20080341 Ver 1_CAMA Application_20080222

08-0341
JAN 2 9, _U,3
Office Use Only: Form Version March 05
USACE Action ID No. DWQ No. 0_01T Fm ; - v,,
(If any particular item is not applicable to this project, please enter No Applicable or f?T/
1. Processing p ? iU L. 17 2807
.......
1. Check all of the approval(s) requested for this project: wash'ingtrn 1lelu." <ery lRd Oft
Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested:&iy.
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here:
p ,. 3 ov -
H. Applicant Information
FF.B ?, ?a ?_008
1. Owner/Applicant Information
?? .. TER BRA
Name: ?1i.9 ?, 1 i" <%L 1 v A e o C -Ca' V Z
Mailing Address: l? e' r c„4 t. ,? ?p Mas PINU
li / ,tv / G 7
Telephone Number: ?_5 2 •y q G- G' :2 U 7 Fax Number:
E-mail Address:4 10 2..r. 6y"r /-1-? 41.1 , Cu At
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Updated 11/12005
Page 5 of 12
M. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans. are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project:
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): ? (P 0 'a G/ q 41
4. Location F county: 13 eu r© in 7 Nearest Town: w a 5 A
Subdivision name (include phasellot number): 0,i A to /4 !:?, Pd 5 ",,a r 3
Directions to site (include road numbers/names, landmarks, etc.):??, It l? f
a,,,,<<r
,16,660, -0 TO r 414 of gof*1r 172 ??ry /25w411
7-0 ? ?? 2 7` c1r Ar ?i 'S, l e 1.-0 T' i r .w4 , I., I eml t..t ?
5. Site coordinates (For linear projects, such as a road or utility line,. attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): ON OW
6. Property size (acres):YR 10 A C
7. Name of nearest receiving body of water: P '.1m J ?r
8. River Basin: 4 /t // °I mil f C D
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at ht!p://h2o.enr.state.ne.us/admin/mqps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: C fa a^e ?, 2 A,?LZAAJ
Updated 11/1/2005
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used:
Et ta L2 42
11. Explain the purpose of the proposed work: as
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for -this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date, permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules. 1& T -4 wJ T &Awd /,4 de" e25
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclu5jon of this work from the current application.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's. (or agent's) responsibility to.determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads).. Be sure. to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts:
Updated 11/12005
Page 7 of 12
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
,._i-_ i__,..W?..,.+,. A-+„ 1,"+'k v1r>rfiire and flonding-
Se UUII' l 116L 1111 aCw UU%1 L ------ -
hi
d
i
tance to
Di
Area of
Wetland Impact
Site Number
(indicate on map)
Type of Impact T e of Wetland
yp
(e.g., forested, marsh,
bog, etc.)
herbaceous, n
t
w
Locate
100-year
Floodplain
es/no s
Nearest
Stream
(linear feet Impact
(acres)
t

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property:
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
_. L? : ,.,.,,yea -r„ na1-hfe arrPaaP midtinly length X width. then divide by 43,560.
111USL U
Stream Impact
Number
indicate on ma G U11i1UU%1U. 1 V vaa

Stream Name __ L.v.,•.. .•, ---.--

Type of Impact -- - --- -- -
Perennial or
Intermittent.? -
Average
Stream Width
Before Impact
Impact
Length
(linear feet
Area of
Impact
acres

Total Stream Impact (by length and acreage)
X 5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
1~11 rlvaAtr;na flnnrlinv drainage- bulkheads. etc.
1111 \+A1+
,
Open Water Impact
Site Number
(indicate on ma) (1YGLiVU ,savu
f f
Name of Waterbody
(if applicable)

ype of Impact

Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.)

