20040928 Ver 1_Complete File_20040608

o`'?? wa rF9Q?
r
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
August 24, 2005
DWQ # 20040923
CERTIFIED MAIL - RETURN RECEIPT REQUESTED Pender County
Cecelia and John Verardi
105 Dolphin Circle
Hampstead, NC 28443
Subject Property: Lots 157,158 and 159 off Sawgrass Ct. in the Olde Point Subdivision
NOTICE OF WITHDRAWL
Dear Mr. & Ms. Verardi:
On May 7, 2004, you requested a 401 Water Quality Certification from the Division of Water Quality
(DWQ) for your project. We wrote to you on June 26, 2004 discussing concerns that we have
regarding the design of the project and stating that it would be placed on hold for three weeks giving
you time to address DWQ's concerns. As of today, DWQ has not received a response to this request.
Therefore, your file is hereby considered withdrawn and will not be reviewed until DWQ's earlier
concerns are addressed. Once you have collected sufficient information to have a complete
application (please see our June 26, 2004 letter for the missing information), you will need to reapply
for DWQ approval. This includes submitting a complete application package with the appropriate
fee.
Please be aware that you have no authorization under Section 401 of the Clear Water Act for this
activity and any work done within waters of the state would be a violation of North Carolina General
Statutes and Administrative Code. Please call Mr. Ian McMillan at 919-7154631 if you have any
questions or concerns.
cc: Wilmington DWQ Regional Office.
Wilmington Corps of Engineers
Central Files
File Copy
;d w Permitting Unit
Filename: S:\2005 Correspondence\04-0928 Cecelia and John Verardi (Pender) Withdrawan.doc
Carolina
401 Oversight/Express Review Permitting Unit tamr1alik
1650 Mail Service Center, Raleigh, North Carolina 27699-1650 2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: ho;Mo.enr tate nc us/ncwetlands
An Equal Opportunity/Affumative Action Employer - 50% Recycled/10% Post consumer paper
OF W ATFR Michael F. Easley, Governor
Q William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
> r
-_? Alan W. Klimek P.E., Director
4 < Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality
July 26, 2004 WETLANDS 1401 GROUP
CERTIFIED MAIL: 7002 2410 00031721 0936
RETURN RECEIPT REQUESTED JUL 3 0 2004
Cecelia and John Verardi WATER QUALITY SECTION'
105 Dolphin Circle
Hampstead, NC 28443
SUBJECT: PROJECT ON HOLD FOR
ADDITIONAL INFORMATION
Lots 157, 158 & 159 off Sawgrass Ct.
In Olde Point Subdivision
DWQ Project # 04-0928
Pender County
Dear Mr. and Mrs. Verardi:
This Office has reviewed your Pre Construction Notification application and is placing your project on hold
until we receive the following additional information:
1. Please clearly explain why the proposed driveway cannot be placed on the western side of Lot 159
(location of high ground, see attached drawing), with a shorter driveway to the high ground portion on
the back of the lot;
2. Please send a copy of the signed wetland jurisdictional determination for the property (this may have
been done under the Subdivision name, but we need a valid map);
3. Please show the roads and house foot print to scale (road scales out to be approx 6 feet wide);
4. Please explain the 50' setback at the rear of the property. The house footprint could be pushed back to
avoid additional impacts to wetlands;
5. Please include a profile view of the pipes and pipe sizes that will be required by DWQ to be placed in
the proposed driveway through wetlands to keep the wetlands connected;
6. Please include a profile and cross sectional view of the road crossing (all wetland impacts for the road
crossing must include the necessary side slopes to prevent any additional wetland impacts);
7. Please include a copy of the restrictive covenants or deed restrictions that will protect the remaining
wetlands on the property from additional impacts.
Please respond within three weeks of the date of this letter by sending a copy of the information to Joanne
Steenhuis and to Cyndi Karoly, 401 Wetlands Unit, 2321 Crabtree Blvd., Raleigh, NC 27604-226, her phone
number is [phone]. If we do not hear from you within three weeks, we will assume that you no longer want
to pursue this project and we will consider the project as withdrawn. If you have any questions, please feel free to
call me at [phone].
'banne Steenhuis
Environmental Specialist III
cc: Cyndi Karoly -401 Wetlands Group
Lillette Grande - Corps of Engineers Wilmington
Danny Smith 401 Wetlands Group
WiRO
N. C. Division of Water Quality 127 Cardinal Drive Extension [phone] Customer Service A?wj??
?,?,._,,.
Wilmington Regional Office Wilmington, NC 28405 [phone] Fax [phone] WD EN-1

