20170722 Ver 1_401 Application_20170609

5r—Gi
Southern Environmental Group, Inc.
5315 South College Road, Suite E
Wilmington, North Carolina 28412
910.452.2711 (office) • 910.452.2899 (fax)
Date: 7 June 2017
AI
Transmittal Letter
To: Ms. Karen Higgins
Of: NC DWR 401 & Buffer Unit Raleigh
Attached you will find:*
20170722
❑ Proposal ❑ Sketch(es) ® PCN ❑ Signed Wetland Map
❑ JD Package ❑ Report(s) ❑ Plans ❑ Information Request
Copies Dated Description
25 April 2017 Lot 20 Caswell Beach PCN
--- - X240 I�
1
�ulv n a 2017
❑ Photo(s)
❑ Other
*If noted items are NOT attached, please contact our office.
These are being delivered:
® For Processing ❑ For your Records ❑ Returned for Correction(s)
❑ Corrected and Returned ❑ For your Signature ❑ As Requested
❑ Other:
By: ❑ Hand Delivery ® Fed -Ex ❑ UPS ❑ Regular Mail ❑ Other
Notes:
Karen, if you have any questions or need additional information, please call. 90
Signature and (Typ ana A. Lutheran
l!7�
Date: 779a4l X017

woe w A rFgo
1 1.1 1 > -1
� r
Office Use Only
Corps action ID no.
DWR project no.
Form Version 1.4 January 2009
SUN U 9 LU1/
L
EQ-WAT R RESOU S1 &BUFFER PERMITTIN
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the Corps:
T -E 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 DWR (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 DWR
401 Certification:
®Yes ❑No
For the record only for Corps Permit:
EJ 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
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
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:
Lot 20-A Caswell Beach
2b.
County:
Brunswick County
2c.
Nearest municipality / town:
Caswell Beach
2d.
Subdivision name:
NA
2e.
NCDOT only, T.I.P. or state project no:
NA
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Mr. H.G. Maxwell 111 Et. Al. Charlotte (see Appendix A)
3b.
Deed Book and Page No.
2007/0643
3c.
Responsible Party (for LLC if applicable):
NA
3d.
Street address:
PO Box 10009
3e.
City, state, zip:
Goldsboro, NC 27532
3f.
Telephone no.:
NA
3g.
Fax no.:
NA
DO
3h.
Email address:
NA
I
SUN U 9 LU1/
L
EQ-WAT R RESOU S1 &BUFFER PERMITTIN

4. Applicant Information (if different from owner) -
4a. Applicant is:
®Agent ❑Other, specify:
4b. Name:
Mr. Norwood West
4c. Business name (if applicable):
West Agency Realty
4d. Street address:
PO Box 337
4e. City, state, zip:
Warsaw, NC 28398
4f. Telephone no.:
910-293-4156
4g. Fax no.:
NA
4h. Email address:
Jwest6lO)amail.com
5. AgentlConsultant Information (if applicable)
5a. Name:
Dana Lutheran
5b. Business name (if applicable):
Southern Environmental Group, Inc. (SEGi)
5c. Street address:
5315 South College Road, Suite E
5d. City, state, zip:
Wilmington, NC 28412
5e. Telephone no.:
910.452.2711
5f. Fax no.:
910.452.2899
5g. Email address:
[e-mail]
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
251NA052 (see Appendix A)
1 b. Site coordinates (in decimal degrees):
Latitude: 33.89371 IN Longitude: 78.03879 °W
1c. Property size:
0.224 -acre
2. Surface Waters
2a. Name of nearest body of water to proposed project:
Smokehouse Creek
2b. Water Quality Classification of nearest receiving water:
SA;HQW
2c. River basin:
Lower 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:
The site is undeveloped. Residential is the general land use in the vicinity.
3b. List the total estimated acreage of all existing wetlands on the property: 6400 SF (0.17 AC)
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: NA
3d. Explain the purpose of the proposed project:
The purpose of this project is to construct a single family dwelling (see Appendix B for details).
3e. Describe the overall project in detail, including the type of equipment to be used:
This will entail constructing a retaining wall and back filling the area, with clean earthen fill, which will serve as the building
pad for the proposed structure (see Appendix B for details). A front end loader and dump truck will be used to bring in the
fill and grade the lot to the desired contour.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations
by the Corps or State been requested or obtained
for this property / project (including all prior phases)
in the past?
❑Yes ®No ❑Unknown
Comments: See attached Preliminary JD Request Packet (Attachment C)

