20171007 Ver 1_401 Application_20170810

Quible
Quible & Associates, P.C.
ENGINEERING • ENVIRONMENTAL SCIENCES • PLANNING • SURVEYING
SINCE 1959
August 3, 2017
Anthony Scarbraugh
NC Division of Water Resources
943 Washington Square Mall
Washington, NC 27889
RE: Buffer Zone Authorization Request
Lot 13, Tom Neal Dr., Ocracoke, Hyde County, NC
Mr. Scarbraugh:
RECEIVED/NCDENP/DWR
AUG 7 2017
Water Quality Rcgional
Operations Section
Washington Regional Office
P.O. Drawer 870
Kitty Hawk, NC 27949
Phone: [phone]
Fax: [phone]
web: quible.com
Enclosed is the CAMA Minor submission a single-family residence and a septic system located on Tom
Neal Dr. in Ocracoke.
Enclosed is the following:
• Agent Authorization Statement
• Buffer Zone Authorization Application
• 2 copies of the Permit Plans
• USGS Topo Map
• NRCS Soil Survey
If you have any questions or if you need any additional information, please contact me at 252.261.3300 or
at [e-mail].
Sincerely,
ZF;;;!
CC: File
Russ Reynolds
Steve Trowell (NC DCM)

1. OWNER/DEVELOPER: JUUA C. HUT ERS
P.O. BOX 247
OCRAC OKE, NC 27960
2, ENGINEER; QUIBLE & ASSOCIATES, P.C.
P.O. DRAWER 870
KITTY HAW, NC 27949
3, SITE ADDRESS. TOM HEAL DR. (OCRACOKE)
4. PIN: 9501-51-1016
5. RECORDED REFERENCE: D.B. 166, PG. 917; P.C. B, SL. 158
6, BOUNDARY INFORMATION IS BASED ON SURVEY BY ED FOLEY SURVErhG ITTLED *RECOMBINATION MAP FOR 'PiUA
C. HUTCHERSON* ISSUED AND SEALED BY EDWIN N. FOLEY, PLS ON 9/25/200a.
7. PHYSICAL IMPROVEMENTS ARE BASED ON FIELD SURVEY BY QUIBLE & ASSOCTATES, P.C. ON 07/11/17.
8. PROPERTY IS LOCATED IN F.I.R.M. ZONES AE (6.0')
PANEL f 9501; CID- 370133; MAP f. 3720950100J DATED 5/15/200Z
ZONES SUBJECT TO CHANGES BY FEMA
9. PARCEL AREA: 19.231.7 sqft / 0.4-4 acres
10. SEPTIC SYSTEM:
AQRYL_iXSWA_
1) DESIGN FLOW. 6 PERSON SLEEPING CAPACITY 0 60 GRID /I PERSON = 360 GPD
2) LONG TERM APPLICATION RATE (LTAR).ACTIVE - 1.0 GPD/SF
3) DISPOSAL: CONVENTIONAL BED SYSTEM - 180 LINEAL FT (6 LINES 0 30 LN.FT)
UTILIZE 15A .1945 RULE (NO REPAIR AREA SHOWN)
11. COVERAGE:
ERWNQ����
BUILDINGS AND DECKS .............................. ....... __ 21047.5 SQ.FT.
CONCRETEDRIVE .... .......... .............. .. ................. ..... ...... __ ...... ............. 705.8 SOFT.
TOTAL. ....... .... __ ...... ................................................<,.......,.... _ ........ ..... 2.753.3 SOFT,
PERCENT COVERAGE - (2,753.3 SO.FT./19,231.7 SOFT.) x 100 = 14_3X (50% ALLOWABLE)
12. SETBACKS SHOWN ARE AS PER HYDE COUNTYS OCRACOKE DEVELOPMENT ORDINANCE AND MUST BE VERIFIED.
THEY DO NOT REFLECT ANY RESTRICTIVE COVENANTS THAT MAY EXISTS.
WAaMWATJ"ffaTALN2IL&-
1. CONTRACTOR IS RESPONSIBLE FOR LOCATING EXISTING UNDERGROUND UTILITIES IN AREAS OF WORK PRIOR TO
ANY WORK. PROVIDE ADEQUATE MEANS OF SUPPORT AND PROTtCnON IF UTILITIES ARE TO REMAIN IN PLACE,
2. REMOVE TREES, GRASSES, SHRUBS AND OTHER VEGETATION, IMPROYEMENTS OR OBSTRUCTIONS INTERFERING
WITH INSTALLATION OF NEW CONSTRUCTION UNLESS NOTED OINERWSE.