Area of
Impact
acres

Total Open Water Impact (acres)
Updated 11/1/2005
Page 8 of 12
6. List 1
he cumulative impact to all Waters of the U.S. resulting from the project
Stream Impact (acres):
Wetland Impact acres):
O en Water Impact acres :
Total Impact to Waters of the U.S. (acres)
Total Stream Impact (linear -feet):
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes [No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands 0 stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Updated 11/12005
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
bitp://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http•//h2o.enr.state.nc.us/ M/iridex.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Updated 11/1/2005
Page 10 of 12
IX.
X.
I Zone* 1pacl I Multiplier I Required
3 (2 for Catawba)
1.5
Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state/16cal) funds or the use of
public (federal/state) land? Yes ? No
2. If yes,_ does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No )A6
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No V
Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) .responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ? No ?]
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
3.
type of mitigation is proposed (i.e.,
Enhancement, or Payment into the
appropriate information as identified
Total I NIA _ I I I
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1. .
If buffer mitigation is required, please discuss what
Donation of Property, Riparian Buffer Restoration /
Riparian Buffer Restoration Fund). Please attach all
within 15A NCAC 2B .0242 or.0244, or.0260.
Updated 11/1/2005
Page 11 of 12
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. A(lr
XII. Sewage, Disposal (required by DWQ)
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.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No [
Is this an after-the-fact permit application? Yes ? No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes. ? No M
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
hgp://I-i2o.enr.state.ne.us/newetlands. If no, please provide a short narrative description:
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
(Agent's signature is valid only if an authorization letter from the applicant is
Updated 11/1/2005
Page 12 of 12
--- --s
_.
Beaufort County
Land Records / GIS
NC PIN : 6603-18-3494
Scale : 1 Inch = 99 Feet.
N
W B
s
Date : 07116/2007
+++++ +++++ +++++ DISCLAIMER +++++ +++++ +++++
THIS MAP IS PREPARED FOR THE INVENTORY OF REAL PROP-
ERTY IN ACCORDANCE WITH N.C. LAND RECORDS TECHNICAL
SPECIFICATIONS FOR BASE, CADASTRAL AND DIGITAL
MAPPING SYSTEMS. GRAPHIC ILLUSTRATIONS HEREON ARE
COMPILED FROM RECORDED DEEDS, PLATS AND OTHER
PUBLIC RECORD RESOURCES. PERSONS ARE HEREBY
NOTIFIED TO CONSULT ALL APPLICABLE PUBLIC RECORDS
FOR VERIFICATION. BEAUFORT COUNTY AND ITS AGENTS
ASSUME NO LEGAL RESPONSIBILITY FOR THE ACCURACY OF
INFORMATION DEPICTED ON THIS MAP.
Online Maps: www.co.beaufort.mus
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. SAW-2007-02666-107 County: Beaufort USGS Quad: Blounts Bay
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner / Authorized Agent: Mr. Shady Brantley and Mrs. Cheryl Brantley
Address: 101 Harbour Way
Washington, North Carolina
27889
Telephone No.: f252) 946-9247
Size and location of property (water body, road name/number, town, etc.): Property is a 0.49 acre lot located on the
south side of NCSR 1323 adjacent to an unnamed tributary to the Pamlico River in Beaufort County east of
Washington.
Description of projects area and activity: Applicant proposes to place fill in 0.06 acres of jurisdictional wetlands for
the construction of a single family residence.
Applicable Law: ® Section 404 (Clean Water Act, 33 USC 1344)
? Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Regional General Permit Number:
Nationwide Permit Number: NW-18
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
conditions and your submitted plans. Any violation of the attached conditions or deviation from your submitted plans may subject the
permittee to a stop work order, a restoration order and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide authorization is modified,
suspended or revoked. If, prior to the expiration date identified below, the nationwide permit authorization is reissued and/or
modified, this verification will remain valid until the expiration date identified below, provided it complies with all requirements of
the modified nationwide permit. If the nationwide permit authorization expires or is suspended, revoked, or is modified, such that the
activity would no longer comply with the terms and conditions of the nationwide permit, activities which have commenced (i.e., are
under construction) or are under contract to commence in reliance upon the nationwide permit, will remain authorized provided the
activity is completed within twelve months of the date of the nationwide permit's expiration, modification or revocation, unless
discretionary authority has been exercised on a case-by-case basis to modify, suspend or revoke the authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Quality (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA),
prior to beginning work you must contact the N.C. Division of Coastal Management.
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal,
State or local approvals/permits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory
program, please contact Tracey L. Wheeler [phone] ex 24.
Corps Regulatory Offici& Date: 08/14/2007
Expiration Date of Verification: 08/24/2010
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we continue to do so,
please complete the attached customer Satisfaction Survey or visit !Lq://www.saw.usace.anny.miYWETLANDS/index.html to
complete the survey online.
Copy Furnished:
Page 1 of 2
Determination of Jurisdiction:
? Based on preliminary information, there appear to be waters of the US including wetlands within the above described project area.
This preliminary determination is not an appealable action under the Regulatory Program Administrative Appeal Process
(Reference 33 CFR Part 331).
? There are Navigable Waters of the United States within the above described project area 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.
® There are waters of the US and/or wetlands within the above described project area 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.
? The jurisdictional areas within the above described project area have been identified under a previous action. Please reference
jurisdictional determination issued . Action ID
Basis of Jurisdictional Determination: This site exhibits wetland criteria as described in the 1987 Corps Wetland Delineation
Manual and is adiacent to an unnamed tributary of the Pamlico River.
Corps Regulatory
Date 08/14/2007
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORMS, PROJECT PLANS, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
Copy Furnished:
Page 2 of 2
Action ID Number:SAW-2007-02666-107 County:Beaufort
Permittee: Shady and Cheryl Brantley
Date Permit Issued: 08/14/2007
Project Manager: Tracey Wheeler