4b. If the Corps made the jurisdictional determination,
®Preliminary [:]Final
what type of determination was made?
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
4c. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company:
Name (if known): David Scibetta
SEGi
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
SEGi is requesting a site visit to verify SEGi's wetland delineation.
5. Project History
5a. Have permits or certifications been requested or
[:]Yes ®No ❑Unknown
obtained for this project (including all prior phases) in
USACE 404
the past?
2g. Total Permanent Wetland Impacts:
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.
NA
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.
Wetland impact
number Permanent (P)
or Temporary (T)
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction Corps
(404,10) or DWR (401,
other)
2f.
Area of impact
(acres)
A (P)
Lot till
Scrub Shrub
Yes
USACE 404
1338 SF / 0.03 AC
2g. Total Permanent Wetland Impacts:
1338 SF / 0.03 AC
2h. Comments: Please see Appendix B for details of the impact areas.
3. Stream Impacts
3a. Stream impact
number Permanent (P)
or Temporary (T)
3b. Type of
impact
3c. Stream name
3d. Perennial
(PER) or
intermittent (INT)?
3e. Type of
jurisdiction
3f. Average
stream width
(feet)
3g. Impact length
(linear feet)
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction If pond or lake construction proposed, then complete the chart below.
3h. Total stream and tributary impacts
NA
3i. Comments:
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of the U.S.
then individually list all open water impacts below.
4a.
4b.
4c.
4d.
4e.
Open water impact number
Permanent (P) or
Name of water body
Type of impact
Water body type
Area of impact (acres)
Temporary (T)
(if applicable)
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction If pond or lake construction proposed, then complete the chart below.

5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c. Wetland Impacts (AC) 5d. Stream Impacts (FT) 5e. Upland (AC)
Flooded
Filled
Excavated Flooded
Filled
Excavated
P1
5f. Total:
NA
5g. Comments:
5h. Is a dam high hazard permit required?
❑Yes [:]No If yes, permit ID no: NA
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWR)
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.
Buffer Impact number-
Permanent (P) or
Temporary (T)
6c.
Reason for impact
6d.
Stream name
6e.
Buffer Mitigation
required?
6f.
Zone 1 impact
(square feet)
6g.
Zone 2 impact
(square feet)
B1
6h. Total Buffer Impacts:
NA
6i. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The Applicant has incorporated a retaining wall into the site plan, which reduced the impacts to wetlands by 400 square feet.
Additionally, the Applicant chose not to impact wetlands for the purpose of yard, reducing the impact by 700 square feet. In
total the Applicant avoided impacts to wetlands by 1100 square feet.
2b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Sediment and erosion control best management practices will be utilized during the construction of the wall and dwelling.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
The Applicant proposes to offset the loss of function that is anticipated to occur as a result of filling 0.03 -acre of forested,
riparian wetland, by making payment to the Lower Cape Fear Umbrella Mitigation Bank (LCFUMB).
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):
❑DWR ®Corps
2c. If yes, which mitigation option will be used for this
project?
®Mitigation bank
EI Payment to in -lieu fee program
❑Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: LCFUMB
__F3b. Credits Purchased (attach receipt and letter)
Type: Riparian
Quantity: 0.10 Acre
3c. Comments: A copy of the reservation letter will be provided once the USACE has approved the mitigation plan.
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
NA

4b. Stream mitigation requested:
Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWR
4c. If using stream mitigation, stream temperature:
❑Yes ®No
4d. Buffer mitigation requested (DWR only):
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.
4e. Riparian wetland mitigation requested:
6c.
Zone Reason for impact
4f. Non -riparian wetland mitigation requested:
4g. Coastal (tidal) wetland mitigation requested:
3 (2 for Catawba)
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.
NA
6.
Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation?
❑Yes ®No
6b.
If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the amount of
mitigation required.
6c.
Zone Reason for impact
6d. 6e.
Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required: NA
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).
NA
6h. Comments:
E. Stormwater Management and Diffuse Flow Plan (required by DEMLR)
1.
Diffuse Flow Plan
1 a.
Does the project include or is it adjacent to protected riparian buffers identified within
one of the NC Riparian Buffer Protection Rules?
❑Yes ®No
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
This site is the Cape Fear River basin
2.
Stormwater Management Plan
2a.
What is the overall percent of impervious area of this project?
2b.
Does the project require a Stormwater Management Plan?
®Yes ❑No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why: NA
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
Runoff will be collected and treated prior leaving the site.
2e.
Who will be responsible for the review of the Stormwater Management Plan?
Town of Caswell Beach
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
Town of Caswell Beach
3b.
Which of the following locally -implemented stormwater management programs apply
(check all that apply):
®Phase II ❑NSW USMP
❑Water Supply Watershed
❑Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been attached?
❑Yes ®No
4. DEMLR Stormwater Program Review

