a dam high hazard permit required?
E] 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 mite ation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin?
[] Neuse Tar - Pamlico 0 Catawba E] Randleman [J Other-
6b
Buffer Impact
number—
Permanent (P) or
Temporary
6c.
Reason for impact
6d.
Stream name
6e
Buffer
mitigation
required?
6f
Zone 1
impact
(square
feet )
6g
Zone 2
impact
(square
feet
131 -
Yes/No
B2 -
Yes/No
B3 -
YeslNo
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
la Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
The project involves the completion of a previously approved subdivision(S /D) that was originally based upon a previous wetland delineation th
recently expired The owners have redesigned the project to minimize impacts while still providing required County setbacks In order to avoid &
minimize impacts to coastal resources, the SID is planned so that only the budding envelopes of each lot well be disturbed allowing for more open
space, less earth disturbing activities & less potential sedimentation of adjacent waters and wetlands.
lb Specifically descnbe measures taken to avoid or minimize the proposed impacts through construction techniques
Construction will utilize sedimentation BMP's, including filtration cloth, seeding & mulching in order to avoid & minimize erosion & sedimentation
impacts to adjacent wetlands & nearby waters. No fill or structures will be placed in any open waters & silt fence will-be installed around the sites prior
to any filling activities
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a Does the project require Compensatory Mitigation for
impacts to Waters of the U S. or Waters of the State?
Yes ❑ No
2b If yes, mitigation is required by (check all that apply)-
❑ DWQ ® Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
® 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.
❑X 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 - npanan wetland mitigation requested:
025 acres
4g Coastal (tidal) wetland mitigation requested:
acres
4h. Comments, NWP 18, 0 25 acres of mitigation credits approved for 0 099 A of impact
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?
❑ Yes ❑X 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
15
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
la
Does the project include or is it adjacent to protected riparian buffers identified
E] Yes Q No
within one of the NC Ri arian Buffer Protection Rules
lb
If yes, then is a diffuse flow plan included? If no, explain why
D Yes No
2.
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
0%
2b
Does this project require a Stormwater Management Plan?
❑ Yes No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why.
The project is part of a previously approved subdivision which has a current storm water plan in place_
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
3a.
In which local government's jurisdiction is this ro"ect'7
DARE COUNTY
❑ Phase 11
3b.
Which of the following locally - implemented stormwater management programs
❑ NSW
apply (check all that apply):
❑ USMP
❑ Water Supply Watershed
© Other -
3c
Has the approved Stormwater Management Plan w% proof of approval been
es ❑ No
attached 0
4. DWQ Stormwater Program Review
OCoastal counties
❑HQW
4a
Which of the following state - implemented stormwater management programs apply
❑ORW
(check all that apply):
[]Session Law 2006 -246
❑Other.
4b
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached'?
5. DWQ 401 Unit Stormwater Review
5a
Does the Stormwater Management Plan meet the appropriate requirements?
Q Yes ❑ No
5b
Have all of the 401 Unit submittal requirements been mete
© Yes ❑ No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la Does the project involve an expenditure of public (federal/state/local) funds or the
Yes OX No
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
❑Yes ❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA) 7
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.1 300), DWQ Surface Water or Wetland Standards,
E] Yes © No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b Is this an after - the -fact permit application?
❑ Yes No
2c If you answered 'eyes" to one or both of the above questions, provide an explanation of the violation(s)
3. Cumulative Impacts (DWQ Requirement)
3a Will this project (based on past and reasonably anticipated future impacts) result in
[]Yes © No
additional development, which could Impact nearby downstream water quality.
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative Impact analysis in accordance with the
most recent DWQ policy If you answered "no,' provide a short narrative description.
The project will not result of the placement of any fill in open waters The wetland fill areas will be landward of the shoreline & fill will be retained
behind stabilization structures that wig use filtration fabric & the filled areas will be graded, seeded, Mulched & have sediment fence around the site
areas to prevent any sedimentation into any nearby waters
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 not involve any wastewater other than storm run off- The project areas will use BMP's & install sediment fence around the sites to
prevent any siltation of adjacent waters or wetlands
Page 9 of 10
PCN Form — Version 1.4 January 2009

S. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected species or
Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
El Yes QX No
impacts?
5c If yes, indicate the USFWS Field Office you have contacted
-NA
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
6. Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitat?T
❑ Yes Q 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 © 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?
NA
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA - designated 100 -year floodplain? 7-59
Yes ❑ No
8b If yes, explain how project meets FEMA requirements:
The project includes only the placement of eathen fill stabilized behind a retaining wall structure
8c What source(s) did you use to make the floodplain determination?