Upon completion of the activity authorized by this permit and any mitigation required by the permit,
sign this certification and return it to the following address:
US ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
WASHINGTON REGULATORY FIELD OFFICE
POST OFFICE BOX 1000
WASHINGTON, NORTH CAROLINA 27889
Please note that your permitted activity is subject to a compliance inspection by a U. S. Army Corps of
Engineers representative. If you fail to comply with this permit you are subject to permit suspension,
modification, or revocation.
I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and condition of the said permit, and required mitigation was completed in
accordance with the permit conditions.
Signature of Permittee
Date
APPROVED JURISDICTIONAL DETERMINATION FORM
U.S. Army Corps of Engineers
This forni should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook.
SECTION I: BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD): 07/17/2007
B. DISTRICT OFFICE, FILE NAME, AND NUMBER:CESAW-RG-W SAW-2007-02666-107Shady Brantley
C. PROJECT LOCATION AND BACKGROUND INFORMATION: Project property a 0.49 acre lot located on the south side of NCSR
1323 adjacent to an unnamed tributary to the Pamlico River in Beaufort County east of Washington.
State:North Carolina County/parisb/borough: Beaufort City: Washington
Center coordinates of site (latflong in degree decimal format): Lat. 35.4874° N, Long. -77.9799° W.
Universal Transverse Mercator: 18 NAD83 Datum
Name of nearest waterbody: Pamlico River
Name of nearest Traditional Navigable Water (TNW) into which the aquatic resource flows: Pamlico River
Name of watershed or Hydrologic Unit Code (HUC): Tar/Pamlico
M Check if map/diagram of review area and/or potential jurisdictional areas is/are available upon request.
Check if other sites (e.g., offsite mitigation sites, disposal sites, etc...) are associated with this action and are recorded on a different JD
form.
D. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
Office (Desk) Determination. Date:
[D Field Determination. Date(s): 02/28/2007
SECTION H: SUMMARY OF FINDINGS
A. RHA SECTION 10 DETERMINATION OF JURISDICTION.
There Pick List "navigable waters of the U.S." within Rivers and Harbors Act (RHA) jurisdiction (as defined by 33 CFR part 329) in the review
area. [Required]
? Waters subject to the ebb and flow of the tide.
Waters are presently used, or have been used in the past, or may be susceptible for use to transport interstate or foreign commerce.
Explain:
B. CWA SECTION 404 DETERMINATION OF JURISDICTION.
There Pick List "waters of the U.S." within Clean Water Act (CWA) jurisdiction (as defined by 33 CFR part 328) in the review area [Required]
1. Waters of the U.S.
a. Indicate presence of waters of U.S. in review area (check all that apply): '
TNWs, including territorial seas
® Wetlands adjacent to TNWs
Relatively permanent waters'` (RPWs) that flow directly or indirectly into TNWs
Non-RPWs that flow directly or indirectly into TNWs
? Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs
? Impoundments of jurisdictional waters
[Q Isolated (interstate or intrastate) waters, including isolated wetlands
b. Identify (estimate) size of waters of the U.S. in the review area:
Non-wetland waters: linear feet: width (ft) and/or acres.
Wetlands: 0.06 acres.
c. Limits (boundaries) of jurisdiction based on: 1987 Debi' eation Manual
Boxes checked below shall be supported by completing the appropriate sections in Section III below.
z For purposes of this form, an RPW is defined as a tributary that is not a TNW and that typically flows year-round or has continuous flow at least "seasonally" (e.g.,
typically 3 months).
Elevation of established OHWM (if known):
2. Non-regulated waters/wetlands (check if applicable):'
Potentially jurisdictional waters and/or wetlands were assessed within the review area and determined to be not jurisdictional.
Explain:
SECTION III: CWA ANALYSIS
A. TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs. If the aquatic resource is a TNW, complete Section
III.A.1 and Section III.D.1. only; if the aquatic resource is a wetland adjacent to a TNW, complete Sections III.A.1 and 2 and Section
HI.D.l.; otherwise, see Section III.B below.
1. TNW
Identify TNW: Pamlico River.
Summarize rationale supporting determination: Pamlico River is a designated Section 10, Navigable water.
2. Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is "adjacent": Wetlands connect directly to manmade navigable canal which
extends less than 150 feet from the Pamlico River. Wrack lines on the property indicate that water flows from the river, into the canal
and up on to the wetlands on the property.
B. CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF ANY):
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands, if any, and it helps determine
whether or not the standards for jurisdiction established under Rapanos have been met.
The agencies will assert jurisdiction over non-navigable tributaries of TNWs where the tributaries are "relatively permanent waters"
(RPWs), i.e. tributaries that typically flow year-round or have continuous flow at least seasonally (e.g., typically 3 months). A wetland
that directly abuts an RPW is also jurisdictional. If the aquatic resource is not a TNW, but has year-round (perennial) flow, skip to
Section ULD.2. If the aquatic resource is a wetland directly abutting a tributary with perennial flow, skip to Section HIMA.
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation. Corps districts and EPA
regions will include in the record any available information that documents the existence of a significant nexus between a relatively
permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water, even though a significant
nexus finding is not required as a matter of law.
If the waterbody4 is not an RPW, or a wetland directly abutting an RPW, a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW. If the tributary has adjacent wetlands, the significant nexus evaluation must consider
the tributary in combination with all of its adjacent wetlands. This significant nexus evaluation that combines, for analytical purposes,
the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is the tributary, or its adjacent
wetlands, or both. If the JD covers a tributary with adjacent wetlands, complete Section HI.B.1 for the tributary, Section HI.B.2 for any
onsite wetlands, and Section M.B.3 for all wetlands adjacent to that tributary, both onsite and offsite. The determination whether a
significant nexus exists is determined in Section III.C below.
1. Characteristics of non-TNWs that flow directly or indirectly into TNW
(i) General Area Conditions:
Watershed size: [lick List
x
Drainage area: Pick List
Average annual rainfall: inches
Average annual snowfall: inches
(ii) Physical Characteristics:
(a) Relationship with TNW:
? Tributary flows directly into TNW.
? Tributary flows through Pick Lisp tributaries before entering TNW.
a Supporting documentation is presented in Section III.F.
4 Note that the Instructional Guidebook contains additional information regarding swales, ditches, washes, and erosional features generally and in the and West.