1 UNLESS OTHERWISE INDICATED ON THE PLAN, CONSTRUC11ON OF SMAGE COL -LECTION. TREATMENT AND
DISPOSAL SYSTEM IS TO CONFORM WITH SECTION .1900 'LAWS AND RULES FOR SEWAGE TREATMENT AND
DISPOSAL SYSTEMS* OF NORTH CAROLINA ADMINISTRATIVE CODE, DOARTMENT OF ENVIRONMENT AND NATURAL
RESOURCES, DIVISION OF ENVIRONMENTAL HEALTH, ON-SITE WAt1t*kTER SECTION (15 NCAC 18A.1900).
4. CONSTRUCTION OF SEWAGE COLLECTION SYSTEM, TREATMENT AND OtWOSAL SYSTEM IS TO CONFORM NTH ANY
CONDITIONS IMPOSED BY THE LOCAL HEALTH DEPARTMENT.
5. MATERIAL USED FOR COLLECTION AND DISPOSAL SYSTEM SHALL CONFORM NTH SAME REQUIREMENTS AS #4
ABOVE.
q. FILL
BE
MATERIAL SHALL HAVE SUCH SOIL TEXTURE TO CLASSIFIED AS SAND OR LOAMY SAND (SOIL GROUP 1)
UP TO THE TOP OF THE NITRIFICATION TRENCHES. THE FINAL SIX INCHES OF FILL USED TO COVER THE
SYSTEM SHALL HAVE A FINER TEXTURE (SUCH AS GROUP 11, 111) FOR THE ESTABUSHMENT OF A VEGETATIVE
COVER. THE FILL MATERIAL AND THE EXISTING SOIL SHALL BE MI)n TO A DEPTH OF SIX INCHES BELOW THE
INTERFACE. HEAVY VEGETATIVE COVER OR ORGANIC UTTER SHALL BE REMOVED BEFORE THE FILL MATERIAL IS
INCORPORATED.
7. ALL SURFACE RUNOFF SHALL BE DIVERTED AROUND AND AWAY FROM THE DRAINFIELD AREA. FINISH GRADE
SHALL BE LANDSCAPED TO PREVENT PONDING OF SURFACE WATER VEGETATE DRAINFIELD AREA AS SPECIFIED
IN LANDSCAPE PLAN (BY OTHERS).
FEBMAMAILYMEIAMN IEMEQRAR1_YEQffAIQM
SEEDING DATES: APRIL I - AUGUST 31: SEEDING DATES- AUG. 16 APRIL 150
SEULmix-AMB&L ARELILAMR-RAIEVACRE
REBEL If FESCUE 130 LBS, RYE GRAIN 120 LBS
COMMON BERMUDA 'SAHARA' 215 LBS.
(HULLED) SEEDING DATES: APRIL 16 AUG. 15:
1 SLIED-mix-D&L AEEUQ&ILQNJ3AMV_&0L
SEEDING DATES: SEPT. 1 --MARCH 31- GERMAN MILLET 40 LBS
5JEEU-NIM&L Affmc���
REBEL 11 FESCUE 250 LB&
COMMON BERMUDA 'SAHARA" 215 LBS.
(UNHULLED)
SEEDBED PREPARATION -
LOOSEN SOILS TO A DEPTH OF 6-8 INCHES USING A RIPPER, HARROW, OR CHISEL PLOW, BREAK UP CLODS, REMOVE UNACCEPTABLE GROWTH (STICKS, ROOTS), STONES
(>3-), AND OTHER MATERIALS, AND WORK THE TOP 3-4 INCII411LES OF THE SOIL INTO A SEEDBED. THE AREA TO BE SEEDED SHALL BE RE -COMPACTED UTIUZING A
CULTIPACKER ROLLER AND A SMOOTH EVEN SOIL SURFACE WI' -H A LOOSE, UNIFORMLY FINE TEXTURE SHALL BE THE FINISHED GRADE,
SOIL AMENDMENT& -
OBTAIN A SOIL TEST TO DETERMINE APPUCA11ON RATES AND FOLLOW RECOMMENDATIONS OF SOIL TESTS. WHEN A SOIL TEST IS NOT POSSIBLE, APPLY 3,000 LB/ACRE
GROUND AGRICULTURAL LIMESTONE AND 1,000 LB/ACRE 10-1C-10 STARTER FERTILIZER.