MEMORANDUM
TO: John Dorney
Non-Discharge Branch
Regional Contact: J. Steenhuis
WQ Supervisor: R Shaver
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name Cecelia ,& John Verardi County Pender
Project Number 04 0928 County2
Recvd From APP Region' Wilmington
Received Date 6/8104 Recvd By Region
Project Type residential, single family home
Certificates Stream Stream Impacts (ft.)
Permit Wetland Wetland Wetland Stream Class Acres Feet EM
Type Type Impact' Score Index' Prim. Supp. Basin Req. Req.
18 ?- O Y -@N 118-87-12 SA HQW 30,624. F_ F_ F- rr-
Mitigation Wetland
MitigationType Type Acres Feet
Is Wetland Rating Sheet Attached? O Y ON Did you request more info? O Y ON
Have Project Changes/Conditions Been Discussed With Applicant? O Y O N
Is Mitigation required? O Y O N Recommendation: O Issue O Issue/fond O Deny
Provided by Region: Latitude (ddmmss) 342219 Longitude (ddmmss) 774003
Comments:
This eject has been placed on hold for additional information as of July 26- 2004, JHS 7/29/04
cc: Regional Office
Central Office Page Number 1
OF W ArE9 Michael F. Easley, Governor
q William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
CIO
r
Alan Klimek, P.E., Director
Division of Water Quality
Coleen H. Sullins, Deputy Director
Divisi uality
Pender County
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
Cecelia & John Verardi
105 Dolphin Circle
Hampstead, NC 28443 WETLANDS/ 401 GROUP
Subject Property: Olde Point subdivision, Sawgrass Court, Lots 157, 158,159 JUL 6 6 2004
_ _DearM . i. - WATER QUALITY SECTION
On May 7, 2004 the Division of Water Quality (DWQ) was notified by receipt of your application regarding your
plan to fill wetlands or waters for the purpose of constructing a single-family residence in Pender County.
Approval from DWQ is required to disturb these areas. Please provide 7 copies of the following information and
refer to the DWQ # listed above in your reply. Please show these on maps of suitable scale (for instance 1" = 100
feet) so we can begin to determine your projects' compliance with 15A NCAC 2H .0500.
1. Please completeXlZe 8 of the application and provide the gliginal plus six 61 copies
2. Please provide seven (7) copief the approved septic permit.
Please telephone Bob Zarzecki at 919-733-9726 if you have any questions or would require copies of our rules or
procedural materials. This project will remain on hold as incomplete in accordance with 15A NCAC 2H.0505(c).
The processing time for this application will begin when this information is received. If we do not hear from you
by writing or by fax at [phone] within thr?weeks we will assume you no longer want to pursue the
project and will consider it withdrawn.
Sincerely,
Wilmington DWQ Regional Office
Wilmington Corps of Engineers
Central Files
File Copy
N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (http://h2o.enr.state.nc.us/ncwetlands)
Customer Service #: 1-877-623-6748
n R. Doml ey
1 Water Quality Ce fication Program