Project waters are Pick List river miles from TNW.
Project waters are Pick List river miles from RPW.
Project waters are Pick List aerial (straight) miles from TNW.
Project waters are Pick List; aerial (straight) miles from RPW.
Project waters cross or serve as state boundaries. Explain:
Identify flow route to TNW5:
Tributary stream order, if known:
(b) General Tributary Characteristics (check all that apolv):
Tributary is: ? Natural
? Artificial (man-made). Explain:
? Manipulated (man-altered). Explain:
Tributary properties with respect to top of bank (estimate):
Average width: feet
Average depth: feet
Average side slopes: Pick tiist.
Primary tributary substrate composition (check all that apply):
? Silts ? Sands
? Cobbles ? Gravel
? Bedrock ? Vegetation. Type/% cover:
? Other. Explain:
? Concrete
? Muck
Tributary condition/stability [e.g., highly eroding, sloughing banks]. Explain:
Presence of run/riffle/pool complexes. Explain:
Tributary geometry: :Pick;Lis
Tributary gradient (approximate average slope): %
(c) Flow:
Tributary provides for: tck List
Estimate average number of flow events in review area/year: V'i?k I:ist,
Describe flow regime:
Other information on duration and volume:
Surface flow is: Pick List. Characteristics:
Subsurface flow: Pick List. Explain findings:
? Dye (or other) test performed:
Tributary has (check all that apply):
? Bed and banks
? OHWM6 (check all indicators that apply):
? clear, natural line impressed on the bank
? changes in the character of soil
? shelving
? vegetation matted down, bent, or absent
? leaf litter disturbed or washed away
? sediment deposition
? water staining
? the presence of litter and debris
? destruction of terrestrial vegetation
? the presence of wrack line
? sediment sorting
? scour
? multiple observed or predicted flow events
? abrupt change in plant community
S Flow route can be described by identifying, e.g., tributary a, which flows through the review area, to flow into tributary b, which then flows into TNW.
6A natural or man-made discontinuity in the OHWM does not necessarily sever jurisdiction (e.g., where the stream temporarily flows underground, or where the
OHWM has been removed by development or agricultural practices). Where there is a break in the OHWM that is unrelated to the waterbody's flow regime (e.g., flow
over a rock outcrop or through a culvert), the agencies will look for indicators of flow above and below the break.
? other (list):
? Discontinuous OHWM.' Explain:
If factors other than the OHWM were used to determine lateral extent of CWA jurisdiction (check all that apply):
? High Tide Line indicated by: Mean High Water Mark indicated by:
? oil or scum line along shore objects ? survey to available datum;
? fine shell or debris deposits (foreshore) ? physical markings;
? physical markings/characteristics ? vegetation lines/changes in vegetation types.
? tidal gauges
? other (list):
(iii) Chemical Characteristics:
Characterize tributary (e.g., water color is clear, discolored, oily film; water quality; general watershed characteristics, etc.). Explain:
Identify specific pollutants, if known:
(iv) Biological Characteristics. Channel supports (check all that apply):
? Riparian corridor. Characteristics (type, average width):
? Wetland fringe. Characteristics:
? Habitat for:
? Federally Listed species. Explain findings:
? Fish/spawn areas. Explain findings:
? Other environmentally-sensitive species. Explain findings:
? Aquatictwildlife diversity. Explain findings:
2. Characteristics of wetlands adjacent to non-TNW that flow directly or indirectly into TNW
(i) Physical Characteristics:
(a) General Wetland Characteristics:
Properties:
Wetland size: acres
Wetland type. Explain:
Wetland quality. Explain:
Project wetlands cross or serve as state boundaries. Explain:
(b) General Flow Relationship with Non-TNW:
Flow is: Pick List. Explain:
Surface flow is: Pick List
Characteristics:
Subsurface flow: Pick List. Explain findings:
? Dye (or other) test performed:
(c) Wetland Adjacency Determination with Non-TNW:
? Directly abutting
? Not directly abutting
? Discrete wetland hydrologic connection. Explain:
? Ecological connection. Explain:
? Separated by berm/barrier. Explain:
(d) Proximity (Relationship) to TNW
Project wetlands are pick List river miles from TNW.
Project waters are Ucli List aerial (straight) miles from TNW.
'Ibid.
Flow is from: Pich List.
Estimate approximate location of wetland as within the Pick Lis floodplain.
(ii) Chemical Characteristics:
Characterize wetland system (e.g., water color is clear, brown, oil film on surface; water quality; general watershed characteristics;
etc.). Explain:
Identify specific pollutants, if known:
(iii) Biological Characteristics. Wetland supports (check all that apply):
? Riparian buffer. Characteristics (type, average width):
? Vegetation type/percent cover. Explain:
? Habitat for:
? Federally Listed species. Explain findings:
? Fish/spawn areas. Explain findings:
? Other environmentally-sensitive species. Explain findings:
? Aquatic/wildlife diversity. Explain findings:
3. Characteristics of all wetlands adjacent to the tributary (if any)
All wetland(s) being considered in the cumulative analysis. hicktisf
Approximately ( ) acres in total are being considered in the cumulative analysis.
For each wetland, specify the following:
Directly abuts? (Y/N) Size (in acres) Directly abuts? (Y/N) Size (in acres)
Summarize overall biological, chemical and physical functions being performed:
C. SIGNIFICANT NEXUS DETERMINATION
A significant nexus analysis will assess the flow characteristics and functions of the tributary itself and the functions performed by any
wetlands adjacent to the tributary to determine if they significantly affect the chemical, physical, and biological integrity of a TNW.
For each of the following situations, a significant nexus exists if the tributary, in combination with all of its adjacent wetlands, has more
than a speculative or insubstantial effect on the chemical, physical and/or biological integrity of a TNW. Considerations when
evaluating significant nexus include, but are not limited to the volume, duration, and frequency of the flow of water in the tributary and
its proximity to a TNW, and the functions performed by the tributary and all its adjacent wetlands. It is not appropriate to determine
significant nexus based solely on any specific threshold of distance (e.g. between a tributary and its adjacent wetland or between a
tributary and the TNW). Similarly, the fact an adjacent wetland lies within or outside of a floodplain is not solely determinative of
significant nexus.
Draw connections between the features documented and the effects on the TNW, as identified in the Rapanos Guidance and discussed in
the Instructional Guidebook. Factors to consider include, for example:
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to carry pollutants or flood waters to TNWs, or to
reduce the amount of pollutants or flood waters reaching a TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), provide habitat and lifecycle support functions for fish and other
