20050854 Ver 3_401 Application_20150814

STROUD ENGINEERING, P.A.
CONSULTING ENGINEERS
102 -D CINEMA DRIVE
WILMINGTON, NORTH CAROLINA 28403
(910) 815 -0775
August 4, 2015
N.C. Division of Water Resources
Attn: Jennifer Burdette
401 /Buffer Coordinator
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699 -1617
Re: Smith Tract, Anchor's Watch at Saltwater Landing
Wetland Permit (PCN) Application
Dear Ms. Burdette,
Attached to this cover letter are the PCN application, a Wetland Impacts map and other
requirements in order to obtain a Nationwide Permit 18 for the proposed driveway on the Smith
Tract in Surf City, North Carolina. There is one permanent wetland impact proposed (.009 acres) to
allow the owners access to the southern portion of their property.
Thank you for your assistance with this permit. I look forward to your response regarding
this project. Please let me know if you have any further questions.
Respectfully,
ames entress Jr., P.E.
troud ngineering, PA
107 COMMERCE ST HESTRON PLAZA TWO
SUITE B 102 -D CINEMA DRIVE 151 -A HWY 24
GREENVILLE, NC 27858 WILMINGTON, NC 28403 MOREHEAD CITY, NC 28557
(252) 756 -9352 (910) 815 -0775 (252) 247 -7479

o� war�q
2 0 1 5 6 8 2 6
Boa qG Office Use Only
> > At Corps action ID no.
o Y DWQ project no
a Form Version 1.4 January 2009
Pre - Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the Corps: I ❑X Section 404 Permit ❑ Section 10 Permit
1b Specify Nationwide Permit (NWP) number: 18 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? I ❑ Yes Q No
1d. 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 For the record only for DWQ For the record only for Corps Permit-
because written approval is not required? 401 Certification.
❑ Yes Q No ❑ Yes Q No
1f. Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts If so, attach the acceptance letter from mitigation bank ❑ Yes ❑X No
or in -lieu fee program.
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h n Yes ❑ No
below.
1h Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes ❑X No
2. Project Information
2a. Name of protect: Smith Tract at Anchor's Watch in Saltwater Landing
2b. County: I Pender County Ij
2c. Nearest municipality / town. I Surf City
2d. Subdivision name: I Anchor's Watch in Saltwater Landing
2e. NCDOT only, T.I P or state project no:
3. Owner Information
3a. Name(s) on Recorded Deed. Saltwater Landing LLC
3b Deed Book and Page No. 2739/085 ���� f5' v
3c. Responsible le Party (for LLC if Alena Smith !� t,
t
3d. Street address 636 RAVENSWOOD ROAD w 1 4 2n
3e. P• p City, state, zip. Hampstead NC 28443 v '
y -1'R i
3f Telephone no.: 910- 279 -3851 yo r 8u FER
3g. Fax no.:
3h. Email address, fishsmith3 @gmail.com
Page 1 of 10
PCN Form — Version 1.4 January 2009 d
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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-
1 5. Agent/Consultant Information (if applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d City, state, zip:
5e. Telephone no.*
5f Fax no.
5g. Email address:
James H. Fentress, Jr. P.E.
Stroud Engineering, P.A.
102 D Cinema Drive
Wilmington, NC 28403
(910)815 -0775
(910)815 -0593
jfentress @stroudengineer.com
Page 2 of 10
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I B. Project Information and Prior Project History
1. Property Identification
1a Property Identification no. (tax PIN or parcel ID): 1 4225 -94 -1688 -0000
1 b. Site coordinates (In decimal degrees): I Latitude: 34 Longitude. 77
1c. Property size. 4.66 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project: Becky's Creek
2b. Water Quality Classification of nearest receiving water: SA; HQW
2c River basin. White Oak
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 wooded presently Most of the surrounding area's lots are developed with single family homes. However, to the West of the subject lot is a
large wooded area
3b. List the total estimated acreage of all existing wetlands on the property: 0 94
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:
A 392 square foot area (0.009 acres) is proposed to be disturbed for a driveway in order for the owners to have access to the southeast portion of
3e. Describe the overall project in detail, including the type of equipment to be used:
3d cont )their property 3e)A 12 foot wide driveway will be constructed over a narrow portion of the wetland with a backhoe, dumptruck, and bulldozer.
4. Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the ❑ Yes ❑X No ❑ Unknown
Corps or State been requested or obtained for this property !
project (including all prior phases) in the past? Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made? ❑Preliminary El Final
4c If yes, who delineated the jurisdictional areas? Agency /Consultant Company: Land Management Co.
Name (if known): Land Management Co. Other-
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a Have permits or certifications been requested or obtained for El Yes ❑X No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project? I ❑ Yes ❑X No
6b. If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009
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C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply)*
❑X Wetlands ❑ Streams —
tributaries ❑ Buffers
❑ Open Waters
❑ Pond Construction
2. Wetland Impacts
3a. 3b.
3c. 3d. 3e. 3f.
3g.
Stream Impact Type of impact
If there are wetland impacts proposed on the site, then complete this question
for each wetland
area impacted.
intermittent (INT)? jurisdiction stream
2a. 2b.
2c.
2d.
2e.
2f.
Wetland Impact Type of impact
Type of wetland
Forested
Type of jurisdiction
Area of
number
Corps (404,10) or
impact
Permanent (P) or
S4 - Choose one
DWQ (401, other)
(acres)
Temporary (T)
S6 Choose one
-
1i
W1 P Fill
Non -Tidal Freshwater Marsh
Yes
Corps I
0.009
W2 Choose one
Choose one
Yes /No
W3 Choose one
Choose one
Yes /No
l
W4 Choose one
Choose one
Yes /No
1 W5 Choose one
Choose one
Yes /No
' W6 Choose one
Choose one
Yes /No
2g Total
Wetland impacts:
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream
Impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b.
3c. 3d. 3e. 3f.
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 (T)
(feet)
feet)
81 Choose one
S2 Choose one
S3 Choose one
-
S4 - Choose one
S5 - Choose one
-
S6 Choose one
-
1i
3h. Total stream and tributary impacts
3i. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009