MULCHING:
APPLY *,000 LB/ACRE GRAIN STRAW OR EQUIVALENT COVER OF ANOTHER SUITABLE MULCH. ANCHOR STRAW BY TACKING WITH ASPHALT, NETTING, ROVING OR BY
CRIMPING WITH A MULCH ANCHORING TOOL
MAINTENANCE:
SATISFACTORY STABIUZATION AND EROSION CONTROL REQUIRES A COMPLETE VEGETATIVE COVER. EVEN SMALL BREACHES IN VEGETATIVE COVER CAN EXPAND RAPIDLY
AND, IF LEFT UNATTENDED, CAN ALLOW SERIOUS SOIL LOSS FROM AN OTHERWISE STABLE SURFACE. A SINGLE HEAVY RAIN IS OFTEN SUFFICIENT TO GREATLY ENLARGE
BARE SPOTS, AND THE LONGER REPAIRS ARE DELAYED, THE 40RE COSTLY THEY BECOME. PROMPT ACTION WL KEEP SEDIMENT LOSS AND REPAIR COST DOWN. NEW
SEEDLINGS SHOULD BE INSPECTED FREQUENTLY AND MAINTENANCE PERFORMED AS NEEDED. IF RILLS AND GULUES DEVELOP, THEY MUST BE FILLED IN, RE -SEEDED, AND
MULCHED AS SOON AS POSSIBLE. DIVERSIONS MAY BE NEEDED, UNTIL NEW PLANTS T HOLD.
MAINTENANCE REQUIREMENTS EXTEND BEYOND THE SEEDING PHASE. (COMPLETE VEGETATIVE COVER IS REQUIRED REGARDLESS OFCOUNTY
ISSUANCE OF A CERTIFICATE OF OCCUPANCY AND FINAL PAWAENT WILL NOT BE AWARDED UNTIL COMPLETE ESTABLISHMENT OF VEGETATIVE COVER.)
WEAK OR DAMAGED SPOTS MUST BE REUMED, FERTILIZED, *ULCHED, AND RESEEDED AS PROMPTLY AS POSSIBLE, EFERTILIZATION MAY BE NEEDED TO MAINTAIN
PRODUCTIVE STANDS.
ELEVATIONS SHOM ARE FOR ILL USIRATIIR
PURPOSES
SLY. CONTRACTOR TO CONFIRM 1/2--3/4- DIA, HOLES
ALL EUEVA:s . S PRIOR TO CONSTRUCTION
ASTM F-405
ENGT11 AS REQ'D)
4" DLkMETER CORRUGATED PO,YETHYLENE (ASTM. F-405) LATERAL NITRIFICATION
LINE. NITRIFICATION LINE TO iAW THREE ROWS OF HOLES, EACH HOLE BETWEEN
ONE -ALF INCH TONE THREE -F
HOURTHS INCH IN DIAMETER, AND LOCATED IN THE
LOWER PORTION OF THE TUNNG, THE OUTSIDE ROWS BEING APPROXIMATELY ON
120'CENTER& SEE NITRIFICATION TINE DETAIL ABOVE.
CALC — — — — — — — — — —
CALC
EPK IN/
12-C
CIO NUbAH t44-454ON& -2-
LO7;w
p1m.
D,R 116, F16, 741
P.L. a, a. ,
Vt
PROPOSED
MOORING PILES
(TYP. OF 4)
&q_C
z
ROCK SHAIJ BE CLEAN, WASHED GRAVEL
OR CRUSHE� STONE AND GRADED OR
SI ZED IN ACCORDANCE NTH SIZE NO.S'
3. 4, 5, 57, OR 6 OF ASTM D-44-8,
V WIDE TRENCH
z
FILTER FABRIC BETWEEN
STONE & BACKALL VATER?AL.