species, such as feeding, nesting, spawning, or rearing young for species that are present in the TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to transfer nutrients and organic carbon that
support downstream foodwebs?
• Does the tributary, in combination with its adjacent wetlands (if any), have other relationships to the physical, chemical, or biological
integrity of the TNW?
Note: the above list of considerations is not inclusive and other functions observed or known to occur should be documented below:
Significant nexus findings for non-RPW that has no adjacent wetlands and flows directly or indirectly into TNWs. Explain findings
of presence or absence of significant nexus below, based on the tributary itself, then go to Section III.D:
2. Significant nexus findings for non-RPW and its adjacent wetlands, where the non-RPW flows directly or indirectly into TNWs.
Explain findings of presence or absence of significant nexus below, based on the tributary in combination with all of its adjacent wetlands,
then go to Section III.D:
3. Significant nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW. Explain findings of presence or
absence of significant nexus below, based on the tributary in combination with all of its adjacent wetlands, then go to Section III.D:
D. DETERMINATIONS OF JURISDICTIONAL FINDINGS. THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL THAT
APPLY):
TNWs and Adjacent Wetlands. Check all that apply and provide size estimates in review area:
TNWs: linear feet width (ft), Or, acres.
Wetlands adjacent to TNWs: 0.06 acres.
2. RPWs that flow directly or indirectly into TNWs.
'0 Tributaries of TNWs where tributaries typically flow year-round are jurisdictional. Provide data and rationale indicating that tributary
is perennial:
Tributaries of TNW where tributaries have continuous flow "seasonally" (e.g., typically three months each year) are jurisdictional.
Data supporting this conclusion is provided at Section III.B. Provide rationale indicating that tributary flows seasonally:
Provide estimates for jurisdictional waters in the review area (check all that apply):
Tributary waters: linear feet width (ft).
Q Other non-wetland waters: acres.
Identify type(s) of.waters:
Non-RPWss that flow directly or indirectly into TNWs.
Waterbody that is not a TNW or an RPW, but flows directly or indirectly into a TNW, and it has a significant nexus with a TNW is
jurisdictional. Data supporting this conclusion is provided at Section III.C.
Provide estimates for jurisdictional waters within the review area (check all that apply):
F
Tributary waters: linear feet width (ft).
[I Other non-wetland waters: acres.
Identify type(s) of waters:
4. Wetlands directly abutting an RPW that flow directly or indirectly into TNWs.
?; Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands.
( Wetlands directly abutting an RPW where tributaries typically flow year-round. Provide data and rationale
indicating that tributary is perennial in Section III.D.2, above. Provide rationale indicating that wetland is
directly abutting an RPW:
Wetlands directly abutting an RPW where tributaries typically flow "seasonally." Provide data indicating that tributary is
seasonal in Section 111.13 and rationale in Section HI.D.2, above. Provide rationale indicating that wetland is directly abutting an
RPW:
Provide acreage estimates for jurisdictional wetlands in the review area: acres.
Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TN-Ws.
Wetlands that do not directly abut an RPW, but when considered in combination with the tributary to which they are adjacent and with
similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisidictional. Data supporting this conclusion is
provided at Section III.C.
Provide acreage estimates for jurisdictional wetlands in the review area: acres.
6. Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs.
El. Wetlands adjacent to such waters, and have when considered in combination with the tributary to which they are adjacent and with
similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisdictional. Data supporting this conclusion is
provided at Section III.C.
Provide estimates for jurisdictional wetlands in the review area: acres.
7. Impoundments of jurisdictional waters.'
As a general rule, the impoundment of a jurisdictional tributary remains jurisdictional.
Demonstrate that impoundment was created from "waters of the U.S.," or
Q Demonstrate that water meets the criteria for one of the categories presented above (1-6), or
Q Demonstrate that water is isolated with a nexus to commerce (see E below).
E. ISOLATED [INTERSTATE OR INTRA-STATE] WATERS, INCLUDING ISOLATED WETLANDS, THE USE, DEGRADATION
OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE, INCLUDING ANY SUCH WATERS (CHECK
ALL THAT APPLY):"
8See Footnote # 3.
9 To complete the analysis refer to the key in Section III.D.6 of the Instructional Guidebook
10 Prior to asserting or declining CWA jurisdiction based solely on this category, Corps Districts will elevate the action to Corps and EPA HQ for review
consistent with the process described in the Corps/EPA Memorandum Regarding CWA Act Jurisdiction Following Rapanos.
which are or could be used by interstate or foreign travelers for recreational or other purposes.
r] from which fish or shellfish are or could be taken and sold in interstate or foreign commerce.
which are or could be used for industrial purposes by industries in interstate commerce.
? Interstate isolated waters. Explain:
? Other factors. Explain:
Identify water body and summarize rationale supporting determination:
Provide estimates for jurisdictional waters in the review area (check all that apply):
Tributary waters: linear feet width (ft).
i
Other non-wetland waters: acres.
Identify type(s) of waters:
P Wetlands: acres.
F. NON-JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLY):
If potential wetlands were assessed within the review area, these areas did not meet the criteria in the 1987 Corps of Engineers Wetland
Delineation Manual and/or appropriate Regional Supplements.
} Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce.
? Prior to the Jan 2001 Supreme Court decision in "SWANCC," the review area would have been regulated based solely on the
"Migratory Bird Rule" (MBR).
? Waters do not meet the "Significant Nexus" standard, where such a finding is required for jurisdiction. Explain:
P Other: (explain, if not covered above):
Provide acreage estimates for non jurisdictional waters in the review area, where the sole potential basis of jurisdiction is the MBR factors (i.e.,
presence of migratory birds, presence of endangered species, use of water for irrigated agriculture), using best professional judgment (check all
that apply):
? Non-wetland waters (i.e., rivers, streams): linear feet width (ft).
Lakes/ponds: acres.
? Other non-wetland waters: acres. List type of aquatic resource:
P Wetlands: acres.
Provide acreage estimates for non jurisdictional waters in the review area that do not meet the "Significant Nexus" standard, where such a
finding is required for jurisdiction (check all that apply):