4, Open Water Impacts
❑ Yes ❑ No if yes, permit ID no.
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
51 Expected pond surface area (acres):
4a 4b. 4c.
4d 4e.
Open water Name of waterbody
5j. Size of pond watershed (acres).
impact number (if applicable)
Type of impact Waterbody Area of impact (acres)
Permanent (P) or
type
Temporary (T)
i
101 I
Choose one Choose
-
02 I
i
Choose one Choose
03 1 I
i
Choose one Choose
04 I I
Choose one Choose
you MUST fill out Section D of this form
4f. Total open water impacts I
4g Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a. 5b 5c. 5d.
Pond ID number Proposed use or Wetland Impacts (acres) Stream Impacts (feet)
purpose of pond
Flooded Filled Excavated Flooded Filled Excavated
P1 Choose one
P2 Choose one
5f. Total:
5g. Comments:
5e. j
Upland
(acres)
I
5h. Is a dam high hazard permit required?
❑ Yes ❑ No if yes, permit ID no.
51 Expected pond surface area (acres):
I
5j. Size of pond watershed (acres).
5k. Method of construction
6. Huffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list
all buffer impacts
below. If any impacts require mitigation, then
you MUST fill out Section D of this form
6a. Project is in which protected basin?
❑ Neuse ❑ Tar - Pamlico ❑ Catawba ❑ Randleman
❑ Other:
6b. 6c.
6d. 6e 6f
6g
Buffer Impact Reason for impact
Stream name Buffer
Zone 1
Zone 2
number—
mitigation
impact
impact
Permanent (P) or
required?
(square
(square
Temporary (T)
feet)
feet)
B1 I
Yes /No
B2 I I
Yes /No
B3 I I
Yes /No I
B4 I I
Yes /No
B5 I
Yes /No
B6
Yes /No
I
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
The proposed driveway is located at the narrowest section of the wetland so that the impact minimized
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
These temporary impacts will be minimized during construction by the use of silt fence on both sides of driveway during installation of the culvert.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ❑ Yes X❑ No
impacts to Waters of the U.S. or Waters of the State2
2b. If yes, mitigation is required by (check all that apply): ❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
projects ❑Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a Name of Mitigation Bank:
Type: Choose one Quantity-
3b. Credits Purchased (attach receipt and letter) Type: Choose one Quantity-
Type: Choose one Quantity:
3c. Comments-
4. Complete if Making a Payment to In -lieu Fee Program
4a Approval letter from in -lieu fee program is attached ❑ Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature. Choose one
4d Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested acres
4f. Non - riparian wetland mitigation requested. acres
4g. Coastal (tidal) wetland mitigation requested, acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan
Page 6 of 10
PCN Form —Version 1 4 January 2009
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6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
r
6a. Will the project result in an impact within a protected riparian buffer that requires Yes �X 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
(square feet) (square feet)
Zone 1 I 3 (2 for Catawba)
Zone 2 I 1.5 g
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,
4-
Page 7 of 10
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E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified ❑ Yes ❑X No
within one of the NC Riparian Buffer Protection Rules?
1 b If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑X No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 3%
2b. Does this protect require a Stormwater Management Plan? ❑ Yes E9 No
2c If this project DOES NOT require a Stormwater Management Plan, explain why:
Less than one acre of disturbance does not require Stormwater Management Plan
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 project?
3b Which of the following locally - implemented stormwater management programs
apply (check all that apply).
3c. Has the approved Stormwater Management Plan with proof of approval been
attached?
4. DWQ Stormwater Program Review
4a. Which of the following state - Implemented stormwater management programs apply
(check all that apply):
4b. Has the approved Stormwater Management Plan with proof of approval been
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
5b Have all of the 401 Unit submittal requirements been met?
INCDENR
❑ Phase II
❑ NSW
❑ USMP
❑ Water Supply Watershed
[ 1 Other:
❑ Yes ❑X No
MCoastal counties
MHQW
❑ ORW
❑Session Law 2006 -246
❑ Other:
❑ Yes ❑X No
❑ Yes ❑ No
❑X 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
use of public (federal /state) land9
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)?
1 c If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.)
Comments,
2. Violations (DWQ Requirement)
O Yes O No
❑Yes O No
O Yes ❑ No
2a Is the site in violation of DWQ Wetland Rules (15A NCAC 2H.0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, O Yes 0 No
or Riparian Buffer Rules (15A NCAC 2B.0200)?
2b. Is this an after - the -fact permit application? O Yes O No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in I [� Yes Q No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a Clearly detail the ultimate treatment methods and disposition (non - discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility
Wastewater will be disposed by septic tank and on -site drainfield.
Page 9 of 10
PCN Form —Version 1.4 January 2009
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G. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur In or near an area with federally protected species or Yes OX No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ❑ Yes [Eg No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? I ❑ Yes QX 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 0 Yes 0 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?
B. Flood zone Designation (Corps Requirement)
8a. Will this project occur In a FEMA- designated 100 -year floodplain?
8b, If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
North Carolina Flood Mapping System/North Carolina Flood Risk Information System
STRUcD PA-
'TA.m F(II
Applicant/Agent's Printed Name
_,
App can Agent's i nature
gent's sign lure Is valid only an authorization
letter f in the applicant is provided.)
\t __
Page 10 of 10
❑ Yes
nX No
Date