A

WETLANDS 1 401 GROUP
JUL , 6
j 2004
v <:. 6 WA TEE QUAL +Ty SECTJON
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. 200001541 County Pender Quad HAMPSTEAD
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property owner: _C=Ua a Tohn mrdi
M Doltrhin Circle ?rAmnef?frl ur? 28443
Telephone No: (910)0.6 69
,Zone. 18 UTM or LAT/LONG: North: 3806750 East: 25SWO
Size and Location of project (water body, road name/numba, town. ctc.) The DrAimt site
jq )orated on t iS'1
IAR_ in rlldA D-' n+ `Q R1 ..., ---_.._ .......- .. _ _
ar ll
Description of Activity: Authorization to h2h= fill mat _dR1 into 0.06 Am% of Cr?rrPnn 404 wetlands for the
nSM1930n ofri driX&Ao end AAA= site, dgpicted on sunn dated 8/1012rM.
Applicable Law: _X- Section 404 (Glean Water Act, 33 U.S.C. 1344)
(check all that apply), _ Section 14 (River and Harbors Act of 1899)
Authorization: N18 Nationividt Permit t+ma* r is a tllorizg& lot " 1 aZ, lSi; $154 ro
combined to limit future development an tbo¢e'Icts
LA w1mal (if Section 404 block above is hocked loons M99 submitted plans If your activity is subject to. Section 444
before beginning work you must also t10cliVe R 'Section 401 water duality
certification from the N.C. Division of Environmental Management, telephone [phone]. For any activity
within the twenty coastal counties, before' beginning work you must contact the N.C. Division of Coastal
&V01ag M0M. telephone [phone].
Please road and carrfully comply with the attached conditions of the ROP or NWP. Any violgtion of the conditions
of tiro ROP or the NWP roferoneed above may subject the permittee to a stop worst order, a restormlon order, and/or
appropriate legal ,action.
This Department of the Army RGP or NWP verbcation does-not relieve the permittee of the responsibility to
obtain any other required Federal. State, or local approvals/pernilts. The permittee may need to contact appropriate
Stale and local agcncles before beginning work.
It there are any questions regarding this authorization or any of Ole conditions of the General Permit or Nationwide
Pennit, please contact ilre Corps Regulatory Official specified below.
Date: AA" 29. 20M %
Corps Regulatory OMclal: ce T. Suge 7h A __ Telephone No.: (210) 2514811
Expirntion Date of Vcrificatlon. Joust 29. 2062
SURVEY PLATS. FIELD SKETCH, WETLANU'DEL1NEATION FORMS, PROJECT PLANS, ETC., MUST BE
ATPACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
CESAW Form Sir
R W""d Jury 11 5
yJ:
BOOIZOOld t65L?
ozn ? .?s ; dg ter=? ? :-sent

PC of Pe. it PIN
FLAN. ':3R PLAT DRAYM TO SC.A.LE MI:ST BE ATTACriEr] SZFORE TESL fir': L)-...A-i.-)CA:: -R E Z5V] `s?
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P1 Relationship ?;f Permittee To landowner.
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wt, a: ;io%-n on dx attached pioc plan, recorded in the Ferrier Counr; ReYi?.sy' i -'
lbdhrisbn Section ?A,?;__?? -' ?: 5 ,a • ?• ? Loki
a?aars??e
u Dimendom Front: Reap: lefa 1 Rigtft
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imensions Height Type of Proposed: \ C'(3 X
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Mlklencs:

xandation Survey Required Date Received
:a3'.;i that Won g :xm [+.r t a.Fi9 's?!iiy':: "• >.+:.L ?,s 00 Mr4fUMM SWW.i G4i ? appk-,ZM7 : a ? w.M% .?, M sa -4-1
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k partially ;o ated in SFHA, but development is noi.? (Yw*4o) Comments
evadon Cer d&2te feq dmcP (Yes/No)
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PENoU? Coup
aCELIA VERftQv
2. Individually list wetland impacts below:
Wetland Impact
Site Number
(indicate on ma
Type of Impact* Area of
Impact
acres Located within
100-year Floodplain**
(es/no Distance to
Nearest Stream
linear feet)
Type of Wetland***

irne 0 i E 1)

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at bitp://www.fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property.. O N F,
Total area of wetland impact proposed: 6_6 ?
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
indicate on ma
Type of Impact* Length of
Impact
linear feet
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
leasespecify)