REFERENCE GRADE = >100,0
PLUG EACH END OF 4' MMFICATMN 'UNE. SEAL PLUG NTH. WATER -PROOF D�A, MTRIRCAT
SEALANT OR CAULKING. -INE (SEE DETAIL)
I__3.0' ON CENTERS
(TM)UNDISTUR!�F]O
SUBGRAOF �TYP)
N, T, S, 99MMUNALM-1903M
ALL DRAINFIELD AND REPAIR AREAS SHALL BE SEEDED AND MULCHED
ACCORDING TO THE GENERAL SEEDING SPECIFICATIONS
2 -STOJRY Lo PROPOSED
1- fA `H0,' F5
5, PF.D. P COVERED
ONILCF_s 0. PORCH
EIRATEVkSE
< z
U < v) wW
LCI n Z
x
It
6RA Va
NAIL FOUND, NF
� eq* 40'00* E 1,35,00'
ROA17,
(00,
u
CALCULATED POINT
kj%
orn fI 2
TO BE 60POW0 N7H LOT 12 FER FLA T BY' W FOLEY'
co,
4" SCH 40
tRVEYfiV& 77 TLEP REC-CPOM T&?N I -W FOR Jt 1A
-4
9, 6 -----,Pvc 0 10%
166.01C.O.
C. 4TC40;" AW 56NEP ON 5EP7FNVfR 25,
x
mow Iy>;E
W:�; 0 H- (n CZ F- Z
2006 AAV RflC� IN RC. C, a, 107E
W
5W Z_02�00f
0 J_J0T­z0uLJ
71
Cn
,.` 1
1 IN
R
6R4%V_
N/F
OCRACOKE haVIN65, LLC
C&C eq- _-3, 40-
LOT I$ 1A
UT (NTH EFFLUENT
FILTER)
g pp
v
ROAD
F11M q" -N-200
DBS 127, f i$� 301
z C)
01
-4
P1, A a. 171B
j
ISSUE DATE
7
;me
PROJECTED
G
Lt) Uj
TOE OF -
FILL SLOPE
m/F
z
CO JtIA WFCM9Z5M
RE5ERVW LOT
lit
cy)
PIN. 4WI-st-1016
V , F15 q22
PJ_ 0, -it- 150
%
z
:z III
L z
P4
Z m-
12-2'
PROPOSED POTABLE WATER SERVICE
L4J
METER (SIZED BY OTHERS)
PROPO 6 "0
W
CONTRACTOR SHALL DETERMINE
LK *
ODEN 2.0
A
LOCA IION, SIZE, MATERIAL & DEPTH OF
93
4
EXISTING WATER MAIN. MAINTAIN 10'
-CU
HORIZONTAL SEPARATION FROM ALL
PORTIONS OF THE WASTEWATER SYSTEM
PROPOSED
CID
10'X20`
A
PROSED
OP
PARKING SPACE
35.6
CONCRETE DRIVE
(TYP. OF 3) 3.5' pR()POSED
& PARKING
2 -STOJRY Lo PROPOSED
1- fA `H0,' F5
5, PF.D. P COVERED
ONILCF_s 0. PORCH
1z
z
< z
U < v) wW
LCI n Z
x
4�0!
(n
NAIL FOUND, NF
3 -EfFOROOM
EXISTING IRON ROD, EIR
u
CALCULATED POINT
D
orn fI 2
ILA
4" SCH 40
0
0
1-0
mo
-4
9, 6 -----,Pvc 0 10%
166.01C.O.
x
mow Iy>;E
W:�; 0 H- (n CZ F- Z
a,
W
5W Z_02�00f
0 J_J0T­z0uLJ
71
Cn
D Z
uW0
C4 0
qy 1K SEPTIC TANK
j
< Z
('9I-
UT (NTH EFFLUENT
FILTER)
t
v
IN
0
(n
z C)
01
-4
mWS
j
ISSUE DATE
7
;me
PROJECTED
G
Lt) Uj
TOE OF -
FILL SLOPE
Z -
z
cy)
C;
N/F I I
C,O hEAL COC7YR
LOT b4
FIN, q" -59-1q2_2
ODV FI5. _565
Pi- 0, 5. 50
Ex,
1- fA `H0,' F5
Lha
W,
CONTRACTOR SHALL INSTALL
WASTEWATER SYSTEM IN
. -SUCH A MANNER AS TO
GUARANTEE POSITIVE FLOW
THROUGHOUT THE SYSTEM
_A
NL
r
1�0
E
I -
Know whatsuelOW.
Call before you dig.,
I I I ........
Vol
VICH41TY M" (OcTacoke)
N.T.S.
