20170499 Ver 1_401 Application_20170421

Ate�LMG 2 0 1 7 0 g g 9
LAND MANAGEMENT GROUP ixc. C®u��"C
Environmental Consultants CC)PYC�
April 19, 2017
Dear Brennan:
Enclosed is a NWP 18 Application for your review. It is submitted on behalf of Roger Worsham
for the construction of a single-family residence within the Worsham Tract, located off of Old
Mill Creek Road in Winnabow, NC. Mr. Worsham plans to build a home within uplands.
However, he cannot access these uplands without crossing one wetland finger, which will
impact 0.028 acre of wetlands. He has minimized the width of his driveway,,to 20' and will
install two 12" culverts at the crossing to ensure a continued hydrologic connection.
Enclosed are the PCN form, site maps, and site plan drawings. Please let me know if you have
any questions or need additional information in order to issue the NWP 18. Thank you for your
assistance with this project.
Sincerely,
I
Kim Williams
Environmental Scientist
Encl.
cc: Mr. Roger Worsham
Mr. Chad Coburn, NC DWR
Ms. Jennifer Burdette, NC DWR
www.lmgroup.net • [e-mail] • Phone: [phone] • Fax: [phone]
3805 Wrightsville Avenue, Suite 15 • Wilmington, NC 28403
F?ECEIV6D
TO: Mr. Brennan Dooley
US Army Corps of Engineers
APR 2�
69 Darlington Avenue
Z��l
Wilmington NC 28403
STORMW,q DENR-LARPQR L►Ty
MATTING
RE: Worsham Tract; Old Mill Creek Road; Winnabow,
NC (Brunswick County)
NWP 18 Application
Dear Brennan:
Enclosed is a NWP 18 Application for your review. It is submitted on behalf of Roger Worsham
for the construction of a single-family residence within the Worsham Tract, located off of Old
Mill Creek Road in Winnabow, NC. Mr. Worsham plans to build a home within uplands.
However, he cannot access these uplands without crossing one wetland finger, which will
impact 0.028 acre of wetlands. He has minimized the width of his driveway,,to 20' and will
install two 12" culverts at the crossing to ensure a continued hydrologic connection.
Enclosed are the PCN form, site maps, and site plan drawings. Please let me know if you have
any questions or need additional information in order to issue the NWP 18. Thank you for your
assistance with this project.
Sincerely,
I
Kim Williams
Environmental Scientist
Encl.
cc: Mr. Roger Worsham
Mr. Chad Coburn, NC DWR
Ms. Jennifer Burdette, NC DWR
www.lmgroup.net • [e-mail] • Phone: [phone] • Fax: [phone]
3805 Wrightsville Avenue, Suite 15 • Wilmington, NC 28403

O�O� W A rF9OG
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Page 1 of 10
PCN Form —Version 1.3 December 10, 2008 Version
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the
Corps:
® Section 404 Permit ❑Section 10 Permit
1b.
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
1d.
Type(s) of approval sought from the DWQ (check all that apply):
® 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 ❑ No
For the record only for Corps Permit:
❑ Yes ® 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 or in -lieu
fee program.
❑ Yes
® No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 In
below.
® Yes
❑ No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
Worsham Tract; Old Mill Creek Road
2b.
County:
Brunswick APR
91 2
2c.
Nearest municipality / town:
Winnabow
2d. Subdivision name:
N/ASTO
ND QUALITY
2e.
NCDOT only, T.I.P. or state
project no:
N/A
MILTING
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Roger L Worsham
3b.
Deed Book and Page No.
03783 0833
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
302 Englewood Drive
3e.
City, state, zip:
Wilmington, NC 28409
3f.
Telephone no.:
919-274-2287
3g.
Fax no.:
3h.
Email address:
[e-mail]
Page 1 of 10
PCN Form —Version 1.3 December 10, 2008 Version