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditch ing/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.us_s.eov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site:_ 'V A ,
Page 8 of 12
1. Provide a written description of the proposed impacts:
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Map center is UTM 18 254836E 3806971N (WGS84/NAD83)
Topsail quadrangle M=-9.144
Projection is UTM Zone 18 NAD83 Datum G=-1.506
Page 1 of 1
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PB4r3

Michael F. Easley, Governor
William G. Ross Jr., Secretary
Nnth Carolina Department of Environment and Natural Resources
Alan Klimek, P.E., Director
Division of Water Quality
Coleen H. Sullins, Deputy Director
t
CERTIFIED MAIL - RETURN RECEIPT REQUESTED -'
'Z I
Cecelia & John Verardi
105 Dolphin Circle
Hampstead, NC 28443
Subject Property:
Dear Mr. & Ms Verardi:
Pender County
WETLANDS/ 401 GROUP
JUL. p 6 2004
WATER QUALITY SECTION
On May 7, 2004 the Division of Water Quality (DWQ) was notified by receipt of your application regarding your
plan to fill wetlands or waters for the purpose of constructing a single-family residence in Pender County.
Approval from DWQ is required to disturb these areas. Please provide 7 copies of the following information and
refer to the DWQ # listed above in your reply. Please show these on maps of suitable scale (for instance 1" = 100
feet) so we can begin to determine your projects' compliance with 15A NCAC 2H .0500.
1. Please complete A eg_8_of the application and provide the oziginaLplus six 6) copies
2. Please provide seven 7 co ie the approved septic permit.
Please telephone Bob Zarzecki at 919-733-9726 if you have any questions or would require copies of our rules or
procedural materials. This project will remain on hold as incomplete in accordance with 15A NCAC 2H.0505(c).
The processing time for this application will begin when this information is received. If we do not hear from you
by writing or by fax at [phone] withi.___n three (3) weeks we will assume you no longer want to pursue the
project and will consider it withdrawn.
Sincerely,
Wilmington DWQ Regional Office
Wilmington Corps of Engineers
Central Files
File Copy
N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (httn;//h2o.enr.state.nc.us/ncwetlands)
Customer Service#: 1-877-623-6748
01de Point subdivision, Sawgrass Court, Lots 157,158,159
K?RDomIey?
1 Water Quality Ce fication Program
e alr?l