Local FEMA mapping
Dennis W. Hawthorn
11 -21 -2014
Applicant/Agent's Printed Name
Date
plicaktAgent's Signature
4
( gents signature is valid only if an authorization
letter from the applicant is provided
Page 10 of 10

FILL AREA LINE TABLE
LINE
LENGTH
BEARING
L2
7.99
N29' D8' 18'W
L3
31.31
N60' 51' 42'E
L4
12.99
S41' 34' 18 -W
L5
19.41
S49' 51' 38'W
L6
21.58
N11' 30' 22 -W
L7
12.39
N11' 16' 22'W
L8
29.41
N2' 05' DO'W
1_9
45.74
N68' 50' 55'E
L10
40.00
S21. 09' 05'E
Lit
57.47
S68' 50' 55 -W
L12
45.36
N84' 14' 2r
L13
j 40.00
j S5' 45' 33 -E
L14
17.83
S84' 14' 27'W
L15
39.02
N48' 03' 47'W
L16
11.22
N12' 16' 11'W
L17
36.12
N38' 57' 55'W
L18
36.00
N51' 27' 11'E
L19
13.05
S38' 57' 55 -E
L20
25.41
S40' 16' 08 -W
L21
21.17
S7' 32' 17 -E
BOUNDARY LINE TABLE
LINE
LENGTH
BEARING
L1
22.40
S10' 17' 48 -W
PROPOSED 404 WETLAND
FILL AREA 1 Ds�os
143 SF
+a KTnums 1
RETAINING WALL/
PROPOSED 404 WETLAND \
FILL AREA 1 �
16.0 CU. YDS. IA,
5=
0-
DETAIL RETAINING WALL
NOT TO SCALE
FINISH GRADE = 6.9'
EXISTING GROUND
FURTHERMOST EXTENTS
OF WETLAND TO BE
FILLED
/ °AY I PROPOSED 404 WETLAND
FILL AREA 2
04WEn.as 2,093 SF
LW
__�_BULKHEAD WATER ELEV. =1.5
N+�
aeF FINISH GRADE = 6.7'
PROPOSED 404 WETLAND
FILL AREA 2
5 -_ ... ...... , 264 CU, YDS.
NWL WATER ELEV. =1.5
DETAIL
FURTHERMOST EXTENTS EXISTING NOT TO SCALE
OF WETLAND TO BE GROUND
FILLED
SURVEYOR'S CERTIFICATION
I, Michael D. Barr, certify that this plat was drawn under my supervision
from an actual survey made under my supervision (deed and description
recorded in Books referenced); that the boundaries not surveyed are
clearly indicated as drawn from information found in Books referenced;
that the ratio of precision or positional accuracy is 1:10,000; and that
this map meets the requirements of The Standards of Practice for
Land Surveying in North Carolina (21 NCAC 56. 1600).'
Witness my original signature, registration number and seal this
day of 14.
6
Professional Land Surveyor
IIICNAIRI O
SEAL
L -1756 o
° 9ya � z e
�11111'Y,111114 ,\N
PROPOSED 404 mEs
ww WETLAND FILL AREA
3
PROPOSED 404 WETLAND
1,406 SF NWL WATER ELEV. =1.5`
� FILL AREA 4
686 SF
17X J BULKHEAD BULKHEAD
NWL WATER ELEV. =1.5
' PROPOSED 404 WETLAND
g0d FINISH GRADE = 6.9' FILL AREA 4 � / FINISH GRADE = 5.4'
PROPOSED 404 WETLAND 49 CU. YDS.
FILL AREA 3 -
NWL WATER ELEV. =1.5
5_ - x 180 CU. YDS. _
NWL WATER ELEV. =1.5 W _
0- BULKHEAD BULKHEAD -0
DETAIL DETAIL
EXISTING NOT TO SCALE NOT TO SCALE EXISTING FURTHERMOST EXTENTS
FURTHERMOST EXTENTS GROUND GROUND OF WETLAND TO BE
OF WETLAND TO BE FILLED
FILLED
SH ESA ASE 12
C z
P.C.E, SL. 672
1
ECMEI
_,
/� 4
C1
DRIVE
PROPOSED \
EIP Q
NET
1
22.00 ACRES
404 NETLAND -�
404
•rs
10.63 ACRES
w
FILL AREA 1
D.B.
-11.37 ACRES
NDTTER V JOINT
,_RE
JOIN c-!
GEORGE = GDODRIcN
8
143 SF
N.
IN WETLAND
AMES
AC
ACRES
~
O
r4
w
cr
w
U
M�
A
O
°a
W
E_
W 0
CLI
m
_8
;
0
AREA TRACT
i
1
ECMEI
=22.91 _XMff
"§
£
P6R
DRIVE
: 0.91 ACRES
EIP Q
NET
1
22.00 ACRES
/
404
NIPS
10.63 ACRES
P.C.
UPLAN
D.B.
-11.37 ACRES
NDTTER V JOINT
,_RE
JOIN c-!
GEORGE = GDODRIcN
AK ARE I I
A ABO
I( LUDED
� �A3
N.