Non-wetland waters (i.e., rivers, streams): linear feet, width (ft).
? Lakestponds: acres.
? Other non-wetland waters: acres. List type of aquatic resource:
?, Wetlands: acres.
SECTION IV: DATA SOURCES.
A. SUPPORTING DATA. Data reviewed for JD (check all that apply - checked items shall be included in case file and, where checked and
requested, appropriately reference sources below):
Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant:
? Data sheets prepared/submitted by or on behalf of the applicant/consultant
? Office concurs with data sheets/delineation report.
? Office does not concur with data sheets/delineation report.
Data sheets prepared by the Corps:Tracey L. Wheeler.
? Corps navigable waters' study:
? U.S. Geological Survey Hydrologic Atlas:
? USGS NHD data.
? USGS 8 and 12 digit HUC maps.
U.S. Geological Survey map(s). Cite scale & quad name: Blounts Bay Quad.
USDA Natural Resources Conservation Service Soil Survey. Citation: Beaufort County Sheet 13.
E National wetlands inventory map(s). Cite name:
?, State/Local wetland inventory map(s):
FEMA/FIRM maps:
100-year Floodplain Elevation is: (National Geodectic Vertical Datum of 1929)
E] Photographs: ? Aerial (Name & Date):
or ? Other (Name & Date):
Previous deterniination(s). File no. and date of response letter:
? Applicable/supporting case law:
Applicable/supporting scientific literature:
N Other information (please specify):Site visit 02/28/2007.
B. ADDITIONAL COMMENTS TO SUPPORT JD:
?'#l,?T rY? .4L? "nf;? Sa rv F' _:fj P, e.? ••- )',' -
NOTITIC`ATION OI -ADM1N'1S'1'RAl1 Er4PPEAU-OPTIONS AND PROCE;SS AND
IZFQIJES"1` FOR1APPEAL,
Applicant: Shady Brantley File Number: SAW-2007-02666-107 Date: 08/14/2007
At tached is:D See Section below
INITIAL PROFFERED PERMIT (Standard Permit or Letter of
permission) A
PROFFERED PERMIT (Standard Permit or Letter of permission) B
PERMIT DENIAL C
APPROVED JURISDICTIONAL DETERMINATION D
PRELM41NARY JURISDICTIONAL DETERMINATION E
SECTION I - The: following identifies your rights-and options regarding an'ad n nistrative'appeal of the above
decision. Addition al1r formation may be found at http://w? r??.usace.army.mil/inet/fiznetions/cwlceowo/rep or
Co ,Ts regulations at 33 ChR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request that the
permit be modified accordingly. You must complete Section II of this form and return the form to the district engineer. Your
objections must be received by the district engineer within 60 days of the date of this notice, or you will forfeit your right to appeal
the permit in the future. Upon receipt of your letter, the district engineer will evaluate your objections and may: (a) modify the
permit to address all of your concerns, (b) modify the permit to address some of your objections, or (c) not modify the permit
having determined that the permit should be issued as previously written. After evaluating your objections, the district engineer
will send you a proffered permit for your reconsideration, as indicated in Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein, you
may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this form
and sending the form to the division engineer. This form must be received by the division engineer within 60 days of the date of
this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division engineer
within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or
provide new information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the date of
this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers Administrative
Appeal Process by completing Section II of this form and sending the form to the district engineer. This form must be received by
the division engineer within 60 days of the date of this notice.
E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps
regarding the preliminary JD. The Preliminary JD is not appealable. 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.
SECTION II -REQUEST FOR APPEAL or OBJECTIONS TO AMINITL"kL PROFFERED PERMIT ' ' .
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your
objections to an initial proffered permit in clear concise statements. You may attach additional information to
this form to clarify where your reasons or objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps
memorandum for the record of the appeal conference or meeting, and any supplemental information that the
review officer has determined is needed to clarify the administrative record. Neither the appellant nor the Corps
may add new information or analyses to the record. However, you may provide additional information to clarify
the location of information that is already in the administrative record.
PO NT OF-CONTACT FOR Qt11{;ST'IONS fOR INFORMATIOI
If you have questions regarding this decision If you only have questions regarding the appeal process you
and/or the appeal process you may contact: may also contact:
Tracey Wheeler Mr. Mike Bell, Administrative Appeal Review Officer
U.S. Army Corps of Engineers CESAD-ET-CO-R
Post Office Box 1000 U.S. Army Corps of Engineers, South Atlantic Division
Washington, North Carolina 27889 60 Forsyth Street, Room 9M15
[phone] ex 24 Atlanta, Georgia 30303-8801
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any
government consultants, to conduct investigations of the project site during the course of the appeal process. You
will be provided a 15 day notice of any site investigation, and will have the opportunity to participate in all site
investigations.
Date: Telephone number:
Signature of appellant or agent.
For appeals on Initial Proffered Permits and approved Jurisdictional Determinations send this form to:
District Engineer, Wilmington Regulatory Division, Attn:Tracey Wheeler, Project Manager, Washington
Regulatory Field Office, Post Office Box 1000, Washington, North Carolina 27889
For Permit denials and Proffered Permits send this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Mike Bell,
Administrative Appeal Officer, CESAD-ET-CO-R, 60 Forsyth Street, Room 9M15, Atlanta, Georgia
30303-8801
r nvitronmentai neaan necuon
Beaufort County Health Department
220 N. Market St.
Washington, North Carolina 27889
[phone] / Fax [phone]
IMPROVEMENTS PERMIT
A B nil ing Permit cannot issued with only an Improvement Permit
S `
*Improvements permit is valid for five years from date of issue.
Z2 Z/
Owner. ?./ Phone: 9J?C= ?7 ?----
Subdivision: Styo g ,, C MS I V - Lot Number:
State Road Number.1323 Directions s.P,13 4 29 o„ _S;
oi? Sti T<.'Je f [ nlir_r 10 DIGIT PIN "S2 -1B -
Property Size: Type Structure:
Design Flow: 3?0 No. Bedrooms 3 No. People:
Water Supply: Public ? Private (Maintain minimum _,/0 feet separation
from any part of septic system and repair area.)
Classification: ? Suitable k(Ptovisionall Suitable ? PS with fill
Additional Drainage: ro .'tie S
Seasonal Wetness Con on Z??,V ?oly ??yst!m`Typ?e_:2n
Septic Tank: IMO gal. Pump Tank: gal.
Pump Required OYes D No JkUay be required based upon final location & elevation of facilities
Nitrification Field: uare feet ,trench bottom
Trench Depth: lZ Fill Depth:
Comments: S;,s,<... ,r?..•. _ .,, ??.,._ _ .? _. ,? _ /o/
^New Constniction
? Repair
? Flow Addition