LEGEND
EXISTNG GRAVEL DRIVE
1z
z
< z
U < v) wW
LCI n Z
x
PROPOSED CONCRETE
(n
NAIL FOUND, NF
z
EXISTING IRON ROD, EIR
u
CALCULATED POINT
D
PROPOSED WATER METER
EXISTING PK NAIL, EPK
RECEIVED/NCDENRIDWR
Water kuaiay Hegionat
Operations Section
Washinqgan. Reglrxva�
GRAPHIC SCALE
20 1 P 20
- - - - - - - - - - -
(,0
z
0
ELI
Of
I
z
1z
z
< z
U < v) wW
LCI n Z
x
(n
CnOm Q t9 I- -,
0
z
0 a. 5
u
D
ro
1< 0 U0,
-
Lj
0
0
1-0
mo
LD �Q
8 X
01
x
mow Iy>;E
W:�; 0 H- (n CZ F- Z
a,
W
5W Z_02�00f
0 J_J0T­z0uLJ
71
Cn
D Z
uW0
C4 0
Q)
< Z
('9I-
OD
0
_, <C, -(n
yzUUJ _1 _
0 (1) W
z
DRAWN BY
0
(n
z C)
0
mWS
j
ISSUE DATE
7
*.ilI
Lt) Uj
14t
Z -
z
cy)
C;
0 YAW4
z
:z III
L z
P4
Z m-
L4J
W
(,0
z
0
ELI
Of
I
z
1z
z
< z
U < v) wW
LCI n Z
x
(n
CnOm Q t9 I- -,
0
z
0 a. 5
zo-i :z U, �� �z
D
L-Woww 0
1< 0 U0,
-
oxn000uo
0
0
1-0
mo
LD �Q
8 X
_<i_W0:Dxzz
H- >- Z a' W Q < 'i
z mww r)mw M
5�
0
mow Iy>;E
W:�; 0 H- (n CZ F- Z
cl�
>_,�g
W OX
j "'d M
5W Z_02�00f
0 J_J0T­z0uLJ
71
0-
0
D Z
uW0
06<z-'
93 r) I-
_J - 0
Q)
< Z
('9I-
�� a UJ Z) Ix
_, <C, -(n
yzUUJ _1 _
0 (1) W
z
DRAWN BY
u_ <
z C)
0
(,0
z
0
ELI
Of
I
z
S F1 E ET NO.
OF 1 SHEETS
(n
z
W
Off
0
--------------------
I
COMMISSION NO,
_P1 7057
DESIGNED BY
DLT
DRAWN BY
DA, CELT
CHECKED BY
mWS
ISSUE DATE
7
S F1 E ET NO.
OF 1 SHEETS

RE: Lot 13 Tom Neal Dr.
Ocracoke, Hyde County, NC
As property owner, I authorise Quible $ Associates, P.C. to act as agent for the purpose of CAMA
Permitting and DWR Permitting associated with Lot 13 of the Sound Shores Subdivision located on Tom
Neal Dr. in Ocracoke, NC.
Date
or P--� . Y1311 Z
Name: Ru Remolds
Title: Property Owner

RECF1V1---0/NCDENR/DWR
State of North Carolina
D-W,, R
AUG 7 2017 Department of Environment and Natural Resources
Division of Water Resources Division of Water Resources
Regional
15A NCAC 02B .0233 (8)(b), .0243 (8)(yb4. _024 c(p)(b), .0267 (11)(c), .0607 (e)(2) - Buffer Authorization
FORM: BA 10-2013
A. Applicant Riparian Buffer Authorization Form Information
1. Project Information
1 a. Name of project:
1 b. County: Hyde
1 c. Nearest municipality: Ocracoke
1 d. Subdivision name: Sound Shores
1e. Is the project located in any of North Carolina's
twenty coastal counties. If yes, answer 1 f below.
® Yes ❑ No
if. Is the project located within a NC Division of Coastal
Management Area of Environmental Concern (AEC)?
® Yes ❑ No
2. Owner Information
2a. Name on Recorded Deed:
Julia C Hutcherson
2b. Deed Book and Page No.
DB 166, PG 922
2c. Map Book and Page No.