?O? WATF?¢ Michael F. Easley, Governor
William G. Ross Jr., Secretary
O North Carolina Department of Environment and Natural Resources
r
> Alan Klimek, P.E., Director
Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality
June 14, 2004
DWQ # 04-0928
Pender County
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
Cecelia & John Verardi
105 Dolphin Circle
Hampstead, NC 28443
- -- - Subject Property: Olde-Point subdivision,-Sawgrass Court, Lots-157,158;159 - - ------ - --
Dear Mr. & Ms Verardi:
On May 7, 2004 the Division of Water Quality (DWQ) was notified by receipt of your application regarding your
plan to fill wetlands or waters for the purpose of constructing a single-family residence in Pender County.
Approval from DWQ is required to disturb these areas. Please provide 7 copies of the following information and
refer to the DWQ # listed above in your reply. Please show these,on maps of suitable scale (for instance 1" = 100
feet) so we can begin to determine your projects' compliance with 15A NCAC 2H.0500.
1. Please complete page 8 of the application and provide the original plus six (6) copies.
2. Please provide seven (7) copies of the approved septic permit.
Please telephone Bob Zarzecki at 919-733-9726 if you have any questions or would require copies of our rules or
procedural materials. This project will remain on hold as incomplete in accordance with 15A NCAC 2H.0505(c).
The processing time for this application will begin when this information is received. If we do not hear from you
by writing or by fax at [phone] within three (3) weeks we will assume you no longer want to pursue the
project and will consider it withdrawn.
Sincerely,
M'0?0
n R. Domey
Water Quality Ce fication Program
JRD/bs
cc: Wilmington DWQ Regional Office
Wilmington Corps of Engineers
Central Files
File Copy
fi MA
gum
N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), (httu://h2o.enr.state.nc.us/ncwetlands)
Customer Service #: 1-877-623-6748
HLE COM PL
Cop Y
4
Office Use Only: Form Version May 2002
USACE Action ID No. cZQ0(YC)1d l DWQ No. 0 4 0 928
V1 auy Yaiticuiai uc11L is noL appucaoie to tors project, please enter "Not Applicable" or "N/A".)
I. Processing
1. Ch k all of the approval(s) requested for this project:
Section 404 Permit ? Riparian or Watershed Buffer Rules
? ectin^ t D?---=` Isolated Wetland Permit from DWQ
I 401
2. NationN + rAissin5 page Requested:
3. If this n 0Ln at 3 written approval for the 401 Certification
is not re
4. If paym !&-Ve kV" ation Program (NCWRP) is proposed for
mitigatit RP prior to submittal of PCN), complete
section'
5. If your I twenty coastal counties (listed on page
4), and iision of Coastal Managemen Area of
Envirom ther details), check here:
II. Applicant Information
1. Owner/A pI' nt Information WETLANDS 1401 GROUP
Name: F ica
Ll Jako ?c R?1 1
Mailing Address: DQLOtf t tJ r'
f
AN 0 V8 2004
Telephone Number:
E-mail Address:
ax Number:
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.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Page 5 of 12
III. 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 shale 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: SW60AI S
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):
4. Location
County: ?F l Nearest Towt
Subdivision name (include phase/lot number):?• LCE
Directions,to site (include road numbers, landmarks, eN.):.
1.f) enl 10 K0 t P RT, 31 Urar LV!>r e)iJ
?? ,?tz rss CT-1 (_OT15 157 - 59 r 156
5. Site coordinates, if available (UTM or Lat/Long):
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres): 1.5
0t CL Top bex, l Cr`e?e? k
7. Nearest body of water(stream/river/sound/ocean/lake): C t P? - CY?Qi??ly 1
S. River Basin:-- (o o e Few 14? ,'ve1- ?QiS %h
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and genera land u e in the vicinity of e project
at the time of this application:_ C y, u i orAt°r'f (rE, it a .tn ( Q aoa )
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used:
11. Explain the purpose of the proposed work:
?j??
1
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. APR1 L l6
Ac.Tronr 10 200001541- APfLIC6- R N DATE 2R,2 C100 - F?rnrrs GRA?b
Al3G(J!5-r 24 2004 GEW50AL PERMIT FRoMr"fA--rpCORPs 0-F E/YGINEER5
FEr(ot?Z W0ry r i 50E0 APRI L 1 rH 2.001. V 6 u I LD
Onf? 0.E5tDE ( L l OGYIE ON t-OT 23 c AJ L, 11?T5 ,Z33 z3 `Z3rJ
V. Future Project Plans '
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
RtGHi- TO PUT f? 5mAt_I_ DGC< GO -1-1fDAl? mAe,5ti. FOB h FLATOOTTOM
e 1 KI Th E F UTU?F
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. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must 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.
Page 7 of 12
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
Open Water Impact
Site Number
indicate on ma
Type of Impact* Area of
Impact
acres Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. 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 ? 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.):
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
to be followed during construction to reduce
uRc7n TKeFF.
T CF
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.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Pdmits, published in the Federal Register on March 9, 2000, 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 NCWRP 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
http://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 sp a is needed.
N -M NMP57 - 7 ;enl R. Q d ?' urf' . Co l B"//7/ 77l
OLDEPT D.T
n - - - - - -
2. Mitigation may also be made"by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h2o.enr.state.lic.us/wm/iiidex.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three 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):
Pa.ae 10 of 12
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land?
Yes ? No
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
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 ?]
X. 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.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ? No ?0 If you answered "yes", provide the following information:
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.
Zone* (s I are feet Nfultiplier Required
Mitieation