4a. Which of the following state -implemented stormwater management
programs apply (check all that apply):
❑ Coastal counties ❑ HQW ❑ ORW
❑ Session Law 2006-246 ❑ Other:
4b.
Has the approved Stormwater Management Plan with proof of approval
been attached?
❑Yes
[:]No
5.
DWR 401 Unit Stormwater Review
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
F.
Supplementary Information
1.
Environmental Documentation (DWR Requirement)
1a.
Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land?
[]Yes
®No
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)?
[-]Yes
[:]No
1c.
If you answered "yes" to the above, has the document review been finalized by the State
Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter.)
Comments:
[]Yes
❑No
2.
Violations (DWR Requirement)
2a.
Is the site in violation of DWR Wetland Rules (15A NCAC 2H .0500), Isolated Wetland
Rules (15A NCAC 2H .1300), DWR Surface Water or Wetland Standards, or Riparian
Buffer Rules (15A NCAC 2B .0200)?
❑Yes
®No
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 (DWR Requirement)
3a.
Will this project (based on past and reasonably anticipated future impacts) result in
additional development, which could impact nearby downstream water quality?
❑Yes
®No
3b.
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the most
recent DWR policy. If you answered "no," provide a short narrative description.
4.
Sewage Disposal (DWR 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.
Sewer is provided by the municipality.
S.
Endangered Species and Designated Critical Habitat (Corps Requirement)
5a.
Will this project occur in or near an area with federally protected species or habitat?
❑Yes
®No
5b.
Have you checked with the USFWS concerning Endangered Species Act impacts?
❑Yes
®No
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?
SEGi utilized their knowledge of the area as well as the Natural Heritage Database to verify this assessment.
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 (EFH)?
The proposed project neither impacts open waters that would provide essential fish habitat or coastal wetlands.
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 status (e.g., National Historic Trust
[—]Yes ®No
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?
SEGII utilized the history of the property to make this determination.
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:
This site is located in an AE Flood Zone. All applicable building requirements for this flood zone will be incorporated into the
design of the house.
8c. What source(s) did you use to make the floodplain determination?
Brunswick County GIS Portal (see Appendix D).
Dana A. Lutheran (SEGi)
� �
25 Anril 2017
ApplicanVAgent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter
from the applicant is provided.)

Lot 20-A Caswell Beach PCN 4-25-17 S�CjI
0
Appendix A
Brunswick County GIS Parcel Information