(include a copy of the recorded
map that indicates when the lot
was created):
PL B, SL 15B
2d. Responsible Party
(for Corporations):
2e. Street address:
PO Box 247
2f. City, state, zip:
Ocracoke, NC 27960
2g. Telephone no.:
2h. Fax no.:
2i. Email address:
3. Applicant Information (if different from owner)
3a. Applicant is:
❑ Agent ® Other, specify:
3b. Name:
Russ Reynolds
3c. Business name
(if applicable):
3d. Street address:
813 Thatcher Way
3e. City, state, zip:
Raleigh, NC 27615
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
[e-mail]
4. Agent/Consultant Information (if applicable)
4a. Name:
Troy Murphy
4b. Business name
(if applicable):
Quible & Associates P.C.
4c. Street address:
PO Box 870
4d. City, state, zip:
Kitty Hawk, NC 27949
4e. Telephone no.:
252-491-8147
4f. Fax no.:
4g. Email address: I
[e-mail]
FORM: BA 10-2013 Page 1 of 4

B.
Project Information and Prior Project History
1.
Property Identification
1a.
Property identification no. (tax PIN or parcel ID):
9501-51-1016
1 b. Site coordinates (in decimal degrees):
Latitude: 35.116310
Longitude: -75.972723
1 c.
Property size:
0.43 acres
2.
Surface Waters
2a. Name of nearest body of water to proposed project:
Pamlico Sound
2b. Water Quality Classification of nearest receiving
water:
SA
2c.
River basin:
Tar -Pamlico
3.
Project Description
3a.
Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of
this application:
Undeveloped bulkheaded uplands
3b.
Attach an 8 1/2 x 11 excerpt from the most recent version of the USGS topographic map indicating the location
of the site
3c.
Attach an 8 1/2 x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map
depicting the project site
3d.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
-133 LF
3e.
Explain the purpose of the proposed project:
Residential home site
3f.
Describe the overall project in detail, including the type of equipment to be used:
The property owner proposes to construct a single-family residence with a associated septic system
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:
4b.
If yes, who delineated the jurisdictional areas?
Name (if known):
Agency/ Consultant Company:
Other:
4c.
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach
documentation.
5.
Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes ❑ No ❑ Unknown
5b.
If yes, explain and detail according to "help file" instructions.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes ❑ No
6b. If yes, explain.
FORM: BA 10-2013 Page 2 of 4

C. Proposed Impacts Inventory
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
No vegetation removal expect for piling instillation impacts, deck to be slatted -open.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques. Material generated from piling borings to be placed in non -vegetated area on-site or outside
buffers
1. Buffer Impacts
2a. Will the project result in an impact within a protected riparian buffer that requires buffer
mitigation?
❑ Yes ® No
2b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation and
calculate the amount of mitigation required in the table below.
1 a. Project is in which protected
basin?
❑ Neuse
❑ Randleman
® Tar -Pamlico ❑ Catawba
❑ Jordan ❑ Goose Creek
1 b. Individually list all buffer impacts below. If any impacts require mitigation, then you MUST fill out Section D of
this form.
Buffer impact Reason for Type of impact
number — impact (exempt, allowable,
Permanent (P) allowable w/
or Temporary mitigation)
T
Stream name Buffer Zone 1
mitigation impact
required? (sq ft)
Zone 2
impact
(sq ft)
131 ® P ❑ T Open Decking
Allowable
❑ Yes ® No 366
395.16
62 ® P ❑ T House Footprint
Allowable
® Yes ❑ No
657.8
B3 ❑ P ❑ T
❑ Yes ❑ No
B4 ❑ P ❑ T
❑ Yes ❑ No
B5 ❑ P ❑ T
❑ Yes ❑ No
136 ❑ P ❑ T
❑ Yes ❑ No
Total buffer impacts 366
1053
1 c. Comments: Deck to be built following Buffer interpretation/Clarification #2007-002
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
No vegetation removal expect for piling instillation impacts, deck to be slatted -open.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques. Material generated from piling borings to be placed in non -vegetated area on-site or outside
buffers
2. Buffer Mitigation
2a. Will the project result in an impact within a protected riparian buffer that requires buffer
mitigation?
❑ Yes ® No
2b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation and
calculate the amount of mitigation required in the table below.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet (square feet
Zone 1 3 (2 for Catawba)
Zone 2
Total buffer mitigation required:
2c. If buffer mitigation is required, is payment to a
mitigation bank or NC EEP proposed?
❑ Yes ❑ No
2d. If yes, attach the acceptance letter from the mitigation bank or NC EEP.
2e. If no, then discuss what type of mitigation is proposed.