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:
Kim Williams
5b. Business name
(if applicable):
Land Management Group, Inc.
5c. Street address:
3805 Wrightsville Avenue, Suite 15
5d. City, state, zip:
Wilmington, NC 28403
5e. Telephone no.:
[phone]
5f. Fax no.:
[phone]
5g. Email address:
[e-mail]
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
Portion of 1260001909
Latitude: 34.087327 °N Longitude: -78.062923 °W
1 b. Site coordinates (in decimal degrees):
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size:
8.3 ac
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Swain Branch
proposed project:
2b. Water Quality Classification of nearest receiving water:
C; Sw
2c. River basin:
Cape Fear
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:
Site is undeveloped and mostly forested. Eastern section is in fields. Adjacent land use is forested, agricultural, or residential.
3b. List the total estimated acreage of all existing wetlands on the property:
2.3 ac
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
N/A
3d. Explain the purpose of the proposed project:
The purpose of the project is to construct a 2,432 sf single-family residence and 20' -wide driveway on the site.
3e. Describe the overall project in detail, including the type of equipment to be used:
The driveway footprint will be cleared of vegetation and road will be constructed. Two 12" culverts will be installed at the
wetland crossing. The house site will then be cleared and fill material will be brought in to level the area of disturbance.
The house will then be constructed. Track hoe, loader, dump truck, bob cat, and other standard construction equipment
will be used.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
® Yes ❑ No ❑ Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type
❑ Preliminary ® Final
of determination was made?
Agency/Consultant Company:
4c. If yes, who delineated the jurisdictional areas?
Land Management Group, Inc.
Name (if known): Nick Howell
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Brennan Dooley of the USACE approved the line in the field on April 11, 2017.
5. Project History
5a. Have permits or certifications been requested or obtained for
❑ Yes ® 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?
❑ Yes ® No
6b. If yes, explain.
Page 3 of 10
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® 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 jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary
W1 ®P ❑ T
Road
crossing/culvert
Non -riparian
® Yes
❑ No
® Corps
® DWQ
0.028
❑ Yes
❑ Corps
W2 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W3 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W4 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W5 ❑ P ❑ T
❑ No
❑ DWQ
2g. Total wetland impacts
0.028
2h. Comments:
3. Stream Impacts N/A
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
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INS
other)
(feet)
feet? )
El PER
❑Corps
S1 ❑P❑T
❑ INT
❑ DWQ
S2 ❑ P ❑ T
❑ PER
❑ INT
❑ Corps
❑ DWQ
❑ PER
❑ Corps
S3 ❑ P ❑ T
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
3i. Comments:
Page 4 of 10
PCN Form — Version 1.3 December 10, 2008 Version

4. Open Water Impacts: N/A
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then indivi ually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number — (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
01 ❑P❑T
02 ❑P❑T
03 ❑P❑T
04 ❑P❑T
0. Total open water impacts
4g. Comments:
S. Pond or Lake Construction: N/A
If pond or lake construction proposed, the complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded I Filled I Excavated Flooded I Filled I Excavated Flooded
P1
P2
5f. Total
5g. Comments: See attached site plan for details
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ): N/A
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?
6b. 6c. 6d.
Buffer impact
number — Reason
Permanent (P) or for
Temporary T impact
B1 ❑P❑T
MEMEM
B3 ❑P❑T
6i. Comments:
❑ Neuse ❑ Tar -Pamlico ❑ Other:
❑ Catawba ❑ Randleman
6e. I 6f. I 6g.
Buffer
Stream name mitigation
required?
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
6h. Total buffer impacts
Page 5 of 10
Zone 1 impact Zone 2 impact
(square feet) (square feet)

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 area does not have direct access from Old Mill Creek Road. Therefore, the applicant has an access
easement from an adjoining property, which limits his access options. He attempted to obtain a different easement
location from several adjacent landowners, but this was the only location that was granted. With this easement, it is
impossible to gain access to uplands on which to build a home without crossing a wetland finger. Mr. Worsham
considered crossing the wetland finger further to the east where the finger is slightly narrower. However, this would have
created a fairly sharp tum around the wetland, which would be difficult to navigate. Additionally, placing the crossing at
the preferred location will avoid a very large oak tree. The crossing width has been minimized as much as possible and
two culverts will be used to ensure hydrologic connectivity will be maintained.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Silt fence will be installed prior to construction to ensure fill material does not enter adjacent wetlands.
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
ElPayment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank: N/A
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type:
Quantity:
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program: N/A
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
N/A
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
N/A square feet
4e. Riparian wetland mitigation requested:
N/A acres
4f. Non -riparian wetland mitigation requested:
N/A acres
4g. Coastal (tidal) wetland mitigation requested:
N/A acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan: N/A
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form — Version 1.3 December 10, 2008 Version

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
❑ Yes ® No
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation_ Calculate the
amount of mitigation required. N/A
6c.
6d.
6e.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
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).
N/A
6h. Comments: N/A
Page 7 of 10

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 ® 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 ❑ No
Comments:
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
-7%
2b.
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
Impervious cover is below stormwater thresholds.
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
❑ Certified Local Government
2e.
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3.
Certified Local Government Stormwater Review: N/A
3a.
In which local government's jurisdiction is this project?
Town of Carolina Beach
❑ Phase II
❑ NSW
3b.
Which of the following locally -implemented stormwater management programs
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4.
DWQ Stormwater Program Review: N/A
❑ Coastal 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
El Yes El No
attached?
S.
DWQ 401 Unit Stormwater Review: N/A
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ® 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)?
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
❑Yes ❑ No
letter.)
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 .1300), DWQ Surface Water or Wetland Standards,
❑ 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 "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
❑ 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.
Project will not provide utilities or access to adjacent tracts.
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.
Project will utilize an on-site septic system. The applicant has obtained a septic permit from Brunswick County.
Page 9 of 10
PCN Form — Version 1.3 December 10, 2008 Version