4/26/2017
Appraisal Card
A/76/,2m7 70e7 R -IA AM
MAXWELL H G III ET CHARLOTTE ottes:es: Appeal
NParcel: 2S1NA052
No
PLAT: UNIQ ID
/ 131217
37862125 ID NO: 209513137741
BRUNSWICK COUNTY (100), CASWELL BEACH (100), DOSHER HOSP TAX (100), YAUPON CARD NO. 1
BEACH FIRE (10) of 1
Reval Year: 2015 Tax Year: L -20-A 1.00AC FORT CASWELL BEACH PL 33/188 1.000 LT SRC -
2017
praised by 33 on 01/29/2010 4005 CASWELL BEACH TW -03 16 FR- EX- AT- 2T ACTION
16 22 2C 131104
CONSTRUCTION DETAIL MARKET VALUE
DEPRECIATION
CORRELATION OF VALUE
TOTAL POINT VALUEEff.
B ASE
US�Id
BUILDING ADJUSTMENTS MO Area
RATE RC EY V
CREDENCE TO
TOTAL ADJUSTMENT 981 00 1 GOOD
DEPR. BUILDING VALUE - CARD
DEPR. OB/XF VALUE - CARD
MARKET LAND VALUE - CARD 10
FACTOR TYPE: VACANT LAND
TOTAL QUALITY INDEX
STYLE;
TOTAL MARKET VALUE -CARD 10
TOTAL APPRAISED VALUE - CARD 10
TOTAL APPRAISED VALUE - PARCEL 10
TOTAL PRESENT USE VALUE - PARCEL
TOTAL VALUE DEFERRED - PARCEL
TOTAL TAXABLE VALUE - PARCEL $ 10
PRIOR
ILDING VALUE
BXF VALUE
LAND VALUE 10
RESENT USE VALUE
DEFERRED VALUE
TOTAL VALUE 10
PERMIT
CODE I DATE I NOTE I NUMBER AMOUNT
ROUT: WTRSHD:
SALES DATA
OFF.
RECORD DATE DEED
INDICATE SALES
BOOK AGEM R TYPE
/ /
PRICE
02007 643 9 200 WD
I U I V
1 2500:
HEATED AREA
NOTES
004 DIS FOR 99-2003
ORRECTION #58
SUBAREA UNIT ORIG % SIZE ANN DEP °% OB/XF DEPR.
GS RPL OD UAL DESCRIPTION OUN LTH UNIT PRICE COND BLDG# FACT Y EY RATE OV COND VALUE
TYPE AREA / CS OTAL OB/XF VALUE
FIREPLACE
SUBAREA
TO ALS
BUILDING DIMENSIONS
LAND INFORMATION
OTHER
ADJUSTMENTS AND
LAND
TOTAL
IGHESTAND
USE
LOCAL
FRON
DEPTH
LND
COND
NOTES
ROAD UNIT
LAND LINT TOTAL
ADJUSTED
LAND OVERRIDE LAND
EST USE
CODE
ZONING
TAGE EPTH
/ SIZE
MOD
FACT
RF AC LC TO OT
TYPE PRICE
UNITS TYP ADJST
UNIT PRICE
VALUE VALUE NOTES
WASTELAND
9600
RBSF
88 105
1.0000
0
1.0000
PW 100.00
1.00C LT 1.0010
100.00
10
1
1
U N BU I LDABLE
TOTAL MARKET LAND DATA 10
OTAL PRESENT USE DATA
hUp.//tax.brunsco.nWtsnet/Apprai salCard.aspx?parcel=251 NA052&TaxYear=2017 1/1