,?vrf/o z?T?a?? To
GIJ.ZG L .946 v p 4IW45A/
.?,?i9L S-T7-6
Sva?sTr?t? ?,9s?2ov:aJ?
-!/ epreAs e,. / z4 A Dt^or wee yt-c1Dor drn ,-,a-q? Site Plan ?
The Issuance of this permit by the Health Dept. in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate
governing bodies In meeting their requirements. This permit is subject to revocation if the site plan, plat, or the intended use changes, or site alterations occur. The Improve-
ment Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and
Disposal and to conditions of this permit.
Additional for all systems: Landscape system area for surface water runoff and grass. Do not place drive or any building over the system area or repair area. Observe all proper
setbacks (15A NCAC 18A.1950). Do not rk soil or install system in wet ondihons. This permit must be on site during installation and inspection.
Authorized State Agent: /? ...?. Date: _BlZ2442?26
White ner/Contractor Yellow - Health Department Pink Building Inspections
THE PRINTERS - tVaAs & assodates 252-975-2056
08-22-2106
,?. IMPROVEMENT PERMIT
Owner:Shady Brantley., vj'•
Owner Address: 101 Harbour Way rJ ;
iOwner Address(2):Washington, N.C. 27889
Owner Phone #:[phone] -???_ ; ; ?? ?••-
Property Address:Swan Acres Lot #32 ?• '"t??' l'?
PIN:6603-18-3494
Record #
Establishment Type: Home
'Type of Well:Public Well '...Design Flow (GPD):360,,,,;.,,_...__... ..?.?.%:?dy _._ ._ .c"..::::.,.: -' ;.:.- - _
Initial Site 1 N ! I= I
Wastewater System: ConventionaI Pipe
Long Term Acceptance Rate(GPD/SQFT):0.6 `
Trench Width:3 FT
j Trench Spacing (OC):9 FT ; -?
Trench Bottom From NGL:-12 IN t `? ,-?
Septic Tank Volume: 1000 GAL
7 ,