2f. Comments:
FORM: BA 10-2013 Page 3 of 4

E. Diffuse Flow Plan
All buffer impacts and high ground impacts require diffuse flow or other form of
❑ Diffuse flow
stormwater treatment. Include a plan that fully documents how diffuse flow will be
❑ Other BMP
maintained. If a Level Spreader is proposed, attach a Level Spreader Supplement Form.
1 a.
If due to site constraints, a BMP other than a level spreader is proposed, please provide a
❑ Yes ® No
plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP
of public (federal/state) land?
Manual and attach a BMP Supplement Form.
1 b.
F.
Supplementary Information
1.
Environmental Documentation
1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the use
❑ Yes ® No
of public (federal/state) land?
1 b.
If you answered "yes" to the above, does the project require preparation of an
❑ Yes ❑ No
environmental document pursuant to the requirements of the National or State (North
Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c.
If you answered "yes" to the above, has the document been finalized by the State
❑ Yes ❑ No
Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter.)
Comments:
2.
Violations
2a.
Is the site in violation of DWR Wetland Rules (15A NCAC 02H.0500), Isolated Wetland
❑ Yes ® No
Rules (15A NCAC 02H .1300), DWR Surface Water or Wetland Standards, or Riparian
Buffer Rules (15A NCAC 02B .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):
1 rm AAL gji-i L o_ 8 3/
Applicant/Ag nt's Prinnied Name plicant/Agent's Signature D to
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Send 3 complete sets of this form and accompanying documents to the following:
For government transportation projects sent
by First Class Mail via the US Postal Service:
NC DWR, Transportation Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699 - 1617
For all other projects sent by First Class Mail
via the US Postal Service
Karen Higgins
NCDWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699 - 1617
For government transportation projects sent by
delivery service (UPS, FedEx, etc.):
OR NC DWR, Transportation Permitting Unit
512 N. Salisbury Street
Raleigh, NC 27604
For all other projects sent by delivery service
(UPS, FedEx, etc.):
OR Karen Higgins
NCDWR — 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
FORM: BA 10-2013 Page 4 of 4

Datum: NAD27
075° 59'00.00" W 075° 58' 00.00" W 075° 57'00.00"
i
S.IS ! t..._SNC£ 1930=
� , . , t i `(!' O W A R REEF
i
ENGINEERING • CONSULTING • PUNNING I
ENVIRONMENTAL SCIENCES • SURVEYING
Phony. [phone]
F.•: 281-1260
Z
(252)
W 0:—.q.IbI — 1
I
I
Z
O
I I
O
C)
o
-
ID
3
In
C)
f
I
!
I
to
Cl)
i
Gap
t I SUN
I
LICD NtAeM
'o
YAM i Marti Anna
-
i
C HATIERAS4
PSI�TE
o
14AT SE.ASHORF. (/ ( ;?
4�.
T
�-
P
o
a
/Y%a
r
o
matt Guard StaX I `
i,}�
/•,a0� '` � \
1
�t 1- f` ►�rE�
Cl)r
'
Windmill =
Po
. > Ocracoke •. �, ° • ° ,` r
Tk, EP ' =�
int
Silver
Lake
Paas °
P
BM
Cockle Shoal LtQ
d►"+A
/ 4
✓�
1
-- -- _ _Springers
TOrNr
A
Point
t Llai'
- ' {7 �;. % / t�~ �
� �i � •
I
Z
7
Pc.,ar ke.I.
I
Z
_
CD
Declination
_ v
Il �/
`t
' 4
i
A/rpoK '`
o
C:)-
y
00
EO
Lr)r
N
,
C
>`G� V %
io
Lo
M/
O
Y
r.
'r .•rte
x i
..:' /
co
O
SCALE 1:24000
Q% y
0 1 MILE
—
?r
-
..'•/
0 _ _ _ _ 1000 YARDS
MN 10.43'W ;`
�Yi
o
�� 0 _ 1 KILOMETER
075° 59'00.00" W 075° 58'00-00" W 075° 57'00.00"
Name: OCRACOKE Location: 035° 06'58.81" N 075° 58'22.43" W
Date: 06/19/17
Scale: 1 inch = 2,000 ft.
Copyright C 2009 MyTopo
Datum: NAD27

va
USN bad
(I � 8^^U
VnU
d90
voo
CIF=N
dao
vnCl
(o9laays savor) 11 )10000061 r
Vq3 ynU baU �n4 QeN
dna
8M 7 yah UvN
n // `.