Lot 20-A Caswell Beach PCN 4-25-17
Appendix B
Lot 20-A Wetland Impact Plan

MF 8 F 96
Lot 23
Lot 22
N/F R. P. Ri hardson, III
DB 0216 P 0680
PID 25 NA030
Notes:
The parcels shown hereon are located in Flood Zone AE15
(Eley = 15') per FIRM Map Panel Number 3720209500J dated
06/02/2006.
The PRELIMINARY FIRM Map dated 08/29/2014 shows the
parcel in an AE10 (Elev. 10').
NoRn1AAS
G
\ ERlF1E0 g y O 3 F' SE FH L! yf
\ DCA 1) 03l<<2� lOFR
N/F The Town of Caswell Beach \ \
DB 1422 P 0702
PID 251NA050 \
PF
S80 -57'41 .•E �
88.00Ft.
i- - - . . L12 'I'-
21-
2.iC2 A sap
ire
Ff1..E
25�-Lor'se;_
_ BACK
/ 25'
- - J lOTsACI �LINF-
OQ_ ...ot,1 v.an3 n _ _ _ V /
- - - _ •
Open Deck (10'x 16')
L \ 67- - - _ - - Retaining Wall (80 LF) ,r•
2 . . \. ! �i� •F `�::�„ �� Proposed 404 Wetland Impact
2 \. . _ _ _ _ _• t17 v . _ . `,, . �. • • / 1,338 sci t. (0.031 Acres)
o .e�,•, / Open Deck (16' z 16') and Stairs
O.. .. /
6740 Net'nerlands Drive, Suite A
I1�7775�7� �yt� 77 W,Imincgton, Nott Carolina 26405
®1i111L1f1L®lY 6iS �1C®�9 Zt
910.799.00n3.00s�nc.cor'.
99 Voce
910.799.3327 `ax
LINE TABLE
LINE
LENGTH
BEARING
L1
8.94
S55'25'54"E
L2
17.99
S62'34'44"E
L3
29.91
S44'49'01"E
L4
25.83
S64'42'33"E
L5
18.71
S68'09'42"E
L6
24.11
N61'54'32"E
L7
28.85
N78'46'25"E
LS
25.79
N46'25'50"E
L9
33.81
N49'59'16"E
L10
2.95
S82'04'37"E
L11
27.531
N15'36'56"E
L12
176.01
N80'57'41"W
L13
60.65
S15'48'26"W
L14
0.65
567'53'35"E
L15
23.95
S61*1O'03"E
L16
35.89
565'05'37"E
L17
19.20
N78"02'10"E
L18
29.15
S76'1 6'29"E
L19
16.71
N69'07'25"E
L20
13.02
N72'52.50"E
L21
13.48
N49'36'54"E
L22
19.95
N65.09'36"E
L23
15.04
N47'30'31"E
L24
14.14
S74'43'13"E
Notes:
The parcels shown hereon are located in Flood Zone AE15
(Eley = 15') per FIRM Map Panel Number 3720209500J dated
06/02/2006.
The PRELIMINARY FIRM Map dated 08/29/2014 shows the
parcel in an AE10 (Elev. 10').
NoRn1AAS
G
\ ERlF1E0 g y O 3 F' SE FH L! yf
\ DCA 1) 03l<<2� lOFR
N/F The Town of Caswell Beach \ \
DB 1422 P 0702
PID 251NA050 \
PF
S80 -57'41 .•E �
88.00Ft.
i- - - . . L12 'I'-
21-
2.iC2 A sap
ire
Ff1..E
25�-Lor'se;_
_ BACK
/ 25'
- - J lOTsACI �LINF-
OQ_ ...ot,1 v.an3 n _ _ _ V /
- - - _ •
Open Deck (10'x 16')
L \ 67- - - _ - - Retaining Wall (80 LF) ,r•
2 . . \. ! �i� •F `�::�„ �� Proposed 404 Wetland Impact
2 \. . _ _ _ _ _• t17 v . _ . `,, . �. • • / 1,338 sci t. (0.031 Acres)
o .e�,•, / Open Deck (16' z 16') and Stairs
O.. .. /
6740 Net'nerlands Drive, Suite A
I1�7775�7� �yt� 77 W,Imincgton, Nott Carolina 26405
®1i111L1f1L®lY 6iS �1C®�9 Zt
910.799.00n3.00s�nc.cor'.
99 Voce
910.799.3327 `ax
.58F -t. Proposed Home on pilings, including roof
<s \, .....� ,/� 28.0 / (Total added impervious = 1,140 sq.ft.)
o /
N7q 30 18 W p 2 t 2:7 A
G 222 P
2r 87 8
Cos wel/ B
e
Pu°chblic h RoOd \
6p Wide R 7700
LOTS 20-A if 2 1-A
5ECTION B FORT CA5WELL BEACH - MB 6 P 9G
5MITHVILLE TOWNSHIP - BRUNSWICK COUNTY
CA5WELL BEACH, NORTH CAROLINA
Brun5WICk County PID 25 1 NA03 I AND PID 25 1 NA052
Lot 32
N/F Michael R. and
Lucinda Harmon
DB 0926 P 0608
PID 251NA032
\ OWNER:
H. G. MAXWELL, III
P. 0. DRAWER 10009
GOLDSBORO, NC 27532
WETLAND PLAT
Surveyor Certifications Certificate of Accuracy and Mapping
I, Dean D. Ezllne, certify that this plat was drawn under my
supervision from an actual survey made under my supervision (plat
map recorded in Map Book 33, page 188, etc.); that the
boundaries not surveyed are drawn as dashed and clearly indicated
as drawn from information referenced hereon: that the ratio of
precision as calculated is 1:15,000; that this plat was prepared in
accordance with G. S. 47-30 as amended. Witness my original
signature, license number and seal this 29th day of July, A.D.,
2016.
Dean D. Exline, PLS License No. L-4375
Additional Certification
I, Dean D. Exline, certify that the survey is of an
existing building or other structure, or natural
feature, such as a watercourse or wetlands.