IN WETLAND
AMES
fbs /
5 E1
PROPOSED
404
ON SF
KINNMIEET SNORES R1'
PHASE 17 33
C. E. a. en
SURVEY LEGEND
ECMEI
EXISTING CONCRETE MONUMENT
SIR OQ
SET IRON ROD
EIR Q
EXISTING IRON ROD
EIP Q
EXISTING IRON PIPE
CP o
CALCULATED POINT
M.B.L.
MAXIMUM BUILDING LIMIT
N.T.S.
NOT TO SCALE
P.C.
PLAT CABINET
D.B.
DEED BOOK
SL
SLIDE
SF
SQUARE FEET
AC
ACRES
3
1.406 SF
I INNAKEET SNORES
PHASE 17 �'•/�
P.PHASE
GRAPHIC SCALE
200' 0 100' 200' 400'
( IN FEET )
1 inch = 200 ft.
I As
J
NOTES:
KXS *SHORE'
K: NAD x!3(2001) COORDINATES
3.042.207�LI O
SF: 0.99987972
C6
(
I\
r1
U
a
$
v
4
U
UiS
4
••�
W�Eas
LAKESI SNORES
R NMEET 0I
gM
P.CNC iii!
yOe
Ulm
°c
•
m
°B-
PROPOSED
9
404
VVLAND
2
/
2.093 SF
PROPOSED, //
WTLAM
Ens
ES@
3
1.406 SF
I INNAKEET SNORES
PHASE 17 �'•/�
P.PHASE
GRAPHIC SCALE
200' 0 100' 200' 400'
( IN FEET )
1 inch = 200 ft.
I As
J
NOTES:
KXS *SHORE'
K: NAD x!3(2001) COORDINATES
3.042.207�LI O
SF: 0.99987972
C6
E
o
4 g
•�ao 3 S
$
W
4
4
••�
W�Eas
LAKESI SNORES
R NMEET 0I
gM
P.CNC iii!
1. AREA DETERMINED BY COORDINATE
METHOD.
2. IRON PINS AT ALL PROPERTY CORNERS
UNLESS OTHERWISE NOTED HEREON.
3. FLAGGED WETLAND LOCATIONS WERE FIELD
LOCATED IN SEPTEMBER 2014.
4. TOTAL PROPOSED 404 FILL AREA = 4,328
SF
5. SEE SHEET TWO FOR FURTHER DETAIL
a a
0
E
o
4 g
•�ao 3 S
°c-'. a
gel
NN
2
m m
D) _N
2.1 g
•
yOe
Ulm
°c
•
m
°B-
Ens
ES@
~
O
r4
w
cr
w
U
M�
O
°a
W
E_
W 0
CLI
m
0
i
0
I
Z '
DATE:
11 -21 -14
SCALE
1 =200'
MSB
MDB
BPG
SHEET:
1
2
CAD FlLE
152300404FILL
PRO„ECT N0:
1523

PROPOSED 404 WETLAND
FILL AREA 1
143 SF
PROPOSED 404 WETLAND
FILL AREA 1
16.0 CU. YDS.
DETAIL
NOT TO
SCALE
0—
UPLANDS
UPLANDS
404 WETLANDS 1
RETAINING WALL /
36.00
5-
0—
RETAINING WALL
FINISH GRADE = 6.9'
EXISTING GROUND
FURTHERMOST EXTENTS
OF WETLAND TO BE
FILLED
45.01 I
RETAINING WALL PROPOSED 404 WETLAND
FILL AREA 2
404 WETLANDS 2,093 SF
LAKE
BULK�NWL WATER ELEV. =1.5
' 56.68' I�
RETAINING WALL
I
FIt\II�H GRADE = 6.7'
DOSED 404 WETLAND
FILL AREA 2
264 CU. YDS.
NWL WATER ELEV. =1.5
FURTHERMOST EXTENTS Lkt)IIINU
OF WETLAND TO BE GROUND
FILLED
DETAIL
NOT TO
SCALE
0 zx
O
P.C.E, SL. 672
5=
0—
44.60
63.00'
PROPOSED 404
WETLAND FILL AREA
I
1,406 SF
I
IMP BULKHEAD
TAINING W
�.� NWL WATER ELEV. =1 .5
POSED 404 WETLAND
FILL AREA 3
180 CU. YDS.
NWL WATER ELEV. =1.5
FURTHERMOST EXTENTS
OF WETLAND TO BE
FILLED
NWL WATER ELEV. =1.5
BULKHEA
PROPOSED 404 WETLAND
FILL AREA 4
49 CU. YDS.
NWL WATER E
DETAIL
NOT TO
SCALE
tnI�) I IINu
GROUND
12.65'
I/
DETAIL
NOT TO
SCALE
DOSED 404 WETLAND
FILL AREA 4
686 SF
E71 N iicu TRADE = 5.4'
—5'
—0
FURTHERMOST EXTENTS
OF WETLAND TO BE
FILLED
EXISTING
GROUND
�
o
x
�
F
w �
O
�
W
0
w
E,
°a
O
a
v^ N`: SGALF
11 -21 -14 1-200'
e�
v^ N`: SGALF
11 -21 -14 1-200'