1 Existing Well?~,?
}
?J
Proposed House
0
50'.
-4'O .- . e
_ E?
601.

h y
50.00 feet
1:600

Cut
Authorized Agent:

1366
Site
A
13
Nf - 322 w
Location
S 26°1
0 60 120
o
N 53.96
Graphic Scale - feet S.Mag. p6„w S.Ma6.
0 30 /? S14
z
21
S.Ivfag. °A6 .. ? •''
_???T'{???gl s.ivteg: s63,.••' EX.1P TAlvtingA?de
,?y, 1323 S ;?;5? a? o?9,1nr
/•Sg? y??t? aea? ??OOOO a .DollglaS
b1°S ' 827 / 912
• Existing Axle
A"? Alva Do
"Point of Beginning" E,1,Ip
?S (3,
Exietiog Axle
Janet Courson
1494 / 745
Legend
R/W right=of-way
C/L centerline
® Ex.IP Existing corners found
A Ex. Mag Existing magnetic nail
RR spike rail road spike
yadjoiner lines
ditch / canal
A S.Mag. Magnetic nail
O SIP Set Iron Pipe
)K NPS No point sett
111/222 Deed book / page

. A?
?a b?o
32
r, to
0.490
d'. --
SIP
f?
C34
Garry Keech
913./237
?b
Tie Down
From the intersection of SR 1322 and SR
1323, along and with SR 1323 the following
N 86054'11"W 708.33'
S 89050'53" W 65.02-
S 82004'25"W 58.96'
S 74°17'06" W 53.96'
S 66°46'21" W 5530'
S 63°49'15" W 55.87'
S 61°5522" W 141.58'
S 26°48'38" E 30.00'
to the "Point of Beginning"
I, Bryant E. Hardison, Jr., certify that this plat was drawn
by me from an actual survey by me (reference deed used in
Book 827, Page 915); that the boundaries not surveyed are
clearly indicated as drawn, that the ratio of precision as
calculated by latitudes and departures is 1: 14,000+.
Witness my original si ature, license number and seal,
this _-(_- day of T 2006. 0e01 ° ; t
/IGI 0n a? i'f r>
Bryant
SEAL
L-2889 Q• moo;
b ?SIJR?O •+"4 41
,•?..........• • Q ,.
• MA61o?c
/?I?Illlt?g?
lb a5
1505 / 86
?O
(3 O?
(3W
fE
9
E)LIP
3
0
29

Ed Watson
1116/483
K 2 3'16"W
28.59'
P. 6 E Watson
7'3 "E`er 1.1 16 / 483
Surveyor's Notes
*All Distances are horizontal ground, unless
noted.
*Area by coordinate computations.
*Subject to all easements, zoning regulations, or
restrictive covenants of record.
*Right-of-Way information from NC DOT office
- Stoney Woolard
*Area summary : 0.490 +/- acres Lot 32
0.021 +/- acres Lot 32A
*32A is portion between canal and lot 32
*This survey is of an existing parcel of land.
Wood Duck Land Surveying
Bryant E. Hardison, Jr. PLS NC L-2889
42 South Teach's Point, Bath, NC 27808
Boundary Survey for
Shady Brantley
and wife Cheryl Brantley
Lot # 32 of "Swan Acres"
Long Acre Township, Beaufort County, North Carolina
Date Surveyed : 7 / 25 / 2006 Deeds and maps : MB 19 / 39; 827 / 915; 913
Date Drawn : 8 / 10 / 2006 / 237: 956 / 766: 1505 / 86; 712 / 322; 618 /
Scale : one inch - sixty feet 71; 1494 / 745: 11 16 / 483
Field Book : N 011, File : Brantley revised: 8 / 21 12006 (lot 32A)
#F?1,
Site
322
yo-,. j --
Nf,
Location
S2
0 60 120-
Graphic Scale - feet
N 53.96 I
z
? ? S.Mas• S 6V - • /?
)0 .
oA91
tilsl? 5.mag. Sfr- ExIP Existing Axle
5.11
X1323 .. ?ai5%s?? Alva Douglas
? ? b o0
1L , 'L. ? 4 s
S `L ?yc / 100'
827 / 912
Existing Axle
smag.
100• 1"`? Alxia I)ou las
"Point of Beginning"
6, 49,3
6ti ? A3
.mss (311Etnstiog Axle
Janet Courson
1494 / 745
Legend
R/W right-of-way
C/L centerline
® Ex.IP Existing corners found
A Ex. Mag Existing magnetic nail
RR spike rail road spike
adjoiner lines
- ditch / canal
A S.Mag. Magnetic nail
O SIP Set Iron Pipe
CIE NPS No point set
111/222 Deed book/ page
1-1
Q,? g
01D 1505 / 86
?O
32
?o
0.490 Ac.?
CJ;
SIP
\
(;34'
Garry Keech
913 / 237
i
Tie Down
From the intersection of SR 1322 and SR
1323, along and with SR 1323 the following:
N 86°54'11" W 708.33'
S 89050'53" W 65.02'
S 82°04'25" W 58.96'
S 74°17'06" W 53.96'
S 66°46'21" W 55.30'
S 63049115"W 55.87'
S 61°5522" W 141.58'
S 26°48'38" E 30.00'
to the "Point of Beginning"
J, Bryant E. Hardison, Jr., certify that this plat was drawn
by me from an actual survey by me (reference deed used in
Book 827, Page 915); that the boundaries not surveyed are
clearly indicated as drawn , that the ratio of precision as
calculated by latitudes and departures is 1: 14,000+.
Witness my original signature, license number and seal,
this Z day of Au c i!, ^7^ 2006.
Bryant
4 'S. Q _ eY t 1l,"V N
A L
i..-284 s.
B? eje?eune"ge?e'' ?q y??
©®a ?An ?l1 ri L??'°g®t
(30
(3-0
0" P Ex.1P
(29
A E:
Vt
Y Exa?f 1P

Ed Watson
1116 / 483
?? - N 21'13'16"W .59
SIP o? 32A ExIP BEd. Watson
IP N730IT3 1116/48-1
is . 38.06
Surveyor's Notes
*All Distances are horizontal ground, unless
noted..
*Area by coordinate computations.
*Subject to all easements, zoning regulations, or
restrictive covenants of record.
*Right-of-Way information from NC DOT office
- Stoney Woolard
*Area summary : 0.490 +/- acres Lot 32
0.021 +/- acres Lot 32A
*32A is portion between canal and lot 32
*This survey is of an existing parcel of land.
Wood Duck Land Surveying
Bryant E. Hardison, Jr. PLS NC L-2889
42 South Teach's Point, Bath, NC 27808
Boundary Survey for
Shady Brantley
and wife Cheryl Brantley
Lot # 32 of "Swan Acres"
Long Acre Township, Beaufort County, North Carolina
Date Surveyed : 7 / 25 12006 Deeds and maps : MB 19 / 39; 827 / 915; 913
Date Drawn : 8 / 10 / 2006 /237. 956 / 766; 1505 / 86; 712 / 322; 618 /
Scale : one inch= sixty feet 71; 1494 / 745; 1 116 / 483
Field Book : # 011, File : Brantley revised: 8 / 21 / 2006 (lot 32A)