OWNER / AGENT AUTHORIZATION
Scope of Work: Wetland Services
Location: Saltwater Landing
Surf City, Pender County, North
Carolina
This form authorizes Stroud Engineering, P.A. to act as our
agent in stream/wetland matters including U.S. Army Corps of
Engineers and North Carolina Division of Water Quality field
verification and permit application. �-Aell &'��
❑ Owner [ Agent
Property � F6V aRtLW& Wcb n ' , UC,
Address:
(WrilMa Fho�'2 �a,�
r7 TN �2��. 414 - tW-W D
7y aM $ PIN 4225 - 34 - 77X1v-0C0v
Owner Information:
Name: �Wi�A)Gkv LLC
Address: r -ROS4 (Nk , 09-'-Bu 0111D
-SuV -P &�j IN,' 2B�
Telephone qto Number: g-lq /n c5 l

Fax
Number: r)4
E -mail
Address:
Signature:
Date:

V[ NOTT C Ap
F
.... _
YM01O r J 100 YEAR FLOOD ELEVATION CONTOUR
ELEVATION 9' (DATUM N.G.V.D. 19291
MAP BOOK 12 PAGE 17 ELEVATION 8' (DATUM N.A.V.D. 1988)
SITE
PENDER COUNTY REGISTRY
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WETLAND IMPACT PLAN
SALTWATER LANDING
SECTION 3
TOOK OF Std):' CITY
�DESIGNED:JHF
�DRAWN:KBN
l APPROVED: JHF
TOPSAIL 706ISHIP PElM Ca*l? kWTH CAOOLIMA
DATE: 8/4/15 ,PROJECT NO.:PW T44
SCALE: 1" °100' DRAWING NO.:
'W: / /PW744 /dgn/
SHEET 1 OF 2 Wetland Crossing_
�Aleno
100 0 100 200
........ 1......... I ................... I ...................
�
GRAPHIC SCALE:
C-0647
SN STROUD ENGINEERING. P.A.
t N670N.11C 2M3
j 5 ", I �F, 7-- � 7, —,
OWNER: ALENA SMITH
ADDRESS: 636 RAVENSWOOD ROAD
HAMPSTEAD. NC 28443
PHONE= 1910) 2T9 -3651