5. 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
❑ Yes ® No
impacts?
❑ Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
The NC Natural Heritage Program GIS layer was used to determine the presence of federally listed species. No federally
protected species are known to occur on or within a one mile radius of the site.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
The NOAA Fisheries Essential Fish Habitat Mapper GIS program was used to determine the presence of Essential Fish
Habitat. No HAPC or EFH Areas were identified within or near the project area.
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?
The NC State Historic Preservation Office HPOWEB GIS mapping resource was used to determine the presence of
cultural or historic resources. No cultural or historic resources were noted within or adjacent to this site.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑ Yes ® No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? The NC Floodplain Mapping Information System
website was used to determine the boundaries of the 100 -year floodplain.
Kim Williams
4/19/2017
Land Management Group, Inc.
Date
Applicant/Agent's Signature
Applicant/Agent's Printed Name
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 10 of 10

LMG
L.4�D hL1NAGFb2FXF RMP.,
f -40—W." ca.,s.fwc tf
AGENT AUTHORIZATION FORM
TO WHOM IT MAY CONCERN:
i/we, the undersigned, hereby authorize Land Management Group, Inc. (LMG) to act as our
agent in the determination of jurisdictional wetland boundaries on the subject
property, Worsham Tract By way of this form,
1/we additionally authorize access to the site by representatives of the US Army Corps of
Engineers (COE) and the NC Division of Coastal Management (NC DCM) for the purpose of
reviewing the flagged wetland boundary and providing a final jurisdictional determination.
Any questions regarding the jurisdictional determination should be directed to LMG.
Please provide the following information: 1706 Old Mill Creek Rd: portion of1260001906 &
Property Address and Parcel ID Number: 1260001909
Current Property Owner Name: See attached
Owner Address and Phone Number: See attached
Please answer the following questions (circle Yes or No):
1. Are you the current owner of the property? Yes or No
2. If you are not the current owner, do you have a option to purchase or a contract to
purchase that allows for environmental due -diligence including the determination of
wetlands? Yes or No
3. If you answered no to the questions above, do you have an existing easement?
Yes or No
Name of Individual/Entity:
Signature of Authorized Representative:
Date: 3--30 -
w-wwIm-group.net • Phone: [phone] • Tax: 910.452.0060
3805 Wrightsville Ave., Suite 15, Wilmington, N(28403

L:\WETLANDS\2017 WETLANDS FILES\03-17-090 ---
Worsham Tract, Roger Worsham
Boundaries are approximate and are not meant to be absolute.
Map Source: ArcGIS Open Street Map
RECEIVED
APR 212017
DENR-LAND QUALITY
STORMWAT
rn
SCALE 1" = 1 MILE
(when printed at 11"x17")

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L:\WETLANDS\2017 WETLANDS FILES\03-17-090 ---
Worsham Tract, Roger Worsham
Boundaries are approximate and are not meant to be absolute.
Map Source: USGS Brunswick County GIS Mosaic
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sri, HERE, DeLorme, 41p� ylndia, ©OpenStreetMap�
SCALE 1" = 300'
(when printed at 11"x17")
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LEGEND
GoA: Goldsboro fine sandy loam, 0-2% slopes
Ra: Rains fine sandy loam
L:\WETLANDS\2017 WETLANDS FILES\03-17-090 ---
Worsham Tract, Roger Worsham
Boundaries are approximate and are not meant to be absolute.
Map Source: GIS Soils Data
RECEIVED
APR 2
DENR-LAND QUALI
STORMWATER PERMI
G
SCALE 1 " = 150'
(when printed at 11"x17")

L:\WETLANDS\2017 WETLANDS FILES\03-17-090 ---
Worsham Tract, Roger Worsham
Boundaries are approximate and are not meant to be absolute.
Map Source: 2016 NC OneMap Aerial Photography
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LEGEND
Project boundary N 8.3 ac
Access Easement N 0.29 ac
Uplands N 6 ac or 72%
" 404 wetlands N 2.3 ac or 28%
..... Non JD Ditches in Uplands N 205 Lf.
.. Ditches that are considered
Waters of the U.S. N 118 Lf.
�� Proposed Wetland Impacts (0.028 ac)
M
A
k
7
Preliminary; Not for Construction
House and road location are approximate.
Boundaries are approximate and are not meant to be absolute.
Map Source: 2016 NC OneMap Aerial Photography
Wetland Impact #1:
0.028 acre (20'x 60')
u�.
RECEIVED
APR 212017
DENSTORw �N0 dAllTyS
ATER PERMIIT�I�TrCALE 1 " = 100'
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