1 3
2 1.5
Total
from near oanK of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 11 of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
XI. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
MI.
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the nronosed nroiect or nvnilnhle canne-4v oftt,P
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No N
Is this an after-the-fact permit application?
Yes ? No El
XIV. 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).
5-7-64
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
L)P-17)q
Page 12 of 12
Sewage Disposal (required by DWQ)
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<< Back to Map
* Sawgrass Rd Hampstead, NC 28443-2361
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¦ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
¦ Print your name and address on the reverse
so that we can return the card to you.
¦ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Cecelia & John Verardi
105 Dolphin Circle
Hampstead, NC 28443
DWQ# 04-0928 - Pender
J I
Xnature,"
? Agent
ti g
' °
r L +'ti? f c? r_
13-Addressee
B. Re eivgd- by (Printed Name) C. Date of Delivery
D. IS delivery address different from item 1? ? Yes
If YES, enter delivery address befit: ? No
3. Service Type
Certified Mail ? Express Mail
? Registered l',"eturn Receipt for Merchandise
? Insured Mail ? C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
2. Article Number
(Transfer from service label)
PS Form 3811, February 2004
?001 2510 0006 316? 5824
Domestic Return Receipt
102595-02-M-1540
UNITED STATES POSTAL SERVICE
i il 111 LISPS
• Sender: Please print your name, address, and ZIP+4 in this box •
L' 1'
NC DENR Division of Water Quality
Wetlands/401 Certification Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
First-Class Mail
Postage & Fees Paid
Permit No. G-10
in i IIIIIII IIIIIIIf IIIIIIIIIIIIIIIIIIIIf IIIII tIlfIllllliltliStiii
DWQ#? Date Who Reviewed:
_ Plan Detail Incomplete
? Please provide a location map for the project.
? Please show all stream impacts including all fill slopes, dissipaters, and bank stabilization on the site plan.
? Please show all wetland impacts including fill slopes on the site plan.
? Please indicate all buffer impacts on the site plan.
? Please indicate proposed lot layout as overlays on the site plan.
? Please indicate the location of the protected buffers as overlays on the site plan.
? Please locate all isolated or non-isolated wetlands, streams and other waters of the State as overlays on the site plan.
- - ? Please provide cross section details showing the provisions for aquatic life passage. -----
? Please locate any planned sewer lines on the site plan.
? Please provide the location of any proposed stormwater management practices as required by GC
? Please provide detail for the stormwater management practices as required by GC
? Please specify the percent of project imperviousness area based on the estimated built-out conditions.
? Please indicate all stormwater outfalls on the site plan.
? Please indicate the diffuse flow provision measures on the site plan.
? Please indicate whether or not the proposed impacts already been conducted. ;
Avoidance and/or Minimization Not Provided
? The labeled as on the plans does not appear to be necessary. Please eliminate the or provide additional
information as to why it is necessary for this project.
? This Office believes that the labeled on the plans as can be moved or reconfigured to avoid the impacts to the
. Please revise the plans to avoid the impacts.
? This Office believes that the labeled on the plans as can be moved or reconfigured to minimize the impacts to the
Please revise the plans to minimize the impacts.
? The stormwater discharges at the location on the plans labeled will not provide diffuse flow through the buffer because
Please revise the plans and provide calculations to show that diffuse flow will be achieved through the entire buffer. If it
is not possible to achieve diffuse flow through the entire buffer then it may be necessary to provide stormwater management
practices that remove nutrients before the stormwater can be discharged through the buffer.
Other
? The application fee was insufficient because over 150 feet of stream and/or over 1 acre of wetland impacts were requested. Please
provide $ . This additional fee must be received before your application can be reviewed.
?-Q 8 vb
Please complete.WM4 the application. tt--A P mvid G Ae•0nr*1 c•?-2 51 x
? Please provide a signed copy of the application. O
? Please provide copies of the application, copies of the site plans and other supporting information.
Mitigation
? of compensatory mitigation is required for this project. Please provide a compensatory mitigation plan. The
plan must conform to the requirements in 15 A NCAC 2H.0500 and must be appropriate to the type of impacts proposed.
? Please indicate which 404 Permit the USACE would use to authorize this project.
C-) C r o aTp -v-q QA Se1,t
n
.

- - - - - - - - - - - - - - - - -
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