....., _ _
VIC, N 1 C Y 1v1AN
NOT TO SCALE
r-�
SITE
IMPACT AREA
24 CY
•
WETLAND Qj EX.
OUNDARY
B' DIAMETER STEEL
ARCH (BURIED 1'
BELOW EX. GRADE)
PROPOSED WETLAND
CROSS IMPACT SECTION
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GALVANIZED
BOLT WITH NUT
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All• _ °• , `\ \\ EX. WETLAND ANCWIT H BO NUT / 24"
/ BOUNDARY
NOTE: WETLAND IMPACTS SHALL BE LIMITED TO AREA
OUT OF STREAM BANKS. STREAM IMPACTS SHALL
BE TEMPORARY ONLY AS NECESSARY FOR CONSTRUCTION.
IHTLAND IMPACT PLAN
SALTWATER
LANDING
SECTION 3
TORN OF SIWF' CI TT
TOPSAIL TOM MIP
KIM COUNT? NMTN CAROLINA
DESIGNED:JHF
DATE: 8/4/15
;PROJECT NO.:PW T44
I
DRAWN:KBN
3
SCALE: 1"100" (DRAWING NO.:
W: / /PWT44 /dgn/
APPROVED:JHF N
SHEET 2 OF
2 =Wetland Crossing_
,Aleno
10 0 10 20
GRAPHIC SCALE:
C.
STROUD ENCINEERING4 P.A.
WD a#UA DMVE
PW3
24"
;0•F
JA ES FE T M ,"1R7, P -E
OWNER: ALENA SMITH
ADDRESS: 636 RAVENSWOOD ROAD
HAMPSTEAD. NC 28443
PHONE: [phone]
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Smith Tract USACE Wetland Permit Calculations
WETLAND CROSSING DRAINAGE AREA
SURFACE C, COEFFICIENT n, Manning's Coefficient
(ASPHALT 0.95 0.011
f GRASS 0.25 0.15
DRAINAGE AREA (AC) IMPERVIOUS AREA (AC) I GRASSED AREA (AC) C
'Total Area 11.20 2.52 8.68
Time of Concentration
Drainage Area
Length (ft)
1357.00
Slope
0.0133
C
0.41
n
0.12
m
0.60
a
1.446
n
0.41 0.12
City: Surf city, NC Storm: 10 year I
Nearest Station: Wilmington WSOAirport; NC from NOAA's National weather service ( ht tp: / /hdsc.nws.noaa.gov /hdsc /pfds/J
Tr, Trial Time (min) Intensity (In /hr)
Tc, Time of Concentration
5
9.7
41.75
10
7.76
45.65
15
6.54
48.88
30
4.74
55.60
60
3.09
65.97
120
1.93
79.64
180
1.39
90.81
360
0.866
109.73
(((C17)/(C22' (C27' (C19/43200))A(2/3 ))) AC21) /60=Tc
(Flow (CFS)
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VI -17