D. Exline, PLS License No. L-4375
to f
This certifies that this copy of this plat accurately depicts
the boundary of the jurisdiction of Section 404 of the
Clean Water Act pursuant to the 1987 manual as
determined by the undersigned on this date. Unless there is
a change in the law or our published regulations, this
determination of section 404 jurisdiction may be relied upon
for a period of five years from this date.
Signature of U. S. Army Corps of Engineers Official
Date of Signature
0 5 1D 20 30
SCALE (ft.)
DATE: DRAWN:
07/29/16 CLC
SCALE: CHECKED:
1"= 20' DDE
PROJECT NO:
06043
LEGEND l vicinity Map
IPF =
Iron Pipe Found
IRF =
Iron Pin Found
PKF
= PK Nail Found
XFnd
= "X" Scribed in Concrete Found
CMF
= Concrete Monument Found
IRS =
5/8" Iron Pin with Cap Set
Normal High water Mark
- —
— 30' AEC Buffer
Coastal Wetland Line
75' Estuarine Shoreline AEC
Surveyed Line
Line Not Surveyed
Setback Line
404 Wetland Line
Wetlands Delineation Certification
The areas deemed as wetlands\uplands hereon were delineated
and
defined by South Environmental Group.
.58F -t. Proposed Home on pilings, including roof
<s \, .....� ,/� 28.0 / (Total added impervious = 1,140 sq.ft.)
o /
N7q 30 18 W p 2 t 2:7 A
G 222 P
2r 87 8
Cos wel/ B
e
Pu°chblic h RoOd \
6p Wide R 7700
LOTS 20-A if 2 1-A
5ECTION B FORT CA5WELL BEACH - MB 6 P 9G
5MITHVILLE TOWNSHIP - BRUNSWICK COUNTY
CA5WELL BEACH, NORTH CAROLINA
Brun5WICk County PID 25 1 NA03 I AND PID 25 1 NA052
Lot 32
N/F Michael R. and
Lucinda Harmon
DB 0926 P 0608
PID 251NA032
\ OWNER:
H. G. MAXWELL, III
P. 0. DRAWER 10009
GOLDSBORO, NC 27532
WETLAND PLAT
Surveyor Certifications Certificate of Accuracy and Mapping
I, Dean D. Ezllne, certify that this plat was drawn under my
supervision from an actual survey made under my supervision (plat
map recorded in Map Book 33, page 188, etc.); that the
boundaries not surveyed are drawn as dashed and clearly indicated
as drawn from information referenced hereon: that the ratio of
precision as calculated is 1:15,000; that this plat was prepared in
accordance with G. S. 47-30 as amended. Witness my original
signature, license number and seal this 29th day of July, A.D.,
2016.
Dean D. Exline, PLS License No. L-4375
Additional Certification
I, Dean D. Exline, certify that the survey is of an
existing building or other structure, or natural
feature, such as a watercourse or wetlands.
D. Exline, PLS License No. L-4375
to f
This certifies that this copy of this plat accurately depicts
the boundary of the jurisdiction of Section 404 of the
Clean Water Act pursuant to the 1987 manual as
determined by the undersigned on this date. Unless there is
a change in the law or our published regulations, this
determination of section 404 jurisdiction may be relied upon
for a period of five years from this date.
Signature of U. S. Army Corps of Engineers Official
Date of Signature
0 5 1D 20 30
SCALE (ft.)
DATE: DRAWN:
07/29/16 CLC
SCALE: CHECKED:
1"= 20' DDE
PROJECT NO:
06043

Lot 20-A Caswell Beach PCN 4-25-17 S�CjI
5: c
Appendix C
Lot 20-A Jurisdictional Determination Packet
(J44 ��c�t e� ����2 sc,—bm�4a{)

Lot 20-A Caswell Beach PCN 4-25-17 S�CjI
Appendix D
Flood Map

Lot 20-A Caswell Beach Flood Map

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION: I, 20-A 1.00A.C.Fort Caswell Beach Pl., 33/198
LOT NO. 20-A PLAN NO, —PARCELLD. 251NA250
STREET ADDRESS: NA
Property Owner: HG Maxwell 'III
The undersigned, registered property owner of the above noted property, does hereby authorize
Southern Environmental Group. Inc. (SEGi) and West At;ency Realtjto act on their behalf, in
matters regarding areas of environmental concern.
Property Owner's Mailing Address (if different than property above):
V
L,4 s 6a. n _ .......... . .....
Telephone:
Property Owner t s
w T3ana ALuStexan
Print Name
Date
SEGi Au heirized
Signature
Aja
k
Print Name
�f
Date