U.S. ARMY CORPS OF ENGINEERS Form Approved -
APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT OMB No. 0710 -0003
33 CFR 325. The proponent agency is CECW CO -R. Expires: 30- SEPTEMBER -2015
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 reviewing 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 notwithstanding any other provision of law, no person shall be
subject to any penalty for failing 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 11413; 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 -ILLED BYAPPLICANT)
5. APPLICANTS NAME 8. AUTHORIZED AGENT'S NAME AND TITLE (agent is not required)
First - Alena Middle - Last - Smith First - James Middle -H Last - Fentress
Company - Company - Stroud Engineering, PA
E-mail Address - ftshsmith3 a gmail.com E -mail Address - jentress Qstroud engineer.com
6. APPLICANTS ADDRESS: 9. AGENTS ADDRESS:
Address- 636 Ravenswood Road Address- 102D Cinema Drive
City - Surf City State - NC Zip - 28443 Country -USA city - Wilmington State - NC Zip - 28403 Country -USA
7, APPLICANT'S PHONE NOs. w /AREA CODE 10. AGENTS PHONE NOs, w /AREA CODE
a. Residence b. Business c. Fax a. Residence b, Business c. Fax
910 - 279 -3851 910- 815 -0775 910 -815 -0593
STATEMENT OF AUTHORIZATION
11. 1 hereby authorize, James H. Fentress to act in my behalf as my argent In the processing of this application and t ( t
supplemental Information in support of this perMaafiopf-� ( n E F APPLIC NT DAVE
AUG g D
NAME, LOCATION, AND DESCRIPTION OF PROJECT OR ACTIVITY L DENR —w
4n� P - ,r,-
12. PROJECT NAME OR TITLE (see Instructions)
vV�rER PERMINCu
Smith 'Tract in Anchors Watch at Saltwater Lauding
13. NAME OF WATERBODY, IF KNOWN (if applicable)
14 PROJECT STREET ADDRESS (if applicable)
Address at end of South Brig Drive
15 LOCATION OF PROJECT
Latitude: -N 39 ^2622" Longitude: -W 77 ^34'38"
City - Surf City
16. OTHER LOCATION DESCRIPTIONS, IF KNOWN (see instructions)
State Tax Parcel ID 4225 -94 -1688 -0000 Municipality Surf City
Section - 2 Township - Topsail Range -
State- NC Zip- 28443
ENG FORM 4345 ' . DEC 2014 .... _..._ .. ..._ .. PREVIOUS EDITIONS ARE OBSOLETE. ....._._.— ._..._.__... ...._...._ ........................___ ........,_........_..._........
Pago 1 of 3

17. DIRECTIONS TO THE SITE
From Wihnington take US -17 North toward Jacksonville. Turn right onto NC Highway 210 East. Take a right onto Saltwater Landing
Drive. Take a right onto South Brig Drive. Property is located at the end of South Brig Drive,
18. Nature of Activity (Description of project, include all features)
A 392 square foot area (0.009 acres) is proposed to be disturbed for a driveway in older for the owners to have access to the southeast
portion of their property.
19. Project Purpose (Describe the reason or purpose of the project, see instructions)
The Smith's are proposing to construct a residence on the -I -/- 5 acre lot, located in Surf City, NC Most of the surrounding area's lots are
developed. However, to the West of the subject lot is a large wooded area.
USE BLOCKS 20 -23 IF DREDGED AND /OR FILL MATERIAL IS TO BE DISCHARGED
20. Reason(s) for Discharge
The discharge is proposed for the purpose of being able to access the other side of the property.
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
24 cubic yards
22. Surface Area in Acres of Wetlands or Other Waters Filled (see Instructions)
Acres 0.009 acres
or
Linear Feet
23. Description of Avoidance, Minimization, and Compensation (see instructions)
The proposed driveway is located at the narrowest section of the wetland so that the impact minimized.
ENG FORM 4345, DEC 2014 Page 2 of 3

24. Is Any Portion of the Work Already Complete? QYes QNo IF YES, DESCRIBE THE COMPLETED WORK
25. Addresses of Adjoining Property Owners, Lessees, Etc., Whose Properly Adjoins the Waterbody Of more than can be entered here, please anadt a supplemental Est)
a. Address- PO 13OX 2190
city - SURr CITY State - NC Zip - 28445
b. Address- 104 DECKYS CIRCLE
City- HAMPSTEAD State - NC zip - 28443
c. Address- 106 BECKY'S CIRCLE
City- HAMPSTEAD State - NC Zip - 28443
d. Address-
city- state - Zip -
e. Address-
City - State - Zip -
26. List of Other Certificates or Approvals /Denials received from other Federal, Stale, 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, building, and flood plain permits
27. Application is hereby made for permit or permits to authorize (lie work described In this application. 1 certify that this information In this application Is
co%and I furth rtify that I possess the authority to undertake the work described herein or m acting as the duly authorized agent of the
apRE O AP CUr D E / 9IG RE b AG I!T DATE
The Application must be gned by the person who desires to undertake the proposed d 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
fraudulent statements or entry, shall be fined not more than $10,000 or imprisoned not more than five years or both.
l;NG FORM 4345, DEC 2014 Page 3 of 3